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The patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Select All That Apply
What 3 findings indicate fluid volume deficit?
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Temperature 101° F (38,3°C) |
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Dark, yellow urine |
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Urinated 30 mL |
|
|
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Client is awake and alert |
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Blood pressure 115/71 Heart rate 99 |
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- The patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Select All That Apply Which three techniques would work best to encourage a patient to drink enough water? Only offer water or other clear drink Suggest popular drinks like coffee or soda Place the drink where the client can reach from her bed Ask the client what her favorite drink is Encourage drinks with high sugar content Offer both hot and cold drinksThe patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Which conditions should the PN keep an eye out for in the client given the present course of treatment for fluid volume deficit? select all that apply Phlebitis Hypokalemia Hyperglycemia Diarrhea and vomiting Alkalosis Pulmonary edema Thrombocytopenia Hypovolemic shockThe patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Select All That Apply Collect blood to test electrolyte levels Apply cardiac telemetry monitoring Discontinue the peripheral IV Give Ibuprofen 400 mg PO every 6 hours prn for fever Collect blood for a type and screen Give 1000 mL normal saline now Insert an indwelling urinary catheter Prepare to defibrillate the client
- A 45-year-old woman with no significant medical history presents with acute abdominal pain, nausea, and vomiting. She describes the pain as sharp and localized to the right lower quadrant of her abdomen. Her vital signs are stable, but she appears in distress. The nurse must conduct a thorough assessment and collaborate with the healthcare team to determine the cause of her symptoms and plan appropriate interventions. Options: A) Prepare the patient for immediate surgery, suspecting appendicitis. B) Administer pain medication and wait for further diagnostic tests. C) Encourage clear liquid diet and reassess in a few hours. D) Perform a pelvic exam and consider gynecological causes.Discuss, using the text, how you believe this case should be decided. Remember to reference specific ethical principles from the text: "A 13 year old girl, suffering from toxic shock syndrome, is sent directly from school to a local emergency room. Treatment is ordered, including fever-reducing medication and a strong course of intravenous antibiotics. The parents arrive just as the medication and equipment arrive in the emergency room. They announce they are Christian Scientists and wish to take their daughter home." The clinical approach to this case requires the application of the procedure by which medical indications, patient preferences, projected quality of life and contextual features be applied. How would you decide it given our readings so far?A lethargic 22-month old black female was presented by her mother to the emergency room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced and noisy breathing of the child. The pediatrician examined the child and found cloudy eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no significant changes in the eardrums). The throat of the child was red and coated with mucus. The larynx was swollen and raw. The physician performed a rapid Strep test and found it was negative. Throat swabs were taken for culture. The physician placed the child in a room with a warm vaporizer for about 30 minutes. This dramatically improved the breathing of the child. 1. What is the infectious agent that caused this case? 2. Do you believe that this is a bacterial or viral disease? Why? 3. What further treatment is indicated for this case?
- The patient is male, 50 years old. Chronic liver disease for 15 years. Sudden vomiting 400ml blood. Physical examination: chronic disease appearance, mild yellow discoloration of the sclera. The abdomen was soft without tenderness, the liver and ribs cannot be palpable, and the shifting dullness was positive. The most likely diagnosis is ( ) Biliary bleeding Duodenal ulcer bleeding Bleeding from gastric cancer Esophageal variceal bleeding Hemorrhagic gastritis A 62-year-old male, his back has been red and swelling for 1 week. At first it was a small piece of skin induration of about 3×2cm, with multiple pus spots, then the skin swelling area expanded, infiltrating edema appeared, local pain increased, the surface skin was purple-brown with area about 6×5cm, the body temperature was 39.2℃, and he had diabetes history for 10+ years. The following treatment measures are incorrect for this patient: Remove pus and inactivated tissue The incision line should exceed the edge of the…Mary Dobos was admitted to Boca Raton Community Hospital in serious condition with an abdominal aneurysm. The hospital called upon Nursing Care Services, Inc., to provide around-the-clock nursing services for Mrs. Dobos. She received two weeks of in-hospital care, forty-eight hours of postrelease care, and two weeks of at-home care. The total bill was $3,723.90. Mrs. Dobos refused to pay, and Nursing Care Services, Inc., brought an action to recover. Mrs. Dobos maintained that she was not obligated to render payment in that she never signed a written contract, nor did she orally agree to be liable for the services. The necessity for the services, reasonableness of the fee, and competency of the nurses were undisputed. After Mrs. Dobos admitted that she or her daughter authorized the forty-eight hours of postrelease care, the trial court ordered compensation of $248 for that period. It did not allow payment of the balance, and Nursing Care Services, Inc., appealed. Decision?Two patients presented to the Emergency Department. They were experiencing two different sets of signs and symptoms. The first patient, Patient A, is a very old woman who presented with cardiac issues. Her ECG (electrocardiogram) result was very abnormal. She was admitted to the ICU on the same day. She told the physician on duty that she had diarrhea for 1 and a half months. The admission laboratory work showed a potassium level of 1.1 mEq/L. The other patient, Patient B, is a 15-year-old female, of Chinese descent, who experiences dizziness, malaise, nausea, loss of appetite, chilly sensation, dyspnea, and projectile vomiting. Her laboratory results show a significant decrease/deficiency with the trace element selenium. A. What is a likely reason for Patient A's cardiac abnormalities? Explain why. B. Why was Patient A's potassium level so low? Discuss your answer. C. What is the most probable diagnosis for Patient B? D. What other diseases are associated with selenium defiency?
- Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago. The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side. Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL) Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%) What is clinically happening to the patient?Explain all the pre-operative surgical management for Mrs.Janet Donald (the patient)Patient had Vehicular Accident what will be the FDAR to the patient.?