A patient of 28 years old complains of pains in the spine, persistent arterial hypertension. On examination: obesity of the face and trunk with disproportionately thin extremities, acne. Blood revealed hyperglycemia, hypercholesterolemia. It was diagnosed Itsenko-Cushing's disease. Questions: 5. How can be explained the pain in the spine of the patient? 6. Describe the changes in the adrenal glands in Itsenko-Cushing`s disease.
Q: Scenario: After three days of mechanical ventilation, the client's interdisciplinary healthcare team…
A: Mechanical ventilation is a supportive therapy. This provides breathing assistance. It is a life…
Q: QUESTION: From the data given Formulate NURSING Care Plan (NCP) to the Premature newborn by age and…
A: ANSWER: INTRODUCTION. A premature newborn is a birth that takes place before the 37th week of…
Q: 60- What is the maintenance fluid requirement for pts between 10-20kg? 61- What is the maintenance…
A: The maintenance fluid therapy is done to provide the required amount of water and electrolytes to a…
Q: What is the priority nursing diagnosis for for a client with immobility 1)Risk for disuse syndrome…
A: In this question asked about priority intervention for a patient with immobility. Commonly…
Q: Discuss in details the CNS effect of Morphine Analgesic? Please answer at your own easy words
A: Morphin is an opiod drug. It is derived from a dark brown material that is obtained from the poppy…
Q: What is Quality Improvement in nursing and give examples?
A: Quality improvement in nursing is like persistent quality improvement in nursing and to nonstop…
Q: To increase the oral absorption of tetracyclines, they should be given with food or milk.…
A: Question is about true and false. In this question asked about effects of some drugs and how to use…
Q: Should patient consent be required to store and distribute a person's tissue for research? why
A: Introduction:- Taking consent in any act related to patient whether being any intervention or test…
Q: Can you elaborate about the Interior (NOT the anterior) pituitary hormone
A: Back pituitary chemicals are set free from the back projection of the pituitary organ found at the…
Q: Foreseeable crisis loss of job in family nursing care plan
A: Introduction:- Presence of Wellness Condition-stated as potentials or Readinessba clinical or…
Q: Plz do it
A: Mental health can be defined as the balance between mind, body, and spirit as per the environment.…
Q: 21
A: Urine is a clear yellowish fluid that is formed after waste materials are filtered from the…
Q: Discussion Questions: 1. Why can hormones have such a broad-range effect on the body, such as is…
A: 1. A hormone can have various consequences determined by the somatic cell's location, the gender of…
Q: 1. advantages of using epoxy resin for embedding tissues 2. disadvantages of using epoxy resin for…
A: 1). Benefits:Epoxy saps are the chief implanting media for the conservation of tissues to be…
Q: 115.) Which of the following stimulates the release of both corticotropin-releasing hormone and…
A: Corticotropin releasing hormone is a peptide hormone which is released in relation of stress that…
Q: What is Alopecia? What are the characteristics? Where was the term derived from?
A: Nursing counselling and advise involves certain intervention which helps process focusing on the…
Q: A nurse preparing a medication from a vial for a subcutaneous injection for a client. Which of the…
A:
Q: 13. The process that applies heat at a high enough temperature to kill pathogens is called A)…
A: D) pasteurization
Q: How does morphine induce pruritis? Please answer at your own easy words.
A: Morphin is an alkaloid opiate and his widely used for analgesia and sedition. Morphin has several…
Q: 43-A health care provider prescribes 1,200 mL of 0.45% normal saline solution to be infused at 125…
A: Question is related to drug calculation. Total volume is 1200 ml. 0.45% NS. Flow rate is 125 ml/…
Q: While baking, you call your friend to watch a funny video that caught his attention and he forgot…
A: Here we have to mention what type of bandaging is needed in a patient with hand burn.
