In: Nursing
What are some of the health and illness beliefs and
practices, especially around birth, illness, and death? Include a
formal health care system as well as folkways of most Muslims, and
Christian?
In: Nursing
Chief Complaint: Severe productive cough
Admitting Diagnosis: COPD
History of Present Illness
A 56-year-old man with a history of smoking rush to ER with
shortness of breath and cough for several days. His symptoms began
3 days ago with runny nose. He reportsachronicmorning cough
productive of white sputum, which has increased over the past 2
daysPast Medical History
He has had similar episodes each time of raining season for the
past 4 years. He always experiences fatigue, worsening cough,
increased breathlessness and waking up in the morning with
headache.
Family History
(+) Tuberculosis
(+) Hypertension
(-) Cancer
Personal and Social History
He has smoked 1 to 2 packs of cigarettes per day for 40 years and
continues tosmoke. He denies hemoptysis, chills, or weight loss and
has not received any relief fromover-the-countercough
preparations.
Admission Order:
NPO temporarily. Start IVF, PNSS 1L x KVO. Hook to O2
therapy via nasal cannulaat 2-3LPM.Nebulization of Salbutamol +
Ipratropium now, then every 6 hours. Acetylcysteine(Fluimucil)400mg
1 sachet dissolved 1/2 of H2O every 6 hours, can be started
tomorrowmorning. Tazobac(Piperacillin sodium) 4.5 g thru soluset
dissolved in PNSS 90 cc x 1hr ODANST( ).
For Chestx-ray,CBC, FBS, ECG, Urinalysis and ABG. Please do spirometry and monitor for disease progress. Chest x-ray shows hyperinflation and right lobe pneumonia. ABGresults wasPh7.24,PO2-35 mmHg, PCO2 60mmHg, HCO3 30, O2 sat - 85%. Spirometry with FEVI 35%predictedthat does not change significantly after inhaled bronchodilators. ECG was ordered.
Physical Examination:
Took vital signs which are: BP: 130/80, T: 37.5 Celsius, PR:89,
RR:30.
Examination displayed tachypnea, respiratory distress,
use of accessory muscles, and intercostal retraction. Barrel
chest is a common observation
1.Conceptualize the pathophysiological alterations
distinct to the case. (flow chart}l
- Establish the pathophysiological triad of Non modifiable risk
factors– Patient –Modifiable Risk Factors specific to the
case.
- Trace the pathophysiological changes and highlight problems that
are experienced by the client.
- Connect the pertinent nursing care and medical – surgical
management to the various signs and symptoms presented by the
client.
In: Nursing
Insights and reflection about Weidenbach's model of nursing.
In: Nursing
identify 5 Administrative professionals who work within healthcare facilities. Briefly describe their job and explain how they are important to a healthcare organization
In: Nursing
Why should health care providers provide information about the cost of treatment/ procedure to the patient in the process of informed consent?
In: Nursing
Mr. Abdullah attended the genito-urinary clinic of the local hospital. He is seen by the doctor who informed him that he is HIV positive. He started a course of treatment. During patient history taking, Mr. Abdullah shares to the nurse that he married two years ago and they are expecting they are first born in two months’ time. Prior to his marriage, Mr. Abdullah had a series of sexual partners. The nurse counsels him to contact his sexual partners to inform them of his status.
On his subsequent visit, the nurse learns that Mr. Abdullah has not told his wife about his condition. The nurse explains to him that steps should be taken to assess whether his wife is HIV positive and whether the baby is at risk so that necessary treatments may be started. However, despite the nurse’s counsel and explanation, Mr. Abdullah refuses to tell his wife. He threatens the nurse that if she will attempt to communicate with his wife in any way or tell her of his diagnosis without his consent, he will stop his treatment regimen and will sue her for breach of confidentiality because this is a privileged communication.
What is the legal and ethical dilemma surrounding this scenario?
What is the “right” thing to do for the nurse in the case of Mr. Abdullah? Defend your answer focusing on the legal and ethical aspects of your decision.
What would you recommend to prevent this situation from occurring in
In: Nursing
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what are Doses, dosage forms, routes of administration for the main indication of Amlodipine |
In: Nursing
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
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