Question # 29 of 50 A Drug A is an enzyme inducer. Drug Bis metabolized to its inactive form and is a substrate of the isoenzymes nduced by Drug A. What will most likely happen when Drug A is added to the drug regimen of a patient who takes Drug B? nswers A-D A Increased blood levels of Drug A O Decreased blood levels of Drug A Increased blood levels of Drug B o Decreased blood levels of Drug B O

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Answer 1

Drug A, an enzyme inducer, may interfere with the effectiveness of Drug B, which is metabolized into its inactive form and is a substrate for the isoenzymes induced by Drug A. Drug A will most likely result in decreased blood levels of Drug B when administered to a patient taking Drug B as part of their drug regimen.

When an inducer drug (such as drug A) is combined with a substrate drug (such as drug B), the amount of the substrate drug present in the body can be lowered.

This occurs because the inducer drug increases the activity of an enzyme that metabolizes the substrate drug, causing it to be broken down more quickly, which lowers the concentration of the substrate drug in the bloodstream.

As a result, the therapeutic effectiveness of the substrate drug may be decreased.

Hence, we can say that when Drug A is added to the drug regimen of a patient who takes Drug B, it will most likely result in decreased blood levels of Drug B.

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The provider ordered lithium 300 mg PO every 8 hours. Available is lithium 150 mg/capsule. How many capsules will the nurse administer per dose? (Record answer as a whole number. Do not use a trailing zero.)

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The available lithium 150 mg/capsule. The provider ordered lithium 300 mg PO every 8 hours.

The nurse will administer two capsules per dose if the provider ordered lithium 300 mg PO every 8 hours and available is lithium 150 mg/capsule.

To determine the number of capsules to be administered per dose, it is essential to determine the lithium dosage of each capsule. Available is lithium 150 mg/capsule.

The provider ordered lithium 300 mg PO every 8 hours.

This means that the patient must receive 300 mg of lithium per dose. As such, it is crucial to determine how many lithium capsules can administer this dose.

To calculate the number of capsules, divide the prescribed lithium dose by the lithium dose available in each capsule.

Thus,

300 mg ÷ 150 mg/capsule

= 2 capsules

The nurse will administer two capsules per dose.

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Create a project charter for the following case study - 10 marks - 10% of final grade. How do you suggest this quality issue be resolved?
Ontario hospitals scrambling following surge in number of extremely sick babies
A sudden jump in the number of extremely sick and premature babies has left Ontario hospitals scrambling to find space to care for them. Most of the province’s eight Level 3 neonatal intensive care units, which care for the most fragile newborns, have been struggling with an unanticipated surge in demand since early August, Ontario health officials have confirmed. Hardest hit have been the three in Toronto — at SickKids, Mount Sinai Hospital and Sunnybrook Health Sciences Centre, said David Jensen, a health ministry spokesperson. "This is an unusual situation that has not been previously encountered," he said in an email. The province was unable to say Thursday exactly how many babies have been treated in these units in recent weeks. Officials emphasized that all of the infants have received the care required, but conceded it has been a challenge.

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Project Charter for Resolving Quality Issue in Ontario Hospitals Following Surge in Number of Extremely Sick Babies.

Objective: The objective of this project is to address the quality issue caused by the surge in extremely sick and premature babies, leading to a strain on Level 3 neonatal intensive care units (NICUs) in Ontario hospitals. The project aims to ensure adequate space and resources are available to provide the necessary care for these fragile newborns.

Scope: The project will focus on the three Level 3 NICUs in Toronto, specifically at SickKids, Mount Sinai Hospital, and Sunnybrook Health Sciences Centre. It will involve assessing the current capacity and resource constraints, identifying potential solutions to increase capacity, and implementing appropriate measures to alleviate the strain on the NICUs.

Deliverables:

1. Assessment report: Evaluate the current situation, including the number of babies treated, available space, and resource allocation.

2. Solution options: Identify potential strategies to increase capacity, such as temporary expansions, collaboration with other hospitals, or alternative care arrangements.

3. Implementation plan: Develop a detailed plan for executing the chosen solution, including resource allocation, timeline, and communication strategy.

4. Monitoring and evaluation: Continuously monitor the impact of the implemented measures, collect feedback from stakeholders, and make necessary adjustments to ensure effectiveness.

Stakeholders: Ontario health officials, hospital administrators, NICU staff, parents of the affected babies, and other relevant healthcare professionals.

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You are the caseworker for a single mother (Mary) who has a 15yr old son (Toby). Mary is struggling with alcohol addiction and states she often smokes marijuana when her son is at school.
Mary has said that she hasn’t worked since her son was born and had previously managed by doing odd jobs for friends and neighbors. However, Mary has said that now her son is older she would like to get a full-time job but is worried that she will not be successful due to her addiction.
When ‘probing’ further into Mary’s addiction, you come to understand that she regularly has her first glass of wine with breakfast and states that without it she can’t ‘think’ straight. Mary said she found a half-smoked marijuana joint in her son’s room when she was cleaning, and she is worried that he may be experimenting with drugs. Mary states that she would like to be able to stop drinking and smoking marijuana but every time she has tried before it hasn’t worked.
1) What are the legal issues in this case study?
2) What category/types of drugs are discussed?
3) Define mandated reporting requirements
4) What are the possible assessment and/or referral options?
5) apply critical thinking and judgment in identifying an appropriate Alcohol and other drug program and rehabilitation suitable for Mary’s needs. For example, would Mary benefit from a full-time rehabilitation program or a part-time rehabilitation program, and why?
Part 3 – Critical Reflection
You have taken Mary’s case to your supervisor and your supervisor has asked you to spend time reflecting on your decisions and consider what worked well and what other options were available to you. Your supervisor has also requested you to consider your professional responsibility and accountability and asked you to put this into a mini report.

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1. We can see here that there are a few legal issues that could be raised in this case study. First, Mary's drinking and smoking marijuana could be considered child neglect. In many states, it is illegal for parents to allow their children to be exposed to drugs or alcohol. Second, Mary's son's possession of marijuana could also be considered a legal issue. In some states, it is illegal for minors to possess marijuana.

