what is the advantage of having a physician and a nurse? Is there not a lot of overlap in knowledge, why would you want both?
In: Nursing
Mrs. Fatima is 65 years old , celebrating her birthday . She is widow , lost her husband 6 month back . She lives alone but she has grandchildren who sometimes visit her She works as a school teacher . Everyone in the school was thanking her for her good work . Ali is a teacher working in the same school , he commented telling her that you are supposed to be at home by this age , you don't have enough strength to continue your career . Mrs. Fatma has changes in her health condition as now she becomes fatigued easily , she also experience shortness of breath when she walked a blocks , sometimes she experience gastritis
1. What do you think the major role changes Mrs. Fatma is experiencing? As a nurse how you can help her to cope with her new role?
2. As a nurse how you can prepare her for retirement?
In: Nursing
A 24-year-old Caucasian female client presents for her 36 weeks prenatal appointment. She is a G1 P0. She is single and lives with her mom. She is currently working as a certified nurse aid in a nursing home and works 40 hours/week. Her pregnancy was unexpected but making the most of her situation. Her boyfriend lives out if state. She had limited prenatal care since not know she was pregnant until 16 weeks gestation. She has attended prenatal classes at the hospital recently. She is up to date on her vaccinations and thus far her prenatal labs as are as expected. She has a history of irregular menses because of her passion for long-distance running. Prior to her knowledge of this pregnancy she was running 30 miles/week and her BMI prior to pregnancy was 17. Her weight gain at this point has been 15lbs. She plans to attend college after the baby is born. She has hopes to attend nursing school. Her current medications are Tylenol and prenatal vitamins with folic acid.
In: Nursing
QUESTION THREE The social and economic importance of work receives substantial attention because a primary function of work in any society is to produce and distribute goods and services. Often times, less attention is paid to the importance of work to the individual.
i. Explain the two way interaction between work and health.
ii. Describe, using the cycle of neglect, the occupational health and safety in developing countries.
iii. List and describe the characteristics of occupational diseases (give necessary examples)
In: Nursing
Arwen, a 40-year old female, has been newly diagnosed with constipation-predominant irritable bowel syndrome. She complains of severe pain, constipation, and often vomiting. Her doctor has prescribed lubiprostone and fluoxetine.
a. Explain how lubiprostone would help treat her symptoms.
b. Rationalise the use of fluoxetine in her treatment regimen.
c. Would ondansetron be appropriate as an anti-emetic? Justify your reason
In: Nursing
A 53-year-old newly married male had just returned from Mozambique where he spent his honeymoon. Two weeks later, he developed nausea and vomiting, abdominal pain, high fever and chills. He was admitted to hospital where thrombocytopenia and spleen enlargement were observed. When a diagnostic test was done, it revealed positive results indicating an infection with Plasmodium falciparum, and he was immediately treated with IV chloroquine.
a. Which disease can be caused by P. falciparum?
b. Discuss the plasmodium lifecycle in human host.
c. At which stage of the plasmodium life cycle does an infected person present with clinical manifestations of malaria?
d. Describe the mechanism of action of chloroquine.
e. Describe one chemoprophylactic drug that the patient could have taken prior to visiting Mozambique and the duration thereof.
In: Nursing
Discuss adverse drug reaction of Losartan, and Losartan with Furosemide, Albuterol, Digoxin in this case study
Jackie Kindling is a 70-year-old female who presents to the ER with shortness of breath and lower extremity edema. She is short of breath with minimal exertion. Jackie sees her doctor regularly for management of diastolic heart failure [AHA Stage C] and chronic asthma. Her last office visit was three weeks ago. Medication changes were made at that time due to her fluid overload and elevated blood pressure. In the ER, Jackie is being assessed and treated for possible diastolic heart failure exacerbation [AHA Stage D]. She is allergic to Sulfa.
Prescribed drugs listed for the treatment: Furosemide 80 MG Oral Tablet; Losartan 50 mg (Cozaar); Albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [Ventolin]' Digoxin 0.0625 MG Oral Tablet.
In: Nursing
Frodo, a 32-year-old mineworker, has developed a persistent cough over the last two weeks accompanied with fever and night sweats. Her doctor is suspecting a tuberculosis (TB) infection.
a. List the detection methods that can be used to confirm TB diagnosis.
b. Name two drugs to be included in the first-line treatment regimen and discuss their mechanism of action in treating TB.
c. What is the purpose of the intensive and continuous phases of TB treatment?
d. While on first-line therapy, Frodo discovers that his contact lenses are starting to turn orange. Which drug is most likely responsible for this effect and why?
Due to his busy schedule, he has neglected to take his medication properly and has now developed a multidrug-resistant TB. The doctor has decided to add streptomycin to his treatment regimen.
e. Since starting his new treatment regimen, Frodo has been experiencing frequent bouts of vertigo. Discuss the most likely reason for this.
f. A few weeks later, Frodo develops an anaerobic bacterial infection in his GIT. He thinks that because he is already taking streptomycin, it should eradicate the infection. Discuss why this assumption is incorrect.
