In: Nursing
Pick only 2 questions and answer in depth .
In: Nursing
What are the difficulties, the likes, and dislikes of an interview of a variety of ages, ethnicities, races, and genders?
Questions are:
1) Age
2) Race
3) Ethnicity
4) Gender
5) Where the subject grew up
6) What is “old” to you? How do you know when you are old?
7) How do you feel about old people? Why?
8) Name two different ways that you were brought up that you think are different from most other people. For example, you may say you were raised on a farm, or your father was in the military.
9) Were you part of social, religious, or other types of group growing up?
10) Who were your role models when you were growing up? How did they influence you?
In: Nursing
which key factors are important when gathering and presenting data for a community needs assessment?
In: Nursing
CLINICAL SCENARIO
NURSING HEALTH HISTORY
A. Patient’s Profile
Name: JFK
Birthday: August 23, 1982
Age: 38 years old
Sex: Male
Nationality:Filipino
Religion:Roman Catholic
Marital Status:Married
Address: Pampanga
Date of Admission: September 02, 2020
Time of Admission: 2:30PM
Chief Complaint: productive cough with fever with slight difficulty of breathing
Final Diagnosis: Moderate Risk Community Acquired Pneumonia (CAP III)
History of Present Illness :
Patient came to the hospital complaining of productive cough, fever and slight difficulty of breathing. Client is having persistent productive cough with greenish phlegm and has had fever with 39.3 celcius for temperature when admitted. The client is ambulatory, coherent and v/s results showed an elevated RR of 37 cpm, pulse rate of 104. On DAT was prescribed, has a standing order of TSB for fever. WBC count is within range, CXR results showing consolidation and sputum culture and sensitivity shows S. pneumoniae with a medical diagnosis of CAP III.
Past Medical History :
Cough and fever has been noted to have onset 4 days prior to admission. Client has history of pneumonia and was admitted to the hospital when he was in high school. Client has suffered asthmatic attack when he was 3 years old and was admitted to the hospital and was given Ventolin for treatment but has no record of any onset after that.Immunizations were completed when he was one year old.Latest medicines prescribed are Cefuroxime, Albuterol, Montelukast, and Naproxen. The patient never undergone any type of surgery. He has no known allergy to food and medication.Family History(+) Hypertension-father(+) Diabetes Mellitus-father(-) Cancer(+) PTB-mother
Personal and Social History : Patient is a tricycle driver and a very joker person, he mingles with his co-tricycle drivers, friends, and neighbors. Patient is non-smoker, non-drinker and no history of taking illicit drugs. He prefers to eat rice, fish and vegetables, but sometimes eat in a sari-sari store. He enjoys talking to commuters and taking care of his children when his day-off, his leisure time is watching TV with his family. If the patient has free time from driving, he likes going to mall with hisfamily every Sunday after church. He is a sweet and loving husband to his wife and children.
Admission Order Medication: Cefuroxime (Zinacef) 750 mg every 8 hours TIV Levofloxacin (Levox) 500 mg 1 tab OD PO Paracematol1 amp TIV for temp of equal or greater than 38.6 and paracetamol 500mg tab PO for temp of 38.5 below Berodual nebulization (10gtts in 3 ml NSS) every 6 hour
Therapeutics: IVF PNSS 1L to run for 8 hours at 31-21 gtts per min at left arm
Bedside O2 of 3L/min via nasal cannula
Nebulization followed by CPT
Bedside Care: Vital signs every shift and watch out for any signs of dyspnea progression, bed rest, I and O monitoring, suction secretions when necessary, provide comfort, morning care done, side rails up for safety, assess every now and then and relayed any abnormal symptoms and complications
COURSE TASKS:
1. Make an Anatomy and Physiology of Community Acquired Pneumonia III.
2.Conceptualize the pathophysiological alterations distinct to the case.
✓Establish the pathophysiological triad of Host –Agent –Environment 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
Seven-year-old Timothy's mother takes him to his pediatrician for his annual checkup. His weight is 68 lb (31 kg), plotted at the 95th percentile, and his height is 50 in. (127 cm), between the 75th and 90th percentiles for his age. His body mass index of 19.25 kg/m2 plots at the 95th percentile for his age. His growth percentiles have been increasing over the last several years.
Timothy's mother expresses concern to the pediatrician about her son's weight. His older and younger brothers are both thinner than Timothy. Timothy's mother is obese, but his father is a normal weight for height. Timothy is in the second grade. He rides the school bus to and from school. He participates in the School Lunch Program at his school, but his parents gave him extra money in case he wants to buy some additional à la carte food items from the cafeteria or items from the vending machines. After school, Timothy and his brothers stay in their home with a babysitter until one of their parents returns home from work. Timothy usually watches TV or plays video games after school. His parents leave snack foods—chips, cookies, and sodas—in the house for their sons to have after school. His mother usually prepares their evening meal, which consists of a meat, starch, vegetables, and a dessert item. After dinner, Timothy does his homework and then usually watches more TV with his parents. He usually has a dish of ice cream before going to bed.
