SELECT THE RIGHT ANSWER :

QUES :

The patient underwent a surgical debridement during the day shift to remove a large amount of nonviable tissue from a complex abdominal wound. The nurse caring for the patient on the evening shift notices that the patient is tachycardic and febrile. Which action is the most appropriate nursing intervention?

Select one:

a. Notify the practitioner and express concern regarding infection.

b. Encourage the patient to take deep breaths to reduce anxiety.

c. Medicate the patient for pain and anxiety.

d. Document the finding as an expected outcome.

QUES :

The practitioner performed conservative sharp debridement at the bedside and removed a layer of eschar. There are orders for daily dressing changes using an enzymatic debriding agent. When assessing the periwound skin, the nurse notices tissue maceration. Which action should the nurse take?

Select one:

a. Wrap the area with a protective pad to maintain moisture in the dressing.

b. Increase the frequency of dressing changes.

c. Apply a barrier film to the periwound and request twice-daily dressing changes.

d. Reinforce the secondary dressing with more gauze.

QUES :

During an assessment, the nurse notices that the patient’s abdominal wound contains a small to moderate amount of loosely adherent yellow slough. If the practitioner decides to treat the wound using autolytic debridement, the nurse would expect an order for which step?

Select one:

a. Moisture-retentive dressing such as foam

b. Preparation for surgical intervention

c. Larval therapy every few days

d. Moist-to-dry dressing changes twice a day

Discuss jaundice signs & symptoms in New Born and explain rationales for therapy.

Discuss the dialogue you would use to teach a new mother about physiologic jaundice.

Include why the time of onset of the jaundice is important and how to treat jaundice.

Please include references.

1. MLO5 What are the concerns about the use of each of the following in food production?
   1. Hormones
   2. Antibiotics
   3. Pesticides
   4. GMO’s

What are the importance of patient reassessment in the hospital?

Discuss the purpose and at the same time demonstrate how you perform physical examination of head, face, eyes, ears, nose, mouth, throat, neck vessel, breast, regional lymphatics, thorax and lungs, heart, abdomen, and peripheral vascular system in order. Your discussion should includes the reason why we perform physical exam in each system or what abnormalities do we have to assess during physical examination of those systems.

1- Describe five elements to include in discharge teaching for a pediatric patient going home following a concussion.

2- Describe the six levels of consciousness in the pediatric patient.

3- describe a coup and contra coup head injury.

4- Differentiate between a generalized seizure and partial (focal) seizure. List the priority interventions for a padiatric patient having a seizure.

5- What is hydrocephalus and how is it managed?

Give an example of a Liposomal Amphotericin preparation.

Write down the grading, result interpretation and ways of documentation of acid fast stain microscopy
for intestinal coccidian.

       In the article: “Anxiety in adults with autism: Perspectives from practitioners by Kirsty Ainswortha, Ashley E. Robertsonb, Heather Welshc, Matthew Dayd, Jane Watte, Fiona Barrye, Andrew Stanfieldf, Craig Melville”. Read this article and Answer the following question according to the article.

1. what is the location of the study?
2. Sample size and demographics:     
3. How are participants selected?
4. Inclusion and Exclusion Criteria:   
5. Research Design (Please check the designed used in this study)

Phenomenology                

Grounded Theory              

Ethnography                      

Historical                           

Case Study                         

Amanda is a 28-year old primigravid at 39 6/7 weeks of gestation who is admitted to the Labor and Delivery unit in early labor. She has no known risk factors. Amanda tells the nurse that she has not felt the baby move since yesterday. The nurse is unable to hear the fetal heart rate. The nurse notifies the resident who performs an ultrasound, which confirmed fetal demise. Amanda is induced with Pitocin, ands 8 hours later she delivers an 8 pound 10 ounce stillborn baby girl. The cord was wrapped tightly around the baby’s neck three times. Amanda is recovering in the labor room, and her husband, Gary, is at the bedside. Pastoral care has already met with the couple to discuss autopsy, organ donation, spiritual rituals, and disposition of the body. After report, the nurse goes into the room and assess Amanda.

1. Amanda asks the nurse to dress the baby in the outfit and hat that she was going to wear when they left the hospital. The nurse washes and dresses the baby, wraps her in a blanket, and carriers the baby into the room. How should the nurse hold the baby? Explain your answer.
2. While Amanda and Gary hold their baby, the nurse talks with them about the special features of their child. What would be an appropriate question for the nurse to ask the parents?
3. Amanda and Gary spend an hour holding their baby and then tell the nurse they are done holding her. The nurse complete postpartum care and transfers Amanda to a medical-surgical unit instead of the mother-baby unit. Amanda and Gary thank the nurse for her care during this painful time. How important is supportive nursing care after a perinatal loss? Explain your answer. Explain supportive nursing care after a perinatal loss, meaning identify the appropriate interventions.
4. What should the nurse say and what not to say to the bereaved parents?

David, who has suffered from ALS for twenty years, is now hospitalized in a private religious hospital on a respirator. He spoke with his physician before he became incapacitated and asked that he be allowed to die if the suffering became too much for him. The physician agreed that, while he would not give David any drugs to assist a suicide, he would discontinue David’s respirator if asked to do so. David has now indicated through a prearranged code of blinking eye movements that he wants the respirator discontinued. David had signed his living will before he became ill, indicating that he did not want extraordinary means keeping him alive. The nursing staff has alerted the hospital administrator about the impending discontinuation of the respirator. The administrator tells the physician that this is against the hospital’s policy. She states that once a patient is placed on a respirator, the family must seek a court order to have him or her removed from this type of life support. In addition, it is against hospital policy to have any staff members present during such a procedure. After consulting with the family, the physician orders an ambulance to transport the patient back to his home, where the physician discontinues the life support.

ANALYZE THIS CASE STUDY USING THE  Seven-Step Decision Model

Bonnie J, a 4o0 year old woman with past history of kidney infections