Questions
**Dimensional Analysis*** 1. Gr Vi=   Mg ( Record as a whole number ) 2. The order...

**Dimensional Analysis***

1. Gr Vi=   Mg ( Record as a whole number )

2. The order reads promethazine (phenergan) 12.5 mg IM for nausea now.
The supply from the pharmacy is promethazine (pherergan) 50 mg/2 mL. How many mL would the nurse administer? ( Record using one decimal place)

3. The physician orders ampicillin 300 mg IM every 8 hours. The vital reads to add 4 mL of Normal saline to equal a concentration of 1g=5mL. How many mL will the nurse give? ( Record using one decimal place)

4. Infuse doxycyline 100mg IVPB mixed in 50 mL NS over 45 minutes. Calculate the IV rate.( Record using one decimal place)

5. Infuse 500 mL Dextrose 5% in Normal Saline over 2 hours. Drip factor 15 got/mL. Calculate the manual IV rate. (Record using one decimal place)

In: Nursing

**Dimensional Analysis** 1. Order: phenytoin 0.2g cap po tid for a patient with seizures. Supply: phenytoin...

**Dimensional Analysis**

1. Order: phenytoin 0.2g cap po tid for a patient with seizures. Supply: phenytoin 100mg capsules. How many capsules will the nurse give per dose? ( record using a whole number )

2. Order: levothyroxine tabs 150 mcg po daily in AM. Supply: levothyroxine 0.15 mg scored tablets. How many tablets will the nurse give? (record using a whole number)

3. Order: meperidine HCI 12.5 mg IM stat X 1 for a patient in pain. Supply: meperidine HCI 75 mg/mL. How many mL will the nurse administer IM? ( Record using two decimal places)

4. Order: nitroprusside sodium at 0.4mcg/kg/min for a patient with severe hypertension. Patient weight is 198 pounds. Available: nitroprusside sodium 50 mg in 250 mL D5W. What is the IV pump rate? ( record using one decimal place)

In: Nursing

A 16-year-old Asian male presents at the doctor’s office complaining of “sores” on his arms and...

A 16-year-old Asian male presents at the doctor’s office complaining of “sores” on his arms and face.

He states, “everyone thinks I have something contagious and I get depressed about it”. He has recently returned to school and states that he uses hand sanitizer frequently.  This seems to make the sores worse.  He takes no medication for the sores.

Assessment:  VS stable, no signs of fever.  Skin of arms and face are inflamed with vesicles and papules that are weeping and oozing. The patient has eczema.

  1. Normal Subjective data: (1 pt.)
  1. Abnormal Subjective Data: (1 pt.)

              

3.  Normal Objective Data: (1 pt.)

4.  Abnormal Objective Data: (1 pt.)

5.  Diagnosis: (1pt.)

6.  Health history (2.5 pts.)

Physical assessment (2.5 pts.)

In: Nursing

A 68-year-old retired male is experiencing right leg calf pain. The pain began approximately 2 years...

A 68-year-old retired male is experiencing right leg calf pain. The pain began approximately 2 years ago but has become significantly worse in the past 4 months. The pain is precipitated by exercise and relieved with rest. Two years ago, the client could walk two city blocks before having to stop because of leg pain. Today, he can barely walk across the yard. He has smoked two to three packs of cigarettes per day for the past 45 years. He has a history of coronary artery disease (CAD), hypertension (HTN), peripheral artery disease (PAD), and osteoarthritis. Surgical history includes quadruple coronary artery bypass graft (CABG x 4) 3 years ago, and an open reduction internal fixation (ORIF) of a right femoral fracture 20 years ago. He has had no further symptoms of cardiopulmonary disease since that time, even though he has not been compliant with the exercise regimen his cardiologist prescribed, continues to eat anything he wants, and continues to smoke two to three packs per day.

The client is in the clinic today for a routine semiannual follow-up appointment with his primary care provider. As you take his vital signs, he tells you that in addition to the calf pain, he is experiencing right hip pain that gets worse with exercise, the pain doesn’t go away promptly with rest, some days are worse than others, and his condition is not affected by a resting position.

General assessment data: Weight 261 lb; Height 5 ft 10 in; Blood pressure 163/91 mmHg; Pulse 82 beats per minute; Respirations 16 breaths per minute; Temperature 98.4o F.

