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- A 36-year-old female who was divorced 5 years earlierenters the emergency department with severe burns andcuts on her face after an auto accident in a car driven byher fiancé of 3 months. Three weeks later, her fiancé hasnot yet contacted her. The patient states that he is very busyand she is too tired to have visitors anyway. The patientfrequently lies with her eyes closed and head turned away.These data suggest that:a. There is no disturbance in self-concept.b. This patient has ego strength and high self-esteem but mayhave a disturbance of body image.c. The area of self-esteem has very low priority at this timeand should be ignored until much later.d. It is probable that there are disturbances in self-esteem andbody image.A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.A 76-year-old patient states, “I have been experiencing com-plications of diabetes.” The nurse needs to direct the patient to gain more information. What is the most appropriate com-ment or question to elicit additional information? a. “Do you take two injections of insulin to decrease thecomplications?” b. “Most physicians recommend diet and exercise to regulateblood sugar.”c. “Most complications of diabetes are related to neuropathy.”d. “What specific complications have you experienced?”
- Mrs. Guico came to the hospital with complaints of pain over all the joints, stiffness which is more in the morning and reduces by the activities. She has these complaints since 5 years and has taken treatment from local hospital. The symptoms were not reducing and came to --MC, Hospital for further management. Patient was able to do the ADL ( activities of daily living ) by herself but the way she performed and the posture she used was making her prone to develop the complications of the disease. She also was malnourished and was not having awareness about the deficiencies and effects. Kindly Collect data ACCORDING TO OREM’S THEORY OF SELF CARE DEFICIT 1. NURSING CARE PLAN ACCORDING TO OREM’S THEORY OF SELF CARE DEFICITPart I – SymptomsCallie was 26 years old when she opened a bakery called “Callie’s Cupcakes” in downtown San Francisco with herf ancé, Jeremy. Despite the competitive market, her business was booming; everyone loved the clever recipes and thetrendy atmosphere. Between running their fast-growing business and planning for their wedding, Callie hadn’t beenable to keep to her usual eight hours of sleep a night. Although she had always lived a very healthy lifestyle, exercisingdaily and eating healthy, she just hadn’t been feeling herself lately. She was tired all the time, had dif culty breathing,felt stressed, coughed up sputum, consistently ran a low-grade fever, and had lost weight as her appetite decreased.None of these symptoms alone had been particularly alarming so she had put of seeing her physician for a few weeks.Questions1. What are Callie’s symptoms? List all that were mentioned.2. Based on the symptoms presented, what are three possible respiratory infectious diseases Callie…Mr. Wright is recovering from abdominal surgery. When thenurse assists him to walk, she observes that he grimaces, moves stiffly, and becomes pale. She is aware that he hasconsistently refused his pain medication. What would be apriority nursing diagnosis for this patient? a. Acute Pain related to fear of taking prescribed post-operative medications b. Impaired Physical Mobility related to surgical procedurec. Anxiety related to outcome of surgeryd. Risk for Infection related to surgical incision
- Last year during my medical–surgical clinical experience,I was taking care of Maggie Wyatt, a female patient in her30s, with an external fixation device on her right leg. The patient had broken her tibia, and had undergone three sur-geries to try to correct the fracture. Maggie’s current admis-sion was for the treatment of an infection caused by the external device in place to treat the fracture. I was assignedto care for her on the day that she was being discharged.Throughout the day, I formed a close bond with her, andthe nurse asked me to bring Maggie to her car when she was ready to leave. I was a little apprehensive about beingable to help her into the car with the external fixator in placebecause she could not bend her leg at all. I had a coupleof choices—I could take her down to the car myself andhope that there wouldn’t be any problem helping her getinto the car, or I could tell the nurse I didn’t feel comfortablebringing the patient to the car because I didn’t have…The nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed lepirudin. Which is this medication prescribed to prevent?A hemophllic patlent has severe rheumatold pain which drug should be pres relieve pain: A. Acetylsalicylic acid Phenylbutazone C. Ibuprofen Acetaminophen Naproxen
- Jack is a 29yo male competitive bodybuilder who comes to the ER complaining of difficulty extending hisright elbow, cramping in the triceps area, and a “hollow” feeling at the back of the elbow. Due to a caseof olecranon bursitis, Jack has recently received a series of local cortisone injections to the right elbow.He also has a history of 4-androstenediol consumption which he claims must be safe because it is sold asa nutritional supplement. Upon examination, the physician informs Jack that he has completely rupturedhis triceps tendon.18. Describe the role of the FDA in regulation of nutritional supplements.19. Describe the role of 4-androstenediol in muscle growth.20. Describe the structure and function of the triceps tendon as it relates to the olecranon.21. Describe the factors that could have contributed to the rupture of Jack’s triceps tendon.A patient with a history of rheumatoid arthritis is prescribed prednisone for an acute episode of pain. Upon a follow up exam, the patient asks the nurse, "Why can't I stay on this medication forever? It helps the pain so much". What is the best response by the nurse? A. "The medication can cause an Addisonian crisis". B. "The medication has long-term side effects such as osteoporosis". C. "There are other medications that can be prescribed for the pain". D. "The medication will cause you to develop a buffalo hump or moon face".Write down adverse effects of the drugs to treat theG6PD deficiency disease. (Subject: Pharmacology)
