A frail 92-year-old patient has been hospitalized with pneumonia. Which nursing action would be a priority in this patient's plan of care?

A. Bedrest

B. Nasogastric tube (NGT) placement

C. Administration of probiotic supplements

D. Cautious hydration

Paller AS, Mercy K, Kwasny MJ, et al.  Association of pediatric psoriasis severity with excess and central adiposity: an international cross-sectional study. JAMA Dermatol. 2013 Feb;149(2):166-76.

Questions 1-5 relate to the Paller AS, et al. article.

1. Which best describes the research question investigated in the Paller AS, et al. study?

Group of answer choices

1. What is the relationship between adiposity and psoriasis severity in adults?

2. What is the relationship between adiposity and psoriasis severity in children?

3. Do children have a greater prevalence of psoriasis compared to adults?

4. Do adults have a greater prevalence of psoriasis compared to children?

2. Which type of study design was used to investigate this research question?

Group of answer choices

1. Retrospective Cohort

2. Case-control

3. Ecologic

4. Cross-sectional

3. How were subjects selected for inclusion in this study?

Group of answer choices

1.Subjects were recruited from a convenience sample of all patients with psoriasis

2.Subjects were recruited from among all adult psoriasis patients visiting their dermatologist between June 2009 and December 2011

3.Subjects were recruited from among all pediatric psoriasis patients presenting between June 2009 and December 2011 to participating dermatology referral centers located in 9 countries

4.Subjects were recruited from among all pediatric patients presenting between June 2009 and December 2011 with BMI >85th and <95th percentile

4.What measure(s) served as the outcome variable(s)?

Group of answer choices

1.Body Mass Index (BMI)

2.Psoriasis Severity

3.Body Mass Index (BMI), Waist Circumference and Waist-to-Height Ratio

4.Body Mass Index (BMI), Waist Circumference, Waist-to-Height Ratio and Psoriasis Severity

5.What measure(s) served as the exposure variable(s)?

Group of answer choices

1.Body Mass Index (BMI)

2.Psoriasis Severity

3.Body Mass Index (BMI), Waist Circumference and Waist-to-Hip Ratio

4.Body Mass Index (BMI), Waist Circumference, Waist-to-Hip Ratio and Psoriasis Severity

Cui Y, Zhang ZF, Froines J, et al. Air pollution and case fatality of SARS in the People's Republic of China: an ecologic study. Environ Health. 2003 Nov 20;2(1):15.

Questions 6-10 relate to the Cui Y, et al. article.

6.Which best describes the research question investigated in the Cui Y, et al. study?

Group of answer choices

1.Is there a relationship between air pollution and acute respiratory case fatality?

2.Is there a relationship between air pollution and asthma case fatality?

3.Is there a relationship between air pollution and COPD case fatality?

4.Is there a relationship between air pollution and SARS case fatality?

7. Which type of study design was used to investigate this research question?

Group of answer choices

1.Retrospective Cohort

2.Case-control

3.Ecologic

4. Cross-sectional

8. What data were used for this study?

Group of answer choices

1.Publicly accessible data on asthma morbidity and mortality in the People’s Republic of China

2.Publicly accessible data on SARS morbidity and mortality in the People’s Republic of China

3.Publicly accessible data on COPD morbidity and mortality in the People’s Republic of China

4.Publicly accessible data on acute respiratory failure morbidity and mortality in the People’s Republic of China

9.How were these data analyzed?

Group of answer choices

1. Prevalence odds ratio

2.Linear regression modeling

3.Logistic regression modeling

4.Prevalence ratio

10. What were the results of these analyses?

Group of answer choices

1. A negative relationship existed between air pollution and case fatality

2. A positive relationship existed between air pollution and case fatality

3. No relationship existed between air pollution and case fatality

4. Indeterminable

1) What causes Nitroglycerin to be inactive?

2) How often should the bottle Nitroglycerin be replaced?

3) What are side effects of Nitroglycerin and what types of safety precautions should be taken?

4) If Mr. Jones has an anginal attack how is Nitroglycerin supposed to be taken?

