The primary health care provider ordered erythromycin 600 mg orally in 4 divided doses for a child who weighs 9 kg. Erythromicin is available in a concentration of 200 mg per 5 mL.

The following 4 questions (a, b, c, and d) refer to this prescription.

a) What volume of erythromycin should the nurse prepare for a single dose?

b) The safe oral dose range is 30-50 mg per kg per day divided every 6 hours. Calculate the safe daily dose range for this child.

c) Calculate the safe minimum and maximum single doses for this child

d) Should the nurse administer this medication? Why or why not?

Location: Neurological Unit 0800

SBAR report from the night nurse:

Situation: Mr. Russell is a 55-year-old Native American male who was admitted with a stroke with mild left hemiplegia yesterday afternoon. He had a head CT and received thrombolytic therapy in the ED. He is nothing by mouth except for medications until the speech therapist has completed a bedside evaluation, which is scheduled for later this morning. He is scheduled for physical therapy later today.

Background: Mr. Russell has a history of hypertension, coronary artery disease, and diabetes mellitus type 2. He has smoked over a pack of cigarettes per day for the past 35 years and does not exercise.

Assessment: We have already checked his blood glucose level this morning. His vital signs have been stable and he slept well last night. He was able to get up to go to the bathroom with the use of a walker. His neurological checks are stable and he continues to have mild left hemiplegia. His hand grasps are almost equal but a little weaker on the left side. His pupils are equal and react to light. Swallow reflex is intact. He is oriented x3. I have already done a Morse Fall Risk assessment with a total high risk score of 60.

Recommendation: You should do a vital signs assessment, perform a neurological assessment, and talk about safety with Mr. Russell. You should also provide patient education on risk and prevention of aspiration. His morning medications are up and should be administered.

2 subjective data,

2 objective data

One nursing diagnosis

2 long term goals,

2 short term goals

4 interventions with rationales

4 evaluations of goals, 4 evaluations of intervention

Mrs. A, 53-years-old with a 17-year history of type 2 diabetes, hypertension and hyperlipidemia and a 35-year history of smoking. She presents in the ward with shortness of breath, pruritus, and pitting edema of bilateral extremities. Her blood pressure is 165/92 mm Hg, heart rate 94 beats per minute (regular rate and rhythm), and respiration 26 breaths per minute. She is 153cm tall and weighs 91kg (BMI: 38.9).

Mrs. A is diagnosed with stage 3 chronic kidney disease, with a GFR of 49 mL/min/1.73m² and profound microalbuminuria.

QUESTION:

Based on the the above scenario, organize relevant nursing care and management for Mrs. A in order to maximise her overall health and delay the progression of end stage renal disease (ESRD).

1. What are determinants of health? Explain the different determinants

2. What is adaptive thermogenesis, how can it impact weight loss?

3.What are Ghrelin and Leptin? How are those hormones influential in weight gain?

4.What are some obstacles people face in terms of getting adequate amounts of physical activity? Discuss some possible solutions

At least 200 words discussion,... Is bronchiectasis restrictive, obstructive, or a combination of both? Please provide your insights, and have medical evidence of your discussion?

Research Question Assignment
Topic: Vaccines
Question: Should parents avoid vaccinating their children?

Does the question deal with a topic or issue that interests me enough to spark my own thoughts and opinions?                       YES            NO
Is the question easily and fully researchable?           YES           NO
Is my research question too broad, too narrow or okay? It’s not a broad topic; neither it’s a narrow topic. It’s a focused research question
What resources will be able to provide me with the information that I need?
Books
Articles
Researches
Medical literature

so, I went Just 5 main ideas with 3-5 supporting details for each main idea. (The Introduction and conclusion are not included) for this topic

Robyn meets with Sonia to discuss her needs and interests. Robyn explains to Sonia that it would be really useful if she could get information on Sonia’s health from the health professionals she is seeing. Robyn explains that this information will be kept confidential, and that she will only ask for it with Sonia’s permission. Robyn listens to Sonia’s concerns respectfully, paraphrases them to ensure she has understood, and explains Sonia’s right to privacy.

