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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Question Answered step-by-step FOCUSPATIENT DESCRIPTIONWell child careJocelyn is a 9 month old female infant who has been seen in the clinic since shortly after birth. She has been healthy and has primarily been seen for health maintenance visits. Health maintenance visits since one month of age are in the EHR. Jocelyn is the only child of Chinese-born parents, Jin and Le Na Wu. Le Na works for Capital One and was transferred to offices in Philadelphia while pregnant with Jocelyn. Jocelyn is cared for at home by her father Jin, who does not speak English. Mom, Le Na works outside of the home and tries to accompany Jin and Jocelyn to most clinic visits. Both parents bring Jocelyn here today for her 9 month health maintenance visit. Can you help Jocelyn and the Wu family? Document Critical review of health maintenance for the infant in notesPreviousNext Health Science Science Nursing NURSING MISC Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Watch the short video titled “Hospice is Hard to Accept”found… Watch the short video titled “Hospice is Hard to Accept” found online at  https://hope.film/study-guide-videos-full-version/?utm_source=Real%20Magnet&utm_medium=Em2&utm_campaign=Defining_Hope .  After viewing the video, answer the following questions:1) How do Gilbert’s reflections about hospice and the care team fit with your vision of what hospice means?2) Do you think that people in general, and/or nurses may have preconceived ideas, generalizations, expectations, or fears about working or being cared for in a hospice/palliative care setting? If so, give examples.3) Mr. Cohen and his wife have very different views about him dying at home. While he wishes to continue to live “a fairly normal life”, he is expressing a desire to die at home when the time comes. However, Mrs. Cohen talks about the need to go to the hospital “if it makes you better”. How does Gilbert deal with the conflicting opinions between Mr and Mrs Cohen regarding hospitalization versus dying at home? 4) What factors play into Mrs. Cohen’s thoughts on her spouse’s potential hospitalization versus his staying at home? Health Science Science Nursing NURSING 4316 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step 1.      What factors may trigger an asthmatic episode? 2.      What are the clinical manifestations of a pediatric patient experiencing an exacerbation of asthma?3.      Explain the progression of asthma that is non-responsive to treatment.4.      Discuss the pathophysiology of asthma.5.      Discuss consent for the treatment of a minor? How does the nurse proceed if the parent is unreachable? Health Science Science Nursing PEDS NUR203 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Mrs. Agarwal is 35 years old and is complaining of bloody diarrhea.She claims that she was in good health “except for the last three months when this condition started.” In the past three months, Mrs. Agarwal has had four instances of bloody diarrhea, where it would last for a few days and resolve. Her husband claims that her appetite is “just not what it used to be” while he tells you she has been “feeling more tired than usual.” She says she has a very stressful job and has been experiencing frequent tension headaches, for which she takes one 200 mg Advil daily. Her husband adds that she “smokes one pack of cigarettes a day” to relieve her stress. Mrs. Agarwal reports abdominal tenderness upon palpation. The physician suspects that Mrs. Agarwal has inflammatory bowel disease. From your pharmacology class, you know that some of the treatments Mrs. Agarwal may receive include anti-diarrheal medications, immunosuppressive agents, and corticosteroids.Questions -With a diagnosis of inflammatory bowel disease, what could be discussed with Mrs. Agarwal regarding changes to her diet and lifestyle? How would you present this information to her and her husband? -Mrs. Agarwal receives an oral prescription for the corticosteroid, prednisone (Winipred), for seven days. How would you educate Mrs. Agarwal regarding the mechanism of action of this medication? What side effects could she expect? -Mrs. Agarwal is worried about the potentially dangerous side effects of taking an immunosuppressive agent, such as azathioprine (Imuran). She states, “…I read on the Internet that you can get cancer or something even worse, from taking immunosuppressive agents…” What is your initial response to Mrs. Agarwal’s concern regarding the potential serious side effects? -Mrs. Agarwal returns after 4-weeks with a severe flare-up for which she has been prescribed a corticosteroid suppository. Mrs. Agarwal wonders why she got a different medication that is administered rectally. What should you tell her about why this route of administration was chosen? How would you instruct her on how to administer it? -Mrs. Agarwal is experiencing severe diarrhea with this current flare-up, having to go to the toilet 12-14 times per day. She has been taking the anti-diarrheal, loperamide (Imodium), for 48 hours to help relieve her diarrhea. Mrs. Agarwal has complaints of dry mouth, lethargy, tachycardia and voiding once every 24 hours and states she is concerned about these side effects. List 3 questions and the rationale for asking the questions, being very specific, that you would like to ask Mrs. Agarwal based on the information in this question. Health Science Science Nursing NURSING 353 Share QuestionEmailCopy link Comments (0)

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