. Compare and contrast drug/alcohol use and drug/alcohol abuse
Describe 2 types of behavioral addictions
Describe the effects of two different categories of substances found in chapter 8. Ex. Stimulants, inhalants, depressants, hallucinogens..
Describe 3 risk factors for alcoholism
Describe 3 long term health effects of cigarette smoking.
. Analyze and describe the chain of infection and explain how viruses such as COVID 19 can disrupt the of the community.
Explain how you would teach college aged young adults how to decrease their risk for contracting an STI.
In: Nursing
In: Nursing
Implementing an Electronic Health Record (EHR) system in a hospital is a process that requires many stages. Explain the different stages that need to be followed for successful implementation of the EHR.
500 -1000 word
In: Nursing
1- Discuss how food taboos and cultural issues which affect food consumption can be circumvented/avoided
In: Nursing
S.P. is a 3-year-old female toddler who presents to
the pediatrician’s office for a yearly well visit. The child
complains that her leg hurts.
Subjective Data
PMH of otitis media
Immunizations: Up to date
No medications
No allergies
Pain: 3/5 on pain scale
Attends preschool
Unable to recall injuring leg
Objective Data
Vital signs: T 98.3, P 92, R 18, BP 100/70
Lungs: clear in all fields
Heart rate and rhythm regular
Moving all extremities
+ Range of motion legs and arms
Strength 5/5 in all extremities
Questions
What other questions should the nurse ask?
What techniques are helpful to incorporate in
assessing a patient in this age group?
What other assessments should the nurse make for this
clinical presentation?
What are a few of the major differences in the
musculoskeletal assessment of a child?
What should be included in the plan of care?
Based on the readings, what is the most likely cause
of leg pain for this patient?
In: Nursing
In: Nursing
Referring Physician: D. Neilson, MD, Emanuel Hospital Emergency Room
Reason for Consultation: Mr. Depanfilis is a 60-year-old Caucasian male who is brought to the ER with a rapid onset of severe right-sided flank pain. He was last well approximately three hours ago when he was awakened suddenly by sharp stabbing right-sided episodic back pain every five or so minutes. He arrived in the ER ambulatory and in great distress, as any jarring motion caused severe pain in his flank. He was assisted by his wife. He denies hesitancy, and dysuria.
Examination: Abdomen was rigid, Murphy’s punch positive for sharp right flank pain.
Laboratory: Radiology KUB series showed approximately 4-5 small renal calculi in the right kidney. Ultrasound: Revealed that the patient also had small calculi in the right proximal ureter. Urinalysis: cultures were sterile, +3 hematuria; no casts or protein noted. White count 5,400; Hematocrit 42.6; BUN, PSA, and creatinine were normal; partial thromboplastin and prothrombin times were normal.
Impression:
Procedure: Extracorporeal Shockwave Lithotripsy
Operative Report
The patient was transferred to the lithotripsy unit, and placed in the supine position on the table. Anesthesia was administered by Dr. Nophfeal. The patient was properly positioned on the table, in the foci of the shockwaves, via fluoroscopy. Mr. Depanfilis was given a total of 3,000 shocks at a maximum power setting of 2.0. He tolerated the procedure well and was transferred to recovery after it was determined that fragmentation was complete, and the debris was eliminated from the bladder.
Submitted D. Neilson, M.D. Urologist
What type of procedure was performed on Mr. Depanfilis?
Question 29 options:
Removal of fluid using endoscopic procedures |
|
Breaking of the concretion of mineral salts by puncturing the skin |
|
Breaking of the stones by shockwave from outside the body |
|
Removal of the concretion of mineral salts using surgery |
What did Mr. Depanfilis deny having when he was brought to the ER?
Question 1 options:
Pain on the right side between the ribs and the hip bone |
|
Pain in the back on the right side |
|
Severe right sided flank pain |
|
Painful urination |
In: Nursing
Case Scenario: A teenage baseball player gets hit in the head with a fast- hard ball. Paramedics rush him to the hospital. Upon arrival to the ED, you find he is disoriented, he has sporadic respiratory changes, and his pupils are dilated but respond to light. He can tell you his name but not what has happened. During the exam, he vacillates between being somnolent and hyper aroused.
In: Nursing
A 56-year-old male patient is brought in by ambulance after vomiting bright red blood for the last 30 minutes. On examination the patient has a swollen abdomen and gynaecomastia. His partner, when questioned, mentions that the patient has been a chronic drinker for the last 15 years. a. What is the likely cause of the patient vomiting blood? b. What is the underlining cause of all the symptoms the patient has presented with? c. Explain the pathophysiology of each of the symptoms the patient has presented with in relation to the diagnosis in (b).
In: Nursing
You are a nurse preparing to receive a new patient, fresh from surgery to your unit. The patient is a 71 year old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanasthesia recovery unit, you learn that his medical history includes hypertension, 40pack years of smoking and COPD.His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the country. He lives alone,receives meals on wheels and pays a cleaning service to keep his home clean.
a. What's general priorities would you expect to establish from this information?
b. What might you identify as expected patient outcomes in this case?
c.How would you identify evidence based nursing interventions?
d. Describe activities that need to occur continually
during the implementation step to ensure that the most appropriate
nursing care is provided?
In: Nursing
In at least 250 words, please describe a moment in your career or personal life, where an employee was non-compliant with HIPAA, privacy or confidentiality of sensitive information.
In: Nursing
Explain the important role antioxidants play in our body and overall health
Briefly explain why getting antioxidants through food is more beneficial than supplements
List three ways in which people could incorporate more antioxidants into their daily diet
In: Nursing
How do we establish scientific rigor in quantitative research? Why is this important?
In: Nursing
At a company picnic held at an out-of-town park, a co-worker’s child falls off the monkey bars. Based on the bruising and slight change in shape of her forearm, you suspect a fracture. The parents give permission for you to give first aid care, but they insist on transporting her to advanced care themselves. You search for materials in your environment to use for splinting her injury.
What material could you use to splint the child's arm?
What parts of the arm must be immobilized?
Describe how you would apply the splint.
In: Nursing
can children with a cognitive impairment from down syndrome have a range of cognitive impairment? If so, explain how some children may become higher functioning than others.
In: Nursing