Discuss how re-entrant arrhythmias are initiated and explain what is happening in the first and second beats in the arrhythmia.
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2. The Doppler ultrasonic stethoscope is used to:
A. Assess lower extremity skin condition
B. Detect a weak pulse
C. Rate the force of a peripheral pulse
D. Assess pitting edema
3. Where will the nurse palpate the posterior tibial pulse?
a. In the groove between the medial maleolus and the Achilles tendon
b. Just lateral to and parallel with the extensor tendon of the big toe
c. In the groove between the external maleolus and the Achilles tendon
d. Just medial to and parallel with the extensor tendon of the big toe
4. What does upper extremity capillary refill time of greater than 1 or 2 seconds indicate?
a. vasoconstriction or decreased cardiac output
b. Systolic Hypertension
c. Decreased force of ulnar pulses
d. elevated body temperature
5. What is the most likely etiology of unilateral upper extremity non pitting brawny edema?
a. Lymphedema
b. arterial ischemic diseas
c. Venous insufficiency
d. Deep vein thrombosis
In: Nursing
In: Nursing
1. Who is often recognized as being the first hospital administrator?
2. Which invention attributed to Van Leeuwenhoek had a pronounced influence on the creation of the sciences of cytology, bacteriology, and pathology?
3. What issue did Florence Nightingale identify in the 1800s as being a major source/vehicle for the spread of infection and continues to be so today?
4. What data did Semmelweis collect? What was the significance of that data as related to performance improvement in the present-day hospital?
5. What were two of the greatest influences in the development of present-day hospitals?
6. Describe how you think history is repeating itself in today’s health care system.
In: Nursing
1.Describe the objectives of tort law.
2.Discuss the distinctions among negligent torts, intentional torts, and strict liability.
3.What forms of negligence are described in this chapter?
4.How does one distinguish between negligence and malpractice?
5.What elements must be proven in order to be successful in a negligence suit? Illustrate your answer with a case (the facts of the case can be hypothetical).
6.Can a "duty to care" be established by statute or contract? Discuss your answer.
7.Describe the categories of intentional torts.
8.How does slander differ from libel? Give an example of each.
9.What is products liability? Describe what legal theories an injured party may use in proceeding with a lawsuit against a seller, manufacturer, or supplier of goods.
10.Describe the defenses often used in a products liability case.
In: Nursing
My question is "do you think that specialization of services is positive aspect of health care or do you feel that it has gotten too specific causing a person to have to see numerous physicians for an illness?
Do you see a trend towards more specialization or possibly back to the general practitioner within your area?
In: Nursing
An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.
•The role genetics plays in the disease.
• Why the patient is presenting with the specific symptoms described.
• The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
• The cells that are involved in this process. • How another characteristic (e.g., gender, genetics) would change your response.
need scholar articles to support answers and at a cellular level
In: Nursing
When you assess and respond to the needs of at least 3 different people and their carers or family members in the context of your job role and use strengths-based solutions to respond to both routine and unpredictable problems related to care relationships, you are to keep a journal. There are 3 journal templates in the following pages that you can use to record the relevant information while you are working with these three people.
JOURNAL 1 Client Name: Client A Situation:
Please describe your response below:
The strategies you use to work in a positive manner with the family.
The family patterns and structures and how they impact each person T
he types of lifecycle transitions and the positive and negative impacts these create
The impact of the caring role on family member(s)
The pathways the family take to enter the service and the implications for all stakeholders
The attitudes, stereotypes and false beliefs that family members and other stakeholders have about the person and the service
The carer support services and resources used by each person and their support team
How carer and family members supported the person
What changes occurred in the care relationship and how you respond to those changes
How you promote the carer rights, health and wellbeing during your work with each client.
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The patient has an order for cephalexin (Keflex) 350 mg orally. The medication available is cephalexin 250 mg/2 mL. How many mL will the nurse administered
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Discuss ways that nursing informatics could be applied to all areas of professional nursing practice, including clinical practice, administration, education, and research. Provide examples of each. What do you see as the biggest significance of nursing informatics, and why?
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Head Neck Veins. (NEED ONLY ANSWERS NO EXPLANATION)
Q1) Which of the following are modifiable risk factors for myocardial infarction (MI)? Select all that apply.
