General pediatric unit

 James is a 5-year-old who has been admitted to the general pediatric unit for IV antibiotics because of a severe spider bite that has become infected despite treatment at home with oral antibiotics. His mother is very upset that James has to be in the hospital. She voices frustration that the antibiotics have not worked and questions why he needs a different drug.

-What actions would you expect to take as the nurse to ensure that James receives the antibiotic to treat his infection? This answer should include suggestions for addressing the mother’s concerns.
-What are the most common adverse reactions of antibiotic treatment that James may experience, and what nursing actions should be implemented to help address these effects? Please address the reactions in separate answers.2. A 60-year-old female presents with the complaint of a sore throat. She voices frustration that “the antibiotics are not working this time.” Further discussion reveals that she is taking “leftover” antibiotics that were prescribed for her husband 3 years ago.

-What teaching is needed to help this patient develop an understanding of the proper administration of the prescribed antibiotics? Explain the issue of bacterial resistance, how it is a concern for this patient, and measures to help prevent resistance.

Focused respiratory assessment

My focused respiratory assessment included full vital signs, an inspection of the patient’s breathing patterns, her skin color, respiratory status, also I did palpate to see if there were any abnormalities, listened to her lung sounds using a stethoscope. My patient’s vitals were normal, the only thing her oxygen was dropping to 93% but went back up to 95%, her blood pressure was also elevated 161/85 but she has a history of Hypertension and is on BP meds and she has been running a little high.

 

what would be your feedback on this?

Home Health and Hospice Community nurse

Please list the five practice models for the Home Health and Hospice Community nurse. (Hint-Interactive Lecture)

Nursing diagnosis

Answer the following questions on Nursing diagnosis for adult failure to thrive Related factors Desired outcomes

  1. Defining characteristics
  2. Nursing interventions
  3. Rationale

ASSESSMENT PATHOLOGY DIAGNOSTICS

I am unsure of how to complete this concept map based on Pancreatitis. How would I properly complete this assignment? An example for diabetes is posted below, it uses the same template.

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ASSESSMENT PATHOLOGY DIAGNOSTICS Both: Type I: Genetic and environmental factors cause autoantigens Serum Glucose Subjective: Increased thirst, numb to form on insulin-producing beta cells causing destruction of beta cells with decreased insulin secretion Glucose tolerance test extremities, blurry vision Type II: Insulin receptors, glucagon and more cause Glycated hub test hyperglycemia resulting in tissue damage and organ dys Oral glucose tolerance test Objective: Nocturia, unexplained weight DEFINITION: Fasting blood glucose loss, increased infections & slow healing time Type I: Genetic, chronic insulin deficiency most Type I: Nausea, vomiting & stomach commonly found in pediatric cases pains Type II: Insulin resistance and beta cell dysfunction causing decreased insulin secretion TYPES: Type I Diabetes Mellitus Type II Diabetes Mellitus CAUSES: TREATMENT Type I: Genetic and environmental susceptibility Healthy diet Type II: Weight, Obesity & Physical activity Physical activity Monitoring blood sugar Insulin RISK FACTORS: Type I: Family history Type I: Young age Surgical: Type II: Obesity Pancreas transplant >45 years old Type II: Genetics Surgical: Low physical activity Bariatric surgery

Developmental milestones

What do we mean by “Developmental milestones” according to Erickson? List the stages.

Codes

What are the codes?

Code: A 16-year-old female sustained a nondisplaced fracture of distal phalanx due to falling on the sidewalk while running. (three codes).

Eight codes

What are the eight codes? Code: An 62-year-old female is brought by EMT to the ED. She sustained   2ndndrd degree burns to both anterior thighs, 2 degree burns of abdominal wall, and 3 degree burns to back of both hands due to dropping a boiling pot of water off the kitchen stove in her home where she lives alone. First calculate her % of third-degree burns. Next, calculate this patient’s extent of body surface involved. (there are eight codes for this initial medical encounter).

Codes

What are the codes?

  1. Initial encounter for a patient that was bitten by a duck while swimming in his residential home pond. (three codes).

Living arrangements

Explain the positive and negative aspects of the living arrangements for the elderly listed below. Be sure to thoroughly evaluate each option.

-Living in own home
-Living with their children
-Assisted living facility
-Nursing home with intermediate care
-Nursing home with skilled nursing care and make recommendations for healthy and disabled elderly