J. G. is a 34-year old P1 G1 woman who underwent an emergency cesarean delivery after a prolonged labor, during which she exhibited a sudden change in neurologic functioning and started seizing. Since that time, she has experienced 3 tonic-clonic (grand mal) seizures, diagnosed as having a basal ganglion hematoma with infarct, and was started on phenytoin. Postdelivery, J. G. demonstrated dyskinesia, resulting in frequent falls with ambulation. When the seizure disorder appeared to be under control, she was transferred to a rehabilitation facility for evaluation, and 2 weeks of intensive physical therapy. She is now home, where she is doing quite well but still has occasional falls and is receiving physical therapy 3 times a week in her home. She remains on phenytoin and has had no seizures since her release from the rehabilitation facility. As case manager for J. G.’s HMO, you visit her and her family at home for evaluation of long-term, follow-up care.

1. A seizure is not a disease in itself but a symptom of a disease. What is the term for chronically recurring seizures?
2. Does J. G. have epilepsy?
3. The 3 main phases of a seizure are the preictal, ictal, and postictal. Differentiiate between the 3 phases, and list clinical symptoms you may observe when a patient is having a seizure.
4. What is the pathophysiology of a seizure?
5. J. G. had grand mal, or tonic-clonic, seizures. Describe this type of seizure. List 5 other types of seizures.
6. Some patients know they are about to have a seizure. What is this preseizure warning called, and what form does it take?
7. Besides the brain injury, what are some other possible conditions that could be contributing to J. G.’s lowered seizure threshold?
8. List 5 classifications of antizeisure medications.
9. J. G’s husband comes to visit and asks you what he should do if she has a seizure at home. What would you tell him?
10. Her husband states that he is afraid for J. G. to take care of the baby. What would you say to him?
11. J. G.’s husband tells you that his wife is not good at remembering to take medication. What are some strategies that you should review with J. G. and her husband to increase the likelihood of compliance?
12. J. G. asks, “If I get my blood level under control will it stay at the same level as long as I take my medicine?” How would you answer her question?
13. J. G.’s husband asks if the drugs could harm his wife in any way. What general information would you give them about anticonvulsants?
14. J. G.’s husband says, “I was watching ‘Emergency’ last night and they showed this guy who just kept on having a seizure. That doctor had to give him lost of medicine before he came out of it. What is that called?” How would you explain status epilepticus, and why is it a medical emergency?

J. G. is a 34-year old P1 G1 woman who underwent an emergency cesarean delivery after a prolonged labor, during which she exhibited a sudden change in neurologic functioning and started seizing. Since that time, she has experienced 3 tonic-clonic (grand mal) seizures, diagnosed as having a basal ganglion hematoma with infarct, and was started on phenytoin. Postdelivery, J. G. demonstrated dyskinesia, resulting in frequent falls with ambulation. When the seizure disorder appeared to be under control, she was transferred to a rehabilitation facility for evaluation, and 2 weeks of intensive physical therapy. She is now home, where she is doing quite well but still has occasional falls and is receiving physical therapy 3 times a week in her home. She remains on phenytoin and has had no seizures since her release from the rehabilitation facility. As case manager for J. G.’s HMO, you visit her and her family at home for evaluation of long-term, follow-up care.

1. A seizure is not a disease in itself but a symptom of a disease. What is the term for chronically recurring seizures?
2. Does J. G. have epilepsy?
3. The 3 main phases of a seizure are the preictal, ictal, and postictal. Differentiiate between the 3 phases, and list clinical symptoms you may observe when a patient is having a seizure.
4. What is the pathophysiology of a seizure?
5. J. G. had grand mal, or tonic-clonic, seizures. Describe this type of seizure. List 5 other types of seizures.
6. Some patients know they are about to have a seizure. What is this preseizure warning called, and what form does it take?
7. Besides the brain injury, what are some other possible conditions that could be contributing to J. G.’s lowered seizure threshold?
8. List 5 classifications of antizeisure medications.
9. J. G’s husband comes to visit and asks you what he should do if she has a seizure at home. What would you tell him?
10. Her husband states that he is afraid for J. G. to take care of the baby. What would you say to him?
11. J. G.’s husband tells you that his wife is not good at remembering to take medication. What are some strategies that you should review with J. G. and her husband to increase the likelihood of compliance?
12. J. G. asks, “If I get my blood level under control will it stay at the same level as long as I take my medicine?” How would you answer her question?
13. J. G.’s husband asks if the drugs could harm his wife in any way. What general information would you give them about anticonvulsants?
14. J. G.’s husband says, “I was watching ‘Emergency’ last night and they showed this guy who just kept on having a seizure. That doctor had to give him lost of medicine before he came out of it. What is that called?” How would you explain status epilepticus, and why is it a medical emergency?

