TRUE OR FALSE

1) Percussion was an independent nursing practice in the 1800's.T/F

2.) In the 1990's Clinical pathways guided the client's progression. T/F

3.) Assessment is the 1St step of the nursing Process. T/F

4.)Determine the outcome criteria is part of the planning. T/F

5.) The nurse uses medical diagnosis to promote health & prevent disease. T/F

G. H. is a 26-year-old male who was involved in a serious motorcycle accident that fractured his vertebrae and compressed his spinal cord at the level of T8. Answer the following questions:

1. What is spinal shock? How long can it last? Why is it difficult to determine the degree of injury and impairment during this time frame?
2. Immediately after this injury, what should you expect to occur for each of the following:
   1. Range of movement for his arms? For his legs? Why?
   2. Spastic or flaccid paralysis? Why?
   3. Bowel and/or bladder dysfunction? Why or why not?
   4. Breathing difficulties? Why or why not?
3. After the period of spinal shock, what changes should you expect to see (if any) in the manifestations listed in #2 above?
4. What type of rehabilitative treatments might G. H. need to promote his recovery and return to function?
5. If G. H. has mild-to-moderate chronic back pain one year after his accident, explain the pain management medications you would suggest to improve his quality of life and why you selected those particular medications.

a. Choose a topic (health related topics like nutrition safety, or diseases, etc.)

b. Make a sample health education presentation POSTER include its definition, importance, signs/symptoms, managements, health education, etc.

Hello, I have another case study to ask. Thank you.

Question. For the last few days, you have been taking care of Mr. Smith, a 30 years old patient with end stage cystic fibrosis. You have developed a caring relationship with Mr. Smith and his wife. They are both aware of the prognosis of his disease and realize that he has only a short time left to live. When Dr. William made rounds with you this morning, she told Mrs. Smith that Mr. Smith could be discharged today if his condition remains stable. They were both excited about the news because they had been urging the doctor to let him go home to enjoy his remaining time surrounded by things he loves. When you bring in Mr. Smith's discharge order to his room in order to review his medications and other treatments, you find Mrs. Smith assisting Mr. Smith as he coughs up bright red blood. When you confront them, they both beg you not to tell the doctor or chart the incident because they do not want their discharge to be delayed. They believe that it is their right to go home and let Mr. Smith die surrounded by his family. They said that they know that they can leave against their physician's wishes and go home AMA( against medical advice), but if they do, their insurance will not pay for home care.

(1) What is your duty in this case?

(2) What are Mr. Smith's right?

(3) Is it ever justified to withhold information from the physician?

(4) Will you chart the incident and will you report it to anyone?

(5) Solve this case, justifying your decision by using ethical principles( Veracity, fidelity, beneficence, etc.). Need reference cited.

A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of passing foul smelling dark, tarry stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won’t be confirmed until further endoscopic procedures are performed.

TRUE OR FALSE

6) A turning is used to test the rise and fall of the vulva. T/F

7.)If the room is not able to be adjusted for temperature, the nurse should offer a warm blanket. T/F.

8.) The nurse should be be able to perform the four assessment techniques. T/F

9.) Stuffed furry toys are approved to be shared. T/F.

1) Describe the population of older Americans that are in the middle, or sometimes referred to as the "Forgotten Middle".

2) Describe the toll that being a caregiver can take on a person.

3) Why is there a long term care crisis?

Should the government play a key role in aiding the uninsured and the vulnerable or should market forces determine who receives care and services when it comes to the population health status?

John continues to become very agitated and is pacing back and forth. He is holding his incision and grimacing and appears to be in pain but refuses any medication, accusing the nurse of trying to drug him so that he can be kidnapped by the government. He is muttering to himself and says, “Tell that government agent to get out of my room!” 6. What is the nurse’s appropriate response to John’s hallucination?

You are working at a bariatric center and a patient comes to you for pre-operative exercise counseling. Your role is to assess and counsel/ prescribe patients on exercise prior and post-surgery. With this, each patient must participate in at least 8 weeks of an exercise program prior to surgery. (10 points)

Patient Profile: the patient is 48 years old, weight is 345 pounds; BMI= 57 kg/m2. She had a recent oral glucose tolerance test result of 285 mg/dl, TC= 290 mg/dl; TG= 560 mg/dl; HDL = 19 mg/dl. She also has sleep apnea and is developing arthritis in both knees. She takes 120 units of Lantus (basal insulin); 25 units Humalog (rapid insulin) per 3 meals; 80 mg of Zocor; 100mg Atenolol; 1500 mg Niaspan and Valsartan 160 mg twice daily.

Her goal with the laparoscopic adjustable gastric banding surgery is to lose 200 pounds and discontinue all her medications. She is getting the surgery so she does not have to try another diet and fail. She also hates to exercise so having this surgery will help her avoid exercising to lose weight. However, she realizes that she has to comply with your 8 week program to get the surgery.

Is discontinuing her medications realistic? Explain..

James, a 3-yr old has been diagonosed with lymphoblastic leukemia and will begin receiving chemotherapy with the mitotic inhibitor teniposide (Vumon) and the alklating agent Cyclophosphamide (Cytoxan) in the morning .

a. What special considerations are needed for a child James age who will receive chemotherapy?

Pharmacology question. Thanks.

A physician has submitted a prescription for a catheter, however, they did not submit sufficient information on the prescription to process the order. How would you go about finding the missing information and correcting the order? Please describe your process in triaging these situations, including any research you would do to solve these issues, resources you would want access to, the scripts you may use in interfacing with these patients, and your plan and cadence of outreach. How would you go about ensuring that the same problem doesn’t happen again?

Look up clindamycin in your drug handbook to determine an acceptable infusion rate and indicate over how many minutes you will infuse the clindamycin. Do not give a range .

After reading the executive summary of the 2011 report “Kiskisik Awasisik: Remember the Children”, briefly explain why there is an over-representation of indigenous children in the child welfare system.

Discuss the different ways of community reaction to agents of the disease invasion.