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 and most recently has presented in a coma. The family states she has lost weight over the last month in spite of the fact she has had an increase appetite and thirst as well as urination. She has no past major medical problems. 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 […]
A 25 year old male service member with blast-induced traumatic brain injury was recently admitted to the ER. This patient suffered from severe fatigue, dehydration, polydipsia, and polyuria. The only abnormal lab value found in the initial screening was a urine specific gravity of 1.003. 1. What disorder/disease process is most likely manifesting these symptoms in this patient? 2. What other lab test could be used to confirm your initial diagnosis? 3. What other symptoms that may be associated with this condition? 4. Describe the likely physiological cause of this condition.
Patients often prefer privacy when it comes to being weighed. They may be embarrassed, in denial, or angry about their weight. How can you communicate, provide privacy, and demonstrate sensitivity to a patient?
You are the new coding manager at a 500 bed teaching academic hospital. Upon your start, you come to realize that the coding unit is a disaster. There is currently no coding quality program in place and there are no documented standards for either quality of productivity. There is a relatively high denial rate as a result of these issues. You must work to resolve these coding deficiencies. Since you were promoted from within, you already have awareness to these issues, and are also aware the coding unit is already in trouble with the Quality Improvement Organization. You fear that […]
Salmonella Calculate the incidence and prevalence of the salmonella at apoint in time for the year given in the project description. Can you measure the frequency? Begin to collect this intial data on your chosen project. Be sure site the sources while you will find plenty of data on your project now because of the research over the years , what would have been available at the time? Find at least two personal accounts, diaries , or other historical documentation. Can you cite the sources or put the reference .
Perform an Internet search to find a reputable source that provides a status of nursing homes in your state. Prepare a critical analysis that includes (1) summarizing the article, (2) identifying viewpoint or bias, (3) evaluating the voracity of the argument, (4) presenting any new conclusions drawn as a result of your research.
Reflect on the Great Commission Jesus gives to the Apostles. How might the Great Commission/Biblical Worldview influence someone’s motivation to study culture as opposed to someone studying culture from a secular perspective?
You are the Home Health nurse assigned to care for an elderly female with cirrhosis. You are at your weekly home visit when the daughter related that her mother has been having emesis with obvious blood 1-2 times per day. You go into the client’s room and find that she is vomiting what appears to be blood. 1. What actions will you take immediately? 2. In what order of priority should you implement these interventions? 3. How can you differentiate if this is a gastrointestinal bleed or an esophageal bleed?