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In: Nursing
Besides diet and exercise, why do social status (educational level) and environmental factors in modern society have a great influence on healthy aging?
In: Nursing
Test I.
a. Reflection Paper about fluid imbalances
Differentiate the respiratory acidosis from
respiratory alkalosis
Differentiate the metabolic acidosis from metabolic
alkalosis
In: Nursing
Surgery Assignment
25-year-old female client is being admitted to the
postanesthesia care unit (PACU)
following a thyroidectomy for hyperthyroidism. The client had
undergone three
months of preoperative treatment with antithyroid medications and
iodine
preparations to establish euthyroid status prior to her surgery. At
the client's bedside
the nurse has set up a tracheostomy set, endotracheal tube,
laryngoscope, and suction
equipment. There are ampules of calcium gluconate on hand. The
nurse places the
client in a semi-Fowler's position, and is supporting her
head and neck with pillows
and sandbags. The nurse frequently checks the client's
vital signs, and assesses her
suture line for strain or bleeding. Once the immediate
postoperative period has passed,
the client will be transferred to the surgical ward where she will
recuperate and learn
about lifelong thyroid replacement therapy
.
a. Develop a plan of care for this patient including 2 actual and 2
potential nursing diagnosis
In: Nursing
Nurse leaders should strive to create an effective, productive and diverse workplace. You have just hired a male registered nurse who graduated from a well-respected baccalaureate nursing program three months ago. He is the youngest graduate of the program at age 20. This is the first male nurse you have hired as a staff member on your unit. The unit is a multigenerational unit full of nurses of all different ages. The new nurse is excited and eager to be working as a member of the team. His professional interests include evidence-based practice, continuing education, and promoting the bachelor degree as entry into nursing practice.
Describe any potential barriers that may occur during the orientation period (which could relate to his gender differences , generation differences, or experiences differences)?
What type of nurse who would be the best “fit” for mentoring this new graduate hire? Explain your reasons for the pairing.
In: Nursing
Case study to discuss
Eleanor has always loved working with patients at a
large cancer center in her city. Recently, however, you have
noticed that the loss of one particular patient, Maria, has really
been quite a blow for Eleanor. This is not the usual response
Eleanor has to a patient’s death, and having worked at the center
for 8 years, she has experienced her share of patient
deaths.
After Maria’s death, Eleanor wrote a brief post on her
Facebook page saying, “Lost a very special person today,” and
posting a funny little traditional Irish poem Maria liked to
recite. She has also, by invitation, joined a special page Maria’s
family has set up to celebrate Maria’s life and share
memories.
One day, a few of Eleanor’s colleague’s criticize her
for this while you are having lunch with Eleanor in the center’s
cafeteria.
“Sharing anything about a former patient is
inappropriate,” one nurse tells her.
The other nurse nods. “Even participating or joining
the page at all is inappropriate.”
After they leave, Eleanor looks at you, and then
buries her face in her hands. “Do you think I was wrong?” she says.
“Maria was my patient, I know, but we grew so close over the last
months. She and her sisters and I became actual friends. I just
thought my happy memories of some of Maria’s good moments might
help other people celebrate her life too. In fact, I got very
positive feedback from Maria’s family, and even friends of hers
that I didn’t know, on the anecdote I shared.”
She lowers her hands and looks at you. “I don’t know.
I know, I know, she was a patient, yes, and I was the nurse. But I
loved her anyway. Am I unprofessional for grieving like this? Do
you think maybe I’m depressed or having some kind of breakdown?
What should I do?”
Given the criticism Eleanor has received, what
specific type of grief is she most likely experiencing? How might
it be contributing to Eleanor’s prolonged pain, and what can you do
to help her?
What other types of grief do you know?
Eleanor feels guilty for grieving like this for a
patient and worries that she is experiencing depression. Based on
what you know, how would you answer? What is the difference between
normal grief and major depressive disorder?
This story mentions Eleanor’s participation in
celebrating Maria’s life on Facebook. What is your impression of
this as a positive or negative contribution—given what you’ve
learned from the text?
In: Nursing
1. Explain In your own words how the holistic nursing journey
affects they way nurses care for themselves
2. In your own words explain the evolving role of a holistic
nurse
In: Nursing
A 2 year old child is in for her well visit. She is up to date with all vaccinations. Born full term, 7 pounds and 5 ounces. No allergies and not on any medications. Breast fed for six months. Mother is anxious because she is not far along in language development as her brother was at this age. She cries when getting a hair cut and is not consolable. Only eats noodles and toast. Is not a good sleeper.
1. The mothers asks, "are these things related?" How do you reply?
2. What are some online tools to screen for assessing language delays?
3. What should be included in the health history?
4. What should the focused physical examination include?
In: Nursing
Case Study #11
History and Physical Examination:
A 24-year-old female with a history of AIDS presents for evaluation of left-sided weakness. She has also experienced headaches and seizures and others have observed an alteration in her mental status. Her medical history is notable only for an episode of Pneumocystis jiroveci pneumonia, primary syphilis treated with penicillin 5 years ago and occasional thrush. She takes zidovudine and monthly-aerosolized pentamidine for Pneumocystis prophylaxis. An urgent CT scan of the head shows two 1 cm lesions in the right basal ganglia with enhancement seen with intravenous contrast media. Laboratory data: CD4 cell count 50 cells/μL (reference 600 – 1500/μL) RPR positive 1:2 dilution Toxoplasmosis gondii IgG positive Toxoplasmosis gondii IgM negative
Questions:
1.What is the most likely cause of the lesions in the brain?
