TS is 67 years old with a long history of knee osteoarthritis for which he self-medicates regularly with over-the-counter (OTC) naproxen. He is in the clinic today complaining of a swallowing difficulty that has progressively worsened over the past several months. He has otherwise been healthy and has not seen a doctor in many years.
TS denies significant past medical history. A review of systems is negative except for arthritic symptoms and swallowing difficulty. He denies noticing blood in his stool and vomiting blood. He denies history of gastroesophageal reflux disease (GERD) and ulcer.
He does not drink alcohol, although he drank heavily many years ago. He does not smoke. TS describes the dysphagia this way: “Food gets stuck in my throat, and I can’t get it down.” The feeling occurs only after he has ingested solid food; liquids are not a problem. There is burning chest pain associated with meals.
He is scheduled for an upper gastrointestinal endoscopy.
In: Nursing
•Discuss the actions, side effects, contraindications and nursing considerations of the following medications:
•Ceftriaxone
oVancomycin hydrochloride
oFentanylcitrate
oMidazolam hydrochloride
oDiazepam
oLidocaine/Prilocaine topical cream
In: Nursing
The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, related hormones, and glomerular filtration rate. Question: What would be the most important concept of glomerular filtration rate that the APRN should address?
In: Nursing
The patient is a 57-year old woman with a history of hypertension and chronic stable angina. She arrives in the ED complaining of indigestion-type pain that occurs more frequently than her chest pain and takes over 20 minutes to go away. She appears mildly short of breath, with vital signs of BP 155/98, pulse rate 100, respiratory rate 24/min. What should be considered as the most likely cause of this patient’s pain? Why? What is the difference between stable and unstable angina? Why might this new pain most likely be considered unstable angina?
In: Nursing
1. Imagine you have a family member with GAD and they ask you about the pros and cons of each of the following treatment options: SSRI, benzo, CBT, "alternative treatments" (exercise, meditation, magnesium, probiotics, etc). What would you tell them?
2. Panic disorder involves a well-established "chemical imbalance" (e.g., disordered acid-sensing receptors in the amygdala). Does this mean it should probably be treated with chemicals (e.g., meds)?
3. Benzos (e.g., Xanax, Ativan, Klonopin) are implicated in over 12,000 drug overdose deaths each year in the US, and yet they remain among the least regulated of all drugs with addiction potential (Schedule 4 classification). How is this even possible?
In: Nursing
What a good example of issue or problem to implement Kurt Lewin change management theory (unfreeze, change, and refreeze). Please provide references, thanks.
In: Nursing
In: Nursing
3. What is cachexia?
4. What are some oral or digestive side effects of chemotherapy? (i.e. metallic taste)
In: Nursing
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Key terms |
Definitions |
Applicability |
Examples |
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Comparing Epi Studies of Disease Etiology and Epi Research Evaluating Effectiveness of Health Services |
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Screening for Neuroblastoma |
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Mediator variable |
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Independent variable |
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Dependent variable Randomized designs |
In: Nursing
What is a geographic maldistribution? In addition to the National Health Services Corps, what other recommendations do you have to promote the equal distribution of physicians across the United States?
In: Nursing
Explain the benefits of public health practitioners using cultural competence and the harms of public health practitioners not using cultural competence in practice as related to this issue and population.
In: Nursing
How can legislation be an intervention?
How can legislation impact on nutrition professional?
In: Nursing
PHC 212
What do you think is the best media method for Communicating Effectively with Patients, and why ?
In: Nursing
periodontal clinic simulation sessions reflection
1. What made this rotation a worthwhile experience?
2. How did you achieve the learning and enrichment objectives?
3. What are the changes in your perceptions, abilities, beliefs or skills that are a result of the rotation?
4. Which cultural influences played a role in patient oral health at this rotation?
5. How did you manage any ethical dilemmas you experienced?
6. What inter-professional collaboration occurred at this rotation?
7. How does this experience contribute to your professional growth as a future dental hygienist?
8. What are your suggestions on how this rotation could be improved?
In: Nursing
A 2-month-old child is admitted to the ICU with fever,
hypotension, tachycardia, and lethargy. The medical history is
notable for a similar hospitalization at 2 weeks of age. Physical
examination is notable for a temperature of 102°F, oral thrush and
rales in the right lung fields. Chest x-ray film reveals
multilobular pneumonia. Given the history of recurrent severe
infection, the pediatrician suspects an immunodeficiency
disorder.
Explain the terms tachycardia, rales, and multilobular
pneumonia.
What is the most likely immunodeficiency in this child? Why?
What is an underlying biochemical (genetic) defect in this
patient?
Explain why this defect leads to the disease phenotype?
Explain the cellular defects associated with this disease?
What is the overall prognosis for patients with this disorder?
In: Nursing