Sonia tells Robyn that she has just spent four months in hospital. During that time she was made redundant from her job. Sonia is concerned that she will lose her home if she does not get another job soon. She is also worried that the stress will make her unwell again. Robyn realises that she will need to collaborate with other service providers to meet Sonia’s needs.

1.How has Robyn developed and maintained trust and goodwill with Sonia? (Approx. 35 words).

2.How did Robyn maintain Sonia’s confidentiality and privacy? (Approx. 10 words).

3. Give two examples of Sonia’s diverse and multifaceted needs in this situation. (Approx. 15 words).

4. What other service providers should Robyn collaborate with? (Approx. 10 words).

5. How could Robyn provide clear and current information to Sonia? (Approx. 50 words).

6.Give one example of Sonia’s interests and one example of her rights in this situation. (Approx. 25 words).

Rob is 84 years old, and his wife of 60 years recently died from a long-term illness. Rob has been experiencing some health concerns and is finding managing on his own difficult. Donna is meeting with Rob to plan for the provision of home and community care services.

Donna notes that Rob is articulate and neatly dressed. His home is a little dusty, but well organised. Rob is a little thin and admits that he is not a very good cook. He says he is happy to have help, as he wants to stay in his own home for as long as possible.

1. What are the physical and psychological factors Donna should take into account when planning service delivery? (Approx. 30 words).

2. How could Donna explain the purpose of the planning process to Rob? (Approx. 20 words).

3. What are two different service options that Donna could discuss with Rob? (Approx. 30 words).

4. Does Rob seem ready for the development of an individualised plan? Why or why not? (Approx. 50 words).

5. How can Donna help Rob select the most appropriate service option? (Approx. 30 words).

6.Who should be included in the planning process for Rob’s individualised plan? (Approx. 50 words).

7.What are two things Donna and Rob need to organise for the planning session on Rob’s goals? (Approx. 50 words).

8.Who does Donna need to inform about Rob’s individualised plan? (Approx. 15 words).

9.Does Donna need to liaise with Rob’s assessor about his requirements prior to the planning sessions? Why or why not? (Approx. 35 words).

How the National insurance Act that was passed in England and coined the term"health insurance" in 1911. Has been revolutionary for the health care system.

Rebecca has been diagnosed with a severe anxiety disorder and is working successfully on a recovery process. Rebecca tells Laura, her support worker, that she wants to return to university full-time to complete her education as part of her recovery process. Laura is concerned that this will be stressful for Rebecca and may trigger a reoccurrence of her anxiety. Laura has organised a planning session to complete Rebecca’s individualised plan

1. Why should Laura respect Rebecca’s perspective in this situation?

2.What are Rebecca’s strengths and capacities that Laura should focus on in this situation?

3.How could Laura promote Rebecca’s participation in this situation?

4. Where could Laura find more information about the requirements of the service planning tool/s?

5.What are the key aspects of individualised service delivery in this situation?

6.Why should Laura collaborate with Rebecca and any significant people in Rebecca’s life to establish her goals?

7. What are Rebecca’s needs? Explain how they are interrelated.

8. How can Laura ensure an integrated approach to her service delivery?

9. Should Laura carry out a risk assessment specific to Rebecca’s circumstances? Why or why not?

10.Why is it important that Laura discuss the risks with Rebecca?

11.How could Laura work collaboratively with Rebecca to minimise risks?

12.How should Laura manage their conflicting opinions about Rebecca’s goals?

Peter has been working with Marcus for six months to implement his individualised plan. Marcus has an intellectual disability that impairs his ability to communicate and to understand complex concepts. Marcus’ father acts as his advocate. Marcus has a goal to learn to prepare a meal for himself. Marcus has not made much progress towards achieving this goal. Marcus’ parents tell Peter that Marcus does not like the support worker who is supporting him, as he gets impatient when Marcus takes a long time to get things done

.1.Who should Peter consult with about the quality of, and satisfaction with, the service?

