Client Profile Baby Martin was born via a normal spontaneous vaginal delivery (NSVD) at 36 weeks gestation. The mother arrived at the emergency room dilated to 9 centimeters and 100 % effaced. The mother also reports ruptured membranes for the past 22 hours. The fetal heart rate upon admittance to the emergency room is 170 bpm. The mother delivered in the emergency room 30 minutes after being examined. This is her seventh pregnancy, and she did not have prenatal care. Case Study Martin was admitted to the observation nursery from the emergency room where he was born. He weighed 5 pounds and was 19 inches long. His APGAR scores were 6 at one minute, and 8 at five minutes. Points were initially taken off for tone, reflexes, and color. His initial glucose was 35 and vital signs were heart rate 150, respirations 76, and temperature 97.2. The nurse noted some nasal flaring, grunting, and coarse breath sounds. He was given 1 ounce of D5W orally; oxygen therapy, and his skin and pharynx were cultured. The orders also included that he be placed on a warmer with skin probe for temperature monitoring. At two hours the baby's glucose was 40, the nasal flaring continued, respiratory rate was 100 with continued coarse breath sounds. He exhibited acrocyanosis, and his temperature was 96.8. The baby was treated for transient tachypnea of the newborn with oxygen therapy and a warm environment. At four hours the nurse noted that the baby was lethargic and difficult to arouse. He appeared pale with circumoral cyanosis, nasal flaring, and grunting with sternal retractions. The nurse notified the doctor, an IV was started, and the baby was transferred to the neonatal intensive care unit at a hospital in the next town. At six hours the mother called the NICU to check on his progress and was told that he had subsequently developed jaundice and was on a ventilator.

Questions (if you use sources please cite it)

1. Why is this baby hypothermic, and how does it affect this baby's transition? ( Please explain in detail)

2. . What is the significance of jaundice in a 6- hour old infant? ( please explain in detail )

3. How significant is the acrocyanosis? (please explain in detail)

we have been discussing drugs and how they are categorized into schedules although they have a high risk potential for abuse schedule 11 drugs do have legitimate medical use it is important as the medical assistant to be aware of any signs of abuse when it comes to prescribing medications what are some drug seeking behaviors to watch for

1) Why do southern states have a higher percentage of people living in poverty?

2) No matter the age group why are more females living in poverty?

3). Discuss one issue from the video that was new information to you or that had an impact on how you feel about poverty in America Maternal Health and When the Bou

Case Scenario: Task

A patient rushed to ER Dept. with complaint of severe DOB. As independent nursing intervention,

patient was placed on bed safely in high back rest and hooked to O2 inhalation at 5 Lpm via face

mask. Upon assessment, Mrs. Nicole Reyes, a 42-year-old, the Physician noted that there is

swelling on her right breast, discharge and crusting on nipple, v/s BP: 150/90, RR, 40, SPO2: 88%,

Temp. 36.5 C. On examination, the Physician note that her breasts feel nodular but with discrete masses

T-3 >5 cms, N-3, M-1. Other findings include evidence of inflammation, w/ axillary node enlarged.

Thorax assessment as follows: Decreased chest movement, Stone dullness to percussion,

diminished breath sounds, decreased resonance and fremitus, + pleural friction rub and

egophony, In response to questioning, she relates that she is a “heavy coffee drinker” and is

under a great deal of stress in her job, and the mass was noticed 5 years ago with no consultation was made due financial constraint. She reports that a maternal aunt died of breast cancer. She

wants to know if the mass could be cancerous or what can be done to eliminate this breast problem.

The Doctor order for some laboratory examinations and stat CXR. Initial Dx r/o Breast Cancer Stage III,

Pneumonia, Covid 19 Suspect

1. Apply COLDSPA

Character

Describe the sign or symptom (feeling,

appearance, sound, smell, or taste if applicable).

Onset

When did it begin?

Location

Where is it? Does it radiate? Does it occur

anywhere else?

Duration

How long does it last? Does it recur?

Severity

How bad is it? Or How much does it bother you?

Pattern

What makes it better or worse?

Associated factors/How it Affects the client

What other symptoms occur with it? How does it

affect the client

2. Make a Concept Map

3. Associated Concepts

WHY WAS IT ORDERED? Level 1

Associated Concepts:

Infection

The purpose of this activity is to evaluate client orders and determine the relationship to the

concept of infection.

Related Concept Learning Outcomes

1. Describe diagnostic and laboratory tests to determine the individual’s infection status.

2. Compare and contrast independent and collaborative interventions for clients with

infection.

Client Diagnosis:

Instructions: Search through the orders in the client’s medical record and identify how each

order is related to the concept of infection. Consider medications, diagnostics, and collaborative

considerations. Fill out the following table.

Order How is the order related to infection?

