a nurse is monitoring a client during IV urography procedure. Which of the following client reports is the priority findings? a. metallic taste in mouth b. abdominal fullness c. feeling flushed and warm d. swollen lips

Case study evaluation of the pathophysiologic alterations that affect the neurologic and respiratory systems.

Case study: J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. J.S’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. J.S. was unable to lie down, and began to use accessory muscles to breathe. J.S. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. J.S. appears anxious and says that he is short of breath.

Vital signs

BP = 152/84                 HR = 124 bpm                RR = 42       Temp = 100.4⁰F

ABGs

pH = 7.31           PaCO₂ = 48            HCO₃ = 26    PaO² = 55

Focus:

Investigate the pathophysiology of asthma and the clinical manifestations of the disease. Analyze the case study provided and determine what symptoms support the diagnosis of asthma. Identify the treatment provided in the emergency department and determine what additional therapies are needed to mitigate the asthma symptoms and return the client to wellness.

1. Do you have any concerns with the numbers above?
2. Identify what may be causing (etiology) J.S. to have an exacerbation of asthma.
3. Outline the causes of asthma, the symptoms that the client presents and the management of the disorder.

(References are greatly appreciated if possible.)

The topic is Jehovah’s Witness RELATE THE TOPIC TO THE FOLLOWING . If a question is not clear to u dont answer and let someone else who understands answer. . CLEAR HAND WRITTING ONLY. •Wellness and disease prevention AND Illness and medications.

A minimum of one nursing intervention must be included for each of the above

A potential nursing intervention for each of the practices listed above.

PLEASE DO NOT COPY AND PASTE FROM THE NET THANK U

do not post a pic of the answer writtin on a peace of paper

Discuss the importance of confidentiality and Healthcare Insurance Portability and Accountability Act (HIPAA)?

desribe how acquired brian injury can affect the family

1- True or False? Doctor-led discussion groups are an example of a push strategy by pharmaceutical companies.

2- True or False? Riskier product purchases require that advertising be a greater part of the promotional mix of the seller over personal sales in order to continue to send messages reassuring the potential buyer that there is little risk of purchase.

3- True or False? For communication to occur, a message must be decoded by the receiver the same way it was encoded by the sender.

4- True or False? While pharmaceutical companies give free samples to physicians, research has shown it has little impact in increasing prescriptions for the product.

5- True or False? Gender of the physician has been found to have no effect on the patient–physician interaction.

from Surgical Technology for the Surgical Technologist: A Positive Care Approach, 5th ed.

A 32-year-old female patient complains of vague abdominal discomfort and a feeling of heaviness in the groin region. She has never been pregnant and is healthy, but has a family history of uterine cancer. The gynecologist's examination reveals that several irregularly shaped nodules that are firm and immobile are located within the uterus. Laboratory tests are normal, but sonography shows the presence of tumors. After a period of unsuccessful drug therapy, she is scheduled for surgery. Answer the following question from a gynecological standpoint.

1. Describe the decision-making path that the gynecologist took to reach a final diagnosis.
2. What is the probable diagnosis in the patient's case?
3. If she wants to have children, what procedure would be performed?
4. What are the common complications of the procedure?

Explain how Gln is used as energy by enterocytes, lymphocytes, and macrophages and major end products for each

1) Clinical simulations are very important in nursing education being that they can replicate clinical practice scenarios through high fidelity manikins. This not only serves as practice but also prepares the student nurse for real life situations once in a hospital setting. what do you think?

2) Some cons with e-learning include lack of face-to-face contact with others, e-learning may not be the best option for all subjects especially classes with labs or clinical rotations, technical problems may make it difficult to connect to the class when needed and students may have to purchase other software programs to be able to participate in the class assignments. what do you think?

While discussing the increased use of technology to gather, store, and access healthcare information, senior nursing students discuss the importance of preventing data security breaches and the implication of such breaches on nurses professionally. The class is divided into groups to research and prepare information on various relevant topics to present to the entire class.

