write down about blood thinner safety and monitoring.

Mr. Jenaro is a 61-year-old Spanish-speaking man who presents to the emergency room with his wife Dolores. Mrs. Jenaro is also Spanish speaking, but understands some English. Mr. Jenaro complains of nausea and vomiting for two days and symptoms of confusion. His blood glucose is 796 mg/dL. Intravenous regular insulin (Novolin R) is prescribed and he is admitted for further evaluation. He will require teaching regarding his newly diagnosed diabetes. Mr. Jenaro is newly diagnosed with diabetes. His hemoglobin A1C is 10.3%. Mr. Jenaro is slightly overweight. He is 5 feet 10 inches tall and weighs 174 pounds (79 kg). He reports no form of regular exercise. He does not follow a special diet at home. He states, “I eat whatever Dolores puts in front of me. She is a good cook.” For the past few months, Mrs. Jenaro has noticed that her husband “has been very thirsty and has been up and down to the bathroom a hundred times a day.” Neither can recall how long it has been since these changes in Mr. Jenaro began. Dolores states, “It has been quite a while now. It just seems to be getting worse and worse.” BP- 133/89 HR – 88 RR- 20 O2 sat – 98% T- 98.7 His last blood sugar/FS – 450

can someone help me with a nursing assessment

1. Explain the classes of substances associated with substance-related disorders.

2. Explain the central nervous system stimulants (amphetamines and cocaine). Include the general effects, diagnostic criteria, treatment, and epidemiology.

3. Explain opioid related, hallucinogen-related, and cannabis-related disorders. Include the general effects and treatment.

You are interviewing at a major corporation for a newly created position as a health educator.  The position has been described as one that will focus on helping employees become more healthy by modifying or changing selected health behaviors. As a part of the interview, you are asked "of all the theories related to health education/promotion you studied in your college courses, which one do you think will have the greatest application to your work here?" Defend your response by explaining how that theory will best fit with the work being done, and how others would not. Write two paragraphs defending your response.

4. Explain phencyclidine and inhalant related disorders. Include the general effects and treatment.

5. Explain implications for therapeutic recreation in regards to substance-related disorders.

.1. Reflecting on your observations of and practice of nursing, to what degree do you see providing comfort as a nursing priority? Provide two examples.

2. Explain two similarities between the Tidal Model and Modeling and Role-Modeling theory.

HPI:

An otherwise healthy nine-year-old boy developed flu-like symptoms (nausea/vomiting, decreased oral intake, lethargy, and weakness). After three days, the boy’s father called the pediatrician’s office at 8:00PM on a Saturday night. The on-call nurse practitioner returned the call (which was recorded). The father relayed the symptoms and said that Gatorade was making the boy nauseous, but he was still drinking some ginger ale. The father expressed concern about how tired his son was—he’d slept for 24 hours straight (from 8:00 p.m. the previous night). The boy woke up only to be carried downstairs to watch some TV for a little while. He felt a little better than the day before, but he also had some rectal bleeding and some bleeding from his mouth.

The NP acknowledged the boy’s symptoms and said that most of it sounded like a viral illness, but that the rectal bleeding could be something different. She asked the father several questions in order to get a better understanding of the boy’s condition, including:  

• Was he alert? (father’s response: yes but very tired)
• Had he passed any urine? (response: yes)
• Did he have a fever or rash? (response: no)

The NP then asked the father whether he thought the child was “OK” tonight or felt he should be seen right away. The father replied that he didn’t think he needed to be seen right now. The NP agreed and made plans for him to be seen in the office the next morning (Sunday) after 8:00AM, and she told him to call back if anything developed during the night. The father asked, “I don’t need to worry about him not taking any food? He is taking some ginger ale.” The NP responded by telling him to push the ginger ale and make sure he’s urinating periodically. The NP documented the call in the medical record, including that the father was offered an ED visit (although that was not specifically said, per the audio recording).

At about 4:00AM, the father checked his son and noted that his son was sleeping but also noted that his son's respiratory rate had increased significantly. Since his son was sleeping, the father didn't touch him to check for fever because he didn't want to wake his son. But, the father couldn't rest worrying about why his son was breathing so much faster than normal, almost like he had just been exercising even though his son had been asleep. At about 8:30AM, when the father again checked on his son, his son was not breathing at all.   The father called 911 and started CPR. The ambulance and EMTs arrived within minutes and found the child apneic, pulseless, with fixed and dilated pupils, and his corneas cloudy.   At 9:30AM, the child was pronounced dead.
An autopsy found the cause of death to be diabetic ketoacidosis (the child had undiagnosed diabetes mellitus). His blood sugar was 1,165 (nl 50–80); potassium was 7.1 (nl 3.5–5.3); and his HgA1C was 15.3% (nl 4–5.9%).

The parents sued the nurse practitioner, alleging wrongful death of their son due to negligent delay in diagnosis and treatment of diabetic ketoacidosis.

QUESTION: Provide a brief list of diagnostics that would be required for each of your 5 possible diagnoses.

Anxiety Diosorder

what should healthcare Providers keep in mind when working with patients with this mental illness? (Anxiety Disorder)

Do you think that conflicts between state and federal governments cause healthcare to be delivered inefficiently?

Following a 14-day course of broad-spectrum antibiotics for the treatment of sepsis, a client develops watery diarrhea attributed to the elimination of normal intestinal flora. What other phenomena are most likely accompanying the low levels of normal flora?

Which scenario would put a client at risk for experiencing a thyroid problem due to a decrease in thyroxine-binding globulin (TBG)? Select all that apply.

A client whose only diagnosis is essential hypertension is fasting for a fasting blood glucose and lipid profile test to be performed in the morning. The client's regular medications are currently on hold. What is the nurse's priority action?

A baby is born to a mother with active hepatitis B. Which medication do you anticipate administering today?

Patient Management for COVID-19:

1. Explain the potential risks if someone is asymptomatic for this infection
2. Describe strategies to minimize transmission in health care settings
3. Define and explain the recommended precaution level (standard, transmission-based)
4. Describe treatment recommendations and rationale

Introduction to ethical concepts.

Introduce yourself and let the class know what experience you have with ethics, either professionally, academically, or personally. After reading about the ethical theories we will be covering in this course, choose one that you think might best fit your current ethical position. My current position is CNA

What outbreaks, disease, or pandemics have used the mitigation measure of Contact Tracing.

After identifying those three outbreaks, discuss what type of infection was attempting to be contained, what patients were told to do to prevent the spread (if possible) the country(s) where the contact tracing occurred (for each), and what signs and/or symptoms patients or contacts were told to look for.