A 2-year-old child presents to the pediatrician’s office with a two-day history of fever, vomiting and diarrhea. The nurse obtains the child’s temperature, pulse, and respirations. Temp was 101.3 (38.5 C), HR 156, Respirations 32. The child appears tired but alert and clings to mother when the nurse is obtaining vital signs. What other assessments are necessary and the nurse would need to complete next.

Read the following case:

On the morning of January 11, 1983, twenty-five-year old Nancy Cruzan lost control of her car as she traveled down an icy deserted county road in Missouri. The car overturned, and she was discovered, lying face down in a ditch, without detectable respiratory or cardiac function. Emergency medical technicians were able to restore her breathing and heartbeat, and she was transported to a hospital in an unconscious state. A neurosurgeon there diagnosed her as having sustained probable brain damage, compounded by significant oxygen deprivation. The estimated length of the period without oxygen was twelve to fourteen minutes. (Permanent brain damage generally results after six minutes without oxygen.)

Cruzan remained in a coma for approximately three weeks, and then progressed to an unconscious state in which she was able to orally ingest some nutrition. In order to ease feeding and further her recovery, surgeons implanted a feeding and hydration tube with the consent of her then husband. In October 1983, she was admitted to a state hospital. Subsequent rehabilitative efforts proved unsuccessful. It became apparent that she had virtually no chance of regaining her mental faculties, and that Cruzan was in a persistent vegetative state (PVS).

Answer the following question:

1.     Should the emergency medical responders provide treatment and why? Provide a reasoned opinion and define terms (50% or 25/25)

2.     Should the physician continue treatment and why? Provide a reasoned opinion and define terms (50% or 25/25)

A client has suffered damage to the anterior pituitary gland, reducing the ability to respond to increases in plasma osmolality. The nurse should monitor for what expected assessment findings? Select all that apply.

A middle-aged man with diabetes reports that he must strain to urinate, that his urine stream is weak and dribbling, and that his bladder never really empties.You know that all of his symptoms are likely caused by which diagnosis?

You know which clinical manifestations may be present with the diagnosis of acute nephritic syndrome? Select all that apply.

The nurse caring for a child with respiratory problems is concerned he may be developing respiratory failure. Upon assessment, which findings correlate to impending respiratory failure? Select all that apply.

You are reviewing a patient's laboratory results and notices the blood urea nitrogen (BUN):creatinine ratio is 16:1. This ratio most likely correlates to which factor in the client's medical history?

A client has stopped taking the prescribed anticholinergic medication for overactive bladder, due to the associated side effects of dry mouth, constipation, and reflux. Which other medication, injected directly into the bladder, is an alternative treatment for this condition?

A patient has recently been diagnosed with large cell carcinoma, and the nurse is preparing the client for diagnostic testing to identify distal metastases. Which sites should the nurse explain to the client as the primary focus for the investigation? Select all that apply.

A client, admitted after an automobile accident in which ther head and chest hit the steering wheel, has a combination of biomarker testing (SP-D, neutrophil chemotractor factor, and interleukin-8). The family asks, "Why are there so many blood tests?" The response by the nurse reveals these test results will confirm the client has developed which condition(s)? Select all that apply.

An older adult resident of a long term care facility with a recent history of repeated urinary tract infections and restlessness is suspected of having urinary retention. Which intervention by the care team is most appropriate to confirm urine retention?

A client with systemic lupus erythematosus (SLE) glomerulonephritis is experiencing a worsening of the disease and has progressed to the higher classes resulting in renal involvement. Which medication(s) will likely be prescribed by the health care provider to treat the deterioration of the renal function? Select all that apply.

A client has visited the health care provider reporting intermittent passing of blood-tinged urine over the last several weeks. Cytology confirms a diagnosis of invasive bladder cancer. Which statement by the provider is most accurate about treatment options?

benztropine mesylate carbidopa-levodopa ropinirole What is the classification of this medication? What conditions is/are this med used for? How is it administered? How does it work in the body? What are the contraindications? What signs and symptoms will you monitor? What will you teach your patient about the medication?

Hepatitis B Virus:

1. Describe the viral architecture

2. Nucleic acid composition

3. Enveloped or non-enveloped?

4. Host(s)? How does the virus gain entrance to host?

5. Mode of transmission(s)?

6. Organ System(s) affected?

7. Symptoms of viral disease.

8. Treatments?

9. Acute or persistent infection and why?

A guarantee of a right to healthcare hinges on the notion of justice and on the nature and extent of the “social contract” upon which a society agrees. First, contrast the libertarian and contractarian views of the social contract. Then, discuss what conclusions each of these perspectives reaches about the possibility of a right to healthcare.

John Summers is an office manager at Hillcrest Family medicine. The physicians at the office have voiced concern to John regarding the lack of professionalism among the office staff. They have asked John to conduct a staff meeting to focus on the importance of professionalism. The physicians have asked John to highlight five qualities of a professional in the health care setting. They have also asked John to create a dress code policy so that all employees project a professional image.

1. What five qualities do you think John should choose to discuss during the staff meeting? Explain why?
2. How might John go about creating a uniform dress code? What items might he want to include in the new policy?

what are nursing consideration for possible electrolyte disturbances and dehydration related to diarrhea in children

• Identify 1 resource in your community (new york) that addresses the chronic disease management needs of the population.
• Who is involved in this community-based model for the care of adults? MDs, RNs, dieticians?
• Describe the role of nurses in this community-based model of care.

