What is a common presenting sign of an infant with cystic fibrosis?

1.Meconium Ileus

2.Hypotonic muscle tone

3.Failure to thrive

4.Meconium Ileus and failure to thrive

Mr. Smith is a 55 Yr. old African American male that came to the ED complaining of chest pain and shortness of breath. Mr. Smith appears anxious, diaphoretic, and uncomfortable. He rates his chest pain as 9 on a pain scale of 10. Mr. smith has a history of hypertension, hyperlipidemia, and chronic bronchitis. He admits to smoking 1 back per day and tries to exercise but is usually too busy.

Objective data: B/P-190/88, HR-120, R-20, Sa02-94% (Room air), T-99

Cardiac monitor shows tachycardia with an occasional PVC.

Subjective data: Mr. Smith rates chest pain as 9 out of 10. Mr. Smith is anxious and states he feels "like he is going to die".

Describe how you would do your nursing assessment on Mr. Smith for beginning to the end?

What nursing intervention could the nurse provide to Mr. Smith?

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

• Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
• Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Why should evaluation be considered at the beginning stages of health promotion planning, not at the end?

What aspects of medical malpractice should medical professionals should be aware of? What steps can they take to ensure that medical malpractice issues do not arise in their careers?

Explain your reasons behind this choice.

BURN INJURIES

A cook in a restaurant was rushed to the emergency department after sustaining burns on the face, entire torso, anterior right upper extremity, and anterior right lower extremity including the genitalia. Answer the questions pertinent to the patient’s condition.

1. Compute for the total body surface area affected by the burns.

2. Using parkland formula, compute for the fluid resuscitation for the patient on:

a.First 8 hours

b.Second 8 hours

c.Third 8 hours

3. What acid-base imbalance will the patient be predisposed to in the initial stages of burns?

4. What is the priority in the different phases of burn management

a.Emergent phase: _______________

b.Acute phase: ___________________

c.Rehabilitative phase: _____________

5. Part of the management for burn patient is the administration of Proton-pump inhibitors (PPIs) –g. Omeprazole. What is the rationale behind the inclusion of the said drug to the therapeutic management of burn patients?

2. You went to a grocery store and bought a lot of groceries. 25% of the total money you spent was on produce, which comprised $14.79. What was the total bill?

3. A tube feeding formula is 9% protein by volume. The patient needs 80 grams of protein per day.

How much formula should this patient get per day?

4. A patient is getting an IV infusion with 0.45% NaCl.

If a patient receives needs 5 grams of NaCl, how much total solution should be infused?

5. A parenteral nutrition formula contains 20% glucose.

If the patient needs 270 grams of glucose, how much of this formula should be infused?

A 28-year-old legal assistant presents to her GP after being bothered by stiffness in the joints of both of her hands for the past few weeks. The stiffness is most prominent on awakening and lasts approximately an hour before getting better through the day. She denies any other musculoskeletal problems or any other joints being affected. Her only medical history is mild asthma. Her family history is positive for type 1 diabetes in her brother.

Examination
Physical examination reveals a well-looking, slim woman. Her metacarpophalangeal joints
are slightly swollen bilaterally and mildly tender, and there is some pain on palpation over a
few of the interphalangeal joints in both hands. Metacarpal squeeze test is positive bilaterally.
Questions
1. Based on the history and examination findings, suggest a differential diagnosis.
Which diagnosis is most likely and why?
2. What further investigations are required, and which tests are most predictive for the
likely diagnosis?
3. Summarize the pathophysiology of the underlying diagnosis. What extra-articular
complications may arise with this condition?

Jamie is a 48-year-old black woman who comes into the emergency department complaining of painful swelling, drainage, and redness over the past 5 days in the left hand. She spends a lot of time outdoors working in her garden and said she had a “pretty nasty” mosquito bite on the top of that hand before the swelling started. After 3 days of increased swelling and redness she went to her doctor and received an oral antibiotic and was told it was probably a mild infection from the insect bite. Now, she presents because her hand is increasingly painful, tight, and the drainage has worsened. She noticed that she had a fever this morning of 102.9°F. Laboratory test results today show a WBC count of 18,500 (well above normal). The wound is cultured and is found to be positive for Staphylococcus aureus, which is a bacteria commonly found on the skin as a communal organism.  

1. It started as a bug bite on the epidermis but has developed into a cellulitis. Explain in detail what happened.

XVIII. Mandi tells the nurse that her boyfriend is a 21-year-old that she met in an online chat room. After they go out to eat, he complains that she is fat and sometimes punches her in the stomach so that she will throw up her dinner and remember to eat less the next time. To gather data related to the frequency of abuse by Mandi's boyfriend what action should the nurse take first?

1. Instruct the client that there is no point in denying the pattern of abuse because of the varying color of bruises.

2. Determine if the client has ever tried to break up with her boyfriend and how she attempted to end the relationship

3. Ask the client about her boyfriend's use of any illegal drugs or frequency of alcohol abuse since they have been dating

4. Provide a calendar to mark the dates when any violent or abusive behavior by her boyfriend occurred.

XIX. When talking to Mandi about her boyfriend Mandi starts to scratch her neck and says "oh no this happens when I get really stressed". What should the nurse plan to find in response to Mandi's itching? 19. Purpura 20. Hirsutism 21. Urticaria 22. Pustules XX. The nurse observes raised pink wheals on Mandi's neck. How should the nurse respond to this observation?

1. ask if the client has been stung by an insect recently

2. explain that antibiotics will need to be prescribed

3. Apply a warm compress directly over the wheals

4. Offer assurance that this is a temporary response

XXI. The nurse prepares to administer Benadryl 12.5 mg PO, the tablet is supplied in a 25 mg dose, how many tablets should the nurse give? XXII. The nurse teaches Mandi about Benadryl what information should the nurse include? Select all that apply.

1. Benadryl blocks the effect of histamine response to reduce itching

2. Benadryl products contain aspirin so observe for signs of bleeding

3. This medication may cause drowsiness

4. Blurred vision or loss of balance are potentially serious side effects of this medication

5. This medication may cause an increase in secretions and moisten mucous membranes

XXIII. Which strategy should the nurse use to document the extent of the physical injuries?

1. Complete the abuse assessment screen

2. Prepare a detailed injury map

3. Include X-rays on the client’s record

4. Use the numeric Braden scale

XXIV. How should the nurse document the information obtained when charting Mandi's abuse assessment?

1. Delete any expletives the client used when describing the abuser

2. Quote the client's responses to the questions as verbatim as possible

3. summarize the abusive events without directly quoting the client

4. Refrain from including information that might identify the alleged abuser

1. Apply communication skills to interaction with adolescence and their families?

2. Apply assessment skills to plan data gathering methods for children?

Identify a health care organization that is of interest to you. Create a chart that illustrates its organizational structure

Angina: stable, unstable. What are the risks, causes, complications. How is it treated? Signs and symptoms?