Questions
is a 10 year-old African American girl. She loves playing the piano and composing her own...

is a 10 year-old African American girl. She loves playing the piano and composing her own music. She is an avid computer wiz, taking after her father. She has designed all the family birthday cards and loves playing video games. When she comes home from school, she has a sweet snack, finishes her homework, and goes straight to the piano to practice. She spends hours at the keyboard, and by mealtime she says she is hungry.


Madison is 48 inches tall and weighs 98 pound. Knowing that the family has a tendency to be heavier, her mother, Amy, is concerned about Madison’s weight; Amy has been on and off Weight Watchers program for 15 years. Amy feels Madison should have more physical activity and needs to stop snacking on cupcakes and sweets. Madison is due for a preschool checkup. Amy is planning to ask the doctor for help with Madison’s weight.


What objective data do you have about Madison?

How do diet,activity,heredity and family lifestyle impact her current weight?


In: Nursing

What was the type of study followed by Pfizer to develop the Vaccine for SARS-CoV-2? What...

What was the type of study followed by Pfizer to develop the Vaccine for SARS-CoV-2?

What was the type of study followed by Moderna to develop the Vaccine for SARS-CoV-2?

In: Nursing

Madison is a 10 year-old African American girl. She loves playing the piano and composing her...

Madison is a 10 year-old African American girl. She loves playing the piano and composing her own music. She is an avid computer wiz, taking after her father. She has designed all the family birthday cards and loves playing video games. When she comes home from school, she has a sweet snack, finishes her homework, and goes straight to the piano to practice. She spends hours at the keyboard, and by mealtime she says she is hungry.


Madison is 48 inches tall and weighs 98 pound. Knowing that the family has a tendency to be heavier, her mother, Amy, is concerned about Madison’s weight; Amy has been on and off Weight Watchers program for 15 years. Amy feels Madison should have more physical activity and needs to stop snacking on cupcakes and sweets. Madison is due for a preschool checkup. Amy is planning to ask the doctor for help with Madison’s weight.


What information does the dietitian need to know to help Madison?


Who needs to be involved in the plan for it to be successful?


What strategies could you suggest to Madison would be successful but have fun in the process?


In: Nursing

Is sacrificing one life much better to save the lives of many? Provide an explanation. (Consequentialism,...

Is sacrificing one life much better to save the lives of many? Provide an explanation. (Consequentialism, Deontology, Utilitarianism)

In: Nursing

1. Interact with 3 different people and Initiate a conversation. Using the various communication techniques, document...

1. Interact with 3 different people and Initiate a conversation. Using the various communication techniques, document the topic of your conversation and the method of therapeutic communication you used to elicit an appropriate response.

2. Document what you found useful with each communication technique or what you felt did not work.

3. Do you believe therapeutic communication will assist you in your profession when you need to obtain information from clients or their families?

4. Review the various types of therapeutic communication techniques. Which do you believe will be the most helpful in your nursing future

In: Nursing

Trace the development of: Physiological Monitor.. Which includes sections on the following: ECG, SPO2, NIBP Please...

Trace the development of: Physiological Monitor.. Which includes sections on the following: ECG, SPO2, NIBP

Please answer this specific question: What did the original equipment look like? (Do not explain what it is or what it is used for just what the original equipment looked like)

In: Nursing

1. Are there particular instances where you have experienced prioritizing your own ethical or moral code...

1. Are there particular instances where you have experienced prioritizing your own ethical or moral code over obedience to rules?

2. Is there any rule enforced by your school, your parents, your local government, or by the country that does not follow your personal moral code?

In: Nursing

Joseph Vojnovic is an 80-year old man admitted with diagnosis of possible pneumonia. He complains of...

Joseph Vojnovic is an 80-year old man admitted with diagnosis of possible pneumonia. He complains of general malaise and a frequent productive cough, worse at night. Vital signs T 38.5 C P 92 beats/min R 22 breaths /min BP 150/90 mmHg During your initial assessment he coughs violently for 40 to 45 seconds without expectorating. He exhibits coarse crackles and wheezes at both bases of the lungs. He states, “It hurts'in my chest when I cough.”

The nurse positions Mr Vojnivic in a semi-Fowlers position, encourages him to increase his fluid intake, and gives him acetominophen (tylenol)  650 mg po, as ordered for fever.  One hour later, the client is resting in bed

Vital signs are  T 37.7    P  86  R  22   BP 130/86

He states that he has been able to sleep. His fluid intake over the past hour has been 200 ml of water.

Near the end of the shift, you have identified fluid volume deficit as a nursing diagnosis for Mr. Vojnivic. Since his admission, he has a fluid intake of about 600 ml, and his urine output was 300 ml of dark, concentrated urine. His temperature is back up to T 38.4C, his mucous membranes are dry, and he states he feels very weak.

Several days later, after treatment with IV antibiotics, MrVojnovic is feeling much better, and preparations are bing made for discharge.

He is to take cephalexin (keflex) 500 mg every 6 hours, for the next 10 days; continue to drink extra fluids; and to get rest.. He lives alone.

Although he is generally cooperative, he does not like drinking water or taking pills.

He is to make an appointment with his physician for one week from today and should call the physician if symptoms re-occur.

