Mrs. Williams is a 45-year-old Caucasian woman who sought medical attention for fatigue that developed during the previous month. She reported no chest pain, but did feel mildly short of breath with exertion such as after walking up a flight of stairs. She denied any rectal bleeding, but she had heavy menstrual periods for about a year. Her past medical history included being treated for anemia following her third pregnancy 10 years earlier. She was not taking any prescribed medications. Her family history revealed that her parents were born in Italy and died when she was in grade school. She did not know their medical history.

A physical examination revealed that Mrs. Williams’s general appearance was pale but with no acute distress.

Her vital signs were blood pressure 125/90 mm Hg, heart rate 118 beats/min regular, and respirations 26 breaths/min. No significant changes in the blood pressure and heart rate were noted between the supine and upright positions. Other findings included pale conjunctiva and moist mucous membranes without lesions. No adenopathy or hepatosplenomegaly was noted.

Breath sounds were clear to auscultation, and the heart had a regular rate and rhythm with a murmur. The abdomen was soft, nontender, and nondistended.

A rectal examination revealed no masses, and heme-negative brown stool was present. Additionally, Mrs. Williams reported that she was taking aspirin 81 mg daily, she is a vegetarian who eats a lot of cereal, and she did not have an urge to eat ice. Mrs. Williams’s laboratory tests revealed the following results:

CBC = complete blood count; WBC = white blood cells; Hgb = hemoglobin; Hct = hematocrit; RBC = red blood cells; MCV = mean corpuscular volume; MCH = mean corpuscular hemoglobin; MCHC = mean corpuscular hemoglobin concentration; RDW = red cell distribution width;
LDH = lactate dehydrogenase.

1. Which type of hematologic disorder would you suspect based on Mrs. Williams’s history, physical examination, and laboratory values?
   1. Infectious mononucleosis
   2. Iron-deficiency anemia
   3. Pernicious anemia
   4. Thalassemia
2. Which of Mrs. Williams clinical signs are reflective of the body’s effort to compensate for her red blood cells’ decreased oxygen-carrying capacity?
   1. Heart rate 118 beats/min and respiration rate 26 breaths/min
   2. Hematocrit 24% and hemoglobin 8 g/Dl
   3. Blood pressure 125/90
   4. Persistent fatigue

Mrs. Williams was placed on iron supplements. Her hemoglobin (Hgb) was expected to be normal after approximately 8 weeks of iron therapy, which was anticipated to raise the Hgb about 1 g/dL per week. However, her Hgb was 9.5 g/dL after 8 weeks.

Following those results, Mrs. Williams was asked whether she had been taking the iron supplements as ordered and whether she had been tolerating the medication. Additionally, she was asked whether she was having dark, tarry stools, which would indicate gastrointestinal bleeding.

Mrs. Williams reported that she had taken the iron supplement for only 2 weeks because it made her nauseated and constipated. Mrs. Williams was instructed to take the iron supplement with a light carbohydrate such as crackers or toast to minimize the nausea and to take measures to prevent constipation (e.g., increasing fiber and water intake). After implementing these measures and taking the iron supplement as ordered for 8 weeks, Mrs. Williams’s Hgb returned to normal.

3. In addition to iron supplements, which kinds of food would be recommended for Mrs. Williams to consume?
   1. Milk, cheese, soybeans, broccoli, and almonds
   2. Green leafy vegetables and avocados
   3. Orange juice, raisins, bananas, cantaloupe, and fish
   4. Liver, red meat, eggs, dark green leafy vegetables, nuts, and legumes

Define/explain in detail Kurt Lewin change theory, include the advantages and example, relate it to covid19 pandemic. please include the creditable site

Neurology Assignment 1

Bystanders found a 28-year-old, unhelmeted, male prone and unconscious after he had lost control of his motorcycle and went off the road. He was brought to the Emergency Department via ambulance intubated. The physical examination revealed a GCS of 3T, 4 mm bilaterally fixed pupils, negative corneal response, right parietal cephalohematoma, and cerebral spinal fluid (CSF) otorrhea on the right. CT of the head showed subarachnoid hemorrhage with left frontal and temporal subdural haemorrhage, effacement of the suprasellar cistern, and effacement of the 3^rd and 4^th ventricle. He also sustained a frontal base fracture.

