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- While you are working as an RN in an outpatient medication clinic, a client comes to an appointment for renewal of his blood pressure, thyroid, and diabetic medications. He has a history of alcohol and opioid abuse. As the patient enters, you notice that he is unshaven, unkempt, and appears agitated, talking loudly and fast and gesturing widely. His gait is ataxic and staggering. He carries with him a bottle of soda, which he occasionally drinks from. As you approach the client to obtain his vital signs, a strong smell of alcohol engulfs you. When you ask the client if he has been drinking, he admits that he has been; furthermore, he confesses that the soda bottle contains alcohol. As you explain to the client that alcohol is not permitted on the clinic premises and ask the client to leave, he loudly tells you that he cannot possibly go because he is completely out of his medications and needs to obtain his prescription refills today. Repeatedly, you reinforce that alcohol is not…While you are working as an RN in an outpatient medication clinic, a client comes to an appointment for renewal of his blood pressure, thyroid, and diabetic medications. He has a history of alcohol and opioid abuse. As the patient enters, you notice that he is unshaven, unkempt, and appears agitated, talking loudly and fast and gesturing widely. His gait is ataxic and staggering. He carries with him a bottle of soda, which he occasionally drinks from. As you approach the client to obtain his vital signs, a strong smell of alcohol engulfs you. When you ask the client if he has been drinking, he admits that he has been; furthermore, he confesses that the soda bottle contains alcohol. As you explain to the client that alcohol is not permitted on the clinic premises and ask the client to leave, he loudly tells you that he cannot possibly go because he is completely out of his medications and needs to obtain his prescription refills today. Repeatedly, you reinforce that alcohol is not…You detect your patient has hypoglycaemia and you are treating them. What changes in your workload do you need to make to re-prioritise their care needs. (easy and simple)
- Thea is a 22-year-old female tennis player. She has participated in local tournaments for 10 years. She trains 4 days a week at a community tennis hard court with her coach of 5 years. The court is made of asphalt and has not been resurfaced in 6 years due to lack of funding. As a result, there are many cracks and depressions making it uneven. It is unclear who is responsible for court maintenance. She follows a popular influencer on Instagram for diet and nutrition ideas. Her medical history does not include any chronic illnesses; however, she has had previous musculoskeletal injuries. These include ankle sprains, tennis elbow (lateral epicondylitis) and a stress fracture in her right foot. She is right-handed. She hasn’t changed her racquet since early 2019. Her tennis shoes are brand new, but she had ordered them online rather than an in-store purchase. During the COVID-19 pandemic her training schedule was irregular due to lockdown measures. She also caught the virus in early 2022…The pain management nurse speaks with the patient about how to avoid constipation after starting their prescribed opioid. The nurse knows the patient understands when he states which response? O I will start using bulk enemas I will start on a stool softener I will decrease my fluid intake I will decrease my exercisingPatients who are taking herbal remedies or dietary supplements do not need to list them on medication histories since they have no interactions with medications. true or false
- Your cousin had a substance use problem that is ruining their life. Your cousin has agreed to go to a 30-day in-patient treatment for the first time. Your extended family fundraises and donates as much money as they can afford towards the $10,000 bill for the 30-day in-patient treatment program for your cousin. You remember your Week 6 lecture on substance use disorders, and the cycle of sobriety and relapse with recovery. Describe two things you teach your family that you learned in Week 6 so they can better adjust their expectations for your cousin's first attempt at rehab?Why is it necessary to do a physical examination or head-to-toe assessment on a client?need help meThe nurse is assessing a patient who had a thyroidectomy 12 hours ago. The patient appears anxious and reports tingling around the mouth and muscle twitching in the right hand. Which of the following actions would be a priority for the nurse to take? a. Evaluate the client's vocal quality and strength b. Check the client's most recent arterial blood gas results c. Obtain a blood specimen to check the serum calcium level d. Change the surgical dressing to assess for bleeding
- Which statement by the client indicates the need for further teaching regarding amiodarone? I may have itching, malaise, and jaundice, but these symptoms will subside I need to use Sunblock to keep my skin from turning bluish grey I should not drink grapefruit juice while taking this medication I should report shortness of breath and stop taking the drug immediatelyCompare and contrast the care of a client with hyperthyroidism (Grave’s disease). Ember is an 11-year-old girl who recently developed restlessness and tremors after a viral illness. Anna is a 31-year-old woman who reports weight loss, restlessness, and increased perspiration. Karen is a 67-year-old woman with recent visual changes, new-onset atrial fibrillation, and weakness. Please include assessments (including diagnostic testing), care measures (including medications), and teaching needed for each client.During morning care, a co-worker is heard telling a client: “If you wet your pants again, I will not lay you down after lunch.” What type of abuse does this statement represent? What should you do?
