Describe criteria for diagnosis and severity of Chronic obstructive pulmonary disease

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Describe criteria for diagnosis and severity of Chronic obstructive pulmonary disease. Identify 3 factors that affect COPD diagnosis and/or progression.

Meditation experience

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Describe your thoughts on a meditation experience related to sitting in front of yourself, a loved one, and someone you resent in 2 paragraphs. Describe your thoughts on yoga as a beginner learner in one paragraph?

Cardiac disease

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A pregnant woman with cardiac disease is placed at a higher risk for additional complications because of whi pregnancy-related phenomena. Select all that apply. Elevations in blood pressure in the second and third trimesters. Increase in heart rate. Increase in blood volume.

Increase in body temperature. Increase in cardiac output

3. Congestive heart failure is a complication for pregnant women with heart disease. What are clinical manifestations associated with congestive heart failure? Select all that apply Bradycardia Orthopnea Persistent cough Pitting edema Moist lung fields

4. According to the History and Physical, what cardiac symptoms does Gabriela Valenzuela exhibit now that she is pregnant?

5. What are Gabriela Valenzuela’s vital signs? Are there any significant abnormalities noted?

6. What abnormal assessment finding is noted in the History and Physical that would be associated with Gabriel Valenzuela’s cardiac disorder?

7. When monitoring Gabriela Valenzuela’s fetus, what manifestations may indicate complications related to a worsening of the mother’s cardiac status? Select all that apply. Fetal bradycardia Fetal tachycardia Increasing fetal size, greater than anticipated for gestational age Intrauterine growth restriction (IUGR)

8. Cesarean section is the preferred type of delivery for the mother with cardiac disease. (True or False) Page 1 1 2 + Lesson 5 – Nursing Care of Women with Complications During Pregnancy: Cardiac and Lupus MacBook Air.

 After reviewing the History and Physical for Gabriela Valenzuela, what does the physician note as her cardiac problem? 2. A

The steps in the ethical decision-making process

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Using the steps in the ethical decision-making process provide an outline of the process using the scenario given below. Your response to each step should be simple and concise. Each step should be no more than one or two sentences. Apply the steps in resolving an ethical dilemma.

 

senario: Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. Tara was offered this position after successfully completing both her practicum and her internship at the center. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. One afternoon Tara’s supervisor approached her and asked her if she would be interested in facilitating a group therapy session once a week at one of the center’s other branches. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class.

The concerns with The use of ketamine

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What are the concerns with the use of ketamine? What is nitrous oxide used for? What makes propofol so dangerous?

CNS Stimulants
Amphetamines in general are used therapeutically for?
What are the most common adverse effects?
What are the effects of caffeine?
What is it used for therapeutically?
All CNS stimulants in excess amounts can cause?

Endocrine System

Growth Hormone (Somatropin)
What is it used for therapeutically?
How is its effectiveness measured?
What are its major adverse effects?
How is it usually administered?

What are the causes of action for improper disclosure of health information?

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What are the causes of action for improper disclosure of health information?  Of these, which seem the most likely to succeed? The least likely to succeed?

Freestanding Community hospital

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The nurse was recently selected as the new Chief Nursing Officer in a freestanding community hospital with a high case mix of Medicare patients. The hospital has an excellent reputation for nursing care and has been designated twice as a Magnet hospital.

What three strategies may the Chief Nursing Officer implement to continue the hospital’s magnet status?

What is balanced anesthesia?

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What is balanced anesthesia? Opioids/NSAID’s would be given to? Antiemetics would be given to?
Benzodiazepines/Barbiturates would be given to?
Anticholinergic (prototype atropine) would be given to?

Inhaled anesthesia is the main focus of the chapter,

How do they work?
What are the major adverse effects?  You need to know what to be concerned about when the post-op patient returns to their room after receiving an inhaled anesthetic.

Neuromuscular blocking agents
What are they and why are they used?
What are the side effects?
What do they do and not do?
Many students believe this is also an anesthetic-it is NOT
Acetylcholine has to attach to the nicotinic m receptor on skeletal muscle to cause muscle contraction.  If it does not, then the muscle becomes flaccid (paralyzed)

These drugs do NOT cross into the brain and have no effect on the level of consciousness—if this is the only drug on board, the patient can hear everything, but cannot move, speak, blink, because the person is paralyzed.

Review both depolarizing and non-depolarizing neuromuscular blocking agents to understand the differences.  End result is flaccid paralysis.

Your patient has received a neuromuscular blocking agent during surgery and is now post-operative.  What are the nurse’s priority concerns?

What is malignant hyperthermia?
What are the risk factors for developing it?
What are the symptoms?
What is the treatment

What is Diabetes Insipidus?

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What is Diabetes Insipidus? ADH is produced in the hypothalamus and stored in the posterior pituitary gland
Its release is affected by serum osmolarity (you should know what that is—it is the amount of solute in relation to the fluid in the bloodstream)
When serum osmolarity is high (there are a lot of solutes in relation to the water—imagine ingesting a very salty meal), ADH is released and causes the kidneys to reabsorb water (to dilute that excess solute) and restore the serum osmolarity to normal.

This results in decreased urine output (because more water is being retained) and the urine is more concentrated and has a higher specific gravity/urine osmolarity

Some people do not make ADH or it does not work.

This causes DI/Diabetes insipidus, which means excessive urine output.

If the cause is a lack of ADH, it can be replaced with an ADH replacement known as desmopressin.  Review how it is used and major adverse effects/teaching

Thyroid gland
Please review the actions and effects of thyroid hormone on the body—you must understand what this hormone made by the body does to understand the effect of too much or too little on the body
What lab work is done to diagnose problems with the thyroid gland?

Autoimmune disorders

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Provide a rationale for your answer to the previous question. Autoimmune disorders encompass a wide variety of disorders that can be disruptive to the pregnancy process. Maggie Gardner has been admitted to rule out lupus.

The following questions will explore the various aspects of this autoimmune disorder. You may want to review information from a medical-surgical textbook regarding this disease.

11. What information in Maggie Gardner’s History and Physical would correlate to a diagnosis of systemic lupus erythematosus (SLE)?

12. List four things that the rheumatologist notes in his impressions regarding specific findings associated with a diagnosis of SLE.

13. What is the rheumatologist’s plan regarding laboratory/diagnostics to gain a definitive diagnosis?

14. According to the Rheumatology consult, what is the plan regarding medications (immediate need)?

15. When providing teaching about the use of prednisone, the nurse should include what information? Select all that apply. Prednisone therapy is associated with increased levels of fatigue.

The onset of fever, muscle aches, and sore throat is a common side effect. Limit caffeine during prednisone therapy. Prednisone use may be associated with mood swings, ranging from euphoria to depression. Do not abruptly discontinue drug therapy without consulting physician.

16. The physician has prescribed prednisone therapy. Which statement best describes its purpose? a. Reduces susceptibility to infection. b. Reduces the body’s inflammatory response.

c. Enhances the body’s use of acetylcholine. d. Stimulates lung development in the fetus.

17. What medication ordered by the rheumatologist will assist in the blood flow to the placenta? How does this medication achieve this effect? MacBook Air