What are the type of drug?

2. The two main types of drugs that are discussed in this case study are alcohol and marijuana. Alcohol is a depressant, and marijuana is a hallucinogen.

3. Mandated reporting requirements are laws that require certain professionals to report suspected child abuse or neglect to the authorities. In most states, caseworkers are mandated reporters. This means that if a caseworker suspects that a child is being abused or neglected, they are required to report it to the authorities.

4. There are a number of assessment and referral options that could be available to Mary. One option would be to have her assessed by a substance abuse counselor. A substance abuse counselor could help Mary to understand her addiction and develop a treatment plan. Another option would be to refer Mary to a rehabilitation program. A rehabilitation program could help Mary to overcome her addiction and learn how to live a sober life.

5. The type of rehabilitation program that would be most appropriate for Mary would depend on her individual needs. If Mary is struggling with a severe addiction, she may benefit from a full-time rehabilitation program. A full-time rehabilitation program would provide Mary with around-the-clock support and treatment.

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1. Bertha is taking care of Mrs. Peabody who has been diagnosed with angina pectoris. Bertha knows angina pectoris occurs when: a) there is blockage in one of the arteries of the lungs. b) the immune system attacks the covering on the nerve fibers. c) blood flow to the brain gets interrupted. d) the heart muscle does not get the blood supply it needs. 2. A gait belt is a device used to: a) support a person during ambulation or transfer. b) prevent a resident from falling out of bed. c) treat a specific medical symptom. d) restrict a persons freedom of movement. 3. Mrs. Porgey is a newly admitted resident on Bertha's assignment. She cannot bear weight and her Plan of Care states she is to be transferred by a mechanical lift. To promote safety, Bertha should: a) place a draw sheet over the lift sheet b) cover the resident with a blanket c) obtain the assistance of at least 1 other Nursing Assistant d) move her to the edge of the bed before placing her on the lift sheet 4. The three main parts of the urinary system (renal) are: a) kidneys, esophagus and nerves. b) urethra, meatus and lungs. c) blood vessels, urethra and colon. d) bladder, ureters and kidneys. 5. The Circulatory (Cardiovascular) system is made up of: a) blood, lungs and heart b) blood vessels, kidneys and arteries c) heart, blood and blood vessels d) arteries, nerves and heart

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Bertha is taking care of Mrs. Peabody who has been diagnosed with angina pectoris. Bertha knows angina pectoris occurs when the heart muscle does not get the blood supply it needs. The long answer to explain this is that Angina pectoris occurs when your heart muscle doesn't get enough oxygen-rich blood. It is not a disease but a symptom of an underlying heart problem, usually coronary heart disease (CHD).

You may feel angina symptoms in your chest, shoulders, arms, neck, jaw, or back. This pain is due to a lack of blood flow and oxygen to the heart muscle.2. A gait belt is a device used to support a person during ambulation or transfer. The long answer to explain this is that a gait belt is a device used to help support someone who needs assistance when walking or moving. It is a simple belt that is secured around the person's waist and provides a secure place for the caregiver to hold while providing support. This device helps prevent falls and other injuries during transfer. 3. Mrs. Porgey is a newly admitted resident on Bertha's assignment. She cannot bear weight, and her Plan of Care states she is to be transferred by a mechanical lift. To promote safety, Bertha should obtain the assistance of at least 1 other Nursing Assistant. The long answer to explain this is that when transferring a person who cannot bear weight, it is essential to have enough help to prevent falls and injuries. A mechanical lift is an excellent tool to assist with the transfer, but it requires more than one person to use it safely. The use of a draw sheet over the lift sheet and covering the resident with a blanket may be helpful but does not promote safety.

The three main parts of the urinary system (renal) are kidneys, ureters, and bladder. The long answer to explain this is that the urinary system, also known as the renal system, is responsible for removing waste products from the body. It is made up of three main parts: the kidneys, ureters, and bladder. The kidneys filter the blood to remove waste and excess water, which is then transported to the bladder by the ureters. The bladder stores urine until it is ready to be expelled from the body. 5. The Circulatory (Cardiovascular) system is made up of the heart, blood, and blood vessels. The long answer to explain this is that the Circulatory (Cardiovascular) system is responsible for transporting oxygen, nutrients, and waste products throughout the body. It is made up of three main components: the heart, blood, and blood vessels. The heart pumps blood through the blood vessels to transport oxygen and nutrients to the cells of the body. The blood vessels include arteries, veins, and capillaries and help to regulate blood pressure and flow.

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The four models of organizational change are given. Of these, which model do YOU believe would most effectively eliminate barriers to evidence-based nursing practice change?
1. The change curve model
2. Kotter and Cohen's Model of Change
3. Rogers diffusion of Innovations
4. The transtheoretical Model of Health Behavior Change

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Of the four models of organizational change mentioned, the model that I believe would most effectively eliminate barriers to evidence-based nursing practice change is:2. Kotter and Cohen's Model of Change

Kotter and Cohen's Model of Change provides a comprehensive framework for managing and implementing organizational change. It consists of eight stages that guide the change process, including creating a sense of urgency, building a guiding coalition, developing a vision and strategy, empowering action, generating short-term wins, consolidating gains, and anchoring change in the culture. This model emphasizes the importance of strong leadership, effective communication, and employee engagement throughout the change process.

In the context of eliminating barriers to evidence-based nursing practice change, Kotter and Cohen's model offers a structured approach to mobilize support, overcome resistance, and create a culture that embraces evidence-based practices. By creating a sense of urgency and building a coalition of stakeholders who are committed to change, the model fosters a shared vision and strategy that aligns with evidence-based principles. Empowering action and generating short-term wins can help overcome initial resistance and demonstrate the benefits of evidence-based practices, thus facilitating a smoother transition. Lastly, anchoring change in the organizational culture ensures the sustainability of evidence-based nursing practice in the long term.

