Pepto- Bismol

How the drug is supplied and given (dosage form, strength, frequency, and ROA), how the drug works (MOA). Then, describe the possible side effects with corresponding warning labels. Speak of adverse reactions and any special considerations while taking this medication. Do you have it in your medicine cabinet? Why?

1. What laws and regulations could be expected to govern adult day care services?

1. What is the difference between a release of information authorization and an accounting of disclosures?

2. What is an “accounting of disclosures” as it pertains to the release of protected patient health information? It keeps records of disclosures of PHI for reasons/purposes other than treatment.

Josh Adams is 76 years old. Josh has always been very active and busy during his life. He was a welder until he retired at age 60. Since then, he has kept busy fishing, hunting, and golfing. In the past 5 years, Josh has realized that his body has begun to age and he had been experiencing some new aches and pains. Josh decided to see his physician to get some answers about what he is experiencing.

1. Josh states that he is no longer able to complete long drives without stopping to use the restroom. He has a 2-hour drive one way out to the woods and is frustrated that he has to stop to use the restroom. What can you tell Josh he is experiencing?
2. Josh is also upset that he does not have the energy to walk the 2 miles to the pond to fish. What can you tell Josh about his energy as he increases with age?
3. Josh also discussed with the physician his inability to see objects clearly at night. What types of things can you explain to Josh about his vision with age?
4. During the visit, the physician notices that Josh cannot understand what the physician is saying. What issues can occur with older adults and their hearing?
5. What psychological changes, associated with aging, should you be prepared to discuss with Josh?
6. What health promotion and risk reduction measures can Josh incorporate to address the common age-related changes?

So, I had a patient who is a 85 year old, no past medical or surgical history who came in after fall from 3rd floor of building during a suicide attempt. He contained multiple trauma, and hip fracture. Chest CT-scan showed right ninth rib fracture. Right wrist xray shows avulsion fracture noted at the dorsal carpus. Vital signs were stable, afebrile and room air. He has abdominal incision, staples were removed, dry, intact, no redness. Wound on the right elbow. PICC line was removed. Blood glucose was high 231. Pt is on diabetic diet, nutrition is decreasing, ate 15-25% of of brekafast and lunch. On foley catheter collecting light amber urine. No bowel movement since the 23rd. Physical therapy came in but refused to get up complaining of pain to hip and elbow. Foam boots to low extremities, incentive spirometer every 1 hr, SCD while in bed, turn and position every 2 hr.

Medications:

1. Novolog Flx Pen 100 unit/mL 3mL Pen. Inj.
2. Saline Lock Flush 10mL IV
3. Colace capsule 100mg PO BID
4. Cymbalta capsule 20mg PO daily
5. Lovenox Inj. 40mg SQ Q24hr
6. Norvasc tab 10mg PO daily
7. Protonix Inj. 40mg IV daily SCH
8. Miralax Packet 17gm PO BID PRN

Lab Tests:

Hemoglobin: 9.5L

Hematocrit: 29.1L

WBC 11.8H

Platelet 581 H

Sodium: 134

Chloride: 100

Potassium 4.0

Carbon dioxide 25

Creatinine 0.79L

BUN 25 H

INR 1.01

PTT 32

PT 12.7

QUESTIONS:

- What are the nursing diagnosis?

- What are the three top problems for this patient? Include "related to" and "as evidenced by".

- What are the goals presented for priority problems are listed with measurable outcomes?

- What are the interventions (at least one education intervention) Relationships apparent between interventions and each goal/outcome and problem. Be concise and clear, achievable, relates to the stated diagnosis and client outcome.

- Evaluation: States how client outcome was met, what might have helped or hinder attainment of the outcome, analyzes the care given. If needed, revisions in the care plan done; interventions, assessment, state if should have done something differently in retrospect.

- Labs: (discussed how the labs relates to the patient’s specific condition).

Explain some affective Ways to Communicate with Adolescence that Are Having Anger Issues

How and why do ethnicity, gender and social class affect rates of mental illness? Explain minimum 300 words

Given the impact of Severe Acute Respiratory Syndrome (SARS) I and II and now COVID-19, how do public health professionals rate the current surveillance efforts?

Is the post-SARS improvements that were made were enough?

Part B: In her early attempts at building community, Vitale Aussem tried to involve residents in her decision making by asking for input on a problem she was facing. She would gather their thoughts, make the decision, and report back to them. While this may be a good first step, Vitale Aussem realized that it wasn’t enough. Input is not the same as influence. Having influence is having the power to make your own decisions. Vitale Aussem admits to having been so stuck in her service provider mentality that she had to fight the urge to own every problem. One day, however, the need to change became crystal clear. Here’s the scenario…. Imagine what you would do.

As director of a senior living residence you begin hearing a lot of complaints about the fairly large population of dogs living at the residence. When one of the residents come to you to complain about her neighbor’s barking dog, you tell the resident that you will handle the problem. You invite the offending dog’s owner to come to your office to talk about the issue. The dog owner walks in, head hanging, and says she feels like she has been called to the principal’s office. You suddenly realize that in your community (as in most communities), your residents have been relegated to a subservient/submissive position relative to the often much younger director who runs the community.

1. How would you handle a complaint voiced by one or more of your residents? How could you promote the residents taking ownership of the problem and have influence over actions to be taken?

explain drug discovery as a process with emphasis of key concepts

Mr. Will, a 67-year-old patient, is postoperative day 2 after a coronary artery bypass graft operation to revascularize his coronary arteries that were significantly blocked. He has a midline incision of his chest and a 7-inch incision on the inner aspect of his right thigh where a saphenous vein graft was harvested and used to vascularize the blocked coronary artery. The surgeon ordered Oxycodone 5 mg every 4 hours PRN for moderate pain and Oxycodone 10 mg every 4 hours PRN for severe pain. Considering the patient’s age, what medication administration considerations should the nurse incorporate into the pain management plan and why?

1. PART A: The ICU nurse prepares to administer a dobutamine (Dobutrex) drip. The patient weighs 176 lbs. The safe dose range for this medication is 2.5-10mcg/kg/min. The medication preparation delivered by pharmacy is 250mg in 500mL of D5W. What is the safe dose range for this patient? (Express your answer in mg) If the drip is started at 60mL/hr. Would this be an acceptable action? (Explain why or why not.)

PART B: The nurse is preparing to administer a 500mL 0.9% NaCl IV fluid bolus at 250mL/hr. The IV tubing contains a Micro Drip set with a drop factor of 60gtts/mL. In order to administer the fluid bolus at the correct rate, how drops per minute must the nurse observe in the chamber?

I need to do a research paper on self-esteem and job performance. I just need some ideas to get me started

QUESTION: MAKE 4 NURSING DIAGNOSIS

Case Scenario

Baby Girl CBX is delivered at 10:35pm, 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

QUESTION: MAKE 4 NURSING DIAGNOSIS