A 7-year-old is being discharged after initial diagnosis and treatment of acute asthma. You are the nurse caring for the patient whom will be discharged in a day or two. 1. What signs or symptoms would you have expected to see in this patient at the time of diagnosis? List the s/s. 2. What instructions would you give the patient/parent regarding the peak expiratory flow meter and how to use it? 3. What medications are prescribed for the child with asthma? How do they work? 4. How will you respond when the child’s parents tell you they plan to restrict […]
M.A., a 55-year-old woman, was recently diagnosed with bronchial asthma. In the past week, M.A. has had three asthmatic attacks and had to use her abuterol inhaler. M.A takes an inhaled combination glucocorticoid (fluticasone propionate 100mcg/salmeterol 50 mcg) on a daily basis. Explain the purpose for inhaled glucocorticoid therapy? What are the advantages to this drug classification? What patient teaching is included with glucocorticoid therapy? Can they be used to treat an asthmatic attack? Explain. Why was M.A. prescribed albuterol? How does it work? What are the assessment and nursing interventions for bronchodilators? What is included in patient teaching for […]
Amira is a 27-year-old Syrian refugee who has been residing in a local homeless shelter since her arrival here in the United States 4 weeks ago. She was brought into the emergency room this morning via squad after being found by a shelter employee sitting in a pool of blood on the bathroom floor crying and holding her abdomen. Due to her limited English speaking abilities, she is unable to provide specific details as to her complaints but the shelter employee states that she has recently stopped eating and has not looked well for the past couple of days. Based […]
Jill is a 47-year-old grade school teacher who comes into your clinic complaining of new onset myalgia that manifested about 1 week ago. She has a past medical history significant for hypertension, hyperlipidemia, and angina. Her medication list is as follows: lisinopril 10 mg PO daily, simvastatin 60 mg PO daily, isosorbide mononitrate 30 mg PO daily, and a multivitamin daily. Which medication that she is currently taking is most likely to be causing the myalgia? What laboratory studies would you order and why? What modifications could you make to her current medications to ameliorate her complaint?
Mr. Parry is a 71 year old male with a history of hypertension. He is a retired veteran who likes to spend his free time fishing and working in his garden. He presents to the clinic after a urologic follow up stating that he was recently diagnosed with BPH (Benign prostatic hypertrophy). He is relieved to finally know why he has increased urinary urgency, frequency and has been straining to pass urine over the past few years. Explain the pathogenesis of BPH. Why is this disease so prevalent? Explain the physiologic mechanisms responsible for at least one of Mr. […]
Describe an organizational environment that would facilitate the ethical practice of nurses caring for chronically ill patients. As you read about patient rights, describe one patient right that is often not fully implemented in the patient care environment. Identify specific strategies to help ensure that this right is supported within the patient care environment. Explain how the registered nurse can assist in protecting patient rights.
What do you believe are the advantages and disadvantages of having a single shared consensus-driven model of terminology use? How can a single agreed model of terminology use (with linkages to a single terminology) help to integrate knowledge into routine clinical practice?
Hospital C is looking to implement an EHR. It has been suggested that a NIS be hired. This position does not involve direct patient care and the administration is struggling with how to justify the position. How can this position be justified?