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10. Jennifer arrives on Labor and Delivery in active labor and quickly delivers a baby boy precipitously. She did not receive an IV prior to delivery so the delivering provider orders 10 units Pitocin to be administered IM. The vial available in the Pyxis reads 40u/mL. How many mL would the nurse administer in Jennifer's thigh?

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To administer 10 units of Pitocin, the nurse would need to administer a certain volume based on the concentration of the vial. So nurse would administer 0.25 mL of Pitocin in Jennifer's thigh.

To calculate the volume of Pitocin to be administered, we can use the formula:

Volume (mL) = Units required / Concentration (units/mL)

In this case, the nurse needs to administer 10 units of Pitocin, and the available vial concentration is 40 units/mL. Plugging these values into the formula:

Volume (mL) = 10 units / 40 units/mL = 0.25 mL

Therefore, the nurse would administer 0.25 mL of Pitocin in Jennifer's thigh.

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Which would the nurse do first for a client with pink raised areas that are swollen and itchy after using a new soap?
1. Refer the client to an allergist for testing.
2. Perform a full history and physical examination.
3. Suggest that the client not use that soap again.
4. Advise the client to take an antihistamine for itching.

Answers

The nurse may also advise the client to take an antihistamine for itching if necessary. If the client's symptoms do not improve after taking these steps, the nurse may refer the client to an allergist for testing to determine the specific allergen causing the reaction.

If a client is experiencing pink raised areas that are swollen and itchy after using a new soap, the nurse would first suggest that the client not use that soap again. This is because the symptoms that the client is experiencing are most likely due to an allergic reaction to the new soap. When a client experiences a reaction to a new soap, it is important for the nurse to take action in order to help the client feel better.

In order to do this, the nurse should take a full history and perform a physical examination to ensure that the client's symptoms are not due to an underlying medical condition. After this has been done and the nurse has determined that the client's symptoms are due to an allergic reaction to the new soap, the nurse should suggest that the client not use that soap again.

This is because continued use of the soap could make the client's symptoms worse. The nurse may also advise the client to take an antihistamine for itching if necessary. If the client's symptoms do not improve after taking these steps, the nurse may refer the client to an allergist for testing to determine the specific allergen causing the reaction.

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medical assistant diversity case study questions
read below about in which different type of Bias has affected patient care. Describe why it is imporant to the staff and patient for these to be addressed prior to proving care, in order fo ensure quality care.
D.age: The most advanced treatment procedures and medications are reserved for young patients with a longer life expectancy than elderly patients E economic status: The most advanced treatment procedures and medications are only presented as options for patients with a higher income or are not on state assistance programs such as Medicaid F. appearance: The statt has noticed that the doctor spends more time in the exam room with and orders more tests on the young attractive female patients that wear tight clothing and make up than he does with the female patients that do not wear make-up and tight clothing

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Age bias: Elderly patients may not receive the same level of care as younger patients.

Economic status bias: Patients with lower incomes may not be offered the same treatment options as patients with higher incomes.

Appearance bias: Patients who are not considered to be attractive may not receive the same level of care as patients who are considered to be attractive.

Bias can affect patient care in a number of ways. For example, age bias can lead to elderly patients being denied treatment options or being given less aggressive treatment. Economic status bias can lead to patients with lower incomes being denied treatment altogether or being forced to pay more for treatment. Appearance bias can lead to patients who are not considered to be attractive being given less attention by healthcare providers or being misdiagnosed.

It is important to address bias in healthcare because it can have a negative impact on patient care. When patients are treated differently based on their age, economic status, or , they are less likely to receive the care they need. This can lead to woappearancerse outcomes for patients, including increased risk of death, disability, and financial hardship.

There are a number of things that can be done to address bias in healthcare. Healthcare providers can be trained to be aware of their own biases and to avoid making decisions based on them. Healthcare organizations can develop policies and procedures that promote equity and fairness in the delivery of care. Patients can also advocate for themselves and speak up if they feel they are being treated unfairly.

By addressing bias in healthcare, we can ensure that all patients receive the care they need, regardless of their age, economic status, or appearance.

Here are some additional things that can be done to address bias in healthcare:

Create a culture of diversity and inclusion in healthcare organizations. This can be done by hiring and promoting a diverse workforce, providing training on unconscious bias, and creating a safe space for employees to discuss their experiences with bias.

Collect data on patient outcomes and use it to identify areas where bias may be affecting care. This data can be used to develop interventions to address bias and improve patient outcomes.

Partner with community organizations to educate patients about their rights and to provide them with resources to advocate for themselves.

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the nursing is assessing a patient who reports joint pain. which typew of range of motion assessed by the nurse involves sagittal plane movement?

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A sagittal plane range-of-motion assessment involves assessing joint movement along the front-to-back plane and is one of the ways a nurse can assess joint pain in a patient. The range of motion involves several assessments, but in this scenario, a sagittal plane range-of-motion assessment is the appropriate assessment for joint pain.

The nursing is assessing a patient who reports joint pain. The type of range of motion assessed by the nurse involves sagittal plane movement.

What is a joint?A joint is a place where two bones meet. There are three types of joints: synovial, cartilaginous, and fibrous.

Synovial joints, for example, have a space between the bones and are enclosed by a capsule of connective tissue, which is lined by synovial membrane and lubricated by synovial fluid.

The nursing profession, which focuses on the treatment of patients, particularly those who are ill or injured, has evolved into a highly skilled and specialized occupation.

Nurses are responsible for a variety of tasks, including conducting medical assessments, developing treatment plans, administering medications, and managing patient care.

Joint pain can be assessed by a nurse in a variety of ways. A nurse, for example, can perform a range-of-motion assessment on a patient who is experiencing joint pain. Range-of-motion assessments assess the degree of movement in a particular joint.

One type of range-of-motion assessment is a sagittal plane assessment. This type of assessment determines the degree of movement in the front-to-back plane. This motion occurs along the sagittal plane and includes movements such as flexion, extension, and hyperextension.

In summary, a sagittal plane range-of-motion assessment involves assessing joint movement along the front-to-back plane and is one of the ways a nurse can assess joint pain in a patient.

