Discuss the advantages and disadvantages of breastfeeding. Do you believe that all children should be breastfed for at least some period of time? Why or why not.
In: Nursing
legal Responsibilities: Teaching About Declining Resuscitation(Active Learning Template: Basic Concept)
Related content:
underlying principles:
nursing interventions:
In: Nursing
1. If a Tagamet 300mg / 150ml is administered intravenously at a
rate of 25mg per hour. How
much will have been administered in mg and ml after 7 hours.
The maximum daily dose of APAP allowed for an adult is 3g. They can
be administered at
frequencies of 6 to 8 hours. If a child who is 6 years old were to
take acetaminophen for fever
every 6 hours, what would the corresponding mg dose be?
For a 35 year old adult the average dose of Augmentin is 875mg
every 12 hours. What will the
daily dose be for a child weighing 44lbs?
The dose of dexamethasone for children is 0.08mg-0.3mg / kg /
day divided into 6 or 12 hour
intervals. For an infant who weighs 17lbs, calculate:
a.Day dose (maximum and minimum)
b. Dose at 6 hour intervals
c. Dose at 12 hour intervals
In: Nursing
What were the cultural freedoms embraced by the counter-culture movement? How did this reflect a change in American values?
In: Nursing
Hyperglycemia is commonly associated with freqent _________.
Group of answer choices
heart rate irregularities
dizziness
nausea
urination
True or False: Linolenic acid (i.e., Omega 6) is the larger portion of the average intake for essential fat in comparison to alpha-linolenic acid.
Group of answer choices
True
False
What part of a grain seed is highest in fat?
Group of answer choices
bran
kernel
germ
endosperm
In: Nursing
In: Nursing
How do I do a nursing care plan with this case scenario?
Mrs. Rose is a 51- year- old female who is admitted to the medical surgical unit following a resection of the sigmoid colon and rectum due to a cancerous growth. She has a colostomy.
Mrs. Rose is married, has three children - two daughters, age 29 and 26, who are living on their own approx. 2 hours away and a son, age 20, who is in university and living at home.
Mrs. Rose had been in good health until January of this year when she noticed a decrease in appetite, abnormal bowel movements, varying from small hard stools to loose watery stools, and a sudden drop in weight of 9 lbs over 4 weeks. Mrs. Rose stated she had not been on a diet, had always struggled with her weight and was secretly elated when she began to lose weight with no effort.
Mrs. Rose is on a blood pressure medication and takes vitamin D and Calcium po daily. She has no known allergies.
Doctor’s Orders post operatively include:
Vital signs q4h
AAT – ambulate daily
Diet – clear fluids for 12 hours then soft foods with low sodium
IV Normal Saline at 100 cc/hr
Medications:
Norvasc 5mg po OD
Calcium / Vitamin D supplements as per routine
Clean area around stoma 2x daily
Consult to Enterostomal therapy
Morphine 2.5 mg IV every 2 hours prn
Gravol 50 mg po q 4 hr prn
You are assigned total patient care for Mrs. Rose. She is now 19 hours post- operative. When you approach Mrs. Rose and introduce yourself, she nods but does not respond.
The patient has an IV #20 intercath infusing in the left forearm of Normal Saline at100 cc/hr.
She has a stoma protruding from the left side of the abdomen.
A stoma bag is covering the stoma and attached to the skin surrounding it.
During your initial assessment, Mrs. Rose begins to cry and says: “I can’t believe this is happening to me.” While you are providing personal care Mrs. Rose covers her head with the sheet.
You examine the stoma, note that it is pink and oozing liquid stool into the stoma bag. You inform Mrs. Rose that the incision site is very clean and looks healthy. Mrs. Rose refuses to look at the stoma and tells you “I do not want to hear anything about this.”
A liquid diet was initially ordered but now soft foods have been ordered for Mrs. Rose. Mrs. Rose refuses the tray stating, “I’m not hungry.”
Mrs. Rose’s husband and son arrive after breakfast and are very concerned and attentive over her. She smiles and asks them several questions about their work and university. Her daughters will be arriving later in the day.
You explain to Mr. Rose that it is important to ambulate daily (as per Dr Orders) and that he and their son can certainly be there and assist. Mrs. Rose tells you she is in too much pain to get out of bed and perhaps it is better that her husband and son go home and come back later. You ask Mrs. Rose about the intensity of the pain. She says it is 7/10.
Later that day, Mrs. Rose appears flushed and you note the following assessment findings:
Temp 37.9,
HR 87,
BP 153/87,
R 20,
O2 saturation per pulse oximetry-100% on room air.
The skin around the stoma is red and appears irritated, the stoma is still pink, and draining a very soft slightly formed stool.
In: Nursing
⦁ The collaboration between Lotus Compassionate Care
and the organisation that provides professional interpreting and
translating services has been finalised and will start next week.
As head of the committee responsible for establishing this
collaboration, it is your task to formally announce its launch to
all relevant parties of the collaboration.
