Arterial blood gasses

Arterial blood gasses are prescribed for the client with chronic renal failure who has hypotension, cold and clammy skin, and dysrhythmias. The nurse should notify the HCP to report that the client is experiencing which imbalance? (Refer to values in exhibit)

Respiratory acidosis

Respiratory alkalosis

(There were also 2 other answers but I wasn’t able to get them, if it’s not from the choices above) Thank you

A Sodium polystyrene sulfonate enema

The client with CRF receives a sodium polystyrene sulfonate enema. Which finding indicates that the medication is achieving the desired therapeutic effect?

Returns of dark- colored stool

Able to retain solution for 1 hour

Verbalizes relief of constipation

(If the answer is not above please let me know what it is) Thank you

Urology practice

You work in urology practice, and a 51-year-old married patient, Mr. Ratner, undergoes a vasectomy because he does not wish to have any more children. He confides to the physician that he is concerned his mistress may become pregnant. He has the procedure performed while his wife is out of town, and he requests that information about the vasectomy not be disclosed to her under any circumstances. Does Mrs. Ratner have the right to know that her husband has had a vasectomy?

Does Mr. Ratner’s physician or his staff have a right or an obligation to tell her? If Mrs. Ratner is also a patient in the practice, does that change your answer?

Patients with health insurance

You work in psychiatry practice, and many of your patients with health insurance prefer to pay cash to protect their privacy. If a patient does submit a mental health claim, in what circumstances might that information be disclosed to a third party without the patient’s authorization? How might this practice of paying “off the grid” affect public mental health services?

Advantages of general inhalant anesthesia

Advantages of general inhalant anesthesia include: No nausea or vomiting occurs postoperatively.

Mild muscle relaxation is achieved.

The patient recovers a few minutes after surgery.

The patient is unaware of pain or discomfort.

The High school cheerleading team

Juliette Zimmerman is the volunteer coach of the high school cheerleading team. The team has earned a spot at nationals, but one of her flyers is injured and will not be able to participate. Juliette has just given an interview to a local reporter in which she made mention of this, including the girl’s name. Juliette’s husband, a physician, tells her that she has violated HIPAA. Is he correct?

Working below work expectations

Describe a time when one of your staff or your work team was working below work expectations. What was your response?  How did the other party/parties respond?  What was the ultimate outcome?

Visual acuity

In assessing elderly patients for their visual acuity; what are the common changes in their vision with regards to aging. List at least 5 of these changes. (150 WRDS EACH CHANGES)

  • How to do you asses for the gross hearing of an infant patient, explain briefly. (250 WRDS)

Complaining of fever & cough

A 57-year-old male presents to the office complaining of fever & cough. He states he felt healthy four days ago, then on the following day started to feel feverish and coughed up yellowish-green phlegm the next morning. His symptoms have progressively worsened. He also mentions right side chest pain when he takes a deep breath. He states his wife was sick with milder similar symptoms one to two weeks ago. PMH: HTN & arthritis. Medication includes metoprolol and celecoxib. Smokes about a pack a day of cigarettes but denies ETOH or illicit drug use. No allergies to medication.

 

What is your working diagnosis and provide 3 appropriate differential diagnosis and justify your choice of differential diagnosis.

 

Include reference

Benign Prostatic hypertrophy

A client is admitted because of benign prostatic hypertrophy and is scheduled to have a transurethral prostate resection. What assessment data would indicate to the nurse that a complication is developing?

The client has difficulty emptying his bladder.

Client states he feels like he cannot empty his bladder.

The client complains of frequency and nocturia.