Classification if high risk medicines

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What is APINCHS classification if high risk medicines. List an example of each Medication. What are your responsibility in administration of these medications?

Hepatic failure on examination

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A client is being treated for hepatic failure on examination the client has a week in a 4.4 pounds in 24 hours and an elevated pulse rate which intervention should the nurse include in the plan of care

 

A Review arterial blood gasses results

B Assess for dependent pitting edema

C document abdominal girth

D Record usual eating patterns

Forms used in Aged care and the Disability sectors

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List three types of charts/forms used in Aged care and the Disability sectors : A brief description of the document(s) When and how information should be recorded. Where the forms must be stored

  • How long must the documentation be kept according to the Health records Act 2001

What is APINCHS

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What is APINCHS classification if high risk medicines. List an example of each Medication. What are your responsibility in administration of these medications?

Bipolar disorder and anxiety

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Your patient is a 36-year-old woman with bipolar disorder and anxiety. She has been stable on a combination of fluoxetine and olanzapine for two years.  She is morbidly obese at 40 pounds at 5’5″ in height, has type II diabetes, hypertension, and hyperlipidemia.  She has concerns about her weight and has tried numerous ‘fad diets’ to no avail.  She explains she has lost, at most, 15 pounds and has been able to keep it off for three months.

She has three children, one of which is severely disabled, and a husband who has a terminal diagnosis. She expresses worry that her weight will impact her ability to care for her disabled child when her husband dies.  She reports she eats out frequently due to her children’s busy schedules.  She is a stay-at-home mother but gets little exercise and performs no regular physical activity.

She reports feelings of shame that she can no longer orgasm on the rare occasions her husband has the energy and desire to be intimate.

Questions:

    • What would be your approach to managing this patient’s weight concern? (Discuss at least two aspects of your approach). Please support your answer with research-based evidence.
    • What would be our approach to the sexual side effects she is experiencing?
    • If you suggested additional medication, look up your state’s prescribing laws. Are PMHNP’s able to prescribe the medication you recommended?

Blood Transfusion Case Study

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Blood Transfusion Case Study. For this case study, you are to review the case scenario below and answer the questions. All questions are to be answered in full, grammatically correct sentences and fully referenced (according to APA 7th edition).

 

Case Scenario

 

You are the nurse working in the emergency department of Sheridan College Hospital. Your patient is Neela Sukanth, a 65-year-old individual, who presented to triage via ambulance following a syncopal episode at home. Their partner, Inesh, informs you that Neela recently had surgery for a ruptured appendix. Past Medical history is significant for Beta-Thalassemia minor; stable angina diagnosed 3 years ago; and Diabetes Mellitus Type 2, managed with Metformin. Neela states that she “can’t seem to catch her breath” and that she has had a headache for a few days that isn’t relieved by Tylenol. Inesh notes that Neela has been sleeping a lot recently, and seems very weak, and always cold, even if wearing a sweater.

 

Upon assessment, you observe Neela to be diaphoretic and pale. VS are as follows

BP92/50
Resp24
Pulse135
SpO295% on RA
Temp36.8 C orally

 

Physical assessment shows a surgical wound in the right lower quadrant of the abdomen, with closed wound edges that are slightly raised and pink. Abdominal assessment reveals a distended abdomen, tender to palpation. Bowel sounds are absent in all 4 quadrants.

 

 

 

 

 

Blood work drawn when the patient arrived in Emerge, as per the Medical Directive is as follows:

 

CBCResultReference Range
RBC2.804.00-5.10
WBC7.44.0-11.0
Hgb66120-160
MCV7680-100

 

 

Questions

  1. Explain the indications in which a physician may order a Blood transfusion.

 

  1. What do you think is the most responsible reason that a blood transfusion would be ordered in this scenario? Support your answer with information from the case scenario and the evidence.

 

 

  1. Before starting the transfusion, how does the nurse ensure the safety of the patient? What should the nurse do if there is something missing or incorrect? What is the rationale for pre-transfusion vital signs?

 

  1. Neela’s blood type is AB-. What blood type(s) can they receive? What steps should the nurse take if the wrong blood type was sent?

 

 

  1. Explain what a hemolytic reaction is, and what it’s associated signs and symptoms are. What steps should the nurse take if Neela is suspected of having a hemolytic reaction?

 

  1. Assume the hospital’s policy is to run blood at 50ml/hr for the first 15 minutes. Calculate the starting gtt/min if the drop factor of the tubing is 15gtt/ml. Please show your work.

 

History of Nocturnal polyuria

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A seven-year-old girl presents with a three-week history of nocturnal polyuria. Her mother reports that her daughter seems to have lost weight in the past two months, although she has had a good appetite.

Laboratory tests reveal that the girl’s serum sodium is 130 mEq/L; potassium, 3.2 mEq/L; glucose, 324 mg/dL; and 1+ketones. Urinalysis reveals a specific gravity of 1.025 and moderate glucose and ketones. Her PE is unremarkable.

  • What are the differentials for consideration?
  • What diagnostic evaluations constitute the ongoing assessment of children with hyperglycemia?
  • What are the acute and chronic complications associated with the child’s condition?
  • What developmental approach will you use with the child?

Ways in which your Role models approach their responsibilities

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Role models are sources of inspiration for  leadership style. The ways in which your role models approach their responsibilities and conduct their activities show you how you might lead and what choices you might make as a leader.

Consider the success stories behind one of your role models—perhaps a family member, favorite teacher, youth group leader, a successful co-worker, or an inspiring community leader.

  • Tell us who this role model is and what position/tit e they hold.
  • Tell us a brief “success story” associated with your role model. (For example, “hired an entirely new nursing staff in one month’s time” or “empowers staff to present one new idea at each monthly staff meeting”)
  • Reflect on the success story that you selected and identify one or two challenges that your role model may have encountered prior to accomplishing his or her “success story”.
  • Identify two reasons why your role model may have been successful despite the potential challenges that you identified.
  • Discuss how you might use your insights about your role model’s “success story” to enhance your career as a healthcare

How does interdisciplinary collaboration

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In learning about the taboo subject of death and dying in Chapter 7: End of Life Care we explored the use of an
interdisciplinary team. Elaborate on how does interdisciplinary collaboration contribute to improved patient
outcomes

Types of charts/Forms used in Aged care and the Disability sectors

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List three types of charts/forms used in Aged care and the Disability sectors : A brief description of the document(s) When and how information should be recorded. Where the forms must be stored

  • How long must the documentation be kept according to the Health records Act 2001