What can you tell me about valproic acid? Who should not take this drug? Is there any specific monitoring that should be done?
In: Nursing
Is the value of providing universal health coverage great enough to incur the cost of care to the uninsured? Or, are the uninsured of less value to society than the insured? What are society's obligations, if any, if someone decides not to purchase health insurance, but then falls seriously ill or is involved in a catastrophic accident? What are the obligations if their uninsured child needs care, if any?
This is for a discussion post. Please provide 125 words in your response. Thanks in advance.
The last idiot stated United States has a Universal Health Care system! We don't! And we have several people uninsured still! Please answer the question correctly!
In: Nursing
what are the consequences of decreased dopaminergic tone in the striatum on the excitation status (eg. increased or decreased inhibition) of the projection neurons that arise from the subthalamic nucleus and Substantia Nigra and how does dopaminergic receptor agonists and antagonist treatment affect those neurons?
In: Nursing
Topic: Non traditional approaches for management of type 2 diabetes mellitus:
PICO Worksheet and Search Strategy
Define your question using PICO: Population, Intervention, Comparison, and Outcome.
Population: __________________________________________________________________
Intervention: __________________________________________________________________
Comparison: __________________________________________________________________
Outcome: __________________________________________________________________
Write out your question: _______________________________________________
______________________________________________________________________________
List the main topics and terms from your question that you can use to search.
_____________________________ _____________________________
_____________________________ _____________________________
Check any limit that may pertain to your search:
__ Age __ Language __ Year of publication
Type of study/publication you want to include in your search: (From Step 2 of tutorial)
|
__ Systematic Review or Meta-Analysis __ Clinical Practice Guidelines __ Critically Appraised Research Studies |
__ Individual Research Studies __ Electronic Textbooks |
Check the databases you searched:
|
__ Cochrane Library __ Joanna Briggs |
__ CINAHL with Full Text __ PubMed Clinical Queries |
What information did you find to help answer your question?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
In: Nursing
How has the relationship between the government and the managed care industry changed over the years? Discuss and describe managed health care today.
In: Nursing
List 5 mechanisms that drugs may target inorder to interact with neurotransmitter levels acting on the synapse (either to increase or decrease these neurotranmitters) and list 5 types of receptor interactions (receptor type-subtype/agonist or antagonist action) that lead post synaptic inhibition of a neuron.
In: Nursing
As Cindy’s HIV infection progresses, what symptoms might she exhibit?
In: Nursing
A 66 y/o female comes to the outpatient cardiac unit to have an exercise stress test performed in lieu of recent episodes of chest discomfort. She has a history of mitral valve regurgitation, hypertension, hyperlipidemia and tobacco use. Prior to the procedure, she presents with BP 145/89, HR 106, Temp 98.6℉, O2 sat 95%, RR 20. While on the treadmill, she develops chest discomfort and her EKG shows a ST elevation on at least two (2) contiguous leads.
1. What is your first action? Explain your rationale.
2. List 3 interventions you would implement in this situation. Explain your rationale.
3. What is the likely diagnosis? Explain your rationale.
4. This patient is likely to be admitted for further diagnostics. What diagnostic procedure(s) do you foresee being ordered? What information relevant to the client can be gained from the diagnostic procedure(s)?
5. How is a history of mitral regurgitation influential in this case?
6. Is this patient at risk for heart failure? Explain your rationale.
7. List 3-5 differences between left and right heart failure?
In: Nursing
Select a professional or specialty nursing association. What impact has this organization had on health care legislation in the past 2 years?
In: Nursing
1.What are the indications for the following variations of wheelchair components?
a. Desk-length armrests
b. Full-length armrests
c. Adjustable-height armrests
d. Elevating legrests
e. Footrests
2.How does a tilt-in-space wheelchair differ from a reclining-back wheelchair?
3.How is an amputee wheelchair frame different from a standard frame?
In: Nursing
Missy Saul, a 22-year-old female client, is experiencing a severe headache, photophobia, and has nuchal rigidity. The client has positive Kerning’s sign and Brudzinski’s s sign, which further supports the medical diagnosis of meningitis. The vital signs are T, 102°F; BP, 100/70 mm Hg; HR, 122 beats/minute; RR, 28 breaths/minute. The client is in droplet precautions because the nasal and oral secretions are infectious. The LPN/LVN needs to assist the neurologist during a lumbar puncture and send specimens to the lab to determine if the client has bacterial meningitis and to determine what antibiotics will be most effective to treat the infection.
a. What should the nurse explain to the client before the procedure?
b. Explain the nursing management needed during the procedure and after the procedure
c. What is Kerning's sign and what is Brudzinski's sign?
d. What are photophobia and nuchal rigidity? How does this relate to Meningitis?
3. Explain the difference between viral and bacterial meningitis. Which is more concerning?
In: Nursing
Barbara Smith, a 77-year-old female client with a
history of chronic obstructive pulmonary disease (COPD) and lung
cancer, still smokes occasionally and is admitted to the hospital
with bilateral pneumonia in the lower lobes. She stated that she
watches her two grandchildren ages 5 and 7 years in her home before
and after school. She stated that both had recently had some sort
of upper respiratory infection with fever, coughing, and sneezing.
She attends a large church regularly that has a meet and greets
time when everyone shakes hands with each other. She reported that
several church members have been sick with the flu recently. The
nurse is concerned when reviewing the electronic medical record
that the client has no records of receiving immunizations for
pneumococcal pneumonia or influenza. All other immunizations are
up-to-date.
1. Ms. Smith has pneumonia. What in this case study
makes her at risk for pneumonia? List and explain at least 4 risks
specific to this case.
2. What are the nursing interventions used to treat
a client with pneumonia? Please include at least 4 nursing
interventions. DO NOT DISCUSS MEDICATIONS.
a. For each nursing intervention listed, explain
why it is appropriate for Ms. Smith.
3. What is the guideline Ms. Smith should follow
regarding getting immunized for flu and pneumonia?
a. Should she be vaccinated? Provide a rationale
for your answer.
4. What lifestyle changes should Ms. Smith make to
reduce her risk for pneumonia and to manage her COPD? Provide at
least 3 lifestyle changes. Also, provide a rationale for the
suggested
In: Nursing
In the current business environment, industries are using the four management functions to deal with consistent change. Your role in this question is to assess how each of the four management functions are working (or not working) in either the entertainment or healthcare sector. You must use specific examples to highlight your understanding of each function and its applicability.
In: Nursing
You are caring for a patient who has been admitted to the coronary care unit for chest pain unrelieved by nitroglycerin and to rule out myocardial infarction. He is placed on a continuous electrocardiogram (ECG) monitor. What are other tests that can be used to determine whether a Myocardial Infarction (MI) took place? What is the difference between an MI and Congestive Heart Failure?
In: Nursing