1. Briefly explain how TBI is diagnosed.
2. Describe the pathophysiology of traumatic brain injury
3. What are the signs and symptoms associated with TBI?
4. Outline the medical and surgical treatment of TBI
5. Briefly describe three (3) classes of medications used in the treatment of patients suffering from TBI
6. What are the nursing considerations/management for this patient?
7. Develop a plan of care for this patient. Two (2) actual problems and One (1) potential problem.

case study: Patient A is a 30-year-old male was admitted to the hospital from home after 1 week of cough, profuse nocturnal sweating, loss of appetite, and hyposomnia. He was seen by an emergency room physician who noted signs of depression. The patient has a history of intravenous drug abuse and hepatitis B.

Q1. Explain the steps in which the specimen is collected, handled, and how the specimen is analyzed.                      

Q2. Evaluate and explain the patient’s lab results.

Q3. Explain the lab tests and methods that you will carry out and use in order to diagnose the patient.

Q4. Explain how you would determine the acceptability of quality control test result data.

please answer

Surgery Assignment

A 25-year-old female client is being admitted to the postanaesthetic care unit (PACU) following a thyroidectomy for hyperthyroidism. The client had undergone three months of preoperative treatment with antithyroid medications and iodine preparations to establish euthyroid status prior to her surgery. At the client's bedside the nurse has set up a tracheostomy set, endotracheal tube, laryngoscope, and suction equipment. There are ampules of calcium gluconate on hand. The nurse places the client in a semi-Fowler's position and is supporting her head and neck with pillows and sandbags. The nurse frequently checks the client's vital signs and assesses her suture line for strain or bleeding. Once the immediate postoperative period has passed, the client will be transferred to the surgical ward where she will recuperate and learn about lifelong thyroid replacement therapy.

1. Why is it so important for the client to be euthyroid prior to thyroidectomy?
2. Why is it mandatory to have emergency equipment and ampoules of calcium gluconate on hand following thyroidectomy?
3. Why is it important to support the client's head and neck with sandbags and pillows?
4. Develop a plan of care for this patient two (2) actual and two (2) potential

In this case study, Ruth’s previous encounters with mothers of premature infants and her knowledge of the family experience inform her nursing actions. Experienced nurses incorporate much information simultaneously. Notice that Ruth determines that the baby’s physiologic condition is stable while she is beginning to interact with the mother. In this action, she is prioritizing patient safety. While she interacts with the mother, Ruth may interpret Cassandra’s behavior as a pattern sometimes displayed by mothers in the NICU. She understands how frightening it is to have a hospitalized newborn and knows from experience that fear can take on many faces. This may be evidence of Ruth’s intrapersonal characteristics that value empathy and consider the patient experience. Rather than focusing on Cassandra’s negative response to her, Ruth focuses on relationship building before moving on to teaching. This action opens the door to effective teaching. Notice that Ruth takes some time afterward to consider what went well in this challenging situation. This will inform future interactions with mothers of patients.

In what ways could reflection on the action be encouraged as part of nurses’ professional lives?

How do the interpretive and standards-based approaches to clinical judgment compare in relationship with the goal of patient-centered care?

Hello, I am doing psychomotor skill assigment. I would like to know about flu shot administration and step by step explanation and how to evaluate this technique. Thank you.

Part 1: For each of the following impulse control disorder.

1. Oppositional Defiant Disorder 2. Intermittent Explosive Disorder 3. Conduct Disorder A. Define the disorder. B. What factors may contribute to the development of your assigned disorder? C. What manifestations will an individual with then disorder present with? D. What are priority assessments for an individual who has this disorder? E. What are priority interventions? F. Is pharmacological intervention indicated with the disorder? If so, what medications are used?

Discuss why consumers are being encouraged to take a more active role in their health care.

axample of a fix trap question

1. What is a disaster?
2. What is the role of healthcare professionals in a disaster?
3. Describe the Incident Command System.
4. Discuss how a public health nurse could help his/her community to prepare for a disaster, including family preparation. What should be considered/included?
5. How can a public health nurse be involved in disaster preparation? Disaster care?
6. Describe communication challenges in a disaster. What are some solutions?
7. Why does care need to be coordinated in a disaster? What happens when it is not? (Give examples)