Carlton Bates is a 62-year-old male with a family history of prostate cancer. He requested screening and his PSA level was 6.2 ng/mL. He chose to have a biopsy and is now meeting with an oncologist to discuss the results. The provider reports the biopsy was positive for malignancy: Stage 1, Gleason Score 5, classified as low risk, localized cancer. After listening to the options for treatment, Mr. Bates chooses active surveillance.

a. What measures are included in active surveillance for early, localized prostate cancer?

b. Why is this approach used with low risk patients?

c. What is a disadvantage of active surveillance?

You begin a shift in the long-term care facility by assessing a resident that has been there about 24 hours. The doctor states he wants their titers for IgG levels checked. This patient is 93 years old with pulmonary fibrosis and cardiomyopathy. Your facility has two bedrooms so the resident will be in a room with another resident. Question: Apply the concept of adaptive immunity to this person and its ability to protect them.

1.   Mr. Davis

The patient presents to the ER with recurrent headaches, fatigue, and blood pressure of 185/102. The patient is a long-time smoker, lead a relatively sedentary lifestyle, and has a BMI of 39. History of acid reflux. The patient is going to be kept for overnight observation and administer medications to help control his blood pressure.

Patient Blood pressure is taken just before transferring to the Med/Surg. Floor 156/87.

Nursing assistant taking the Vital signs: Temp 98.8, Pulse 101, B/P 178/98 this was just taken when the patient arrives at the floor.

The nursing assistant reports to the RN that the patient is complaining of chest pain.

With the patient information provided a NANDA Nursing Diagnosis and related to?

Discuss the value of nursing theory to the profession of nursing. Identify one way in which you could use nursing theory to improve your practice (present or future role).

A 9-month-old infant weighing 20 pounds comes to the emergency department with a 3-day history of vomiting, fever greater than 102.5 °F, and significant pain. Physical assessment reveals acute otitis media, for which the doctor prescribed amoxicillin 500 mg three times a day for 5 days and ibuprofen 2.5 ml every 6 hours. 1. How will you instruct the family member to safely administer the drugs?

Would you use UV light to sterilize a syringe packaged in a protective film? Why or why not?

1. Prior to starting measurement of vital signs it is important to assess for history of: Smoking, A/V Fistula, Mastectomy, and whether patient had recent hot/cold drink; and whether patient has finger nail polish. Explained the reasoning for assessment of each element.

1. Explain what the acronym “PQRST” means and phrase how you would ask the patient each letter of the pain assessment.

1. Explain how to take a temperature in the Tympanic Membrane vs Temporal

1. In your own words explain how to find the radial pulse on a patient. Name two other areas of the body where the pulse can be measured, and explain how you would find those pulses correctly.

1. How long should you count the heart rate for?

1. Explain how you would measure the patients’ respirations without letting them know you are doing it and risking inaccurate measurement.

1. Explain how to take a manual blood pressure using the two-step method. In your opinion is it more accurate to take a one-step or two-step blood pressure?

1. Fill in the blank:

____________________________ appropriate vascular access until consistent reading and/or waveform appears

1. Is it important to tell the patient what their vital signs were? Why or why not?

1. Once you have performed vital signs what must you do prior to leaving the patients’ room

A 9-month-old infant weighing 20 pounds comes to the emergency department with a 3-day history of vomiting, fever greater than 102.5 F, and significant pain. Physical assessment reveals acute otitis media, for which the doctor prescribed amoxicillin 500 mg three times a day for 5 days and ibuprofen 2.5 ml every 6 hours. 1) Prior to administration of amoxicillin, what must the nurse assess for? 2) If the dose of amoxicillin for a child under the age of 2 is 80 mg/kg/day in divided doses, is the prescribed dose safe? How do you know? 3) How will you instruct the family member to safely administer the drugs?

I need a replay comment to this answer: "Medicare is a federal health insurance program for people that are 65 and older or under 65 and disabled. Basic Medicare comes in two parts, A and B. Part A provides coverage for hospital stays. Part B provides coverage for doctor visits, and other outpatient costs. It is important because it helps pay for health care expenses that some of the elderly cannot afford. "

National Correct Coding Initiative (CCI Edits)        

INSTRUCTIONS: Review the following code pairs. Determine if you can bill together, assuming documentation supports it. If yes, which code is the second listed code? Make certain you add a modifier -59 to this code.

Show exactly how you would bill the code(s).

Code Pairs                                          Billable together (Y/N)                      How billed     

94010 and 94060

93000 and 92953

30100 and 30200

30801 and 30130

44950 and 50020

50040 and 51702

59400 and 59414

10080 and 10081

12031 and 12032

20610 and 26340

I need an answer for this question with the referance if you get the answer from a website:

Question: What is Medicare? Why is it important in our society? Who is entitled to it?

Discussion Topic: What is the primary cause of fatal ingestions in children younger than 5 years of age? Discuss button battery ingestion.

A 9-month-old infant weighing 20 pounds comes to the emergency department with a 3-day history of vomiting, fever greater than 102.5 F, and significant pain. Physical assessment reveals acute otitis media, for which the doctor prescribed amoxicillin 500 mg three times a day for 5 days and ibuprofen 2.5 ml every 6 hours. 1) Prior to administration of amoxicillin, what must the nurse assess for?

Case study: Nellie Snyder is a 38-year-old woman with breast cancer who is receiving radiation and chemotherapy. She is experiencing significant nausea and vomiting. Her oncologist orders ondansetron 8 mg IV to be administered 30 minutes prior to her chemotherapy and 8 to 16 mg PO every 8 hours as needed. She also receives metoclopramide 10 mg PO four times a day (30 minutes before meals and at bedtime).

1. Ms. Snyder is concerned about the amount of medication she is receiving. She asks the nurse to withhold her antiemetics until she actually vomits. What is the best way to respond to Ms. Snyder? (3 points)

2. Check Ms. Snyder’s ordered dose. Is it in the appropriate dose range? (1 points)

3. What adverse effects will you monitor for in Ms. Snyder after administering the ondansetron IV? (2 points)

Ms. Snyder is amazed at how fast the ondansetron works when it is given IV. She states that she is concerned when she starts taking it orally that it may not work as quickly.

4. What can you tell Ms. Snyder about when the oral form of ondansetron will take effect and when the action will peak? (2 point)

Dr Granger has ordered an EKG (Electrocardiogram )for Mrs Brown . Her insurance company requires a prior authorization for this procedure your coworker has completed the request form and explained each step