Fatime Sanogo is a 23-year-old primiparous female from Mali in her first hour after vaginal delivery. The patient was admitted yesterday at 0600 hours for oxytocin induction of labor secondary to postdates (41 4/7 weeks). She declined all pain medication during labor.

Following a prolonged second stage, she delivered a vigorous female infant at 0605 hours with Apgar scores of 9 and 9 and weight of 4,082 g (9 lb 0 oz). The patient contracted a second-degree perineal laceration during delivery; this has been repaired.

Placenta was delivered manually at 0635 hours via Dr. Schultz. Bleeding was controlled by fundal massage and infusion of remaining oxytocin induction bag, which is still running at 20 mL/hr (20 mU/min); approximately 100 mL left in the bag.

The patient was just up to the bathroom and couldn't void. She is now dozing, and the father of the baby is at the bedside, holding the baby and sending text messages from the phone. Fatime does not speak English fluently, as she has only been in the country for 7 months. You enter the room to assume care of the patient and to perform the second of four assessments every 15 minutes.

DIAGNOSIS: Oxytocin induction of labor secondary to postdates (41 4/7 weeks)

WHAT ARE THE:

Alterations in Health (Diagnosis):

Pathophysiology Related to Client Problem:

Health Promotion and Disease Prevention:

Risk Factors:

Expected Findings:

Laboratory Tests:

Diagnostic Procedures:

Nursing Care:

Therapeutic Procedures:

Medications:

Client Education:

Interprofessional Care:

Safety Considerations:

Complications:

Deborah is 56 years old, smokes half a pack of cigarettes a day, and is overweight. Her friend wants her to come to a local women’s fitness class she attends to once a week. She knows Deborah’s dad had died an acute myocardial infarction when he was 56, and she fears, seeing Deborah’s lifestyle, the same fate awaits her friend. What she did not know was that Deborah had also been to her doctor for her annual physical where she was told her LDLs was 180 mg/dL, HDLs were 36 mg/dL, and cholesterol was 239 mg/dL

1. What are Deborah’s known risk factors for coronary heart disease?

2.Deborah’s doctor referred her to a dietician for strict dietary therapy, hoping the intervention would raise her HDL and lower her LDL and cholesterol levels. Why is diet modification necessary to control and moderate the lipids indicated?

3. Deborah’s doctor also gave her pamphlets describing strategies to stop smoking and a list of exercise ideas she might want to try. How is smoking thought to contribute to atherosclerotic plaque formation? Why would exercise have a positive effect on Deborah’s lipid profile

Staffing & Budgeting

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Sandra Vanhorn is opening a newly created ambulatory care clinic adjacent to a university teaching hospital. She has designed a staffing pattern that staffs below maximum workload conditions to stay within budget. Nurse Vanhorn will supplement her staffing by using the float pool at the hospital to cover her unit when the schedules are heavy. She feels that using supplemental staff may disrupt orientation and work routines, so she is going to orient five pool nurses to the ambulatory clinic routine and request that they fill the shortages.

1. (a) What type of staffing is Nurse Vanhorn using to deliver services to clients in the clinic? (b) In planning her mix of full- and part-time or floating staff, which is most likely to become more costly: having one too many full-time nurses or being short one full-time nurse?
2. What are the benefits and the c

   Staffing & Budgeting

   No unread replies.No replies.

   Sandra Vanhorn is opening a newly created ambulatory care clinic adjacent to a university teaching hospital. She has designed a staffing pattern that staffs below maximum workload conditions to stay within budget. Nurse Vanhorn will supplement her staffing by using the float pool at the hospital to cover her unit when the schedules are heavy. She feels that using supplemental staff may disrupt orientation and work routines, so she is going to orient five pool nurses to the ambulatory clinic routine and request that they fill the shortages.

3. (a) What type of staffing is Nurse Vanhorn using to deliver services to clients in the clinic? (b) In planning her mix of full- and part-time or floating staff, which is most likely to become more costly: having one too many full-time nurses or being short one full-time nurse?
4. What are the benefits and the challenges of this type of staffing approach?
5. hallenges of this type of staffing approach?

A 72 year old male presents to his GP for a check up after his wife’s insistence. He mentions to his doctor that he is having difficulty urinating, including needing to get up during the night to use the bathroom, and it has been gradually getting worse over time. He also mentions that his back has been sore for the last few weeks but as he has been too tired to do much, he is not sure why it is so sore. The GP takes blood for a PSA level and he also performs a DRE. The GP notes that the patient’s prostate gland is firm and irregular.

1. What is the likely diagnosis of the patient?                                                                                        (1 mark)

• The patient has been having difficulty urinating, and nocturia

Benign prostate hyperplasia

2. Describe the likely causes and how the disease progresses over time for the condition in (a)
3. What treatment would be recommended for the patient?                                                             (1 mark)

You are the nurse at the GP clinic and the GP asks you to give education on this diagnosis and what to expect, in plain language what will you tell the patient?                                                               

i am a public health nurse working i sexual health clinic. The clinic s physician has written a medical directive which allows myself and the other nurse to provide contraception to client.ine of my client wants to pick her birth control pills at her pharmacy instead of our clinic.can i communicate the order to an external pharmacist to dispense

Determine which ethical perspective is primarily reflected in each of the 6 arguments below and explain why.

A = Rule utilitarianism
B = Kantian ethics
C = Virtue ethics
D = Care ethics
E = Social contract ethics
F = Subjective relativism
G = Cultural relativism
H = Divine command theory
I = Act utilitarianism

1. Margarita spoke with her family and they all agreed that they would let her take the medication that would allow her to die peacefully instead of in pain.
2. Souerette watched over the children in the daycare meticulously. She knew which children she could trust alone because of their behaviors with each other.
3. He does not have the right character and temperament to be a state governor. He avoided service by faking a medical condition, he rarely tells the truth, he eats and drinks too much, and he has little patience with people.
4. Patient autonomy and free choice are morally correct.
5. I believe that it is perfectly fine to lie about some things.
6. Wearing a mask when engaging with the public is the right decision because it protects the welfare of those in your community.

A. why might BMI not be a valid assessment of health status?
B do you believe it is helpful for individuals to know their Bmi? why or why not?
C Reflect on how you felt completing the BMI assessment activity and what you take forward from this activity.

1. The problem or issue, intervention, quality initiative, educational need, orcollaborative interprofessional team project that will be the focus of thechange proposal

Bladder Scan: Description of Procedure, Indications, Interpretation of Findings, CONSIDERATIONS, Nursing Interventions (pre, intra, post), Potential Complications, Client Education, Nursing Interventions.

1. Identify how the concept of intracranial regulation and sensation relates to patients with dementia.

2. What is done to maintain the dignity of these vulnerable adults? Identify at least 2 nursing interventions that help maintain the dignity of vulnerable adults.

provide an example each for the protective factors for physical, emotional and mental health issues or health needs

CRITICAL THINKING

1. Julie is a new patient who brings a list of her current medications to her first appointment. She indicates in her health history that she has several conditions for which she is taking medications prescribed by her previous physician, but she is unaware of which medication is associated with a particular condition. Her medical records have been requested from her previous physician, but have not yet arrived. What steps can you take to attempt to match her medications with the disorders that she reports?

2. Phil arrives at the medical office complaining of fatigue, weakness, and mild discomfort in the chest. He also reports that his weight has recently decreased and he has difficulty sleeping because he feels feverish at night. The physician requests that you perform tuberculin testing to determine whether Phil has a tuberculosis infection. What general steps do you follow to administer a Mantoux test and to interpret the results?