Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. He is restless with slight confusion but is easily orientated with attempts from nurse. Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Skin cool to touch and appears pale. His coughing, to clear his airway, appears ineffective. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition.
Required:
Write a Nursing plan. Write a Nursing Care Plan Assessment, Diagnosis, Goal, Implement, Evaluation
Solution :
Nursing the care plan
Assessment
To assess the respiratory rate, the depth, the abnormal breathing pattern.
Monitor the behavior of the patient and the mental status for the onset of the restlessness and confusion.
Observe for the nail beds and the cyanosis in the skin.
Monitor the oxygen saturation continuously with the help of a pulse oximeter.
Nursing diagnosis
Impaired the gas impaired exchanged related to the airway obstruction as a evidence by the restless and shortness of the breathing and confusion.
Goals
Improving the gas exchange and also improve the breathing pattern.
Intervention
Position the patient with his or her head elevated from the bed in a semi Flower's position.
Evaluation
The patient can breathe normally and then reduce the restlessness and the confusions.
3. Which choice below correctly identifies the weight of a fetus at each trimester of pregnancy?
A. first trimester: 1 oz; second trimester: 1 lb; third trimester: 6.5-10 lbs
B. first trimester: 1 oz; second trimester: 3 lbs; third trimester: 6.5-10 lbs
C. first trimester: 1 g; second trimester: 1 oz; third trimester: 6.5-10 lbs
D. first trimester: 1 lb; second trimester: 2 lbs; third trimester: 6.5-10 lbs
A period of three months, especially as a division of the duration of pregnancy is known as the trimester.
What is the trimester of pregnancy?In the 1st trimester, the baby will grow from an embryo into a moving fetus with eyes, ears, and working organs.In the 2nd trimester, the baby's features develop and may be able to feel baby movements.In the 3rd trimester, your baby will grow rapidly to get ready for birth.
Thus, we can conclude that the correct option is C.
first trimester: 1 g; second trimester: 1 oz; third trimester: 6.5-10 lbs.
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What type of help is more likely to come from an adult than a peer?
• good advice about entering the work force
•emotional support about romantic relationships
•problem-solving support
•good advice about dealing with friendships
definitely advice and leadership
How do other senses go about adapting and becoming stronger when one sense is lost
Answer:
The brain adapts to the loss by giving itself a makeover.
Explanation:
If one sense is lost, the areas of the brain normally devoted to handling that sensory information do not go unused — they get rewired and put to work processing other senses.
PLS PAKI ANSWER NITO KAILANGAN LANG PO
Answer:
1. Consumer health is a condition of health which is affected by consuming goods and services available in the market.
2. A consumer is a person who uses goods and services from producers and providers without commercial motive.
3. a) health information
b) health products
c) health services
4. Right to safety: protection from hazardous goods
Right to choose
Right to be heard
Right to be informed
Right to maintain privacy in protecting consumer's health
Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be hospitalized. What should you tell Mr. Rainey (or his representative) about the length of an inpatient psychiatric hospital stay that Medicare will cover?
Answer:
I believe it's "Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's entire lifetime."
Explanation:
Magic.
The correct option is A: Medicare will cover a total of 190 days
Medicare is an insurance coverage that help to cover health, property ,life, theft among others.
Paranoid delusions is a mental disorder that occur when a person with such disorder tend to believe or have a delusions about things that are unreal because they believe that they are real.
Therefore What should you tell Mr. Rainey about the length of inpatient psychiatric hospital which is a hospital for mentally disorder people is that the Medicare will only cover 190 days during is whole life.
Inconclusion Medicare will cover 190 days.
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What are the advantages of disulfide substitutes?
Answer:
Explanation:
Disulfide bonds play a key role in stabilizing protein structures, with disruption strongly associated with loss of protein function and activity.D
Mcq questions in psychology for nursing
WHICH OF THE FOLLOWING EMPLOYEES INSURED UNDER A GROUP LIFE PLAN WOULD BE ALLOWED TO CONVERT TO INDIVIDUAL INSURANCE OF THE SAME COVERAGE ONCE THE PLAN IS TERMINATED?
