Nurses care plans

The nurse is caring for a 3-year-old pediatric client who has been admitted to the hospital for care secondary to respiratory syncytial virus (RSV) infection and pneumonia. The client is learning to cover their cough and sneeze but does not do it routinely. The child’s mother is with the client most of the time. The client demonstrates fear of the nursing staff by crying when they enter with a mask and gown to provide care for the child, making it difficult to complete assessments of the client’s condition. The mother has requested that staff do not wear masks when entering the room to prevent the child from being fearful. The child demonstrates some respiratory difficulty with mild intercostal retractions and a respiratory rate of 32. Other vital signs include HR 110, Temp 101.2°F. The child is receiving antibiotics intravenously, nebulized breathing treatments, and antipyretics. This is the child’s first hospitalization.

Obtaining a health history

When obtaining a health history on an 87-year-old female, which piece of assessment data would be most useful in designing a health promotion plan?

Smoking history

Physical activity

Normal dietary restrictions

General health for the past 20 year

The roles and responsibilities of carers and family

describing the roles and responsibilities of carers and family members, clients/people being supported, health professionals, support workers and supervisors:
Briefly describe the role of each individualised plan
Describe the main responsibility of each individual when contributing to the development and implementation of an individualised plan
Describe the main responsibility of each individual to provide information to others (include the information that should be shared)

Instruction on the RN plan

Instruction on the RN plan

when teaching a client about a newly prescribed thiazide diuretic, which of these instructions should the RN plan to include?

Supervised Machine Learning

Supervised Machine Learning is the learning approach defined by using labeled datasets to train algorithms to classify data and predict outcomes.

Translational research

Identify the different levels of translational research. Explain how translational research is different from evidence-based practice and discuss application to population health management.

Ciprofloxacin (Cipro)

Does ciprofloxacin (Cipro) have a nutrient-drug interaction and potential consequences of nutrient deficiency?

Midline episiotomy

Tina Nelson delivered a healthy male infant 6 hours ago. She had a midline episiotomy. This is her third pregnancy. She is now a G3P3003. She had an epidural block for her labor and delivery. She is now admitted to the postpartum unit.

  1. What is important to note in the initial postpartum assessment? Include at least 5 assessments. Why is it important to assess for these things and what do the findings mean?

 

  1. What are potential indications of a postpartum hemorrhage? List at least three indications.

 

  1. What would you do if you found a boggy uterus?

 

  1. What are the normal dose range and administration routes for oxytocin?

 

  1. Induction/Stimulation of Labor:
  2. Postpartum Hemorrhage:
  3. Incomplete/Inevitable Abortion:

 

  1. What are the contraindication, side effects, and adverse effects of oxytocin?

 

  1. Complete the following dosage calculation:
    1. The physician has ordered 1000 mL Lactated Ringers (LR) with 10 units IV oxytocin. Begin at 1 mU/min and then increase by 1 mU/min every 30 minutes until regular contractions occur. Maximum dose is 20 mU/min.
      1. What is the beginning IV rate in mL/hr?
      2. What is the maximum IV rate in mL/hr?

 

  1. What is the indication for Methergine, and what is a normal dose?
    1. What are contraindications for Methergine?
    2. What are the adverse reactions or possible side effects for Methergine?

 

  1. What interventions would you anticipate in the event of a postpartum hemorrhage (independent and dependent nursing interventions)? List at least 5 interventions in order of priority.

 

 

Funding for diabetes-related research

Address in a letter to a United States congressperson (from the U.S. Senate or House of Representatives encouraging your congressperson to increase funding for diabetes-related research and prevention of complications of diabetes (type 1 or type 2).

Instructions:

  • Use your knowledge of pathophysiology to explain the importance of your funding request.
  • Use current statistics to show the impact of diabetes in the United States (and your chosen subpopulation/state (Address your congress person by names at the start of your letter)
  • Address how increased funding will impact the congressperson’s constituency Address how increased funding will impact the U.S. population in general
  • Be persuasive and clearly link the role of prevention to better outcomes.
  • Be detailed and provide credible references at the end and within the letter
  • This is a letter so it should maintain the form of letter writing.

Medication for Hashimoto thyroiditis.

Martha is a 71-year-old woman who takes daily medication for Hashimoto thyroiditis. Last winter, she developed pneumonia. Although she did her best to run errands for her husband, she got tired easily and needed to rest frequently. One day, after shoveling the snow outside, her husband came inside to find Martha lying on the sofa covered in blankets. Her face appeared puffy and her eyelids hung. When he spoke to her, Martha’s voice was hoarse and her words did not make sense to him. Her respirations were also shallow and slow. Suspecting low thyroid hormone levels were causing the signs, her husband called for an ambulance.

  1. Using your knowledge of the function of thyroid hormone in the body, explain why Martha’s respiratory rate was decreased? Why might pleural effusion be present in someone with hypothyroidism?

 

  1. What factors in Martha’s history leave her susceptible to myxedematous coma? What are the physiologic aspects involved in myxedematous coma?