A patient is refusing to continue with therapy for cancer. The family does not agree with the decision. Describe your personal beliefs regarding this situation. Use appropriate terminology (autonomy, beneficence, etc.). 250 words please
A 91-year-old patient is admitted with pneumonia. She has frequent bouts of confusion that require ongoing reorientation to her surroundings. She needs assistance with feeding, bathing, toileting, and dressing. When she is oriented, she is pleasant and cooperative. When she is confused, she yells and upsets the other patients. The patient was placed in a private room across from the nurses’ station, but she complains of the noise and constant commotion. The staff agrees that the patient needs to be close to the nurses’ station for better monitoring. How can the nursing staff make the environment safer and less stressful for the patient?
John Jones is a 55-year-old African American man. He has been Human Immunodeficiency Virus positive for 5 years. He is currently taking Atripla one tablet by mouth daily. He presents to the physician’s office complaining of pain in his mouth and white patches on his tongue and cheeks.(Learning Objectives 1, 2, 5)
1. While triaging Mr. Jones, what information should the nurse obtain?
2. Mr. Jones tells the nurse he has started taking St. John’s wort because he heard it had antiviral effects and he was feeling a bit depressed lately. What should the nurse tell Mr. Jones about the St. John’s wort?
3. The physician writes a prescription for Mr. Jones to receive fluconazole (Diflucan) 200 mg on day 1 and 100 mg on days 2 through 14. What should the nurse tell Mr. Jones? (Cite reference page(s) from the Roach textbook)
Cite reference page(s) from the Roach textbook.
Charlie Price is a 55-year-old Caucasian man. He presented to the physician’s office 2 days ago with a 2-week history of coughing, sputum production, and night sweats. The nurse administered Mr. Price a PPD skin test. He presents today for the nurse to read his PPD skin test. The skin test is positive, and the physician diagnoses Mr. Price with tuberculosis.(Learning Objectives 3, 5)
1. What pre-administration assessment should be completed before starting Mr. Price on any antitubercular drugs? What ongoing assessment should the nurse complete while Mr. Price is taking the antitubercular drugs?
2. What are three ways the nurse can increase Mr. Price’s compliance with his antitubercular treatment regimen?
Cite reference page(s) from the Rosdahl textbook.
James Dunn is a 40-year-old African American man. He presents to the physician’s office today complaining of headache. His vital signs during triage are as follows: blood pressure 165/90 mm Hg, heart rate 80 beats/minute, temperature 98.5F, weight 125 kg (275 lb), and height 5 ft 11 in. He currently has no other diagnosed medical conditions. The physician gives Mr. Dunn a prescription for lisinopril/hydrochlorothiazide (Prinzide) 10/12.5 mg with directions to take one tablet by mouth daily in the morning. (Learning Objectives 1, 3, 4, 8)
1. In which stage of hypertension would you place Mr. Dunn? What lifestyle modifications should Mr. Dunn be encouraged to follow?
2. What class of antihypertensive is lisinopril/hydrochlorothiazide? What would you tell Mr. Dunn about his new medication?
Apply the correct technique to assist clients with ambulation and maintain mobility.
Susan Smith is a 40-year-old African American woman. She has a history significant for diabetes, hypertension, and smoking (1 pack/day). She is being discharged from the hospital today after having a myocardial infarction. The only new prescription she will be leaving with is pravastatin (Pravachol) 40 mg with directions to take one tablet daily at bedtime. The physician has asked the nurse to go over discharge instructions with Mrs. Smith. During the discharge counseling, Mrs. Smith inquires about her new medication. (Learning Objectives 2, 3, 6)
1. What class of antihyperlipidemic medication is pravastatin and what should Mrs. Smith be told about the medication?
2. What lifestyle modifications should Mrs. Smith be encouraged to follow?
3. What are Mrs. Smith’s cholesterol goals and when should she have follow-up laboratory work for her pravastatin? (Cite reference page(s) from the Roach textbook.)
Define the term Bradycardia.
Provide examples of goals for temperature alterations related to the environment
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