A client complains of pain and swelling in the knee after a fall while playing basketball. The client shows decreased range of motion in the knee.
What areas should the nurse focus on when performing a physical examination for this client?
In: Nursing
NRS 434VN Topic 2 Assignment Assessment of the Child: Functional Health Pattern Analysis Worksheet
Details:
In this assignment, you will be exploring actual and potential health problems in the childhood years using a functional health assessment and Erickson’s Stages of Child Development. To complete this assignment, do the following:
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
NRS 434 Topic 2 Collaborative Learning Community (CLC) Agreement
Details:
As a group, complete the “Collaborative Learning Community (CLC)
Agreement.”You are not required to submit this assignment to
LopesWrite.NRS-434VN-R-CLC-Agreement-Student.docx
In: Nursing
The provider gives K.N. a low dose of vitamin K orally, asks him to
hold his warfarin dose that evening, and asks him to come back
tomorrow for another prothrombin time (PT) and INR blood draw. Why
is K.N. instructed to take the vitamin K?
You want to make certain K.N. knows what "hold the next dose"
means. What should you tell him?
K.N. grumbles about all the laboratory tests but agrees to follow
through.
What is potential S/S of bleeding that should be taught to K.N.?
(Select all that apply.)
a. Black, tarry stool
b. Stool that is pale in color
c. Paresthesia lower extremities
d. Bruising
CASE STUDY PROGRESS You know that sometimes the only needed action
is to stop the warfarin several days before the surgery. Other
times, the provider initiates "bridging therapy," or stops the
warfarin and provides anti coagulation protection by initiating
low-molecular-weight heparin. After reviewing all his
anticoagulation information, the provider decides that K.N. will
need to stop the warfarin 1 week before the surgery and in its
place be started on enoxaparin therapy.
Which nursing interventions are appropriate when administering
enoxaparin? Select all that apply.
a. Monitor activated partial thromboplastin time (aPTT)
levels.
b. Administer via intramuscular (IM) injection into the deltoid
muscle.
c. The preferred site of injection is the lateral abdominal fatty
tissue.
d. Massage the area after the injection has been given.
e. Inject two inches from belly button.
In: Nursing
Case Scenario:
Mrs. P is an 80-year-old retired school teacher who receives visits from a nursing agency for congestive heart failure. Mrs. P was diagnosed with dementia 4 years ago. She lives with her daughter, who is also her caregiver. In addition to dementia. Mrs. P has macular degeneration. She is blind at her left eye and has significantly impaired vision in her right, she fell and fractured her left hip 1 year ago. She walks with the assistance of a walker. She has a moderate amount of ankle and foot edema bilaterally. She always suffered from frequent constipation. Her current medication include; hydrochlorothiazide, a calcium channel blocker and a stool softener, Mrs. P is able to get in and out bed by herself but requires assistance with all other ADLs. She has been incontinent of urine for 2 years.Mrs. P voids but leaks urine before she gets to the bathroom. Mrs. P wears incontinence undergarments. She also has enuresis and usually wet in the morning
1. Enumerate and describe each different types of urinary incontinence.
2. What is the common cause of urinary incontinence of Mrs.P?
3. How can you stop incontinence in older adult?
4. Is incontinence a normal part of aging, explain?
In: Nursing
What are the surface landmarks of the thorax (reference lines) and related functions?
What are the structures of the thoracic wall (pleura space, sternum, ribs)and related functions?
In: Nursing
What are four precautions (contact, droplets, fall precautions) for pneumonia?
In: Nursing
Case Scenario
Baby Girl CBX is delivered at 10:35 pm, September 14, 2020 via caesarian section 6 hours ago. Her admitting diagnosis is Full term, BB Girl wt.8lbs, Apgar Score 1st minute 8, Apgar score 5th minute is 10.
Her vital signs are as follows:
CR= 150bpm; head circumference= 33 cm; chest circumference =34 cm; Abdominal circumference= 28; Length= 52 cm
Good Cry but with acrocyanosis for the first minute.
Mother’s History:
G5 P4 (5004), 1-time CS, 3x VBAC, LMP December 20,2019.
Menarche = 14 years old
Age= 40 years old
Received tetanus toxoid once only for the five pregnancies.
Prenatal checkup, twice at Health Center XXX
No family planning
Cannot recall childhood immunizations
Educational attainment: elementary graduate
Drinks liquor and smokes cigarettes prior to pregnancy.
Preferred foods: Fried Chicken and occasional junk foods with a bottle of coke
Mother has wrong perception about immunizations and did not practice breastfeeding with previous children.
Chief complaints upon admission:
Mother is in severe abdominal pain, Cervical dilatation is 10cm and fully effaced. BOW already ruptured 2 hours prior admission.
