Diagnosis of schizophrenia.

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A 22-year-old female student was brought to her college student health department by her boyfriend. He was concerned about the changes in her behavior. The boyfriend noted that she has been hearing voices, and seeing things that are not there. She also thinks that there are people that want to harm her. She told her family that she cannot finish college as the voices told her to quit because she is “dumb”.  The boyfriend relates episodes of unexpected rage and crying.

PMH:  noncontributory

FH: positive for a first cousin who “had mental problems”.

SH: Denies current drug abuse but states he smoked marijuana every day during junior and senior years of high school. Admits to drinking heavily on weekends at various fraternity houses.

PE: thin, anxious disheveled female who, during conversations, stops talking, tilts her head and appears to be listening to something. There is poor eye contact and conversation is disjointed.

DIAGOSIS: schizophrenia.

 

Questions:

Explain what structural abnormalities are seen in people with schizophrenia.

 

 

Hydrocortisone sodium succinate

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the phyician ordered hydrocortisone sodium succinate 250mg in 1000ml over 10 hours with a drop of 10gtt per ml, what is the current iv flow in drops, round it to the nearest whole number

Restraining residents with legal principle

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evaluate the issue in regards restraining the residents for long time using legal principle, ethical principle, code of ethics, code of conduct, standard practice?

Restrain of residents

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as a nurse how will you manage the restrain of residents and how you will use 3 decision making framework expalin?

Open wound

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s a nurse caring Afor a patient with an open wound that will need to be cared for once the patient is discharged. You need to design (create) a teaching plan that will address the importance of good hygiene as well as the importance of aseptic technique when changing the dressing.

  1. What will be the Introduction to the problem of this patient teaching
  2. What will be the Teaching content (What actually needs to be taught to the patient)
  3. What are the Teaching strategies (How this will be taught, e.g., handouts, verbal, video, website)
  4. What Ways will you use to evaluate if this teaching was effective

Be certain to incorporate into the above four areas the content listed below

  • Identify how effective communication techniques impact successful patient teaching sessions;
  • Identify various factors that can affect one’s ability to learn;
  • Identify specific teaching strategies for each of the Three Learning Domains (Cognitive, Affective and Psychomotor);
  • Identify various factors that can compromise a patient’s ability to successfully learn.
  • Identify developmental level and cultural influences when developing a teaching strategy.

 

Health ScienceScienceNursingNURSING NURS 114

Unresponsive after surgery

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You are caring for a patient who has become unresponsive after surgery. Prior to surgery, the patient stated that he did not want heroic or life-sustaining measures if anything should happen. This conversation occurred in front of his family, who made light of the comment because the surgery was considered routine. No papers regarding his wishes (living will, DNR, or advance directives) were signed. At this time, you are unable to contact any of his family members. You inform the attending physician of the patient’s wishes and lack of documentation to that effect. The physician decides to call a code and initiate lifesaving measures. The patient never regains consciousness.

  1. How could you, as the nurse in this scenario, apply the ethical principles of autonomy, beneficence, nonmaleficence, fidelity, justice, and veracity? Be specific and use the Nursing Today book as your reference to support the response.
  2. Was the nurse correct in telling the physician about the patient’s wishes and would this be considered an ethical dilemma? Why or why not?
  3. With ethical reasoning and determining who owns the problem, explain the four guidelines noted in the Nursing Today book that should be used to determine who owns the problem.
  4. Nurses can be in violation of the law at moments of life and death if they do not follow advance directives for a patient. What are advance directives and how do these differ from informed consent?

Can use this as a possible reference:

Zerwekh, J. A. G., & Garneau, A. Z. (2021). NCLEX-RN Exam and the New Graduate. In Nursing today: transitions and trends. Elsevier.

 

Health ScienceScienceNursingNUR 282: LEADE

Mutation in astrocytes

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Bryan’s Disease arises from a genetic mutation in astrocytes.  You want to take skin cells from a patient with Bryan’s Disease, reprogram them into induced pluripotent stem cells (iPSCs), correct the mutation with CRISPR Cas9, differentiate these cells into astrocyte progenitor cells, inject these astrocyte progenitor cells into a mouse brain and have them differentiate into astrocytes. Show that 30% of your cells were infected with virus and 50% of injected cells turned into astrocytes.

