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?

1,Identify nursing priorities/standards of care for these interventions

Insert Peripheral IV/Standards of Care:

Nursing Standards of Care:          

Rationale:

2,Identify nursing priorities/standards of care for these interventions

Ventilator Management Standards of Care

Nursing Standards of Care:          

Rationale:

3,Identify nursing priorities/standards of care for these interventions

Arterial Line Standards of Care

Nursing Standards of Care:          

Rationale:

What is a radical prostatectomy?

What would be a reason for this procedure (i.e. diagnostic, curative, restorative, etc.)

What is the level of urgency, degree of risk, and extent of urgency for this procedure? (i.e. emergency)

What possible treatment would you anticipate being ordered for the treatment of DVT? (Discuss 2)

What are risk factors that contribute to the development of DVT? (Name 3)

Client Profile

Nisha is a 14 year old with sickle cell anemia. She lives with her mother and grandmother in a rural neighborhood. Nisha has experienced several “sickle cell crises”, however, they seem to have become more frequent since she became an adolescent. Nisha is enjoying her summer break from school. She is active in softball and enjoys shopping with her girlfriends.

Case Study

Nisha’s mother brings her to the hematology clinic at the hospital with complaints of severe

generalized pain following a softball game in which she pitched seven innings. She is admitted to the medical pediatric unit. Her vital signs are: temperature, 37.6° C (99.7° F); pulse 110

beats/minute; respirations, 30 breaths/minute; and blood pressure, 96/70. She weighs 110 lb. Her complete blood count reveals: hemoglobin, 9 g/dL (low); hematocrit, 24%; white blood cell

count, 12,000 cells/ mm3 ; and platelet count, 140,000 cells/ mm3 . Her oxygen saturation is

89%.

Questions

1. What other assessment data would be helpful for the nurse to have to prepare Nisha’s care plan?
2. Discuss the following orders for Nisha and explain why is each is important? Vital signs q4h. Notify health care provider of temperature > 38° C (100.4° F) Regular diet Strict bedrest Complete blood count with differential in the morning Urine for urinalysis (U/A) and culture and sensitivity (C/S) Chest x-ray IV fluids of 5% dextrose in water with 0.45% normal saline to infuse at 175 mL/hour PCA morphine sulfate 1.5 mg continuous and 1 mg every 8 minutes, PCA dose Acetaminophen 650 mg q4h PO for temperature > 38° C (100.4° F) Oxygen at 2 L per nasal cannula titrating to maintain oxygen saturation > 94%
3. What nursing interventions would be appropriate in meeting Nisha’s needs?
4. After 4 days of treatment, Nisha’s intravenous fluids and medication are discontinued and her pain assessment reveals a pain level of 1/10. When the nurse enters Nisha’s room, Nisha is sitting quietly in a chair at the bedside and seems sad. Discuss your impressions of Nisha’s condition based on her level of growth and development.
5. Discuss the teaching priorities for Nisha before her discharge from the hospital after her crisis is resolved.

Client Profile

Ashlee is a 4 year old preschooler who lives with her parents and two older siblings in a suburban environment. She attends preschool five mornings a week and enjoys playing with her 5 year old sister and 7 year old brother. She is very active and enjoys playing outside, riding her tricycle, climbing on the family's jungle gym, and playing on the swing set. Her vocabulary consists of approximately 1,500 words and she speaks using four or five word sentences. Her parents are very attentive to their children and spend each weekend doing "family activities". During the week, her parents work, and Ashlee and her siblings stay with their grandmother after school. Their grandmother lives in the same neighborhood. In the evenings, the family eats together and maintains an evening schedule that allows for family play time.

Case Study

During the past 2 months, Ashlee has been less active than usual and has begun taking one or two naps in the afternoon. Her grandmother and parents think she looks pale, reasoning that it is because of her high activity level, until her interest in going outside to play decreases dramatically. When they take her temperature, it is elevated so they administer acetaminophen without effect. At this point they decide to take her to see her pediatrician. Although the health care provider found Ashlee's manifestations consistent with an upper respiratory infection, the pediatrician is concerned and decides to admit Ashlee to the hospital for tests to rule out leukemia.

Questions 1. Her admission vital signs are: Temperature: 38° C (100.4° F) Pulse: 120 beats/minute Respirations: 28 breaths/minute Blood pressure: 100/60 And her admission complete blood count reveals: Hemoglobin: 11 g/dL Hematocrit: 31% Erythrocyte count: 4.6 million Platelet count: 100 (x103 mm3 ) White blood cell count: 23.0 Neutrophils: 16% Lymphocytes: 10% Monocytes: 5% Eosinophils: 1% Basophils: 0.03%

1. Discuss the significance of Ashlee's vital signs and laboratory findings.

2. The tests confirm a diagnosis of acute lymphocytic leukemia. How do you explain this to Ashlee’s parents? They ask you her chances of survival?

3. Identify at least 4 nursing priorities for Ashlee.

4. Discuss the factors that affect Ashlee's prognosis.

5. Ashlee's chemotherapy regimen is started and the oncologist prescribes that she receive ondansetron 2.5 mg IV prior to chemotherapy and the same dose every 4 hours for 24 hours. In addition, she prescribes lorazepam 0.84 mg IV q6h PRN for breakthrough nausea. Discuss these prescriptions including drug classifications, when medications should be administered, special considerations when administering drugs, and safe dosage for Ashlee, who weighs 16.7 kg (36.7 lb).

6. Discuss Ashlee's level of growth and development and how her treatment may impact this.

7. How would you work with Ashlee's parents to help prevent complications associated with her growth and development?

Compare and contrast a cyclooxygenase-2 (COX-2) inhibitor and other NSAIDS. Please this response should be at least 250 words in length. And make sure you cite your references used in APA format please. Thank you.

Collaborate with community members, community liaisons, and members of the healthcare team to develop health promotion and prevention planning for individuals, families, and groups across the lifespan in community settings. Describe experiences that met this course objective.

1. Perform a comprehensive assessment of a community in relation to its health needs, health policies and resources. Describe experiences that met this course objective.

Formulations and dosages for specific treatments, for Antibiotics: Macrolides, Aminoglycosides, Tetracyclines and Glycopeptide antibiotics.

1. Use evaluation results to influence the delivery of care, allocation, and distribution of resources and to provide input into the development of policies to promote health and prevent disease. Describe experiences that met this course objective.