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- Mary is a 57 years of age female, who was recently diagnosed with high cholesterol after some routine bloodwork. She has diabetes mellitus Type II poorly controlled and a history of hypertension poorly controlled. Mary presented to the emergency department for epigastric discomfort described as an “ache” that has been intermittent for a couple of days. Mary has been a smoker, about 10-15 cigarettes per day for 30 years. She has been overweight most of her life and doesn’t exercise. Vital signs are T36.8 HR 172 RR 26 BP 94/52 SpO2 92% on room air. The point of care blood sugar is 16.4 mmol/L. Color is pale, diaphoretic, increased work of breathing with tachypnea. You start the cardiac monitor and observe the following rhythm. 6-sec rhythmHi, can you please help me with the following multiple choice question - Thanks!! M. is a 59-year-old postmenopausal woman. The serum T4 is 8 microg/dl (n. 6 – 12); TSH is 4 microg/dl (n. 2 – 10). Body weight – 190 pounds, and she complains of depression. Her physician prescribes a low dosage of T4 to “pep her up”. What changes would you expect to see 4 weeks after the initiation of treatment? the size of thyroid will be reduced serum TSH will decrease serum T4 will decrease the basal metabolism rate will be elevated. Biologic actions of thyroid hormones include all of the following except: stimulate protein synthesis and proteolysis increase Na-K- ATP-ase activity increase oxidative phosphorylation stimulate growth and vascularity of the thyroid gland. stimulate glycogenesisPlease tell me what the normal vital signs are for an adult
- Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning. (Learning Objectives 1, 3, 4, 7, 12, 13) 1.Explain the rationales for the laboratory tests and ECG stress test. 2. What should the nurse do to prepare for the cardiac catheterization that is scheduled? 3. According to Mrs. Gonzales’ medical history, what has contributed to her myocardial infarction? 4. What should the nurse anticipate doing to prepare Mrs. Gonzales to be discharged?Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning. 4. What should the nurse anticipate doing to prepare Mrs. Gonzales to be discharged?A 46-year-old woman is experiencing fatigue and weight gain despite decreased food intake. Her hair is thinning and her skin is very dry. She reports that she has had mild swelling in her legs. She also reports feeling irritable and depressed. Laboratory tests reveal a low serum T4 level and an elevated serum TSH level. What is the likely diagnosis and what information can the nurse provide to the patient about her condition?
- You are caring for Zara, an adult, diagnosed with dengue. She is also diabetic for 1 year and is taking amlodipine 5 mg daily (Calcium channel blocker/anti-hypertensive drug) and metformin (Hypoglycemic agent) as her maintenance. Vital signs are BP: 130/90, PR: 88 bpm, RR: 19 cpm, and afebrile. Her Serum potassium level is 7.5 mEq/L. TRUE OR FALSE 1.The physician prescribed a restricted low sodium diet to your client. If Zara retains this diet for a long period of time... it will reduce the digestive enzymatic activity. 2. It is important for Zara to keep her GIT healthy because digestive enzymes give immune support. 3.Mango is a fruit that contains natural digestive enzymes that break down starch into sugars as it starts to ripen. 1 fruit of sweet ripe mango added to her daily meals and snacks will improve her condition. 4.Bananas contain amylases and glucosidases. 5.Your client arrives to the HPL for a Stress Test. Please identify the rhythm: Tentnindz_qmqrpvzpmpmgreftftft VI سهله Wintefritt Medite 11 aVR O Sinus Arrhythmia O Bradycardia aVL aVF O Normal Sinus Rhythm with a 1st degree block O Normal Sinus Rhythm Hippolit Intippspotte سلسل V2 принннннннннннн $ tur V3 V5 V6Ricky, a 55-year-old man presented to hospital's emergency room with severe, radiating substernal pain. He was overweight (BMl = 40) , however all other vital signs including cardiological assessments were normal. He admitted to imbibing excessive amount of alcohol the night before. He reported no overt use of nonsteroidal anti-inflammatory drugs (NSAIDs) but indicated that he sometimes experiences a burning sensation in your chest with difficulty in swallowing and regurgitation of food or sour liquid. The doctor prescribed omeprazole and directed him perform an upper endoscopy (a)Identify the cause of Ricky's pain and justify you answer. (b) Briefly outline the mode of action of omeprazole in alleviating his symptoms.
- Orthostatic hypotension Select all that apply. is a medical emergency that indicates postpartum hemorrhage is a normal postpartum finding is caused by hemodynamic changes in the immediate postpartum period episodes may cause the patient to need assistance while ambulating episodes will require strict bedrest for several hours afterwardSituation: Mrs. Corona was diagnosed of Diabetes Mellitus Type II. She was admitted to the Emergency due to dizziness, headache frequency of urination at night and complained of very hungry. Her weight suddenly decreases for the past months from 140 lbs to 110 lbs also feeling tired and having dry skin. She sought admission due to the following signs and symptoms. Her hemogluco test (blood sugar) level is from 180 - 200mg / dl 2 hours after eating. The best and correct ecologic model for Mrs. Corona? a. Web Model b. Triangle model c. Wheel model d. All the choicesSituation: You are caring for Zara, an adult, diagnosed with dengue. She is also diabetic for 1 year and is taking amlodipine 5 mg daily (Calcium channel blocker/anti-hypertensive drug) and metformin (Hypoglycemic agent) as her maintenance. Vital signs are BP: 130/90, PR: 88 bpm, RR: 19 cpm, and afebrile. Her Serum potassium level is 7.5 mEq/L. TRUE OR FALSE 1.The physician prescribed a restricted low sodium diet to your client. If Zara retains this diet for a long period of time... it will reduce the digestive enzymatic activity. 2. It is important for Zara to keep her GIT healthy because digestive enzymes give immune support. 3.Mango is a fruit that contains natural digestive enzymes that break down starch into sugars as it starts to ripen. 1 fruit of sweet ripe mango added to her daily meals and snacks will improve her condition. 4.Bananas contain amylases and glucosidases 5.Bananas contain natural digestive enzymes. 2 bananas per meal in a day will improve her potassium…