2. What problems regarding quality of service delivery should Peter report on?

3. What problems regarding satisfaction with service delivery should Peter report on?

4. How could Peter use the organisation’s procedures to address Marcus’s complaints about quality and satisfaction?

5. How could Peter use the organisation’s procedures to address Marcus’s complaints about quality and Who should Peter work with to ensure Marcus’s individualised plan is reviewed?

6. What adjustments need to be made to Marcus’ individualised plan?

7. How can Peter support Marcus’s self-determination in making adjustments to his individualised plan?

8. Based on Marcus’s situation, what could Peter identify to improve the organisation’s service delivery?

Neeta has organised a session to review Brenda’s individualised plan. Neeta notices that since she first met Brenda, she has moved into a different house. Neeta confirms the new address details with Brenda and makes changes to Brenda’s personal details and case file. Later, when asked for feedback, Brenda’s family tell Neeta that they feel like they were not included in the updating of the individualised plan, and their role was not clarified.

1. What planning activities and decisions should Neeta clearly record for Brenda’s planning session?

2. What reports should Neeta prepare in this situation?

3. What other documentation should Neeta prepare?

4. Is Brenda’s documentation current? What are the implications of not keeping information up to date?

5. What information should Neeta update to ensure they maintain currency of Brenda’s documentation?

6. How could Neeta use this situation to influence the organisation’s continuous improvement processes?

50. When documenting on the medical record, it is not necessary to address the problems listed in the care plan. *

a.True

b. False

51. It is acceptable to make up your own abbreviations to simplify your charting. *

a.True

b. False

52. Patients do not want the caregiver to speak their language *

a.True

b. False

53. Dependability and accuracy are signs of maturity. *

a.True

b. False

54. Pain does not normally affect a patient’s mobility. *

a.True

b. False

55. Documentation on the medical record must be concise, accurate, clean, and legible. *

a.True

b. False

56. It is not necessary to report to the nurse if you are leaving the unit for just a few minutes. *

a.True

b. False

57. The nursing assistant uses her senses to make observations. *

a.True

b. False

58. Health maintenance organizations are a type of insurance. *

a.True

b. False

59. The nursing assistant should avoid shouting when speaking with a patient who is hearing impaired. *

a.True

b. False

60. The nursing assistant need not be familiar with patient rights documents. *

a.True

b. False

Indicate the answer choice that best completes the statement or answers the question.

61. ​An example of an invasive test is *

a. thermography.

b. magnetic resonance imaging.

c. sigmoidoscopy.

d. ultrasound.

62. In some cultures, the traditional spiritual healer, or medicine man, is the *

a. Kara.

b. ablution.

c. shaman.

d. talisman

Option 5

63. People whose families originated in Cuba, Puerto Rico, Mexico, and Latin and South American would best be identified as members of which ethnic group? *

a. Caucasian

b. AfricanAmerican

c. Middle Eastern

d. Hispanic

64. Which of the following is not one of the Five Rights of Delegation? *

a. Right time

b. Right task

c. Right person

d. Right supervision

65. Radiating pain *

a. is always chronic in nature.

b. is always acute in nature.

c. moves from the site of origin.

d. always decreases as healing takes place.

66. Early signs and symptoms of malignancies include *

a. sudden loss of bladder control.

b. indigestion or difficulty in swallowing.

c. development of a wart.

d. increased inflammation.

67. Forcing the patient to do something against her wishes is *

a. neglect.

b. coercion.

c. negligence.

d. libel.

68. Ethical standards are *

a. guides to legal behavior.

b. actions that constitute illegal behavior.

c. acts of wrongdoing.

d. guides to moral behavior.

69. What does the combining form aden/o mean? *

a. Abdomen

b. Gland

c. Joint

d. Artery

70. Examples of verbal communications are *

a. words and symbols.

b. gestures and movements.

c. written instructions and posture.

d. facial expressions.

