Question Answered step-by-step Discuss all developmental levels and how they relate to pediatric… Discuss all developmental levels and how they relate to pediatric nursing Health Science Science Nursing NUR 155 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Find and correct errors. You should know where one record ends and… Find and correct errors. You should know where one record ends and another begins. Give me the names of the 4 different reports listed below. Identify each type of report.Find and correct errors AND identify each type of report. Remember, there are 4 main types of reports that we focus on in the hospital setting . . . History and Physical, Consultation, Operative Report, and Discharge Summary. You will have 38 errors to correct. Number 1-38, give the wrong spelling or word and the correct spelling/word. Also give me the names of the 4 types of reports in order.#1HISTORY OF PRESENT ILLNESS: This 34-year-old man is here for a general phisical which he has not had for some time. He has been working 75 hours a week and not eating as well also drinking about 2 biers three times a week. Does have some increased fatigue which is described as mild. Has a 6-month history of intermittent urinary frequency with passing small quantities for 1 to 7 days. This has recurred after several weeks on several occasions and has had rare episodes of dysuria. Had one episode of clear discharge for about 3 days. Has occasional depression. He gets blisters on his hands which come and go and seem to be related to stress. He has periodic eruptions on the scalp. PAST SERGICAL HISTORY: TNA. ALLERGIES: CODIENE. REVIEW OF SYSTEMS: He has geographic tongue. He has rare episodes of bleeding on toilet tissue. FAMILY HISTORY: Mother had seizures. Father has history of melenoma. Brother has overactive thyroid. There is cancer, heart disease, and diabetes in the grandparents. HABBITS: Alcohol – moderate. She skips breakfast and has been eating less healthy food. PHYSICAL EXAMINATION: Well-developed, well-nourshed white male. Vital signs – blood pressure 120/80, pulse 72.HEENT, neck, heart, lungs, abdomen, pulses, extremities, gross neurologic exam, and skin are normal.RECTAL EXAMINATION: Rectal exam reveals a 1 cm nodule on the left side of the prostrate which is nontender. ASSESSMENT:1. Mild fatige.2. Intermittent urinary frequency with history of discharge and disuria.3. Periodic depression.4. Prostate nodule.5. Ocasional lesions on scalp, possibly soriatic. PLAN: Will see neurologist concerning his prostate nodule, otherwise screening tests from lab, dietary recommendations, and supplements as noted. Follow up in 6 weeks. #2PREOPERATIVE DIAGNOSIS: Retained internal fixation, left tibia, (Lottes nail). POSTOPERATIVE DIAGNOSIS: Retained internal fixation, left tibia, (Lottes nail). OPERATION PREFORMED: Removal of Lottes nail. GROSS FINDINGS: The patient had a fracture with a compartment syndrome several months ago, which was treated by the Lottes nail and a facial release, then subsequently a skin graft. The fracture has largely united, and the patient would like the nail removed. PROCEDURE: Utilizing a portion of the old incision, the nail was identified and using the driver-extractor the nail was removed. Closure was with 2-0 Bexon. Patient tolerated the procedure well and returned to the recovery room in satisfactory condition. POSTOPERATIVE PLAN: The patient has a prescription for Tylinol #3. He is to use crutches. He is to be reevaluated in our office in 1 week. #3PROVISIONAL DIAGNOSES: Acute bacterial meningitis. BRIEF HISTORY: The patient is a 3 1/2-year-old male with a 5-day history of nausea, vomiting, temperture elevation, increasing lethergy. He was seen and evaluated in the office on the day of admission and brought to the emergency room for lumbar puncture. This revealed cloudy fluid. Also, a CBC was consistent with a bacterial process. PHYSICAL EXAMINATION: Blood pressure 92/64, pulse 100, respirations 24, temperature 100.8. HEENT. Marked stiffness of the neck with nukal ridgidity. Positive Bruzinski’s and Kernig’s signs. CHESET: Clear oscultation and percussion. HEART: Regular in rhythm. ABDOMEN: Soft. No organomegaly, mases, or tenderness.NEUROLOGIC: The patient was fairly lethargic and did not respond appropriately to painful stimuli. LABORATORY DATA: Lumbar puncture revealed normal pressure. CSS protein 67. WBC 7,040 with 98% polys, 2% lymphs, 210 RBCs. Gram stane positive for gram-negative cocci. CSF glucose 26, serum glucose 96. CBC revealed WBC of 21.9 with 70 segs, 13 bands, 12 lymphs. Hemaglobin and hematocrit 11.6 and 35.1. PLAN: Patient to be admitted emergently with probable ___________________.