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?
In: Nursing
What are some of the conditions Hill-Burton Act imposed on hospitals that accepted federal funds?
In: Nursing
how does life span development theory assist a disability support workers to mach relevant service and network to the needs of the person
In: Nursing
Identify at least 2 internal users and 1 external user. Based on the demo and readings, briefly explain how their needs for health data are met. (10 points) How is the social history structured and formatted? What purpose does the social history serve in the overall patient care? Does the particular social history depicted in the video fully satisfy the intended purpose? (10 points) Identify at least 5 abbreviations that you saw in the video demonstration. What are the general guidelines in using abbreviations? Based on your knowledge, briefly explain whether each of the abbreviations you chose follow those guidelines. (10 points) Share 2 methods that are used to maintain the consistency and integrity of data capture/collection based on the video demonstration and briefly describe them. (10 points) Evaluate the graphical user interface based on the video demonstration and the specifications noted on your textbook, page 118. Based on that evaluation, articulate the extent the EHR shown user-friendly. (10 points)
In: Nursing
In: Nursing
Make a mood stabilizing agents table for 5 medications. The table should include with the drug name, classification for use and/or other uses, adverse effects, and patient teaching. Lithium must be included on the table.
In: Nursing
Please discuss only ONE: Medicare or
Medicaid
Give a brief description of Medicaid or Medicare (no
more than 2 sentences). Then discuss 3 specific (non-age;
non-financial) criteria for services from the program, for an older
adult client. Be sure to cover service, length of time, provider
types that may provide the service, the channels through which the
patient may obtain each service.
In: Nursing
Discuss/ summarize the surgical steps of oral or maxilofacial procedures. What are the main surgical instruments required to do a repair.? Are there any specialized equipment \ personnel required to be in the room? This is surgical technologist procedures in surgery must be 225 - 250 250 word discussion on this topic please help
In: Nursing
Describe the impact of CMMS on the Healthcare System for the following aspect:
In: Nursing
Directions: Circle the correct answer.
The apex of the heart is the bottom / top of the heart.
The endocardium is the innermost / outermost layer of the heart.
At rest, the heart pumps 5000 ml / 500 ml of blood per minute.
The pericardial sac normally holds 5 to 20 ml / 150 to 250ml of fluid.
Heart valves are made up of endocardial / myocardial tissue covered by fibrous tissue.
“Leaky”/ “stiff” heart valves cannot open correctly and are called stenotic.
Chordae tendineae and papillary muscles are part of the structure of the A-V / semilunar valves.
During ventricular contraction, the semilunar valves would be open / shut.
The coronary arteries mainly fill during systole / diastole.
From the left ventricle, the openings of the coronary arteries (ostia) are located in the ascending aorta just before / just past the aortic valve.
At rest, the greatest concentration of K+ is found inside the cell membrane and the overall charge is negative / positive.
Polarization / depolarization are when the cell is resting.
After the myocardial cell contracts, the sodium pump actively pumps Na+ into / out of the cell.
An action potential causes Ca++ to move into the cell and stimulates the release of calcium from the sarcoplasmic reticulum. As the intercellular C++ levels increase, this causes the muscle fibers to contract / relax.
Most of the blood from the atria flows actively / passively to the ventricles.
Cardiac output is the volume of blood ejected per minute / hour by the rhythmic ventricular contraction.
The end-diastolic volume (EDV) is the amount of blood in the ventricle at the end of diastole and is about 70ml / 140 ml of blood.
The volume of blood ejected from the left ventricle during systole is approximately 70ml / 140 ml of blood.
Cardiac output = stroke volume x heart rate / end-diastolic volume.
Preload increases / decreases with increased end-diastolic volume.
If arterial BP is high, or if the aortic valve is stenosed and it takes a lot of pressure to eject the blood from the left ventricle, then afterload is increased / decreased.
If the afterload is increased, the amount of blood that the ventricles can eject with each contraction (stroke volume) is less / more than usual.
The contractile state of the myocardium refers to the vigor or contraction generated by the myocardium regardless of blood volume and preload. The contractile property of the heart is inotropic / rhythmic state.
Sympathetic stimulation increases / decreases myocardial contractility.
Metabolic abnormalities, metabolic acidosis, and hypoxemia decrease / increase myocardial contractility.
An athlete who is well conditioned will probably have a slow heart rate and a larger/stronger left ventricle. The athlete would have a larger/smaller stroke volume than a normal person.
Diastolic blood pressure is the force of blood exerted against the artery walls during edqw23re3the hearts relaxation / contraction.
Baroreceptors are stretch-sensitive nerve endings affected by changes in the arterial blood pressure. Increased blood pressure and stimulation of the baroreceptors will cause the body to try to increase / decrease the blood pressure by a relay to the vagus nerve.
Parasympathetic nerve endings release the neurotransmitter acetylcholine which increases /decreases the firing of the SA node and the heart rate.
Sympathetic hormones released from the adrenal medulla, norepinephrine and epinephrine, will increase / decrease myocardial contractility.
Myocardial oxygen consumption will be increased /decreased when the heart rate and force of myocardial contraction are increased.
An aging heart will have dilatation / shrinking of the cardiac chambers.
An aging heart will have thickened / thinned heart valve structures.
In: Nursing
Evaluate the commercially available CMMS (computerized maintenance management system) applied for maintenance management of medical equipment in the hospital:
In: Nursing
1. The nurse is caring for a client who is postoperative day 3 following a total colectomy and secretion of an ileostomy. While changing the dressing the nurse notes the ileostomy stoma is dusky in color. How should the nurse interpret this assessment finding? - The client o2 saturation below, - The stoma is blocked. - Circulation to the stoma a compromised - This is a normal assessment finding postoperatively
2. During the first 15 minutes of the transfusion the client complains of chills the nurse understands chills are an indication that the client? - Is having the onset of a seizure - Is having a transfusion reaction - Is having a normal reaction to the blood - Has caught a cold
In: Nursing
Please discuss only ONE: Medicare or
Medicaid
Give a brief description of Medicaid or Medicare (no
more than 2 sentences). Then discuss 3 specific (non-age;
non-financial) criteria for services from the program, for an older
adult client. Be sure to cover service, length of time, provider
types that may provide the service, the channels through which the
patient may obtain each service.
In: Nursing
patient is 9 years old and female presents with her mother complaining of a dry cough that “wakes up everyone in the house” each night for the last 2 weeks. Denies prior hx of the same.
For the case you have chosen:
In: Nursing
You are a nurse admitting a patient to the hospital
from the emergency department with shortness of breath and recent
weight loss. After receiving a report from the emergency department
nurse,you ready the patients room according to unit specifications
and collect the necessary equipment and forms. When the patient
arrives she is using oxygen via a nasal cannula and seems to be
comfortable. As you begin your admission activities and
paperwork,you note that her shortness of breath increases slightly
as she answers your questions. Accompanying the patient is her
daughter who comments "This is the fourth time she's been admitted
to this hospital in the past year ".The patient and her daughter
demonstrate a close loving relationship. The daughter not only
encourages her mother,but also sets boundaries regarding her
mother's anxiety.
a. What data in this scenario are pertinent?
b. Which conditions within the case study could be addressed by a
nursing diagnosis?
c. Which conditions within the case study would be addressed by a
medical diagnosis?
d. How are medical diagnoses,collaborative diagnoses and nursing
diagnoses different?
e. Compare how a medical diagnosis is written versus a nursing
diagnosis?
In: Nursing