2. Is this a newly acquired infection? Why or why not?
3. What is the difficulty in using serologic techniques to diagnose infectious disease in this type of patient?
4. Should pregnant women be tested for this microorganism and why?
5. What prenatal serology is currently recommended relative to Toxoplasma past or current infection?
6. What test is performed on the newborn to aid in the diagnosis of congenital toxoplasmosis? 7. What 3 ways can a person become infected?
In: Nursing
Assessment Background:
You are the nurse manager at a skilled nursing facility. There has been tremendous nurse burnout and turnover at your facility. Next Tuesday, the CEO and CFO of your organization are coming to assess the situation. You must explain to these stakeholders the current trends for nursing leadership related to nursing recruitment, retention, and engagement in the workplace. The goal of your presentation is to help influence your stakeholders to increase funding and make allowances for you to create positive change for a healthier workplace.
Assessment Instructions:
In: Nursing
Which factors affect cardiac output? What types of changes in cardiac output can be made to try and treat hypertension and congestive heart failure? Many classes of drugs affect cardiac output, which one is in JNC 8 protocol.
In: Nursing
Read and review chapter 31
Analyze the following case study and answer the
question bellow
CASE STUDY
Mrs. Angstrom is an 83-year-old patient who was
admitted to the hospital after she fell outside her home and broke
her hip. She has been living alone in her apartment since her
husband died 4 years ago. Mrs. Angstrom has no long-term history of
mental illness, but she has recently shown signs of cognitive
impairment and dementia, according to her neighbor Jeanine Finch,
63, who called 911 after Mrs. Angstrom’s fall. “She wanders around
outside sometimes and doesn’t always know how to get back home,”
says Mrs. Finch. “My husband and I try keep an eye out for her, but
we’ve been worried something like this might happen.”
Mrs. Angstrom will need to undergo surgery tomorrow
morning. The nurse on shift, Greg, is new at the hospital and
surprised when the supervising RN asks him to discuss advance
directives with the patient, who denies having one. When Greg
explains to Mrs. Angstrom that he needs to discuss some
confidential matters with her, she asks that Mrs. Finch, who is in
the room visiting, be allowed to stay. “I haven’t been remembering
things lately,” she says, “so I’ll rest easier if Jeanine knows
what’s going on.” Deciding that the patient’s permission is
adequate to continue, Greg explains Mrs. Angstrom’s rights and
options in regard to treatment decisions in the event that she is
unable to make such decisions on her own. Mrs. Angstrom says that
she has no living family members and that the only person she
trusts is Jeanine. “Can I put her in charge of those decisions?”
she asks.
“No,” Greg replies. “I’m sorry, but since Mrs. Finch
is not a family member, she can’t be designated to act on your
behalf. If you don’t have any family member to assign a durable
power of attorney, I think you’ll need to sign a directive to your
physician or agree to a guardianship. If you choose the
guardianship, you can revoke the decision at any time, but the
directive to a physician is binding until you legally have it
changed.”
Has Greg provided accurate information concerning Mrs.
Angstrom’s options for advance directives? If not, what’s wrong
with what he said? What options would be more appropriate to
suggest to her?
Mention at least 4 facts and 4 myth about aging, and
explain one of then.
Read and review chapter 31
Analyze the following case study and answer the
question bellow
CASE STUDY
Mrs. Angstrom is an 83-year-old patient who was
admitted to the hospital after she fell outside her home and broke
her hip. She has been living alone in her apartment since her
husband died 4 years ago. Mrs. Angstrom has no long-term history of
mental illness, but she has recently shown signs of cognitive
impairment and dementia, according to her neighbor Jeanine Finch,
63, who called 911 after Mrs. Angstrom’s fall. “She wanders around
outside sometimes and doesn’t always know how to get back home,”
says Mrs. Finch. “My husband and I try keep an eye out for her, but
we’ve been worried something like this might happen.”
Mrs. Angstrom will need to undergo surgery tomorrow
morning. The nurse on shift, Greg, is new at the hospital and
surprised when the supervising RN asks him to discuss advance
directives with the patient, who denies having one. When Greg
explains to Mrs. Angstrom that he needs to discuss some
confidential matters with her, she asks that Mrs. Finch, who is in
the room visiting, be allowed to stay. “I haven’t been remembering
things lately,” she says, “so I’ll rest easier if Jeanine knows
what’s going on.” Deciding that the patient’s permission is
adequate to continue, Greg explains Mrs. Angstrom’s rights and
options in regard to treatment decisions in the event that she is
unable to make such decisions on her own. Mrs. Angstrom says that
she has no living family members and that the only person she
trusts is Jeanine. “Can I put her in charge of those decisions?”
she asks.
“No,” Greg replies. “I’m sorry, but since Mrs. Finch is not a
family member, she can’t be designated to act on your behalf. If
you don’t have any family member to assign a durable power of
attorney, I think you’ll need to sign a directive to your physician
or agree to a guardianship. If you choose the guardianship, you can
revoke the decision at any time, but the directive to a physician
is binding until you legally have it changed.”
Has Greg provided accurate information concerning Mrs.
Angstrom’s options for advance directives? If not, what’s wrong
with what he said? What options would be more appropriate to
suggest to her?
Mention at least 4 facts and 4 myth about aging, and
explain one of then.
In: Nursing
HbA1c is a blood test used in the management of diabetes. Describe what this test identifies.
Describe how HbA1c levels might help a registered nurse or diabetes educator manage a patient’s diabetes.
List 4 signs and symptoms of acute respiratory distress.
Describe four (4) nursing interventions in the direct post-angiogram period for a patient who had an angiogram via the right radial artery.
In: Nursing
In: Nursing