Herd immunity

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What is herd immunity? Why do public health doctors wish that all infants worldwide would get immunized?

 

Mechanistic Bioeffects of Ultrasound 

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Find at least 3 studies about Mechanistic Bioeffects studies for Ultrasound and summarize them. what are your thoughts about it?

A client who has a terminal condition

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A primary health care provider asks the nurse to discontinue tube feeding in a client who has a terminal condition. The primary health care provider tells the nurse that the request was made by the client’s spouse and children. What should the nurse check for first before carrying out the prescription?

    1. Court approval to discontinue the treatment
    2. Approval by the institutional ethics committee
    3. A written prescription by the PHCP  to remove the tube

A client who was involuntarily hospitalized to a mental health unit

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The nurse is caring for a client who was involuntarily hospitalized to a mental health unit and is scheduled for electroconvulsive therapy. The nurse notes that an informed consent has not been obtained for the procedure. Based on this information, what is the nurse’s best determination in planning care?

    1. The informed consent does not need to be obtained.
    2. The informed consent should be obtained from the family.
    3. The informed consent needs to be obtained from the client
    4. The primary health care provider will provide the informed consent.

Diagnosis of fever complains

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Diagnosis of fever complains. Amy, a 3-year-old girl is brought to your office by her mother because she has a fever and complains that her ear hurts. She has no significant medical history. The child is not pleased to be in the provider’s office and has been crying. Her mother explains that she developed a “cold” about 3 days ago with sniffles. As she cries she continues to cough and has yellowish nasal discharge.

create an episodic/focused note about the patient in the case study. diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Rights that come from God and human agreement

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What distinctive differences should there be for a legal system built on the idea that people are unique creations that bear the image of God? What are the implications of rights that come from God as opposed to rights that come from human agreement? What surprised you the most about the clauses in Magna Carta that you read?

https://magnacarta.moadoph.gov.au/clauses/

Prevention of Burnout among healthcare professionals

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The prevention of burnout among healthcare professionals Scenario: Healthcare professionals are at-risk experiencing stress and burnout due to chronic interpersonal stressors. High work pressures and stress due to compassion fatigue, shift work, high staff turnover, and increasing patient acuity are some factors associated with burnout. Burnout can affect cognitive functioning such as difficulty in concentrating, decreased attention, and poor decision-making that can negatively affect the patient. Clinical Inquiry: The executives of a hospital are in the effectiveness of a mindfulness program to prevent burnout among staff.

Idiosyncratic reaction identification

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Idiosyncratic reaction identification, A nurse is collecting data from a client who received diphenhydramine for insomnia. Which of the following findings should the nurse identify as an idiosyncratic reaction?

Agitation

Nausea

Dizziness

Dry mouth

Breast Cancer

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Answer True or False to the following questions regarding breast cancer:

  1. ____      Breast cancer is the most commonly occurring cancer in women.
  2. ____      Breast cancer is the leading cause of death in women in the US.
  3. ____      Physical activity can help prevent breast cancer.
  4. ____      The most important risk factor for the development of breast cancer is heredity.
  5. ____      Oral contraceptives, hormone replacement therapy, alcohol, obesity, and inactivity can all increase the risk for this type of cancer.

 

  1. What are the most common sites for metastasis when a woman has breast cancer?

 

  1. Mary Willis has been diagnosed with breast cancer and the physician informed her that she had distant metastasis. What is Mary’s stage of cancer?
    1. Stage 1
    2. Stage II
    3. Stage III
    4. Stage IV

 

  1. Why is staging the cancer important?

 

 

    1.  “Breast conservation” surgery is gaining favor. This surgery is also called a:
    2. With this type of surgery, what is excised?

Stage IV ovarian carcinoma

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Mrs. Rebecca Major is a 42-year-old woman with a history of stage IV ovarian carcinoma. She has previously been treated surgically with an exploratory laparotomy that included a total abdominal hysterectomy (TAH), an ileocecal resection, anastomosis, omentectomy, and peritoneal biopsies. Mrs. Rebecca Major has received 3 courses of chemotherapy consisting of docetaxel and cisplatin. She  is currently admitted with shortness of breath (SOB), complaints of (C/O) nausea, and early satiety with recent weight loss of 10 pounds. Her abdomen is distended and her SaO2 is 86% on room air.

 

  1. What is the most common reason ovarian cancer is usually stage III or stage IV when initially diagnosed?

 

 

  1. List three common presenting signs and symptoms of ovarian cancer.

 

 

  1. Her chest x-ray (CXR) reveals bilateral pleural effusions. How do these relate to her underlying disease? How might they be treated?

 

 

  1. She has been prescribed Cisplatin (Platinol AQ) to be administered intravenously. Cisplatin can be very toxic to the __________. Damage can be lessened by                         . It can also cause severe ­­­­___________, which can last for many days.

 

  1. Surgical intervention at this time will include debulking of tumor and possible placement of a colostomy. Delineate four appropriate topics to be included in preoperative teaching.

 

 

  1. Mrs. Major is undergoing a palliative surgical intervention. How would the nurse explain this to the patient and family?

 

 

  1. Family history analysis reveals a strong positive occurrence of breast and ovarian cancer in Mrs. Major’s family. Her mother died of breast cancer at the age of 56, and a maternal aunt died of ovarian cancer at the age of 59. At the onset of her illness, the physician suggested the possibility of testing for the presence of the BRAC1 and BRAC2 genes. Describe the meaning of this test.