Question Answered step-by-step -Document procedure of Feeding via G-Tube: document in notesthe safety measures prior to skill, equipment needed for skill, steps to this procedure, characteristics/amount of specimen collected, how the patient tolerated the procedure, education provided to the patient, and what the nurse will monitor in the notes tab or activity exercise. PreviousNext Health Science Science Nursing NURSING MISC Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Discussion of laboratory and radiological examinations of the… Discussion of laboratory and radiological examinations of the client with cardiac instability: uses the laboratory analysis format.Emphasis is given to nursing considerations.1.Chest plate2.EKG3 cardiac catheterization4.Scan of thallium5.CPK7.CK-MB8.LDH9.Troponin10.Cholesterol and triglycerides Health Science Science Nursing NURS 230 Share QuestionEmailCopy link Comments (0)

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Question What did you think of De La Torre’s view of Scripture, primarily… What did you think of De La Torre’s view of Scripture, primarily his argument that historically “the center” have read Scripture to justify race, class and gender oppression? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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Question R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack… R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years. He reports to the APRN-NP in his family practice clinic. He presents with progressive difficulty getting his breath while doing simple tasks. He is having difficulty doing any manual work, but he has no symptoms when working behind his desk. He also reports a cough, fatigue, and weight loss. He has been treated for three respiratory infections a year for the past 3 years and feels like another one is developing now. On physical examination, you notice clubbing of his fingers, use of accessory muscles for respiration, wheezing in the lungs, and hyperresonance on percussion of the lungs. Pulmonary function studies show an FEV1 of 58%. please answer the following:What is R. W.’s likely diagnosis?What stage of disease does RW have?List specific pharmacotherapeutic treatment goals for R. W.What drug therapy would the CNP likely prescribe? Why?                What are the parameters for monitoring the success of the therapy?Describe specific patient education based on the prescribed therapy. Are there any possible side effects or adverse reactions from the medications prescribed? Differentiate side effects and adverse reactions.Provide two adverse reactions for the selected agent that would cause the CNP to change therapy.What would be the choice for second-line therapy?What health promotion activities should be recommended for this patient?If RW was currently taking metoprolol for “headaches” would a change be recommended? Health Science Science Nursing NURS N521 Share QuestionEmailCopy link Comments (0)

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Question R. S., a 65-year-old African-American man, was referred to the APRN-NPin the hypertension clinic for evaluation of high BP noted on an initial screening. He reports having headaches and nocturia. He states that he has gained 8 pounds over the last year. Past medical history: Appendectomy 30 years ago, Peptic ulcer disease 10 years ago, Type 2 diabetes mellitus for 10 years; Family history: Father had hypertension; died of myocardial infarction at age 55, Mother had diabetes mellitus and hypertension; died of cerebrovascular accident at age 60; Physical examination: Height 69 in, weight 108 kg; BP: 140/89 mm Hg (left arm), 138/82 mm Hg (right arm); Pulse: 84 beats/min, regular; Funduscopic examination: mild arterial narrowing, sharp discs, no exudates or hemorrhages; Laboratory findings: Blood urea nitrogen: 24 mg/dL, Serum creatinine: 1.5 mg/dL, Glucose: 95 mg/dL, Potassium: 4.0 mEq/L, Total cholesterol: 201 mg/dL, High-density lipoprotein cholesterol: 30 mg/dL, Triglycerides: 167 mg/dL, Urinalysis: 1+ proteinuria; Electrocardiogram and chest radiograph: mild left ventricular hypertrophy; Social history: Tobacco: 35 pack years, Alcohol: pint of vodka/week, Coffee: 2 cups/dayIn this discussion forum:  -Discuss the patient’s diagnosis of hypertension, including the stage, comorbidities, and family history. -Discuss specific goals for pharmacotherapy for treating R. S.’s hypertension and cholesterol -Discuss what you would consider to be first-line pharmacotherapy for R. S., and why. -Discuss the parameters for monitoring the success of the therapy. -Discuss health promotion recommendations you would consider for R. S. -Does the presence of Diabetes Mellitus impact your treatment selection? Health Science Science Nursing NURS N521 Share QuestionEmailCopy link Comments (0)

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