Questions
Who is the contact person for hospital purchases? Ask about the process of selling an item...

Who is the contact person for hospital purchases? Ask about the process of selling an item to them. How complex is it? Preferably for hospitals in Philadelphia.

In: Nursing

I need a summary of stroke diagnosis, and how a diet for them make impact a...

I need a summary of stroke diagnosis, and how a diet for them make impact a hispanic person? What does this mean to them?

What do hispanics typically eat? And their cultural practices?

After a stroke, what should a hispanic need to eat?? (Puree diet)

What foods should they limit?

Any restrictions?

Also, can I get a breakfast, lunch, and dinner menu sample?

In: Nursing

What should be included in a disaster preparedness plan for your home and family? Create the...

What should be included in a disaster preparedness plan for your home and family? Create the planning guide on the FEMA website for your home and family

In: Nursing

What are some of the signs and symptoms the may lead to an acidotic/alkalotic state. What...

  1. What are some of the signs and symptoms the may lead to an acidotic/alkalotic state.
  2. What are the Stages and Phases of Acute Kidney Injury
  3. What is Tonometry? Patient teaching for preventing increased IOP with or without surgery

In: Nursing

3. Case Study: Hyphema Johnny is a 10-year-old boy who seeks care after being hit in...

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:

  1. Johnny is at risk for what complications?
  2. What measures may help prevent these complications?
  3. What should the nurse do in this situation? Prioritize these actions.

In: Nursing

A patient has an arterial blood gas (ABG) test done. The blood work results are displayed...

A patient has an arterial blood gas (ABG) test done. The blood work results are displayed in the table.

blood pH [HCO−3][HCO3−] (mEq/L) pCO2pCO2 (mmHg)
7.32 29 50

Which type of condition does the patient have?

respiratory acidosis

metabolic alkalosis

metabolic acidosis

respiratory alkalosis

Which was the initial chemical change?

[HCO−3][HCO3−]

pCO2pCO2

What could be the cause of this condition?

asthma

laxative abuse

renal failure

hyperventilation

overdose on sedatives

hypoventilation

In: Nursing

Should special education teachers rely on IEPs to provide the right kinds of supports to children...

Should special education teachers rely on IEPs to provide the right kinds of supports to children with special needs? Why or why not?

Individualized Education Program (IEP).

In: Nursing

In the story, The Cask of Amontillado, to whom is he telling about the crime, explain!

In the story, The Cask of Amontillado, to whom is he telling about the crime, explain!

In: Nursing

Why must teachers and administrators apply federal legislation and state guidelines in special education environments, including...

Why must teachers and administrators apply federal legislation and state guidelines in special education environments, including inclusive classrooms?

In: Nursing

ohn Smith is a 64-year-old male. His past medical history includes BPH, HTN, chronic back pain,...

ohn Smith is a 64-year-old male. His past medical history includes BPH, HTN, chronic back pain, COPD, seasonal allergies, Erectile dysfunction, and intermittent UTI’s. Mr. Smith has completed school through 8th grade but then ultimately became a laborer until his retirement. His wife accompanies him to meetings with doctors to assist and learn about the medications as well. Mr. Smith is very independent however and does not want to rely on his wife.

Each student will prepare an educational pamphlet on one of the prototype medications from the semester that applies to the scenario and client above. They must use the appropriate health literacy level for a patient/family member. The pamphlet must include:

  • expected action
  • therapeutic uses
  • side effects/adverse effects
  • medication/food interactions
  • any specific details pertinent to that medication

These are the list of drugs that were taught throughout the course. I put an * on the one I think might be good. But I am not sure

  • Phenytoin,
  • Valproic acid
  • Diazepam
  • Phenobarbital
  • Atropine
  • Bethanechol*
  • Phenylephrine
  • testosterone,
  • sildenafil
  • finasteride
  • estradiol
  • norethindrone
  • conjugated estrogens
  • medroxyprogesterone
  • oxytocin
  • Diphenhydramine
  • Prednisone
  • Albuterol
  • Ipratropium
  • Montelukast
  • Theophylline
  • Cromolyn
  • Rifampin
  • Isoniazid
  • Penicillin G,
  • Cephalosporin
  • Vancomycin
  • Tetracycline
  • Macrolide
  • Aminoglycoside
  • Sulfanomide
  • Fluoroquinolones
  • Nystatin
  • Fluconazole
  • Methotrexate
  • Hydroxyurea
  • Tamoxifen
  • Acyclovir
  • Zidovudine
  • Ibuprofen
  • Aspirin
  • Acetaminophen
  • Prednisone
  • Ketorolac
  • Methylprednisolone
  • Morphine
  • Naloxone

In: Nursing

What are the Meds used for Parkinsons and nursing precautions? What is gout? What meds treat...

  1. What are the Meds used for Parkinsons and nursing precautions?
  2. What is gout? What meds treat gout? Patient teaching

In: Nursing

Here are some other sites you might find valuable for industry research: Hoover's database of corporate...

Here are some other sites you might find valuable for industry research:

  • Hoover's database of corporate records
  • Glassdoor's company reviews

Research workplace culture. Locate three articles about workplace satisfaction and culture, in general, to get a better understanding of how those concepts affect the way companies hire and the way job candidates hunt. These articles do not have to directly relate to your profession, although that is a bonus. Good search strings for locating these articles might include "top companies to work for," "highest work satisfaction," and "workplace culture and workplace satisfaction."

