In: Nursing
1. Enumerate types of care to the cancer patient. What is the Nurse Role for this patient?
2. Types of medication given to Patient with acute pain and with chronic pain.
3. List down the Nurse Role in giving medication.
In: Nursing
In: Nursing
Peter Smith is a 73-year-old male with a history of mild depression. He arrives at the clinic holding a bloody towel over his left forearm. He is taken immediately back to the treatment area. He states that he cut himself with a large knife while cutting a pineapple. You take his vital signs while waiting for the physician. You notice the blood is leaking through the towel. You need to control the bleeding.
You put on PPE, most importantly gloves, and apply a large dressing over the area, holding firm pressure. The physician arrives, examines the patient, and determines that the patient will need sutures. While you are preparing Mr. Smith for his wound repair procedure, he tells you that he recently started swimming for exercise and is going to the Bahamas for a snorkeling trip in 2 weeks. He wants to know if this will ruin his trip.
Discussion Questions:
In: Nursing
Which clients would be at risk for developing nonthrombocytopenic purpura? Select all that apply.
A. |
Child adopted from India and displaying malaise, lethargy, and petechiae all over the body associated with suspected scurvy. |
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B. |
73-year-old client admitted with concussion that resulted from a fall |
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C. |
55-year-old client diagnosed with Cushing disease displaying bruises, weight gain with a buffalo hump, and "moon" face |
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D. |
15-year-old with insulin-dependent diabetes who has hypoglycemia and is displaying irritability with headaches and tachycardia |
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E. |
Pregnant mother experiencing headaches and proteinuria |
Misinterpreting her physician's instructions, a 69-year-old woman with a history of peripheral artery disease has been taking two 325 mg tablets of aspirin daily. How has this most likely affected her hemostatic status?
Irreversible acetylation of platelet cyclooxygenase activity has occurred. |
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The client's prostaglandin TXA2 levels are abnormally high. |
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She is at risk of developing secondary immune thrombocytopenic purpura (ITP). |
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The binding of an antibody to platelet factor 4 produces immune complexes. |
A client visited his health care provider after finding an enlarged lymph node along the mediastinal border. The health care provider may be alerted to a possible diagnosis of Hodgkin lymphoma (HL) based on the client having which other clinical manifestations? Select all that apply.
A. |
Yeast infection in the mouth |
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B. |
Night sweats |
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C. |
Unexplained pruritus |
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D. |
Joint swelling |
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E. |
Sore throat with pustules on tonsils. |
The nurse is caring for a client who develops a paroxysmal supraventricular tachycardia. Which medications should the nurse prepare to administer? Select all that apply.
A. |
Adenosine |
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B. |
Diltiazem (Class IV) |
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C. |
Lidocaine (Class 1B) |
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D. |
Metoprolol (Class II) |
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E. |
Amiodarone (Class III) |
You note eosinophilia on the client's laboratory results. You should interview the client about a history of which conditions? Select all that apply.
A. |
Asthma |
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B. |
Exposure to parasites |
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C. |
Allergic reactions |
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D. |
Viral infection |
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E. |
Bacterial infection |
A surgeon is explaining to the parents of a 6-year-old boy the rationale for the suggestion of removing the boy's spleen. Which teaching point would be most accurate?
A. |
"We believe that your son's spleen is causing the destruction of many of his blood platelets, putting him at a bleeding risk." |
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B. |
"Your son's spleen is inappropriately destroying the platelets from his blood and needs to be removed." |
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C. |
"Your son's spleen is holding on to too many of his platelets so they're not available for clotting." |
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D. |
"We think that his spleen is inhibiting the production of platelets by his bone marrow." |
A 78-year-old male client has undergone a total knee replacement. He just doesn't feel like getting out of bed and moving around. After 3 days of staying in bed, the physical therapist encourages him to get out of bed to the chair for meals. He starts to complain of dizziness and lightheadedness. These symptoms are primarily caused by which pathophysiologic principle? Select all that apply.
