Patient was diagnosed with anemia, hyperkalemia and osteomyelitis in the left wrist. The patient also has congestive heart failure. His Hemoglobin 7.9 (L) and Hematocrit 25.8 (L) are low.

What causes low hemoglobin?

What is causing the hematocrit to be low?

What is the body doing to have that the healthy count of red blood cells are so low?

Ms. Jones is here for AKI on CKD, stage 3. She also has a PMH of CHF, COPD, DM2, a R BKA, and a CVA in 2002. She is A&O x2, and has L sided weakness. The HOB needs to be >30 degrees because she has an NG with TF running at 40 cc/hr. Once her AKI resolves, she is going to have a PEG placed in IR. She is at high risk for aspiration, so she is currently NPO. NKA, but there is a note about an ADR to morphine. She is on tele, SR with 1st degree AVB and frequent PACs. She tolerates PROM exercises BID and is on SQ heparin for DVT prophylaxis. The lab didn’t draw her CBC this morning. VSS. She is A2 with transfers. She has APAP scheduled QID. She last had pain meds with the HS med pass. They might do a MRI tomorrow.

the difference between confidentiality and privacy is that privacy is the right of an individual to keep his or her information private while confidentiality is a client's right to a privacy that clients must give consent to disclose any informations about them with other professionals or anyone entrusted. give your opinion

How is PAGE (Polyacrylamide Gel Electrophoresis) different from other protein purification techniques?

PCMA Chapter (critical thinking) 13-"Pearson Physicians Group is considering making the change from paper to electronic health records. The physicians have assembled a team consisting of Lewis Jordan and Tania Washington to gather information relating to this possible change."

1. While gathering information, Lewis and Tania developed a list of pros and cons for converting to electronic health records. What might have been included on their list?
2. The office has decided to make the conversion to EHRs. Once all records have been converted, what should be done with the original paper charts?
3. The office has recently received in the mail a typed consultation report from a local oncologist regarding a mutual patient, Yun-qi Yeung. What should be done with this report now that the office has converted to EHRs?

PCMA Chapter 15-"Sophia DiStefano, a 5-year-old female, is seen by Dr. Salpega. He diagnoses Sophia with bilateral chronic serous otitis media because this visit is the third bout of otitis media she has had within the past seven months. Dr. Salpega asks that David Dolan, a Registered Medical Assistant, conduct an audiometry screening on Sophia. He also suggests that Edvige, Sophia's mother, consider having Sophia undergo a bilateral tympanostomy and tube placement for a more permanent treatment of the chronic otitis media."

1. Why is it necessary for David to code for the specific condition chronic serous otitis media rather than a nonspecific condition such as otitis media?
2. Why must David be sure to code for the bilateral nature of the condition?
3. What are the benefits of having over 70,000 diagnosis codes?

PCMA Chapter (On the Job) 16-"Sophia DiStefano, a five-year-old female, experienced three bouts of otitis media within the past seven months and was diagnosed with chronic otitis media. Following an audiometry screen two weeks ago, Dr. Salpega recommended surgery to correct the underlying problem. Sophia's mother signed an informed consent for the procedure. Today, Dr. Salpega performs a bilateral tympanostomy (tube placement) for a more permanent treatment of the condition. David Dolan, a Registered Medical Assistant, needs to code for the procedure."

1. Should David code and bill for the audiometry screening? Why or why not?
2. What is the diagnosis related to Sophia's procedure? How can David ensure that the diagnosis is correct?
3. What procedure code should be assigned for a bilateral tympanostomy with local anesthesia? Is a modifier necessary?

1. For each of the following forward reactions state the significance of the result.

For example, a patient cell is tested with anti-B and gives a positive reaction. The significance is that this indicates the presence of the B antigen on the unknown red cell.

1. What complications might you see in a post-partum woman?
2. What are the likely caused of these complications?
3. What clinical data would you need that is relevant and needs to be monitored in order to prevent/catch the complication(s) to decrease the risk?
4. Which complication takes priority?
5. What nursing interventions will you initiate if the priority complication occurs?

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.

1. What is the likely cause of the patient vomiting blood?   (1 mark)

2. What is the underlining cause of all the symptoms the patient has presented with? (1 mark)

3. Explain the pathophysiology of each of the symptoms the patient has presented with in relation to the diagnosis in (b).                                                                                                                 

       1   

4. What is your first priority for the nursing care of this patient? Why?                          

1. Outline ways to assist a home care cancer patient to increase calorie and protein intake.

6. Indicate the correct order for actions in administering a feeding via feeding tube.

______ Unclamp the tube.

______ Flush the tube with water.

______ Check the placement of the tube.

______ Elevate the patient’s head and upper body.

______ Prepare the feeding bag.

______ Check for residual feeding in the stomach.

______ Start the feeding.

______ Reclamp the tube.

16. Identify foods that are allowed on a clear liquid and full liquid diet. Mark the foods allowed on a clear liquid diet with a “C.” Mark the foods only allowed on a full liquid diet with an “F” and foods that are allowed on both diets with a “B.” Mark foods not included in either diet with an “N” for not allowed.

1. ______ orange juice
2. ______ tea
3. ______ cream of potato soup (strained)
4. ______ decaffeinated coffee
5. ______ Cream of Wheat cereal
6. ______ mashed potatoes
7. ______ Jell-O
8. ______ popsicles
9. ______ custard
10. ______ margarine
11. ______ lemonade
12. ______ ice cream

How are the two practices (professionalism in medicine and the practice of animal experimentation) related? How might professionalism inform you duties and obligations towards animals? Towards your need to research? When the need for research and your obligations to animals intersect, how do you plan to make a decision? What philosophy informs that decision?