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- M.C., a 61-year-old woman with no known drug allergies (NKDA) is hospitalized with a chief complaint of increasing shortness of breath (SOB) and orthopnea during the past week. She has been treated previously for heart failure and has not taken any medication during the past 2 weeks. M.C. has severe (4+) pedal edema and is in respiratory distress. Laboratory tests were ordered and reported back as follows: Sodium (Na), 123 mEq/L Potassium (K), 4.1 mEq/L Chloride (Cl), 90 mEq/L Carbon dioxide (CO2), 28 mEq/L Blood urea nitrogen (BUN), 30 mg/dL Serum creatinine (SCr), 1.3 mg/dL Fasting glucose, 260 mg/dL. Should M.C. be given sodium chloride to return her serum sodium concentration to a normal value?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…5. A 5-week-old male child presents to the healthcare clinic with projectile vomiting and dehydration. The patient’s mother states that the patient began forcefully vomiting after feedings yesterday, but was previously healthy with no medical conditions or allergies. What condition do you suspect this patient has? What symptoms lead you to that conclusion? What nursing interventions should be included in the plan of care to prevent dehydration in this patient?
- A dentist must have how many trained individuals to assist during intavenous (moderate) sedation? A. One, whos must have current certificaiton in BLS B. Two, one of them whom must have the current certification in BLS. C. Three, all of them whom must have current certificaition in BLS. D. Two, both of whom must have current certification in BLS.1-The health care provider prescribes ranitidine 150 mg po ac breakfast and bedtime. The medication bottle states that there are 15mg/mL. How many mL per dose will the nurse give to the client? 2-The client is to receive 2 mg po of warfarin at 1700 daily. Pharmacy has 2 mg tablets on hand. How many tablets will the nurse give the client at 1700 hours?A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the PN? A Red, hot, and swollen joints. B Pulse oximetry of 88% 02 saturation. C Slightly raised rash with ragged edges. D Heart rate 110 beats/minute.
- You are a home health nurse visiting an 85-year-old female patient who lives with daughter. Patient has been in and out of the hospital due to venous stasis of bilateral lower extremities. Upon assessment: BP 120/70 mmHg, HR 66, RR 22 cpm, Temp. 101 F, 02 saturation 95%. Both lower extremities are wrapped with ace bandage and requires wound care every other day. You have noticed that both legs appear to be more swollen with serosanguinous drainage. Patient is obese and daughter reports that she has been experiencing loss of appetite and complains of swallowing difficulty. Patient has history of Dementia and is dependent to caregiver with ADLS. You have decided to assist the patient with feeding and educate the caregiver on how to effectively feed the patient. QUESTION: What is the Nursing Diagnosis?You are a home health nurse visiting an 85-year-old female patient who lives with daughter. Patient has been in and out of the hospital due to venous stasis of bilateral lower extremities. Upon assessment: BP 120/70 mmHg, HR 66, RR 22 cpm, Temp. 101 F, 02 saturation 95%. Both lower extremities are wrapped with ace bandage and requires wound care every other day. You have noticed that both legs appear to be more swollen with serosanguinous drainage. Patient is obese and daughter reports that she has been experiencing loss of appetite and complains of swallowing difficulty. Patient has history of Dementia and is dependent to caregiver with ADLS. You have decided to assist the patient with feeding and educate the caregiver on how to effectively feed the patient. Discussion Questions: Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be experiencing. Devise a teaching plan to address the client’s problem. Considering the…You are a home health nurse visiting an 85-year-old female patient who lives with daughter. Patient has been in and out of the hospital due to venous stasis of bilateral lower extremities. Upon assessment: BP 120/70 mmHg, HR 66, RR 22 cpm, Temp. 101 F, 02 saturation 95%. Both lower extremities are wrapped with ace bandage and requires wound care every other day. You have noticed that both legs appear to be more swollen with serosanguinous drainage. Patient is obese and daughter reports that she has been experiencing loss of appetite and complains of swallowing difficulty. Patient has history of Dementia and is dependent to caregiver with ADLS. You have decided to assist the patient with feeding and educate the caregiver on how to effectively feed the patient. Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be experiencing. Devise a teaching plan to address the client’s problem.
- You are a home health nurse visiting an 85-year-old female patient who lives with daughter. Patient has been in and out of the hospital due to venous stasis of bilateral lower extremities. Upon assessment: BP 120/70 mmHg, HR 66, RR 22 cpm, Temp. 101 F, 02 saturations 95%. Both lower extremities are wrapped with ace bandage and requires wound care every other day. You have noticed that both legs appear to be more swollen with serosanguinous drainage. Patient is obese and daughter reports that she has been experiencing loss of appetite and complains of swallowing difficulty. Patient has history of Dementia and is dependent to caregiver with ADLS. You have decided to assist the patient with feeding and educate the caregiver on how to effectively feed the patient. Discussion Questions: Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be experiencing. Devise a teaching plan to address the client’s problem. Considering the…9.The nurse is reviewing a patient’s medication orders for prn (as necessary) medications that can be given to a patient who has bronchitis with a productive cough. Which drug will the nurse choose?a )An antitussiveb )An expectorantc) An antihistamined )A decongestant.,1. Give the pharmacological approach in the ICU provided to patient TB for her hypertension. Explain its mechanism of action. her bp 161/85mmHg.