Write an essay on Alzheimers Disease.

Acetaminophen was mentioned as a mild pain reliever and as a combo med with other medications. I want you to explain to me what acetaminophen is most used for. Is there a safe dosage range, if so, what is it? Any Black box warnings/ contraindications? How is this medication calculated for children ? If a patient were to ask for a PRN Tylenol and this they have regularly scheduled Norco 5/325mg Q 6 hours. Is there anything you should check before giving that PRN to ensure it is safe?

Name: _____________________________          Professor: ____________________________

30 mL = 1 fluid ounce                                   1 kg = 2.2 lb

1 cc = 1 mL                                                    2.54 cm = 1 inch

60 (65) mg = 1 gr

Lab Activities:

1. Your patient is on I & O. He drank an 8 oz. glass of water with his meds. How would you chart his intake in ml’s?

2. You checked your patient’s breakfast tray and your patient consumed the following:

½ of a 4oz container of orange juice, 6 oz. of coffee. What is the total intake in ml’s?

3.         You assisted your patient by feeding her lunch. She consumed the following:

          1 container (4 oz.) of cranberry juice, ½ cup of applesauce, ½ cup ( 4 oz.) of tea.

            How would you chart your patient’s intake?

4. You removed your patient’s tray and observed that he consumed the following :

3 oz. gelatin (Jello), ½ of a 6 oz. container of coffee, ½ cup of ice cream, ¼ carton of 8 oz. milk, and 2 oz. of water. How would you chart your patient’s intake?

5. Your patient had an emesis that measured 3 oz in the emesis basin. How would you chart the output in ml’s?

6.         You measured your patient’s height to be 177.8 cm’s. What is your patient’s height in inches?

7.         You measured your patient’s calf to determine size of TED hose. How would you

            convert 14 inches to cm’s?

8.         Your patient weighs 140 pounds. How many kg’s does your patient weigh?

9.         Your patient weighs 55 kg. How many pounds does your patient weigh?

10.       Your patient was ordered acetaminophen (Tylenol) 325 mg. How many grains does this

            convert to?  

11.       Your patient is receiving Tylenol 4 gr. How many mg’s does this convert to?

12.       You assessed your patient at 9:00 P.M. How would you chart this in military time?

13.       You assisted your patient with range of motion exercises at 10:30 A.M   How would you chart this in military time?

14.       You assisted your patient with ambulating at 4:15 P.M. How would you chart this in           military time?

15.      You gave your patient a pain medication at 4:00 A.M. How would you chart this in           military time?

Discuss what proteins are used for and how it is processed in your body. What are sources of protein? Why do we need proteins?

How much protein is required? What does the book say about the required protein for a healthy adult?

Why do we need carbohydrates and how much do you know about carbohydrates and how they contribute to energy in your body.

What are the signs of infant readiness to feed? What foods do you have to watch out for when feeding infants and children? Are there foods that you cant feed infants/children?

Identify the 4 valves of the heart and explain its location as well as its function. Explain the word parts that comprise these terms and how their function is related to their meaning. Choose two specific components of the cardiovascular system and explain how they contribute to the overall function of the cardiovascular system. Finally, list two diagnostic procedures of the cardiovascular system and explain each of the word parts that make up those procedures.

What are the differences between the eating and personal life of someone diagnosed with Anorexia, Bulimia , or night eating syndrome and what does it takes for someone to overcome these eating disorders.

Differenriate the thee chambers of a chest tube

1). A 44 lb. child has an order for Ilosone oral suspension 250mg PO Q6h.The usual dosage for children under 50 lbs. is 30 to 50mg /kg/day. Children over 20lbs. the order is for 250 mg Q6h.

(A).What is the child’s weight in kg?

(B) What are the ranges of dosages for this child?

Low dose –

High dose –

(C) Did the Nurse Practitioner order a safe dose?

2). Child’s weight is 62 lbs.

What is the weight in kg?

Doctor’s order: Amoxicillin 375 mg TID for otitis media.

Available 500mg/2.5ml. How many mls should you administer?

3). Pediatric clindamycin hydrochloride (Cleocin) is ordered for life threatening infections: 20-40mg/kg/day in 3 to 4 equal doses. Child’s weight- 54lbs.

Order: Clindamycin 300mg IV three times a day for meningitis.

Available: Cleocin 300mg in 2ml

1. Is the order safe?

       (B) How many mls would you administer?

4). Phenobarbital 250mg PO Q 8hours. The medication is supplied as Phenobarbital 500mg/5ml. How many teaspoons would you teach the mother to administer?

