Entries by Daphne Hanson

A Profound intellectual disability

Bobby has a profound intellectual disability. He is unable to properly articulate his thoughts. One day, he was having back pain, and since he cannot properly communicate he starts screaming and shouting at his care Below are hypothetical scenarios showing behaviours of concern. Determine what factor is contributing to the behaviour of concern in each […]

A Self-assessment of leadership skills

Perform a self-assessment of leadership skills, reflect on the outcome of that assessment, create a plan for growth, and explore how technology and diversity impact leadership skills. Not all work processes are properly designed for effective use by true high-performance teams. (E.g. Great teamwork is not one member working and three others watching.) What are the key aspects […]

The Intravenous (IV) fluids

During the 6�� to 6�� shift, a patient has the intravenous (IV) fluids of D5 12�� with 20mEq ��� infusing at 100��ℎ at 6��. An order is received to increase the IV fluids to 125�� at 11��. The IV fluids are held for 2 hours while vancomycin 1� in 2.50�� of 0.9%�� is infused from […]

Muscle twitching and hypocalcemic episodes resulting in tetany

A 6-month-old infant is brought to the family practice clinic due to muscle twitching and hypocalcemic episodes resulting in tetany. Genetic studies have revealed a chromosome 22q11 deletion. What inquiry should the nurse practitioner make of the parents? Does the child’s skin ever become yellow? Is the child irritable? How often has the child experienced infections? Is constipation […]