(fill in blank) #4DISCHARGE DIAGNOSIS: Ventriculoperitoneal (VP) shunt placement for posthemoragic hydrocephalis. He was 1840 g at birth, product of a 32-week gestation in a 38-year-old A+ primigravida. Thebaby was reported to have severe hyaline membrane disease complicated by right pulmonary interstitial emphysema (PIE) with pnumothorax. He had a grade 3 interventricular hemorrhage with subsequent hydrocephalus. He was managed with serial LPs but continued to have ventricular enlargement. All CSF cultures were negative. HOSPITAL COURSE: Impression was a 4-week-old, 42-week baby with posthemorrhagic hydrocephalus, for VP shunt placement. The baby had a history of bradycardia and some imesis. Surgery occurred without difficulty. The baby had evidence of shunt functioning with sunken fontanel and overriding pseutures. Head circumference was 32.75 cm. Feedings were increased gradually and the IV was decreased. He was sent home with a monitor for parent’s comfort. Mother roomed in prior to discharge. At discharge the baby weighed 2460 g. His bilirubin was 5.8, direct 2.5. Phenobarbital level 27. He was felt to be stable for discharge with follow-up by a number of physicians. 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Question Answered step-by-step describing the differing approaches of nursing leaders and managersto issues in practice. To assignment, do the following: -Select an issue from the following list: bullying, (i.e., registry and travel nurses), or magnet designation. -Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs. -Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct. -Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings. -Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue. -Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.Please give elaborate answer for bullying with reference .i can use as my reference and find out more details . Health Science Science Nursing NRS 451VN Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step 1) What are 3 ways that an EN can ensure that a patient understands… 1) What are 3 ways that an EN can ensure that a patient understands how to manage their condition?2) How does a family/carers understanding of a clients condition affect the planning and implementation of any devised plan?3) What are 3 issues relating to diabetic care delivery or services in Australia? Health Science Science Nursing HLT ENN012 025 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step What rhythm is this? ____________________________________________… What rhythm is this? ____________________________________________How do we treat it? _____________________________________________What does this patient look like? Image transcription textWhat rhythm is this? How do we treat it? What does this patient look like? What rhythm is this? How do wetreat it? What does this patient look like?… Show more Health Science Science Nursing NR 324 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step make a visual concept map on child obesity and the factors… make a visual concept map on child obesity and the factors influencing childhood obesity that:Identifies a specific community to research and provides statistical data on childhood obesity in the selected community.Analyzes the cultural, socioeconomic, and behavioral factors that influence childhood obesity.Illustrates the connection between childhood obesity, behavior, culture, and socioeconomic status.Describes how the promotion of health behaviors will help to reduce and ultimately eliminate childhood obesity.Explains ways the public health nurse can support healthy behaviors while responding to the diverse needs in the community. Health Science Science Nursing NUR 4244 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Before semen can be examined microscopically it has to be determinedthat a semen sample is even present. There are 3 methods for determining and finding semen stains. 1. Alternative light source (blacklight)2. Color screening test (acid phosphatase)3. Immunological test (ABAcard p30)Do some quick research on each of the methods above and write a short summary (3-4 sentences) for each method of how each test identifies a semen sample. Health Science Science Nursing BIOL 3020 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step 1. How does research on life conditions that accelerate telomere shorteningillustrate the joint influence of heredity and environment on biological aging?2. Why are people in committed relationships likely to be more sexually active and satisfied than those who are dating several partners?3. How does expertise affect information processing? Why is expertise necessary for, but not the same as, creativity?4. What student and college-environment characteristics contribute to favorable psychological changes during the college years?5. What cultural changes have led to the emergence of the period known as emerging adulthood?6. According to Levinson, how do the life structures of men and women differ? Health Science Science Nursing SBS 200 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step 1. Exhibit 1 – client ate 80% of lunch with encouragement Mildedema to hands, feet, and ankles, client’s states. It feels like my