Answer: Those who have been insured under the plan for at least 5 years
Explanation:
The employee whom is insured under a group life plan that would be allowed to convert to individual insurance of the same coverage once the plan is terminated are who have been insured under the plan for at least 5 years.
It should be noted that in a situation whereby there's termination of the master contract, then every individual on the plan for a period of at least 5 years can then convert to individual insurance of the same coverage.
Which symptoms possibly indicate a major depressive disorder?
Select all that apply.
irritability and angry outbursts
loss of interest in favorite activities
excessive sleeping and fatigue
occasional bursts of intense energy
Day
respiratory infections, mouth cancer, yellowing of the skin and nails, and lukemia are all possible effects of which drugs?
Answer:
tobacco.................
which of these is a good communication strategy help avoid alcohol, tobacco, and any other drugs
Answer:
D. Nonverbal communication portrays a message both correct body gestures and vocally.
Explanation:
I majored in Health
Which is an external influence that could affect food choices?
O media
O genetics
O taste
O emotions
Answer:
taste
Explanation:
Biological determinants such as hunger, appetite and taste
As a suppprt worker, a client asked to drink a bottle of wine at 10pm when my shift ends what is the correct response?
Answer:
personally i'd turn down the offer.
Say that you dont think you can make it and 10 is pretty late.
if you wanna take the offer.
Say something like, That sounds amazing ill meet you there.
Según la FIBA ¿Cuántas faltas personales debe hacer un jugador para ser excluido del juego?
Answer:
Según la FIBA, que es la entidad rectora del deporte del baloncesto a nivel internacional, un jugador puede cometer un máximo de 5 faltas personales. Así, al cometer la quinta falta personal, el jugador será expulsado del partido y no podrá volver a ingresar. Esta es una de las principales diferencias entre las reglas FIBA y las reglas NBA, pues en este último caso cada jugador puede cometer un máximo de 6 faltas personales.
Antihistamines are used to treat a.) hay fever
Answer:
a)
Explanation:
Put these in order of risk, starting with the highest.
a. Eating 40 tablespoons of peanut butter
b. Riding 10 miles on a bike
c. Flying 1000 miles by commercial jet
Dr. Winston Lewis’s patient, Annette Samuels, has come into the Inner City Health Care Clinic complaining of lower abdominal cramps and diarrhea. After discussion of her symptoms and a brief examination, Dr. Lewis’s clinical diagnosis is an intestinal parasite infection. She asks Gwen Carr, CMA (AAMA), to obtain a stool sample from the patient. The sample will be sent to an outside independent lab to see if the parasite or its eggs can be visualized. This is called an ova and parasite test or O&P. Gwen is sensitive to Ms. Samuels’s level of understanding as she gives her specific instructions on how to obtain the needed sample. She asks Ms. Samuels if she has questions and she has Annette repeat the instructions to be sure she understands them. When Ms. Samuels returns with the specimen, Gwen immediately labels it, and follows infection control protocol as she places it into a biohazard transport bag, then completes a lab requisition for the O&P test. Gwen reassures Ms. Samuels that the culture will take 24 to 48 hours, and responds honestly and diplomatically to Ms. Samuels’s needs, assuring her that the test results will accurately determine her best treatment. Gwen tells Ms. Samuels that she will contact her the next day when the initial report is received.
Answer the following questions:
Can the O&P be completed in the office? Why or why not?
Is there a specific time of day the O&P should be completed?
What are the directions you as the MA would give to Ms. Samuels?
Answer:
Hello good evening friend
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income level. She wishes to enroll in a MA MSA plan that she heard about from her neighbor. She also wants to have prescription drug coverage since her doctor recently prescribed several expensive medications. Currently, she is enrolled in Original Medicare and a standalone Part D plan. How would you advise Mrs. Chi?
I would advise Mrs. Chi to enroll in the MA MSA plan, but I would advise her to keep her contract with Part D of Original Medicare so that she can continue to be supported in purchasing needed medications.
It's important that Mrs. Chi keeps her contract with Original Medicare, because of her need to take expensive medications.
