Client with dementia

A nurse is assessing a client for dementia.  What findings should

the nurse expect in a client with dementia?  Select all that apply.

A. There’s a slow progression of symptoms
B. The client admits to feelings of sadness
C. The client acts apathetic and pessimistic
D. The family can’t determine when the symptoms first appeared.
E. There are changes in the clients basic personality
F. The diet has great difficulty paying attention to others.

The development of bipolar 2 disorder

What role does genetics play in the development of bipolar 2 disorder

The Glasgow Coma Scale (GCS)

The RN uses the Glasgow Coma Scale (GCS) to assess a client with an acute brain injury and notes a score of four (4). Which intervention is a priority for this client?

Breastfeed

Instructions Create a teaching tool to promote breastfeeding. The…

 

Instructions

Create a teaching tool to promote breastfeeding. The material created to educate new mothers on breastfeeding will influence the mother’s decision to breastfeed, including duration, based on the quality and content of the teaching.

Assignment Requirements

Your teaching tool will be a trifold and must include this relevant content for a mother considering the risks and benefits of breastfeeding a newborn.

  • Explain how breast milk is formed in the mammary glands and the physiology of breast milk
  • Include two 2020 National Health Goals related to newborn nutrition to support breast feeding as the best choice. See the link below:
  • https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health
  • Discuss the advantages of breastfeeding related to immunities transferred to the newborn
  • Describe three additional benefits of breastfeeding with supporting rationales
  • Include at least two supporting resources
  • Document must be written

Femur fracture

A nurse is caring for a client who has a femur fracture with the leg in Buck’s traction.Which of the following actions should the nurse take?

1. Apply 6.8 kg(15 lb) of weight for use in traction.
2.Remove the weights for the 20 min for the clients report of severe pain.

3.Compare bilateral pedal pulses
4.Position the knot of the rope at the top of the pulley

Intracranial hemorrhage

Instructions: All questions apply to this case study. Your response should be brief and to the point. When asked to provide several answers, they should be listed in order of priority or significance. Do not assume information that is not provided.

R. B. is an 80-year old English woman who is visiting a friend in the United States. One morning her friend noticed that upon awakening, R. B. had slurred speech, a R-facial droop, and was disoriented. She was transported to the hospital where a CT scan confirmed the diagnosis of intracranial hemorrhage. Because of the location of the bleed, surgery was not possible and over the next couple days R. B.’s R-facial droop progressed to a totally flaccid R-side. R. B. was transferred to your rehabilitation facility for therapy. Ten days after the initial insult, R. B. still has some confusion, memory problems, difficulty swallowing, slurred speech, and profound R-sided weakness. She is hoping to be able to return to England soon.

 

1. Define CVA.

 

2. List 3 main causes of a CVA and describe how they disrupt the O2 supply.

 

3. List 10 factors that increase the risk of a CVA.

 

4. What is the overall goal of rehabilitation?

 

5. List 12 potential members of the rehabilitation health care team.

 

6. Why is positioning with proper body alignment so important for a patient like R. B.

 

7. An aggressive exercise program must be part of the rehabilitation process to maintain and improve muscle tone and function and to prevent further disability. Describe the following exercise classifications: passive, active, active assistive, active resistive, and isometric.

 

8. What are some nursing interventions for R. B. related to the patient problem of weight loss related to continued swallowing problems and risk for aspiration related to swallowing difficulty.

 

9. Discharge planning begins upon admission to any facility. What special discharge needs does R. B. have and who needs to be involved?

 

Once the family is located and contacted, the nurse and the physician should talk to them. Offer to have a physician from the receiving facility in England call and talk to the discharging physician from your institution. FAXes are a common way of communicating from the United Kingdom to the U. S.

 

10. R. B. seems to be homesick. What nursing interventions could

Heart

What is a normal baseline fetal heart rate? What is considered preterm labor?

  1. How is fetal variability determined and what terms are used for charting?
  2. What is an amniotomy, and what important nursing roles go along with it?
  3. How do you determine and chart contraction frequency, duration, and intensity?
  4. What is the first stage of labor along with its phases and dilatations? What maternal behaviors are seen and what interventions can be used?
  5. What happens in the second stage of labor and what nursing care is given?
  6. What happens in the third stage and what are the nursing assessments that are done?
  7. What is the fourth stage of labor and what is its significance?
  8. What are some of the danger signs in labor that must be reported, and what interventions are appropriate and/or administered?
  9. What is a fundus, and how and why is it checked? When is fundal massage needed?
  10. What role does the nurse play in the administration of an epidural? Before, during, and after?
  11. What are some types of breathing patterns that can be used in labor, and when would each be used?
  12. What is a Bishop score? What is induction?  What is augmentation?
  13. What medications are used for induction, and what is the primary nursing role during an induction?
  14. What are the nursing responsibilities when administering Magnesium Sulfate?
  15. What is the Apgar?
  16. what equipment will you need for a fundal height measurement?
  17. When are Leopold’s maneuvers used?
  18. What is the purpose of a vaginal examination?  Define effacement, dilation, and station.

