Describe how you would test each of these reflexes for retention:

ATNR-

STNR-

Moro-

Spinal Galant-

Describe an exercise/activity you would recommend to promote integration of each of these reflexes:

ATNR-

STNR-

Moro-

Spinal Galant-

1. Gender Roles and Discrimination in Nursing. Read at least 5-8 current (2010-2020) research study of the same topic about Evidence-Based Practice (EBP) and nursing practice and answer the following:

1. Identify and state the problem/gap of the study.
2. Identify and state the argument/objective of the researcher.
3. Read and summarized the literature of the study
4. Discuss the methodology used in the study
5. Identify the state the findings of the study
6. In your own words, discuss how these researches contributed to current nursing practice.

What are the problems, how it's diagnosed, symptoms and treatments of Thromboangitis Obliterans?

What are the problems, how it's diagnosed, symptoms and treatments of mitral regurgitation?

What are the problems, how it's diagnosed, symptoms and treatments of Aortic Aneurysm?

What are the problems, how it's diagnosed, symptoms and treatments of Peripheral Artery disease?

The difficulty in determining cancer risks with electromagnetic radiation is: (Select all that apply)

a number of avenues of response have been proposed for a nurse caught in the predicament where the physician or some other de facto decision-maker has inappropriately claimed moral authority in patient care situations. Consider the following potential actions for the nurse. Do any of the persons to whom the nurse might appeal have any authority --moral or legal to override the decision made.  

1. Report the situation to local child abuse or other legal authorities for review?

Case Studies

Ginny, 4 years old, has been transported to the local children’s hospital with a fever and abdominal pain. Her physician suspects that it is appendicitis. After reviewing the appropriate diagnostic tests and consulting a pediatric surgeon, the diagnosis of appendicitis is confirmed. Ginny is scheduled for an appendectomy as soon as possible. Ginny’s parents are at her bedside and are having trouble processing the recent turn of events as they occurred very suddenly and progressed quickly. Ginny has two older siblings, who are currently staying with a neighbor.

1. What do you think would be some of Ginny’s reactions to hospitalization?

2. What are the factors affecting Ginny’s reaction to her hospitalization? (think about stages of development)

3. What are some of the reactions Ginny’s family may experience regarding Ginny’s hospitalization?

The nurse has reviewed the surgeon’s orders and is beginning to prepare Ginny for her appendectomy (see above). Ginny is notably upset and her parents are equally anxious about the surgery. The nurse prepares Ginny for the operation and then focuses her attention on addressing the needs of Ginny and her parents.

4. What is the nurse’s role in caring for Ginny during her hospitalization?

5. What are some of the things the nurse can do to prepare Ginny for surgery?

6. What are some of the steps the nurse will do to prepare Ginny and her family for discharge?

ELECTROLYTE IMBALANCES:

Several patients were admitted in the medical ward. Answer the following questions pertinent to the patients’ conditions.

PATIENT A–Presented in the emergency department with severe headache, irritability, and tremors after finishing a full marathon. Laboratory values reveal Serum sodium level of 130 mEq/L.

PATIENT B–Presented in the emergency department with severe body malaise, diminished bowel sounds, and ECG reveals an extra U-wave in the tracing after 8 bouts of watery diarrhea. Laboratory values further reveal a Serum potassium level of 3.0 mEq/L.

PATIENT C–A post thyroidectomy patient presented with severe muscle cramps and prolongation of QT-interval in the ECG and was referred to the medical consultant for co-management. Serum calcium level is 4.0 mEq/L.

PATIENT D–A patient receiving magnesium for the management of seizure disorder suddenly presented with depressed deep tendon reflex and becomes stuporous. Laboratory values reveal a Serum Magnesium level of 2.6 mg/dL.

