You graduated 3 months ago and are working with a home care agency. Included in your caseload is J.S., a 60-year-old man suffering from chronic obstructive pulmonary disease (COPD) related to cigarette smoking. He has been on home oxygen, 2 L oxygen by nasal cannula (O 2 /NC), for several years. Approximately 10 months ago, he was on chronic oral steroid therapy. His current medications include an ipratropium/albuterol
(Combivent) inhaler, beclomethasone (Beclovent) inhaler, dexamethasone (Decadron), digoxin (Lanoxin),
and furosemide (Lasix).
1. On the way to J.S.'s home, you make a mental note to check him for signs and symptoms of
Cushing syndrome. Why?
2. Differentiate between Cushing syndrome and Cushing disease.
3. Your assessment includes the following findings. Determine whether the findings are
attributable to J.S.'s COPD or possible Cushing syndrome. Place an L beside the symptoms
consistent with COPD and a C next to those consistent with Cushing syndrome.
_____ 1. Barrel chest
_____ 2. Full-looking face (moon face)
_____ 3. BP 180/94mm Hg
_____ 4. Pursed-lip breathing, especially when patient is stressed
_____ 5. Striae over trunk and thighs
_____ 6. Bruising on both arms
_____ 7. Acne
_____ 8. Diminished breath sounds throughout lungs
_____ 9. Truncal obesity with thin extremities
_____10. Supraclavicular and posterior upper back fat
4. You inform the physician of J.S.'s assessment. The physician believes J.S. has developed
Cushing syndrome and decides to change his prescription from dexamethasone (Decadron)
daily to prednisone (Deltasone) given on alternate days. Explain the rationale for this change.
5. Identify possible consequences of suddenly stopping dexamethasone (Decadron) therapy.
6. You advise J.S. to take the prednisone (Deltasone) at breakfast. Why?
7. Cushing syndrome can affect memory. Patients can easily forget what medications have been
taken, especially when there are several different medications and some are taken on
alternating days. List at least three ways you can help J.S. remember to take his medications
as prescribed.
8. J.S. states that his appetite has increased but he is losing weight. He reports trying to eat, but
he gets short of breath and cannot eat any more. How would you address this problem?
9. You ask him questions related to the presence gastric discomfort, vision, and joint pain. Why?
10. Differentiate between the glucocorticoid and mineralocorticoid effects of prednisone
(Deltasone).
11. How would your assessment change if J.S. were taking a glucocorticoid that had significant
mineralocorticoid activity?
12. Review J.S.'s list of medications. Based on what you know about the side effects of loop
diuretics and steroids, discuss the potential problem of administering these in combination
with digoxin.
13. You need to assess J.S. for signs and symptoms of an infection. Why?
14. What signs and symptoms of infection do you assess for in J.S.? Select all that apply.
a. Pain
b. Fever
c. Loss of function
d. Palpitations
e. Unusual drainage
f. Localized edema
15. Realizing J.S. is susceptible to infection, you review with him ways to reduce the risk of
infection. Identify four major points to include.
16. In addition to measures to reduce the risk of infection, what other information would you
want to stress to J.S. at your visit? Select all that apply.
a. Drink at least 4000mL of fluids daily.
b. Increase intake of foods high in sodium.
c. Weigh yourself first thing in the morning.
d. Take vitamin and electrolyte supplements as prescribed.
e. Notify the physician if your pulse is lower than 60 beats/min.
f. Call the doctor if your weight increases more than 2-3 pounds in 1 day.
g. Take the furosemide (Lasix) first thing in the morning and again at bedtime.
Glucocortocoids Medications
Fludrocortisone
Dexamethasone
Aminpglutethimide
Metyrapone
Mitotane
Etomidate
The Nursing Process
What nursing assessment will you perform regarding each medication?
What planning and implementation do you need to do for each medication?
How would you evalute the effectiveness of each medication?

Answer: 1. On the way to J.S.'s home, you make a mental note to check him for signs and symptoms of

Cushing syndrome. Why?

Explanation:

On the way to J.S.'s home, you make a mental note to check him for signs and symptoms of Cushing syndrome.

Cushing syndrome is defined as a tumor which is developed by unwanted and unusual growth of cell and this tumor is present in pituitary gland which is situated in the basal part of the brain this also produce a heavy amount of ACTH which produce stimuli to the adrenal glands.

Taking high dose of glucocorticoids for long time can cause cushing's syndrome and the main function of glucocorticoids is to remove pain and it is injected in the joints.The non-hodgkin's lymphoma is the cancer of lymphatic system and condition occurs when a large number of abnormal lymphosides produces in the body and the lymphosides are a type of white blood cells.

The non-hodgkin's lymphoma is treatable disease and it can be treated by medical professionals. The main symptoms of non-hodgkin's lymphoma are fever, stomach, night sweats, swollen lymphnodes and loss of appetite.

Therefore, On the way to J.S.'s home, you make a mental note to check him for signs and symptoms of Cushing syndrome.

Learn more about cushing syndrome here:

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The frontal and parietal lobes can be found in the

A) Cerebrum
B) Cerebellum
C) Midbrain
D) Pons

PLEASE HELP MEEEEEEEEEE




Sweating, muscles cramps and headache can be signs of heat _____________.

