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 ?
In: Nursing
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 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.
In: Nursing
In: Nursing
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 |
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Age: |
Sex: F |
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SUBJECTIVE |
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CC: "I have a sharp pain in the chest for the past 2 days" |
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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.
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Medications:
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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 |
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Family History Father Hx: Alive age 57 |
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Single with no children, working as a cashier at Everbank
fields |
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ROS |
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General No weight change, denies fatigue, no fever, |
Cardiovascular Chest pain, no palpitations, no orthopnea, no edema |
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Skin No skin discolorations, |
Respiratory No cough, no wheezing,no SOB |
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Eyes No visual changes of any kind |
Gastrointestinal No abdominal pain, no constipation |
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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 |
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Nose/Mouth/Throat No nose bleeding, no sore throat, no difficulty swallowing. |
Musculoskeletal No back pain Rom: Full Muscle tone NL |
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Breast No lumps no discharge |
Neurological No seizure no syncope, |
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Heme/Lymph/Endo No bruising, HIV negatine |
Psychiatric No depression, anxiety, sleeping difficulties, suicidal ideation |
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OBJECTIVE |
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Weight BMI |
Temp |
BP |
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Height |
Pulse |
Resp |
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General Appearance Healthy appearing adult female in no acute distress. Alert and oriented; answers questions appropriately. Slightly somber affect at first, then brighter later. |
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Skin Skin is warm, dry, clean and intact. No rashes or lesions noted. |
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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 |
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Cardiovascular S1, S2 with regular rate and rhythm. No extra sounds, clicks, rubs or murmurs. Capillary refill 2 seconds. Pulses 3+ throughout. No edema. |
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Respiratory Symmetric chest wall. Respirations even and unlabored ; lungs clear to auscultation bilaterally. |
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Gastrointestinal Abdomen obese; BS active in all 4 quadrants. Abdomen soft, non-tender. No hepatosplenomegaly. |
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Breast Breast is free from masses or tenderness, no discharge, no dimpling, wrinkling or discoloration of the skin. |
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Genitourinary Bladder is non-distended; no CVA tenderness. External genitalia reveals coarse pubic hair in normal distribution; skin color is consistent with general pigmentation. |
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Musculoskeletal Full ROM seen in all 4 extremities as patient moved about the room. |
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Neurological Speech clear. Good tone. Posture erect. Balance stable; gait normal. |
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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. |
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Lab Tests None |
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Special Tests EKG |
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Diagnosis |
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Differential Diagnoses
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Plan/Therapeutics |
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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. |
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Evaluation of patient encounter |
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In: Nursing
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 :
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 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 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 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
In: Nursing
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 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 broken? Why or why not?
Support your choice with at least two examples and one credible resource.
In: Nursing