?) Write a discharge summary that is concise and instructive.

In: Nursing

Graded LP6.1 Discussion: Theft Review your abilities to speak to your co-workers about theft. Is theft...

Graded LP6.1 Discussion: Theft

Review your abilities to speak to your co-workers about theft. Is theft only stealing money? Can it be taking other things? How will you handle the issue of theft as a medical office assistant?

In: Nursing

1)Provide and explain at least two (2) Elements of Fiction. Choose any two. You must explain...

1)Provide and explain at least two (2) Elements of Fiction. Choose any two. You must explain the function of each element.

2)Provide and explain at least two (2) Elements of Poetry. Choose any two. You must explain the function of each element.

In: Nursing

Predict how biological research will be transformed over the next decade by: 3rd generation sequencing, cyro-EM,...

Predict how biological research will be transformed over the next decade by: 3rd generation sequencing, cyro-EM, and CRISPR-Cas9.

In: Nursing

1. Describe the physical manifestations most commonly associated with the various shock states. 2. Describe prevention...

1. Describe the physical manifestations most commonly associated with the various shock states.

2. Describe prevention approaches that can be instituted in the critical care environment.

3. How does the heart work?

4. What causes of increased preload of the blood?

5. What causes of decreased preload of the blood?

In: Nursing

Complete the “What Kind of Social Agent Are You?” quiz. Share your results with your peers,...

Complete the “What Kind of Social Agent Are You?” quiz. Share your results with your peers, and comment on how accurate you think the results are. Are the results surprising? How can you use these results to find opportunities to share your personal vision?

In: Nursing

Scenario George Miller, a 68-year-old man who had a stroke 6 months ago, comes to the...

Scenario
George Miller, a 68-year-old man who had a stroke 6 months ago, comes to the urgent care clinic complaining of abdominal pain and nausea. Mr. Miller lives alone in an assisted living complex. He was never married, and his only relative is a 70-year-old sister who visits him two to three times a week. Miller uses a quad cane to ambulate because of hemiplegia on his left side and eats his meals in the central dining room at the complex. The complex has no licensed health care workers.

You are the nurse assigned to the urgent care clinic and are assigned to care for the patient. You perform your initial assessment on Mr. Miller and while you are obtaining his history, Mr. Miller tells you that he has not had a bowel movement in 4 days. On physical examination, Mr. Miller’s abdomen is hard, and he has hypoactive bowel sounds in all four quadrants. He states he is experiencing abdominal pain in right and left lower quadrants and rates the pain as 8/10 on a scale of 0-10. You obtain the following vital signs: BP- 100/60, HR- 110, respirations 20/min, temperature 98.4, pulse oximeter of 94% on room air (RA). The physician determines that Mr. Miller has constipation and has a fecal impaction.

ASSESSMENT
Identify and include at least 3-5 significant subjective symptoms by underlining and highlighting them in the scenario above and then list them below.


Identify and include at least 3-5 objective assessment symptoms by underlining and highlighting them in the scenario above and then list them below.




DIAGNOSIS
Select at least 3-5 possible NANDA nursing diagnoses appropriate NANDA nursing diagnoses for this client and list them below.



Write 3 nursing diagnostic statements for this patient’s major problems and write the nursing diagnostic statements accordingly with use of a three-part nursing diagnosis: Problem + etiology as evidenced by signs and symptoms. (Example would be: Acute pain r/t injury as evidenced by verbalization of back pain of 5/10 on a scale of 0-10.)
Nursing diagnosis #1-

Nursing diagnosis #2-

Nursing diagnosis #3-


PLAN
Write one short-term outcome and one long-term goal for each of your 3 nursing diagnoses above. Remember SMART goals.

Nursing diagnosis #1-
Short-term goal:
Long-term goal:

Nursing diagnosis #2-
Short-term goal:
Long-term goal:

Nursing diagnosis #3-
Short-term goal:
Long-term goal:


IMPLEMENTATION
As the patient’s nurse, include 3 other nursing interventions with rationales that you would facilitate for each of your 3 nursing diagnoses to help the patient meet their specific goals. This could include use of referrals, delegation and use of an interdisciplinary team.

Nursing diagnosis #1-
1)
2)
3)

Nursing diagnosis #2-
1)
2)
3)

Nursing diagnosis #3-
1)
2)
3)

EVALUATION
For each 3 nursing diagnoses chosen above, answer the following question below. Be specific with your answers.

How would evaluate that your goals that you selected were specific to the patient’s condition and situation?
Nursing diagnosis #1-

Nursing diagnosis #2-

Nursing diagnosis #3-

In: Nursing

A nurse is caring for a client who is to receive liquid medications via a gastrostomy...

  1. A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. the amount available is phenytoin oral solution 25 mg/5 ml. how many ml, should the nurse administer per dose?
  2. A nurse is preparing to administer levothyroxine 0.175 mg PO once every day. The amount available is levothyroxine 88 (0.088 mg) mcg/tablet. How many tablets should the nurse administer dose?
  3. A nurse is preparing to administer cefprozil 15 mg/kg PO every 12 hours to a child. The child weighs 45 lb. Available is cefprozil 250 mg/5ml. How many ml should the nurse administer?

In: Nursing