How do you minimize the chance of an adverse reaction with cephalosporins and carbapenems? What will you monitor in patients who are receiving these medications? Also, what is the main adverse effect common to ALL TB drugs? Psuedomembranous colitis is a potentially fatal adverse effect of clindamycin. Blood dyscrasias are also common. What nursing considerations ensue? Which one’s are more often seen in older adults and which one’s in adolecents?
A school nurse is developing an educational program on obesity for 10 overweight eight graders. She plans to actively involve the children in an assessment of their own health and eating habits. 1. How would the nurse have identified the children needing this program? What assessment parameters could she use? 2. How would the nurse compare and contrast the functions and use of proteins, fats, and carbohydrates as an energy source? 3. If as the nurse you needed to plan a weight-loss program for one of the children who has a BMI of 35, how would you proceed?
A patient is seen in a community clinic and is diagnosed with hyperthyroidism (Graves disease). The physician orders a thyroid panel and the following results are returned to the clinic. TSH low, T3 high, T4 high. The patient complains of heat intolerance, diarrhea, anxiety, and difficulty sleeping. 1. If you consider how the hypothalamic pituitary regulation of endocrine function, can you explain why in this patient although the thyroid gland is producing too much hormone the TSH level is low? 2. Is the above control an example of positive or negative feedback?
A 35-year-old woman is admitted to the community clinic with a complaint of increased warmth, palpitations, and weight loss. She has noted these symptoms for the past 2 months. She has lost 5 pounds over the past 3 weeks even though she has been hungry and eating frequently. She states she is healthy and takes no medications. On the nursing assessment, the following physical findings were noted: BP 130/60, P 110, R 22 Skin: moist and soft HEENT: slight protrusion of both eyes Heart: rate 110, regular, without murmur or gallop Lungs: clear to auscultation EXT: fine tremors noted in […]
A 48-year-old woman is admitted to the emergency room. Her family states she has been ill for 5 days with vomiting and diarrhea. She has been unable to take fluids for the past 2 days. She has no past major medical problems. Family history is positive for type 2 diabetes in her mother and sister. She takes no medications. On physical examination: BP 110/80, P 96, R 22, BMI 34 Skin: dry with decreased turgor HEENT: oral mucous membranes are dry Lungs: clear to auscultation Heart: regular rhythm with no murmur Abdomen: soft bowel sounds present, no masses On admission, […]
A 25-year-old woman is admitted to the hospital after suffering a seizure. She has not personal history of seizures in the past. On admission, an MRI scan demonstrates that the patient has multiple sclerosis. 1. When the nurse initially meets the patient, the patient asks if she can explain what multiple sclerosis is. Can you simply explain the pathophysiology of this disease? 2. What clinical features should the nurse expect to see in a patient with this disease? 3. Compare and contrast upper and lower motor neurons. Which type of neurons can be involved in patients with multiple sclerosis?
An 8-year-old boy is admitted to the emergency room after being hit by a car. He had a short period of unconsciousness and is currently lethargic but arouseable. He complains of nausea but has not vomited. He does not remember the accident or what happened immediately before. On the initial nursing assessment he is oriented X3, slightly lethargic but responds to name. BP 130/80, P 88, R 16. Pupils are equal and reactive to light. The admitting diagnosis is concussion. 1. On the admission assessment, the nurse notes the physician described the child had a coup-contrecoup injury. Describe what this […]
A 5-year-old boy was seen in the community clinic. The mother tells the nurse doing the initial nursing assessment that the child had an earache. After the nurse practitioner examines the child, the mother is told that the child had otitis media. The nurse is giving discharge instructions to the mother. 1. The mother asks the nurse to explain what was wrong with the child. How would you explain otitis media? 2. It is important that you discuss risk factors for otitis media with the mother to help prevent further infections. What risk factors would be important to discuss? 3. […]
Age Discrimination in Employment Act This assignment will help you understand the Age Discrimination in Employment Act of 1967. The Age Discrimination in Employment Act prohibits employment discrimination on the basis of age for anyone over the age of 40. This kind of legislation, like other types of anti-discriminatory legislation, will not end all discrimination. However, such laws clearly state society’s values. Using the South University Online Library or the Internet, research about the Age Discrimination in Employment Act. Based on your research, create a 4- to 5-page paper in a Microsoft Word document that includes answers to the following […]