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Case Scenario
A 25-year-old woman delivered 2 weeks ago. She states that she has been breastfeeding with no problems until two days ago. Now she is complaining of right breast tenderness, pain and redness. Her temperature is now 38.5 degree celcius.
GUIDE QUESTIONS:
- What do you think is happening to the client? Explain further.
- What are the nursing interventions and treatment for this condition?
Step by step
Solved in 2 steps
- Case ScenarioA 22-year-old woman, gravida 2, para 1, presents at the maternity clinic for a prenatal visit. She is unsure of her due date and states that her last menstrual period was about seven or eight months ago. She had one prenatal check-up in the community health center, although she does not have any records from her physician or nurse-midwife. She reports that she has had an uncomplicated pregnancy so far and that earlier ultrasonography indicated that she is going to have a girl. Her medical history is unremarkable aside from a full-term cesarean delivery performed in the government hospital four years ago because of “complete breech presentation.” She is not taking any prenatal vitamins. On examination, her vital signs are unremarkable, her fundal height measures 27 cm, the fetal heart rate is 165 beats per minute, and the fetus is cephalic by Leopold’s maneuvers. 1. What is your insight on the patient’s case concerning her pregnancy? 2. How can you best minimize risks…Case Study: C.O. is a 42-year old male diagnosed with uncomplicated gonorrhea. The health care provider orders Ceftriaxone 250 mg IM once. The patient has no known drug allergies. Using the information provided, which nursing action is most appropriate? (Select all that apply) Cut and Paste the question and your answers in the text block below. Mix the vial with 5 mL of sterile water Mix the vial with 2.1 mL of 1% lidocaine Draw up 1.25 mL of solution to administer 250 mg Draw up 0.7 mL of solution to administer 250 mg Use a 3 mL syringe with a 22-gauge needle to administer the injection Use a 10mL syringe with a 18-gauge needle to administer the injectionDiscuss the biological mechanisms associated with foetal and neonatal diseases. Illustrate your answer with reference to specific pathologies. 500 words
- Case Study: M.S. is a 6-month old male that was born at 26 weeks. The infant was discharged 2 weeks ago after a 14 week stay in the neonatal intensive care unit (NICU). He currently weighs 6 pounds and is 19 inches long. His current vital signs are HR 145, RR 26, B/P 90/60, T 101.6 F His parents brought the infant to the emergency department because he has not been eating and is continuously fussy. The healthcare provider assessed a bulging left tympanic membrane and diagnosed the infant with an ear infection. Orders include: Amoxicillin 113 mg PO q12h. Safe dosing for amoxicillin is 80-90 mg/kg/day divided every 12 hours for 5-7 days. 1) Highlight the information that is needed for the nurse to administer the ordered medication safely.Case Study: M.S. is a 6-month old male that was born at 26 weeks. The infant was discharged 2 weeks ago after a 14 week stay in the neonatal intensive care unit (NICU). He currently weighs 6 pounds and is 19 inches long. His current vital signs are HR 145, RR 26, B/P 90/60, T 101.6 F His parents brought the infant to the emergency department because he has not been eating and is continuously fussy. The healthcare provider assessed a bulging left tympanic membrane and diagnosed the infant with an ear infection. Orders include: Amoxicillin 113 mg PO q12h. Safe dosing for amoxicillin is 80-90 mg/kg/day divided every 12 hours for 5-7 days. 1) Highlight the information that is needed for the nurse to administer the ordered medication safely. 2) The nurse is preparing to discharge M.S. Which nursing action is required to ensure the amoxicillin dose is safe for M.S.? (Select all that apply) Calculate the infant’ s weight as 2.7 Kg Calculate the infant’s weight as 13.2 Kg Calculate…In written word, outline information and nurse considerations for educating patients on the following topics:? Answer please Cervical insufficiency Hydatidiform mole ABO and Rh incompatibilities?
- CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What will be your impression about the condition of your patient?CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What will be your impression about the condition of your patient? 2.What are the clinical…CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1. Formulate 1 possible nursing diagnosis in the case scenario given( 1Actual/1Risk)
- CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What are the clinical manifestations present in your patient?CASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting a pregnancy over the past 16 months with no success. Patient reports that several times she thought she could be pregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis 1. Explain briefly the terminologies/statements in the case (bold and underlined) 2. What…Case Study: Case Study: A 23-year old woman has experienced recent onset of a spontaneous, bilaterial breast discharge and gradual cessation of menses. She reports normal growth and development and has never been pregnant. Questions: 1) What conditions could be causing her symptoms? 2) What medical conditions (other than a prolactinom are associated with hyperprolactinemia? 3) Which medications raise prolactin? no references, just homework.