In: Nursing
Sauron is an HIV-positive patient who also suffers from herpes and rheumatoid arthritis. He was diagnosed with HIV in the late 90s and was prescribed a combination of three antiretroviral (ARV) drugs comprising two nucleotide reverse-transcriptase inhibitors (NRTI) and one non-nucleotide reverse-transcriptase inhibitor (NNRTI). Quite recently, his ARV treatment was changed to a fixed-dose combination (FDC) of the same drugs. His doctor also prescribed fluconazole as prophylaxis for candida suppression.
a. If Sauron is taking interferon-α to treat the herpes, explain i) how it will exert a therapeutic effect and ii) how the frequency of its dosage can be reduced. (1½)
b. Describe how fluconazole would prevent growth of fungi such as Candida albicans. (2½)
c. Explain why it would be inadvisable for him to take cyclosporine for the treatment of rheumatoid arthritis while taking fluconazole. (1)
d. Describe how NRTIs would exert a therapeutic effect as a component of ARV treatment and provide two advantages of prescribing the ARVs as an FDC. (3½)
e. If Sauron had to be prescribed lopinavir due to resistance to the NNRTI in the FDC, what can he do to increase the bioavailability of lopinavir? (½)
f. Sauron was non-compliant to his antifungal prophylaxis and as such, he developed oral thrush which progressed to systemic candidiasis. He was hospitalised and administered a slow intravenous infusion of amphotericin B. After an hour of infusion, he started experiencing fever, chills, headache, muscle pain and nausea. What could be the cause of Sauron’s symptoms and how could this have been prevented? (1)
g. After recovery, Sauron develops influenza and uses oseltamivir for treatment. He notices that the antiviral is ineffective, which shocks him since he has used it the previous year with no problem. What could have caused this drug ineffectiveness?
In: Nursing
Aragorn and Arwen are newlyweds who have just returned from honeymoon in Mozambique. They spent most of their afternoons walking on the beach sand, though have noticed a fungal infection of their toenails. Their doctor confirms their suspicions, and they are put on griseofulvin therapy.
a. What would the implication be of the prescription if they were trying to get pregnant?
b. The couple manages to conceive and a healthy baby is born. While Arwen is breastfeeding she develops cytomegalovirus retinitis and a second nail fungal infection. Her doctor prescribes butenafine for the fungal infection and a DNA polymerase inhibitor for the retinitis. Comment on the appropriateness of this prescription and justify your rationale.
c. Arwen notices that on both times she was on antifungal therapy she developed gastrointestinal disturbance. What do you think could have been the cause of this?
In: Nursing
The subject is nursing fundamental 101 at transition Career Institute. The questions on ATI testing . and nursing leadership
In: Nursing
Case Study 1: Lisa Luther
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Age: 90 |
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This is Lisa Luther. Lisa has been a resident in Lotus Compassionate Care for two years. Lisa moved to the centre after being diagnosed with early-stage Alzheimer. She loves staying in the centre as all the staff and care workers are very supportive in helping her cope with the difficulties brought about by the disease. Lisa is also suffering from hearing and vision loss; Her left hear is completely deaf, while her right ear has moderate hearing loss. Lisa wears a hearing aid on her right ear. Both her eyes have cataracts that render her eyes with moderate visual impairment. Lisa is a vegan and has been a vegan for the most of her life. |
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Scenario 1
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While assisting another client eat lunch in the centre’s common dining area, you noticed that the care worker attending to Lisa is serving her meat. Having cared for Lisa in the past, you know that Lisa is vegan and does not eat or use meat products. You informed the care worker that Lisa follows a vegan diet. The care worker told you that Lisa is not lucid and will not even know what she had lunch. |
Guidance: in your explanation, provide an example of such cultural needs and what you can do to ensure it is accepted and upheld. |
In: Nursing
In: Nursing
1. List 3 Positive Ways Nurses Use Social Media
2. Negative 3 Ways Nurses Use Social Media
3. How to Avoid Disclosing Confidential Information
Case 1Nurse Fatma recently saw that the patient, who was having a difficult time due to the death of her mother and brother, had sent her a friend request from Facebook after her discharge. Nurse Fatma approved the friendship request and gave her friend support in the grieving process she was experiencing due to her loss.In: Nursing
Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.
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Mr. B Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. On several visits, Mr. B's blood pressure was found to be elevated, so the physician started him on hydrochlorothiazide 25 mg by mouth daily. One month later, Mr. B began to have chest pains and shortness of breath, so his primary care provider referred Mr. B to a cardiologist for further evaluation. The cardiologist ordered an echocardiogram and stress test which revealed heart enlargement and a reduced ejection fraction (volume of blood pumped out of the heart per minute). As a result, the cardiologist started Mr. B on a beta-blocker (metoprolol 25 mg by mouth daily). A few days after taking the new medication (in addition to the hydrochlorothiazide ordered by the primary physician), Mr. B suffered a fall at home. Upon arrival at the emergency room, Mr. B's blood pressure was 80/50. The emergency room physician suspected the cause of Mr. B's fall was hypotension secondary to the medications he was taking. The ER physician recommended that Mr. B follow up with his primary care physician and cardiologist, but hold the medication until seen by them. As recommended, Mr. B visits his primary care physician for a
follow-up. During the visit, Mr. B's blood pressure is found to be
elevated (160/90), so his physician tells Mr. B to restart taking
his blood pressure medication. |
Imagine that you are the nurse attending to Mr. B and that he indicates that he's afraid to restart the medication because of his recent fall.
In: Nursing