Questions
Discuss at least 3 evidence-based strategies the nurse can incorporate into the patient care plan to...

Discuss at least 3 evidence-based strategies the nurse can incorporate into the patient care plan to improve the nutritional status for HIV/Cancer patients.

In: Nursing

DIFFERENCES: ecology of human performance model and occupational adaptation ?

DIFFERENCES: ecology of human performance model and occupational adaptation ?

In: Nursing

What are your focused assessments for a client with heart faliure? 1 techniques: 2 techniques:

What are your focused assessments for a client with heart faliure?

1 techniques:

2 techniques:

In: Nursing

Between March 9 and April 12, five chronic peritoneal dialysis patients at one hospital became infected...

Between March 9 and April 12, five chronic peritoneal dialysis patients at one hospital became infected with Pseudomonas aeruginosa. Four patients developed peritonitis (inflammation of the abdominal cavity), and one developed a skin infection at the catheter insertion site. All patients with peritonitis had low-grade fever, cloudy peritoneal fluid, and abdominal pain. All patients had permanent indwelling peritoneal catheters, which the nurse wiped with gauze that had been soaked with an iodophor solution each time the catheter was connected to or disconnected from the machine tubing. Aliquots of the iodophor were transferred from stock bottles to small in-use bottles. Cultures from the dialysate concentrate and the internal areas of the dialysis machines were negative; iodophor from a small in-use plastic container yielded a pure culture of P. aeruginosa. What improper technique led to this infection? and List the microbial targets of disinfecting chemicals & provide one example of a chemical agent that affects that structure.

In: Nursing

Discuss three possible complications of complimentary and alternative therapies  in the old adult, use specific examples.

Discuss three possible complications of complimentary and alternative therapies  in the old adult, use specific examples.

In: Nursing

Discuss how sociologic theories of aging maybe influenced by changing societal values (e.g., advanced technology or...

  1. Discuss how sociologic theories of aging maybe influenced by changing societal values (e.g., advanced technology or a community health care focus) in the next decade.

In: Nursing

Write a SOAP note presentation of chest pain in primary care visit. CC: 56-year-old Asian male...

Write a SOAP note presentation of chest pain in primary care visit.

CC: 56-year-old Asian male c/o of chest pain for 2 days.

Your information in the subjective and objective data can be based on a hypothetical case.

here is an example of a soap note u can use to write your own answer . im only providing the example to help u please write something different and simple thank you

here is the example

SOAP NOTE

Name

Date:

Time: 00

Age:

Sex: F

SUBJECTIVE

CC:

"I have a sharp pain in the chest for the past 2 days"

HPI:

28 year old black American female presents to the office with   chest pain of 4/10, sternal area, on and off, while walking and sometimes even when just sitting, lasts for about 5 - 10 minutes, and even hurts on deep breathing. No cough, no shortness of breath, no orthopnea. meloxicam helps the pain a little bit.

Medications:

Nitroglycerin 0.4 MG Sublingual Tablet Sublingual; Place 1 tablet sublingualy one time prn chest pain

Albuterol Sulfate (2.5 MG/3ML) 0.083% Inhalation Nebulization Solution; Inhale 1 ml by inhalation Q4-6H prn for asthma and wheezing;

BACLOFEN 10 MG TABLET 90BLISTER; TAKE ONE TABLET BY MOUTH TWICE A DAY AS NEEDED FOR MUSCLE SPASM;

Clotrimazole Bethametasone creame; Apply BID cream;

Dulcolax 5 MG Oral Tablet Delayed Release; Take 1 tablet orally daily prn constipation.

Ferrous Sulfate 325 (65 Fe) MG Oral Tablet; Take 1 tablet by mouth TID .

