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What are Drug-drug or drug-food interactions of Amlodipine? |
In: Nursing
What are all Contraindications and Precautions of the Amlodipine and reasons for the same?
In: Nursing
Part 1
B.W. is a 44-year-old man who presents to the family
practice with complaints of sore throat, hoarseness, and a dry
cough that worsens at night. He states that the cough started 6
days ago, and the sore throat and hoarseness began 3 days ago and
appear to be getting worse The patient has a history of
prediabetes, which is controlled through diet and exercise. Vital
signs are T 99.5, P 58, R 16, and BP 110/55.
1. What subjective information should the nurse
obtain?
2. The nurse is assessing the structures of the oral
cavity. What are the physical features?
The nurse notes that the patient’s teeth are stained
yellow and asks the patient about tobacco use. The patient states
that he chews one bag of tobacco every other day.
3. What health promotion concepts should the nurse
include in the teaching plan?
4.What is the most likely cause of this patient’s
cough, sore throat, and hoarseness?
Part 2
P.A. is a 72-year-old female who presents to the
family practice with her 40-year-old daughter. The daughter states
that her mother has been confused lately, complaining of a
headache, shortness of breath, and coughing. The cough has been
persistent for 6 days, and a fever developed 2 days ago. The
patient states that she is bringing up yellow-green mucus and has a
cough, which gets worse at night. Vital signs are T 100.5, P 88, R
16, and BP 110/55. Lungs are positive bilaterally for wheezing,
positive egophony. A chest x-ray reveals consolidation indicative
of bacterial pneumonia. Labs and culture are pending for specific
antigen. The nurse proceeds with the physical exam of the head,
face, neck, and associated lymphatic system.
1. When performing a review of systems, the nurse
obtains subjective data concerning the patient’s headache. What
specific questions will assist the nurse in determining the cause
of the headache?
The nurse proceeds to palpate the lymph
nodes.
2. Which lymph nodes are located in the
neck?
3. When performing the physical examination, what
objective data should the nurse inspect and palpate for the head
and neck?
4. How might the physical examination vary given the
patient’s age?
Part 3
P.P. is a 4-year-old boy who presents to the
pediatrician’s office with pain in his right ear.
Subjective Data
Mom states that her son woke up in the middle of the
night, crying, 2 nights ago. She gave the child ibuprofen, and he
went back to sleep. Last night he woke up in pain, and he was
inconsolable. She felt the physician should see him.
Attends preschool program
Lives with mother
Father estranged
Objective Data
TM appears inflamed—it is red and may be bulging and
immobile
T = 100.3
Last ibuprofen 3 hours ago
Questions
What other assessments should be included for this
patient?
What questions are appropriate for a patient
presenting with earache?
What risk factors are associated with earaches for
this age group?
From the readings, what is the difference between
otitis media and otitis externa?
From the readings, what is the most probable cause of
the earache in this patient?
What are three nursing diagnoses?
What interventions should be included in the nursing
care plan?
In: Nursing
Age: 85 years
Gender: male
diagnosis: HTN+CHF
Rx
Indapamide 2.5 mg daily
Bisoprolol 5 mg bid
Digoxin 0.25 mg bid
Aspirin 81 mg od
Nifedipine 10 mg od
Note: if bisoprolol not available in your pharmacy , what in the alternative?
according to this prescription find the mistakes, the interaction, dose , the toxicity level , antidotes , the counselling and what the suitable medication for this patient ?
In: Nursing
hypervolemia
a patient was admitted in the medical ward with chief complaints of shortness of breath. Further assessment reveals the following findings
bp 140/90
hr 111bpm
rr 24cpm
plus bipedal edema
bibasilar crackles upon auscultation
the doctor initially ordered furosemide 20mg ampule tiv every 8 hours and the following laboratory test,complete blood count,serum,sodium,serum potassium,blood urea nitrogen
write down 3 priority nursing diagnosis for the patient and create a hypothetical fdar.
what laboratory test may give the hint to the doctor about the oncotic pressure of the patient
In: Nursing
1.Identify a culture and its impact on a healthcare issue.
2. Can nurses administer Oxygen without an MD order? Yes, how much and under what circumstance?
In: Nursing
Please 200 words thanks
Why is calculating tank duration important? In what areas of the hospital or medical care do you think this equation would come in handy?
Please give one example where you think as a respiratory therapist you will use this in your career?
In: Nursing
1. Identify key changes during the toddler period and determine it's key physiologic basis.
2. Identify the immediate care and assessment to a newly delivered baby.
In: Nursing
Does our public health infrastructure need improvement or enhancements (more money)?
2. What is the risk of not investing in public health infrastructure?
In: Nursing
2. The incidence of Atrial fibrillation increase with age and is the leading contributing factor for which medical condition?
- Hypertension
- Diabetes mellitus type 1
- Cerebrovascular accident stroke
- Atherosclerosis
In: Nursing
- An older adult suffers sleep disturbances and
pain. What are the benefits of sleep and what are three effective
and acceptable interventions for older adults in that
case?
2-- A 78 year-old male is losing bowel and bladder
control. What are three effective and acceptable interventions, for
each system, for this older adult?
3-- Skin integrity and sensory alterations are, at
times, closely interrelated for the older adult. Discuss three
effective interventions that may be implemented for an older adult
with limited
In: Nursing
In: Nursing
After reading the chapter in your textbook, focus on documentation and informatics. Think about the principles of reporting and documentation. Identify and briefly discuss three challenges a nurse has in ensuring accurate and confidential documentation. Then discuss what actions a nurse can take to overcome these challenges including how informatics might make a difference.
In: Nursing
A nine months old baby Lucil is brought to the clinic for a regular check up. Baby's weight is 8 kgs. Length is 100 cm. Body temperature is T36.5 , Cardiac Rate is 120 beats/min and RR is 30. Baby Lucil is a full breastfed infant.
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Assessment |
Nursing Diagnosis |
Etiology |
Plan/Goals |
Intervention |
Rationale |
Evaluation |
In: Nursing
you will develop teaching plans for the following individuals, integrating the three domains of learning, considering learning needs, and readiness. Use the teaching plan template to formulate your response.
A 75 year old, male, being discharged to an assisted living facility after a recent hospitalization for pneumonia.
Use the steps of the nursing process to formulate a teaching plan with your group for your assigned topic. Post your completed teaching plan to the Teaching and Learning Discussion Forum.
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Nursing Process |
Fill in your teaching plan here: |
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Assessment (assessment of needs, prior knowledge) Ex: Assess knowledge of group, assess motivation to learn… |
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Diagnosis (what is priority in the teaching plan) Ex: Knowledge deficit related to disease process as evidenced by continuing to choose foods with high carbohydrates… |
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Planning (Set learning goals) Ex: “The group will return demonstrate use of a glucometer (psychomotor domain)… |
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Implementation (How to carry out the teaching plan) Ex: In a classroom, the nurses will describe diabetes, demonstrate glucometer use, hold discussion related to diagnosis… |
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Evaluation (Have our goals been met) Ex: By the end of the class, the group would have met all goals… |
In: Nursing