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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Question Answered step-by-step Mr. Smith is a 48 year old African American male who presents forfollow up on his elevated HA1C last visit. He states he has been feeling good but has noticed an increase in drinking water. He has not been diagnosed with diabetes before, but it does run in his family.  Allergies: SulfaCurrent medications: Benicar 20mg daily, Simvastatin 40mg daily, HCTZ 12.5mg daily, MultivitaminPMH: Hypertension, Hyperlipidemia PSH: Tonsillectomy, Wisdom teeth extraction Social: Tobacco: 1 PPD smoker, Alcohol: 6-12 beers on weekends, denies illegal drug use. He is married and lives with his wife and children, ages 10 and 12. He works as a principal at a local high school. He follows a regular diet and exercises 4 days a week . Immunizations: flu: 2019Family: Father: alive, +DM, CAD, Hyperlipidemia, Mother: alive, +DM, CKDROS: Constitutional: Denies, does report stressful jobHEENT: Denies any headache, nasal congestion, ear painCardiovascular: Denies chest painRespiratory: Denies any SOB or DOE GI: Denies any issues, last BM 1 day ago. GU: Denies any painful urination, urgency, hesitancyMusculoskeletal: denies. Neurological: DeniesPsychiatric: Denies suicidal ideations, depression. Does report difficulty falling asleepEndocrine: Denies any weight changes, intolerance to heat/coldHematologic/ Lymphatic: Denies any bruisingOBJECTIVE:Vital signs: Ht: 72, Wt: 205, BP 130/78, HR 76, Resp: 16, SaO2: 98% HA1C: 7.2% last visit, glucose in office: 135Constitutional: Well developedCardiovascular: RRR, No murmurs or rubs noted. Respiratory: Clear all fieldsGI: Abdomen round, soft, with bowel sounds noted in all four quadrants.  GU: DeferredMusculoskeletal: Crepitus noted bilateral knees, fluid wave noted to Rt kneeIntegumentary: Skin warm and dry, No rashes notedNeuro: Follows commands without difficulty -utilize the above scenario the patient covering the problems has been identified i would like to know what can be we do for the heath education, Nutrition Counseling for Health Promotion, Exercise, Stress Management, Complementary and Alternative Strategies for the above patient. explain in detail. – Health Science Science Nursing NURS 530 Share QuestionEmailCopy link Comments (0)

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