1. What is your assessment of Timothy's body size based on his weight-for-age, height-for-age, and BMI-for age percentiles?
2. What suggestions do you have for Timothy's parents about
improving his eating habits?
3. What suggestions do you have for Timothy's parents for
increasing his physical activity level?
4. Is it significant that Timothy's mother also has a weight problem?
In: Nursing
Write a dialouge between two friends discussing COVID-19 an its effect on education .
In: Nursing
1) Why do we get sick?
2) How would you assess that your client is at risk for eye disease?
3) How do the major components of each body system all interrelate to each other system?
4) List 2 symptoms of dehydration and the amount of fluids/day to ensure adequate hydration is maintained and helps to eliminate wastes from the body?
In: Nursing
a) What are the Basic principles of a healthy diet?
b) The immune system is a network of cells that are wholly responsible for maintaining your body's immunity and overall health. (Discuss this statement below)?
c) Discuss the relationships between body systems required to support healthy functioning.
d) What are the benefits of health promotion and maintenance? Discuss
In: Nursing
In: Nursing
In: Nursing
In: Nursing
CLINICAL SCENARIO
NURSING HEALTH HISTORY
A. Patient’s Profile
Name: JFK
Birthday: August 23, 1982
Age: 38 years old
Sex: Male
Nationality:Filipino
Religion:Roman Catholic
Marital Status:Married
Address: Pampanga
Date of Admission: September 02, 2020
Time of Admission: 2:30PM
Chief Complaint: productive cough with fever with slight difficulty of breathing
Final Diagnosis: Moderate Risk Community Acquired Pneumonia (CAP III)
History of Present Illness :
Patient came to the hospital complaining of productive cough, fever and slight difficulty of breathing. Client is having persistent productive cough with greenish phlegm and has had fever with 39.3 celcius for temperature when admitted. The client is ambulatory, coherent and v/s results showed an elevated RR of 37 cpm, pulse rate of 104. On DAT was prescribed, has a standing order of TSB for fever. WBC count is within range, CXR results showing consolidation and sputum culture and sensitivity shows S. pneumoniae with a medical diagnosis of CAP III.
Past Medical History :
Cough and fever has been noted to have onset 4 days prior to admission. Client has history of pneumonia and was admitted to the hospital when he was in high school. Client has suffered asthmatic attack when he was 3 years old and was admitted to the hospital and was given Ventolin for treatment but has no record of any onset after that.Immunizations were completed when he was one year old.Latest medicines prescribed are Cefuroxime, Albuterol, Montelukast, and Naproxen. The patient never undergone any type of surgery. He has no known allergy to food and medication.Family History(+) Hypertension-father(+) Diabetes Mellitus-father(-) Cancer(+) PTB-mother
Personal and Social History : Patient is a tricycle driver and a very joker person, he mingles with his co-tricycle drivers, friends, and neighbors. Patient is non-smoker, non-drinker and no history of taking illicit drugs. He prefers to eat rice, fish and vegetables, but sometimes eat in a sari-sari store. He enjoys talking to commuters and taking care of his children when his day-off, his leisure time is watching TV with his family. If the patient has free time from driving, he likes going to mall with hisfamily every Sunday after church. He is a sweet and loving husband to his wife and children.
Admission Order Medication: Cefuroxime (Zinacef) 750 mg every 8 hours TIV Levofloxacin (Levox) 500 mg 1 tab OD PO Paracematol1 amp TIV for temp of equal or greater than 38.6 and paracetamol 500mg tab PO for temp of 38.5 below Berodual nebulization (10gtts in 3 ml NSS) every 6 hour
Therapeutics: IVF PNSS 1L to run for 8 hours at 31-21 gtts per min at left arm
Bedside O2 of 3L/min via nasal cannula
Nebulization followed by CPT
Bedside Care: Vital signs every shift and watch out for any signs of dyspnea progression, bed rest, I and O monitoring, suction secretions when necessary, provide comfort, morning care done, side rails up for safety, assess every now and then and relayed any abnormal symptoms and complications
COURSE TASKS:
1. Make an Anatomy and Physiology of Community Acquired Pneumonia III.
2.Conceptualize the pathophysiological alterations distinct to the case.
✓Establish the pathophysiological triad of Host –Agent –Environment 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
In: Nursing
In: Nursing