Case Study: You are a nurse caring for a 26 year-old mother of three children who presents to the physician's office with tachypnea, productive cough of yellow sputum, hyperthermia, malaise, fatigue and insufficient fluid intake. You obtain the following information during your objective assessment: Vital signs are BP- 120/78, HR- 110, respirations 24/minute, temperature 100.4 orally and pulse oximeter of 90% on room air (RA). Upon auscultation, you note coarse rhonchi in bilateral posterior lobes. She complaints of pain of 8/10 in her anterior right side of her chest after coughing. 1) Describe the rationale for performing a comprehensive physical assessment on this patient. 2) Prioritize the symptoms to be assessed on this patient and explain which system would have the highest priority for this assessment and why? 3) List the appropriate subjective health history questions that could identify this patient's risk factors for her altered respiratory condition. 4) Describe the etiology of this patient's overall assessment. What do you think is the condition this patient is experiencing? 5) List 3 priority nursing diagnoses for this patient. Remember the need to prioritize diagnoses based on Maslow's hierarchy of needs, including ABC's, pain and VS. For each of these 3 nursing diagnoses, include one short-term and one long-term SMART goal and include 3 interventions with rationales to support these interventions.

a nurse is preparing to administer insulin glargine to a child who has type 1 diabetes mellitus. the client is receive 10 units subcutaneous once daily at bedtime. reading the label on the unopened vial the nurse should determine that the vial contains how many dosage of this medication?

insulin glargine 100unit/ml (U-100) do not mix with other insulin . use only if solution is clear and colorless with no particles visible one 100 ml vial

David Crystal's "Language and the internet "What is the main idea in chapter 4 ?

According to Texas Health and Safety Code Chapter 671, when is a person dead?

Name the 3 things are considered Advanced Directives in the Texas Health and Safety Code?

A nurse is caring for a client following a laparoscopic cholecystectomy. The client has a prescription for ondansetron 4 mg IV bolus every 6 hr PRN for nausea and vomiting. Identify the sequence of steps the nurse should follow to administer the medication. (Move the steps into the box on the right. Place them in the order of performance. Use al the steps.

A.   Perform hand hygiene
B.   Select the injection port of the IV tubing closest to the client.
C.    Cleanse the injection port with an antiseptic swab.
D.   Inject the medication
E.    Aspirate for a blood return.

David Crystal's "Language and the internet" in chapter 1, What are Crystal's ideas about language and the internet? Explain in your own words!

Identify and analyze the main socioeconomic barriers involving the Affordable Care Act and how that impact patients, providers and insurance companies. What challenges can be faced if the ACA is reformed.

1. Doctor’s Order: Vancomycin 500mg tab i po q12h X 7 days

Available: Vancomycin 500mg tablets

1. What is your new dosage?

2. Write out the new instructions. (English)

2. Doctor’s Order: Xanax 0.5 mg Tab

Sig.    i-ii q6h prn anxiety

Available: Xanax 0.25 mg Tablets

1. What is the new dosage?

b. Write out the new instructions. (English)

3. Doctor’s Order:        Augmentin 750 mg susp. qid X 10 days

Available:           Augmentin 250 mg/5 ml susp.

1. What is the new dosage?
2. Write out the new instructions. (Household measurements/English)

4. Doctor’s Order: Prozac 30 mg susp. po qd in am & hs

Available: Prozac 20 mg /5 ml susp.

1. What is the new dose?

2. Write out the new instructions. (Household measurements/English)

By following the steps of the Bain Model or Vroom-jago decision process ,show how you will ensure that the staff on the ward where you work comply with the directive given by the Nursing Administrator to have the quality of health assessment improved in the ward within a three (3) month period, and maintained, thereafter.

Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

• Reflect on the concepts of informatics and knowledge work as presented in the Resources.
• Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

1. Imitants that aggravate the skin of persons with atopic dermatitis are
A. cotton and silk
B. perfumes and cosmetics
C. rice and potatoes
D. cleaning solvents and detergents
E. B and D

2. Psoriatic patches are typically found in all of the regions except

A. neck
B. face
C. elbows
D. genitals
E. hands and feet

3. Which advice would not be given to a person with eczema?

A. Avoid wearing wool or clothing that feels "scratchy."
B. Increase humidity in the household environment. C. Apply moisturizers and lotion to the
D. Take hot baths.

4. Of the following, the most potent corticosteroid classification is

A. class I
B. class II
C. class III
D. class IV

5. Select the corticosteroid that is in the least potent category.

A. clobetasol
B. betamethasone dipropionate (optimized)
C. hydrocortisone base cream
D. halobetasol propionate
E. fluocinonide

6. Which of the following adverse effects is not linked
to topical use of corticosteroids?

A. thinning of the skin
B. Cushing's syndrome
C. stretch marks (striae)
D. spider veins
E. acne

7. Select the drug that is indicated for the treatment of severe psoriasis and arthritis.

A. cyclosporine
B. azathioprine
C. methotrexate
D. calcipotriene

Which of the following correctly describes the mechanism of action of topical corticosteroids?

A. Corticosteroids decrease redness, swelling, and inflammation by reducing the number of inflammatory cells.
B. Corticosteroids increase cell permeability to T lymphocytes and eosinophils.
C. Corticosteroids increase cytokine release.
D. Topical corticosteroids cause vasodilation.

9. The FDA and Health Canada require manufacturers to include a Black Box warning in the package insert for_____, describing the increased risks for cancer.

A. Dermatop-E and Dovonex
B. Cutivate and Ultravate
C. methotrexate and Enbrel
D. pimecrolimus and tacrolimus