A biomedical sensor does not seem to give correct information. List some potential causes for this problem.
In: Nursing
Explain briefly the main challenges in modeling blood flow in the body.
In: Nursing
A 25-year-old female heard about the ketogenic diet and stopped eating carbohydrates, including fruits, vegetables and all grains for about the last 3-4 months. She has noticed redness around her mouth, cracking in the corners of her mouth and her tongue appears big and red.
What vitamin(s) deficiency may be present? What led to your conclusion? (5 points)
She still wants to lose more weight and is not willing to stop the ketogenic diet. What recommendations would you make? (5 points)
In: Nursing
Goro Oishi
INTRACEREBRAL HEMORRHAGE
Glasgow Coma Scale
•Mr. Oishi's level of consciousness remains impaired with a Glasgow Coma Scale score of 4. No verbal response. Does not open eyes. Pupils unequal and sluggishly responsive to light. No spontaneous movement
•Decerebrate rigidity of extremities to painful stimuli on right side. Unresponsive on left side.
•Shallow respiratory effort. No cough or gag reflex. Clear oral secretions suctioned as needed to keep airway clear. On 2 liters of oxygen by nasal cannula with Spo2 94%.
•Peripheral IV of D5NS with KCL at 100 ml/hr, site without redness or edema. NPO. Family at bedside. Family requests palliative care only.
•Urine output decreased with only 200 ml voided since 0700. Peripheral IV of D5NS with KCL infusing at 100 ml/hr, site without redness or edema
•Physical assessment unchanged. 2 liters flow oxygen by nasal cannula continues. SpO2 decreased to 88% at 1100. Temperature remains elevated at 101.2 F.
•Last dose of Acetaminophen received at 0700. Palliative care continues. Family at bedside.
•Urine output decreased with only 200 ml voided since 0700. Peripheral IV of D5NS with KCL infusing at 100 ml/hr, site without redness or edema.
•Neurological assessment with altered findings at 1130. Left pupil fixed and dilated. Blood pressure increased and SpO2 remains decreased at 88%.
•Oxygen administration increased at 1115 to 4 liters flow by nasal cannula without improvement in oxygen saturation. Increasingly labored respiratory effort. Positive Babinski reflex. No urine output since 1000
•Palliative care continues. Family at bedside.
TREATMENT
•Emergency treatment of intracerebral hemorrhage focuses on controlling the bleeding and reducing pressure in your brain caused by the excess fluid.
•Surgery
•Clipping
•Coiling
•AVM surgery
•Stereotactic radiosurgery
1. Goro Oishi exhibited all the following risk factors for stroke except:
A. diabetes mellitus.
B. hyperlipidemia.
C. hypertension.
D. heavy alcohol consumption.
2. Which information in Goro Oishi's record would help determine whether his stroke was hemorrhagic or thrombotic?
A. Increasing difficulty speaking
B. Numbness and weakness on his left side
C. History of hypertension
D. Sudden onset of a severe headache
3. When Goro Oishi arrived in the Emergency Department, he displayed no verbal response, had no eye response to painful stimuli and no movement of the left extremities, and demonstrated abnormal posturing and extension on the right side when exposed to painful stimuli. Based on these data, his Glasgow Coma Scale core would be:
A. 3.
B. 4.
C. 5.
D. 6.
4. In the ED, Goro Oishi's pupils were unequal (L>R), with sluggish reaction to light. This indicates:
A. damage to the pons.
B. early pressure on the oculomotor nerve.
C. irreversible coma.
D. damage to the trigeminal nerve.
5. Which of the following nursing actions is instituted in response to Goro Oishi's increased ICP?
A. Maintaining patient in heads-up position
B. Turning and positioning every 2 hours
6. Which of the following is Goro Oishi at risk for because of continuing increased ICP?
A. Cerebral edema
B. Hypothermia
C. Seizures
D. Sensory overload
C. Hydrating adequately with IV fluids
D. Administering pain medication for headache
7. The nurse arranges for hospice care for Goro Oishi, knowing that this care is indicated in this instance because:
A. family members are in conflict about what treatments should be provided.
B. the family is unable to provide home care for Mr. Oishi.
C. this will provide support while Mr. Oishi is dying.
D. this will treat Mr. Oishi's pain and suffering
8. Before his hospitalization, Goro Oishi was on a combination of oral amlodipine and benazepril. What was the purpose of this medication?