Q: A nurse is caring for a client who is schedule for surgery while witnessing the client signature.…
A: A consent is a necessary and basic principle and a document in which any of the procedure or…
Q: Nursing as a profession vs occupation
A: Introduction- Occupation and profession are some time miss understood as the synonym words but both…
Q: sible explanation why the American Heart Association recommend the use of canola oil or olive oil…
A: Due to adapted sedentary lifestyle and modification in dietary habits, many of the non-reversible…
Q: Using the Maternal Fetal Triage Index, triage the following clients in order from 1 to 5, with 1…
A: Maternal fetal emergency is need which is given to mother.As indicated by their basic clinical…
Q: The Diagnosis The client's admitting diagnosis is: ?Pneumonia, generalized weakness.
A: Answer :- Nursing care plan 1. Pneumonia Nursing Diagnosis :- Impaired gas exchange related to…
Q: What are the importance of food safety and sanitation and impact on GI health
A: Nursing counselling and advise involves certain intervention which helps process focusing on the…
Q: act surgery in the outpatient center. Having cataract can be common during old age. Because the…
A: Drug As we know Medication or medicine that causes physiological changes when consumed. Factors…
Q: 1.5 mg po t.i.d. How many 0.5 mg tablets of this antianxiety drug will you administer to the patient…
A: Given, Amount of drug to be given to the patient = 1.5 mg PO t.i.d. Which means 1.5 mg is to be…
Q: allow patinets to seek healthcare fro ay provider, d the provider recieves reimbursment according to…
A: Introduction-The health care system is the health delivery system for community people. In any…
Q: Provide an example of the impact of the disease on the following 1 Social 2 Emotional 3 Physical…
A: Osteoarthritis is the most general form of arthritis, altering millions of people globally. It…
Q: Case Study: A mother expecting her first child miscarried at home on June 22, 2010. The pregnancy…
A: Medical malpractice law in the United States is based on English common law and has evolved through…
Q: Explain the nursing care and considerations you would attend after administering metoclopramide
A: Metoclopramide, an anticholinergic & anti emetic drug. It is also a central dopamine receptor…
Q: What disease is the cause of chest pain. Give its definition.
A: Coronary Artery The coronary artery is the blood vessel which carries the blood to the heart which…
Q: Describe the role of necrosis in the pathophysiology of different diseases.
A: Putrefaction or Necrosis, a fiery type of cell demise, has been viewed as a unintentional passing as…
Q: antibiotics like penicillin cause .28 *.type I hypersensitivity reaction T O FO
A: Introduction:- Penicillins are groups of antibiotics which are used against bacterias. These…
Q: Select ready-made drugs in different dosage forms from the variety of drugs and classify them…
A: Drug are the substances which causes physiological impact on the body. The drugs can be administered…
Q: Explaining to Patients and Caregivers the Instructions for Before and After Minor Surgical…
A: The preparation before, during and after doing any surgical procedure is very essential. This…
Q: down the advantages and disadvantages of computerized laboratory information system (CLIS)?
A: A CLIS is now being used by laboratories across the world in order to help increase the accuracy of…
Q: Take cervical carcinoma for example to explain the spread and metastasis of malignant tumor.
A: Cancer is an abnormal condition of the body, characterized by tumorous growth that results from…
Q: Screen the following prescription and state whether it is correct both legally and dinically. The…
A: According to the case, the pateint is pregnant for 8 weeks and has a Urinary Tract Infection (UTI).…
Q: Why should Henrietta Lacks family be compensated for the sale of the HeLa cells
A: The awfulness of Henrietta Lacks is that she was taken right off the bat in life from her friends…
Q: What have dominant philosophical schools of thought in nursing
A: Modern science is presently controlled by three scientific philosophies, paradigms, or worldviews.…
Q: After providing tracheostomy care on a client, create an FDAR charting for the client. DATE/TIME…
A: FDAR stands for focus,data,action and response.This method of nursing response is used for…
Q: Does embryonic stem cell research “crosses a moral boundary.”