There are many ways to treat a medical problem.
Question 1 options:
True
False
Question 2
Which of the following is NOT an alternative health treatment for a disease?
Question 2 options:
A)essential oils
B)acupuncture
C)homeopathy
D)pharmaceutical drugs

Question 3
Lack of sleep is linked to many health problems including obesity, infections, heart attacks and early death.
Question 3 options:
True
False
Question 4
Smoking and drinking alcohol are linked to cancer and early death.
Question 4 options:
True
False
Question 5
Which of the following is NOT good for your health?
Question 5 options:
A)Eating a lot of prebiotic foods
B)Eating a lot of probiotic foods
C)Eating a lot of vegetables
D)Eating a lot of "fake foods" not found in nature (chips, cereal, candy)

__________________ involves coping with your feelings and expressing them in a positive way.

2. Many
wastes can be reused or recycled.
a. Biodegradable
c. Renewable
b. Nonbiodegradable
d. Nonrenewable​

Martinez bought a few potatoes at the store. After rinsing them, he placed them in a basket under the sink. What mistake(s) did Martinez make?

3. Every food worker has the responsibility to:
A. Memorize the details of food safety regulations
B. Protect food from anything that could cause harm
C. Make sure that new employees are fully trained about food
safety

A deep seated sense of meaning and purpose in life

When doing push ups, which best describes your position?
O Distal
O Prone
O Strong
O Supine

You work in Daffodil Lodge Care Home as a health care assistant and you see another member of staff physically abusing a resident. The staff member is pulling the resident out of bed instead of using a hoist and being very aggressive. The elderly gentleman is instantly left with marks on his arms and is crying due to the harsh movement.

Describe what you would do in this situation, what actions would you take? How would you know what to do?

PLEASE HELP ME ANSWER THIS
Which of the following explains the role Chargaff's rule plays in transcription?

a. The RNA polymerase uses Chargaff's rules to create the random strand of RNA.

b. Transcription is the process of using Chargaff's rule to make DNA from scratch.

c. The RNA polymerase uses Chargaff's rules to create the complementary strand.

In what way did War Communism differ from Lenin's New Economic Policy?​

SIGNS and SYPTOMS of STRESS
Group the signs and symptoms accordingly.
SIGNS and SYMPTOMS of STRESS

PHYSICAL

MENTAL

BEHAVIORAL



-Apprehension
-Colitis
-Indecisions
-Impatience
-Allergies
-Depression
-Irritability
-Loss of Appetite
-Asthma
-Diabetes
-Insomnia
-Migraine
-Blood pressure
-Drinking more
-Increased Smoking
-Negativity
-Breathing Problem
-Headache
-Impaired Judgment
-Restlessness​

Which of the following occurs when the body is in homeostasis?
O Laboratory test results fall within the reference range
O Laboratory test results are above the reference range
O Laboratory test results are invalid
O An imbalance exists in the body

Siri is an athlete, and she thinks that the fat in her diet is keeping her from being as lean as she could be. She has decided to cut down on the number of fat grams she eats but to increase her carbohydrate and protein intake in order to keep her calories up. Do you think this is a good idea? What information would you share with Siri about her decision?

One way sports athletes require a more unique approach is in:
1.) Communicating clearly
2.) Coping with transference from the athlete
3.) Listening to athletes who know their bodies
4.) Maintaining a power dynamic

What bones and joints are used when kicking a soccer ball?

A term used to describe the after effects of drinking too much alcohol.

Describe the significance of carbohydrates, fats, and proteins on health and performance? What are general recommendations for each macronutrient intake? How does body type, health status, and performance goals influence these recommendations?

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THE SAME PERSON IS NOT ALLOWED TO HIT THE BALL TWO TIMES IN A ROW

True or False
1 Only few people are now engaged in planting and propagating trees and
fruit-beanng trees
2. Trees give food likes fruits, vegetables, nuts and sugar
3. Trees grow with oxygen and carbon dioxide.
4. Ecological balance does not allow every living thing in nature to survive for
as long as we take care each other,
5. Construction materials like lumber, plywood and board came from trees.
6. Containerized garden needs a small space in your backyard
7. Fruit-bearing trees can be planted without considering the climate in your
community
8. Planung and propagating trees help the economy of the country,
9. Organic fertilizers are made of cement, steel and etc.
10. Trees needs sunlight.​

as a nurse, state and explain 5 clinical or medical significance of tissue ​

What is the best way to prevent foodborne illness from the virus?

A:avoid unpasteurized dairy products

B:store foods at the correct temperature

C:avoid cross-contamination

D:wear gloves while handling food

PLSSS HELPPPP I WILLL GIVE YOU BRAINLIEST!!!!!! PLSSS HELPPPP I WILLL GIVE YOU BRAINLIEST!!!!!! PLSSS HELPPPP I WILLL GIVE YOU BRAINLIEST!!!!!! PLSSS HELPPPP I WILLL GIVE YOU BRAINLIEST!!!!!! PLSSS HELPPPP I WILLL GIVE YOU BRAINLIEST!!!!!!
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Why are proteins important to our health? Write atleast 5 sentences

In communicating with your client the standard should be:
1.) Ignore boundaries if the client is finally opening up to you
2.) Match tales with whatever the client tells you
3.) Share only what will help the client
4.) Share intensely personal information to build trust

After posting the website and creating a buzz about getting his city fit, Cornett created MAPS 3. Please describe the MAPS 3 program and provide several examples of what was implemented as a result. What was Cornett ultimately helping Oklahoma City achieve?

Writing Assignment: Nutrition Sources. Report on 3 sources of Nutrition that you have found in your community. These could include a ( wellness center, a health food store, a grocery store that sells wholesome products, a vitamin store, your local gym, your doctor's office, or any other place that offers nutritional advice). Explain why you think they may or may not be giving accurate nutritional advice. (Write a 300 word essay). The essay should have an introduction that states your thesis. End your assignment with a strong where you summarize and restate your thesis. ( Will Mark Brainliest and really truly need help). I will reword everything to make it sound completely different. ​

what is world conservation strategy​

At what point are steamed vegetables properly cooked?
​