A. To manage hypertension
B. To relieve angina
9. Before his hospitalization, Goro Oishi was on atorvastatin 20 mg. What piece of information from his history would signal possible adverse effects in the of this medication?
A. Hypertension
B. Increasing stress levels
C. Alcohol abuse
D. 66 years of age
C. To reduce congestive heart failure
D. To improve heart rhythm
10. The order reads "1.0 g/kg of 25% solution." Goro Oishi weighs 165 lb. How many grams of mannitol are needed?
A. 50 g
B. 75 g
C. 100 g
D. 165 g
11. How was the mannitol administered to Goro Oishi?
A. Intravenously, through a filter
B. Intramuscularly, deep in a large muscle
C. Subcutaneously, with care taken to rotate sites
D. Route depended on the severity of the patient's condition
12. After mixing the IV nitroprusside drip, the nurse should do which of the following?
A. Place the IV bag in an opaque wrapper.
B. Let the solution sit for 10 minutes before administration.
C. Give the medication immediately.
D. Allow the solution to turn slightly blue before administration.
13. The order reads "Nitroprusside sodium 50 mg in 250 cc D5W to titrate systolic B/P <140 >110." How many mcg per milliliter of nitroprusside are contained in a 250-cc solution?
A. 0.2 mcg
B. 2 mcg
C. 20 mcg
D. 200 mcg
14. The order reads "Famotidine 20 mg IVPB q12h." The nurse decides to add the solution to the primary IV of 1000 cc of D5NS with 20 mEq KCl set at 100 cc/hr. Which of the following is a true statement concerning the nurse's actions?
A. This is a bad decision; IV famotidine is incompatible with KCl.
B. This is a good decision; this will deliver a steady dose of famotidine over a 12-hour period.
C. This is a bad decision; famotidine should be delivered rapid IV push for best effect.
D. This is a good decision; this will eliminate an unnecessary IV line
15. The order reads "IV D5NS with 20 mEq KCl @ 100 cc/hr." How many mEq of KCl are being delivered per hour?
•A. 2 mEq
•B. 5 mEq
•C. 10 mEq
•D. 20 mEq
16. An IV of D5NS with 20 mEq KCl was ordered. Nursing interventions include the following except:
A. assess site for phlebitis and/or infiltration.
B. measure urinary output.
C. give KCl by slow IV push.
D. monitor IV flow rate.
17. Which of the following nursing diagnoses is the lowest priority for Goro Oishi's end-of-life care?
A. Risk for injury
B. Risk for aspiration
C. Self-care deficit: total
D. Altered nutrition: less than body requirements
18. Which of the following factors in Goro Oishi's history plays an important role in his end-of-life care?
A. Recent heavy drinking binges
B. Age of 66
C. Zen Buddhism religion
D. His response to nitroprusside
SUBJECT: NURSING
In: Nursing
Depression, or major depressive disorder is the leading cause of disability in patients 15-44. It negatively affects the way you think, the way you feel and the way you act towards society. Some symptoms of depression includes feeling sad, trouble sleeping, changes in appetite, feeling worthless and suicidal thoughts. As nurses, its important understand how depression affects the mind and it's reason for onset. " Distinguishing between grief and depression is important and can assist people in getting the help, support or treatment they need." (Torres, 2020). Although, I've never personally treated someone with depression I understand that there are many ways treatment for these patients can go array. Psychotherapy combined with medication suits most depressed patients best, this allows them to decipher their problems and come up with ways to mediate them. Just providing medication without therapy can be one reason a treatment plan is unsuccessful.