As shown in the question above, Original Medicare provides her with access to Part D, which is the plan that provides prescription medications coverage, which allows Mrs. Chi to be able to pay for the medications she needs.
However, it would be advantageous for Mrs. Chi to sign a contract with the MA MSA, as she would have access to a very high deductible health plan, which would allow her to have a medical savings account, which would be very positive for her. needs medical attention quite often.
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Answer:
Mrs. Chi may enroll in a MA MSA plan and remain in her current standalone Part D prescription drug plan.
Explanation:
Correct
Words such as warning and danger are part of the hazard statement on a chemical level
Answer:
Words like "warning" and "danger: are part of the Hazard Statement on a chemical label. False; they are signal words on a hazard level.
I sent my question as an attachment!
Answer:
1. The baseline prevalence of breast cancer is:
= 0.12%.
Interpretation: 0.12% of the starting population was diagnosed with breast cancer.
2. The one-year cumulative incidence (incidence proportion) for each of the three years:
Time Starting Breast Lost to Cumulative
Population Cancer Follow-up Incidence
Start 20,000 24 0
1980 19,976 50 80 0.25%
1981 19,846 64 6 0.32%
1982 19,776 48 10 0.24%
End 19,718
Explanation:
a) Data and Calculations:
Baseline starting population = 20,000
Breast Cancer diagnosis at the starting period = 24
Baseline prevalence = 24/20,000 = 0.12%
Time Starting Breast Lost to
Population Cancer Follow-up
Start 20,000 24 0
1980 19,976 50 80
1981 64 6
1982 48 10
End
Time Starting Breast Lost to Cumulative
Population Cancer Follow-up Incidence
Start 20,000 24 0
1980 19,976 50 80 0.25% (50/19,976 * 100)
1981 19,846 64 6 0.32% (64/19,846 * 100)
1982 19,776 48 10 0.24% (48/19,776 * 100)
End 19,718
Specialties including therapists, athletic trainers, and dietitians fall under the umbrella title of what?
Answer: Helpers of all sorts of people.
Specialties including therapists, athletic trainers, and dietitians fall under the umbrella title of Allied Health.
This is because Allied Health is a term that is used to describe the various health professions that are distinct from the typical medicine and nursing. They are known to deliver services that deal with diagnostic, technical, therapeutic, and support services in the health care system.
Some of these professions include the likes of therapists, athletic trainers, dietitians, Anesthesiologists, Occupational Therapists, Laboratory Technicians, Ultrasound Technicians, X-ray Technicians, Medical Assistants, etc.
Hence, in this case, the correct answer is "Allied Health."
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Which of the following is the best source of information about the safety of e-
cigarettes?
A. Friends at school who say they've tried e-cigarettes
B. The website of the American Lung Association
C. The website of an e-cigarette manufacturer
D. A pamphlet written by an unknown source
The website of the American Lung Association is the best source of information about the safety of e-cigarettes. Correct Option is 2.
The American Lung Association is a reputable organization that focuses on lung health and has a wealth of scientific research and evidence-based information on various aspects of respiratory health, including the safety of e-cigarettes. Their website is likely to provide accurate and up-to-date information supported by scientific studies and expert opinions.
It is important to rely on credible sources for information on matters of health and safety. Friends at school may not have accurate or comprehensive knowledge about the safety of e-cigarettes, and the website of an e-cigarette manufacturer may present biased or misleading information to promote their products. A pamphlet from an unknown source lacks credibility and may not provide reliable information.
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Several quality management models are helpful in measuring and improving the quality of care. They are designed differently but are developed to enhance caregiving. Which uniquely places the client within the model?
Answer: Quality health outcomes model.
Explanation:
The model that uniquely places the client within the model is the quality health outcomes model.
Outcome measures simply shows how health care service have an impact on the patients health status. The Quality Health Outcomes Model is required in the proposing of the relationships which exist between the system, client characteristics, health care interventions, and the patient outcomes.
