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What should be included in the nursing assessment of a patient with an actual or potential...

What should be included in the nursing assessment of a patient with an actual or potential fluid and electrolyte imbalance?

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1. What are the pros and cons of using Instagram as a platform for children, siblings,...

1. What are the pros and cons of using Instagram as a platform for children, siblings, etc. who have additional needs?

2. Do you thing it is okay to post pictures about the daily lives of these children with additional needs? what are some potential problems with this?

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How does timing affects patient susceptibility?

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Please tell a story about pregancy complications a Black woman faces. This can be the story...

Please tell a story about pregancy complications a Black woman faces. This can be the story of an specific person, or specific neighborhood, or village, or school, or family. A good story invites us to explore an issue in public health in a real way to better understand it. The story can be about a real person.

You can even use an amalgam of real people and real situations . It can be a tragic story or it can be a positive, uplifting or aspirational story, perhaps about someone who overcame adversity. Please be very informative about the power of storytelling for social change communication in black pregnancy complications

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incoporate genomics into nursing assessment and provider dicussion

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what type of angina is Mr. Jones experiencing

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Scenario Y.L., a 34-year-old Southern Asian woman, comes to the clinic with chronic fatigue, increased thirst,...

Scenario

Y.L., a 34-year-old Southern Asian woman, comes to the clinic with chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination. She tells you she has a vaginal yeast infection that she has treated many times with over-the-counter medication. She works full time as a clerk in a loan company and states she has difficulty reading numbers and reports, resulting in her making frequent mistakes. She says, “By the time I get home and make supper for my family, then put my child to bed, I am too tired to exercise.” She reports her feet hurt; they often “burn or feel like there are pins in them.” She has a history of gestational diabetes and reports following a traditional eating pattern, which is high in carbohydrates.

In reviewing Y.L.’s chart, you note she last saw the provider 6 years ago after the delivery of her last child. She has gained considerable weight; her current weight is 173 pounds (78.5 kg). Today her BP is 152/97 mm Hg, and a random plasma glucose level is 291 mg/dL (16.2 mmol/L). The provider suspects she has developed type 2 diabetes mellitus (DM) and orders the laboratory studies shown in the chart.

Chart View

Laboratory Test Results

Fasting glucose

184 mg/dL (10.2 mmol/L)

Hemoglobin A1c (A1C)

8.8%

Total cholesterol

256 mg/dL (6.6 mmol/L)

Triglycer1ides

346 mg/dL (3.91 mmol/L)

Low-density lipoprotein (LDL)

155 mg/dL (4.01 mmol/L)

High-density lipoprotein (HDL)

32 mg/dL (0.83 mmol/L)

Urinalysis (UA)

+ glucose, − ketones

1. Interpret Y.L.’s laboratory results.

2. Identify 3 methods used to diagnose DM.

3. Describe the major pathophysiologic difference between type 1 and type 2 DM.

4. Name 6 risk factors for type 2 DM. Underline those that Y.L. has.

CASE STUDY PROGRESS

Y.L. is diagnosed with type 2 DM. The provider starts her on metformin (Glucophage) 500 mg, glipizide (Glucotrol) 5 mg, orally each day at breakfast and atorvastatin 20 mg orally at bedtime. She is referred to the dietitian for instructions on starting a 1200-calorie diet using an exchange system to facilitate weight loss and lower blood glucose, cholesterol, and triglyceride levels. You are to provide teaching about pharmacotherapy and exercise.

5. How can you incorporate Y.L.’s cultural preferences as you develop her teaching plan?

6. What is the reason for starting Y.L. on metformin and glipizide?

7. Outline the teaching you need to provide to Y.L. about oral hypoglycemic therapy.

8. What do you teach Y.L. to do if she becomes ill with the flu or viral illness?

9. You determine she understands your teaching about treating hypoglycemia if she states, “If my blood sugar is low, I should first have:

an apple with milk.”

peanut butter sandwich.”

fruit juice or regular soda.”

crackers with cheese slices.”

10. What benefits should Y.L. receive from exercising?

11. What do you need to teach Y.L. about exercise?

12. Besides the dietitian, what interprofessional and community referrals may be appropriate for Y.L.?

CASE STUDY PROGRESS

Y.L. comments, “I’ve heard many people with diabetes lose their toes or even their feet.” You take this opportunity to teach her about neuropathy and foot care.

13. Which symptoms that Y.L. reported today led you to believe she has some form of neuropathy?

14. What other findings in Y.L.’s history increased her risk for developing neuropathy?

15. What would you teach Y.L. about neuropathy?

16. Because Y.L. has symptoms of neuropathy, placing her at risk for foot complications, you realize you need to instruct her on proper foot care. Outline what you will include when teaching her about proper diabetic foot care.