1. Given the Patient B’s presentation, trace the pathophysiological cause of the decrease in serum potassium level.
2. What will be the emergency medication that should be readily available in managing the disorder apparent for Patient D?
3. Explain the relationship of thyroid surgery and the development of hypocalcemia in Patient C.
4. Explain the relationship of Patient A’s prior activity and the development of hyponatremia.
5. Explain the mechanism behind the development of prolonged QT –interval for Patient C.
6. Enumerate at least one (1) nursing diagnosis for Patient A, B, C, and D.

ACID-BASE IMBALANCES:

Multitude of patient’s conditions can predispose them to different acid-base imbalances. Several patients were admitted in the medical-surgical ward and are put under your care. Answer the following questions pertinent to the patients’ conditions.

PATIENT A–admitted in the medical ward 30 minutes ago with chief complaint of severe dizziness and vertigo accompanied by frequent vomiting. As the patient moves, vomiting follows which is now recorded to be 7-8 times from the time of admission. Diphenhydramine 1 ampule TIV and metoclopramide 1 ampule TIV as stat doses were given to the patient.

PATIENT B–a dialysis patient who have stopped attending his dialysis session was admitted in the ward due to changes in sensorium. Serum creatinine level is elevated as well as the Blood Urea Nitrogen (BUN). Shallow respiration is noted upon the assessment of the patient.

PATIENT C–a patient was rushed to the emergency department and later was admitted to the ward with chief complaint of shortness of breath, numbness and tingling around mouth and fingers, and lightheadedness after taking a major examination in school. The patient was offered a brown bag by the admitting nurse.

PATIENT D–A patient with emphysema as admitted in the ward due to difficulty of breathing. The patient appears reddish and is complaining of lightheadedness. The patient was immediately hooked to oxygen therapy at 2 Lpm. Choose from the following ABG results which will be consistent with the patient’s condition:

A.pH 7.50 PaC02 31 HCO3 17

B.pH 7.30 PaC02 30 HCO3 18

C.pH 7.48 PaC02 49HCO3 30

D.pH 7.32 PaC02 50 HCO3 28

1. Patient A: __
2. Patient B: __
3. Patient C: __
4. Patient D: __
5. Explain why Patient B presented with shallow respiration in relation to the patient’s condition.
6. Explain why Patient D experiences lightheadedness and why the patientappears reddish in relation to the patient’s condition.
7. Explain the purpose of offering brown bag to Patient C as an emergency management for the patient’s condition.
8. Create a drug study for the medication: METOCLOPROMIDE specifying the following:

• Drug classification
• Mechanism of action
• Indication (*for the case of the patient mentioned above)
• Contraindication
• Side effects
• Nursing Considerations

Summarize RA 5527 according to Article/section numbers and its corresponding content of each of the Sections.

Jimbo, a 30-year old male, has a BMI of 31 kg/m2 , hypercholesterolaemia, and glaucoma. After a series of concerning episodes of mood disturbances, his psychiatrist diagnoses him with schizophrenia. He decides to prescribe an appropriate antipsychotic. Although the treatment is ultimately effective, he initially complained of several side effects with little therapeutic improvement.

a. Suggest an appropriate antipsychotic to prescribe to him. Justify your selection by referring to pharmacodynamic and toxicodynamic responses.

b. Explain why Jimbo experienced side effects and therapeutic effects at different stages in the pharmacotherapy .

Treatment proceeds well for the next few months, though one evening Jimbo is rushed to the emergency room by his brother. The emergency room team observes severe muscle spasms, hyperpyrexia, a brown discolouration of the urine, and a blood pressure of 180/115 mmHg. His brother informs the medical team that Jimbo had taken more than the required dosage that day.

c. Discuss the underlying pathogenesis of the observed clinical manifestations, and a drug you could use to treat the condition. Explain the rationale for selecting the drug for treatment.

After the birth of her son, Ilona maintains a healthy lifestyle. Given the change of circumstances, she and her husband decide to work towards a second child. She discusses the situation with her doctor, and they decide to switch her to another anti-epileptic medication as monotherapy. Her doctor warns her though that any rash should be report immediately after prescribing her the new monotherapy.

d. Explain how you would switch her to another drug, and which drug was prescribed. Justify your selection of the drug.