The range of motion involves several assessments, but in this scenario, a sagittal plane range-of-motion assessment is the appropriate assessment for joint pain.

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The assignment: This is a short paper assignment. Prepare a paper 1-2 pages single spaced or 2-4 double spaced in length. You should include references and write in APA style. You should include at least 2 references. The Task: What is health care finance and why is it important to managers and leaders? What is one current (last 6 months) issue that healthcare leaders are dealing with and how does this impact the overall financial health of their department or healthcare system. Draw from your class sources and your own research. Pay particular attention to how finance affects managers and leaders in terms of their ability to execute plans, grow and provide quality health care to clients.

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Healthcare finance is the process of acquiring, managing, and using financial resources in healthcare organizations. It is important to managers and leaders because it allows them to make informed decisions about how to allocate resources and ensure the financial viability of their organizations.

Healthcare finance is the process of acquiring, managing, and using financial resources in healthcare organizations. It is a complex and ever-changing field, as healthcare costs continue to rise and reimbursement rates from insurers remain stagnant. Healthcare leaders must have a strong understanding of financial concepts and be able to make sound financial decisions in order to ensure the financial viability of their organizations.

One current issue that healthcare leaders are dealing with is the rising cost of prescription drugs. The cost of prescription drugs has increased significantly in recent years, and this is putting a strain on the budgets of both healthcare organizations and patients. Healthcare leaders are working to find ways to reduce the cost of prescription drugs, such as negotiating lower prices with pharmaceutical companies and using generic drugs whenever possible.

The rising cost of prescription drugs is just one of the many financial challenges that healthcare leaders face. Other challenges include the increasing demand for healthcare services, the aging population, and the changing reimbursement landscape. Healthcare leaders must be able to adapt to these challenges and make sound financial decisions in order to ensure the long-term financial health of their organizations.

Here are some of the ways that finance affects managers and leaders in terms of their ability to execute plans, grow and provide quality health care to clients:

Finance can help managers and leaders to identify and allocate resources efficiently.

Finance can help managers and leaders to track the performance of their organizations and make necessary adjustments.

Finance can help managers and leaders to develop and implement strategic plans.

Finance can help managers and leaders to attract and retain qualified employees.

Finance can help managers and leaders to provide quality health care to clients at a reasonable cost.

In conclusion, healthcare finance is an important and complex field that plays a vital role in the success of healthcare organizations. Healthcare leaders must have a strong understanding of financial concepts and be able to make sound financial decisions in order to ensure the financial viability of their organizations and provide quality health care to their clients.

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which statement indicates the nurse has a good understanding of edema? edema is the accumulation of fluid in the: a interstitial spaces. b intracellular spaces. c intravascular spaces. d intercapillary spaces.

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The statement that indicates the nurse has a good understanding of edema is:

a) Edema is the accumulation of fluid in the interstitial spaces.

Edema or oedema refers to the abnormal fluid buildup in the body's tissues, specifically in the spaces between cells known as interstitial space, which results in swelling.

These spaces exist throughout the body and are filled with interstitial fluid, which nourishes the cells and facilitates the exchange of substances between the cells and blood vessels. When there is an imbalance between the fluid moving into the interstitial spaces and fluid removal, such as in cases of increased capillary permeability or impaired lymphatic drainage, excess fluid accumulates in these spaces, leading to oedema.

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Summarise the patient profile for a person with CHF. You can choose at least one cause and the associated risk for this CHF etiology. With your summary, include a pathophysiological profile from genetic (if relevant), molecular, cellular to systemic.

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Heart failure or CHF occurs when the heart is unable to pump sufficient blood to meet the metabolic needs of the body's tissues. Heart failure is associated with numerous causes, each with its pathophysiological profile. The aim of this summary is to provide a patient profile for a person with CHF, as well as a pathophysiological profile for heart failure.

One of the most common causes of heart failure is ischemic heart disease (IHD). IHD is a result of atherosclerotic plaque formation in the coronary arteries that supply the heart with blood, reducing the oxygen supply to the myocardium.IHD causes myocardial injury through several mechanisms, including myocardial ischemia, apoptosis, and necrosis. Chronic ischemic injury to the heart leads to fibrosis, hypertrophy, and cardiac remodeling, which contributes to the development of heart failure.

Patients with CHF due to IHD have an increased risk of developing ventricular arrhythmias, myocardial infarction, and sudden cardiac death. CHF's pathophysiological profile begins at the genetic and molecular levels, with various genetic mutations and molecular signaling pathways associated with the development of heart failure. The cellular level of pathophysiology is characterized by cardiac remodeling, apoptosis, and necrosis, which alter the cardiac structure and function. Finally, CHF's systemic effects manifest as reduced cardiac output, fluid retention, and activation of the sympathetic nervous system and renin-angiotensin-aldosterone system, which further exacerbate the disease state.

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A nurse is assessing a 9-month-old infant. Which of the following findings should the nurse report to the provider as a possible developmental delay?"
Grasping a small object with just the thumb and index finger
Dropping a cube when passing it from one hand to another
Falling to a sitting position when standing
Losing balance when leaning sideways while sitting

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The findings that the nurse should report to the provider as a possible with regards to the infant developmental delay is Losing balance when leaning sideways while sitting

What is developmental delay?

When a child is still in the process of developing, needed developmental  skills as at that age can be  compare to other kids their own age,  and it can be deduced that they have a developmental delay. Delays  can be perceive in different areas which could be seen in the social skills, speech as well as the language, cognitive function, and motor function.

One of the signs of developmental delay, which happens when a child's progress through anticipated developmental phases slows, stalls, or reverses, is slower-than-normal development of motor, cognitive, social, and emotional skills.

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a hospitalized client develop thrombocytopenia. which lab result does the nurse expect in this client?

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Thrombocytopenia is the medical term used to refer to low platelet counts in a patient. These thrombocytes are important blood components that help with clotting and preventing bleeding from cuts, injuries, and other sources.

