Case Study

Salma is a 48-year-old female patient who has a history of anemia, Type 2 diabetes mellitus and hypertension for the last few years. This morning, she has been brought to the Emergency Department (ED) complaining of dyspnea, lethargy, upper and lower extremities edema and pruritus. Salma has also been complaining of nausea and she vomited on arrival to the ED. On the assessment, it was found that Salma had gained 11 Kgs in weight since last month. Salma’s vital signs were: BP 160/90 mmHg, Pulse 110 beats/min, RR 28 breaths/min, and Temperature 36 °C. Based on her assessment and investigation results, Salma was required to be admitted to the hospital for being diagnosed with renal disorders. Salma’s lab results were as follows:

Explain two mechanisms whereby renal disorders can lead to anemia?

assignment in which you will need to complete an SBAR (Situation, Background, Assessment, and Recommendation) on a chosen patient. in this case study

Case Study Unplanned Pregnancy: Options and Counseling

Difficulty: Beginning
Setting: Office or clinic
Index Words: pregnancy, pregnancy counseling, abortion, adoption Giddens Concepts: Coping, Patient Education, Reproduction
HESI Concepts: Patient Education, Sexuality/Reproduction, Stress & Coping

Case Study Unplanned Pregnancy: Options and Counseling

u Scenario
L.W., a 20-year-old college student, comes to the university health clinic for a pregnancy test. She has been sexually active with her boyfriend of 6 months, and her menstrual period is now “a few” weeks late. The pregnancy test result is positive. The patient begins to cry, saying, “I don't know what to do.”

5-All of the following are standards used for diagnosing anorexia nervosa, EXCEPT

Multiple Choice

• lack of appetite.

• distorted view of self.

• refusal to maintain body weight at or above a minimally normal weight for age and height.

• intense fear of weight gain or becoming fat.

...

6-Which of the following is most prevalent among college populations?

Multiple Choice

• anorexia nervosa

• binge eating disorder

• disordered eating

• body dysmporphic disorder

...

7-Which of the following methods is considered purging?

Multiple Choice

• self-induced vomiting

• misuse of diuretics or laxatives

• fasting

• All of these answers are correct.

...

8-The most important part of treating eating disorders is

Multiple Choice

• psychotherapy.

• cultural analysis.

• social involvement.

• nutritional education.

...

9-Frequent exposure to media messages promoting ideal body type can increase risk for eating disorders.

True or False

...

10- Which of the following statements about body dysmorphic disorder is FALSE?

Multiple Choice

• The preoccupation causes distress.

• The physical flaw is usually noticeable to others.

• The preoccupation can be about a wholly imagined defect or a slight defect.

• It is characterized by a preoccupation with a defect in appearance.

...

11- The condition of body dysmorphic disorder only occurs in men who are focused on increasing muscle size.

True or False

...

12- Among college students, tattoos are now seen as cultural norm.

True or False

...

13-All of the following are interrelated conditions of the female athlete triad EXCEPT

Multiple Choice

• amenorrhea.

• premature osteoporosis.

• disordered eating patterns.

• increased calorie intake.

...

14- Which of the following is NOT a symptom of a male athlete’s negative energy balance?

Multiple Choice

• increase in bone density

• muscle degeneration

• problems with fertility

• alterations in hormone levels

...

15- The female athlete triad is composed of which three conditions?

Multiple Choice

• osteoporosis, purging, anemia

• energy imbalance, arthritis, amenorrhea

• overexertion, osteoporosis, anorexia

• disordered eating, amenorrhea, osteoporosis

...

16- One of the physical symptoms of female athlete triad is increased compulsion to exercise.

True or False

...

17- College campus life does not allow many opportunities for people to recognize individuals who are at risk for disordered eating patterns.

True or False

...

18- All of the following are ways that campuses can help in the prevention and treatment of disordered eating, EXCEPT

Multiple Choice

• train professors, coaches, residence advisors and other staff to watch for signs that students are having trouble with the transition to college.

• take advantage of the many opportunities to recognize individuals who are at risk for disordered eating patterns.

• health and counseling services should be visible and accessible so that students feel comfortable accessing help.

• promote students spending time alone, away from the pressures caused by social environments.

...

19- Public health approaches to promoting a healthy body image include the "Love Your Body Day" campaign.

True or False

a patient with diabetes has been no since midnight for surgery in the morning. he usually take an oral type 2 anti diabetic drug to control his diabetes . what be the best action for the nurse to take concerning the administration of his medication?

A patient's energy expenditure is measured using indirect calorimetry with a metabolic cart in a rested state and they have not eaten for 2 days other than clear liquids (clear liquids have CHO and no other source of kcalories). The RQ is 0.72 and the REE is 1400 kcal extrapolated for 24 hours. What does the RQ mean and how many kcalories does this person need, i.e. what is their TEE?

Explain into details on the six strategies of learning and how they are used

Spaced practice

Retrieval practice

Elaboration

Interleaving

concrete examples

Dual coding

A 26 year-old primigravida is admitted to the L&D suite in active labor. Her contractions are occurring every 2 to 4 minutes, lasting 60 seconds with moderate intensity. The nurses' vaginal examination notes the cervix to be 5 cm, 100% effaced, at +1 station, the client is requesting an epidural for pain management. What are the advantages of regional anesthesia (an epidural)? What are the nursing responsibilities during administration of epidural anesthesia?

For which of the following situation would a injection dosage form be a better choice than a tablet?

Discuss how dress code standards for health care companies have changed over the years. Identify some of the current standards that you believe will change in the near future and explain why.

Assign ICD -10 PCS codes to the following procedure statement. List the root operation selected and the code assigned?

Q. Non-excisional debridement of stage 3 pressure ulcer of subcutaneous tissue of buttock?

As healthcare technology evolves, we must be prepared for unintended problems & opportunities. Imagine insurance companies begin DNA testing policy holders for genes associated with increased risk of a particular cancer. Should the insurance company be able to charge the policy holder more based on a higher risk of cancer?

QUESTION 19

The measure in the previous question was:

      
a. Prevalence

      
b. Incidence

      
c. Case-fatality rate

      
Risk

QUESTION 20

1. Approximately 80% of men who reach age 80 have cancer cells in their prostate. Many of those men will die due to other causes, undiagnosed with prostate cancer. This undiagnosed population is in the clinical disease stage.

   True

   False

QUESTION 22

Zebadiah tested positive for HIV last year during a routine annual physical. Today is he is considered at-risk for the disease.

True

False

QUESTION 25

If the federal government mandates background checks before all gun sales, this would be addressing what policy goal?

      
Efficiency

      
Equity

      
Liberty

      
Security

pathophysiology of Acute Myocardial Infarction. Please at the minimal of 8 to 10 sentences.

You are the house supervisor in an acute care hospital. Most of the of the units are full. The ED request 2 admissions to the step-down unit. The floor with appropriate and empty beds has only 4 RNs on duty for this 30-bed unit with a census of 20 patients. The charge nurse (one of the 4 nurses present) tells you that they can’t safely admit any more patients. You currently have no more float pool staff and upper administration has already said no to closing the unit for admissions at this time. What should be done? What is the ethical dilemma? How does this impact patient care? What possible solutions are there for this situation?