a client with chronic obstructive pulmonary disease (copd) and cor pulmonale had been prescribed a loop diuretic to treat peripheral edema. the nurse should monitor the client closely for what side effect of loop diuretic therapy that could worsen the client's hypercapnia?
which of the following statements is true? multiple choice a diet that is high in saturated fat helps reduce high blood cholesterol levels. oxidized ldl contributes to arterial plaque buildup. high levels of hdl cholesterol are associated with increased risk of heart disease. foods that contain cholesterol should be avoided because the substance is toxic to human cells.
case study 14 your patient was admitted to the hospital in new mexico when his condition worsened. he is severly ill with diarrhea, abdominal pain, vomiting, and low blood pressure. yesterday, he developed massive bleeding under his skin, and bruises around his swollen lymph node. diagnostics showed bacteremia and severe sepsis. he was treated with gentamycin, vancomycin, ciprofloxacin, doxycycline, and human activated protein c, but his condition worsened. his blood pressure dropped dramatically, and his kidneys began to fail. he was placed on mechanical ventilation and hemodialysis, and underwent unilateral amputation of one of his hands due to ischemia. what do you think is wrong with your patient?
you are a nurse on a post-surgical ward. one of your patients is an elderly woman who has just had her gallbaldder removed. when you go into her room to check on her, you find that she has significant diarrhea, as well as fever and abdominal pain. you suspect that she has clostridium difficile infection (cdi), and send a sample of her feces down to the hospital lab for analysis. the test result indicates that your patient does indeed have cdi. you make your patient comfortable and answer her questions about her illness. you tell your patient that in some cases, cdi becomes chronic. one approach for treating this condition is a fecal microbiota transplant. how might this help a person with recurrent cdi?
a 25-year-old female comes with reports of a sudden onset of increased thirst and urination. this began abruptly 1 week ago and has not abated since. she states that since that time she has been thirsty all the time. the only significant illness in her life has been the recent diagnosis of bipolar affective illness subtype i that was made 6 weeks ago. she was started on lithium carbonate and is currently taking 1200 mg/day. her serum lithium levels have been normal since the beginning. on examination, her bp is 110/70 mm hg. she has lost 5 pounds during the last week and looks somewhat dehydrated. what is the treatment of choice in this patient?
the nurse is teaching a patient about treatment with an ssri antidepressant. which teaching considerations are appropriate? (select all that apply) the nurse is teaching a patient about treatment with an ssri antidepressant. which teaching considerations are appropriate? (select all that apply) the patient should be told which foods contain tyramine and instructed to avoid these foods. the patient should be instructed to use caution when standing up from a sitting position. the patient should not take any products that contain the herbal product st. john's wort. this medication should not be stopped abruptly. drug levels may become toxic if dehydration occurs.
a 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. she is conscious and alert, but anxious. her blood pressure is 144/84 mm hg and her heart rate is 110 beats/min. she took two of her prescribed nitroglycerin (0.4-mg tablets) before your arrival but still feels heaviness in her chest. you should: a. recall that geriatric patients often take multiple medications and that interactions can occur with potentially negative effects. b. give her high-flow oxygen, avoid giving her any more nitroglycerin because it may cause a drop in her blood pressure, and transport. c. transport her at once and wait at least 20 minutes before you consider assisting her with a third dose of her prescribed nitroglycerin. d. assist her in taking one more of her nitroglycerin tablets, reassess her blood pressure, and contact medical control for further instructions.
omh has said the enhancement initiative followed a decade of successful implementation of the 2000 standards, but the news media have reported on implementation problems, and the 2013 standards were released with an implementation manual almost 200 pages long. what do you think might be some barriers to implementation, and what would you suggest to encourage implementation? what do the expanded definitions of health and culture say in general about the way government framed health in 2013 as compared to 2010? what might have contributed to the change? how do you explain the differences between recommendations, guidelines, and mandates? what are the possible explanations for making all enhanced standards guidelines? which are the most important standards in your opinion? which are the least important? what would you change about these standards if you were in charge of the u.s. department of health and human services? does it seem unusual to you for a government agency to wait more than 10 years to review and revise standards like these? what might be the reasons for waiting? what arguments could be made for more frequent review
You are to create a paper chain with construction paper. Write the various steps in the chain of infection for a particular disease/infection. Share your chain and explain how you could have “broken” this chain.
You are to create a paper chain with construction paper. Write the various steps in the chain of infection for a particular disease/infection. Share your chain and explain how you could have “broken” this chain.
