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?

Explain the admission data in terms of the pathophysiology of her condition.

The client remains home for three weeks. She is readmitted again after a severe GI bleed secondary to her ulcerative colitis. Since her trip to Jamaica, she has lost over 30 lbs. due to loss of appetite, nausea, vomiting, and diarrhea. Due to her ulcerative colitis, she has uncontrollable bowel movements, both with and without rectal bleeding. She often chooses not to eat because she states, “it just runs right through me so why bother?”

Second Admission Data:

T 98.7 F (98.6) normal

BP 70/50 (120/80) extremely low

P 133 (60-99) extremely high

RR 18 (12-16) high

O2 sat (by pulse oximetry) 93% on room air (RA) (95-100) low

BUN 10 ( 6-20 mg/dl) normal range

Serum creatinine 0.5 (0.6-1.3 mg/dl) low

Hgb 7.8 (13.5-18 g/dl) low

Hct 25 (42%-52%) extremely low

WBC 10 (4K-10.5K/mcl) normal range

INR 7 (1.1 or below) extremely high

Sodium 128 (135-145 mEq/L) low

Potassium 2.9 (3.7-5.2 mEq/L) extremely low

Calcium 7.4 (8.6-10.3) low

Magnesium 1.5 (1.7-2.2) low,

Glucose 124 (< 100) low

Total protein 5.4 (6.0-8.3) low  

Albumin 1.6 (3.4 to 5.4) extremely low

From a sociological point of view, what might be the greatest challenge to reducing inequities in health care?

35 year old female was admitted to the hospital to deliver. the pregnancy had been uneventful. this was her first pregnancy. during delivery, she began to bleed very heavily. she was not on any medication.

Lab results

PT 30 sec

APTT 70sec

Platelet count 25,000

fibrinogen 350mg/dl

1. what is the cause of the prolonged PT and APTT?

2. what is the cause of the decreased platelet count?

3. what additional laboratory tests are indicated and what would the expected result be?

4. explain the elevated fibrinogen level?

5. what is causing the patient to bleed?

6. what type of treatment should be done?

A nurse is counseling a patient who will begin taking propranolol [Inderal], 40 mg, PO, three times daily. The patient has angina pectoris and Type 2 diabetes mellitus. He will be taking insulin and oral hypoglycemic medications along with the propranolol.. The nurse cautions the patient to check his blood sugars more frequently because: Question 18 options:

a) the beta blocker inhibits p450 enymes, resulting in increased blood levels of oral hypoglycemic drugs

b) beta blockers are p450-inducing drugs, and the propranol will decrease levels of the oral hypoglycemic medications increasing the patient's risk for hyperglycemia

c) the beta blocker can blunt tachycardia and anxiety, which are signs that alert the patient to episodes of hypoglycemia

d) the beta blocker antagonizes insulin receptors making blood sugar control more difficult.

Why is the study of sociology important? Do you see any connections between changing social norms and the larger, global issues that face us today? Do you believe the current dynamics of our social reality have made for a better world for our children than that defined by our own parents and grandparents? If so, how? If not, what do you consider to be the most significant social changes to threaten our current way of life?

Discuss whether you agree or disagree with Thomas Pogge’s innovative solution of getting affordable drugs to market.

Explain how policies and procedures are used to manage compliance and ethical practice in internal work practices.

describe a situation in the workplace where the principles of effective communication were used.(80-150 words)

What does unethical conduct mean? Words limit 220?