Case Scenario: A teenage baseball player gets hit in the head with a fast- hard ball. Paramedics rush him to the hospital. Upon arrival to the ED, you find he is disoriented, he has sporadic respiratory changes, and his pupils are dilated but respond to light. He can tell you his name but not what has happened. During the exam, he vacillates between being somnolent and hyper aroused.
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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. a. What is the likely cause of the patient vomiting blood? b. What is the underlining cause of all the symptoms the patient has presented with? c. Explain the pathophysiology of each of the symptoms the patient has presented with in relation to the diagnosis in (b).
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You are a nurse preparing to receive a new patient, fresh from surgery to your unit. The patient is a 71 year old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanasthesia recovery unit, you learn that his medical history includes hypertension, 40pack years of smoking and COPD.His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the country. He lives alone,receives meals on wheels and pays a cleaning service to keep his home clean.
a. What's general priorities would you expect to establish from this information?
b. What might you identify as expected patient outcomes in this case?
c.How would you identify evidence based nursing interventions?
d. Describe activities that need to occur continually
during the implementation step to ensure that the most appropriate
nursing care is provided?
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In at least 250 words, please describe a moment in your career or personal life, where an employee was non-compliant with HIPAA, privacy or confidentiality of sensitive information.
In: Nursing
Explain the important role antioxidants play in our body and overall health
Briefly explain why getting antioxidants through food is more beneficial than supplements
List three ways in which people could incorporate more antioxidants into their daily diet
In: Nursing
How do we establish scientific rigor in quantitative research? Why is this important?
In: Nursing
At a company picnic held at an out-of-town park, a co-worker’s child falls off the monkey bars. Based on the bruising and slight change in shape of her forearm, you suspect a fracture. The parents give permission for you to give first aid care, but they insist on transporting her to advanced care themselves. You search for materials in your environment to use for splinting her injury.
What material could you use to splint the child's arm?
What parts of the arm must be immobilized?
Describe how you would apply the splint.
In: Nursing
can children with a cognitive impairment from down syndrome have a range of cognitive impairment? If so, explain how some children may become higher functioning than others.
In: Nursing
Conduct a literature search to locate a journal article related to the health or health care practices of the Arab people. Present the summary of the journal article and examine how the information presented may impact your nursing practice. Please provide a copy of the journal article or hyperlink if possible.
In: Nursing
A 34-year-old male patient presents to the ER with severe flank pain. He has just returned from being on a trek through Nepal for the past month. A skin pinch test has very slow rebound of the skin. The patient complains of thirst and difficulty in urinating. a. What is the most likely diagnosis of the patient? b. Explain the pathophysiology of the condition listed in (a) c. How would this condition be treated? d. What is your first priority for the nursing care of this patient? Why?
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A student nurse has a 1-day observational experience in the cardiac care unit. As part of the preparation for the experience, the student needs to know about antiarrhythmic agents including propranolol and diltiazem. Answer the below questions for situation.
What are the therapeutic actions for diltiazem and propranolol?
What are the indications for diltiazem?
What are the key nursing considerations prior to and after administration?
What are the key nursing teaching points for patients receiving antiarrhythmic agents?
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Finalize your interview protocol for the interview with a professional in a health science career. Meet with the instructor to have it approved. Finalize who you will interview, how you will contact the person, and how you will conduct the interview
In: Nursing
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.
In: Nursing
Joe Clark, a 56-year-old male client, is newly
diagnosed with primary hypothyroidism. He is a principal at a local
high school. The laboratory results included TSH, 22 mIu/L (normal
range: <7 mIu/L); T4, 3.5 mcg/d (normal range: 5 to12 mcg/dL);
Total T3, 75 mcg/dL (normal range: 80 to 220 mcg/dL); Free T4 or
FT4, 0.5 mcg/dL (normal range: 0.7 to 2.0 mcg/dL); and Free T3, 1.7
mcg/dL (normal range: 2.3 to 4.2 mcg/dL). The vital signs are T,
97° F; BP, 92/50 mm Hg; HR (Apical pulse), 58 beats/minute and
regular; RR, 12 breaths/minute. He stated that since his last visit
to the clinic 2 days earlier, he has noticed that he has
constipation and that his weight has increased another 3 lb despite
eating very little because he has no appetite. He also stated that
he is so tired he has trouble staying awake at work. He has
problems remembering important things to do during the day. He also
feels like he has an unusual quick temper toward others. He has a
masklike face and periorbital edema, and the tongue is slightly
enlarged. The client’s feet and hands are puffy and cold to touch.
He asks the LPN/LVN to tell him how to manage hypothyroidism and
more about the new medication, levothyroxine (Synthroid).
Explain why the TSH, T3, and T4 indicate the client
has hypothyroidism.
What is the cause of goiter?
What signs and symptoms indicate Joe Clark has
hypothyroidism? Explain at least 4.
What is the name of the medication a client will take
for hypothyroidism?
What directions will you give Mr. Clark about his new
medication?
If Mr. Clark does not take his medication or has an
infection what is the life-threatening condition that can develop?
What signs and symptoms would he have if he has this condition?
List 3 signs and symptoms and discuss the nursing interventions
related to these 3 signs and symptoms
I'm not understanding
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Wendy is 22 weeks pregnant with her third baby. Her other children are two and four years old. She gained 15 lbs. with each previous pregnancy. Her previous pregnancies were uncomplicated, so she was surprised to hear that she has developed gestational diabetes. She has always enjoyed eating extra desserts and snacks while she was pregnant, figuring she was eating for two. Plus, now that she has two small children, she reasons that she needs extra energy to take care of them too.
1. What is the most likely explanation for Wendy developing gestational diabetes with this pregnancy, but not with her previous pregnancies?
2. Wendy has an appointment with a registered dietitian. What general diet recommendations is she likely to make?
3. Wendy’s parents both have Type 2 Diabetes. She does not want to develop Type 2 Diabetes when she gets older. What would you suggest to Wendy?
4. Discuss blood glucose goals during pregnancy and the nutritional adjustments for meeting those goals.
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