In: Nursing
In: Nursing
i need a rebort about nursing care plan for patients
with high temperature
solve it that i can copy it not on paper
please solve it as soon as
solve it quickly to get you thumbs up directly Thank's Ahmed
Bader
In: Nursing
One of the most predictable effects of the expansion of technology is that healthcare costs have increased tremendously. Select one disease case and discuss the cost of this disease in a chronic management system. Add references to support your selection.
In: Nursing
WRITE seven NANDA nursing diagnoses AND DEVELOP 3 NANDA PRIORITY NURSING DIAGNOSES FOR POLYCYSTIC OVARIAN SYNDROME
In: Nursing
At the end of each unit, DB participation is assessed based on level of engagement and the quality of the contribution to the discussion. DBs allow learners to learn through sharing ideas and experiences as they relate to course content. Because it is not possible to engage in two-way dialogue after a conversation has ended, no posts to the DB are accepted after the end of the unit. Learners must demonstrate an appropriate depth of understanding of course content to receive credit for having submitted substantive posts. Typically, this is achieved with 3–4 strong paragraphs for Main Posts and 2–3 strong paragraphs for Response Posts.
Part of successfully implementing a strategic plan is involving everyone in the organization in the plan. You work as an admission coordinator for an assisted living facility that just enacted its 5-year strategic plan. However, no one has communicated any of the components of the plan to any departments, including yours. Instead, management has chosen to include only senior-level management.
What do you think of this implementation approach?
Do you think it will be an effective strategy? Why or why not?
What would you do differently to ensure the successful implementation of the assisted living facility's strategic plan?
Direct your comments specifically to an assisted living facility's characteristics and how a strategic plan might be implemented in such an organization.
In your own words, post a substantive response to the Discussion Board question(s) and comment on other postings. Your response should address the DB question(s) and move the conversation forward. You will be graded on the quality of your postings, including mastery of the concept as well as critical thinking. If asked for your opinion, do not simply state that it is a good or bad idea; elaborate on your reasons and argument. Include enough detail to substantiate your thinking as well as your position on the questions or comments.
In: Nursing
In: Nursing
Gentamicin 1,390 mg IV once a week for 7 weeks is ordered, to infuse in 100 mL over 30 minutes. The patient is 155 cm tall and weighs 45 kg. The recommended dose is 1,000 mg/m2 once weekly for up to 7 weeks.
a). Is the prescribed dose safe?
b). At what rate will you set the pump in mL/h?
In: Nursing
How would you employ longitudinal data on fecundity, health and longevity in a large cohort of humans to test the antagonistic pleiotropy hypothesis of senescence? Specify your hypothesis and how you would test it in 200 words or less
In: Nursing
A 49 year-old Hispanic female came into your 24-hr Emergency care clinic complaining of purpuric lesions on her left and right ankles. She stated that she was being treated for rheumatoid arthritis with leflunomide and steroids.
1.What is your initial differential diagnosis? Give at least three. You begin to take a patient history and review of symptoms. She is originally from Venezuela but moved to the United States before Hugo Chavez and Nicolas Maduro came to power, and she has not returned in over nine years. She has lived in South Texas for eight years with her husband and two children. She is not on blood thinners such as warfarin (Coumadin). She denies use of alcohol, tobacco, or illicit drugs. She lives in near the bay but states she has not gone to the beach or been on the water for over five weeks. She has not eaten raw seafood in the last four weeks. She denies any known drug allergies
2a. What conditions might you now exclude?
2 b. Why can you exclude these? The patient had rhinorrhea and myalgia. She stated she had no sore throat, shortness of breath but a sporadic cough, felt no fever or chills, no nausea, vomiting or diarrhea, no abdominal pain, no leg swelling or pain in the extremities. Examination revealed temperature of 38.1°C, heart rate 106 beats per min, BP 126/68 mm Hg, respiratory rate 16 breaths per min, and oxygen saturation of 98%. Lungs were clear on auscultation. Her White blood cell count was 4600/microliter (normal 4500-11,000) lymphocyte count was 700/microliter (normal 1000-4800). Her electrolytes, kidney and liver function tests were within normal range.
