Respiratory Care Modalities

April Long, a 60-year-old patient, is admitted with the diagnosis of small cell carcinoma of the left lower lobe. She had a left lower lobectomy removing the cancerous mass. After surgery, the patient has a chest tube to a closed water-seal drainage system, the Atrium Ocean at 20 cmH₂O.

1.   What are the nursing responsibilities when caring for a patient with a chest tube to a drainage system?

2. How should the nurse reposition the patient in this case study?

3. The chest tube accidently is disconnected from the drainage system and the drainage system is cracked. What should the nurse do?

Describe CATS(Couple Adaptation to Traumatic Stress) search strategies and results.

in paragraph format. A constant issue is health insurance. What would you say are the prime stressors on the existing system related to this issue and how do those factors tend to interact with the current system?How do they affect the system's ability to support the public health needs of the population?

How does an ADD calculation differ with carcinogenic vs. non-carcinogenic compounds? Please explain the rationale behind this.

BJ is an 8mos old Caucasian infant. He was born at 27 wk gestation weighing 1.2 kg to an 18yo single mother. His mother brings him into the office today for his routine immunizations. She is teary-eyed as she gives the history to DR. BJ continues to have significant head lag, never has rolled over and is unable to sit up. Recently, mom has noticed feeding difficulties during meals. When BJ's diaper is being changed, mom has noticed increased stiffening and scissoring of his legs at times. On physical exam, Dr. Feelgood noticed persistence of primitive reflexes. BJ continues to have a tonic neck reflex, and a persistent Moro reflex. BJ has not met any developmental milestones. Dr. Feelgood referred BJ and family for early intervention.

1. What fine and gross motor skills should an 8mos old achieve?

2. What suggestions can you give mom regarding feeding BJ?

BJ is now 14mos old and weighs 8 kg and has been diagnosed with spastic cerebral palsy. He is unable to meet any of his developmental milestones. He continues to go to the multidisciplinary CP clinic. His spasticity continues to increase and the clinic recommended that a baclofen pump be inserted intrathecally. BJ has also developed seizures.

3. What fine and gross motor skills should a 14mos old achieve?

4. What is a baclofen pump? How does the drug baclofen help reduce spasticity?

5. What other drugs are given to reduce spasticity?

6. BJ has been prescribed Tegretol for his seizures. The drug book states 10 - 20 mg/kg/day divided twice a day. The physician orders Tegretol 70mg BID. Is this safe?

7. The early intervention clinic is multidisciplinary and offers many services. What providers and services would be useful for a child with cerebral palsy?

8. What are mom's unique psychosocial needs as an 18yo single mother of a child with a chronic disability. What are some interventions that could better support mom?

What is one concern of healthcare professionals with radiation safety?

From the perspective of Joanne Duffy’s quality-caring model, describe the intention of the professional nurse.

Should preparation for childbirth be required for all women?

Should pregnant women be restricted in their access to tobacco, alcohol, or drugs?

1) equity, inequality, and health disparity lens” to global health concerns. List three concerns and provide an example for each.

2) Provide at least two examples showing how income has an impact on health.

Download a research article on the topic about problems on measles, german measles and chicken pox (choose one) in the Philippines especially or anywhere else in any internet site. Submit a 200-300word essayreflection.

Describe the phenomenon of autonomic dysreflexia, the signs and symptoms, and management of the condition in an adolescent with spinal cord injury.

What issues could you see arise with parents or caregivers in regards to this condition when caring for the child at home

Diana is a healthy 35-year-old G5 P5 who delivered an 8 pound, 6-ounce baby girl vaginally with an intact perineum. Her EBL was 500 mL. During the fourth stage of labor her vital signs, fundus, and lochia was WNL. She is transferred to the mother-baby unit 3 hours after birth.

1. What is the postpartum period?

2. What is the process of uterine involution after childbirth?

3. How is postpartum hemostasis achieved?

4. After the report, the nurse goes in to assess Diana. Her vital signs are WNL but her fundus is 2 cm above the umbilicus and displaced to the right. Her sanitary pad is completely saturated with lochia rubra. Is this an expected finding 3 hours after birth?

5. The nurse asks Diana to dangle her feet at the bedside for several minutes. After confirming that Diana does not feel dizzy or lightheaded, she helps Diana up to the bathroom to void. Why does the nurse think that Diana’s bladder is full?

6. When Diana first gets out of bed, she has a gush of blood.s this a sign of hemorrhage? What would be the uses and contraindications for administering methylergonovine?

7. Diana voids 500 mL of urine. Her fundus is boggy but became firm with massage and is now at the level of the umbilicus. Her lochial flow is slightly decreased. Diana has an IV of LR with 20 units of oxytocin infusing at 125 mL an hour. What else can the nurse do to help Diana’s uterus contract?

2) For the following examination types, what mode(s) and probe (type and frequency range) should be used? Explain why:

a. Thyroid

b. Gall bladder

c. Echocardiogram

What are a few concerns of healthcare professionals with radiation safety? Discuss them.

Examples include:

• Qualifications of personel operating equiptment- should they be licensed?
• Multiple exams (elective vs necessary)
• Repeat Exams
• Exams performed on pregnant patients/ children
• Dose limits and reporting