Laboratory Testing: Cholesterol 239 mg/dL; Triglycerides 150 mg/dL; HDL 28 mg/dL; LDL 181 mg/dL.

Current Medications: Ramipril 10 mg/day; Metoprolol 25 mg bid; Aspirin 81 mg/day; Simvastatin 20 mg/day.

  1. What are the abnormals and their clinical significance?
  2. Prioritize the top 3 abnormals.
  1. List the 5 most important interventions for the top priority (from question #2) and provide the rationale for each intervention.
  2. What are the expected outcomes of each intervention (from question #3)?
  3. What are 3 potential complications that could happen with this client?
  4. What are potential causes of the client’s symptoms?
  1. List at least 7 clinical manifestations would you expect to find with PAD.

The primary care provider orders ankle-brachial index (ABI) test to determine the presence of arterial blood flow obstruction. The ABI results showed 0.43 right leg and 0.59 left leg. These results were discussed with the client and the provider decides to wait 2 months to see whether his symptoms improve with medication changes and risk factor modification before deciding about surgical interventions. He receives a prescription for clopidogrel 75 mg/day and is told to discontinue the daily aspirin. In addition, he receives a consultation for physical therapy.

  1. What do these ABI results indicate?
  2. (Opinion Question) You counsel the client on risk factor modification and other measures to improve tissue perfusion and to prevent skin damage. What should be addressed and provide the rationale?

68-year-old retired male is experiencing right leg calf pain. The pain began approximately 2 years ago but has become significantly worse in the past 4 months. The pain is precipitated by exercise and relieved with rest. Two years ago, the client could walk two city blocks before having to stop because of leg pain. Today, he can barely walk across the yard. He has smoked two to three packs of cigarettes per day for the past 45 years. He has a history of coronary artery disease (CAD), hypertension (HTN), peripheral artery disease (PAD), and osteoarthritis. Surgical history includes quadruple coronary artery bypass graft (CABG x 4) 3 years ago, and an open reduction internal fixation (ORIF) of a right femoral fracture 20 years ago. He has had no further symptoms of cardiopulmonary disease since that time, even though he has not been compliant with the exercise regimen his cardiologist prescribed, continues to eat anything he wants, and continues to smoke two to three packs per day.

The client is in the clinic today for a routine semiannual follow-up appointment with his primary care provider. As you take his vital signs, he tells you that in addition to the calf pain, he is experiencing right hip pain that gets worse with exercise, the pain doesn’t go away promptly with rest, some days are worse than others, and his condition is not affected by a resting position.

General assessment data: Weight 261 lb; Height 5 ft 10 in; Blood pressure 163/91 mmHg; Pulse 82 beats per minute; Respirations 16 breaths per minute; Temperature 98.4o F.

Laboratory Testing: Cholesterol 239 mg/dL; Triglycerides 150 mg/dL; HDL 28 mg/dL; LDL 181 mg/dL.

Current Medications: Ramipril 10 mg/day; Metoprolol 25 mg bid; Aspirin 81 mg/day; Simvastatin 20 mg/day.

What are the abnormals and their clinical significance?
Prioritize the top 3 abnormals.
List the 5 most important interventions for the top priority (from question #2) and provide the rationale for each intervention.
What are the expected outcomes of each intervention (from question #3)?
What are 3 potential complications that could happen with this client?
What are potential causes of the client’s symptoms?
List at least 7 clinical manifestations would you expect to find with PAD.
The primary care provider orders ankle-brachial index (ABI) test to determine the presence of arterial blood flow obstruction. The ABI results showed 0.43 right leg and 0.59 left leg. These results were discussed with the client and the provider decides to wait 2 months to see whether his symptoms improve with medication changes and risk factor modification before deciding about surgical interventions. He receives a prescription for clopidogrel 75 mg/day and is told to discontinue the daily aspirin. In addition, he receives a consultation for physical therapy.

What do these ABI results indicate?
(Opinion Question) You counsel the client on risk factor modification and other measures to improve tissue perfusion and to prevent skin damage. What should be addressed and provide the rationale?

In: Nursing

write a few paragraphs about what success as a medical professional would look like

write a few paragraphs about what success as a medical professional would look like

In: Nursing

Fertility is fundamentally a biological process. Yet, it shows substantial variation across countries and subgroups. Using...

Fertility is fundamentally a biological process. Yet, it shows substantial variation across countries and subgroups. Using your knowledge of the proximate determinants of fertility, discuss how and why fertility changes in more developed and less developed countries.