A. Diabetes
B. Obesity
C. Age
D. abnormal lipids
E. Hypertention
F. Gender
G. Smoking
Q2) When obtaining subjective inormation related to the heart, what information will the nurse obtain? (select all that apply)
a. Chest pain |
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b. Shortness of breath |
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c. Fatigue |
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d. Edema |
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e. cardiac risk factors |
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f. heart rate and rhythm |
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Q3) Where is the point of maximal impulse palpated in an adult?
a. 5th intercostal space, mid-clavicular line |
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b. 5th intercostal space, left sternal border |
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c. 4th intercostal space, mid-clavicular line |
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d. 4th intercostal space, left mid-axillary line |
Q4) When ausculatating the heart, the nurse will listen for the following: (select all that apply)
A. |
listen for wheezes and rhonchi |
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B. |
identify S1 and S2 |
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C. |
Listen for a carotid bruit |
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D. |
listen for murmurs |
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E. |
Note the rate and rhythm |
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F. |
listen for extra heart sounds |
Q5) Match the location on the thorax with the auscultatory valve area
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Q6) Which heart sound is associated with heart failure?
a. S3 |
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b. Systolic murmur |
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c. S4 |
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d. Diastolic murmur |
Q7) Which technique is used to auscultate the carotid arteries?
A. |
Ask the client to take a breath and hold it briefly while you listen with the bell of the stethoscope. |
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B. |
Ask the client to take a breath, exhale and hold it briefly while you listen with the bell of the stethoscope |
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C. |
Ask the client to take a breath, exhale and hold it briefly while you listen with the diaphragm of the stethoscope. |
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D. |
Ask the client to take a breath and hold it briefly while you listen with the diaphragm of the stethoscope |
Q8) Where is the apex of the heart located in an infant?
The fourth, left intercostal space |
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The fifth, left intercostal space |
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The 6th, left intercostal space |
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The fourth, right intercostal space |
Q9) What is the proper patient position that is used for assessment of jugular veins?
supine with head of bed at 30 to 45 degrees elevation |
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supine with head of bed flat |
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right side lying position to assess the left jugular vein |
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supine with head of bed at 90 degree elevation |
In: Nursing
You are about to care for Tanika, a full-term neonate (weight=3500g) who underwent surgery 24 hours ago for fundoplication and placement of gastronomy tube. The nurse reports that Tanika has slept for short periods throughout the shift, sucks vigorously on the pacifier, and occasionally cries. The nurse notes that she has not medicated Tanika for pain because she does have periods when she sleeps for 15 to 30 minutes. Her BP is 98/74, pulse rate 170, and respiratory rate 50.
1. What would be your first nursing action?
2. What principles related to pediatric pain management would apply to this infant?
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An 85-year-old female diagnosed with ovarian cancer 5 years ago. She was treated with surgery and chemotherapy. Surgical treatment included bilateral salpingo-oophorectomy and total abdominal hysterectomy. At that time, the client was found to be BRCA1 positive. She declined any prophylactic surgery or treatment. She was subsequently diagnosed with breast cancer 18 months ago and underwent a lumpectomy of the right breast, followed by chemotherapy and radiation. Two months ago, she was diagnosed with Stage IV metastatic disease in her bones, brain, and liver. Question 1. What is the priority in caring for Amira Quintona? What are two nursing interventions you can utilize when caring for her, please provide the rationale? Question 2? You hear a nurse talking about “Death Rattle.” What is this, and what is the significance of it in a patient who is in hospice care? 3. Describe the ethical and legal issues of advanced directives including the role and responsibilities of the healthcare surrogate decision-maker. 4. Discuss the nursing management of the client-family unit at end-of-life. 5. Based on what you’ve learned about the nursing process, describe one applicable nursing diagnosis, treatments and nursing considerations for this diagnosis
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In your own words, describe the difference between euthanasia and physician-assisted suicide.
Select an argument for or against either euthanasia or physician-assisted suicide.
How would you defend your argument?
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Identify a regulatory agency, quality oversight group/agency, or another entity that is capturing and reporting on quality data at the local, state, or national level. You may also take a look at the entities that report quality data on an organizational level. Utilizing the entity you choose, discuss the following:
In: Nursing