Alex, 2-years old and the first child for parents Michael and Kim, was diagnosed with Cystic Fibrosis one year ago. The pediatric nurse practitioner recommended testing for Cystic Fibrosis after seeing Alex for his 9-month well-child check-up and discovering that he measured very low on growth and weight charts in comparison to other 9-month-old babies. Alex has had three respiratory infections in the last 6 months that have required hospitalization. You are the home care nurse that is assigned to develop a home care strategy for Alex and his family following discharge from his most recent hospitalization.

In a 3-4-page recommendation paper:

• Determine the community resources needed to promote health and minimize hospitalizations for Alex
• Identifies members of the interprofessional care team that will contribute to management of Alex’s chronic illness (Michael and Kim, Alex’s parents, are integral members of this team) and the role each would play in the management of Alex’s condition.
• Describes evidence-based therapeutic communication strategies that you would use with Alex, his parents, and the interprofessional care team.

please the answers should be 3 - 4 pages, double spaced, font size of 12.

1. What special considerations should be considered before, during and after sitting a patient up to sit at the side of the bed? Why?

2. How does this affect the individual when repositioning and what considerations would you consider prior, during and after repositioning the patient?

3. Using the guidelines for good body mechanics, how can you prevent back injuries when assisting the patients to a different position?

Dahlia is a 48-year-old restaurant worker undergoing chemotherapy following a right modified mastectomy. List two (2) or three (3) nursing interventions for each of the side effects she can expect to experience.

1. Leukopenia:
2. Thrombocytopenia:
3. Anemia:
4. Stomatitis:
5. Nausea and vomiting:
6. Alopecia:

A 65-year-old man with a history of atrial fibrillation presents to his PCP’s office 2 months after suffering from a myocardial infarction.  He declined anticoagulation due to fear he would bleed to death. He has had sudden-onset, moderately severe diffuse abdominal pain that began 18 hours ago. He has been vomiting, and he has had several episodes of diarrhea, the last of which was bloody. He has a fever of 100.9 ˚ F. CBC reveals WBC of 15,000/mm^3.

What is the most likely mechanism behind his current symptoms?  

A. Discuss the difference between a disability and a handicap and provide examples.

B. Describe the principles that a nurse should follow when he or she is caring for persons with disabilities.

c. Identify factors that most likely to contribute to homelessness.

d. Identify risk factors for suicide and how will the nurse assess a client at risk for suicide

Consider this theory: Papadopoulous and Taylor Model for Transcultural Nursing and Health and in a 2-4 page paper answer the below questions:

1. Who created the theory?
2. When was this theory created and what was the circumstances of its need for creation?
3. What are the main components of the theory?
4. Apply this theory directly to a scenario you have experienced (or read about) with patient care (direct or indirect).
5. Is this theory applicable to your current work environment? Explain.
6. How does the theory influence transcultural nursing practice?
7. How do transcultural nurses move cultural care to the forefront of nursing practice using the components of the theory?

Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health?

John Lopez, 36 years old, was a passenger in a car that was rear-ended while stopped at a red light. The vehicle that hit the car was traveling 40 mph on impact. Mr. Lopez was not wearing a seatbelt. Mr. Lopez's wife, who was driving the car and wearing a seatbelt, was not injured.

Mr. Lopez was taken to the Emergency Department (ED) of your facility where he was intubated and stabilized. Three-view spinal x-rays (anteroposterior, lateral, and odontoid views) and computed tomography (CT) scan revealed a C4-C5 spine fracture with displacement and spinal cord compression.

Skeletal traction with weights was applied with cervical tongs to reduce the fracture and realign the spine.

Answer the following questions:

1. Why do you think that Mr. Lopez was intubated and put on a ventilator?

2. What complications is Mr. Lopez at risk for in the first week after his injury? How can the nurse mitigate those risks?

3. What is autonomic dysreflexia? How can the nurse prevent it and/or treat it?

Problem #1

A patient newly diagnosed moderate asthma receives prescriptions for a metered dose inhaler (MDI) of albuterol and a dry powder inhaler containing the combination of salmeterol and beclomethasone.

· How do the uses of these two prescriptions differ from each other? What are the consequences of overusing each?

Assume the patient was in a hurry one morning, inadvertently grabbed her dry powder inhaler, and left her albuterol MDI at home. Later that day while at a friend’s house, she began feeling tightness around her chest and shortness of breath, which she correctly deduced were the initial phases of an impending asthma attack.

· If the patient confused her two prescriptions and attempted to use her salmeterol/beclomethasone inhaler as rescue therapy, what would you anticipate happening?