 

Note: you will make it in a mouse without an immune system so that the mouse does not mount an immune response to the injected human cells.  Please draw your experimental design using a flow chart with arrows on a clean sheet of paper.  Once you have drawn it, take a picture of it or turn it into a PDF and upload it here.  If you cannot upload it here, upload it to the assignment titled, “Upload exam pictures here.” GFAP is a marker for astrocytes; APE is a marker for astrocyte progenitor cells.

 

Pro-care Laboratories

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Mr. Dela Paz, an OFW from Saudi Arabia, went to Pro-care Laboratories. He was required to report to a medical facility located and owned by his agency for his annual check up and mandatory immigration testing. For this check up: he was required to be tested with the following laboratory analysis: Routine Chemical Chemistry Testing Routine Urinalysis . Routine Fecalysis . Routine Hematology . Blood Culture and Sensitivity After his laboratory testing, he tested positive for Ancylostoma ceylonicum. This intestinal parasite is endemic in Saudi Arabia and has been known to cause a tropical neglected emerging disease in the Philippines. As part of the laboratory’s quality assessment, a sample was sent to DOH for confirmatory testing of the parasite. What is the classification of Pro-care laboratories according to institutional character? Defend your answer.

NOT part of a synovial joint

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Which of the following tissues is NOT part of a synovial joint? O hyaline cartilage O elastic cartilage O fibrocartilage O compact bone O trabecular bone

Health ScienceScienceNursingNRNP 6531

DIAGNOSED WITH MULTIPLE SCLEROSIS

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CASE SCENARIO OF A PATIENT DIAGNOSED WITH MULTIPLE SCLEROSIS
On June 18, 2021 at 4:30 in the afternoon a 45-year-old woman named Maria came to the hospital due to her long-term neurologic issues. The patient describes how she had noted substantial alterations in neurologic functioning for many years, specifically heat intolerance, which resulted in a faltering stride and a tendency to fall. Over the course of several years, her visual acuity seemed to fluctuate as well.
The patient was working very hard and was under a lot of stress two months ago. Her neurologic state deteriorated after she became ill with the flu. She couldn’t grasp anything in her hands and had substantial tremors, and was extremely tired at the time. She suffered a few serious falls as well.
She had experienced arthralgia on the right and then the left side of her body since then. After several days of employment, the patient acquired an acute right hemisensory impairment.
At the time, an MRI scan revealed multifocal white matter pathology, defined as areas of elevated T2 signal in both cerebral hemispheres. A spinal tap was also performed, which revealed oligoclonal bands in the CSF. With delayed conduction in the optic nerves, visual evoked response testing was abnormal.
As of this moment, the patient is still weak and numb on her right side, has impaired urinary bladder function that necessitates numerous empties in the mornings, and suffers from nocturia three times a night. She developed incontinence and now requires the use of a pad during the day. She also experiences recurrent balance issues and a spinning sensation, as well as being excessively tired.
The patient shows difficulty for aspirating both liquids and solids. She has a persistent tinnitus that is connected with hearing loss and is more prominent on the left side. She has diminished finger dexterity and hand weakness on both sides. She also has short-term memory problems and is irritable.
The doctor orders an IV infusion of D5LR 1000 mL to infuse over the next 8 hours. The IV set delivers 15 gtt/min.
 

FAMILY HISTORY
The aeg had a history of high blood pressure, cancer and heart disease.
PAST HISTORY
The aeg verbalized that she experienced mumps and chicken pox as a child. Later in life, she had anemia and allergies with hives. A tubal ligation was also performed on her.
NEUROLOGIC EXAMINATION
In the arms, deep tendon reflexes are +2 and symmetrical, whereas at the ankles and knees, they are +3. Extensor toe signs on both sides are visible
On sensory examination, there is paresthesia to touch on the right side, as well as diminished pin sensation on the right side. In the distal lower extremities, the patient experiences modest vibratory sensory loss.
Romberg’s test is negative.
The attending physician order the following medications
Decadron 0.5 mg PO every 6 hours for 48 hours
Avonex 30 mcg IM once a week
Baclofen 5 mg PO three times per day.
Diazepam 10 mg PO 2 times a day.
Urecholine 50 mg four times a day.

 

 

WRITTEN OUTPUT 
1.Introduction of the case
2.Present the anatomy and Physiology of the case
3.Illustrate the pathophysiology of the case
4.Laboratory findings and its implication
5.Conduct Drug Study

6. Formulate one nursing care plan base from the problem identified.

 

Health ScienceScienceNursing