Data from epidemiological studies. 4. The nurse practitioner is responsible for initiating quality improvement at a community mental health clinic. The effective strategy for evaluating the clinic’s services is to:
A. Analyze the data from epidemiological studies
B. Conduct a root cause analysis
C. Interview patient families
D. Use an anonymous survey to elicit satisfaction responses
Neutropenic precautions following chemotherapy. please help me answer the following questions
| A nurse is caring for a client who is on neutropenic precautions following chemotherapy. Provide an example of a statement by the client that indicates the client understands what precautions are required for neutropenia. |
| A nurse is caring for a client who is starting hemodialysis. What effect will dialysis have on protein levels and how will the impact protein intake for the client? |
| The nurse is providing discharge teaching to a client newly diagnosed with chronic obstructive pulmonary disease (COPD). The client states “I have always enjoyed exercising with my friends, but I guess I won’t be doing that anymore.” How will the nurse best respond to promote optimal nutrition and exercise for this client? |
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 the exam is unremarkable. Your best plan of action is to recommend and/or prescribe the following?
Dextromethorphan +guaifenesin
Flovent
Ipratropium
Azithromycin
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 medication would you place him on?
Tiotroprium
Albuterol
Formoterol
Salmeterol
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 this medication, possible side effects, and adverse effects to report to a healthcare provider?
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. Which action would the nurse implement?
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 oozing
blood as well. Based on your assessment, you suspect disseminated intravascular coagulation
(DIC).
1. Explain why you suspected that Jerry developed DIC (scenario data and textbook
support)?
2. Define Disseminated Intravascular Coagulation.
3. What labs do you expect to be ordered?
4. With each lab value, indicate if that value would be abnormally high or low for a pt. with
DIC and explain.
5. What is the pathophysiology causing the change in lab values?
6. What are patients with DIC at risk for due to the abnormally high consumption of clotting
factors and platelets and why?
7. How is DIC managed?
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