1. A group is assigned to create a summary of information related to the ethical aspects of electronic data collection to the profession of nursing. What information will be included?
2. A group of students is assigned to research information regarding a healthcare organizational risk assessment. What will that group focus upon?

Part 2

Nursing education is adopting e-learning and simulation experiences for the students. Two junior-level nursing students, Gene and Linda, are discussing the merits of this type of nursing-focused learning.

1. What pros and cons will Gene identify associated with e-learning?
2. How will Linda identify the different types of simulations and the impact they have on nursing education?

Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. Explain how this model is advantageous to patient outcomes.

Please only answer to questions 5 and 6.

Patient Profile:

Gladys Young is a 68 year old female that resides in an Independent Living facility with her husband. She presents to her primary care physicians office with complaints of fever, chills, nausea and vomiting. She also states that she has had some mild hemoptysis occasionally with her persistent coughing. She has recently completed treatment with Chemotherapy for Breast cancer and is concerned that she may have an infection. You are the nurse caring for her.

You complete the following assessment:

Subjective Data:

She is able to complete a sentence in its entirety, but she is persistently coughing during the history. She is a former smoker, she smoked ½ pack of cigarettes per day for 30 years and quit when she was diagnosed with breast cancer 6 months ago. She denies shortness of breath or chest tightness. She has not yet gotten her influenza vaccine, but did receive the Pneumovax vaccine last year. She has had problems with persistent coughing at night which has prevented her from getting a good night’s sleep for the past two weeks. She also states that she has been waking up soaked in sweat in the morning.

Objective Data:

• Temp – 38.6 C; HR – 132 beats/min; RR—28; BP – 168/87; O2 sat – 90% on Room Air
• Auscultation: Lungs with faint crackles at bases bilaterally. No wheezing present.
• Patient is flushed and warm to touch.

Answer the following questions:

1. What additional questions would you like to ask this patient?
   Nurse can ask if the patient has sputum while coughing ,the color of the sputum.Did the patient experience any pain while coughing.Is the patient feeling weak ?Is there is any difficulty in breathing? How long is the cough and is there any breath sounds while breathing.Did the patient experience fever ?Did she has appetite?
2. What do you think the patient’s diagnosis is and why?
   This patient is suffering from pneumonia.A variety of symptoms like low oxygen saturation (90), persistent coughing,fever,chills, vomiting,crackles, decreased breath sounds,increased respiration rate ,increased heartbeat suggest pneumonia.This patient also has blood in the coughed up mucus.She has fever and chills.She also has persistent cough,with rapid shallow breathing.All this suggest she has pneumonia.A chest radiograph can confirm the diagnosis.
3. What is the pathophysiology of this disorder, in your own words?
   •entry of bacterium (streptococcus pneumoniae) into the lungs
   •inflammatory response by the body
   •encapsulation of the abscess in the cavity
   •necrosis of the lung tissue and parenchyma
   •appearance of clinical signs and symptoms (productive cough and purulent sputum)
4. What are the clinical manifestations of this disorder? Which manifestations is this patient exhibiting?
   clinical manifestations:
   •cough
   •purulent sputum
   •hemoptysis
   •fever
   •chills
   •night sweats
   •shortness of breath
   •malaise
   •chest pain
   •irregular breath sounds
   
   clinical manifestations experienced by patient:
   •fever
   •chills
   •night sweats
   •cough
   •hemoptysis
5. What complications do you want to be aware of if the disorder is not appropriately treated?
6. What pharmacologic interventions do you expect will be ordered for this patient? What routes of administration will be best indicated for this patient? (Include mechanism of action, indication for use and desired outcomes)

Discuss the current Coronavirus pandemic , the effects on pregnant women and how they can protect themselves from the virus. In addition, please answer the following questions listed below. You may use any reliable source. However, please make sure to visit the CDC website which has the most up to date, accurate information.

1. Can they pass the virus to the baby while they're pregnant?

2.Is breastfeeding safe if you have COVID-19?

3. What is the treatment of COVID-19 in pregnant women?