An older patient comes to you to have her blood drawn and complains that she bruises easily now and that every time she has her blood drawn she continues to bleed what physically has changed in the patient to cause this problem
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An older patient comes to you to have her blood drawn and complains that she bruises easily now and that every time she has her blood drawn she continues to bleed what physically has changed in the patient to cause this problem
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- Jenny, has recently decided to spend two years as a missionary in a coastal African village. As part of her duties, she will work in the missionary clinic that has recently been established in the village. This clinic will provide routine medical care and a travelling physician and nurse will visit once each week. Upon her arrival, Jenny found that she would be spending most of her time in the clinic since the village had been without routine medical care for the past 2 years. Gradually, she found that she was beginning to call upon her training (both clinical and classroom) and she felt comfortable diagnosing and treating some of the more routine cases. One morning, a mother came in with her five-year-old child. The mother reported that the child had been unable to eat or drink anything for the past day because of vomiting. In addition, her child was experiencing severe diarrhea. Jenny asked the mother if any other family members were exhibiting similar symptoms, to which the mother…True or False To stop bleeding put pressure on the artery that carries blood. Call 144 for an ambulance. You should always give first aid to a person even if you don’t know what to do. When a victim is in shock too much blood circulates through the body.Lydia is a retired nurse. She is 63 years old. As a child she had rheumatic fever. At the age of 34 she had a mitral valve replaced. She is 10% over her ideal body weight. She used to be quite active when she was working, but she has slowed down a lot with retirement. She has noticed bouts of dizziness and sometimes she thought she was close to fainting. Other times her heart seemed to race. She thought that maybe she needed to see a cardiologist and so she set up an appointment for a cardiac evaluation. Her examination included x-rays, EKG, blood pressure measurement, and a full cardiac workup. The results showed a mild pulmonary congestion, an enlarged left atrium and ventricle. Cardiac output was 3.0 L/ min, blood pressure was 101/57, left atrial pressure was 17 mm Hg, and the right ventricular pressure was 44/8 mm Hg. The EKG indicated an atrial arrhythmia and there appeared to be some valvular regurgitation when the cardiologist listened to her heart sounds. Include references…
- A resident needs to go the bathroom right away. A full-sling mechanical lift is used for a safe transfer. You do not see another staff member nearby to help. What will CNA nurse do?Mrs. Smith is an 88-year-old female who lives alone in her home. She walks with a walker. Last night, Mrs. Smith needed to go to the bathroom. She got out of her bed and walked to the bathroom without using her walker. In the morning her daughter came to the house to check on her. She found her mom on the bathroom floor. She called the ambulance and her mom was taken to the emergency room. In the emergency room, the patient states, “She lost her balance in the bathroom when she was washing her hands and fell to the floor.” According to the daughter, her mom has lost her balance many times but never fell. She doesn’t always use her walker in the house. Her daughter also states, “She needs help getting dressed, taking a shower, and making her meals.” Mrs. Smith states her pain is an 8 out of 10 on a numeric scale of 0 to 10. She also states the pain is constant, worse with movement, and radiates down her leg. Her legs feel weak. The nurse performs an assessment on the patient. She is…You are dispatched to a 35 year old patient complaining of feeling anxious. Based on the above initial information, which of the following could be on the differential diagnosis given this limited amount of information? Panic attack Myocardial infarction Alcohol withdrawal Cocaine use
- Why is it necessary to check more than one vital sign on a patient? This Is for Medical DetectiveHello can you help me figure out if this is correct, I get confused when labeling veins?You are helping a nursing assistant give perineal care. The nursing assistant does not wear gloves and does not use a clean part of the washcloth for each stroke. How can you correct the situation?
- Police: Patient was caught in a brothel & they think she is the Madame running the place. There were 2 other buildings with brothels nearby which were also caught in the undercover sting operation. A man is with her, who claims to be her uncle. The patient looked like she was about to faint, so she was brought to the ER. Social Work: Patient came to NYC to study at Columbia University. She escaped the bombing in Kharkiv, to Kiev. But then she decided to study in the US since the war did not stop. She went on a date with a Russian-speaking man she met at the supermarket, since he also had been born in Kharkiv. At the end of their date, he walked her into an alley & took her to dimly lit hotel to meet more "friends." They turned out to be to a group of men who stole her passport & she became trapped in a Russian- & Eastern European-speaking underworld in NYC. They put her in charge of 3 hideaway homes filled with Russian- & Ukrainian-speaking girls, who were…The following picture shows an aneurysm. Looking at the picure and using terminology, how would you describe the location of the aneurysm?You are caring for a new group of patients in the nursing home, and one of your team members, a CNA, tells you that Julia in room 40B is having aching in her knees and would like something for pain. You check the medication record and see she has Tylenol 650 mg PO ordered every 4–6 hours for pain. She has not received any pain medication for several days. You obtain the medication and enter room 40. You go to bed B and say, “Hello, Julia, here’s your pain medication.” You give her a cup of water and she swallows the Tylenol. Later on the CNA returns and reminds you that Julia is still asking for her pain medication. You check the MAR, look at the photo of Julia, and realize you have given Tylenol to her roommate instead. You have made a medication error, and it requires a written medication error report, to make a call to her doctor, and notification to your supervisor. You look at her roommate’s medical record and find that she, too, has an order for Tylenol. You decide to give…