71. Cells in the body are organized into *

a. cavities.

b. membranes.

c. tissues.

d. systems.

72. Signs and symptoms that may indicate abuse by a family member include *

a. the patient crying.

b. signs of neglect such as poor personal hygiene.

c. the patient being confused.

d. the patient stating that she was not abused.

73. When caring for patients from other cultures, remember that *

a. cultural customs influence how care is given.

b. the sex of the caregiver usually does not matter.

c. disrobing is unacceptable in all cultures.

d. most patients prefer to be dependent on caregivers.

74. A voluntary process in which a professional organization recognizes a facility for demonstrating its ability to meet certain quality standards and criteria is called *

a. licensure.

b. certification.

c. accreditation.

d. inspection.

75. The etiology of an illness is the *

a. expected outcome of the illness.

b. signs and symptoms of the disease.

c. cause of the illness.

d. progression of the disease.

76. The term “benign” describes a(n) *

a. cancerous condition.

b. noncancerous condition.

c. chronic disease.

d. acute illness.

77. A patient who is experiencing a stroke has which type of condition? *

a. Acute

b. Chronic

c. Orthopedic

d. Psychiatric

78. What is a dialect? *

a. The name of a basic language, such as English or Spanish

b. A blend of English and a person’s native language

c. Local terminology and usage within a language

d. Customs that influence behavior within a culture

79. When caring for patients from other cultures, the nursing assistant should *

a. assume that all patients should be treated the same.

b. never make exceptions because of culture or ethnicity.

c. recognize that cultural beliefs are easily changed during illness.

d. be willing to modify care in keeping with the patient’s culture.

80. A patient is laughing and talking with visitors. When you enter the room, she informs you that she is having severe pain. You will *

a. do nothing, as you suspect she is just trying to get attention.

b. ask the visitors to leave so the patient can rest.

c. promptly inform the nurse of the patient’s complaint.

d. ask the patient personal questions about the pain.

81. A three-month-old infant *

a. has Moro, rooting, and grasp reflexes.

b. understands simple commands.

c. is fearful of strangers.

d. is able to smile.

82. Use of physical restraints without proper authorization constitutes *

a. assault.

b. libel.

c. false imprisonment.

d. negligence.

83. If you suspect that a coworker is abusive to patients, you should *

a. report your suspicions to your supervisor.

b. say nothing unless you witness abusive action.

c. notify hospital security and administration.

d. speak with your coworkers in confidence.

84. Cost containment *

a. is not a priority for the health care worker.

b. involves saving money from your paycheck.

c. requires workers to use costly supplies.

d. involves avoiding waste and minimizing expenses.

85. In general, the noisiest time periods within a hospital occur *

a. first thing in the morning.

b. during shift changes.

c. at mealtimes.

d. at nighttime.

86. An important concern in health care is *

a. preserving life at all costs.

b. withholding expensive care from the elderly.

c. maintaining and enhancing quality of life.

d. humanizing care only for young patients.

87. The Patient Care Partnership booklet is *

a. given to patients only if requested.

b. provided to all patients upon hospital admission.

c. given to clients who are receiving care in the home.

d. not a legally binding document.

88. A patient shares with you that he often feels like a woman trapped inside a man’s body. The term to describe this patient’s experience is *

a. heterosexual.

b. homosexual.

c. transgender.

d. bisexual.

89. A cognitively impaired patient cries, is rigid, and holds her right arm still each time you assist her with repositioning. You suspect that she *

a. is having behavior problems.

b. is having pain.

c. does not want to be repositioned.

d. has emotional problems.

90. An effective means of showing you understand a communication is to *

a. use your body language.

b. write it down.

c. say, “I understand.”

d. use paraphrasing.