A: Understanding basic human development and differentiation mechanisms through stem cell research hold…
Q: WHOs Innovative care for chronic conditions model that can be applied to maximise the individual's…
A: In the given question, the patient is an adult male of 62 years diagnosed to be having chronic renal…
Q: * All of the following are correct, except If free hormone concentration decreases, more of it will…
A: Introduction:- Hormones are chemical substances which cordinate and mediate various functions of the…
Q: 16-The nurse is instructing the parents of a child with iron deficiency anemia regarding the…
A: Keeping with the site regulations and in order to provide a good quality answer, the Q16 has been…
Q: Classes of drugs for hypertension; what is the non-pharmacological treatment for it; advantages and…
A: A blood pressure exceeding the normal limits as per age of an individual is termed as hypertension.…
Q: Why do you think that Evidenced- Based practice is important in Health Education?
A: EBP is the process of practicing health care according to the evidence/proof or the experience of…
Step by step
Solved in 2 steps
- Pt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Base on this information please do the concept map in the imagePt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Vitals at 800: Vitals at 11:20Am: Pulse: 99 HR: 72 SPO2: 99. BP: 144/97 BP: 135/82. R: 17 Temp: 95:4 HR:70 R: 16 Base on the information above can you please do a intervention for each body system. Neurological, Musculoskeletal, cardiovascular, respiratory, integumentary, GI, GU Patient…An old patient suffers from difficulty in evacuation process and lose of weights. During the diagnostic procedures, the physician examine his bowel sounds and identify the presence of mild ascites. He also noted the following symptoms and signs: Phlebitis, Aphthous ulcer, episcleritis and spider naevus. His total bilirubin is 1.5 mg/dl , albumin is 4 g/dl and prothrompine time is 3 sec. laboratory measured In addition, skip lesions between healthy areas diagnosed during the study of the inside of view of the entire colon. A) Calculate and explain the scoring for the Child-Pugh Grading with this case and identify his class. B) Identify the specific types of diseases he is suffering from and the physical examination that used in this case.
- Match the numbered column on the left to the corresponding letter column on the right. Place answers below. 1. DDH 2. seizures 3. SCFE 4. hydrocephaly 5. meningitis 6. Young children incomplete fx 7. Muscular dystrophy 8. Spina bifida 9. Scoliosis 10. Cerebral palsy 11. Baclofen pump A. Bracing, core exercises B. Greenstick C. Juvenile avascular necrosis of femoral head D. decreased sensation below level of defect E. Frequent casting F. Treat spasticity G. Overweight adolescent H. Warm bath in a.m. I. Pavlik harness J. Turn, cough, deep breathe, assess skin K. Protect from injury 12. LCPD L. VP shunt 13. immobility 14. Clubfoot 15. Infant ↑ ICP M. Hib, Prevnar can help prevent N. High-pitched cry O. Not meeting developmental milestones P. Pseudohypertrophy 16. JIACase: A 25-year-old Egyptian student who had lived in England for the past 2 years presented with acute haematemesis. Examination revealed marked hepatosplenomegaly. Esophageal and gastric varices were identified at emergency upper gastrointestinal endoscopy, thus confirming the presence of portal hypertension. The following disorders were considered in the differential diagnosis as a possible cause of his portal hypertension: alcoholic cirrhosis, chronic active hepatitis, portal and hepatic venous obstruction and schistosomiasis. Alcoholic liver disease was considered unlikely since he was a teetotaller; ultrasound and computed tomography studies of the porta-hepatic circulation excluded vascular obstruction. A liver biopsy was postponed until his deranged clotting was corrected. The patient has marked raised total serum IgE: 2500kU/l (NR <130). Examination of stool specimens revealed the characteristic ova of S. mansoni and high levels of serum antibodies to S. mansoni were…A 26-year-old woman presents at 4 weeks post partum with headaches, profound weakness, nausea, and vomiting. She had been breast-feeding. Physical examination fi ndings are unremarkable. Magnetic