heart is jumping in my chest! Exhibit 2 – BP 100/64 mm Hg pulse rate 58/min respiratory rate 16 min SaO2 96% BMI 16 Exhibit 3- ECG results, bradycardia, frequent premature ventricular contractions. A nurse is reviewing the medical record of a client who has anorexia nervosa. Which of the following findings should the nurse report to the provider? a. Intakeb. Edemac. Temperatured. Heart rhythm 2. A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take? a. Weigh the client everyday b. Plan a menu with the clientc. Remain with the client for 1 hr after mealsd. Offer snacks when the client is hungry 3. A home health nurse visits a client who lost their partner 2 years ago. Which of the following behaviors by the client indicates a maladaptive grief.a. The client expresses feelings of guiltb. The client gives away some of the partner’s belongingsc. The client relocates from a house to an apartment d. The client is unable to perform basic hygiene tasks 4. A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider? a. Nauseab. Sore throatc. Random blood glucose 130 mg/dld. Heart rate 104/min5. A nurse has placed a client who has become physically aggressive into seclusion. which of the following actions should the nurse take?a. Document the cleint’s behavior every 15 minutesb. Obtain the provider’s prescription within 60 minc. Monitor the client’s vital signs every 4 hrd. Offer the client food and fluids every 2 hr. 6. A nurse is caring for a client who has been taking valproic acid. Which of the following is an expected outcome of the medication? a. The client reports absence of auditory hallucinations. b. The client reports improved short term memory c. The client has decreased euphoric moodd. The client ahs decreased anxiety 7. A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take? a. Evaluate the client hourly while the restrains are appliedb. Request that the provider renew the prescription for retraints every 8 hrc. Obtain a prescription for restraints on an as needed basisd. Have the provider assess the client within 1 hr after applying the restraints 8. A nurse is reviewing the medication administration record of a client who has major depressive disorder and new prescription for peopline. The nurse should recognize that which of the following client medications is contraindicated when taking with sekegine a. Calciu carbonate b. Warfarinc. Fluoxetined. Acetaminophen 9. A home health nurse is caring for a client who is the continuation phase of major depressive disorder. The client states “I feel unmotivated and don’t feel like leaving my home. Which of the following recommendations should the nurse make toa ddress the clein’ts social isolation?a. Enroll in an online self-help courseb. Practice guided imagery each morningc. Write in a journal daily d. Join a low- impact exercise class 10. A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider an indication of clinical depression? A. I feel like I’m angry at the whole world right nowB. It will be a long time before I am happy again C. I don’t feel anything byt numbness anymore D. I don’t know how I could cope if I didn’t have my family support 11. A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization? a. A client who has stomach pain before presenting a project to his coworkers b. A client who partners died 5 years ago still talks about him in the present tense. c. A client who states she did not a get a promotion because her boss dislikes her. d. A client who states she will worry about her grades after she finishes planning a party12. A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider? a. Recent head injury b. Knee arthroplasty 1 month agoc. Hypothyroidism d. Hepatitis B infection13. A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime, which of the following assessments should the nurse perform? a. Pupil responseb. Bowel soundsc. Oxygen saturation d. Blood pressure 14. A nurse is assessing a client who recently experienced the loss of their partner. Which of the following question is the priority for the nurse to ask during this situational crisis? a. Who do you talk to when you need helpb. How do you think the event is affecting your life right nowc. What do you usually do to cope with problems in your lifed. Are you having thoughts about harming yourself 15. A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take? a. Inform the client that they have the legal right to refuse treatment at any time b. Request another nurse to review the producer with the client c. Encourage the client to have the procedured. Obtain consent from the client’s family member Health Science Science Nursing NURS 2488 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Number and correct all errors in the following 2 reports and defineVon Willebrand’s disease. There are 9 errors in the first report. (Number 1-9 and write the error and the correction).