You will develop a nursing care plan for a person with a nutritional concern. choose a patient condition type

High Cholesterol

Ethnic specific Hispanic

Age specific: children,

Geographic specific: urban, rural

Write up One priority nursing diagnosis.

Subjective data:  

Objective data:  

Measurable Goal:  

nursing interventions

Evaluation:  

#of intervention

Rationale

citation

1. Patient is on a ventilator; explain how you would fix the following ABG:

7.25

69

70

24

-2.3

2) What does compliance have to do with the lungs?

3)What does the static compliance formula use that dynamic compliance does not?

A 28-year-old mother gave birth to a 2.8 kg female by cesarean section at 36 weeks’ gestation. Apgar scores were 6 at 1 minute and 9 at 5 minutes. The baby developed tachypnea with a respiratory rate of 93 breaths per minute soon after birth and had moderate work of breathing with mild nasal flaring and retractions. The patient was placed on 1 L/min of oxygen by nasal cannula and was transferred to the neonatal intensive care unit. The assessment revealed: heart rate 158 beats per minute; respiratory rate 80 breaths per minute; blood pressure 65/45 mm Hg. The infant was well perfused and breath sounds were clear to auscultation. The remainder of the assessment was unremarkable. A chest radiograph was obtained which revealed normal lung expansion, fluid in the horizontal fissures and increased pulmonary vascularity. Differential diagnosis of transient tachypnea of the newborn was made. Over the next 24 hours the infant’s respi- ratory status worsened. Supplemental oxygen by high-flow nasal cannula was initiated at an FiO2 of 40% to maintain oxygen saturations >92%. By day 3 the patient’s status improved, a high-flow nasal cannula therapy was ordered. Within 6 hours the infant did not require any additional oxygen support. Vital signs were as follows: heart rate 145 beats per minute; respiratory rate 50 breaths per minute; blood pressure 60/40 mm Hg; and oxygen saturation >95% on room air. There were no further complications with respiratory function, and the patient was discharge to go home.

1. How soon does TTN present after birth?

Angela, a coder, was informed that an encounter she coded was denied by an insurance company
because medical necessity was not met. The patient was admitted with right knee pain, for which the
provider ordered a right knee x‐ray. However, the patient started having chest pain while waiting for the
results of the right knee x‐ray. The provider quickly took vitals and ordered a chest x‐ray with an EKG to
rule out a heart attack. Both were negative. Angela coded the right knee pain, right knee x‐ray, chest xray,
and EKG, but the claim was submitted to the payer without the chest pain code.

1. Why was the claim denied?

2. What should Angela have done to ensure this claim would be paid?

Consider technology and the strides we have made throughout the world and the products that have been developed. Technology has enabled us to see our doctor over video chat (telemedicine) from the comfort of our home; you are also able to print out and investigate blood tests, x-rays, MRI's, etc. Information is valuable and can help to make better decisions about our health.

What are the pros and cons of using video-chat and technology for medical care?

How might the increased use of technology affect the patient-provider relationship?

Write a short essay of between 300-600 words about Why have you chosen to pursue a career in health care and what are the key qualities you possess that will help you be successful?

1-Define clinical leadership and explain your preferred style of leadership; give reasons why.

2-What is the role of the nurse manager in a given system? How would you apply your skills to help new nurses or employees meet

their own professional development? Give specific examples.

3-Discuss the issues about having millennials as working nurses and debate their participation in the nursing field, current and projected.

How would you define health? Why would you define it that way?

List 5 steps in the medical management of those clients with anemias

When caring for a client with sickle cell anemia, list 5 nursing intervention with an explanation of each

Interpret the following medication orders:

1. naproxen 250 mg p.o. b.i.d.______________________________________________________
2. cefaclor 500 mg p.o. stat, then 250 mg q.8h ________________________________________

3. Ativan 10 mg IM q.4h p.r.n., agitation ______________________________________________
4. Mylanta 10 ml p.o. p.c. at bedtime_________________________________________________
5. atropine sulphate ophthalmic 1% 2 gtt o.d. q.15 min x 4 _______________________________

6. Compare and contrast t.i.d. and q.8h administration times. Include sample administration time for each in your explanation.

7. Describe your action if no method of administration is written?

8. Do q.i.d. and q4.h have the same meaning? Explain.

9. Name the seven parts of a written medication prescription.

10. Who determines the medication administration times?