Question 1.Identify two strongly recommended medication classes for the…  1.    Identify two strongly recommended medication classes for the treatment of the condition and provide an example (drug name) for each:    for allergic rhinitis 2.    Describe the mechanism of action for each of the medication classes identified above:     3.    Identify two treatment options that are NOT recommended (I.e., recommended against): Health Science Science Nursing NR 507 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step What is your personal worldview? Connect your worldview to culturaland spiritual competence. How will your worldview and cultural and spiritual competence affect your future practice and role? Consider both the provision of safe, quality care to diverse populations and interprofessional relationships. Health Science Science Nursing NUR 513 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Find and correct the errors in the operative reports:Write the operativereport number and all the errors under each.#1PREOPERATIVE DIAGNOSIS: Fracture, basal neck intertrochanteric, right hip.POSTOPERATIVE DIAGNOSIS: Fracture, basal neck intertrochanteric, right hip. OPERATION PERFORMED: Open reduction and internal fixation right hip fracture with a 150-degree 4-hole plate and 4 screws.PROCEDURE: Under satisfactory general anesthesia, with the patient in the lateral decubitus position, a lateral incision was made, and the vastus lateralis was reflected anteriorly from the interosseous membrane. The guidewires were inserted. Difficulty was experienced achieving a good position because of the intense mobility of the proximal fragment. Once the guidewire was selected, it was reamed to 100 mm, and a 110-mm Richards screw was inserted.Then a 150-degree 4-hole plate was attached and held in position with 4 screws. Blood loss was estimated to be 300 mL. Closure was with 0, 2-0, and 3-0 Bexon. The patient tolerated the procedure well and returned to operating room in unsatisfactory condition.***#2PREOPERATIVE DIAGNOSIS: Thyroid nodule. POSTOPERATIVE DIAGNOSIS: Thyroid nodule.OPERATIVE PROCEDURE: Near-total thyroidectomy. INDICATIONS: The patient is a 39-year-old female who presents with an asymptomatic palpable right thyroid nodule. An ultrasound actually showed that this is a dominant nodule in a multinodular gland. A fine-needle aspiration (F&A) is consistent with a follicular neoplasm. We plan a near-total thyroidectomy. The patient understands the procedure, benefits, risks, and alternatives. She agrees to proceed.FINDINGS: Multinodular thyroid gland without evidence of local cancer extension or pathologic lymphadenopathy.DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. General anesthesia was induced. She was positioned and prepped and draped in the standard fashion. A curvilinear inferior cervical incision was made. The platysma was incised. Superior and inferior flaps were raised. The right straps were then dissected off the thyroid. The middle thyroid vein was ligated. We then dissected out the superior pole vessels and individually ligated those. The recurrent laryngeal nerve was then identified and traced throughout the neck. We then dissected both the superior and inferior parathyroid glands off the surface of the thyroid, and the thyroid was mobilized back to the fixed area. The thyroid was then mobilized off the trachea from lateral to medial. The same dissection was performed on the left side of the neck. In brief, we dissected the straps off the thyroid. The middle thyroid vein was ligated. The superior pole vessels were then ligated. We then dissected out the recurrent laryngeal nerve. Both parathyroid glands were identified and dissected off the thyroid. The thyroid was mobilized back to the fixed area, which was then mobilized off the trachea from lateral to medial. A pyramidal lobe was dissected out and removed in continuity with the gland. Homeostasis was then achieved. We then inspected the neck for lymphadenopathy, and no abnormal lymph nodes could be identified. A drain was then placed through a separate stab incision. The straps and platysma were reapproximated with 3-0 Vicryl, the skin with 4-0 Vicryl. The drain was secured with 3-0 nylon. Dressings were applied. The patient was then awakened, intubated, and transported to the PACU for recovery. She tolerated the procedure well. There were no intraoperative complications.***#3NAME OF OPERATION: Bilateral myringotomy and tubes with rhinoplasty. DETAILS OF PROCEDURE: The patient is brought into the operating room and placed supine on the operating table. General anesthesia was induced via face mask, and the patient was prepped and draped in the usual fashion.An operative microscope was brought into the field and microscopic otoscopy performed on the right ear. Using an appropriate size spiculum, the ear was cleansed of excess cerumen with cerumen curette and alligator osteotomes. The ear canal was then irrigated with Betadine solution and suctioned clear with an angled #3 suction.Under microscopic inspection, the tympanic membrane was retracted with an obvious thin effusion in the middle ear space. A myringotomy knife was used to create a radial incision in the anterior inferior quadrant, followed by the evacuation of the middle ear fluid with a #3 angled suction. A ventilation tube was carefully and easily inserted through the myringotomy incision. Cortisporin suspension was applied and a piece of sterile cotton placed.A similar procedure was performed in the left ear. After cleansing the right ear of excess cerumen and irrigating with Betadine solution, microscopic inspection yielded a thick fluid filling the middle ear space. Radial incision was created inferior anteriorly with the myringotomy knife. Thickened glue-like fluid was evacuated with a #5 suction. An Armstrong beveled ventilation tube was carefully and easily inserted into the tympanic membrane. Cortisporin and a piece of cotton were applied.***#4PROCEDURE: Left radical neck desection.CT scanning revealed the left neck mass to be compressing the jugular vein, but to be free of the coronary artery.DETAILS OF PROCEDURE: The patient was brought to the operating room and placed supine on the operating room table, extubated with general endotracheal anesthesia, prepped and draped in the usual sterile fashion with a rolled sheet beneath the shoulders, and neck extended.A transverse incision was made through a natural skin crease and carried transversely across the neck, curving toward the mastoid tip. A branch was then brought out toward the shoulder. This was carried down through skin, subcutaneous tissue, platysma muscle, and subplatysmal flaps were elevated above and below. The sternocleidomastoid muscle was dissected and the sternal and clavicular heads were incised. This then exposed the jugular vein, and the jugular vein was carefully dissected inferiorly and taken between clamps. Care was taken to preserve the vagis nerve and carotid artery.Significant radiation changes with fibrosis and adhesions were evident throughout the neck. The jugular artery was taken between clamps and incised, tied above and below with 2-0 silk ties. Inferiorly, the vein was also suture ligated.The dissection was then carried superiorly with the tumor evident encompassing the jugular vein, but having to be peeled off the carotid artery as well. It was peeled from the common carotid artery up superiorly to the branching of the artery. Careful sharp and blunt dissection was undertaken to identify the jugular vein superiorly.This having all been freed up, the mass could then be worked superiorly, laterally and inferiorly, so that it could be dissected off the carotid artery completely. The mass was then removed. The submandibular gland was left in place as it was totally fibrosed and scared to near negligible size. There was very minimal bleeding.The wound was irrigated with warm saline. No clots or debris were identified. A Penrose drain was placed. The platysma muscle and subcutaneous tissues were reapproximated with 2-0 chromic subcutaneous sutures and the skin was closed with skin staples. Penrose drain was sewn in place with silk sutures. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step research the topic of learning disabilities of American children and address the following:When is a child’s communication considered delayed? Please include stages of development regarding communication with examples.What are speech disorders, and how are they characterized?What are language disorders? How do they affect language development and education?How does a speech-language pathologist help children with communication disorders? Explain with specific techniques and examples. Health Science Science Nursing NURSING G217 Share QuestionEmailCopy link Comments (0)

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