Describe the Ecommerce strategy of the company

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Describe the Ecommerce strategy of the company 2- Analyze the chain management of the
company 3- Describe the advantages and disadvantages of this recommendations

Respiratory Assessment of Mona Hernandez

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Document your focused respiratory assessment of Mona Hernandez. If data not provided put n/a.

2. Document 5 nursing interventions related to Mona Hernandez’s oxygenation after ambulation.

3. Document 5 areas of education to Mona Hernandez

4. Document 5 nursing diagnosis for Mona Hernandez

 

Patient Introduction

Location: Medical Unit 1600

Report from day shift nurse:

Situation: Mrs. Hernandez is a 72-year-old Hispanic female who was admitted to the medical unit yesterday afternoon with a diagnosis of pneumonia in her right lobe. Chest X-ray shows infiltrates in right lower lobe, indicative of pneumonia. She was started on antibiotics after a sputum specimen for Gram stain culture was obtained. We are monitoring her respiratory status closely.

Background: Mrs. Hernandez was experiencing symptoms of dry cough, fever, and malaise, and was diagnosed with influenza 10 days prior to admission. Her symptoms got progressively worse, and yesterday she had a temperature of 38.4 °C (101.2 °F), shaking, chills, and a productive cough of rust-colored sputum. Her primary care provider saw her yesterday and decided to admit her for treatment of pneumonia.

Assessment: Mrs. Hernandez is alert and oriented ×3, but appears tired. She reports sharp chest pain with coughing and shortness of breath with activity. She rated the pain as a 6 on a scale of 0-10 and was given acetaminophen 650 mg at 1400. Vitals signs were taken at 1200. Her temperature has been elevated since this morning and was 38.1 °C (100.6 °F). Pulse is 104/min, respirations 24/min, and blood pressure 112/72 mm Hg. Her saturation was 95% on nasal cannula with oxygen at 3 L/min. Her respirations were labored when she came back from the bathroom, but improved when she settled back in bed.

Recommendation: You should make sure to maintain saturation levels above 89%. Mrs. Hernandez needs encouragement to cough and deep breathe, and to use incentive spirometry. She only uses her incentive spirometer after much encouragement. You should also start patient education on disease process and management.

 

A client who is 79-year-old man developed a wet-productive cough six days prior to being seen in the clinic. The client suspects he might have PNEUMONIA. The sputum is thick and yellow with streaks of blood

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A client who is 79-year-old man developed a wet-productive cough six days prior to being seen in the clinic. The client suspects he might have PNEUMONIA. The sputum is thick and yellow with streaks of blood. He developed chills, shaking, and overwhelming fatigue with the cough and fever that started six days ago. The client lost 15 lbs over the past 2 months but claims he did not lose his appetite. “I am worried I have PNEUMONIA” Past history reveals that he is a smoker 1 pack/day for 15 years. He sleeps on 4 pillows at night. The patient is a retired machinist who has been treated for mild hypertension and bronchitis in past history.

 

OBJECTIVE:

A client is an elderly man who appears tired and underweight. Vital signs are as follows: blood pressure 152/90, apical heart rate 112/minute and regular; respiratory rate 24/minute and somewhat labored, temperature 102.6 F oral. His complexion is sallow. He coughs continuously. Sitting in a chair, he leans to his right side, holding his right chest with his left arm. Examination of the neck reveals a large, non-tender hard lymph node in the right supraclavicular fossa. Both lungs are resonant by percussion except that the right mid-anterior and right mid-lateral lung fields are dull. Auscultation reveals bilateral diminished vesicular breath sounds. Bronchial breath sounds, rhonchi, and late inspiratory crackles (are heard) in the area of the right mid-anterior and right mid-lateral lung fields. The remainder of the lung fields is clear. Percussion and auscultation of the heart revealed no significant abnormality. Examination of the fingers shows clubbing.

 

LABORATORY in ER: WBC 19,000/mm3; neutrophils 70%, bands 15%, lymphocytes 15%.

 

Fill in the blanks and complete the questions below.

PLEASE FILL IN THE BLANKS AND COMPLETE THE QUESTIONS BELOW WITH REFERENCES FOR ALL SECTIONS.

Q1. ASSESSMENT [this is the 1) medical and 2) nursing diagnosis (NANDA sentence)].

