Hilda is being admitted to the hospital for open heart surgery. She reports being diagnosed with hypertension and Type 2 Diabetes, and taking medication for both disorders. Hilda is 65 years old. She reports her usual weight is 320 pounds. Hilda is able to provide a typical day of food intakes prior to admission that you enter into diet analysis software. During your assessment, you obtain a current weight of 290 pounds and height of 5 feet 6 inches. You observe physical signs of edema in her limbs.   She is currently NPO in preparation for surgery.

Answer the following:

1) During your assessment, you ask Hilda what dietary restrictions (if any) she has been following for her hypertension and diabetes. What type of historical information does this provide?

a) Lab history

b) Social history

c) Medical history

d) Diet history

2) Which physical test finding in the case study is the most accurate indicator of fluid imbalance in her body?

a) Presence of edema

b) Low albumin

c) Low water intake reported prior to admission

d) %IBW = 223%

3) Which of the following assessment measures in the case study identifies risk of malnutrition?

a) Hilda’s %UBW of 91% indicates significant weight loss.

b) Hilda’s edema dilutes lab values.

c) Hilda’s %IBW of 223% shows excess weight.

d) Hilda is NPO for one day prior to surgery

4) What other measure could be obtained to strengthen the assessment for malnutrition?

a) Past medical history to identify severity of illness.

b) Physical test of head, hands, and upper body to identifying muscle loss.

c) Prescribed medications to identify interactions.

d) C-reactive protein to identify signs of inflammation.

5) To meet the goal of maintaining Hilda’s weight, what intervention would be appropriate for the nurse?

a) Order labs to assess protein status.

b) Write a diet order for her to receive food.

c) Assess for nutritional adequacy in her diet.

d) Weigh her regularly.

How can Nursing informatics be applied to clinical practice?

EMG (electromyography) functions

1. Describe the physiological function and disease states that the EMG devices are designed to detect.

2. Give three examples of related physiological functions that the EMG device cannot detect.

Could you please put a link to your sources so that I can go back and read them as well?

Thanks

The last 50 years have seen much cleaner air and ____________________ in the United States, due in part to federal legislation.

_______________________ are a vital part of the public health's assessment function, used to identify special risk groups, to detect new health threats, to plan public health programs and evaluate their successes, and to prepare government budgets.

The time when the leading cause of death in the United States switched from infectious to chronic disease was the ______________.

Mrs. Sullivan, an 82-year-old female with a frequent history of Alzheimer Disease, UTI, fall and combativeness brought by her son and presents to the medical-surgical unit came from E.D. She previously worked as a full-time local administrator at a real estate office for over 50 yrs. Her worsening of her condition in the last 10 months. Various progressive cognitive symptoms such as memory deficits and confusion have rendered her unfit to continue to work. Mrs. Sullivan sought for physical therapy in order to delay the physical progression of the disease. Her chief complaints include mild difficulties with following directions, gait, balance, and being fatigued easily and fell yesterday. She noted that she has stumbled and tripped several times in the past 6 months but was fortunately not hurt and break her hips. She has also noticed the increasing difficulty she is having with fine motor skills such as writing and doing up her buttons when dressing. With the diagnosis of Alzheimer’s Disease, the patient is at an increased risk of various secondary conditions such as HTN, osteoporosis and falls. Create a nursing care plan for Mrs. Sullivan by using this template.

Decide whether each of the following claims is: a) analytically true, (b) analytically false, c) not analytic, or (d) impossible to classify (conceptually incoherent).

2) The helium atom is wearing a funny hat.

4) My dog is not a canine.

6) All three-sided figures are triangles.

8) Helping the helpless is praiseworthy.

10) She’s awake, because I see a light in the window.

12) Pornography degrades women.

14) All persons feel pain.

the nurse caring for a 3 month infant who has been diagnosed with Tetralogy of Fallot. He begins crying and suddenly turns blue. Answer the following questions :

1. Describe Tetralogy of Fallot (Include the defects included and pathophysiology).
2. What is happening to this baby that caused him to turn blue (include pathophysiology)?
3. What is PRIMARY intervention for this patient? Include rationale.
4. What is a nurse’s note documenting the incident and your nursing interventions. Don't forget to include who you notified!

Malik Reynolds is a 12-year-old African American male who comes to the clinic with his father, James, for a routine health visit. Malik is 5 ft 2 in tall and weighs 175 lb. A routine urinalysis reveals glucosuria with negative protein, WBC’s and Blood. A routine CBC shows WBC’s 18.1 RBC’s 12.24, HCT 38.2, Hgb 15.8. His vital signs are: HR 72, RR 18, Temp 98 degrees F, BP 122/86.

1. What symptoms are significant and need to be reported to the provider?
2. Based on the information provided, what questions will you want to ask Malik to determine if he is experiencing any other symptoms?
3. What additional objective symptoms would the nurse expect to find when assessing Malik?
4. What further diagnostic assessments or testing will you anticipate? Include rationales.
5. What education will you provide for Malik and his father? Include rationales.
6. Document your assessment findings in a narrative nurse’s note

Surgical Instrumental:

Explain sequence after loading: Start, preheat, prevacuum, water enters, converts to steam, exposure, sterilization

Exhaust, dry, open, unload

Surgical Instrumental:

Explain displays for wrapped items,

uncovered items, peel pouches,

dental drills.

As the office manager of the Mercy hospital, one of your goals is to improve the efficiencies of hospital operation. You heard that RFID is a viable option to pursue. Perform research on RFID technology and its application to the healthcare industry. Select three types of RFID applications that will work for your hospital and develop a report.

Compare and contrast the indications for dual chambered pacemakers, single chambered pacemakers and ICDs.

Describe the four faces of DDD pacing. Show an ECG example of one of these faces, include your full interpretation of the ECG findings.

Describes four broad categories of barriers to health information technology. Conduct a search of the literature to support your answers to the following:

Which category is the greatest barrier and why?

What other barriers do you see?

What strategies are being employed to overcome these barriers?

What is the main difference between traditional Medicare and Medicare Advantage?

Group of answer choices

Traditional Medicare includes all Parts (A, B, C, and D) but Medicare Advantage only includes Parts C and D

There are no differences between traditional Medicare and Medicare Advantage

Medicare Advantage uses fee-for-service and traditional Medicare uses managed care

Traditional Medicare uses fee-for-service and Medicare Advantage uses managed care