Platelet counts that are lower than the normal range, which is usually 150,000 to 450,000 per microliter of blood, may be a cause of concern for healthcare providers. Clients with thrombocytopenia are expected to show low platelet counts in their laboratory results. The normal range of platelet counts is 150,000 to 450,000 platelets per microliter of blood. Clients with thrombocytopenia can have platelet counts below 100,000/microliter, and in some cases, below 20,000/microliter. It can occur due to a variety of reasons, including bone marrow disorders, viral infections, cancer treatment, medication use, and autoimmune disorders.

Thrombocytopenia is a medical condition where the client has a decreased number of platelets. The normal range for platelets is usually 150,000 to 450,000 per microliter of blood. This condition can occur due to various reasons such as bone marrow disorders, medication use, cancer treatment, autoimmune disorders, and viral infections. A client who has developed thrombocytopenia will exhibit low platelet counts in their laboratory results. A platelet count below 100,000/microliter can be worrisome, and in some cases, below 20,000/microliter.

In conclusion, a hospitalized client who develops thrombocytopenia will exhibit low platelet counts in their laboratory results. Platelet counts that are below 100,000/microliter and in some cases, below 20,000/microliter are concerning for healthcare providers.

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a nurse cares for a client with infective endocarditis. which infection control precautions would the nurse use?

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When caring for a client with infective endocarditis, the nurse would utilize Standard Precautions, including hand hygiene, personal protective equipment, and maintaining a clean environment.

In caring for a client with infective endocarditis, the nurse's primary infection control measure is to implement Standard Precautions. This involves practicing proper hand hygiene by washing hands thoroughly with soap and water or using an alcohol-based hand sanitizer. The nurse should wear personal protective equipment (PPE), such as gloves and masks, when providing care that involves potential exposure to blood, body fluids, or contaminated surfaces. It is crucial to maintain a clean and sanitary environment by regularly disinfecting surfaces and equipment. Transmission-Based Precautions may be necessary if specific pathogens are identified or suspected, in which case additional precautions like Contact Precautions or Airborne Precautions would be implemented based on the nature of the infectious agents. Adhering to these infection control measures helps prevent the spread of infections and ensures the safety of both the client and healthcare providers.

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Case#2: A 25 year old patient was presented with acute infection of the urinary tract system with dysuria, increased frequency, and urgency. Gram staining procedure showed result of pink colored bacilli. With E. coli suspected for the infection, what will be the clinical procedures? Explain and outline in a step by step manner what are the laboratory test and procedures you would perform to confirm the infection; which specimen you will collect, which media to inoculate, and which biochemical test to run to differentiate it from other gram negative bacilli.

Answers

A urine culture will be performed to confirm the diagnosis of a urinary tract infection (UTI) and to identify the specific organism responsible. The patient will be treated with antibiotics, such as ciprofloxacin or levofloxacin.

The clinical procedures that will be performed to confirm the infection include:

Urine culture: A urine sample will be collected and cultured on a growth medium. The growth medium will be incubated at 37 degrees Celsius for 24 hours. If bacteria grow, they will be identified using a Gram stain and biochemical tests.

Urine dipstick: A urine dipstick can be used to test for the presence of nitrites and leukocytes. Nitrite is produced by some bacteria, such as E. coli, when they break down nitrates in the urine. Leukocytes are white blood cells that are released in response to an infection. The presence of nitrites and leukocytes on a urine dipstick is a presumptive diagnosis of a UTI.

Blood cultures: Blood cultures may be drawn to rule out a more serious infection, such as sepsis.

The patient will be treated with antibiotics, such as ciprofloxacin or levofloxacin. The antibiotic will be chosen based on the results of the urine culture. The patient will be instructed to drink plenty of fluids and to urinate frequently.

The following laboratory tests and procedures may be performed to differentiate E. coli from other gram negative bacilli:

Oxidase test: E. coli is oxidase-positive, while other gram negative bacilli are oxidase-negative.

Urease test: E. coli produces urease, which breaks down urea into ammonia and carbon dioxide. Other gram negative bacilli do not produce urease.

Indole test: E. coli produces indole, which is a compound that has a strong, fishy odor. Other gram negative bacilli do not produce indole.

The results of these tests can be used to confirm the diagnosis of E. coli and to differentiate it from other gram negative bacilli.

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read the case study for chapter 9 which can be found on page 172 of the textbook (shaw and carter, 2019). after reading the case study answer the following question: 1. what mistakes were made in the care of this patient? 2. identify how a patient-centered care perspective would have changed the experience of both nigel and joan?

Answers

In order to identify the mistakes made in the care of a patient, you would need to carefully read the case study mentioned on page 172 of the textbook. Look for any actions or decisions that were not in line with best practices or resulted in negative outcomes for the patient.

As for how a patient-centered care perspective would change the experience of both Nigel and Joan, here are a few general points to consider:

1. Improved communication: Patient-centered care emphasizes effective and empathetic communication between healthcare providers and patients. This would involve active listening, addressing concerns, and providing clear information about the treatment plan.

2. Individualized care: Patient-centered care recognizes the unique needs and preferences of each patient. It focuses on tailoring care to match the patient's specific circumstances, values, and goals. This approach would ensure that both Nigel and Joan receive personalized and appropriate care.

3. Shared decision-making: A patient-centered care perspective involves involving patients and their families in the decision-making process. Healthcare providers would work collaboratively with Nigel and Joan, discussing treatment options, risks, benefits, and involving them in the decision-making process.

4. Emotional support: Patient-centered care recognizes the emotional and psychological needs of patients. Healthcare providers would offer emotional support, address fears or anxieties, and provide resources to help cope with the challenges of their health conditions.

Remember, the specific details and examples would need to be derived from the case study mentioned in your textbook.

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Timothy just finished an exercise where he straightened his arms and brought them together in front of his body. he then bent his arms up at the elbows and then opened them outward, pressing them toward his back. what kind of exercises did timothy complete?

Answers

Timothy completed a combination of exercises that targeted different muscle groups. The first part of the exercise where he straightened his arms and brought them together in front of his body is called a chest fly.

This exercise primarily targets the chest muscles (pectoralis major).

