Questions
CJ is a 16-year-old high school student who is in the clinic for a sports physical...

CJ is a 16-year-old high school student who is in the clinic for a sports physical prior to beginning basketball practice. He has no known significant medical history, takes no medications, and has no allergies. Subjective data reveal only that CJ is short of breath earlier than most boys on the team. He attributes this to needing to get into better physical condition. The physical is unremarkable except for a grade III systolic murmur heard over the entire precordium. An echocardiogram and cardiac catheterization reveal a ventricular septal defect (VSD) with moderate pulmonary hypertension.

Discussion Questions:

  1. A VSD is usually an acyanotic defect. Why is this?
  2. What is the mechanism of pulmonary hypertension? What may result if it is prolonged?
  3. What other disorders besides VSD can produce a systolic murmur? How can character of the murmur and pattern of radiation be used to differentiate among the etiologic factors?
  4. Is it necessary to close a VSD? What are the common complications of untreated VSD?

In: Nursing

Analyzes the role of communication and communications strategies in both creating and resolving an issue in...

Analyzes the role of communication and communications strategies in both creating and resolving an issue in health care, with consideration of how theory or best practices could be applied for improved outcome

In: Nursing

Discuss when and how nurse leaders and staff nurses could participate during the Health Information System...

Discuss when and how nurse leaders and staff nurses could participate during the Health Information System (HIS) selection process. Please provide specific examples.

In: Nursing

Cost Effectiveness Efficacy, Patient Satisfaction of LTC systems for Home health care, Nursing homes, hospice care,...

Cost Effectiveness Efficacy, Patient Satisfaction of LTC systems for Home health care, Nursing homes, hospice care, Home-Delivered and congregate meals, and Adult foster care

In: Nursing

Evaluates health care leaders’ ability to manage and prioritize leadership responsibilities to resolve issues, with reference...

Evaluates health care leaders’ ability to manage and prioritize leadership responsibilities to resolve issues, with reference to theory or best practices

In: Nursing

A patient arrives at the office for an appointment and you that he has been recently...

A patient arrives at the office for an appointment and you that he has been recently diagnosed with epilepsy.  When he arrives for his appointment, he says he’s not feeling quite right and he begins to seize.  The front desk immediately gets the medical assistant. What actions should the MA take immediately and why?

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The RN is developing a plan of care for a 35-year-old female, newly diagnosed with breast...


The RN is developing a plan of care for a 35-year-old female, newly diagnosed with breast cancer. Assessment findings include: the patient is teary and states, “I haven’t been sleeping since the diagnosis.” The patient doesn’tmake eye contact, has difficulty sitting still and her voice is trembling. Her mucous membranes are dry and she says she has not had an appetite. She says, “I don’t know if I am going to need surgery to remove my breasts. I don’t know how it will make me feel or look”.

  • Develop a 3-part actual nursing diagnostic statement, related to therapeutic communication, stress and adaptation OR patient teaching. Use the patient data in the scenario, including the problem, etiology and symptoms.
  • Develop a patient specific, measurable outcome with a time-frame, appropriate for your chosen diagnosis and this patient.
  • Explain why this diagnosis is a priority for this patient.
Nurses cannot use medical diagnosis such as breast cancer in a nursing diagnosis as nurses are not doctors and cannot medical diagnose. Other answer for this are incorrect. The diagnosis of breast cancer cannot be used in the nursing diagnosis.

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What governmental, institutional, or private sector policies could enhance patient engagement and activation?

What governmental, institutional, or private sector policies could enhance patient engagement and activation?

In: Nursing

Question #1 How would you describe the CMS-HCC risk adjustment system? Does it use prior utilization,...

Question #1

How would you describe the CMS-HCC risk adjustment system? Does it use prior utilization, physiological, and demographic information to determine payment rates? How?

In: Nursing

The RN is developing a plan of care for a 35-year-old female, newly diagnosed with breast...

The RN is developing a plan of care for a 35-year-old female, newly diagnosed with breast cancer. Assessment findings include: the patient is teary and states, “I haven’t been sleeping since the diagnosis.” The patient doesn’t make eye contact, has difficulty sitting still and her voice is trembling. Her mucous membranes are dry and she says she has not had an appetite. She says, “I don’t know if I am going to need surgery to remove my breasts. I don’t know how it will make me feel or look”. • Develop a 3-part actual nursing diagnostic statement, related to therapeutic communication, stress and adaptation OR patient teaching. Use the patient data in the scenario, including the problem, etiology and symptoms. • Develop a patient specific, measurable outcome with a time-frame, appropriate for your chosen diagnosis and this patient. • Explain why this diagnosis is a priority for this patient.

In: Nursing

(a) If a person is deficient in Vitamin B6, what is the consequence? How does this...

(a) If a person is deficient in Vitamin B6, what is the consequence? How does this deficiency affect
amino acid metabolism?
(b) Briefly describe and explain what happens when there is a defect in phenylalanine metabolism.
(c) A patient presents with symptoms of blurred vision, tremors, and has difficulty speaking. Lab
tests reveal increased levels of ammonia and upon further questioning, you find out that he is an
alcoholic. What is wrong with this patient, and how will you as a nurse manage him?

In: Nursing

What self-imposed and environmentally imposed risks to younger adults can contribute to the development of respiratory...

What self-imposed and environmentally imposed risks to younger adults can contribute
to the development of respiratory conditions in later life?

In: Nursing

Explain the difference between a human right and human need. identify the relationship between rights and...

Explain the difference between a human right and human need. identify the relationship between rights and needs.

In: Nursing

Read the document “Organizing the Health Care Delivery System for Performance” and the 6 attributes they...

Read the document “Organizing the Health Care Delivery System for Performance” and the 6 attributes they feel are necessary for high performance. Choose one of the models of organizing for high performance and describe strategies that have proven effective in creating an integrated high performance health system within that model.

In: Nursing

Medical Coding: The Path and Lab section is a little more straightforward but still has terms...

Medical Coding:

The Path and Lab section is a little more straightforward but still has terms that you may not have seen before. Take a look at the following terms and provide an explanation on when to use each of them:

1. Panels

2. Pathologies

3. Drug Quantitative screenings

4. Drug Qualitative screenings

In: Nursing