In: Nursing
A 17 year-old man walked into a local clinic in Puerto Viejo, Costa Rica, complaining of fever (102.7°), headaches, decreased energy and appetite, and a rash that was most pronounced after bathing. The patient’s right eye was swollen shut, and he reported it was both painful and itchy. No eye discharge was detected. Bloodwork results found the patient to have a white blood cell count of 6.1 x 103 cells/µL, and a platelet count of 3.8 x 109/L. Blood, cerebral spinal fluid, intestinal, and stool samples were collected and sent to the hospital laboratory for analysis. Urinalysis failed to demonstrate any abnormalities and creatinine levels were found to be 0.6 mg/dL.
The organisms to consider for your case study are:
(I suspect its Chagas disease but I am struggling with the third and fourth question.)
In: Nursing
Debra is perimenopausal at age 52, and her husband, Roberto, is 59. She has been feeling tired in the afternoon and moody at times. At her annual women’s health visit, Debra tells you that she feels a lower level of sexual desire than she used to. Debra says, “I chalk it up to being very busy at work and yet still having so many demands on my time and energy with the care of our three kids and housework.” Debra is physically active, exercising four times a week, and is in good general health. She takes no medication and is within 15 pounds of her normal weight. Debra still has her period, but the flow is very heavy and cramping is more uncomfortable than it ever had been. Recently, Debra has noticed that Roberto has been taking longer to achieve an erection, and his erection is not as firm as it used to be. He is in general good health except for high blood pressure and high blood cholesterol levels. He takes medication for both conditions.
THINKING
Knowledge (Factual Information): What are the common physical and emotional manifestations occurring with perimenopause?
Critical Thinking (Analyzing Alternatives, Deciding What to Do): How would you respond to Debra when she asks for information and support regarding her husband’s erectile dysfunction? Debra asks you whether her desire for sexual intimacy will continue to decline after she goes through “the change of life.” Describe in detail what you would tell her.
DOING
Practical Knowledge: What general topics would you explore with Debra to assess her sexual history? What questions would you ask Roberto to assess his sexual history?
CARING
Self-Knowledge: What might you be feeling if you were in Debra’s situation? Ethical Knowledge: What are one or two things you would do to help Debra and Roberto feel cared for and cared about?
**Note: We are not asking you what you would do; rather, consider and describe how you would feel.
In: Nursing
Medical consent is a requirement by law that the patient must agree to be examined or treated by a physician. Consent can be given orally, implied, and/or written. In a one to two page summary, describe under which circumstances the patient should never sign a consent form. Explain why in these situations the medical administrator should never enforce the consent form. Also, describe how the medical administrator should follow-up these situations.
In: Nursing
Which reflexes are most commonly retained in children with disabilities (different from the general population)?
In: Nursing
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-
In: Nursing
In: Nursing
In: Nursing
In: Nursing
What are the problems, how it's diagnosed, symptoms and treatments of Thromboangitis Obliterans?
In: Nursing
What are the problems, how it's diagnosed, symptoms and treatments of mitral regurgitation?
In: Nursing
What are the problems, how it's diagnosed, symptoms and treatments of Aortic Aneurysm?
In: Nursing
What are the problems, how it's diagnosed, symptoms and treatments of Peripheral Artery disease?
In: Nursing
The difficulty in determining cancer risks with electromagnetic radiation is: (Select all that apply)
| Impossible to accurately measure exposure | |
| A clear dose response relationship | |
| Ability to reproduce effects | |
| Consensus of risk/benefit ratio |
In: Nursing
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?
In: Nursing