The second part where he bent his arms up at the elbows and then opened them outward, pressing them toward his back is called a reverse fly or rear delt fly.

This exercise primarily targets the posterior deltoids, which are the muscles located at the back of the shoulders.

Overall, Timothy completed a chest fly and a reverse fly exercise.

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Which statement is false regarding the male experience during "manopause?" the ability to reproduce will be lost psychosocial stressors may cause a lowering of testosterone hot flashes, sweating, chills, dizziness, headaches and heart palpitations may occur hormonal fluctuations and physical and psychological changes occur Successful middle-age adulthood is best characterized by: power and improved reaction time generativity and lack of sexual desire stability and freedom skill mastery and increasing memory At which of Erikson's stage of development would activities such as teaching a younger generation, care of the environment or social activism take on the most importance? Ego Integrity vs Despair Identity formation vs identity confusion Industry vs inferiority conflict Generativity vs Stagnation and Self Absorption

Answers

During "menopause," the ability to reproduce is not lost in men, but there may be hormonal fluctuations and physical/psychological changes such as lower testosterone levels, hot flashes, and heart palpitations. Successful middle-age adulthood is characterized by generativity, involving activities like teaching, environmental care, and social activism, while the false statement is that reproductive ability is completely lost.

The false statement regarding the male experience during "manopause" is that the ability to reproduce will be lost.

Unlike menopause in women, where reproductive capacity ends, men do not experience a complete loss of fertility during the aging process.

While it is true that testosterone levels decline with age in men, leading to various physical and psychological changes, including a decrease in sexual function and fertility, it does not result in the complete loss of reproductive ability.

Men can still father children later in life, although the likelihood of conception may be reduced.

Successful middle-age adulthood is best characterized by generativity and lack of sexual desire. Generativity refers to the desire and ability to contribute to the next generation and society as a whole.

It involves activities such as teaching, mentoring, caring for the environment, and engaging in social activism. This stage is associated with a sense of purpose and fulfillment derived from making a positive impact on others.

While stability and freedom, skill mastery, and increasing memory are important aspects of middle-age adulthood, generativity reflects a broader and more significant psychological and social dimension.

The activities such as teaching a younger generation, care of the environment, or social activism take on the most importance at Erikson's stage of development known as Generativity vs. Stagnation and Self-Absorption.

This stage typically occurs during middle adulthood, roughly between the ages of 40 and 65. Erikson proposed that individuals in this stage are driven by a need to leave a lasting impact on the world and to nurture future generations.

They may engage in activities such as teaching, mentoring, raising children, participating in community organizations, or advocating for social causes.

Through these activities, individuals experience a sense of generativity, which involves a focus on the welfare of others and a broader concern for the future.

This stands in contrast to stagnation and self-absorption, where individuals become more self-centered and fail to contribute meaningfully to society.

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What body system would nausea/vomiting/diarrhea fall
under?

Answers

Answer:

Digestive system.

As future clinicians how do you feel about the new Monkey Pox cases
and the CDC raising the alert to level 2?
What action should we should we not take?
I need this by 11:59 midnight please

Answers

As future clinicians, it is understandable to feel a sense of concern about the recent Monkeypox cases and the CDC raising the alert to level 2.

Monkeypox is a rare viral disease that can be transmitted to humans from animals and is similar to human smallpox. It is endemic in parts of Central and West Africa, but it has also been reported in the United States and other countries.Importantly, it is not as easily transmissible from human to human like COVID-19. However, as future clinicians, it is important to keep up-to-date with the latest information from the CDC and other reliable sources, so that we can stay informed and provide our patients with accurate and trustworthy information. We should avoid panic and spread misinformation as it only leads to further confusion and fear. Instead, we should educate ourselves on the signs and symptoms of Monkeypox, as well as preventive measures, such as washing our hands regularly, avoiding contact with animals that may carry the virus, and getting vaccinated if traveling to areas where the virus is known to be present.In conclusion, as future clinicians, we should stay informed and educated on the latest information from the CDC and other reliable sources, take preventive measures to protect ourselves and our patients from the virus, and avoid spreading panic and misinformation.

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3)what is informed consent?define it and list at least
one example how it can be overlooked/abused in the facility by
sure to document your source

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Informed consent is a process where a person voluntarily agrees to participate in a medical or research procedure after receiving comprehensive information about the risks, benefits, alternatives, and implications involved.

Informed consent is an essential ethical and legal principle that ensures individuals have the autonomy and right to make informed decisions about their healthcare. It requires healthcare providers to provide relevant information in a clear and understandable manner, giving patients the opportunity to ask questions and make an informed choice.

However, instances of overlooking or abusing informed consent can occur in healthcare facilities. One example is when inadequate information is provided to patients, either due to time constraints, lack of thorough communication, or a failure to disclose all relevant risks or alternative treatment options. This can lead to patients making decisions without fully understanding the potential consequences or alternatives available to them.

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a condition that requires immediate medical or surgical evaluation

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If an individual experiences a condition that requires immediate medical or surgical evaluation, it typically indicates a potentially serious or life-threatening situation that demands urgent attention from healthcare professionals. Some examples of such conditions include:

Severe chest pain: Chest pain can be a symptom of a heart attack, aortic dissection, or other critical cardiovascular issues.

Difficulty breathing: Rapid or laboured breathing, shortness of breath, or choking could be signs of a severe respiratory problem, such as a collapsed lung, severe asthma attack, or anaphylaxis.

Uncontrolled bleeding: Profuse bleeding that cannot be stopped with direct pressure or is associated with significant trauma requires immediate medical intervention.

Loss of consciousness: Sudden loss of consciousness or fainting may be indicative of a serious underlying condition, such as a stroke, heart arrhythmia, or head injury.

Severe abdominal pain: Intense abdominal pain, particularly if accompanied by other symptoms like fever, vomiting, or blood in the stool, could signify conditions like appendicitis, bowel obstruction, or a ruptured organ.

Acute neurological symptoms: The sudden onset of severe headache, confusion, slurred speech, paralysis, or seizures may be signs of a stroke, brain haemorrhage, or other neurological emergencies.

