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?

Drug Cards for the following medications that describe the Drug class, Prototype Name, MOA, Major Adverse Effects, Drug Interactions and Contraindications, and Nursing Implications.

Somatropin

Somatostatin

Desmopressin

Levothyroxine

Methimazole

Discussion Board 3.1: Communicating with Patient's Records

11 unread reply.11 reply.

Discussion:

Communication is the key to a successful interaction with a patient. However, there can be challenges along the way. Age, culture, and education all play an important role in how people respond to your care.  

Objectives:

• To understand how to communicate with people in the medical environment under unusual circumstances.

Instructions:

Respond to the following: Choose one of the communication issues below and explain what issues you may have with communicating with this patient and how you can overcome these issues. Make sure you cite at least 2 outside sources for your solution to the issue

• You are working with a family of a young autistic child
• You are working with an elderly person who has comprehension issues/dementia
• You are working in the inner city with a person who has an 8th-grade education
• You are working with an Orthodox Jewish woman/man ( opposite sex)
• You have a 3-year-old child and both her parents
• You have a 16-year-old boy with his mother in the lab

Provide a summary discussion about how you will apply the tools of Medical Sociology, including epidemiology, medical education and socialization related to analyzing illness and disease

Why is it important for Respiratory therapists to know about Neonates and Pediatrics, even if you only work with adults?

1. A 9-month old female Great Dane is admitted for routine ovariohysterectomy. She weighs 65 pounds. The anesthetic protocol is as follows:

Acepromazine (10mg/mL): Dosage 0.05mg/kg IM

Butorphanol (10mg/mL): Dosage 0.2mg/kg IM

Atropine (0.02% solution): Dosage 0.02mg/kg SC

How much of each drug in mL should be administered?

please show all your work. trying to learn

How does “minimum staffing” impact your ability to meet your nursing budgeted numbers?

What role should the nurse leader play and how should the leader interact with the finance department for a standard definition of measurement for the nursing workload requirement?

Overview: “Personal Philosophy of Nursing”

In this module’s Assignment, you will draft a formal paper expressing your personal philosophy of nursing paper. In this paper, you will provide a framework for your personal practice of nursing and reflect on why you chose nursing as a profession. Your paper will define how you interact with patients, family members, other nurses, and other health care professionals.

Apply the critical thinking skill of interpretation to thispatient situation by–underliningtherelevant information and circling or bolding the medical terminology.

Situation: Sara Lin is an 18-year-old female patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.

Background: Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.

Assessment: Sara is alert and oriented, appropriate for age. She needs to be reminded to use her incentive spirometer. Abdomen is soft, tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The abdominal dressing was changed by the surgery team early this a.m. The incision is closed with staples; the edges are well-approximate and only slightly reddened with minimal serosanguinous drainage. Her sequential compression devices were discontinued, and her Jackson-Pratt drain was pulled this morning. A small amount of bleeding was present; no further bleeding is noted. This morning, she had her first small soft brown stool since surgery.

Recommendation: You will have to transition Sara to oral antibiotics and pain medication. She last had pain medication 4 hours ago. You will need to provide discharge patient education on incision care, pain medication and antibiotics, signs of postoperative infection, activity restrictions, and surgical follow-up.

Differentiate between primary and secondary acquired immunodeficiencies and describe them using the following words:   

Hereditary

Primary

Secondary

Opportunistic infections

Severe Combined immunodeficiencies

Phagocytic

Acute infection

AIDS

Latent phase

Complement components deficiency