52 years old female who has difficulty sleeping and missing her work, she sleeps during day time and not night time.
I think she has insomnia and possible menopause because of her age.
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How do you detect whether a certain prescription is violative, erroneous, impossible or not? What actions may be taken if the rx is erroneous, violative or erroneous? (15 pts)
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Each submission will focus on a portion of the final paper. In Part 1, you should submit the following sections:
APA format; include additional references outside of text (journal, professional websites like .edu, or .gov).
Known Information:
UV is a 55-year-old man who is seen during follow-up after being diagnosed with type 2 diabetes. At the last visit, he was prescribed metformin 500 mg twice daily. UV states that he never filled his prescription, but instead took his neighbors advice and started taking cinnamon. He said that he googled the spice and found that it lowers blood sugar. Upon further questioning, he states that he grabs a spoon from the drawer and consumes baking cinnamon found in his kitchen cabinet.
Consider:
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You are caring for a 52-year-old female Muslim patient in the emergency room with a rule-out Cerebrovascular Accident (CVA). Based on your knowledge of the pathophysiology of a CVA address the following:
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1) Drug template of any of this drugs:
ANTIMYCOBACTERIALS, MACROLIDES, MONOBACTAMS, AMOXICILLIN, COTRIMOXAZOLE, DOXYCYCLINE, ISONIAZID, ERYTHROMYCIN
-Complications
-Therapeutic use
-expected pharmacological Action
-Medications administration
,-contraindication/precaution
-nursing interventions
-interactions
-client education
-evaluation of medecation effectiveness
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Discuss the absorption and transport of iron into the protoporphyrin ring during erythropoiesis.
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Evaluating Sources for writting research paper 200 words.
After looking at the two website images, write a post discussing everything you notice that makes them seem like a credible or not credible source. There are good and bad things about both sources, so look for that. Then, decide which source seems most worth using in an essay.
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You are working as a nurse on a cancer floor in a large urban hospital. You come into work and learn that you will be working with several new patients during your shift change briefing meeting. One of those patients, Jane, has been admitted to the hospital due to issues related to a cancer diagnosis. She was given medication to address a cancerous tumor along with Propofol to sedate her for the procedure.
During the shift change meeting, you learn that Jane had lost touch with reality after her procedure and the prior shift nurses made sure everyone knew that Jane was a real pain to deal with because she was non-cooperative and was acting irrationally. She was pulling out her IVs and trying to leave the hospital. Unfortunately, she was a bit like Houdini and could even slip out of the restraints. She also shouted at people that were not in her room and “folded her laundry” in mid-air. Jane also insisted that she was in tremendous pain.
One of the confounding issues is that Jane has a family member who recently showed up to direct Jane’s care, but she does not want any medical treatment for Jane because the family member is convinced that it is the medication that is creating the situation of Jane losing touch with reality. As you interact with Jane and her loved one, you begin to suspect that there was more to this situation than was being reported by the previous nursing shift. You then go to Jane’s complete medical history and find that there is a diagnosis of schizophrenia when Jane was admitted to the hospital for mental health issues almost 20 years prior.
You ask Jane and her loved one about the ways that Jane is handling her schizophrenia, and they explain that she doesn’t take any medication for it, but manages it using LSD and holistic treatments. Jane insists that she has not had any mental health episodes for almost 20 years because of the holistic treatments. Jane and her loved one are insisting that she not be given more medication because it just makes her mental state more confused and her behavior worse. She is obviously in pain, and you want to be able to help alleviate some of her suffering, while you work to stabilize her mental state.
You realize that the prior nursing shift had just ignored Jane because she was just too difficult to deal with on a very busy floor. Given that Jane has not received any medication for the last 12 hours, you find that there are some problems with her quality of care due to her challenging behavior.
Describe and explain the ethical issues that you identified in Jane’s situation. Provide evidence from the scenario and from your course materials this week as support of your claims.
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Case Study - Questions at the bottom
Dorothy Payne (D. P.) is a 76-year-old female who was admitted to the hospital 2 days earlier with complaints of right lower quadrant abdominal pain. Her medical history includes type 2 diabetes mellitus. She was evaluated in the emergency department and sent to the operating room for an appendectomy 8 hours after coming to the hospital.
D. P.'s vital signs are temperature 38.4° C (101.2° F), P 96 and regular, R 22 and unlabored, BP 130/72, and pulse oximetry of 96% on room air. She rates pain in her right lower abdomen as 3 of 10, but with movement, the pain level increases to 8 of 10. She reports sharp, stabbing pain in the abdominal area around her incision site. Pain medication and position change relieve the pain. The skin around the incision is warm and red, and the area is tender to the touch. Laboratory results are WBC 20,000 (cells/mm3), Hgb 16 g/dL, Hct 47%, BUN 25 mg/dL, creatinine 0.8 mg/dL, K 4.0 mEq/L, blood glucose 150 mg/dL, and Na 142 mEq/L.
Treatment orders are as follows:
• Vital signs q 4 h and as needed (PRN)
• Regular diet with supplements twice daily
• Intake and output (I&O)
• Activity: Up with assist of one
• Right abdominal dressing: Dry sterile dressing, cleanse incision with sterile saline solution, change q 8 h
• Turn, cough, and deep breathe q 4 h while awake
• Incentive spirometry q 2 h while awake
• Antiembolism stockings while out of bed
• Sequential compression devices (SCDs) while in bed
• Complete blood count (CBC) every morning
• Fall precautions
• Physical therapy (PT) for ambulation daily
Medication orders are as follows:
• Continuous intravenous 5% dextrose in 0.45% normal saline (D5/0.45 NS) at 50 mL/h
• Enoxaparin 40 mg subcutaneously daily
• Metformin 500 mg PO twice daily
• Hydrocodone 5 mg and acetaminophen 500 mg PO q 4 h PRN for pain
• Cefuroxime 750 mg IV q 8 h
Please answer the following questions related to the Case Study.
Questions:
1. Identify at least four diversity considerations related to D. P. and infection control.
2. List the techniques necessary to assess D. P.'s possible infection.
3. Write a goal for the nursing diagnosis of Risk for Infection; Supporting Data: break in skin integrity, chronic disease: diabetes mellitus.
4. Identify at least three nursing interventions with rationales for the goal for D. P.: Patient's incision will remain infection-free during hospitalization.
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How do the changes in client characteristics impact health care?
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create a grid that identifies examples of data
capture and data entry and how it promotes data integrity.
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I need response fir my Question asao?
1. Since every medical term should have a suffix, knowing the meaning of a suffix is a crucial part to understanding the meaning of a medical term. Choose three medical terms with different suffixes and explain their meanings.
2. The suffix -cyte means cell or blood cell. Write all the terms that have the suffix -cyte including the different types of blood cells. Explain what the terms mean and refer to the functions and different characteristics of all blood cells (Make sure you also explain the 5 types of White blood cells).
3. Prefixes add description to medical terms. They can indicate location, time, and amount. Provide three medical terms with prefixes that describe location, time and amount in a medical term. Divide them, label them and give their meaning.
4. Some suffixes and prefixes are opposites. Provide
one set of suffixes or prefixes that are opposites.
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