In: Nursing

Case Study: A 19 year old female patient is scheduled to have an elective abortion in...

Case Study: A 19 year old female patient is scheduled to have an elective abortion in the OR. It is legal in your state for this procedure to be performed on this patient.

Questions

Q1. How does AST's motto of "Aeger Primo" apply in this case?

Q2. How does AST's code of ethics for surgical technologist apply to this case?

Q3. what are the differences between morals and ethics?

Q4. Would you treat this patient any differently than you treat other patients?



ls a surgical technologist case study question

In: Nursing

D. CHOLINERGIC BLOCKERS: Define anticholinergics. List two (2) examples. List six (6) pharmacological properties of atropine....

D. CHOLINERGIC BLOCKERS:

Define anticholinergics.
List two (2) examples.
List six (6) pharmacological properties of atropine. (2 points)
List eight (8) nursing actions when safely administering cholinergic blockers. Include 2 for estimate, 3 for intervention, 2 for client education, and 1 for evaluation.

PLEASE USE APA FORMAT 7TH EDITION REFLECTIONS, IMPLICATIONS

In: Nursing

filing medical records

filing medical records

In: Nursing

Using APA format, write a three-paragraph essay about a specific health belief system that is common...

Using APA format, write a three-paragraph essay about a specific health belief system that is common to a population.  Make sure you cite and reference any information resources used.

Include the origins of the health beliefs.


Discuss the health implications of the health beliefs (e.g., are they a potentially harmful?).


How will you integrate the health beliefs into your nursing care?


In: Nursing

Review the necessary steps to obtaining an accurate and proper record of vital signs. Discuss the...

Review the necessary steps to obtaining an accurate and proper record of vital signs. Discuss the impact of patient comfort and equipment on getting the vital signs effectively.

In: Nursing

Imagine that your father talks with you about his recent physical examination . It has been...

Imagine that your father talks with you about his recent physical examination . It has been a number of years since he had a medical examination . His physician conducted a battery of tests and asked your father about his lifestyle . As a result, the physician told your father that he is at risk for developing cardiovascular disease . Your father was told that his weight, blood pressure, physical activity level, cholesterol, nutritional habits, and stress levels have increased his chances of developing cardiovascular disease . Your father tells you that he feels great, was physically active throughout high school and college, looks better than most people his age, and cannot imagine that he is truly at an elevated risk . Because he knows you are aware of cardiovascular disease risk factors, he asks you the following questions:

1 . How does one know if the measures taken are accurate?

2 . What evidence suggests that these characteristics are truly related to developing car- diovascular disease?

3 . How likely is it that the physician's evaluation of the tests is correct?

4 . What aspect of the obtained values places one at increased risk? For example, how was a systolic blood pressure of 140 mmHg originally identified as the point at which one is at increased risk? Why not 130 mmHg or 150 mmHg? Why has the blood pres- sure risk been decreased from 140 to 130 and even 120 mmHg? Your father reports being physically active, but what does that mean? Is he engaging in sufficient physical activity to be at increased health or reduced risk for negative health outcomes? Similar questions could be asked about each of the measurements obtained .

5 . What evidence exists that changing any of these factors will reduce risk?

In: Nursing

Furosemide, sodium polystyrene sulfonate and sevelamer hydrochloride are used to treat chronic kidney disease; provide the...

Furosemide, sodium polystyrene sulfonate and sevelamer hydrochloride are used to treat chronic kidney disease; provide the therapeutic classification, discuss how the medication improves CKD signs/symptoms and nursing actions for safe administration

In: Nursing

Week 2 Discussion Topics Discuss educational plans for preventing the spread of COVID-19 within the community...

Week 2 Discussion Topics

  • Discuss educational plans for preventing the spread of COVID-19 within the community setting and within your families.
  • Discuss prevention measures among two (2) groups who are at risk for contracting of COVID-19

In: Nursing

The negative consequences of aging, resulting ultimately in disease, are thought to be attributed to not...

The negative consequences of aging, resulting ultimately in disease, are thought to be attributed to not one, but multiple causes or risk factors. One theory of causation attempting to link the aging process and disease is not sufficient. This link can only be explained by myriad theories and causes. After reviewing the theories of aging how would you explain the disease processes caused by or related to factors believed to influence aging?  

In: Nursing