Major trauma or injury: Severe injuries, such as fractures, deep wounds, severe burns, or spinal cord injuries, necessitate immediate medical attention and may require surgical evaluation.

Homicidal thoughts: If someone expresses immediate plans or intentions to harm themselves or others, it is crucial to seek emergency psychiatric assistance.

In these situations, it is important to call emergency services or go to the nearest emergency room without delay. Prompt evaluation and intervention can greatly improve the chances of a positive outcome.

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Aloysius Gonzales, a 59-year-old patient, is in chronic renal
failure. His family is trying to decide whether their father should
be brought to the dialysis clinic for hemodialysis, or whether they
sh

Answers

Aloysius Gonzales, a 59-year-old patient, is in chronic renal failure. His family is trying to decide whether their father should be brought to the dialysis clinic for hemodialysis, or whether they should take care of him at home.

Hemodialysis is the process of removing excess waste, fluid, and electrolytes from the blood in individuals with kidney failure. Hemodialysis is accomplished through the use of a dialysis machine and a dialyzer (artificial kidney). During hemodialysis, the patient's blood travels from the body through a dialysis access point, such as an arteriovenous fistula, to the dialyzer. Hemodialysis is usually performed at a dialysis center, but it can also be performed at home if the patient has been trained and approved for home hemodialysis. Hemodialysis is typically performed 3 times a week, and each session lasts 3-5 hours. Chronic renal failure, often known as chronic kidney disease (CKD), is a progressive deterioration of kidney function. CKD is characterized by a gradual and irreversible decline in kidney function, with symptoms such as fluid retention, electrolyte imbalances, anemia, and elevated blood pressure. CKD can be caused by a variety of factors, including diabetes, high blood pressure, kidney infections, and other kidney disorders. Hemodialysis has several advantages, including the following: It can help remove waste, fluid, and electrolytes from the body. It can help reduce symptoms of kidney failure, such as nausea, vomiting, and fatigue. It can help improve a patient's quality of life by allowing them to perform normal daily activities. It can help prolong a patient's life. It can be done at a dialysis center or at home, depending on the patient's preferences and medical condition.

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bogetz jf, bogetz al, rassbach ce, gabhart jm, blankenburg rl. caring for children with medical complexity: challenges and educational opportunities identified by pediatric residents. acad pediatr. 2015;15(6):621-625. doi:10.1016/j.acap.2015.08.004.

Answers

The research article titled "Caring for children with medical complexity: Challenges and educational opportunities identified by pediatric residents" by Bogetz et al. (2015)

He focuses on the challenges faced by pediatric residents in caring for children with medical complexity (CMC) and the educational opportunities associated with this population.

The study aimed to explore the experiences of pediatric residents in providing care for CMC, who often have multiple chronic conditions and complex healthcare needs.

The researchers conducted interviews and surveys with pediatric residents to gather their perspectives on the challenges they encountered and the educational opportunities they identified when caring for CMC.

The findings of the study revealed several key challenges faced by pediatric residents in caring for CMC. These challenges included the complexity of medical conditions, coordination of care across multiple specialties, addressing psychosocial needs, and limited exposure to CMC during training.

The research emphasizes the importance of tailored educational interventions and support for pediatric residents to enhance their competence in providing comprehensive care for CMC.

Overall, the study sheds light on the specific challenges faced by pediatric residents in caring for CMC and highlights the potential for educational interventions to improve their knowledge and skills in this area.

Further research and curriculum development are warranted to ensure that pediatric residents receive adequate training and support in caring for this vulnerable patient population.

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Which of the following statements regarding sickle cell disease is correct? Select one: a. Because of their abnormal shape, red blood cells in patients with sickle cell disease are less possible to lodge in a blood vessel. b. In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen. c. The red blood cells of patients with sickle cell disease are round and contain hemoglobin. d. Sickle cell disease is an inherited blood disorder that causes the blood to clot too quickly. 5. Which of the following statements regarding sickle cell disease is correct? Select one: a. Because of their abnormal shape, red blood cells in patients with sickle cell disease are less possible to lodge in a blood vessel. b. In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen. c. The red blood cells of patients with sickle cell disease are round and contain hemoglobin. d. Sickle cell disease is an inherited blood disorder that causes the blood to clot too quickly.

Answers

Statement b. In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen.

Sickle cell disease is an inherited blood disorder characterized by the presence of abnormal hemoglobin, known as hemoglobin S. The abnormal hemoglobin causes red blood cells to become deformed and take on a sickle shape instead of their normal round shape.

Statement a. is incorrect because the abnormal shape of sickle cells actually increases their tendency to lodge and block blood vessels. The rigid, sickle-shaped cells can get stuck and cause blockages, leading to various complications.

Statement c. is also incorrect because sickle cells are not round; they are elongated and have a characteristic crescent or sickle shape.

Statement d. is incorrect because sickle cell disease does not cause the blood to clot too quickly. Instead, the abnormal red blood cells are more prone to sticking together, forming clumps, and causing blockages in blood vessels.

The correct statement is b. In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen. The abnormal shape of the red blood cells affects their ability to flow through blood vessels and deliver oxygen to tissues, leading to various symptoms and complications associated with the disease.

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Final answer:

Sickle cell disease is a genetic disorder that causes the production of abnormal hemoglobin, leading to sickle-shaped red blood cells that can't adequately carry or deliver oxygen to tissues.

Explanation:

The correct statement regarding sickle cell disease would be:

b. In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen.

Sickle cell disease is a genetic disorder which causes the production of an abnormal type of hemoglobin, known as hemoglobin S. This unusual hemoglobin delivers less oxygen to tissues and causes red blood cells, or erythrocytes, to assume a sickle or crescent shape, especially at low oxygen concentrations. This abnormal shape prevents them from easily passing through narrow capillaries, leading to blockages that can cause a range of serious health problems. Note that the sickle shape does not increase oxygen perfusion into the blood, but rather decreases it by preventing proper oxygen transport.