Infection

The initial post must include responses to all the questions in both case studies.

Ms. F, 48 years old, has been admitted to the hospital with severe abdominal pain. Earlier that day she had generalized abdominal pain, followed by a severe pain in the lower right quadrant of her abdomen, accompanied by nausea and vomiting. That evening she was feeling slightly improved and the pain seemed to subside somewhat. Later that night, severe, steady abdominal pain developed, with vomiting. A friend took her to the hospital, where examination demonstrated lower right quadrant tenderness and mild abdominal rigidity. Fever and leukocytosis indicated infection. A diagnosis of acute appendicitis, with possible perforation, was indicated, with immediate surgery.

Discussion Questions

  1. Why is the sequence of pain (location and type of pain) significant in the diagnosis of acute appendicitis? Describe the rational for each type of pain. Does this sequence confirm the diagnosis?
  2. Using the pathophysiology, describe the reason for:
    1. the pain subsiding and then recurring.
    2. leukocytosis and fever.
    3. abdominal rigidity.

Ms. T, age 28 years, has noticed urgency, frequency, and dysuria recently, as well as an unusual odor to the urine. Urinalysis indicated a heavy concentration of Escherichia coli in the urine, some pus, and WBCs. Ms. T was prescribed antibiotics, which she took for the first few days. This seemed to give her relief, but she then stopped taking the medication. Within a few days, the symptoms returned, but she decided to “just live with it.”

Discussion Questions

  1. Explain why women are predisposed to cystitis.
  2. What preventive measures are important in reducing recurrence?
  3. Discuss other signs and symptoms that may indicate cystitis.
  4. What potential problems may she experience if she does not adhere to the treatment prescribed?
Weekly Outcomes Weekly Objectives
  1. Articulate alterations in structure and function of the renal and digestive systems. (CO 1)
  2. Trace the impact that alterations in the renal and digestive systems have on the body. (CO 2)
  3. Summarize the impact of alterations in the renal and digestive systems on homeostasis. (CO 3)
  1. Understand normal renal and digestive system physiology.
  2. Describe common types of renal disorders: causes, clinical manifestations, diagnostic tests, and treatments.
  3. Compare and contrast common renal conditions: causes, clinical manifestations, diagnostic tests, and treatments.
  4. Apply understanding of alterations in the renal and digestive system across the lifespan to formulate care priorities.
  5. Discuss the renal system’s role in acid-base balance.
  6. Review the renal systems function in fluid and electrolyte homeostasis
  7. Examine responses to aging and its impact on pathophysiologic changes in the renal and digestive systems.
  8. Describe how heredity and genetics influence pathophysiological alterations in the renal and digestive systems.
Main Topics and Concepts Sub-Concepts with Exemplar
  1. Alterations in the renal and urologic system: elimination
    1. Alterations in physical structure
    2. Alterations in function
    3. Cancers of the renal and urinary tract systems
    4. Pathophysiologic renal and urologic response to aging
    5. Genetic influences on renal and urologic system pathology
  2. Alterations in the gastrointestinal system: elimination
    1. Alterations in physical structures
    2. Alterations in function
    3. Cancers of the gastrointestinal system
    4. Pathophysiologic gastrointestinal response to aging
    5. Genetic influences on gastrointestinal system pathology
  1. Acid-base imbalance: urinalysis, blood testing
    1. Acute versus chronic conditions
    2. Renal failure
  2. Constipation
  3. Cellular regulation: colon cancer
  4. Fluid imbalances: dialysis
  5. Metabolism: digestion and absorption, liver disease
  6. Elimination: diarrhea, constipation, irritable bowel syndrome, renal calculi
  7. Nutrition: nausea, vomiting, celiac disease
  8. Tissue Integrity: peptic ulcer disease, gastritis
  9. Infection: pyelonephritis, urinary tract infection, hepatitis C
  10. Genetics: polycystic kidney disease, colon polyps

Psychiatric inpatient unit

A client is admitted to the psychiatric inpatient unit after being…

 

A client is admitted to the psychiatric inpatient unit after being found walking on a highway at night talking to themself. The client is unkempt and appears thin and dirty. What would be the best way to assess the client’s nutritional status and changes significant to mental health status?

A. compare current weight with past weight in chart

B. Discuss recent dietary intake

C. Arrange for a medical consult

D. Observe at mealtimes

Dyspnoea Case study.

Dyspnoea Case study. Why is Mr. Hodges feeling anxious? What is causing dyspnoea? Why is his temperature raised? Why is his
heart rate raised? Why is his BP raised? Why are his respirations increased? Why is his oxygen saturation low?
Process information