1)

2)

2 What is the Plan for treating Pneumonia?

              

3 What is the diagnostic?

 

4 What is the Therapeutic?

 

5 How do you educate the client?

 

6. Are there other questions in subjective that should be asked?

7. Are there other objective findings you would like detailed for further care of the patient?

8. Is there anything you want to do before entering this room?

9. Is there anything you want to do before leaving this room—more than 1 answer here?

10. How did this assignment increase your knowledge related to respiratory concerns?

CHRISTIANA CARE/JOHN HOPKINS HOSPITAL.

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CHRISTIANA CARE/JOHN HOPKINS

CHRISTIANA CARE HOSPITAL AND JOHN HOPKINS HOSPITAL.

 

  • Compare and Contrast facilities
  • What service stands out for each facility?
  • What stands out as the SPECIALTY Care of each facility?
  • Compare ER’s Status (What level Service offered?)
  • NICU (Level of Service?)
  • Other services. Orthopedics/ Cardiac/ Neurology/ Pediatrics
  • Tertiary Care: Highly Specialized medical care usually over an extended period that involves advanced and complex procedures and treatments.
    • For instance, in Alexandria Virginia, Inova Fairfax Hospital is renowned for high survival rates of heart transplants. (Pre/Post Care)

Application of information researched:

  • If you were sick with cancer, heart failure, lung transplant, pediatric orthopedic issue, cornea transplant? Where would you go for care?
    • Example: Patient with End Stage Renal Failure
      • Facility: CCHS
      • Specialty: Kidney Transplant
    • Example: Head and Neck Cancer
      • Facility: John Hopkins
      • Specialty: Head and Neck Cancer Department
  • Describe a medical condition and select the facility which would meet the needs of the patient to successfully provide medical care.

Health History of a 46-year-old Male

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The nurse is taking a health history a health history of a 46-year-old male client

who has smoked cigarettes for 30 years. He has had chronic bronchitis for the

past 6 months. What statement best describes the rationale for obtaining

information from the family as well from the client?

 

A. Including the family helps to ensure that the client will comply with the

treatment regime

B. Family members are usually more anxious than the client to get the

physical problem resolved

C. Poor oxygenation inhibits the client’s memory and renders information

unreliable

D. Clients tend to grow accustomed to their cough and underestimate

their nicotine use

Caring for a client who had an appendectomy 4 hours ago

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The nurse is caring for a client who had an appendectomy 4 hours ago. which finding requires immediate action by the nurse

a. High pitched sound heard upon inspiration

b. Apical heart rate of 100 to 110 beats/mins

c. Redness and edema noted at the incision site

d. Pain rating of 8 on a scale of 1 to 10.

Care for a client who is 12 hours post thyroidectomy

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Which intervention is most important for the nurse to include in the plan of care for a client who is 12 hours post thyroidectomy

a. Maintain a semi-fowler position

b. Prepare to administer radioactive iodine treatments

c. Resume antithyroid drug therapy

d. Anticipate and monitor for hypothermia

COVID-19 and its Impact on Mental Health 

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TOPIC: The outbreak of COVID-19 and its impact on mental health 

Provide each answer for the ff:

  • SUMMARY OF THE PRIMARY IDEAS RELATED TO YOUR RESEARCH SUMMARY OF THE PRIMARY IDEAS RELATED TO
  • THEORICAL PERSPECTIVES AND METHODS USED IN THIS ARTICLE OR STUDY
  • THE ARTICLE’S OR STUDY’S STRENGTHS
  • REFLECTION on the article’s relevance to or utility to your study subject

REFERENCES:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214944
  2. https://www.sciencedirect.com/science/article/pii/S0889159120309545
  3. https://academic.oup.com/qjmed/article/113/8/531/5860841
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7387315/

Treatment for herpes zoster (shingles)

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five months following treatment for herpes zoster (shingles), an older adult client tells the home health nurse of continuing to experience pain where the rash occurred which action should the nurse implement.

a. Teach the client about phantom pain symptoms

b. Determine if the client has had a shingles vaccination

c. Complete an assessment of the client’s pain

d. Perform a complete mental status exam

A client with polycystic kidney disease is admitted to the emergency department with a history of developing a severe headache.

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1. A client with polycystic kidney disease is admitted to the emergency department with a history of developing a severe headache. which action should the nurse take first.

a. Collect a urine specimen

b. Obtain a blood pressure measurement

c. Complete a neurological assessment

d. Initiate cardiac monitoring