Shelly is a 4-year-old preschooler who lives with her parents and younger brother. She and her brother attend a local daycare center during the week while their parents are at work. In the evenings she and her brother take a bath and then their parents read to them before bedtime at 8:00 P.M. Shelly's daycare class includes many children her age and she enjoys playing outside with them, Although snack times are planned, Shelly would rather play and does not always finish her beverages,
Shelly's mother calls the pediatric clinic in town and tells the nurse that Shelly has been "running a fever of 101 0 F for the past 2 days' and although her temperature decreases to 37.20 C (990 F) with acetaminophen, it returns to 38.4 C, (1010 F) within 4 hours of each dose. Further, her mother says that Shelly complains that hurts when “I pee-pee." Shelly's mother also has noticed that her daughter seems to be in the bathroom every hour" She makes an appointment to see the pediatrician this afternoon
Questions :
1. Discuss the significance of Shelly's clinical manifestations.
2. What other assessment data would be helpful for the nurse to have to prepare Shelly's care plan?
3. Discuss Shelly's anatomic risk factor(s) for developing a urinary tract infection (UTI)
4. Discuss the relationship between Shelly’s hygiene habits and her risk for developing a UTI
5. Discuss how Shelly's level of growth and development places her at risk for developing a UTI.
6. Shelly's urine culture returns positive for Escherichia coli. 'What is the significance of this finding?
7. What are the priorities for Shelly's care?
8. Shelly is prescribed trimethoprim-sulfumethoxazole 60 mg every 12 hours for 10 days. What is this drug and is her prescribed dose safe? Shelly weighs 33 lb.
9. What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?
10. Shelly is scheduled for a return visit to the clinic in 2 weeks. What is the purpose of this appointment?
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Respond to the following in a minimum of 175 words:
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a. What is Coronavirus?
b. Where did it originate from?
c. What are the risk factors?
d. Who is at the greatest risk?
e. How is the virus spread?
f. What are the signs & symptoms?
g. Is there treatment? What is it?
h. What can be done to reduce the spread of the disease?
i. Explain what “Social Distancing” is, and how it helps to reduce the spread of disease.
j. Describe resources in your community.
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integrating into pratice multiple losses excicise
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4. Lastly, write a short “journal” entry of how you, your family and community have been affected by the corona virus, how you are feeling, and what you are personally doing to keep “normalcy” in your home life.
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As a nurse explain the importance of these
1)Laws, rules, and regulations that shape any
professional practice
2)Maintaining basic knowledge of the law as it relates
to professional nursing practice
3)Laws and regulations serve to protect both nurses
and the patients for whom they are providing care
4)Nursing Practice Act
5)Confidentiality
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Please give a general description of the differences between two component models vs. multi-component models for estimating body composition. Ex: what components do they look at? Is one preferred over the other? Why should we care about the components that are being measured?
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Determine the cause of the positive DATs for the patients below:
Patient #3:
Mom is O negative with an Anti-K
Baby is O positive, K antigen positive, DAT 3+
What antibody could be causing the positive DAT? ______________
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Determine the cause of the positive DATs for the patients below:
Patient #4:
Mom is O negative with an Anti-D
Baby is A positive, DAT 2+
Name 2 antibodies that could be causing the positive DAT. _____________, __________
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As a nurse explain the importance of these
1)Codes of Ethics for Nursing
2)Metaethics ethics
3)Normative ethics
4)Applied ethics—
5)Ethical Issues Related to Immigration and Migration
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As a nurse explain the importance of these
1)Therapeutic Nurse-Patient Relationship
2)Professional Boundaries
3)Patient-Centered Care
4)Developing Effective Communication Skills
5)Avoiding Common Causes of Communication Breakdown
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what are the pros and cons of HFMEA, SIX-SIGMA, PDSA CYCLE
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You are a physician who has just become a partner in a nine-person group practice located in a city of 350,000 people with two teaching hospitals (240 beds and 185 beds), two other smaller community hospitals, and twenty group practices of ten physicians each or larger. The area’s largest employer has just gotten a contract that will require it to hire 260 new employees. Another company has just announced that it is relocating to the city and expects to need 115 new employees. Overall, the local economy is thriving with great prospects for the future. You have some awareness that your group faces competition in attracting patients, but you are not sure what to do about it.
Question:
-Describe what you will do to educate yourself about the idea of “strategic thinking,” the principles of strategic planning and management, and the actions the group should take to prepare itself for the future?
-How will you involve the group’s partners in the strategic initiatives you have in mind?
-On the basis of what you have learned about managing healthcare as a business strategy, what are some of the first steps you would propose that the group take?
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Nursing theories applicable for a research titled "Attitude of a nurses regarding abortion"
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