1. Mrs. A, a 78 y/o Hispanic female had emergent surgical intervention and is being transferred to the PACU.
   a) List some of the responsibilities of the post-anesthesia care nurse in the prevention of immediate postoperative complications?
   b) What are some key assessment parameters to consider for the early detection of postoperative complications?
2. 
   The nurse is developing a plan of care for a postoperative patient who has undergone general anesthesia and thus at risk for ineffective breathing.
   a) What are key nursing measures to prevent complications in this patient?
3. 
   A potential complication of a postoperative patient is thrombophlebitis.
   a) What are common ways to prevent this complication from occurring?

Trina and Rick are new clients at your obstetrics office. They are both 25 years old. You are asking them about the reason for their visit. Trina says she thinks she is pregnant because she missed a period, again. Her last normal menstrual period was 07/03/2020. Rick tells you Trina is always nauseated all the time. They have not been using birth control and have wanted to have children since they got married last summer. Trina says her clothes are feeling tighter and her breasts seem tender, but that happens every month with her cycle. Rick says he has noticed that Trina has been frequently getting up to go to the bathroom at night. Trina is concerned because she has a half-brother who has Down syndrome, had one miscarriage at age 22 and she had one elective abortion when she was 20 years old.

1. What subjective symptoms have led Trina to presume she is pregnant?

2. What other conditions could be the cause of Trina’s symptoms?

3. How can a pregnancy be confirmed as probable in the office?

4. What three methods can be used to diagnose a pregnancy as positive?

5. The urine pregnancy test comes back positive. What is Trina’s due date?

6. What is Trina’s obstetric history (GTPAL format) at this time?

7. What education would you provide to Trina about genetic testing options, what time frame would they be offered, and what information can be obtained from these tests?

8. Name three physiologic changes during each trimester of the pregnancy that the nurse would teach to the couple.

9. Discuss anticipatory guidance about managing the physiologic changes the nurse would expect to educate the couple on during each trimester of the pregnancy.

10. Discuss the nursing management of the pregnant client in each trimester of pregnancy (visits, warning signs, additional testing, etc.).

Case Study There two sets of questions for this module, 1-4 and 5-8, for a total of eight questions. Using the concept of the epidemiological triangle to complete one of the following case studies: John J. is a school nurse at Jackson Elementary School, which was built in 1960. Nurse John has noticed that many students from Ms. Zee’s second grade class have come to the clinic complaining about coughing, sneezing, runny nose, and watery eyes. Nurse John has also observed that Steven Tea, the only asthmatic student in Ms. Zee’s class, has had more asthma attacks this year than he did last year. Because the rest of the school is not experiencing the same respiratory problems, Nurse John is concerned that something in Ms. Zee’s classroom is causing students to feel ill. Nurse John decides to visit Ms. Zee’s classroom. Upon entering the classroom, one of the few located in the school’s basement, John is struck by the powerful musty smell that inhabits the room. While talking to Ms. Zee, John learns that the classroom has “smelled bad for years,” and that students from previous years have complained about respiratory problems. Nurse John notes that Ms. Zee has stuffed a blanket at the base of the classroom’s small rectangular window near the ceiling because the window does not close completely. John suspects that Ms. Zee’s classroom walls are contaminated with mold. Upon further research, Nurse John learns that if water gets between the exterior and the interior of a building’s wall, mold can grow in the moist environment. This situation can occur as the result of construction defects in the building (e.g., leaky windows). Nurse John also learns that people who are exposed to extensive mold growth may experience allergic reactions, such as hay fever-like allergy symptoms, and that people who already have a chronic respiratory disease, such as asthma, may have trouble breathing when exposed to mold. Nurse John is concerned about the possible mold contamination effect on his asthmatic student, Steven.

1. Identify the agent, host, and environment in this case study, and describe how they interacted to bring about the occurrence of disease.

2. Is the mold contamination in Ms. Zee’s room a point-source pollutant or a non–point-source pollutant?

3. What can Nurse John do to learn more about indoor air quality (IAQ) and about what to do in case of mold?

4. What are some possible interventions that Nurse John could apply to address the mold contamination in Ms. Zee’s room?

This information is related to the primary care provider who orders a blood lead level, which comes back at 45 mcg/dL. On further investigation you discover that Billy’s home was built before 1950. At that time the home is tested, and the dust shows high lead levels. Due to Billy’s age and associated behaviors, such as hand to mouth activities, you determine that the lead dust in the home is a probable exposure, and that Billy should not return to the home. You must also consider multiple sources of exposures.

5.What other sources of exposure might exist?

6.What would you include in an assessment of this situation?

7.What prevention strategies would you use to resolve this issue? At the individual level? The population levels?