Think about what you want. Based on what you learned in Step 1, consider your ideal workplace environment. Identify the aspects of workplace culture that matter most to you and compile a list of five to ten characteristics for your reference.

Research your profession's culture. Now, put these culture traits to the test and see whether you can find them in your profession. Search for articles relating to the types of workplace culture you are likely to find in your new profession. For example, you might want an open-office, a free lunch program, telecommuting options, worksite daycare, or flexible scheduling. Identify three workplace culture traits of your profession that overlap with your own list from Step 2.

You might have to search news articles, company profiles, or company websites in your profession that highlight the type of workplace culture you can expect to find. If you are having difficulty, try searching first for your profession's likely workplace culture and then identify three realistic traits you want to find.

Write up your findings. In at least 250 words, summarize the top three workplace culture traits you found and have a realistic chance of finding in your profession. You must cite your research examples and links to articles.

In: Nursing

Write 1–2 paragraphs explaining how Ensler’s and Stanton & Mott’s works have deepened your understanding of...

  1. Write 1–2 paragraphs explaining how Ensler’s and Stanton & Mott’s works have deepened your understanding of social change and informed your own social change vision. Provide brief examples from this week’s readings using appropriate APA format and style.

In: Nursing

Q/ Write a 7 pages report about radiography of temporomandibular joint general report nothing specified.

Q/ Write a 7 pages report about radiography of temporomandibular joint

general report nothing specified.

In: Nursing

Subjective Medical History Mr. GD, a 78 yr old Caucasian man, is referred by his physician...

Subjective

Medical History

Mr. GD, a 78 yr old Caucasian man, is referred by his physician for the development of an exercise prescription. Seven years ago he underwent treatment for prostate cancer that included aromatase inhibitors and is now cancer-free. Mr. GD is 5 ft 11 in. (180 cm) tall with a weight of 165 lb (75 kg). He walks his dog daily for 40 minutes, and he generally keeps himself busy with activities around the home and community, but otherwise he does not follow a regular exercise regimen. He says that his walks are often at a fairly leisurely pace. He plays cards with friends on Wednesday nights.

Diagnoses

He was recently diagnosed with osteoporosis. He was surprised, because he thought it was a woman’s disease. He takes vitamin D (400 IU per day) and calcium (500 mg per day), and consumes calcium-containing foods to get sufficient calcium in his diet. His doctor prescribed Fosamax for his osteoporosis. His mother had a hip fracture when she was 85, and passed away 6 mo later. He is taking medication for his blood pressure, which is well controlled (resting blood pressure is 129/79 mmHg; resting heart rate is 82 beats · min– 1).

Objective and Laboratory Data

Exercise Test Results

He recently underwent an exercise stress test that was normal, but no physiological testing was done other than regular blood chemistries. His 6 min walk distance is 507 m. His occiput to wall distance is 2 cm, and his scapulae appear protracted. His Short Physical Performance Battery score is 14; he could not complete the tandem stand. His knee extension and grip strength are within normal limits for his age but on the low end of normal. He has reduced hip extension range of motion in both legs, but greater on the right.

Assessment and Plan

Exercise Prescription

Mr. GD already walks daily, so you encourage him to time his walks, monitor his heart rate intermittently throughout, and estimate his rate of perceived exertion. Based on the treadmill test, you both agree that he should aim to be at a 5 or 6 on a 0-10 scale for his rating of perceived exertion (RPE) to start, and you suggest that he should feel like his heart is beating faster and he is breathing harder, and that he might be able to carry on a conversation while walking, but he should not be able to sing without stopping to catch his breath. His goal is to complete his 40 min walk, but at least 15 min should be at that pace. He will progress to completing the whole 40 min at the new pace.

He agrees to start a progressive resistance training program but would like exercises that he can do at home rather than having to join a gym. He agrees to attend visits with you twice weekly for 3 wk to practice the exercises and follow up with you every few months to progress the exercises. You ask him about what days of the week would be best, the time of day, and the “trigger” that will remind him to exercise. He suggests that after breakfast on most days would work well. He will start with six exercises, performed on Monday, Wednesday, and Friday mornings. To start, you select counter push-ups, singlearm rows done in standing with elastic tubing, body weight squats, and step-ups with hip extensions, using the stairs in his basement, and having him step up to the second step. You teach him how to do abdominal bracing during each exercise. The step-ups were chosen because they challenge his balance. Before teaching the exercises, you show him how to do a hip hinge so he can apply that to his squats and also his daily activities. He will also add 2-3 sets of 10 longer strides to his walks as a balance challenge, and practice balancing on one foot while brushing his teeth while standing near a counter in case he needs support. The long strides and step-ups with hip extensions are also dynamic range of motion activities targeting his tight hip flexors. He will start with two sets of 8 repetitions of each exercise. He will also add in supine lying with arm lengthener and leg lengthener exercises for his posture and back extensors, which he will do every evening before bed—he will hold each position for 3 s, rest 3 s, and repeat 5 times.

By the end of your sessions with him, you have progressed him to 10 repetitions of each exercise or progressed him to a more difficult version. You have given him suggestions for how to progress the resistance or intensity once he can complete 12 repetitions of an exercise. You tell him to contact you or his doctor if he feels any pain during or after exercise, and suggest to him to make a follow-up appointment in 2 mo.

Case Study Discussion Questions

1. What other information should be obtained from Mr. GD? What risk factors for fracture does he have?

2. What recommendations might you make regarding his gardening? What movement strategies could you teach him?

3. How might you progress his resistance training program or balance challenges?

In: Nursing