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premature infants are at greater risk for developing group of answer choices necrotizing enterocolitis. pseudomembranous colitis. appendicitis.

Answers

Premature infants are at a greater risk of developing necrotizing enterocolitis (NEC).

NEC is a serious gastrointestinal condition that primarily affects premature babies, particularly those with very low birth weights. It occurs when the tissue lining the intestines becomes inflamed and starts to die.

Premature infants: Babies born prematurely, especially those with very low birth weights, have an underdeveloped gastrointestinal system. This immaturity makes them more susceptible to various complications, including NEC.

Necrotizing enterocolitis (NEC): NEC is a severe condition that primarily affects the intestines. It is characterized by inflammation and tissue death in the intestines.

The exact cause of NEC is not fully understood, but it is believed to involve a combination of factors, including an immature immune system, reduced blood flow to the intestines, and bacterial colonization.

Greater risk for premature infants: Premature infants are at an increased risk of developing NEC due to their immature gastrointestinal tract, which is more vulnerable to injury and infection.

The condition often occurs within the first few weeks of life, particularly in babies who receive artificial feeding or have other medical complications.

Symptoms and complications: NEC presents with symptoms such as feeding intolerance, bloating, abdominal distension, and bloody stools. If left untreated, it can lead to severe complications like bowel perforation, sepsis, and even death.

Management and treatment: The management of NEC involves a multidisciplinary approach, including supportive care, bowel rest (withholding feeds), intravenous fluids, antibiotics, and sometimes surgical intervention if complications arise.

In summary, premature infants are at a higher risk of developing necrotizing enterocolitis (NEC) due to the immaturity of their gastrointestinal system.

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Mr. B Age 83 Increasing symptoms of fatigue, weakness, shortness of breath Hospitalized 3 months ago for exacerbation of his Heart Failure History of hypertension, coronary artery disease, Myocardial infarction Temporarily living with his daughter Unsure about his medications o Specifically, in the hospital they held his hydrochlorothiazide and on discharge did not give any directions on what to do about that States feeling "low" Not following the low sodium diet-can't stand the food without seasoning Worried about his living arrangements Wants to go back home but his daughter is concerned about that o He has fallen once - no injuries other than bruises on his forehead He's having trouble sleeping • • He is unable to complete his own activities of daily living without some assistance o Tires easily and needs help dressing o He can do his own personal hygiene • He completed the SDOH screening O Needs assistance with transportation to medical appointments O Has housing needs (based on wanting to return home)

Answers

Mr. B, aged 83, is experiencing symptoms of fatigue, weakness, and shortness of breath and was hospitalized three months ago for exacerbation of his heart failure. He has a history of hypertension, coronary artery disease, and myocardial infarction, but is currently living with his daughter and is unsure about his medications.

In the hospital, he was given medication and was discharged without any directions about his medication. Mr. B is feeling "low" and is not following the low sodium diet because he can't stand the food without seasoning. He is worried about his living arrangements and wants to go back home, but his daughter is concerned about that.

Mr. B fell once, but he wasn't injured other than bruises on his forehead. Mr. B is also having trouble sleeping. He is unable to complete his own activities of daily living without some assistance.

He tires easily and needs help dressing, but he can do his own personal hygiene. Mr. B completed the SDOH screening, which indicated that he needs assistance with transportation to medical appointments.

Mr. B also has housing needs because he wants to return home.

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Which of the following vaitamin defecincy is associated with decrease visual acutiy and night bindness Selectone: a. Vitamin C. b. Vitamin A. c. Vitamin D d Vitamin K

Answers

The correct answer for vitamin deficiency associated with decrease visual acuity and night blindness is: b. Vitamin A.

Vitamin A deficiency is associated with decreased visual acuity and night blindness. Vitamin A is essential for maintaining healthy vision, particularly in low light conditions. Its deficiency can lead to a range of eye problems, including difficulty seeing in dim light (night blindness) and decreased visual acuity. Vitamin C is not directly related to vision and is primarily associated with immune function and collagen synthesis. Vitamin D deficiency is associated with bone health and calcium regulation. Vitamin K deficiency can lead to blood clotting abnormalities.

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You have just received a report from the emergency department (ED) on a client named Blake. According to the ED report, Blake is being admitted due to chronic renal failure. He is married and an employed 58-year-old man, and he has a long-standing history of Type 2 diabetes mellitus (DM). During the past three days, he reports that he has developed swelling and decreased sensation in his legs and has difficulty walking, which he describes as "slight loss of mobility."
List five questions that will help you assess and plan the immediate and long-term care for Blake?
Based on the information provided and the questions listed, what are the priority problems?
Identify at least two resources you can use to find out more about the pathophysiology of renal failure? How do you know the sources are credible? As you are assessing Blake, who is your best source and why?
Write one collaborative problem statement for Blake. If you do not know the potential complications of chronic renal failure, look them up in a medical-surgical or pathophysiology resource. Explain why you would not use a nursing diagnosis to describe the problem.
Aside from his physical condition, what is at least one psychosocial concern Blake might have right now? In other words, what else might Blake want to have resolved that could–for him–be more important than his chronic renal failure?

Answers

There are five questions that can be asked to assess and plan the immediate and long-term care for Blake.

To know whether the sources are credible, one can check if they are peer-reviewed journals, books, or articles written by experts in the field.When assessing Blake, his best source would be his medical history, his current health status, and his medical team. This is because they have the most up-to-date and relevant information about his condition.Collaborative problem statement for Blake: Patients with chronic renal failure may develop several complications, such as fluid and electrolyte imbalances, acid-base disturbances, hypertension, anemia, bone disease, and infections. One collaborative problem statement for Blake could be: Risk for fluid and electrolyte imbalance related to renal impairment.A nursing diagnosis cannot be used to describe the problem because it only focuses on the nursing aspect of the patient's care, whereas collaborative problem statements involve a team approach and take into account the patient's overall medical condition.

Aside from his physical condition, one psychosocial concern that Blake might have is his job and financial situation. Blake might be worried about how his health condition will affect his job and his ability to provide for his family.

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