History of cough analysis.

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History of cough analysis.1. A 28-year-old male comes to your clinic with a 7-day history of cough. He denies fever, night sweats, SOB, or wheezing. He is a non-smoker with no significant past medical history. He is concerned about cough because it is produced with thick yellow-tinged sputum. His vital signs are normal and the exam is unremarkable. Your best plan of action is to recommend and/or prescribe the following?

Dextromethorphan +guaifenesin

Flovent

Ipratropium

Azithromycin

Symptoms of dyspnea

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Symptoms of dyspnea

A 72-year-old female with a history of COPD comes to the office. She is currently taking Salmeterol twice a day along with levalbuterol prn. However, she has increasing symptoms of dyspnea. What should be added to her therapy to help reduce and relieve her symptoms?

LAMA

ICS

SAMA

Theophylline

Chronic obstructive pulmonary disease

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Chronic obstructive pulmonary disease
1. A 68-year-old male with a history of COPD presents to the office with a hx of 2 hospitalizations (for COPD). He notes that he is feeling okay but he reports that he has to stop walking after a few minutes to catch his breath. He denies symptoms at rest. What medication would you place him on?

Tiotroprium

Albuterol

Formoterol

Salmeterol

Bipolar with severe depression.

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Bipolar with severe depression. J.A. was recently diagnosed with bipolar with severe depression. The doctor prescribed quetiapine fumarate (Seroquel) and fluoxetine (Prozac) for treatment.

Using the nursing process please develop a plan of care that includes safety considerations to have in place.

What patient education do you want to provide regarding how to safely take this medication, possible side effects, and adverse effects to report to a healthcare provider?

Assumptions and practices to the care of individuals

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Reflect on how your cultural location, and your attitudes, values, and beliefs, might affect the assumptions and practices you bring to the care of individuals.

Sickle cell anemia.

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Sickle cell anemia. A client with sickle cell anemia is experiencing a painful episode (vaso -occlusion crisis) and has a patient-controlled analgesia (PCA) pump. The current pain rating is 5 on a scale of 1 to 10 at the right elbow. The nurse observes that the pump is ‘ locked out’ for another 10 minutes. Which action would the nurse implement?

 

Disseminated Intravascular Coagulation.

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 Disseminated Intravascular Coagulation. Jerry is a 24-year-old male in the ICU that was hit by a car while walking 7 days ago. Since this
the accident resulted in him beginning to develop sepsis. On day 8 you notice petechiae on his torso and
blood oozing from his past IV insertion sites. His suture lines from his hip surgery are oozing
blood as well. Based on your assessment, you suspect disseminated intravascular coagulation
(DIC).
1. Explain why you suspected that Jerry developed DIC (scenario data and textbook
support)?
2. Define Disseminated Intravascular Coagulation.
3. What labs do you expect to be ordered?
4. With each lab value, indicate if that value would be abnormally high or low for a pt. with
DIC and explain.

5. What is the pathophysiology causing the change in lab values?
6. What are patients with DIC at risk for due to the abnormally high consumption of clotting
factors and platelets and why?
7. How is DIC managed?

 

Constipation problem and causes

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Constipation problem and causes. Constipation is an elimination problem that often occurs in both adults and children. What are the causes? What measures can be done to help with constipation–either pharmacological or non-pharmacological?

Health disparity issue.

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Health disparity issue. Despite advances in health research and the implementation of the Affordable Care Act, health disparities still persist in our society. The readings below about the process of health policy and how to formulate policy, and the readings on disparities, and the social determinants of health address the discussion question for this week. Remember that health policy is broader than nursing care policy alone.

 

https://www.icn.ch/nursing-policy#main-content

 

https://www.aacnnursing.org/News-Information/Position-Statements-White-Papers/Nursing-Research

 

https://www.aacnnursing.org/Policy-Advocacy

 

https://www.ncbi.nlm.nih.gov/books/NBK425845/

 

Disparities in Health and Health Care: 5 Key Questions and Answers

 

A. Choose one health disparity issue and discuss the significance of it while identifying what you believe to be the underlying major social determinant of health related to your issue.

 

B. State one policy change you would propose to positively influence the health disparity you have identified.

 

PLEASE USE IN TEXT CITATIONS FOR THE ABOVE

 

 

 

 

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Focused Throat Exam

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Case Study 2: Focused Throat Exam

Jason, a 13-year-old male comes in with Mom complaining of painful swallowing. Started yesterday as a “really bad sore throat” made worse with swallowing. He reports feeling very tired. His Mom gave him over-the-counter Children’s Motrin which made his fever better but did not help his sore throat. He reports his symptoms are especially, worse during nighttime. His tonsils are 2+ and erythematous, tonsil stones are present on the right side. He has white patches on his tongue.