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A pediatric home care nurse schedule a visit to the home of a four week old newborn, who had a low thyroxine T4 and a high thyroid stimulating hormone at birth, and was diagnosed with congenital, hypothyroidism or cretinism, which instruction is most important for the nurse to provide the beatings of the child
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- A multigravida at 32 weeks gestation tells the nurse that she gets dizzy in while.The nurse should instruct the patient to: Stand with her head lowered Discontinue moderate exercise Avoid being in a cold room Avoid sudden position changesThe nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What are two important medication administration safety issues that the nurse will assess in the client?You are the telehealth triage nurse on call for the after-hours service of a primary care center. You receive a call from a father, calling to report that his 9-year-old son has a three-day history of nausea, vomiting, decreased oral intake, no solid food intake, weakness (dad needed to carry him downstairs), pallor lethargy and slept for 24hrs. Upon further questioning, you find out that he is currently alert, has no fever or rash and has passed urine. He also has no known significant medical history. WHat is the priority of nursing here? what is the plan of care? what should be the intervention? What outcome should we expect?
- The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What data will the nurse gather to evaluate the effects of the ordered medications?What should be the nurse’s response to the patient with this condition, keeping in mind the various developmental stages of growth and development. Andy, a five-year-old child who is physically challenged is having difficulty walking without help.The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What criteria will the nurse use to select printed educational materials for the clients use?
- SubjectiveChief Complaint: “Why can’t I just take prednisone every day? It always works when I get admitted to the hospital.” HPI: Thomas Jones is a 66-year-old man with COPD presenting to the family medicine clinic today for a 1-month followup appointment from his last hospital admission for an acute exacerbation of COPD. This last COPD exacerbation is the second hospital admission in the last 6 months related to TJ’s COPD instability. After TJ’s hospitalization, his discharge COPD regimen was changed to include tiotropium, 1 inhalation daily in addition to salmeterol 50 mcg, 1 inhalation Q 12h, and an albuterol MDI as needed. TJ had pulmonary function tests (PFTs) while he was in the hospital 1 month ago but has yet to have them reassessed after the change in his COPD regimen. He wants to start taking prednisone every day because he believes this would prevent him from being readmitted to the hospital. The patient states that his respiratory symptoms are better than when he was…A client who had been experiencing signs of preterm labor at 30 weeks’ gestation with successful suppression in the hospital is being discharged with preterm labor precautions. Her primary provider ordered terbutaline by mouth every 4 hours and for the client to remain on bed rest with bathroom privileges. What side effects of terbutaline should the nurse teach the client prior to discharge? What are two nursing diagnoses that would be appropriate for the client’s home care regimen for preterm labor suppression?You will continue to fill up the table using the same case scenario given in lesson 4. This time you will identify at least one nursing problem for each stages of labor and list at least 2 nursing interventions using the attached table. Case Scenario: Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10 minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were intact. Mrs. J.'s temperature, pulse and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced. As the labor progresses, there will be…
- Which of the following patients would the nurse consider a priority for being placed at high risk for fetal distress during labor? A gestational diabetic whose glucose level was 90 mg/dl on admission An Rh-negative patient with a negative indirect Coombs' test A Patient with a 20-to 25-pound weight gain during pregnancy A patient at 43 weeks gestation admitted for induction of laborA patient in Rubin’s taking-in phase will display which of the following behaviors? Select all that apply. a. Asking her partner to choose what she should eat for dinner b. Becoming frustrated when she’s unable to change the baby’s diaper without making a mess c. Asking for assistance with pericare whenever she voids d. Stating that it’s ok that the baby is a girl when she was hoping for a boy e. Crying and stating she’s too anxious to eatA 36-year-old female client arrives at her primary health care provider's office for her initial prenatal visit at 9 weeks gestation. The nurse collect and records the client's health and obstetric history: Allergies: None Current medications: Sertraline daily, acetaminophen and naproxen as needed for headache Past health history: tonsillectomy as a child, asthma Family health history: Ovarian cancer - grandmother First day of last menstrual period: 12/12/2021 Date of Delivery Weeks of Gestation Delivery Style Fetal Demise 02/21/2010 39 Spontaneous vaginal No 04/16/2012 18 Spontaneous vaginal Yes 08/08/2014 36 Cesarean No 08/08/2014 36 Cesarean No For each health assessment finding below, indicate whether it "Requires Nursing Follow-Up" (could be harmful to the client) or is "Expected" (no follow-up is required) for the client at this time. Temperature = 98.6 RR = 14 breaths/min HR = 76 beats/min BP = 132/78 mm Hg (sitting) Timing of initial visit (9 weeks)…