A 70 kg 68 y/o male sees his cardiologist for a follow-up following his myocardial infarction 3 months earlier. He has been taking digoxin and LisinoprilTM since his MI. At the follow-up, he complains of shortness of breath and has to sleep sitting up in his recliner. He also complains of fatigability and swelling of his ankles and hands. A physical examination finds that he has distended jugulars and pitting edema in the lower legs. His breathing was rapid 22 breaths/min) and rales were heard in the both sides at the base of the lungs. He does not have a […]
The face of healthcare is constantly changing as the providers find more ways of practicing medicine with advancements in technology, like telemedicine/telehealth. Similarly the HIM functions are becoming virtual/remote, such as medical transcriptions, medical billing, etc. Discuss TWO technologies that could be used for virtual HIM functions as well as their advantages and disadvantages.
A patient is newly intubated. He has normal breath sounds on the right side of his chest, but diminished, distant breath sounds on the left side of his chest. These findings likely indicate: a. inadequate mechanical ventilation. b. intubation in the right mainstem bronchus. c. left hemithorax. d. right hemithorax.
Your patient is a 66-year-old female that was transferred to your unit from another inpatient area with a suspected stroke. The patient has slurred speech and left-sided weakness. Her CT scan is negative for bleeding. You anticipate that your patient may be a candidate for tPA. Which of the following will exclude her from receiving tPA? a. Age 66 b. BP 155/78 c. Symptom onset = 5 hours d. Warfarin
In your OWN words, provide numbered responses to the following questions regarding Modules 3 & 4 content. Poisonings with chemical X occurs when a person has skin contact with the chemical and it builds up in the body over long periods (months to years). Chemical X causes mental and physical impairments. Even small amounts of chemical X can cause harm in children younger than 5. Chemical X treated wood in old structures such as playground equipment, park benches, fences, and decks is the most common source of chemical X. Children that live in older neighborhoods and adults who work in […]
Describe an issue in your work environment (nursing) or community (rural) that you would like to study or another issue you think needs to be studied. Identify a cohort study design (prospective or retrospective) you would recommend using and why and how you would go implementing the study design you have chosen.
Considering how challenging it can be to access and assist the homeless mentally ill population. Do you have any suggestions on how to better serve this community as a public health nurse? If so is there anything else you would do? Research supports the use of “housing first” approach to assist the homeless mentally ill. This requires physical locations in the community. In light of public perceptions towards both homelessness and mental illness, how can the public health nurse help convince members of a community to permit housing for the homeless or nurse-managed clinics like the St. Paul’s Center in […]