T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED). On arrival, you note that he is trembling and nearly doubled over with severe abdominal pain. T.B. indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid-back as a deep, sharp, boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had several similar bouts of abdominal pain in the last month, but “none as bad as this.” He feels nauseated but has not vomited, although he did vomit a week ago with a similar episode. T.B.experienced an acute onset of pain after eating fish and chips at a fast-food restaurant earlier today. He is not happy to be in the hospital and is grumpy that his daughter insisted on taking him to the ED for evaluation. After orienting him to the room, you perform your physical assessment. The findings are as follows: He is awake, alert, and oriented 3, and he moves all extremities well. He is restless, is constantly shifting his position, and complains of fatigue. Breath sounds are clear to auscultation. Heart sounds are clear and crisp, with no murmur or rub noted and with a regular rate and rhythm. Abdomen is flat, slightly rigid, and very tender to palpation throughout, especially in the RUQ; bowel sounds are present. He reports having light-colored stools for 1 week. The patient voids dark amber urine but denies dysuria. Skin and sclera are jaundiced. Admission vital signs are BP 164/100, pulse of 132 beats/min, respiration 26 breaths/min, temperature of 100 ° F (37.8 ° C), Sp O 2 96% on 2 L of oxygen by nasal cannula.
Diagnostic statement:
Goal: Interventions
1. 2. 3,
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Please write 1 paragraph for each of the following (total 3 paragraphs) and each paragraph shall be no less than 4 sentences and no more than 10 sentences. Points will be deducted for answer with fewer than 4 sentences or extra long posting (0.5 points per each answer). Answer ALL PARTS of each question to earn full point.
DO NOT PRESENT YOUR ANSWERS AS A LIST. Discuss them in a textual format.
#a & b_ Define the age group and name at least 2 theorists that study that age group
In the paragraph make mention of: specific tasks; milestones; growth patterns, social development; cognitive development patterns; play, exercise; at least one other pertinent element not mentioned above
Question 1:
a- Summarize the growth and development in the Infant
b- Summarize the growth and development in Early Childhood
c- Compare and contrast 2 theories/theorists of Growth & Development
d- Discuss Prenatal Influences on Healthy Development and any public or social program available to pregnant women
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please explain milio's framework for prevention i can't understand it
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Please remember to choose the ethical provision you believe would address the issue and remember your citations. A group of senior students have been attending nursing school together since the beginning and are friends with one another on social media. After a particularly tough day at clinical, one of the students begins to rant about the instructor, the clinical site, and the dreadful patient assignment the student had. The student even names the nurse assigned to the patient and the name of the hospital. What should the fellow students do who are classmates and on this social media site with this student?
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Mollie Stone a 22 year old female client presents to the emergency department with colicky pain in her flanks she is doubled over with the pain stating that the pain is worse than when she gave birth to her son last year she stated that she has bloody urine but is not on her. The vital signs are temperature 99 blood pressure 140 over 90 heart rate 90 beats a minute respirations 22 breaths per minute pain is 9 out of 10 colicky intermittent pain in her flanks bilaterally a urinalysis is positive for red blood cells a renal profile was sent to the lab The physician ordered a KUB and ivp 400 renal calculi strain all urine for renal calculi the client as you the LPN the following questions question 1 what is the purpose of a KUB what is an ivp and what is the purpose number to the client states I am very concerned about my blood pressure why is it so high question 3 what can I have for pain
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Can you describe one of the five generic competitive strategies within the context of a real, current company and their product or service?
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Discuss the differences between family as a client and family as a system?
What are the traditional family functions performed over history that still exist today?
Why do some family functions still hold meaning even in modern times?
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What are the different characteristics between a febrile seizure, and generalized seizure and an absence seizure?
Name the three different causes of seizures, in children. Give an example of each.
Name two common anticonvulsive medications and their side effects.
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Name and explain three types of soft tissue injuries. How would the nurse manage a soft tissue injury?(contusion, sprain, strain)
What is the difference between a compound fracture and a greenstick fracture? What are the signs and symptoms of a fracture?
Which fracture indicates child abuse?
Explain compartment syndrome using the five P’s.
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What is the narrative and schematic pathophysiology of cancer
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discuss the narrative and schematic pathophysiology of
congestive heart failure
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