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A 21-year-old woman presented to the emergency department of an urban hospital with a history of systemic lupus. Her complaint was dehydration, dizziness, and feeling faint. The woman also had a recent history of being dehydrated, complicated by renal involvement from lupus and having to receive bolus fluids. She was on multiple medications, including steroids and methotrexate. An intravenous (IV) line was started, and blood was drawn for labs. The emergency department physician returned to report that the lab values were within normal limits, yet the young woman felt no better. She stated that she still felt dehydrated, her blood pressure felt low, and she normally received more IV fluids and a steroid injection when she felt this way. The physician indicated that he felt no need for this treatment, but when the patient insisted on more fluids, he agreed to continue them for a while and to give her an injection of steroids. The patient asked, “Do you want to give me anti-nausea medication first?” The physician stated that there was no indication. The patient told him that she was always nauseated following steroids and had sometimes vomited if no antiemetic were administered first. The physician argued but finally grew tired and walked away. The steroid injection was given, and nausea ensued. When the patient got home a few hours later, the patient called her rheumatologist and urologist (neither had been available when the illness occurred because of the late hour). They repeated her labs the next day, only to find that she was severely dehydrated, and many values, including renal panel, were outside normal limits. |
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Case Questions
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In: Nursing
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.
In: Nursing
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 :
In: Nursing
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.
In: Nursing
Surgical Instrumental:
Explain sequence after loading: Start, preheat, prevacuum, water enters, converts to steam, exposure, sterilization
Exhaust, dry, open, unload
In: Nursing
Surgical Instrumental:
Explain displays for wrapped items,
uncovered items, peel pouches,
dental drills.
In: Nursing
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.
In: Nursing
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.
In: Nursing
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?
In: Nursing
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
In: Nursing
Answer this in as much detail as possible.
Just say in USA the government decided to have universal healthcare for all. They did this by funding the entire cost of healthcare and health insurance in a universal healthcare system similar to the NHS of England. Discuss the role of providers in this NHS like universal healthcare system and discuss the role of consumers (people receiving healthcare)? Discuss how health care would be paid for in this NHS like universal healthcare system? Discuss the advantage of the NHS universal healthcare system over the existing free market one currently in the US?
In: Nursing
In: Nursing
In: Nursing
Answer this in as much detail as possible.
Just say in USA the government decided to have universal healthcare for all. They did this by funding the entire cost of healthcare and health insurance in a universal healthcare system similar to the NHS of England. Discuss the role of federal, state, and local governments (is the government providing it or are they just regulating)? Also discuss about the role of insurance companies (are they going to exist as 3rd party payer or not have a impact at all)? Discuss the role of employers if US implemented a UK NHS healthcare system that gave everyone universal healthcare?
In: Nursing
Opinions of ageing and the influences that impact age related
changes that affect sensory, perceptual and cognitive functioning.
Ageing and the
provision of care to the older adult is influenced by many
theories, such as the biological,
social, spiritual, functional, and chronological influences during
a person lifetime and how these opinions may impact on the
provision of the care provided to the older adult and identify any
opinions that may need to adjust and why?
In: Nursing