• 20 years old female come to clinic suffer of weakness and shortness of breath and she is vegan, on examination look pale, Lab. Hb = 5 ESR = 60 WBC = 5000 / mm What is the most appropriate diagnosis ?
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- A female or male client has been receiving the antibiotics gentamicin sulfate, IV piggy back q 12hrs for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin A. White blood cell count of 6,000 B. Decreased blood urea nitrogen C. Reports of photophobia D. Hearing has decreasedIn US, a dentist must have how many trained individuals to assist during intravenous (moderate) sedation? a. One, who must have current certification in BLS b. Two, one of whom must have current certification in BLS c. Three, all of whom must have current certification in BLS d. Two, both of whom must have current certification in BLSWhat would be your teaching strategy for a Patient “6-year-old, Male” with habits of unhealthy eating and sedentary lifestyle. And has a finding of severe malnutrition, anemia or very low weight, pale and suspected of having a parasitic worm.
- ASEPSIS Scenario: Mrs. Delia Cruz is a 78-year-old woman who is independent, lives alone and prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare food, she lost weight and became very weak. She finally sought medical attention, but she has not yet fully recovered. Her primary care provider has admitted Mrs. Cruz to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency. QUESTIONS: Cruz’s primary care provider suspects that she has pneumonia. What data support Mrs. Cruz’s increased risk for such an infection? What can you do to prevent the spread of Mrs. Cruz’s infection to other hospitalized clients and at the same time prevent Mrs. Cruz from getting infections from other clients? SAFETY Scenario: Mr. Valdez is a 72-year-old widower who is recovering…Vegans (individuals who do not consume meat or meat products such as milk and eggs) may develop pernicious anemiaif they take antibiotics. Explain.2. A 25-year-old male is admitted with a 24-hour history of severe headache, nausea and vomiting. On examination, he has a temperature of 39°C, a heart rate of 110 bpm and his blood pressure is 90/70 mmHg. There is no evidence of skin rashes. He has neck stiffness and photophobia but no localising neurological signs. Bacterial meningitis is suspected. He had a splenectomy 6 months ago following a road traffic accident but otherwise has no past medical history of note. He is not on any regular medication. He has had no known contact with anyone with meningitis. A. List THREE important bacterial causes of community-acquired meningitis in adults (only your first three will be assessed). For each organism, explain why it is likely or unlikely to be the pathogen in this patient.B. State three specimens would you send as part of the microbiological investigation of this patient and the investigations you would request on each specimen.Describe the results you would expect to confirm…
- a patient with diabets complains of hunger . outline 4 immediate nursing actions with rationales that you performExplain 4 age-related effects of drugs (medications) on the older person and how you would adjust these effects with consultation with the Registered Nurse. What we can do as an EN. What happens to each Ingestion, absorption, metabolism, excretion Ingestion: The ingestion is a swallowing and digestibility process in the digestive tract. Swallowing and digestion slows down. Absorption: The absorption of a drug or food is the absorption from the gut to the bloodstream. Bioavailability means that if the medicine is completely consumed by the body, the bio-availability of the pharmaceutical product is 100%. The ingestion to swallow medication. Excretion: Any molecule ingested from the gut wall to the fluid beyond the intestine is absorbed into the hepatic portal vein. Metabolism: The metabolism of the medicine reaches the liver from the vein. Often called first-pass metabolism. A food particle or medication becomes a pumping agent in the blood. Metabolism slows.A child who weighs 25 kg is prescribed gentamicin 40 mg IVPB twice per day over 20 minutes. The volume of the medication to be administered is 4 mL. The amount of diluent to be added is 16 mL. The rate of administration is __ mL/hr?
- 1. A previously healthy 25-year-old-woman comes to the emergency department because of a 3-day history of fever, chest pain, and rapidly progressive shortness of breath. Use of an over-the-counter cold medication has not relieved her symptoms. She has no history of serious illness and takes no other medications. Her temperature is 40oC (104o F), pulse is 128/min and regular, respirations are 28/min and blood pressure is 80/54 mm Hg. Physical examination shows jugular venous distention and weak pulses in all extremities. Auscultation of the chest shows diffuse crackles bilaterally, muffled heart sounds, and a soft S2 gallop. After 30 minutes she goes into ventricular fibrillation and cannot be resuscitated. At autopsy, the heart is diffusely pale and floppy with focal petechiae, all chambers are markedly dilated.Histologic examination of cardiac tissue shows a lymphocytic infiltrate and myocardial necrosis. Which of the following infectious agents is the most likely cause these…B. List Predisposing Factors to Male Children with UTI1. Agent: Escherichia coli as per urine testa. Nutritive b. chemicalC, PhysicalD. Infectious agentE. mechanicalf. Psychosocia;A prescription call for the following medicines to be administered: 1 tablet q.i.d. for the first day: 2 tablet t.i.d. for the second day: 2 tablet b.i.d x 5 days: and 1 tablet q.d. thereafter. How many tablets should be dispensed to equalt 30 day supply?