Should the government play a key role in aiding the uninsured and the vulnerable or should market forces determine who receives care and services when it comes to the population health status?
In: Nursing
John continues to become very agitated and is pacing back and forth. He is holding his incision and grimacing and appears to be in pain but refuses any medication, accusing the nurse of trying to drug him so that he can be kidnapped by the government. He is muttering to himself and says, “Tell that government agent to get out of my room!” 6. What is the nurse’s appropriate response to John’s hallucination?
In: Nursing
You are working at a bariatric center and a patient comes to you for pre-operative exercise counseling. Your role is to assess and counsel/ prescribe patients on exercise prior and post-surgery. With this, each patient must participate in at least 8 weeks of an exercise program prior to surgery. (10 points)
Patient Profile: the patient is 48 years old, weight is 345 pounds; BMI= 57 kg/m2. She had a recent oral glucose tolerance test result of 285 mg/dl, TC= 290 mg/dl; TG= 560 mg/dl; HDL = 19 mg/dl. She also has sleep apnea and is developing arthritis in both knees. She takes 120 units of Lantus (basal insulin); 25 units Humalog (rapid insulin) per 3 meals; 80 mg of Zocor; 100mg Atenolol; 1500 mg Niaspan and Valsartan 160 mg twice daily.
Her goal with the laparoscopic adjustable gastric banding surgery is to lose 200 pounds and discontinue all her medications. She is getting the surgery so she does not have to try another diet and fail. She also hates to exercise so having this surgery will help her avoid exercising to lose weight. However, she realizes that she has to comply with your 8 week program to get the surgery.
Is discontinuing her medications realistic? Explain..
In: Nursing
James, a 3-yr old has been diagonosed with lymphoblastic leukemia and will begin receiving chemotherapy with the mitotic inhibitor teniposide (Vumon) and the alklating agent Cyclophosphamide (Cytoxan) in the morning .
a. What special considerations are needed for a child James age who will receive chemotherapy?
Pharmacology question. Thanks.
In: Nursing
A physician has submitted a prescription for a catheter, however, they did not submit sufficient information on the prescription to process the order. How would you go about finding the missing information and correcting the order? Please describe your process in triaging these situations, including any research you would do to solve these issues, resources you would want access to, the scripts you may use in interfacing with these patients, and your plan and cadence of outreach. How would you go about ensuring that the same problem doesn’t happen again?
In: Nursing
Look up clindamycin in your drug handbook to determine an acceptable infusion rate and indicate over how many minutes you will infuse the clindamycin. Do not give a range .
In: Nursing
After reading the executive summary of the 2011 report “Kiskisik Awasisik: Remember the Children”, briefly explain why there is an over-representation of indigenous children in the child welfare system.
In: Nursing
Discuss the different ways of community reaction to agents of the disease invasion.
In: Nursing
you are the medical assistant working in a pediatric
clinic today you have a patient who has been diagnosed with steps
throat this little one will be prescribed antibiotics to be taken
over the next days how would this drug be classified and what
information regarding the drug would you want to give to the
patient's parent
In: Nursing
In emergency care unite, TPN prescribed to a patient weight 88kg. He needs the following macronutrient: 500 cc of 10% lipid fat – 48 g of protein using 10% amino acid solution and D70.
A) Calculate the total osmolality of the TPN.
B) How many grams of fat will be used?
In: Nursing
Therapeutic: Providing information, Clarifying, Focusing, Paraphrasing, Validation, Asking relevant questions,
Summarizing, Self-disclosure, Confrontation, Active listening, Using silence
Non-Therapeutic: Asking personal questions, Giving personal opinions, Changing the subject, Automatic responses, False reassurance,
Asking for explanations, Approval, or disapproval, Defensive responses, Passive or aggressive responces
In: Nursing
1- Understand the purpose of HAART Therapy in the treatment of AIDS.
2- Know albuterol and inhaled corticosteroids used to treat asthma, and their teaching points.
3- Antihistamines mechanism of action. Difference between generation one and two.
4- Mechanism of action for Colace, Lomotil, Pancrelipase, and Carafate.
5- Understand why we vomit, and the receptors targeted in anti-emetic therapy (treatment of nausea)
6-Understand what COPD is and what causes it.
7-Mechanism of action of antacids (Tums, Mylanta) and PPIs.
8-Medications for nasal congestion (allergic rhinitis), and cough.
9- Know lipid vs water soluble vitamins.
In: Nursing
Thesis statement. What age should children be allowed to have a cell phone?
Introduction. What she should children be allowed to have a cell phone?
In: Nursing
What significance does the case of Safe Water Standards and Monitoring of a Well Construction Program have regarding environmental and occupational public health? Explain your answer.
In: Nursing
1. Unknown bacteria #1
Gram-positive cocci
Smooth, yellow colonies
Growth, but not clearing or change on blood agar
Positive for urease production
Positive for gelatinase production
Bubbling produced when exposed to H2O2
Name: ___________________________________
2. Unknown bacteria #2
Gram-positive cocci (mainly diplococci and chains)
Encapsulated
Produces green halo around growth on blood agar
No color change with oxidase reagent
No color change in urea broth
Produces a yellow color in glucose, lactose, and sucrose phenol red tubes
Name: ___________________________________
3. Unknown bacteria #3
Gram-positive cocci
Encapsulated
No bubbling upon exposure to H2O2
VP negative
Produces a clearing around growth on blood agar
Facultative anaerobe
Name: __________________________________
4. Unknown bacteria #4
Gram-negative bacillus
Abundant white growth
Encapsulated
Positive for nitrate reduction
Simmons citrate agar turns blue
Bubbling produced when exposed to H2O2
Name:__________________________________
5. Unknown bacteria #5
Gram-negative bacillus
Creamy, mucoid, round colonies
Produces a green halo around growth on blood agar
Negative for all tests using SIM agar
No color change in nitrate test after adding reagents A and B plus zinc
TSI slant turns completely yellow
Name: ___________________________________
6. Unknown bacteria #6
Gram-positive bacillus
Abundant white, waxy growth
Clearing around growth on blood agar
Ferments mannitol with acid production
Green oval structures visible using endospore stain
VP negative
Name: __________________________________
In: Nursing