Colchicine is commonly prescribed for Gout exacerbations. What other conditions might Colchicine be prescribed for and why?
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Ms. Warren is having gastric bypass surgery tomorrow She is a diabetic and injects 30 units of 70/30 insulin SQ in the evening before dinner and in the morning before her breakfast. What pre op instructions ( 24 hours before surgery ) should the Nurse Practitioner give her regarding her insulin dose and why?
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Ms. Warren's TSH level is 41. The normal range for the TSH , depending on your institution is approximately ( 0.4-5.0 mU/L ) What is her diagnosis ? What medication, if any, should the Nurse Practitioner prescribe ? How often should the Nurse Practitioner monitor a TSH ? What should the TSH goal be?
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If Ms. Harris has a known allergy to Penicillin, would it be reasonable to treat her acute sinusitis with Cephalexin and why ? What type of allergic reaction to Penicillin would be an absolute contraindication to prescribing Cephalexin?
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A woman who is 32 weeks pregnant has developed significant hypertension which must be treated. What medication options does the Nurse Practitioner have and why ? What medications cannot be used in this situation and why?
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After taking Simvastatin for 2 months, Mr. Booker reports weakness and myalgias in his legs. What would be the Nurse Practitioner's next steps and why ? Would you order any lab tests? The patient's LDL was 252 prior to starting the medication. Keep in mind that Mr. Booker suffered a myocardial infarction 5 years ago
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Please explain why the Health Care Provider would prescribe Warfarin instead of Dabigatran or Rivaroxaban to a patient who was recently diagnosed with Paroxsymal Atrial Fibrillation. The patient states " I don't want to take rat poison".How should the Provider respond ? For complete credit please list the risks and benefits to each drug.
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Why would the Nurse Practitioner consider switching the patient from an Ace inhibitor to an Angiotension II receptor antagonist when treating a patient for hypertension? What type of lab work should be checked when patients take the above medications and why? How often should lab work be checked?
In: Nursing
In: Nursing
In: Nursing
Identify a practice problem in education or acute care, interprofessional team members necessary to address this issue perceived barriers to managing this interdisciplinary team, and possible educational solutions using the Interprofessional Collaborative Practice Core Competencies.
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Using Dynamic Health System as a scenario, respond to the proposed idea of Dynamic deploying online primary care visits. From the perspective of your role, what are the benefits of online visits? What are the concerns?
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For the case study section only: Please only provide short answers for the case study No more than 2 sentence response. Answer all the questions in all case study scenarios.
Mason is a 7-year-old boy who is at his primary care physician for a routine physical examination. Mason’s mother expresses concern about childhood obesity and is worried that he sleeps too much.
Subjective Data: Mason has been eating more than usual. Mason sleeps between 11 and 12 hours a day. Mason plays team soccer.
Objective Data
Height: 121 cm
Weight: 23 kg
Vital signs: temp, 37º C; pulse, 78 bpm; resp, 22 breaths/min; blood pressure, 102/62 mm Hg
Height: 90 cm
Mason has a normal physical examination for his age.
Questions:
Caroline is an 11-year-old girl who has an inoperable brain tumor. Caroline has been admitted for palliative care. Her mother, father, and two siblings are with her.
Subjective Data: Caroline complains of a severe headache. She states that she is “afraid to be alone.”
Objective Data
Vital signs: temp, 37.8º C; pulse, 120 bpm; resp, 24 breaths/min; blood pressure, 110/60 mm Hg
Caroline is unable to walk unassisted.
Her pupils are unequal 4 mm right and 6 mm left.
Questions:
3. Case Study: Hyphema
Johnny is a 10-year-old boy who seeks care after being hit in the right eye with a stuffed snake by his brother 15 minutes before arrival.
Subjective Data: Johnny complains of light sensitivity. Vision in the right eye is blurred.
Objective Data
Vital signs: temp, 36.8º C; pulse, 90 bpm; resp, 18 breaths/min; blood pressure, 110/60 mm Hg
Pupils: Left, 3 mm briskly reactive to light. Right, 3 mm and sluggishly reactive to light
Visual acuity: Right eye unable to see chart; left eye 20/15
Approximately a 30% hemorrhage is noted to the anterior chamber of the right eye with an intact globe.
Questions:
In: Nursing
1. What is an informed consent?
2. What are the Nurse’s responsibility related to inform consent.
3. What is the purpose of an advance directive?
4. If a nurse wanted to know who a patient's designated person is for health care. What portion of the advance directive would provide this information?
5. If you suspect one of your coworkers is impaired during a work shift, what should you do?
In: Nursing
Post an explanation of the benefits and drawbacks of creating a digital professional presence via online tools such as ePortfolios and social networking sites. Explain the steps you might take to create a digital professional presence and any challenges you might anticipate in creating and maintaining this image. What considerations must you keep in mind? What boundaries must you consider?
In: Nursing