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- An 85-year-old female with history of hypertension presented with cough and low-grade fever. Chest radiography is consistent with a diagnosis of pneumonia. The doctor ordered the antibiotic Levofloxacin 500 mg PO X 10 days. The patient's blood work came back, and basic metabolic panel showed potassium (K) of 5 mmol/L, sodium (NA) 140 mmol/L, glucose of 115, BUN of 19 mg/dl and creatinine of 1.2 mg/dl.1. Write down all the regulatory mechanisms that maintain normal blood pressure. 2.Develop a 24-hour meal plan appropriate for the client described below: Juan Dela Cruz, a 46-year-old taho vendor, stands 5’4” tall and weighs 100lbs,is to be discharged from FUMC due to acute MI. The patient is aware of being hypertensive and is a smoker since his early adulthood. He was admitted due to, without any prior symptom, severe persistent chest pain after about 24 hours. He stated he does not want this to happen again as he is the breadwinner of a family of 6.. A client is receiving an intravenous magnesium infusion to correct a serum level of 1.4 mEq/L. Which of the following assessments would alert the nurse to immediately stop the infusion?A. Absent patellar reflexB. DiarrheaC.Premature ventricular contractionsD.Increase in blood pressureRationale:Reference/s:
- Create a simple care plan for the geriatric patient as it relates to fluid volume excess and deficit. Case study, you are caring for an 89-year-old- female, she is wheelchair dependent, has rheumatoid arthritis, osteoarthritis, myocardial infarction four years ago and has heart failure. First start out with nursing concepts, what are some risk factors with this patient that put them at risk for either of the following? FVD FVE Now, state how you are going to assess for a FVD and FVE (divide your sheet here, FVE on one side FVD on the other) FVD FVE Nursing interventions as it relates to both FVD and FVE. FVD FVE Evaluation- how do you know it worked?…Based on annual physical assessments, an older adult female's blood pressure readings have changed from 120/82 to 155/86 mm Hg over the past two years. The practical nurse (PN) should recognize which factors in the client's history are likely to be associated with this finding? (Select all that apply.) A History of diabetes mellitus. B Hyperlipidemia. C Leads an aerobics class. D Increase in age. E Body mass index of 22.11. Order: Coumadin 7.5 mg once daily for DVT post-op hip replacement Dose on hand: Coumadin 2.5-mg tablets How many tablets will you give? 12. Order: 500 mL to infuse at 50 mL/hr. The infusion started at 7 AM What time will the infusion end? 13. Order: Nexium 40 mg once daily for GERD Dose on hand: Nexium 20-mg tablets How many tablets will you give? 14. Order: Xanax 0.25-mg tablets prn for anxiety Dose on hand: Xanax 0.5-mg scored tablets How many tablets will you give? 15. Order: Colchicine 0.5 mg PO tid prophylaxis for gout Dose on hand: Colchicine 0.5-mg tablets How many tablets will you give? 16. Order: Lovenox 30 mg SC injection every 12 hours prior to knee replacement surgery Dose on hand: Multiple-dose vial 300 mg/3 mL How many mL will you give? 17. Order: Bisacodyl 15 mg as a single dose for constipation Dose on hand: Bisacodyl 5 mg/tablets How many tablets will you give? 18. Order: Acetaminophen 325 mg PO q6h pain Dose on hand: Acetaminophen solution 100 mg/mL How many mL…
- 1. The nurse is caring for Mr. Adrian, an 82-year-old man with CHF who has a past medical history of diabetes and renal insufficiency. He is prescribed digoxin (Lanoxin) 0.125 mg IV and then 0.125 mg PO daily.a. What are the therapeutic effects of cardiac glycosides?b. Is this patient at risk for digoxin toxicity? Explain.c. What are the adverse effects of digoxin?Discuss the nursing considerations for digoxin administration.Sheridan Faculty of Applied Health and Community Studies 1. After being stabilized and monitored in the hospital, Mr. Zane is discharged home. Mr. Zane's primary care physician prescribes him a long-acting calcium channel blocker as first-line monotherapy. Why are calcium channel blockers recommended as first-line therapy for African American people with hypertension? Explain. 2. Mr. Zane's blood pressure remains elevated after being started on the calcium channel blocker. Mr. Zane is started on 50 mg of the thiazide diuretic, hydrochlorothiazide daily. Discuss the antihypertensive effects of hydrochlorothiazide. 3. What information must you share with Mr. Zane to increase adherence and decrease the adverse effects of hydrochlorothiazide? What should Mr. Zane be educated about concerning his disease process and the impact of adherence to the drug therapy regimen? 4. Mr. Zane's physician is trying to establish a medication regime to best control Mr. Zane's primary hypertension, and the…For the management of hypertensive crisis, the nurse is aware that the initial goal of treatment includes: a. Decreasing the mean arterial pressure (MAP) by no more than 20-25% b. Decreasing the diastolic blood pressure below 100 as soon as possible c. The use of ACE inhibitors and diuretics to lower blood pressure quickly d. Decreasing the mean arterial pressure (MAP) to 80-100 mmHg within 30 minutes
- A client is receiving an intravenous magnesium infusion to correct a serum level of 1.4 mEq/L. Which of the following assessments would alert the nurse to immediately stop the infusion? A. Absent patellar reflex C. Premature ventricular contractions B. Diarrhea D. Increase in blood pressure Rationale: Reference/s:A patient with known CAD reports worsening of his DOE. There is a history of a bipolar psychiatric disorder, and the patient has had many evaluations because of similar complaints, all of which have been negative. You would like to quantitate the patient’s exercise tolerance and order a TMET ECG. On the day of the test, you receive a call from the stress laboratory, indicating that the patient has LBBB. You would do which of the following? a. Cancel the test because you cannot interpret the ECG b. Proceed with the test c. Change the test to dobutamine echocardiography d. Change the test to adenosine thallium test e. Decide to perform coronary angiographyAfter a nebulizer treatment with the beta agonist albuterol, the patient complains of feeling a little “shaky,” with slight tremors of the hands. The patient’s heart rate is 98 beats/min, increased from the pretreatment rate of 88 beats/min. The nurse knows that this reaction is an a expected adverse effect of the medication.b allergic reaction to the medication