resonance imaging (MRI) of the head shows a sellar mass with suprasellar extension but without chiasmal compression. Laboratory test results (and reference ranges) include the following: serum sodium 125 mEq/L (136–142 mEq/L), serum prolactin 72 ? g/L (4–30 ? g/L), 8 am serum cortisol 3 ? g/dL (5–25 ? g/dL), serum adrenocorticotropic hormone (ACTH) 10 pg/mL (10–60 pg/mL), and normal values for serum free thyroxine and thyrotropin. Which of the following is the most likely diagnosis? a. Primary adrenal insuffi ciency (Addison disease) b. Prolactin-producing pituitary tumor c. Nonfunctioning pituitary tumor d. Pituitary apoplexy (Sheehan syndrome) e. Lymphocytic hypophysitis
- Patient is a 36 year old female with a chief complain of tingling and numbness in her first 3 fingers and thumb of both wrists, mild burning sensations heading proximally in her right arm, trouble grasping objects, and having issues making a fist. The patient has been working as a secretary for the last 10 years. Past medical history Herniated disc between C6-C7. Family history: Moher died of bladder cancer and father has coronary artery disease. Social History Social alcohol usage (a glass of wine every one-two weeks) with friends and family. No Tabaco or recreational drug history. Allergies None Medications Ibuprofen 400 mg when needed. Birth control pill Key Labs, images, or procedures performed in relation to current diagnosis. Nerve conduction study: Median nerve impulse were slower than normal Tinel’s test: Positive. Phalen’s test: Positive Key Physical Examination findings: Tenderness when the wrist was overextended. 1. Provide the diagnosis * 2.…A 40-year-old woman presents to her family physician with a 4 month- history of widespread pain all over the body and easy fatiguability. She further tells that pain worsens with lack of sleep and change in weather. She works as an accountant and states that she has some difficulty in concentrating while dealing with accounts. Physical examination shows normal muscle strength and several symmetric tender points throughout the body. Which of the following features is most likely to be associated with the clinical condition described? Answers A - E A Blindness B Cataract C Depression D Dilated cardiomyopathy E Periorbital rash O ●●● OA 48-year-old woman presents to the physician with complaints of muscle weakness which has been troubling her for more than 5 years. Over the pas six months, she has noticed increasing difficulty in getting up from the chair, climbing stairs and combing her hair. On physical examination, proximal muscle strength in both upper and lower extremities is between 2/5 and 3/5. There is no rash. Muscle biopsy shows endomysial lymphocytic infiltration and patchy muscle fiber necrosis. An antibody directed against which of the following antigens is most likely to be seen in this patient? Answers A-E A Acetylcholine receptor B Bullous pemphigoid antigen C Desmoglein 1 and 3 D Histidyl tRNA synthetase E Presynaptic calcium channel OF 45 QUESTIONS VERSION 2M 6.4 Question 14 V FLAG QUESTION MacBook Pro Previous Next
- A patient tells the nurse she is having pain in her rightlower leg. How does the nurse assess for the presence ofthrombophlebitis?a. By palpating the skin over the tibia and fibulab. By documenting daily calf circumference measurementsc. By recording vital signs obtained four times a dayd. By noting difficulty with ambulationA 62-year-old man is admitted to hospital with chest pain. The pain is in the center of the chest and has lasted for 3 h by the time of his arrival in the emergency department. The chest pain radiated to the jaw and left shoulder. He felt sick at the same time. He has a history of chest pain on exercise which has been present for 6 months. He has smoked 10 cigarettes daily for 40 years and does not drink alcohol. His father died of a myocardial infarction aged 66 years and his 65-year-old brother had a coronary artery bypass graft 4 years ago. Q1. Based on above finding what case it may be explain in detail with common symptoms and laboratory diagnosis?The nurse is caring for a patient admitted with pancytopenia with complaints of dyspnea upon exertion. This symptom would be most directly related to which condition? 1. Pain 2. Thrombocytopenia 3. Anemia 4. Neutropenia