A 5-year-old child who had been receiving dialysis treatments has undergone renal transplant and will now be taking prednisone. The parents are hopeful the child's development and overall health will normalize. The nurse should inform the parents that taking prednisone can result in some similar adverse effects as living with chronic kidney disease (CKD). Which effects should the nurse include? Select all that apply.

When explaining the role of the proximal tubule in terms of medication administration, the nursing instructor will emphasize that which medications are bound to plasma proteins and require the proximal tubule secretion of exogenous organic compounds to help with filtration? Select all that apply.

You are caring for a client who is being treated for pneumonia. You suspects the client has developed pleuritis. Which assessment findings support the your suspicion of pleuritis? Select all that apply.

A client diagnosed with a cerebrovascular accident (CVA) 5 months prior is now experiencing episodes of urinary incontinence. The client asks, "Why is this happening?" Which statement best captures the facts that would underlie the answer to this question?

You are in the respiratory unit of a hospital is providing care for a client with end-stage lung disease. Consequently, measurement of the client's arterial blood gases indicates increased PCO₂. Which associated consequence would the nurse anticipate?

You are caring for a client in emergent fluid overload requiring rapid diuresis. Which diuretic should the nurse be prepared to administer?

You are planning the care for a client with acute kidney injury (AKI). What should the nurse prioritize in the client's plan of care? Select all that apply.

Which individual is at the highest risk of developing a urinary tract infection (UTI)?

A dialysis technician is reviewing a textbook on kidney function. The technician would recognize which statements as characteristic of healthy kidneys? Select all that apply.

You are creating a care plan for a premature infant with respiratory distress syndrome. Which aspects of care should the nurse include in the plan? Select all that apply.

Which phenomenon is most likely occurring during a child's alveolar stage of lung development?

A client has a ureteral calculi in the proximal region. The nurse is planning to educate the client about the treatment of choice for removal of the stone in this location. For which intervention will the nuse eucate the client?

An older adult client is admitted with a stroke and has developed pneumonia. While auscultating the right lateral thorax, the nurse hears abnormal breath sounds. Which lobe of the lung is likely effected due to obstruction by thick secretions?

A patient has an IV of 0.9% Sodium Chloride infusing at 150 ml/hour. The patient weighs 160.6 pounds. How many milligrams/kilograms (mg/kg) of sodium choride will the patient receive in your 12-hour shift? Round to the nearest whole number.

The physician orders Solumedrol 55 mg/m² IVP. The patient weighs 140 pounds and has a body surface area of 1.9 m². The medication is provided in 5 ml vial with a strength of 25 mg/ml. What volume of medication will you administer? Round to the nearest tenth.

The patient is to receive an analgesic elixir that contains gr ¼ morphine per 5 ml. How many milligrams (mg) of morphine would be contained in 4 ml of the elixir?

The physician orders, "Metbur Suspension, 50 mg, orally, twice daily." The label states, "Metbur Suspension 1:500." What volume (ml) will the nurse administer?

Gastrointestinal Disorders.

T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has periodic constipation. He has had previous episodes of abdominal cramping, but this time the pain is getting worse. Past medical history reveals that T.H. has a "sedentary job with lots of emotional moments," he has smoked a pack of cigarettes a day for 30 years, and he had "two or three mixed drinks in the evening" until 2 months ago. He states, "I haven't had anything to drink in 2 months." He denies having regular exercise: "just no time." His diet consists mostly of "white bread, meat, potatoes, and ice cream with fruit and nuts over it." He denies having a history of cardiac or pulmonary problems and has no personal history of cancer, although his father and older brother died of colon cancer. He takes no medications and denies the use of any other drugs or herbal products.

. 1. Identify four general health risk problems that T.H. exhibits.

2. Identify a key factor in his family history that might have profound implications for his health and present state of mind.

3.The physician ordered a KUB (x-ray study of the kidneys, ureters, and bladder), complete blood count (CBC), and complete metabolic profile. Based on x-ray and laboratory findings, physical examination findings, and history, the physician diagnoses T.H. as having acute diverticulitis and discusses an outpatient treatment plan with him. What is diverticulitis? What are the consequences of untreated diverticulitis?

4.While the patient is experiencing the severe crampy pain of acute diverticulitis, what interventions would you perform to help him feel more comfortable?

5. What is the rationale for ordering bed rest?

T.H. is being sent home with prescriptions for metronidazole (Flagyl) 500mg PO q6h, ciprofloxacin (Cipro) 500mg PO q12h, and dicyclomine (Bentyl) 20mg 4 tomes per day for 5 days.

6.For each medication, state the drug class and the purpose for T.H.

7.Given his history, what questions must you ask T.H. before he takes the initial dose of metronidazole? State your rationale

8.What is a disulfiram reaction?

9. What are the signs and symptoms of an allergic reaction

1.  Describe in point form what happens in the assessment, diagnosis, planning, implementation and evaluation stages of the nursing process.

2.  Provide a brief explanation of what data clustering is?

3. Provide one open ended question and one closed ended question that could be used in a client assessment interview?

Q: Write a paper analyzing a current issue impacting the health of the aging population worldwide?

The required answer is to "choose a health problem in the elderly such as nutritional deficiencies or osteoporosis problems" and explain it in an analytical way in general and how impacting the health of the aging population

Please Avoid Plagiarism , Don't use handwriting.

Please Do not copy and paste

Due Date: October 10, 2020

It should short essay (250-500 words)