Checking the client’s record, the following are written in the Doctor’s Order Sheet:
September 14, 2020
11pm
· Please admit to post-partum ward
· Do New Born Care
· CBC, typing
· Apply Ophthalmic ointment OU
· Do Apgar Scoring
· Give Vit K 1mg IM
· May administer BCG .05 cc Intradermal once
· Give hepatitis B Vaccine .5 cc IM
· Start Gentamicin 40mg IM once a day for 7 days
· Ampicillin 125mg IM twice a day for 7 days
· For breastfeeding
· For newborn screening
· Do HGT now
· Assess newborn reflexes
· Monitor vital signs every shift
POINTS TO STUDY:
1. Develop a nursing process based on the case.
2. Identify all health problems and make justifications.
3. Make a nursing care plans to all identified problems.
4. Make a health teaching plan as it applies.
5. Explain the physiology / pathophysiology of the client’s problem.
6. Make a drug study.
7. Explain the importance of the laboratory tests.
8. Explain all newborn reflexes.
9. Do an EBN for top priority problem.
In: Nursing
1. Describe how protein is digested and absorbed in the body. Explain the primary functions of protein in the body. Develop a vegetarian diet plan that meets the body’s protein needs. Distinguish between high quality and low-quality proteins and list sources of each.
In: Nursing
CASE STUDY:
Carlton is 55 years old and about 30 pounds overweight. As a
younger man he hiked with his father and brother, which he enjoyed
very much. Unfortunately his father died several years ago and his
brother moved away after he married. Carlton was able to move into
half of a two-bedroom apartment. He generally liked people and was
always talking about wanting to go hiking again. When a new support
person started working, Carlton started telling him how much he
wanted to go on some hikes. Rob, the new
support person, agreed to take him on a hike but only if Carlton
could get into better shape. He also told him that it might take a
few months, even if Carlton was really excited. Rob knew that he
had to get into shape also.
QUESTIONS:
In: Nursing
Both paraphilic sexual behaviors and sexual variations
involve a nonconsenting person |
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are injurious |
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fall within societal norms |
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are statistically atypical |
Which of the following is NOT a characteristic of paraphilia?
a nonconsenting other person |
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suffering or humiliation of oneself or another person |
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sexual activity that is obsessive |
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nonhuman objects |
Among g.a.y men, anal intercourse is
the most common means of sexual satisfaction |
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not highly regarded |
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performed only on one partner |
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less common than oral sex |
In: Nursing
Identify how healthcare technology can be a driver for shaping the new normal necessary for successfully realising the “Vision 2030 Jamaica National Development plan”
In: Nursing
Which of the following did NOT happen in the video on jealous thinking in relationships?
The partners communicated their feelings to one another in a transparent and honest way |
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Each partner had a paranoid, angry side and an accepting, understanding side |
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The partners decided to break up because of their jealous feelings |
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The partners asked subtle questions to determine if their jealous feelings were warranted |
Negative attitudes and emotions toward homosexuality in other persons and toward same-sex attraction in oneself is
outing |
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internalized homophobia |
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self-loathing |
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closeting |
What is an intrauterine device (IUD)?
a latex sheet that can be used as barrier protection during oral sex |
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a V-shaped titanium device that serves as a long-term birth control method |
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a pill containing progestin and estrogen to prevent ovulation |
||
a T-shaped copper device that serves as a long-term birth control method |
In: Nursing
cost control between Germany, Canada, The United Kingdom, and Japan varies and differs from one another. In Japan, costs controlled and the health care system is determine and relies on payroll taxes and thus requires a large employed population. But with a low birth rate and the longest life expectancy in the world, Japan’s population is aging faster than that of other developed nations. In contrast, in Canada, Canadians have found a way to deliver comprehensive care to their entire population at far less cost. In 1970, the year before Canada’s single-payer system was fully in place, Canada and the United States spent approximately the same proportion of their gross domestic products on health care—7.2% and 7.4%, respectively. On the other hand, in the United Kingdom, Two major factors allow the United Kingdom to keep its health care costs low: the power of the governmental single payer to limit budgets and the mode of payment of physicians. While Canada also has a single payer of health services, it had traditionally paid most physicians fee-for-service. In contrast, the United Kingdom relies chiefly on capitation and salary to pay physicians; payment can more easily be controlled by limiting increases in capitation payments and salaries. Moreover, because consultants (specialists) in the United Kingdom are NHS employees, the NHS can and does tightly restrict the number of consultant slots, including those for surgeons. Moreover, in Germany, German health care costs resumed an upward surge, paving the way for a 1993 cost-control law restricting the growth of sickness fund budgets. However, Germany’s health care expenditures as a percent of GDP have continued to rise, from 8.3% in 1990 to 11.3% in 2012. Germany has not fully solved the problem of rising health care expenditures.
I need to add more information to this
In: Nursing
Students, you will create a Disease Diary. The Disease Diary will contain 3 entries.One entry for each of the following systems: Cardiovascular System Lymphatic System Respiratory SystemInstructions and requirements for each entry (system): Name of disease & description a graphic (picture/illustration) of some aspect of the disease causes & risk factors signs & symptoms diagnosis prevention prognosis treatment How the disease affects the system? What was the most interesting part of the disease? What was something new you learned about the disease? Which aspect of the disease would you like to learn more about? Was there anything about the disease that confused you? If so, explain. You must use at least 10 bold terms from the chapter that pertains to your disease. Make sure those terms are in bold and underlined in each entry. For instance, if you are doing cellulitis, you would probably include the following bold terms from chapter 5 (integumentary system): epidermis, dermis, subcutaneous tissue, true skin, corium, integumentary, skin signs, anti-inflammatory agents. Please cite resources (at least 3) for each entry
In: Nursing
what are innovations in hospice care in a nursing home and how can they be bettered
In: Nursing