To complete this task, fill up the Lotus Compassionate Care Memo
Template below. This memo will be distributed to all collaboration
members, which includes the following:
a. the staff of Lotus Compassionate Care, and
b. the staff of the organisation providing professional
interpreting and translating services.
Your memo should have the following information:
⦁ a subject heading that clearly and concisely
describes the memo’s content (e.g. New Professional Interpreting
and Translating Services for Non-native English Speaking
Clients);
⦁ Lotus Compassionate Care’s current lack of access to
professional interpreting and translating services for non-native
English speaking clients;
⦁ Lotus Compassionate Care’s policies and practices for
caring for non-native English speaking clients;
Guidance: You may refer to the case study scenario or the Lotus
Compassionate Care Staff Handbook for these policies and
practices.
⦁ the lack of access to professional interpreting and
translating services, and the policies and practices for caring for
non-native English speaking clients as the basis for the
collaboration;
⦁ a brief introduction of the organisation that offers
professional interpreting and translating services;
⦁ the start date of the collaboration, its duration,
and the services that are part of the collaboration; and
⦁ what staff should do if they have a non-native
English speaking client during the collaboration.
Also, ensure that your memo follows Lotus Compassionate Care’s
policies for privacy and confidentiality and documentation which
includes:
⦁ Staff are not to disclose or discuss any information
about a client without the necessary authority except where it
relates to their daily care of that individual during their
work.
⦁ Staff should put a date on all types of written
documentation.
⦁ Written documentation should be objective and use
understandable language (only use abbreviations approved by the
Lotus Compassionate Care).
⦁ Written documentation should be concise, accurate,
and factual.
⦁ Information should be presented in a logical
order.
⦁ The author of a written documentation should put
their name, status, and signature in the written documentation.
For the purpose of this assessment, the start of the collaboration is on 18 April 20xx, where 20xx is the current year, and it will end on 21 April 20yy, where 20yy is two years from the current year.
Memorandum
To:
From:
Date:
Subject:
In: Nursing
Please write a discharge plan for the following patient.
Make sure to Include:
-Explanation of diagnosis
-Follow-up plans after discharge
-Resources for questions, concerns or needs (i.e. Home health, physical therapy, counseling etc.)
-Medications
-Nutrition
-At least one other area of pertinent information for the patient to have a successful discharge from the unit, and prevent readmission (you get to choose this).
Ms. Kate a 76 year-old female who was admitted from the emergency department with a diagnosis of Right Cerebra Vascular Accident. Her Past Medical History includes: hyperlipidemia, hypertension, osteoarthritis, and osteoporosis.
Neurological: left-sided weakness for the past 2 days, awake, alert, and oriented to person, place, and time. Denied swallowing difficulties, no visual defects and denied pain. Medications: Aspirin 81mg per oral daily; Tylenol 650mg per oral when necessary for pain;
Cerebral vascular and pulmonary: Placed on a cardiac monitor, findings indicated normal sinus rhythm. Vital signs taken every 4 hours, pulse 82; blood pressure 168/64; respirations 20. Lung sounds were clear to auscultation bilaterally. Oxygen Saturation on room air 97%.
Gastrointestinal: Abdomen soft, non-tender, not distended, positive bowel sounds. Bowel movement present
Genitourinary: Voids freely, requiring assistance to the bathroom. Output approximately 1000ml/day. Brief episode of dysuria on admission. Integumentary: skin intact, no lesions noticed
Musculoskeletal: Active range of motion right side; limited range of motion on the left side; required assistant to get into a wheelchair. History of recent balance problems.
Psychosocial: lives with daughter in a two story home; occupation: retired teacher
In: Nursing
What is the current state of Abortion and HOW and WHY is it impacting Americans Lifes
In: Nursing
In: Nursing
Benefits of Electronic Health Records in a Rural Critical Access Hospital
Imagine that you are the administrator of Sierra Vista Hospital.
In: Nursing
1. Discuss factors that can precipitate a sickle cell crisis.
2. Create a care plan for the patient presenting in sickle cell crisis.
3. Create an education plan for the patient being discharged following hospitalization for sickle cell crisis.
In: Nursing
1. Describe the initial postoperative management of the nephrectomy patient and discuss collaborative management designed to prevent complications?
2. What is the purpose of a bulb-type surgical drain? How does it work?
Discuss the expected drainage amount and characteristics in a surgical drain immediately postoperatively.
3. What are the nurse’s responsibilities to the family?
In: Nursing
Health problems of family members
The father has a chronic cough. Smoking (10 per day)
The mother's menstrual bleeding is irregular. She's afraid of getting pregnant again. He does not use a family planning method.
10-year-old child (girl) has very low school success, has no appetite and is poor (weight and height percentile 5%).
8-year-old boy has asthma. The family takes the child for control every 6 months (weight and height percentile 25%).
7-year-old boy healthy (weight and height percentile 10%).
5-year-old boy often gets bronchitis. When there is bronchitis, he has fever and cough (weight and height percentile 25%).
Develop a education material for each member of family ( presentation / brochure / poster / etc.) suitable for the health education subject you have planned
In: Nursing