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Anna, a 78-year-old overweight but active white female presents to the office with complaints of left lower quadrant abdominal pain which she describes as dull and "gripey". Anna is a farmer and she comes to see you only once a year when she needs to get her routine care, including her well-woman care and refills, so you suspect that this must be bothering her enough that she came in today even though she downplays the pain. She has a history of hypertension which is well controlled and mild hyperlipidemia but she declines statins. Anna also has a history of diverticulitis. On exam, Anna is afebrile and she does not show peritoneal signs or signs of toxicity. You believe that her diverticulitis is causing her pain. include a prescription
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- Please answer each question to the best of your ability. Clear, concise answers with full sentences are expected. Please use APA 6th edition for all references Mr. Salazar, a 57-year old male, presents to the Emergency Department (ED) with chest pain. He reports that the pain started about an hour after dinner, while he was working. He describes the pain as a “crushing pressure” located maternally and radiating down his left arm and to his back. He rates the pain a 4/10. On assessment, Mr. Salazar is diaphoretic and pale and complains of shortness of breath (SOB). 1. What further nursing assessments need to be performed for Mr. Salazar? 2. What interventions do you anticipate being ordered by the provider? Upon further assessment, the patient has no jugular vein distention (JVD), and no edema. His heart sounds are normal S1 and S2 present and lungs are clear with scattered wheezes on auscultation. His vital signs were as follows: BP 140/90 mmHg SpO2 90% on Room Air HR 92 bpm and…KINDLY PROVIDE 2 SIGNIFICANT DIFFERENCES EACH TERMSA 55-year-old woman with a prior history of partial colectomy w/colostomy and small bowel obstruction three months ago that resolved with bowel rest and required no surgical intervention. Three days ago Mary developed a sudden onset of sharp generalized abdominal pain with nausea, vomiting and decreased output from her colostomy bag. She has had two small glasses of water today. Mary is admitted to the medical/surgical unit and you will be the nurse caring for her. You receive the following highlights of report from the emergency department (ED) nurse: CT of her abdomen/pelvis revealed high-grade small bowel obstruction. Lactate 2.8, WBC 14.7, Sodium 143, Potassium 3.7, Creatinine 1.35 An NG was placed and she is on low intermittent suction. She had NG output of 225 mL of bile green liquid. Received hydromorphone 0.5 mg IV for pain one hour ago. Abdominal pain decreased from 9/10 to 3/10 and she is resting more comfortably. Abd. is firm, slightly distended, with tympanic bowel sounds.…
- A doctor’s office has a tablet that patients can use to learn more about their conditions or about healthy living. They can also sign up to be sent an email newsletter related to their condition. Describe a form that might be useful to put on this tablet. Describe why tab control might be useful to add to this form. Explain the steps needed to add tab control.Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Detailed description of condition: (be sure to include organs and organ systems involved, naturally occurring control mechanisms or how the system normally functions, etc.)Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Complications/symptoms if left untreated for the case
- Please Answer The Following Questions As soon as possible within 10 minutes in handwritten form. Don't try to answer after 3:15 PM otherwise I will give dislike!!Discuss the nursing priorities for a patient undergoing a bowel resection surgery.Location: Emergency DepartmentTime: 04:00Situation:Stan Checketts, a 52-year-old widower, arrived in the Emergency Department 30 minutes ago with severe abdominal pain. A small bowel obstruction is suspected.Background:He has experienced worsening abdominal pain, nausea, and vomiting for 1-2 days with inability to eat or drink much over the last few days. His past surgical history includes a cholecystectomy, appendectomy, and right inguinal hernia repair, all more than 5 years ago.Assessment:Mr. Checketts is awake and states he has felt 'dizzy' and 'weak' all evening. His vital signs upon arrival were: BP: 108/73; temperature: 100.9 °F (38.3 °C); pulse: 110; respiratory rate: 22, and SpO2: 95% on room air. He has poor skin turgor, dry mucous membranes, and has not urinated since yesterday. His abdomen is distended. He signed an informed consent for treatment. A right forearm saline lock was placed, and labs, a CBC, and BMP were drawn.Recommendation:You will need to check the provider's…
- Choose the nutritional treatment or diet plan the nurse would implement for a patient with sepsisLocation: Emergency DepartmentTime: 04:00Situation:Stan Checketts, a 52-year-old widower, arrived in the Emergency Department 30 minutes ago with severe abdominal pain. A small bowel obstruction is suspected.Background:He has experienced worsening abdominal pain, nausea, and vomiting for 1-2 days with inability to eat or drink much over the last few days. His past surgical history includes a cholecystectomy, appendectomy, and right inguinal hernia repair, all more than 5 years ago.Assessment:Mr. Checketts is awake and states he has felt 'dizzy' and 'weak' all evening. His vital signs upon arrival were: BP: 108/73; temperature: 100.9 °F (38.3 °C); pulse: 110; respiratory rate: 22, and SpO2: 95% on room air. He has poor skin turgor, dry mucous membranes, and has not urinated since yesterday. His abdomen is distended. He signed an informed consent for treatment. A right forearm saline lock was placed, and labs, a CBC, and BMP were drawn.Recommendation:You will need to check the provider's…Mary Dobos was admitted to Boca Raton Community Hospital in serious condition with an abdominal aneurysm. The hospital called upon Nursing Care Services, Inc., to provide around-the-clock nursing services for Mrs. Dobos. She received two weeks of in-hospital care, forty-eight hours of postrelease care, and two weeks of at-home care. The total bill was $3,723.90. Mrs. Dobos refused to pay, and Nursing Care Services, Inc., brought an action to recover. Mrs. Dobos maintained that she was not obligated to render payment in that she never signed a written contract, nor did she orally agree to be liable for the services. The necessity for the services, reasonableness of the fee, and competency of the nurses were undisputed. After Mrs. Dobos admitted that she or her daughter authorized the forty-eight hours of postrelease care, the trial court ordered compensation of $248 for that period. It did not allow payment of the balance, and Nursing Care Services, Inc., appealed. Decision?
