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- Medical History Moderate persistent asthma Allergic rhinitis Albuterol HFA inhaler two puffs every 4-6 hours as needed for symptoms Preparation for Care Activity Recognizing Clinical Relationships Review the medical history and home medications of this patient. For each home medication, identify the pharm. classification and expected outcome for this patient its most common side effect (SE). Finally, draw a line to determine which medication treats what condition. Home Meds Pharm. Classification Expected Outcome Common SE Symbicort 80/4.5 mcg two puffs BID Montelukast 5 mg every evening at bedtime Asthma Loratadine 10 mg 1 po QD KEITH SKINNY Reasoning Simulation Part I: Developing Noticing and Interpreting Skills 1. Which findings from the present problem are most important and noticed by the nurse as clinically significant? Most Important Findings Clinical Significance 2. Which data from the social history is most important and noticed by the nurse as clinically significant? Most…nurse intervention for Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID.For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. patient profiles: 1. Profuse bleeding from scalp wound. - talking to you - respirations : 20/min - radial pulse : present 2. Complaining of severe back pain and pelvic pain. - tells you her back hurts - respirations : 20/min - radial pulse : present 3. Nothing obvious problem, covered in debris. - unconsious - respirations : 8/min - radial pulse : present 4. amputation of left arm - talking to you, attempting to stop the bleeding - respirations : 25/min - radial pulse : present 5. impaled object, very pale and sweaty - tells you she feel sick - respirations : 27/min - radial pulse : present
- Hemophilia DEFINITION AND /PREDISPOSING FACTORS ANATOMY AND PHYSIOLOGY/ PATHOPHYSIOLOGY CONFIRMATORY DIAGNOSTIC/LABORATORY WORK-UP PHARMACOLOGY ASSESSMENT/ NCP EDUCATION/FOLLOW-UP /HOME CARECase Study: -An 18-year-old man with no significant past medical history presented to the emergencydepartment with a history of cough and shortness of breath with exertion, along withsubjective fevers, chills, and rigors. He was noted to be hypoxic (low oxygen saturation level)on examination. The chest X-ray showed bilateral infiltrates in a diffuse butterfly patterninvolving both central lung fields. The patient reported a history of IV drug use, with frequentsharing of needles.Diagnosis: PCP PneumoniaCase study presentation should include the following:1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)5. Diagnosis and Causative agent6. Pathophysiology7. Treatment and Management8. ReferencesAs a nurse on a general medical floor, the RN has received a new admit. Review the client data provided. Richard Henderson 58 years old Male Admit diagnosis: GI bleed History: no surgical history Medical history: Gastritis & GERD Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily. Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis.…
- Which type of precautions should the nurse implement for the client diagnosed with septic meningitis? O a. Contact precaution O b. Standard precaution O C. Droplet precaution O d. Airbone precautionDiscuss the priority interventions the nurse would use to manage postoperative respiratory distressPatient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenously
- Patient #1: John Smith is an 85-year old male admitted for Dr. Lee. He fell at home. He has a history of COPD, smoked one pack per day for 60 years, CHF and DM. He had surgery two days ago for the left hip fracture. We are to change the dressing daily and PRN. The incision site is slightly pink, edematous, and draining sanguineous drainage. I changed the dressing once in the night. They stopped his IV fluids yesterday. He is saline locked. The patient gets QID blood sugar checks. I checked him in the night because he felt kind of sweaty and didn't talk to me much, but his sugar was 110. I checked his vitals at 0450- Temp 99.0, HR 98, R-20, BP 100/65, O sat 91 & on 1 liter, I bumped up his oxygen to 3 liters at that time. His lung sounds are coarse. As for as orientation goes. Patient #2: Maria is a 40 year old patient. She was admitted two days ago with DKA. She has a history of poorly controlled DM-Type 1. Apparently her blood sugars have been poorly controlled over the last week…A 55-year-old male patient is admitted to the emergency department complaining of severe chest pain and dyspnea. The client is restless and frightened. Upon admission, the physician ordered oxygen by nasal cannula at 4L per minute, a 12-lead electrocardiogram (ECG), chest x-ray, troponin, creatinine phosphokinase, and isoenzymes blood levels. Which action should the nurse take first? Select one: a. Take the blood specimens. b. Administer the oxygen to the client. c. Obtain the 12-lead ECG. d. Call for portable radiology to obtain the chest x-ray.al SC Q X mend baycare.certpointsystems.com/wa/ws/ScormEngineInterface/defaultui/deliver.aspx?preventRightClick=False&cc=&configuration=session_course_id%7c39785... $ X Infor Learning Management S Accounting of Disclosures Click and drag to match the correct Patient Rights with the correct Category. Patient Rights Patient does not want their previous physician to access their record Alternative Communications Restrict Uses/ Disclosures File a Complaint :8: Category Amend Records 3 E D C 20 F3 HIPAA Comprehensive_9-1-22 X + R F V F4 % 5 T C F5 B < 10 Y H 7 Patient requests a list of who received a copy of their record Patient wants to talk to supervisor about their privacy concern N Patient requests results be sent to another address Patient says, "I have never taken those medications" and wants you to change them J * 00 8 M DII F8 9 K 8 2 * 3. O L P F12