What are some future trends in public health? Is the current health care system prepared for them?
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Write a 2-page paper to describe how does a nursing homeowner, Jane Smith, can improve the elderly living experience at her nursing home and seeing a doctor.
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Todd Lawrence is an 8-year-old boy who has been hospitalized for treatment with skeletal traction after sustaining a compound fracture of his left leg 8 days ago. During the night he developed a fever of 102.6°F (39.2°C). This morning his temperature is 101.8°F (38.8°C). The pin sites are red and inflamed and the upper leg area is tender to the touch. Todd is complaining of pain, rating it a 9 out of a possible 10 on a numerical pain rating scale. Laboratory tests reveal leukocytosis, an increased erythrocyte sedimentation rate (ESR) and positive blood cultures.
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Discussion questions:
Florence Nightingale was one of nursing's greatest pioneers in holistic nursing using your Dossey book and readings:
PLEASE USE CITATION IF USING IT.
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**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 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)
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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.
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.)
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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.
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.
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write a few paragraphs about what success as a medical professional would look like
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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.
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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
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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
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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?
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