Sputum GS/ CS ( Gram stain/ Culture and -

sensitivity

CBC w/ Platelet count -

Na+, K+ -

Ferritin -

HCRP -

SGPT, SGOT -

Nasopharyngeal swab/Oropharyngeal -

Swab for Covid 19 -   

Blood Culture R and L pheripheral

Please answer this with a thorough explanation and a solution on how you solved the problem so I can understand this lesson. Thank you very much for helping.

Situation: At 6:00 a.m., A one liter Plain NSS solution was started. It is to run for 18 hours. however, after 6 hours, the IV had to be stopped and transferred to another site. After an hour the IV infusion was resumed.

3.1. How much of the solution was consumed 6 hours after it started ? _____________

3.2. How much of the solution was left when it was transferred to another site? _______________

3.3. What should be the drip rate of the solution after it was reinserted? _____________ ml/Hr ? ___________

3.4. What time is it expected to be consumed? __________

3.5. IV fluids should be consumed within 24 hours once it is opened. Is the above solution consumed within 24 hours after it was started?

3.6. Why should an intravenous solution be consumed within 24 hours? What do we do if there is a remaining amount of solution in the bottle?

Write one or two paragraphs for a total of 15 sentences where you state your opinion on the matter.

"Without a statistical test or statistical significance, any study or research is in a vacuum"

Client Profile

Baby Martin was born via a normal spontaneous vaginal delivery (NSVD) at 36 weeks gestation. The mother arrived at the emergency room dilated to 9 centimeters and 100 % effaced. The mother also reports ruptured membranes for the past 22 hours. The fetal heart rate upon admittance to the emergency room is 170 bpm. The mother delivered in the emergency room 30 minutes after being examined. This is her seventh pregnancy, and she did not have prenatal care.

Case Study

Martin was admitted to the observation nursery from the emergency room where he was born. He weighed 5 pounds and was 19 inches long. His APGAR scores were 6 at one minute, and 8 at five minutes. Points were initially taken off for tone, reflexes, and color. His initial glucose was 35 and vital signs were heart rate 150, respirations 76, and temperature 97.2. The nurse noted some nasal flaring, grunting, and coarse breath sounds. He was given 1 ounce of D5W orally; oxygen therapy, and his skin and pharynx were cultured. The orders also included that he be placed on a warmer with skin probe for temperature monitoring.

At two hours the baby's glucose was 40, the nasal flaring continued, respiratory rate was 100 with continued coarse breath sounds. He exhibited acrocyanosis, and his temperature was 96.8. The baby was treated for transient tachypnea of the newborn with oxygen therapy and a warm environment.

At four hours the nurse noted that the baby was lethargic and difficult to arouse. He appeared pale with circumoral cyanosis, nasal flaring, and grunting with sternal retractions. The nurse notified the doctor, an IV was started, and the baby was transferred to the neonatal intensive care unit at a hospital in the next town.

At six hours the mother called the NICU to check on his progress and was told that he had subsequently developed jaundice and was on a ventilator.

Questions

1.This baby is initially being screened for infection and treated for transient tachypnea of the newborn. What data supports this diagnosis? (explain)

2.List the progressive signs of respiratory distress exhibited by this infant after birth.(explain)

3.List the risk factors that existed for infection.

Ms. Reid is a resident from a long-term care facility who recently had a minor surgical procedure done at the hospital. Prior to surgery, Ms. Reid was ambulatory and somewhat self-sufficient. Upon return to the home, the evening nurse reads the report from the hospital which contains the following information: Vital signs, condition of surgical dressing (on left hip), and reports that the patient has been eating well. Ms. Reid is alert upon arrival.

During the night, Ms. Reid falls when walking to the bathroom. When you come in for the morning shift you are concerned that Ms. Reid is not able to walk as she was before the surgery. There are no notes about her change in status on the chart or in the shift change report.

Using course material and other relevant resources, including Best Practices and Leadership actions and standards, provide a meaningful answer to the following:

1. What was the adverse event in this case? Why did it occur?

2. As a team leader, how would you use this event to promote safety education with staff?

3. What recommendations for change would you make to improve a culture of safety at the LTC facility?

4. What professional safety standards, guidelines and laws should the staff know to ensure high quality care for this patient?

Ms. Reid is a resident from a long-term care facility who recently had a minor surgical procedure done at the hospital. Prior to surgery, Ms. Reid was ambulatory and somewhat self-sufficient. Upon return to the home, the evening nurse reads the report from the hospital which contains the following information: Vital signs, condition of surgical dressing (on left hip), and reports that the patient has been eating well. Ms. Reid is alert upon arrival.

During the night, Ms. Reid falls when walking to the bathroom. When you come in for the morning shift you are concerned that Ms. Reid is not able to walk as she was before the surgery. There are no notes about her change in status on the chart or in the shift change report.

