Child Y , aged 10 months is admitted to your ward suffering from severe pneumonia. 1. State FIVE signs of severe pneumonia 2.Describe collaborative management of Child Y till discharge. 3. State THREE complications of pneumonia
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Child Y , aged 10 months is admitted to your ward suffering from severe pneumonia.
1. State FIVE signs of severe pneumonia
2.Describe collaborative management of Child Y till discharge.
3. State THREE complications of pneumonia
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- Case study of a child suffering from pneumonia 4 years old in detail SUBJECTIVE DATA 1. Nursing Admission Data Base Confirmed Medical Diagnosis 2. History Health Maintenance - Perception Pattern: b. 1. Present Illness: a. 3. Complains upon admission 3. Past Medical history: 4. Past Surgical history:1.A nurse is caring for a client with suspected pertussis . What isolation precautions should be instituted? 2.Define neutropenia . List two (2) precautions that should be instituted for the client with neutropenia 3. A nurse is caring for a client with fluid overload. What respiratory findings should the nurse anticipate?The nurse is caring for a patient admitted with pancytopenia with complaints of dyspnea upon exertion. This symptom would be most directly related to which condition? 1. Pain 2. Thrombocytopenia 3. Anemia 4. Neutropenia
- Please help me to answer ALL the letters with the CORRECT answers. 2. A person with Sickle Cell Trait would: A. Be advised to avoid fluid loss and dehydration. B. Be proacted from crisis under ordinary circumstances. C. Have chronic anemia. D. Experience hemolytic jaundice. 3. On initial assessment of the child with asthma, the nurse would observe for th following EXCEPT: A. Shortness of breath B. Rales C. Absence of wheezing D. Loose cough4. The mother asks the nurse what measures she can take to help prevent her child's asthma attacks. Which of the following suggestions by the nurse would be most appropriate? A. Cover the child's mattress with a sheepskin pad B. Use an aerosol spray disinfectant in the child's bedroom C. Dust and vacuum the entire house frequently D.Have the child sleep with the window open 4. Flow meter because of several other conditions are associated with undescended testes, the nurse should also assess the infant for: A. A reducible or nonreducible bulging in…Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.….. A 3-year-old boy, Jessie Jarnes is admitted at 0700hrs for elective adenotonsillectomy on the morning of surgery. Apart from chronic symptoms relating to enlarged tonsils and adenoids he is generally fit, well, alert and communicative Medical history: He has had 2 previous anaesthetics at age of 2 and 3 years old for cautery of nose to treat epistaxis. His mother was instructed that Jessie be nil by mouth (NBM) from 12midnight, but he has had nothing since 1830 his last night. He has been taken to the playroom. where he plays Nintendo with Captain Starlight At 1045hrs Jessie's mother returns him to his room. He is drowsy, confused, cold, clammy, and sweaty. He lies curled up with severe abdominal pain. His mother rings the call bel for the nurse. Q1. What would be your next nursing actions? Q2 Explain the pathophysiological changes that causes the patient fo be cold. clammy, and Sweaty q3. identify and provide rationale for two (2) priority care for this patient?
- 1. Search for a case scenario related to the Rheumatic heart disease. (Pre-Gestational Conditions) 2. Develop a plan of care by utilizing the official template on the Nursing Care Plan (NCP)Patient is a 78 y/o male with a history of COPD & HTN. He smokes 1 – 2 packs/day & requires oxygen athome. He presents to the ER with increased SOA (shortness of air), fever, and worsened cough withthick sputum production. The physician in the ER diagnosis him with pneumonia and starts him onprednisone and clarithromycin, an antibiotic AllergiesPenicillin (hives,shortness of air,swollen tongue andthroat)Current MedicationsTiotropium (Spiriva®) inhaler I puff PO once dailyTheophylline (Theo-DUR) 300mg PO BIDLisinopril 10 mg PO dailyAlbuterol MDI (Proventil®) 2 puffs q 2-4 hours as needed for SOAPrednisone 50 mg daily x 7 daysClarithromycin (Biaxin) 500mg PO BID x 7 daysPMH COPDHTN 1.using Clinical Pharmacology (Reports->Drug Interaction Reports) as a reference, discuss the druginteraction between theophylline and clarithromycin.2. What are the common side effects of theophylline?3. What is the mechanism of action of tiotropium (Spiriva®)?4. What are long-term complications /…Case 2 A 45-year-old male patient visits the hospital with a 3-month history of upper abdominal pain associated with nausea. Pain is worsened whenever he drinks alcohol, soda or even coffee. He is a smoker and a moderate alcohol drinker. He denies use of NSAIDs. Physical assessment and vital signs are normal. However, there is notable epigastric tenderness from the abdominal examination. His stool is also heme positive. CBC shows a mild hypochromic, microcytic anemia. Endoscopic examination reveals diffuse gastritis and ulcer. A gastric biopsy is then ordered by the physician. 1. What organism is most likely to be seen from the gastric biopsy? Identify the specific type of ulcer to complete the diagnosis. 2. Provide other clinical test to facilitate rapid detection of this organism. Describe briefly the procedure.3. Enumerate factors which contribute to the organism’s ability to colonize the stomach. 4. If left untreated, what other long term complications could this organism cause?
- TB Isolation 1. Definition 2. Patient Placement - private room, negative pressure room, door closed etc 3. What to wear 4. Patient Transport 5. Patient Care Equipment8. A 54 y/o Female presented to the emergency room w/ CC of dyspnea. The patient has a significant PMH of T2DM, GAD, CVD, and MI. The patient reported weight loss of 15 pounds in 2 weeks. The patients weight is 185lb and her height is 175cm. She reports that dietary intake has been poor and she cannot make it to the store without having SOB. She states her usual weight is 200lb. Find her energy needs using the Mifflin-St. Jeor equation 10. A 26 y/o F was admitted for GI discomfort, poor appetite, N/V/D. Upon ultrasound a bezoar was discovered in the distal large intestine. She repots a 10 pound weight loss in 2 weeks. Her current weight is 165 pounds or 75kg and her height is 160cm. Find her energy needs Using the Harris-Benedict equationI have to do a case study and answer 5 questions. I will appreciate if you can please guide me. I need help on questions 2, 4, and 5. CC: more short of breath lately, can’t walk as far as I used to, feet swelling HPI: 73 year old Asian male presents to your clinic for a follow-up appointment. He is c/o dyspnea. SOB has gradually increased over the last 4 days and is worse when lying down in bed. He cannot walk more than 25 feet without SOB. He sleeps downstairs in a recliner, mostly so he doesn’t have to go up the stairs. He denies fever, chills, chest pain, palpitations, dizziness constipation, diarrhea, abdominal pain, or nausea. Reports 7 kg weight gain over the past week, chronic nonproductive cough. PmHx: heart failure, DM type II, HTN, CAD, MI, CKD FHx: Father died of MVC at age 62, mother died of heart failure at age 79, sister (age 65, alive) with HTN SHx: never used tobacco, etoh 1-2 drinks/month, retired, married with 1 daughter (ages 41, healthy), used to walk at…