17. What monitoring will Y.L. need for nephropathy and retinopathy?

CASE STUDY OUTCOME

Y.L. returns to the clinic 6 weeks later. Her BP is 130/78 mm Hg and fasting glucose level is 153 mg/dL (8.5 mmol/L). She says she has not had any episodes of tingling in her toes or blurred vision lately. She did meet with the diabetic educator. She is making changes to her eating, has started walking, and is happy to have lost 6 pounds (2.7 kg).

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Select a cultural competency model below that best supports Indian Culture, and explain why the model...

Select a cultural competency model below that best supports Indian Culture, and explain why the model was selected. Use the model to address techniques and challenges in providing culturally competent health care/services to your specific population.

■Berlin and Fowkes’ LEARN model (Effective Communication) - Created as a tool to improve communication in patient-physician interactions.Supplement to history taking.

■Cross Cultural Competence Continuum (Developmental)

■Campinha-Bacote (Developmental) - the framework of cultural competence is defined in the process of cultural competence in the delivery of the Health Care Services Model. In this model, cultural competence is viewed as a process, and not an endpoint, in which one continually strives to achieve the ability to effectively work within the context of an individual, family, or community from a diverse cultural-ethnic background

■Explanatory Model: Kleinman (Effective Communication) - An explanatory model reveals how people make sense of their illness and their experiences of it. Used to explain how people view their illness in terms of how it happens, what causes it, how it affects them, and what will make them feel better.

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Write a policy analysis background, landscape, options, and recommendation for the best long term options/services that...

Write a policy analysis background, landscape, options, and recommendation for the best long term options/services that should be provided or in place for seniors living in rural areas.

The problem statement has been provided above- what are the best long term options/services that shoukd be provided or in place for seniors living in rural areas?

Thank you.

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What do you think of the keto diet? Does it seem healthy (why or why not...

What do you think of the keto diet? Does it seem healthy (why or why not based on what you've learned in this class so far). Have you explored other fad diets? Do any of these seem appealing to you (why or why not)? 150 words

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. Patient Interview Complete the Patient History form with a classmate on any virtual platform. Technology...

.

Patient Interview

Complete the Patient History form with a classmate on any virtual platform. Technology is awesome! Once completed, write a summary of the interview, focusing on the ten (10) traps of interviewing found in Chapter 2 of your textbook. Include in the summary a reflection of interview skills during the interview process and plans to improve.

	Novice	Competent	Proficient
Summary of Interview	No detailed information presented in the summary. No discussion of interviewing skill included.	Discussion of interview inclusive of some details, though reflection of interviewing skill not included.	Detailed summary, inclusive of the ten (10) traps and reflection of interview process and plans to improve.
10 points

List the 10 traps of interviewing, and give a short example of each.

False assurance or reassurance

Giving unwanted advice

Using authority

Using avoidance language

Distancing

Using professional jargon

Using leading or biased questions

Talking too much

Interrupting

Using “Why” questions

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give 6 objectives with interventions( for each objectives) in the management of heart failure

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what would be some different findings when assessing the musculoskeletal system of an infant or a...

what would be some different findings when assessing the musculoskeletal system of an infant or a child , compare to an adult?

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What are the three principles for the foundation of water reuse? Provide reliable treatment to meet...

What are the three principles for the foundation of water reuse?

		Provide reliable treatment to meet stringent water quality requirements
		Gain public attention
		Gain public acceptance
		Protect public health

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1- Instruments used to grasp the vaginal mucosa during an Anterior/Posterior repair include: Crile...

1- Instruments used to grasp the vaginal mucosa during an Anterior/Posterior repair include:
       Crile clamps
       Kelly clamps
       Allis clamps
       Oshner clamps

The needle used to instill CO2 during laparoscopy is a(n)
       Silverman
       Verres
       Hypodermic
       Hegar

2-The main support structures of the uterus include which ligaments?
       Round, broad, uterosacral and linea alba
       Uterosacral, cardinal, broad and falciform
       Uterosacral, round, cardinal and broad
       Broad, round, falciform and linea alba

3What two hormones help prepare the uterus for implantation of the fertilized egg?
       Testosterone and estrogen
       Insulin and estrogen
       Progestin and testosterone
       Progesterone and estrogen

4-Another name for a weighted vaginal speculum is a(n):
       Graves
       Auvard
       Goodell
       Castroviejo.

5-The term gravida indicates the:
       Station of the fetus.
       Number of live births.
       Failure to progress through labor.
       Number of pregnancies

6-The term gravida indicates the:
       Station of the fetus.
       Number of live births.
       Failure to progress through labor.
       Number of pregnancies.

In: Nursing