On administration of the Mini-Cog test to an older adult, the client is

asked to draw a clock showing the time of 10:45. The client drew the

clock with the numbers out of order and the incorrect time. What does

this finding indicate?

Give 5 examples each of the following:
1. Inspection
2. Palpation
3. Percussion
4. Auscultation

For health assessment class. Thank you

Brief Patient History:
Mr. C is a 38-year-old Hispanic male admitted to the intensive care unit from the emergency department (ED) in hypovolemic shock. Mr. C was initially diaphoretic, unresponsive, and pale with a blood pressure of 70 systolic. After fluid resuscitation in the ED, his blood pressure increased to 90 systolic and responsiveness was restored. Mr. C is a migrant worker from Mexico who speaks limited English and is married with four children. All family members live in Mexico, except his uncle. Mr. C?s uncle verbalizes that his nephew has been complaining of severe abdominal pain for the past few days, with frequent episodes of nausea and vomiting.

Clinical Assessment:
Mr. C is in a fetal position, complaining of nausea and intolerable knifelike abdominal pain, radiating to his back. A physical examination reveals that Mr. C is restless, obeys commands, and moves all extremities. Bilateral breath sounds are diminished with bibasilar crackles, S1 S2 without murmur, and capillary refill greater than 3 seconds, and peripheral pulses are 1+. Abdomen is distended and tenderness and guarding, hypoactive bowel sounds, and tympany are noted. Trousseau?s sign (carpopedal spasm with inflation of blood pressure cuff) and Chvostek?s sign (muscle spasm of the face with tap on facial nerve) are present. Skin is cool, pale, and dry. IV fluids are Ringer solution at 200 mL/hr and Foley catheter draining amber urine at 20 mL/hr.

Diagnostic Procedures:
Mr. C?s vital signs include blood pressure of 92/68 mm Hg, pulse of 122 beats/min that is thready and weak, respiratory rate of 26 breaths/min, temperature of 100.8° F, and SpO₂ of 92% on O₂ at 4 L per nasal cannula. His arterial blood gasses are: pH of 7.48, PaO₂ of 80 mm Hg, PaCO₂ of 48 mm Hg, HCO₃ level of 38 mEq/L. He has an O₂ saturation of 95% on an FIO₂ of 36%.

Diagnostic values for Mr. C are as follows:
WBC, 19,600 units/L; hematocrit (Hct), 48.3%; hemoglobin (Hgb), 11.6 g/dL;
blood urea nitrogen (BUN), 18 mg/dL; serum creatinine, 1.2 mg/dL; serum glucose, 220 mg/dL; serum amylase, 280 Somogyi units/mL; serum lipase, 13.5 Somogyi units/mL; serum sodium, 140 mEq/L; serum potassium, 2.9 mEq/L; serum calcium, 5.8 mg/dL; serum albumin, 2.8 mg/dL; serum magnesium, 0.9 mg/dL; serum C-reactive protein, 140 mg/dL; and serum lactate, 3 mmol/L.

Medical Diagnosis
Acute Pancreatitis/Ranson criteria of 4

1. What major outcomes do you expect to achieve for this patient? (7 major outcomes)

2. What problems or risks must be managed to achieve these outcomes? (Hint: 6 potential problems in the form of nursing diagnoses and identify how you would address the nursing diagnosis)

3. What interventions must be initiated to monitor, prevent, manage, and eliminate the problems and risks identified? (6 answers)

4. What interventions should be initiated to promote optimal functioning, safety, and well being of the patient?

5. What possible learning needs would you anticipate for this patient?

6. What cultural and age-related factors may have a bearing on the patient's plan of care?

Which item would be considered a material cultural characteristic

What is your evaluation of the health industry’s need for leadership today and into the next decade? Which specific leadership knowledge, skills, and abilities are particularly important today? (must be atleast 300 words response)

You are an injury prevention official for the local public health department, and you have received a call from a group of parents who are concerned about the pedestrian safety around their kids’ school. Describe how you would use the public health approach to address this issue. Be sure to describe each stage of the public health response and how you would approach each for this particular issue.

Describe the benefits of patient education prior to surgery?

This activity will provide an overview of your initial client assessment. I want you to approach a certain member of a family or housemate and observe and take note on the following:

1. over-all appearance
2. level of consciousness
3. facial features and expressions
4. demeanor and affect
5. Posture
6. Gait
7. Motor activity
8. Speech
9. Skin color and lesion
10. Dress and personal hygiene
11. Skull
12. Face
13. Eye Structures
14. Visual Acuity
15. Ears

How do health care providers (not just physicians) access prescription drugs that are used to feed their addiction?

Explain the following terms in relation to antibiotic therapy
1) Identification of the infecting organism
2) Drug susceptibility
3) Host factors
4) Empiric Therapy