91. Your co-worker, who is running behind schedule, asks you to document information in a patient’s chart as a favor. How should you respond? *

a. Agree to document the information, although the patient is not in your care

b. Refuse to document information in your co-worker’s patient's chart

c. Check with your supervisor first before agreeing to help your co-worker

d. None of the above

92. A condition that impedes blood flow in the body is a/an *

a. inflammation.

b. autoimmune reaction.

c. obstruction.

d. metabolic imbalance.

93. The nursing assistant can develop cultural sensitivity by *

a. stereotyping others.

b. considering how culture influences his or her own life.

c. telling everyone about his or her religion.

d. avoiding touch and respecting personal space.

94. A nursing assistant delivers a meal tray to the bedside of a patient who cannot speak. He places the tray on the table and leaves the room. The patient is in bed, with the rails up, and cannot get to the tray. When the assistant returns, the patient is sleeping. The patient has not eaten. The assistant removes the tray and documents the appetite as “0.” The assistant’s actions constitute *

a. neglect.

b. battery.

c. coercion.

d. negligence.

95. The rights of health care consumers have a(n) ________ basis. *

a. ethical

b. personal

c. individual

d. philosophical

96. Body language is often a clue that reveals a person’s _________. *

a. skill level.

b. attitude.

c. name.

d. age.

97. A written notice that informs the facility of violations of OSHA rules is a *

a. citation.

b. survey.

c. certification.

d. review.

98. Which of the following statements about intimate relationships is correct? *

a. Couples usually remain celibate when they enter middle age.

b. Sexual intimacy is a necessary component of an intimate relationship.

c. A person continues to have sexual needs and feelings for intimacy as he or she ages.

d. All of the above

99. Examples of body defenses against disease are *

a. unbroken skin.

b. muscles and bones.

c. red blood cells.

d. cerebral fluid.

100. When a patient is ill, his or her fear of pain would best be described as a(n) *

a. unmet need.

b. loss of control.

c. chemical threat.

d. physical threat.

Travis is a young carer and the primary carer for his mother, Trudi, whose condition has begun to deteriorate over the past few months. Some of Trudi’s friends also provide assistance by cooking meals and doing some of the housework. Her friends have come to know her food preferences well and together have developed a menu list for each week to ensure she eats a balanced diet, based around her preferred foods. Travis provides constant supervision and guidance for Trudi, and has an almost intuitive awareness of her emotional and physical needs.

Travis is finding it hard to maintain his social network and keep up with his schoolwork and is thinking about dropping out of school completely. Bethany provides ongoing support to Travis and his mum, and they have begun talking about longer term options for Trudi to move into an out-of-home care situation and how Travis feels about no longer taking on the full time caring responsibilities for her. Travis often comments that he feels a bit like someone who has grown up before his time and that many of his former friendship group simply don’t understand why he can’t come down to the beach with them at a moment’s notice. They simply don’t realise how demanding caregiving is, and why it is important that Travis spend the bulk of his time at home, in case he is needed. Lately, he has noticed that his friends have simply stopped ringing or texting him at all. Travis says that one of his friends has told him it’s just not normal for a young person to be caring for his mother. Bethany listens carefully to Travis and then makes some comments to check she has understood him correctly. They then begin to talk about what he might decide to do in the future.

Bethany shows Travis some information, application forms and eligibility criteria guidelines about an out-of-home residential setting near his home, where his mother might be able to move and which would still allow Travis to visit frequently and be involved in her care. She explains that the service has clear guidelines about eligibility and a strong set of policies and guidelines as well as a code of conduct for workers so that Travis would know that she was being well cared for. There is an open door policy, which means Travis could visit any time, and a strong commitment to encouraging community-based activities to maintain links with friends, family members and the wider community. Travis decides to encourage his mother to consider the option of out-of-home residential care, so he meets with Trudi, Bethany and a manager from the setting to begin discussing the options.

1. Why is it important that Bethany identify everyone’s rights, roles and responsibilities in this situation? (Approx. 75 words).

2. What are Trudi’s rights, role and responsibilities in this situation? (Approx. 90 words).

3. What are Bethany’s rights, role and responsibilities in this situation? (Approx. 90 words).