#1 DISCHARGE SUMMARY FINAL DIAGNOSES:1. Massive cerebral adema.2. Subarachnoid hemorrhage.3. Cardiopulmonary arrest.4. Respiratory failure.5. Von Willebrand disease. CHIEF COMPLAINT ON PRESENTATION: Status post cardiopulmonary arrest. PRESENTATION: The patient was a 16-year-old youngster transferred from another facility. He had had a sore throat with fever the day prior to admission. The family had started penicillin, which they had available at home; however, his aural intake was poor. He had no vomiting and no diarrhea. He was reportedly seen at 7:00 a.m. by his father, who had spoken with him at that time, and then he went up to bed. He was subsequently found by his girlfriend unresponsive at 1:00 p.m. EMS was called and he was resuscitated en route to the referring hospital. There, he was intubated and ventilated. His initial blood gas showed a pH of 6.79, pCO2 of 72, and a pO2 of 315. At that time, he was minimally responsive and his only evidence of brainstem function where occasional agonal respirations. PAST MEDICAL HISTORY: Significant for von Willebrand disease, with no symptoms. She has a history of chronic otitus as an infant. He had had no recent injuries, including no falls. ALLERGIES: None. MEDICATIONS: He was on no medications on admission. SOCIAL HISTORY: He attended school. There was some question of elicit drug ingestions in the past. PHYSICAL EXAMINATION: His admission exam revealed that he was comatose and unresponsive. His temperature was 98, heart rate was 150, his blood pressure was 110/70 and his respirations were only on the ventilator. His physical examination was unremarkable apart from his neurologic exam, which demonstrated that both pupils were fixed at 7 mm. No doll’s eyes. No corneal, cough, or gag reflexes. He had occasional agonal respirations. DATA: His labs were unremarkable. CT of his head showed massive serebral edema with subarachnoid hemorrhage. HOSPITAL COARSE: He was seen and evaluated by the neurosurgeon, who felt there was nothing additional to offer. During his course in the hospital, he progressed to brain death. Prior to this, a long discussion was held with his family regarding their wishes. A Codman monitor was placed to document his intracranial hypertension. The opening pressures were in the 70s. These were higher than the mean blood pressure. He progressed to brain death and was declared brain dead later that evening. Family had requested organ donation; however, due to the amount of pressors he was on to maintain his blood pressure, organ donation was declined by the organ retreival service. FINAL DISPOSITION: The case was reported to the medical examiner. I do not have the results of the autopsy. Correct all the errors in the following discharge summary. There are 12 errors (number 1-12, write the errors and the correction).#2 DISCHARGE SUMMARY ADMITTING DIAGNOSIS: Pelvic inflammatory disease. Rule out appendiceal abscess. DISCHRAGE DIAGNOSIS: Pelvic inflammatory disease, improved. OPERATIONS: None. COMPLICATIONS: None. BREIF HISTORY AND PHYSICAL: This patient is a 29-year-old gravida 2, para 2 woman who has been having pelvic pain for 3 days prior to admission. She had been seen in my office and found to have a tender uterus but with no Trichomonas, no yeast, no fever, and normal white count. Serum pregnancy test was negative, and patient was seen in the emergency room, subsequently admitted for increasing pelvic pain. LABORATORY AND COURSE IN THE HOSPITAL: CBC on admission showed an 8600 white count, 67 sigs, and no bands. Subsequent CBCs continued to show relatively normal white counts of 6300 and 65000, again with no distinct left shift. A pelvic sonogram revealed a introverted uterus with normal ovaries and an edematous left fallopian tube, which would be consistent with pelvic inflamatory disease. An abdominal sonogram is generally normal, but the head of the pancreas was unable to be evaluated due to bowel gass. Since admission, patient has been treated with Flagyl 500 mg every 8 hours intravenously and 1000 mg of Ancef every 8 hours. She has been treated with Vicidin and/or Darvocet-N 100 for pain. Stadol injections have been given at times, Compazine for nausea, Colace to soften stools, and Milk of Magnesia to move bowels. She has also been given Fleet’s enemas at a time when she had difficulty passing stools. Although the pain is essentially gone and appetite is satisfactory, patient continues to experience difficulty avoiding. Urinalysis showed 10-20 epithelial cells but no white cells and no bacteria. Graim stain from the cervix revealed rare diplococci which were all extracellular. A culture failed to reveal any gonorrhea. DISCHARGE DISPOSICIAN: Patient will be discharged at the present time on a normal diet. I will ask patient to make an appointment in my office in 48 hours for followup examination to see if she can be released for work the following Monday. Health Science Science Nursing Hit 244 Share QuestionEmailCopy link Comments (0)
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