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- You are a visiting nurse caring for a 32-year-old writer who became paraplegic as a result of a motorcycle accident 1 year ago. He is recovering from a subsequent depression, and your visits are to monitor not only his emotional outlook but also to encourage his hygienic self-care and offer strategies for his success. He wears a leg bag, is incontinent of stool, and you’re monitoring a red spot on his left buttock. (Learning Objectives 5 and 8)
- Which hygienic issues are of utmost importance for a patient using an indwelling urinary catheter?
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- You are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with diabetes related conditions. One of your patients for the day is Ms. Martinez, a 63 year old woman who is post-operative for an amputation of the right foot. You enter the room to conduct your morning assessment and you find that Ms. Ncube is crying uncontrollably. She confides to you that she feels helpless and that she does not know how she will continue to live her life autonomously without her foot. She states that she cannot bare for herself or anyone else to see her wound. Although you empathize with Ms. Ncube, you are very busy today and have a limited amount of time to conduct your assessment. a. How do you think you may navigate this situation given Ms. Ncube's emotional status and also your time limitation to complete your needed tasks? b. Part of your assessment includes observing Ms. Ncube's amputation site. How may you assess the site while still being…You are on vacation for a week. When you return, the nurse tells you that she is assigning you to Mrs. Berk because Mrs. Berk has been asking for you. The nurse tells you that the client’s condition has deteriorated and she is very close to death. When you enter the room, Mrs. Berk seems to recognize you but cannot carry on a conversation. While giving care, you note physical signs that death is near. 1. How would you feel about caring for someone so close to death? What difference would it make whether you knew the person or not? 2. How would you change your care of a dying person from caring for a person who is expected to recover? Why do you think there might be a difference? 3. What kinds of signs and symptoms would you expect to observe?Sangita is a 42-year-old woman recently diagnosed with depression, she has been complaining that her clothes feel too tight, and she is self-conscious of going to the Gym that she used to frequent 5 times a week. She notes her periods are irregular and has an upset stomach / loss then gain of appetite. a. Explain how Katy’s mental and physical health may impact of each other and why this is important to consider? b. What interventions would you suggest (please provide a rationale)?
- You are the nursing team leader at the Aspirus Medical Clinic in the Internal Medicine Department, and you have observed a recently hired practical nurse named Elizabeth come to work with stitches in her lip and a bruised cheek. She tells you she fell and had to go to the emergency room for stitches. Over the next 2 months, you find she has been late to work five times and has two absences for various ailments. You observe that she lacks self-esteem and avoids socializing with other staff members. When other staff persons ask her if she wants to stop off for coffee or a drink after work, she seems uneasy and says that her husband expects her home and she cannot be late. Other team members have started to complain that she is getting a lot of telephone calls from her husband during the work day. What can you conclude from your observations How can you approach Elizabeth to discuss your observations and suspicionsCompare and contrast the care of a client with hyperthyroidism (Grave’s disease). Ember is an 11-year-old girl who recently developed restlessness and tremors after a viral illness. Anna is a 31-year-old woman who reports weight loss, restlessness, and increased perspiration. Karen is a 67-year-old woman with recent visual changes, new-onset atrial fibrillation, and weakness. Please include assessments (including diagnostic testing), care measures (including medications), and teaching needed for each client.Mr. James Thompson, a 65-year-old male, presents with insomnia complaints. He has a known cognitive impairment, with a Mini-Mental State Examination (MMSE) score of 12. He reports difficulty falling asleep and staying asleep, often wandering around at night. He is currently not taking any medications. Which medication option should be selected to manage his insomnia? What are the possible adverse effects of the selected medication? Please answer at your own easy words. Answer should be to the point ( specific). Answer should be maximum 50-100 words. Please don't use AI for answering this question!
- Mr. James Thompson, a 65-year-old male, presents with insomnia complaints. He has a known cognitive impairment, with a Mini-Mental State Examination (MMSE) score of 12. He reports difficulty falling asleep and staying asleep, often wandering around at night. He is currently not taking any medications. Which medication option should be selected to manage his insomnia? What are the possible adverse effects of the selected medication? Please answer at your own easy words. Answer should be to the point. Don't use AI answering this question!Mr. James Thompson, a 65-year-old male, presents with insomnia complaints. He has a known cognitive impairment, with a Mini-Mental State Examination (MMSE) score of 12. He reports difficulty falling asleep and staying asleep, often wandering around at night. He is currently not taking any medications. Which medication option should be selected to manage his insomnia? What are the possible adverse effects of the selected medication? Please answer at your own easy words. Answer should be to the point.When a physician prescribed fluoxetine (Prozac) for a 35-year-old male patient, she explained the major side effects of the drug. Four months later, at a follow up visit, the patient asks her whether fluoxetine has any side effects. Which of the following would be the best response by the physician? Answers A - E A "The side effects are nervousness, insomnia and sexual dysfunction" B "I will have the nurse go over the side effects with you again" C "Please tell me about what you have been experiencing while taking the Prozac" D "Would you like me to check for possible side effects?" E "The side effects are minor; do not worry" O O
- My client Mario, 26 years old, male, who works as a security guard. He said that he has recently been feeling pain all over his chest and has a high blood pressure. He smokes and drinks alcohol occasionally. He was recently diagnosed of hypertension. Give me a three (3) client learning ability. Give me a three (3) client care learning deficits.The nurse is caring for a patient a toddler in the pediatric unit who is about to receive stitches for an abrasion to his upper arm. They both are concerned about the procedure being painful. What can the nurse tell both the parent and child that will alleviate the fears of pain? A. We will ask the parents to leave the room so the child will quiet down. B. We will apply topical lidocaine on the affected area prior to procedure, so he will not any pain during the procedure. C. We will administer inhaled gases for anesthesia, prior to procedure, so he will not any pain during the procedure. D. Ask the parents to stay the room and hold the child’s hand so the child will quiet down. 2. The nurse is reviewing types of anesthesia with newly student nurses during their clinical rotation. The students are correct when they state which type(s) of anesthesia is/are administered using lidocaine? (Select all that apply.) Which ones are included in balanced anesthesia? Select all that apply.…A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching? ...... "I can place an extension cord across my living room to plug in my television." "I will hire someone to trim the tree that hangs low over the stairs of my front porch." "I will place my alarm clock on my bedroom dresser across the room." "I will replace the old throw rug in my kitchen with a new one."