3a. Do these findings allow exclusion of some of the differential diagnosis possibilities, and suggest some other possibilities?
3b. What other tests would you perform? The patient was given nucleic acid amplification tests for COVID-19, influenza A, and respiratory syncytial virus—all were negative. She was sent home with fluticasone nasal spray, with the diagnosis of sinusitis. She returned two days later, complaining of shortness of breath. Her oxygen saturation had decreased to 94% .
4. What possibilities must now be considered? List at least four. Radiography of the chest revealed a 5 cm mass in the left lower lobe. A CT scan revealed ground-glass opacity, and some left hilar lymphadenopathy.
5. What conditions from question 4 should be included? Patient now had a temperature of 39oC, complained of a productive cough with green sputum, weakness, nausea and vomiting. The heart rate now increased to 115 beats per minute, BP was 138/85 mm Hg. Auscultation revealed crackles in the left lower lobe. Oxygen saturation dropped to 92% within the two hour wait in the emergency room.
6.a. What are the most likely conditions the patient could have?
b. What should your next steps be with this patient? 2 pts c. What is your final diagnosis?
In: Nursing
List the stages of prevention in clinical practice and the stages in public health. Define each and explain the similarities and differences between each level of prevention in public health and its similar stage in clinical treatment. Why are there differences between public health prevention and prevention in clinical treatment?
In: Nursing
3. What are the primary components of health policy? How are each deployed and assessed?
In: Nursing
A 10-year-old boy presented to a new pulmonary physician for evaluation. His mother stated that his primary condition was asthma. He had developed respiratory symptoms at 2 months of age, had been seen by many specialists, and had been on multiple medications since that time. The pregnancy was uneventful. When he was 2 months old, he developed a recurrent cough. He was started on albuterol and then, at 6 years of age, switched to levalbuterol hydrochloride. At various times he has also been treated with cromolyn sodium, fluticasone proprionate and salmeterol, and montelukast as well as with a short course of prednisolone for exacerbations. His last course of oral steroids was 9 months ago. The hallmark of his illness was that a cold would always trigger his asthma. He had approximately one emergency department visit per year, but he had never been hospitalized. His asthma symptoms would typically worsen with the weather changes in the spring and fall; the cold winter months were often particularly difficult. In addition to his asthma, his medical history was remarkable for several events of otitis media, seasonal mold allergies, occasional headaches, and croup. One or more of the events occurred about three times a year, lasting approximately 3 days for each episode. His current medications include 1 inhalation of com- bination fluticasone proprionate and salmeterol in the 250/50 strength twice daily and 2 to 4 inhalations of levalbuterol as needed. This visit was scheduled in the hopes of decreasing this child’s episodes of illness, assessing the current medication regimen, and discussing new treatment opportunities.
What role does fluticasone proprionate and salmeterol serve in controlling this child’s asthma symptoms?
In: Nursing
Nicole had been coding inpatient accounts for many years. She
was not certified but was the “go‐to”
coder for any questions from her colleagues. She was encouraged
many times to take her certification
test, but she knew how she felt about tests – she had a great
disdain for anything timed! One day,
her manager, Vickie, told her she needed to take her test within
the next three months as the hospital
was now requiring certification of all coders working for them.
Nicole signed up to sit for her Certified
Coding Specialist (CCS) test. She studied a little. She was sure
she knew the answers to the questions.
The more she studied, the more anxious she became. On the day of
the test, she worked hard at
keeping her anxieties and fears under control. When she started to
take the test she was
overwhelmed. She finished the test to the best of her knowledge.
When Nicole walked out of the
testing center, she had her results – she failed.
1. If you were Nicole's manager, what would you suggest she do
prior to taking the exam?
2. What resources should she use for studying?
3. If you were Nicole's close friend and fellow coder, and she told
you she failed the exam, what would
you tell her? What would you suggest?
In: Nursing
In: Nursing