Rodney is 55-years-old, stands 6’ tall, weighs 280 pounds and has a 44" waist circumference. He has always had a sedentary job and loves to cook. Both his mother and father are overweight, and his father suffered a heart attack at age 45. During his annual physical exam, Rodney’s doctor diagnosed him with metabolic syndrome and suggested that he may be a candidate for bariatric surgery, as his lab results and family history put him in the high-risk category chronic diseases.Question 1: Explain what the doctor means by "metabolic syndrome" and how this syndrome affects risk for chronic disease. Be sure to address each component of metabolic syndrome specifically. Support your answer with data, facts, key terminology, specific examples and other information drawn from the textbook and at least one other supplemental source.
Question 2: Define the criteria for bariatric surgery and explain to Rodney the risks and benefits of surgery. Include in your response specific data, facts, examples, key terminology and other information drawn from the textbook and at least one other supplemental source.
Answer:
1) Metabolic syndrome
A metabolic syndrome may be a group of metabolic disorders that increase the danger of chronic diseases like heart condition, Diabetes, Hypertension, and stroke. The conditions related to Metabolic syndrome are high blood glucose, high cholesterol or triglycerides, excess body fat, high vital sign, etc.
2)
*Body mass index is at or above 35, with one or more comorbidity ( Hypertension, Diabetes, liver disease, heart problems, abnormal cholesterol )
* Body mass index, at or above 40
Rodney's BMI is
BMI = weight ( kg)/ height in meter square
= 127 kg/ (1.82) 2
= 38.34
(1pound = 0.4535kg, 1 foot = 0.3048 meter)
Explanation:
1) Metabolic syndrome
A metabolic syndrome may be a group of metabolic disorders that increase the danger of chronic diseases like heart condition, Diabetes, Hypertension, and stroke. The conditions related to Metabolic syndrome are high blood glucose, high cholesterol or triglycerides, excess body fat, high vital sign, etc.
Studies show that around 1/3rd of the American population is suffering from Metabolic syndrome.
Metabolic syndrome and Risk for Chronic diseases:
The main explanation for the metabolic syndrome is Obesity, which can flow from physical inactivity. the standards for risk for occurrence of Metabolic syndrome is that the person should have a minimum of three of the subsequent conditions :
* Excess body fat around the waist ( quite 40inches in men and quite 35 in women.
* Glucose level ( Fasting); quite 100 mg/ dL
* Abnormal cholesterol, low HDL level ( 130 and diastolic: >85 torr .
Metabolic syndrome affects the danger for chronic diseases as this syndrome is usually related to obesity. Obesity may be a state of being obese thanks to more than body fat. this might cause Insulin resistance, a condition in that cells start to ignore or resist insulin or don't answer it in order that cells can't take up glucose. This successively leads to high glucose levels within the blood ( Diabetes Mellitus).
Studies show that obesity is that the leading explanation for disorders especially arteria coronaria disease. Body mass index at or above 30 is taken into account as obese. Around 2.5 million deaths worldwide are thanks to obesity.
Bariatric surgery
Bariatric refers to the branch of drugs bariatrics, the treatment of obesity and weight problems. Bariatric surgery is an operation that creates changes within the gastrointestinal system or decreases the stomach capacity in order that it helps for the load loss in a private.
2) Criteria:
*Body mass index is at or above 35, with one or more comorbidity ( Hypertension, Diabetes, liver disease, heart problems, abnormal cholesterol )
* Body mass index, at or above 40
Rodney's BMI is
BMI = weight ( kg)/ height in meter square
= 127 kg/ (1.82) 2
= 38.34
(1pound = 0.4535kg, 1 foot = 0.3048 meter)
* Individuals who are unable to realize weight loss ( sustainable and healthy) after tons of weight loss measures.
Risk of Bariatric surgery
* Dilation of the esophagus and possible acid reflux
* Obstruction and infection within the stomach
* Inability to eat certain food items
* Chronic nausea and vomiting
Long-term complications like low blood glucose, ulcers, malnutrition may occur.
Gastric bypass surgery or partial Gastrectomy ( surgical removal of a neighborhood of the stomach) surgery may cause complications related to surgery like leakage or breakage, perforation of the stomach, injury to spleen or neighboring organ, hernia, hemorrhage, etc.
