History of cough analysis. 1. A 28-year-old male comes to your clinic with a 7-day history of cough. He denies fever, night sweats, SOB, or wheezing. He is a non-smoker with no significant past medical history. He is concerned about cough because it is produced with thick yellow-tinged sputum. His vital signs are normal and […]
symptoms of dyspnea. 1. A 72-year-old female with a history of COPD comes to the office. She is currently taking Salmeterol twice a day along with levalbuterol prn. However, she has increasing symptoms of dyspnea. What should be added to her therapy to help reduce and relieve her symptoms? LAMA ICS SAMA Theophylline
Chronic obstructive pulmonary disease. 1. A 68-year-old male with a history of COPD presents to the office with a hx of 2 hospitalizations (for COPD). He notes that he is feeling okay but he reports that he has to stop walking after a few minutes to catch his breath. He denies symptoms at rest. What […]
Bipolar with severe depression. J.A. was recently diagnosed with bipolar with severe depression. The doctor prescribed quetiapine fumarate (Seroquel) and fluoxetine (Prozac) for treatment. Using the nursing process please develop a plan of care that includes safety considerations to have in place. What patient education do you want to provide regarding how to safely take […]
Assumptions and practices care of individuals. Reflect on how your cultural location, and your attitudes, values, and beliefs, might affect the assumptions and practices you bring to the care of individuals.
Sickle cell anemia. A client with sickle cell anemia is experiencing a painful episode (vaso -occlusion crisis) and has a patient-controlled analgesia (PCA) pump. The current pain rating is 5 on a scale of 1 to 10 at the right elbow. The nurse observes that the pump is ‘ locked out’ for another 10 minutes. […]
Jerry is a 24-year-old male in the ICU that was hit by a car while walking 7 days ago. Since this accident resulted he has begun to develop sepsis. On day 8 you notice petechiae on his torso and blood oozing from his past IV insertion sites. His suture lines from his hip surgery are […]
Constipation problem and causes. Constipation is an elimination problem that often occurs in both adults and children. What are the causes? What measures can be done to help with constipation–either pharmacological or non-pharmacological?
Health disparity issue. Despite advances in health research and the implementation of the Affordable Care Act, health disparities still persist in our society. The readings below about the process of health policy and how to formulate policy, and the readings on disparities, and the social determinants of health address the discussion question for this week. […]
Case Study 2: Focused Throat Exam Jason, a 13-year-old male comes in with Mom complaining of painful swallowing. Started yesterday as a “really bad sore throat” made worse with swallowing. He reports feeling very tired. His Mom gave him over-the-counter Children’s Motrin which made his fever better but did not help his sore throat. He […]