Using course material and other relevant resources, including Best Practices and Leadership actions and standards, provide a meaningful answer to the following:

1. What was the adverse event in this case? Why did it occur?

2. As a team leader, how would you use this event to promote safety education with staff?

3. What recommendations for change would you make to improve a culture of safety at the LTC facility?

4. What professional safety standards, guidelines and laws should the staff know to ensure high quality care for this patient?

Ms. Reid is a resident from a long-term care facility who recently had a minor surgical procedure done at the hospital. Prior to surgery, Ms. Reid was ambulatory and somewhat self-sufficient. Upon return to the home, the evening nurse reads the report from the hospital which contains the following information: Vital signs, condition of surgical dressing (on left hip), and reports that the patient has been eating well. Ms. Reid is alert upon arrival.

During the night, Ms. Reid falls when walking to the bathroom. When you come in for the morning shift you are concerned that Ms. Reid is not able to walk as she was before the surgery. There are no notes about her change in status on the chart or in the shift change report.

Using course material and other relevant resources, including Best Practices and Leadership actions and standards, provide a meaningful answer to the following:

1. What was the adverse event in this case? Why did it occur?

2. As a team leader, how would you use this event to promote safety education with staff?

3. What recommendations for change would you make to improve a culture of safety at the LTC facility?

4. What professional safety standards, guidelines and laws should the staff know to ensure high quality care for this patient?

Ms. Reid is a resident from a long-term care facility who recently had a minor surgical procedure done at the hospital. Prior to surgery, Ms. Reid was ambulatory and somewhat self-sufficient. Upon return to the home, the evening nurse reads the report from the hospital which contains the following information: Vital signs, condition of surgical dressing (on left hip), and reports that the patient has been eating well. Ms. Reid is alert upon arrival.

During the night, Ms. Reid falls when walking to the bathroom. When you come in for the morning shift you are concerned that Ms. Reid is not able to walk as she was before the surgery. There are no notes about her change in status on the chart or in the shift change report.

Using course material and other relevant resources, including Best Practices and Leadership actions and standards, provide a meaningful answer to the following:

1. What was the adverse event in this case? Why did it occur?

2. As a team leader, how would you use this event to promote safety education with staff?

3. What recommendations for change would you make to improve a culture of safety at the LTC facility?

4. What professional safety standards, guidelines and laws should the staff know to ensure high quality care for this patient?

Ms. Reid is a resident from a long-term care facility who recently had a minor surgical procedure done at the hospital. Prior to surgery, Ms. Reid was ambulatory and somewhat self-sufficient. Upon return to the home, the evening nurse reads the report from the hospital which contains the following information: Vital signs, condition of surgical dressing (on left hip), and reports that the patient has been eating well. Ms. Reid is alert upon arrival.

During the night, Ms. Reid falls when walking to the bathroom. When you come in for the morning shift you are concerned that Ms. Reid is not able to walk as she was before the surgery. There are no notes about her change in status on the chart or in the shift change report.

Using course material and other relevant resources, including Best Practices and Leadership actions and standards, provide a meaningful answer to the following:

1. What was the adverse event in this case? Why did it occur?

2. As a team leader, how would you use this event to promote safety education with staff?

3. What recommendations for change would you make to improve a culture of safety at the LTC facility?

4. What professional safety standards, guidelines and laws should the staff know to ensure high quality care for this patient?

1) A friend of your who has been feeling less energetic recently, has contacted you asking for an advice whether it is a good idea to start taking vitamin pill (supplement) or a new herb (complement) that she heard is great and makes people more energetic. Please include in your advice 4 general reasons for taking a vitamin pill, and 4 general precautions before taking a new herbal medicine

2) Vitamins comparison: In a table, please describe 3 major differences between water-soluble and fat-soluble vitamins

3) In a table, please list the 4 fat-soluble vitamins, their daily requirement amount, and two types of food that are rich in each vitamin.

4) Some people tend to take high doses of vitamins every day, thinking that this will protect them from diseases. Please explain the possible toxic effects of overdose of vitamins A and D.

In this unit, you have been learning about marketing procedures in healthcare organizations. This assignment will give you an opportunity to reflect on what you have learned and offer your own thoughts about the unit material.

Your reflection paper should cover the following topics:

• Do you believe that creating and implementing a marketing plan for a healthcare organization is important? Why, or why not?
• Think about your own healthcare facility or one in your community. What do you think would be an effective marketing message for the healthcare facility's target market?
• Thinking about that same facility, what are two marketing vehicles that may be appropriate for it?
• Do you believe that this unit has helped you learn more about marketing procedures in healthcare organizations? Why, or why not?

Your reflection paper should consist of at least one page with no APA formatting required.