A term (41 weeks) female weighing 3100 g was born to a 30-year-old healthy gravida 2 para 1 mother by cesarean. Apgar scores were 9 and 9 at 1 and 5 minutes. The infant was initially well until day 3 of life, when she presented with tachypnea and increased work of breath- ing, including retractions and nasal flaring. The infant was transferred to the NICU. A complete sepsis workup was done and antibiotics were given as protocol. The infant was placed on a nasal cannula for oxygen saturations which ranged from 89-91%. A capillary blood gas was performed and revealed the following: pH 7.30, PaCO2 56 mm Hg, PaO2 45 mm Hg, HCO3 27 mEq/L, and BE 1. A chest radio- graph showed mild hyperinflated lungs and mild perihilar interstitial markings. An echocardiogram was also ordered at this time, which showed an anatomically normal heart with no structural malformation. During the next 24 hours, the infant’s respiratory status worsened, with progressive increases in work of breathing with increasing oxygen requirement. Continuous positive airway pressure was initiated by nasal mask at 6 cm H2O and an FIO2 of 0.50. A follow-up chest radiograph was performed, which showed increasing haziness of both lung fields with air bronchograms. Capillary blood gases obtained 12 hours after nasal CPAP therapy revealed the following: pH 7.19, PaCO2 80 mm Hg, PO2 40 mm Hg, HCO3 29.5 mEQ/L, BE 1.8, and oxygen saturation 88%. Physical assessment revealed the following: tempera- ture 37.1°C, heart rate 175 beats per minute, respiratory rate 90 breaths per minute, and blood pressure 70/40 mm Hg. The infant was intubated and mechanically ventilated with an inspiratory pressure of 20 cm H2O, PEEP 6 cm H2O, set rate of 60 breaths per minute, and FIO2 of 0.80. Systemic examination was unremarkable except for respiratory distress. There was no clinical evidence of pulmonary hyper- tension. A complete sepsis workup was repeated. The white blood cell count was unremarkable. Chest radiograph following intubation revealed diffuse ground-glass appearance with air bronchograms. The endotracheal tube was 2 cm above the carina.

1. What therapeutic recommendation would you make based on the infant’s clinical presentation and chest radiograph?

THIS QUESTION IS FOCUSED MORE TOWARDS RESPIRATORY THERAPY!

A 37 year old WF presents to your clinic with CC of RLQ abd pain that has been present/persistent for 3-4 days; today she says it's so bad that she can't stand up straight and she is guarding her RLQ. When she walks into the clinic, her hips are flexed and she is bent over, holding her RLQ. She has had fever for a couple days, she says, and tylenol and ibuprofen aren't helping with the pain or with the fever. She says she has been vomiting persistently since yesterday, hasn't been able to keep anything down and now is vomiting a greenish thin clear liquid that "tastes really bad." NKDA, no medical problems, no daily medications. G9T5P0A4L5. Unsure when she had her last normal menstrual period, states that "I don't really keep up with that anymore." Refuses to answer many questions about her sexual history. States, "I just want you to do something about this pain!" No previous surgical history, unsure when she had her last pelvic exam/Pap smear, denies that she has ever had a mammogram. She smokes 2 ppd cigarettes and has since she was 13 years old. Admits to regular marijuana use and methamphetamines "only on the weekends," admits to ETOH on the weekends too, usually about 12 beers/weekend.

What are the Guidelines for Treatment recommendations for the top diagnosis on your differential diagnosis/illness script?

What do you expect to find on physical assessment of this patient?

1,Central Line/Dressing Standards of Care:

Nursing Standards of Care:        

Rationale:

2, . Pt getting ready to get intubated . Which orders do you implement first, and give a rationale why

1,Ventilator settings: CMV/AC rate 12, TV 550 mL, PEEP +5, FiO2 100%.

2,0.9% NS IV infusion 100 mL hour

3,Insert urinary catheter

4,Fentanyl IV infusion 10-125 mcg/hour. RASS goal -3 (Mod. Sedation)

5,Dexmedetomidine IV infusion 0.2-1 mcg/kg/hour. RASS goal - 3 (Mod. Sedation)

6,Norepinephrine IV infusion (0.5-30 mcg/min) to maintain MAP >65.

7,Vasopressin 0.04 IV infusion

This is for my Administrative Medical Office Skills Class

Describe 4 useful rules for using proper telephone etiquette.

State at least 5 common telephone courtesies.

What is the purpose of the stress test?

What types of things do you want to teach or reinforce with Mr. Jones regarding his lifestyle?

How are angina symptoms different for women?

With my goal ,Can you give me interventions as a nurse student.

Goal: 1. Demonstrate proficiency with nursing skills ( with an emphasis on IV therapy and tube feedings and skin treatments) on all assigned patients during my shift with minimal assistance.

For this assignment, you will create three 5-slide presentations for your local Planned Parenthood.

1. The first presentation is for a monthly information session on puberty and development. They have asked you to come in as a health professional and provide a guest lecturer on the topic of male and female development.
2. The second presentation is for women who are in their first trimester and their partners. They have asked you to explain prenatal development, parturition, and lactation.
3. The final presentation is for senior men and women. You will help them learn how their reproductive systems are changing and what to expect as they continue to age.

Based on my understanding of nursing today, Healthy People 2020 could be used by me in many ways to make a difference in the health and wellness of people in my area. The area that I intend to specialize in once I am a Registered Nurse is mental health. Healthy People 2020 has a lot of information regarding mental health. It can be used as additional resources for people who are seeking information regarding mental health. Based upon readings and research that I have completed mental health is a growing yet deprived field of resources. I will be there to serve as a resource and a advocate for my patients to assure they are provided with all the proper resources to assist with whatever mental disorder they have been diagnosed with. Becoming a a advocate for those of my community/area is important to me because often time African Americans and other minority groups are those who lack proper resources to health care and getting the help they need. I especially want to help those who are between the ages of 12 and up and because this is the next generation who will have to care for us.

Do you agree with her statement yes or no?