Benefits:
* Improved cardiovascular health
* Relief from depression and increased self-esteem
* Remission of DM ( type 2)
* Relief from obesity complications like sleep apnoea and joint pain, abnormal lipid level
* it's going to improve fertility
* One can live longer a far better life with bariatric surgery. Studies show that there's 90 a discount in death related to Diabetes in bariatric patients and death related to heart condition reduced to 50% in bariatric patients ( consistent with the American Society of Metabolic and Bariatric surgery, ASMBS
Mr. Buck has several family members who died from different cancers. He wants to know if Medicare covers cancer screening. What should you tell him?
Answer:
Medicare covers the periodic performance of a range of screening tests that are meant to provide early detection of disease. Mr. Buck will need to check specific tests before obtaining them to see if they will be covered.
Explanation:
Medicare covers periodic performance of a range of screening tests that are meant to provide early detection of disease.
This may involve blood tests, urine tests, DNA tests, other tests, or medical imaging. What is screening method?A screening method is a process that extracts, isolates and identifies a compound or group of components in a sample with the minimum number of steps and the least manipulation of the sample.It is a strategy used to look for as yet unrecognized conditions or risk markers. This testing can be applied to individuals or to a whole population.To know more about cancer here
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Paulette and Devon are getting ready to go to practice at the community lake. Their coach has them work a lot on developing muscular endurance and strength especially in their back, forearm and wrist muscles. From the choices below, select the racing sport Paulette and Devon are training for in their local community:
Cross-country
Motocross
Rowing
Speed skating
The correct answer is C. Rowing.
Explanation
Rowing is a sport in which one or more individuals must propel a boat over the water using their muscular strength. In general, each of the rowers uses two oars with which they propel the boat. In this sport, the athlete is required to develop the strength and endurance of their back, shoulders, and arms to move the paddle and move the boat on the water. In addition to the above, if Paulette and Devon are going to practice in a lake to work their strength and endurance of their swords and forearm they should practice rowing. So the correct answer is C. Rowing.
Josh works at a fast food restaurant. On his first day, he accidently dropped a customer's order. The shift
manager keeps making fun of this accident, which makes Josh uncomfortable.
What should Josh do?
be careful not to drop anything in the future
O respond by making fun of the manager in return
O kindly ask the manager to stop ridiculing him
O react verbally by arguing with the manager
Answer:
kindly ask the manager to stop ridiculing him
Explanation:
why? he might get fired + what you did turns back to you too
2
1. In each of the following situations, attribute the
Fundamental Right guaranteed:
a. A child of an HIV positive parent seeks admission in a
secondary school.
b. In a remote village a poor woman is forbidden to take
water from a particular well, though all the other wells
are dry
c. Atul's father has been transferred to a beautiful hill
station after living in the plains for a long time.
d. The poor labourer has sent his minor son to work in
the fireworks factory
e. John goes to the church for the morning mass on
every Sunday, while his friend Ali attends evening
prayers in the mosque on Fridays and their colleague
Arjun offers flowers at the feet of goddess Saraswati
.
Answer:
a. Right to equality; Article 15
b. Right to equality; Article 17
c. Right to freedom; Article 19
d. Rights against exploitation; Article 24
e. Right to freedom of religion; Article 25
Explanation:
a. Being that the child is born to a HIV positive parent, Article 15 prohibits the discrimination based on place of birth
b. Given that the woman is forbidden to take water, Article 17 bans untouchability and all forms of forbidden
c. Atul's father has the Right to Freedom to reside in any part of India
d. The minor has the Right against Exploitation and from working in hazardous industries when still a child
e. Citizens are free to practice a religion that does not impact on the order of the public
Marshall and Earl are competing in an alternate shot doubles tournament at the local bowling center. Marshall is very accurate and throws the ball straight. Earl likes to put a lot of revolution on his bowling shot which creates a great deal of power and pin action. To maximize their skill set for the best score of the team, who is the logical choice to take the second shot of the frame?
A good strategy cannot be determined from this information
Both Earl and Marshall
Marshall
Earl