A. |
Client is experiencing a reduction in plasma volume. |
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B. |
Peripheral vasoconstriction mechanism has failed. |
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C. |
Client is so stressed that he is releasing too many endorphins. |
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D. |
Client is still bleeding from the surgical procedure. |
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E. |
Client has loss all of his muscle tone. |
From the current health histories, which client(s) is at risk for developing secondary forms of immune thrombocytopenic purpura (ITP)? Select all that apply.
A. |
Female client in the first trimester reporting abdominal cramping |
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B. |
Middle-aged client scheduled for gastroscopy to confirm Helicobactor pylori |
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C. |
Former IV drug user recently diagnosed with hepatitis C virus |
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D. |
Older adult female undergoing testing for cause of joint discomfort |
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E. |
Adolescent admitted for facial burns when the "vape" (cigarette) exploded in the mouth |
In: Nursing
CASE STUDY PARKINSON’S DISEASE
Miss Rose is a 74-year-old female, who is a retired widow and lives with her son for the past five years. Both enjoy planting seedlings and own a community agriculture store. She does not suffer with hypertension or diabetes and has an active lifestyle. She is also not known to have any psychiatric illnesses. Over the past six months Miss Rose’s son and herself noticed physical changes and decided to visit her General Practitioner. At her visit she mentioned to the doctor that she was having difficulty rising from a sitting position after grooming her plants or turning from one table to another when she has customers. Documentation on her clinic file noted that she previously complained of difficulty walking and falling when coming out of bed. She was sent for an X-ray but there were no clinical findings. The physician asked her to describe what happened when she fell. Miss Rose verbalized that when she got up from bed and starting walking, she started moving forward and backward then stooped forward with small fast steps and then she fell. Her son mentioned to the doctor that he has noticed that when she is pruning her plants, she has abnormal rhythmic movement of the upper and lower limbs. She occasionally has a slight limp, and her handwriting has become smaller over the past months. This has stopped her from doing her daily yoga exercises and she has been very disturbed about it. Miss Rose then further explained that the movement started on the distal part of both upper limbs at the same time. She also expressed that during rest she noticed the movement in her limbs and as she started her tasks the movements became more aggravated. Urinary incontinence is also a problem for Miss Rose, and she is having difficulty in her swift movements to her bathroom. The patient was later diagnosed with Parkinson’s disease.
After the assessment and interview of Miss Rose the Physician documented the following: Physical Assessment Vital Signs: BP- 130/74 mmHg Temperature - 36.7 C, Pulse- 78 bpm regular and bounding Respiration- 20 bpm Height- 5ft 7 in Weight- 70 kg Facial expression- Masklike Gait- Shuffling gait with tendency to fall forward and backward CNS Examination Alert and oriented to time, person and place Level of consciousness GCS- 15/15 Sleeping patterns- normal Swallowing gag reflex- normal Cogwheel rigidity present Tremor present Bradykinesia present Dysphonia present
INSTRUCTION:
In: Nursing
Stress continues to have a significant impact on health during middle adulthood, as it did in young adulthood, although the nature of what is stressful may have changed. Psychoneuroimmunologists, who study the relationship between the brain, immune system, and psychological factors, conclude that stress produces three main consequences.
In: Nursing
Research and describe 2 (two) workplace procedures for hazard identification in a healthcare setting (in 50-70 words).
In: Nursing
In: Nursing
This unit’s assigned reading focuses on chemical-induced mutagens. For this assignment, compare and contrast a carcinogen that is a mutagen to a carcinogen that is not a mutagen. Find at least four peer-reviewed journal articles published within the last 7 years that discuss the carcinogens and the cancer that each causes.
Compare the means of exposure of each chemical and the type of cancer each causes. Be sure to integrate the perspective and information gathered from each article into a discussion in your own words.
The Business Source Ultimate database is a good source of journals for safety-related articles from the CSU Online Library.
Your literature review must include the following components:
The literature review must be three to four pages in length, not including the title or reference page, and follow APA formatting.
In: Nursing
What are several solutions to prevent or mitigate COVID-19 cases now or in the future? Please list examples, Thanks
In: Nursing
“Why are ethics important to health communication?”
In: Nursing
In: Nursing
Which of the following sampling techniques poses the BIGGEST threat to the external validity of a study?
Group of answer choices
simple random sampling
convenience sampling
stratified random sampling
proportional quota sampling
In: Nursing