Flonase Allergy Relief 50 MCG/ACT Nasal Suspension; Use 2 squirt in the nostrils BID

FLUoxetine HCl 20 MG Oral Capsule; Take 1 capsule by mouth DAILY

Meloxicam 15 mg ; Take 1 tablet by mouth DAILY

Pantoprazole Sodium 40 MG Oral Tablet Delayed Release; Take 1 tablet orally daily

ProAir HFA 108 (90 Base) MCG/ACT Inhalation Aerosol Solution; Inhale 1.5 puff BID prn for asthma and wheezing

TRAZODONE HCL 50MG TABLET 50 MG; TAKE ONE TABLET BY MOUTH ONCE DAILY

Triamcinolone Acetonide 0.1 % External Cream; Apply BID topically

Ultram 50 MG Oral Tablet; Take 1 tablet Q6h prn for pain

PMH Asthma, obesity, tinea Gerd

Allergies: Xanax ,Vicodin, Morphine , Hydralazine ,Wellbutri

Medication Intolerances: None

Chronic Illnesses/Major traumas None

Hospitalizations/Surgeries:Cyst removal on the ovary 2013

Family History

Father Hx: Alive age 57
Mother Hx: Deceased age 30's of HIV
3 Brothers, 2 deceased and 1 Alive and healthy

Single with no children, working as a cashier at Everbank fields
Education- Some college
Non smoker, No alcohol, 1 cup of coffee a week
Hrs of sleep:4-6
Living with:Fiance and 2 birds
Mental state:Depressed
Exercise - Running

ROS

General

No weight change, denies fatigue, no fever,

Cardiovascular

Chest pain, no palpitations, no orthopnea, no edema

Skin

No skin discolorations,

Respiratory

No cough, no wheezing,no SOB

Eyes

No visual changes of any kind

Gastrointestinal

No abdominal pain, no constipation

Ears

No ear pain,

Genitourinary/Gynecological

No urgency

sexual activity, no STDS

   Fe: last pap, breast, mammo, menstrual complaints, vaginal discharge, pregnancy hx

Male: prostate, PSA, urinary complaints

Nose/Mouth/Throat

No nose bleeding, no sore throat, no difficulty swallowing.

Musculoskeletal

No back pain Rom: Full Muscle tone NL

Breast

No lumps no discharge

Neurological

No seizure no syncope,

Heme/Lymph/Endo

No bruising, HIV negatine

Psychiatric

No depression, anxiety, sleeping difficulties, suicidal ideation

OBJECTIVE

Weight        BMI

Temp

BP

Height

Pulse

Resp

General Appearance

Healthy appearing adult female in no acute distress. Alert and oriented; answers questions appropriately. Slightly somber affect at first, then brighter later.

Skin

Skin is warm, dry, clean and intact. No rashes or lesions noted.

HEENT

Head is normocephalic, atraumatic and without lesions; hair evenly distributed. Eyes: PERRLA. EOMs intact. No conjunctival or scleral injection. Ears: Canals patent. Bilateral TMs pearly grey with positive light reflex; landmarks easily visualized. Nose: Nasal mucosa pink; normal turbinates. No septal deviation. Neck: Supple. Full ROM; no cervical lymphadenopathy; no occipital nodes. No thyromegaly or nodules. Oral mucosa pink and moist. Pharynx is nonerythematous and without exudate. No missing

Cardiovascular

S1, S2 with regular rate and rhythm. No extra sounds, clicks, rubs or murmurs. Capillary refill 2 seconds. Pulses 3+ throughout. No edema.

Respiratory

Symmetric chest wall. Respirations even and unlabored ; lungs clear to auscultation bilaterally.

Gastrointestinal

Abdomen obese; BS active in all 4 quadrants. Abdomen soft, non-tender. No hepatosplenomegaly.

Breast

Breast is free from masses or tenderness, no discharge, no dimpling, wrinkling or discoloration of the skin.

Genitourinary

Bladder is non-distended; no CVA tenderness. External genitalia reveals coarse pubic hair in normal distribution; skin color is consistent with general pigmentation.

Musculoskeletal

Full ROM seen in all 4 extremities as patient moved about the room.

Neurological

Speech clear. Good tone. Posture erect. Balance stable; gait normal.

Psychiatric

Alert and oriented 4 . Dressed in clean slacks, shirt and coat. Maintains eye contact. Speech is soft, though clear and of normal rate and cadence; answers questions appropriately.

Lab Tests

None

Special Tests

EKG

Diagnosis

Differential Diagnoses

1)R079; Chest pain, unspecified

2)K210; Gastro-esophageal reflux disease with esophagitis

3)J4531; Mild persistent asthma with (acute) exacerbation

4)M940; Chondrocostal junction syndrome

Plan/Therapeutics

EKG done NTG SL prn refer to Cardio continue Meloxicam prn pain continue Pantoprazole monitor BP continue other current meds. F/u if not better. Follow up if conditions worsen. to ER if worse Patient instructed of above care plan. Monitor Blood Pressure. Continue current medications. All questions answered to the patient's satisfaction. Electronically prescribed medication(s) this visit.