Some nursing interventions that could be helpful are encouraging the client to express their feelings, this allows the nurse to further understand their patient and allows the client to deal with overwhelming emotions. Antidepressant are prescribed to patients to help modify brain chemistry, they include SSRI's, TCA's and MAOI's. Overall, I believe that patients who only receive medication without some sort of therapy are not safe, they are a great risk for harming themselves because the medication may promote energy before affecting the mood. Referring patients to a psychiatrist will be in the best interest for the patient.
Respond to the above post and explain in 5 paragraph if you agree or disagree with how they would handle a client who was having those symptoms. If you do not agree with the post, please provide how they could have approached the client differently.
In: Nursing
Bipolar disorder is a mental illness marked by extreme shifts in mood. Symptoms can include an extremely elevated mood called mania. They can also include episodes of depression. Bipolar disorder is also known as bipolar disease or manic depression. (Health line, 2018).
People who suffer from this condition find it very frustrating and have a difficult time adjusting to daily life without treatment. They have episodes of mania and depression that can last weeks to months at a time. During the mania phase they are euphoric and do things to maximus level and the opposite during the depression phase.
In order to establish a therapeutic relationship with this type of disorder you have to be open minded and nonjudgmental. This way you can encourage treatment. Helping bipolar disorder patients includes teaching them what to expect during their phases and helping them be compliant with their treatment. Medications they will be on include anticonvulsants, antipsychotics, and SSRI’s which will help with treating their symptoms. They should also seek psychotherapy in order to be aware of their disorder.
Respond to the above post and explain in 5 paragraph if you agree or disagree with how they would handle a client who was having those symptoms. If you do not agree with the post, please provide how they could have approached the client differently.
In: Nursing
Ms. Nicolette Nevin, age 26, has been diagnosed as HIV positive. She asks, “Do I have AIDS, and am I going to die?”
As her nurse, what should you say to her?
When is the patient with HIV considered to have AIDS?
Ms. Nicolette is started on a combination of Sulfamethoxazole and Trimethoprim (TMP- SMX [Bactrim, Septra, Cotrim]) medication. Why?
In: Nursing
Assess Mr. Glenn Birch height and weight. Calculate his BMI and % usual body weight. What would be a reasonable weight goal for Mr. Glenn Birch? Give your rationale for the method you used to determine the goals.
This is a middle-aged male, who presented recently to the Bariatric Center for evaluation and treatment of longstanding morbid obesity and associated comorbidities. He underwent standard bariatric evaluation, consults, diagnostics, and preoperative Medifast induced weight loss in anticipation of elective bariatric surgery.
45 years old
Admitted weight 375lbs
While admitted his weight was 360 lbs
Activity factor for the patient is 1.4-1.5 as he can do seated work with little movement, with little to no leisure.
Stress factor is 1.0-1.1
In: Nursing
Please choose one capsule, gelatin coated, Timed-released or extended-release medication. Please give the name, purpose of medication and pros and cons of the medication. Why is it important that your medication be time released?
In: Nursing
Give an example of either a positive or negative experience regarding cultural competency in nursing that you have observed either in personal experience, or in clinical practice
In: Nursing
Helen, a nursing student, needs to educate her client regarding his or her new diagnosis of type 2 diabetes. Her client is familiar with computers, and so Helen would like to both use written and incorporate the Internet as the educational resources she provides
Part 2
As you analyze information security and confidentiality and its impact on health care, respond to the questions below.
Question #1
What are the differences between privacy and confidentiality?
Question #2
List three areas in a health care setting where you would expect to see information security.
In: Nursing
what are the barriers to implementing effective public health policy?
In: Nursing
What is Federal Regulation 483.10(d) and 483.10(d)(1)
In: Nursing
What is Federal Regulation 483.10(i) and 483.10(j)?
In: Nursing
I want project answer, thank you (:
case about (Diabetes)
In: Nursing