Evaluation of patient encounter

In: Nursing

What is the likely diagnosis of this case? Define it and list its possible causes, mode of transmission, and clinical manifestations?

 

Case Study(1)

A 53-year-old gentleman with a background of asthma on long-term low dose inhaled corticosteroid inhaler had an acute exacerbation of his asthma in February 2020 triggered by a viral upper respiratory tract infection and acute sinusitis and was managed with bronchodilator nebulization and a 7-day course of oral prednisone 30 mg daily. He made an uneventful recovery and proceeded to travel to Austria. During his stay in Austria, he had a high fever, sore throat, dry cough, severe wheezing, worsening dyspnoea and he was not feeling any better and had ongoing fever and cough

According to the above case answer the following questions :

 

  1. What is the likely diagnosis of this case? Define it and list its possible causes, mode of transmission, and clinical manifestations?
  2. Is this patient has risk factors for the disease? If yes, write them down along with other possible risk factors of the disease?
  3. What are the alarming features when evaluating a patient with this disease?

4. What are the protective measures against this disease?

In: Nursing

Directions: Identify   3-4 expected assessment findings and 3 -4 abnormal assessment findings for Hair and 1...

Directions: Identify   3-4 expected assessment findings and 3 -4 abnormal assessment findings for Hair and 1 expected finding in (newborns/infant) 1 expected finding in children/adolescents and 1 expected finding in older people

                                    .

  

In: Nursing

1. what is the shape of the concentration-signal curve when the reagent is saturated with excess...

1. what is the shape of the concentration-signal curve when the reagent is saturated with excess antigen.

2.what is the graphical representation of observed values of a control material over time in the context of the upper and lower control limit.

3. in hyperlipidemic and hyperproteinemic samples, excess lipids and protein displaces plasma electrolytes which leads to a falsely decreased measurement of ionic activity in millimoles per litter of plasma. (true or false)

4. is the ability of a method to detect only the analyte it is designed to determine.

5.biosecurity is-

6. The number of control values enough to set up a Levey-Jennings control chart

7. accuracy is-

8.precision is-

9. Rationale of Order of Draw?

10. The proper collection of samples for ionized calcium measurements requires great care because loss of HCO3 will increased pH which may affect concentration of iCa. (True or False)

11. a multi Westgard rulling wherein one control observation exceeding the mean +/-3s, allow high sensitivity to random error.

12. Is a type of cabinet used to contain and expel noxious and hazardous fumes from chemical reagents.

13. is the ability of a method to detect small quantities of an analyte

14. the ISEs are the most routinely used method in clinical laboratories in analyzing serum electrolytes. (True or false)

15.proper collection and handling of samples for potassium analysis is extremely important because there are many causes of artifactual hyperkalemia one of which is if patients excessively clench their fist during blood sample collection. (true or false)


In: Nursing

An 18 year old woman has come to the clinic for confirmation of pregnancy. She states...

An 18 year old woman has come to the clinic for confirmation of pregnancy. She states that she has missed three periods, and a home pregnancy test 2 days ago was positive. The client states she does not like going to the doctor and the only reason she is at the clinic is because her boyfriend wants to make sure that she is really pregnant. What approach should the nurse take in regard to assessment, care, and intervention for this client? What are the positive signs of pregnancy that the provider will look for?

In: Nursing

What is an example of moral argument you might encounter in the field of nursing.

What is an example of moral argument you might encounter in the field of nursing.

In: Nursing

What is the importance of inverting the colored top tubes after drawing blood?

What is the importance of inverting the colored top tubes after drawing blood?

In: Nursing

Do you think the mental health system in our country today functions well, or is it...

Do you think the mental health system in our country today functions well, or is it broken? Why or why not?

Support your choice with at least two examples.

In: Nursing

Do you think the mental health system in our country today functions well, or is it...

Do you think the mental health system in our country today functions well, or is it broken? Why or why not?

Support your choice with at least two examples and one credible resource.

In: Nursing