Please l need a nursing care plan of fibromyalgia syndrome
Get help with college essays at Smashing EssaysQuestion Please l need a nursing care plan of fibromyalgia syndrome using rubric bellow:Medical Diagnosis:1) Definition of medical diagnosis ___________________________5Etiology/pathophysiology2) Common sign/symptoms ___________________________53) Potential complications ___________________________54) Expected assessment findings: __________________________10 Head to toe assessment5) Diagnostic studies/labs __________________________5 Normal values Expected abnormalities6) All NANDA Nursing Diagnoses _________________________107) Develop 3 NANDA Priority Nursing diagnosis __________________________108) State patient goals/plan nursing diagnosis __________________________109) Write interventions for your plan __________________________1010) Scientific rationale for interventions __________________________511) Write how you would evaluate your plan what potentially may need revision __________________________1012) List of medications typical for the __________________________15 medical diagnosis usual dosage side effect educational considerations
What are the different methods for taking someone’s temperature? When would it
What are the different methods for taking someone’s temperature? When would it be contraindicated to take a client’s temperature with each method? Explain the difference between intrinsic and extrinsic risk factors and list the risk factors for each area that place clients at risk for pressure ulcers?Explain the factors that impair a client’s perception of cold.Explain the benefits of having a fever.When do you use contact precautions vs. contact precautions with bleach?Please respond in essay format and remember to cite your sources using APA
Discuss standard precautions and infection control methods for the protection
Question Discuss standard precautions and infection control methods for the protection of both the patient and the examiner.
Discussion Topic: Adolescent Screening Guidelines: Screening for substance abuse(Alcohol and
Question Discussion Topic: Adolescent Screening Guidelines: Screening for substance abuse(Alcohol and Tobacco).For your topic, include the following:
You have alerted the doctor to the positive SIRS score
Question You have alerted the doctor to the positive SIRS score on this patient. The lactate has come back at 4.6 mmol/L and the blood cultures are pending. The chest X ray shows consolidation in the lung bases consistent with pneumonia. The doctor believes the patient is septic and has initiated the sepsis order set. Since the blood culture and lactate are already drawn you administer the antibiotic and start fluid resuscitation (30 ml/Kg) patient weight is 96 kg. You start 3 L normal Saline to be administered over 1 ½ hours. After the fluid resuscitation the patients VS are as follows: Temp 101.1⁰F, HR 76/min, BP 90/52 mmHg (MAP 60), RR is 28/min, he is also requiring oxygen and is now on a 50% non-rebreather mask and is using accessory muscles to breath. He complains of being short of breath and appears anxious and confused. You also notice his extremities are cool to the touch. His urine output has gone down from 40 ml/hour to 15 ml/hour. You call the doctor to report the changing condition. The doctor would like to start him on a medication to increase his blood pressure and get his MAP > 65 mmHg (Levophed or norepinephrine). The doctor is considering intubation for this patient. What symptoms are concerning for shock? Why is this patient requiring increased oxygen and increasing use of accessory muscles? What organ dysfunctions can you recognize? Type of ShockCan you stage the shock?Clinical Manifestation
Written Assignment – Otitis Media
An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.Answer the following questions:NOTE: INTEXT CITATION AND REFERENCES
What is the most important assessment for the nurse to
Question What is the most important assessment for the nurse to conduct following the administrative procedure of epidural anesthesia to a
WHO Double Burden Malnutrition website https://www.who.int/nutrition/double-burden-malnutrition/en/What is the greatest piece
Question WHO Double Burden Malnutrition website https://www.who.int/nutrition/double-burden-malnutrition/en/What is the greatest piece of information gleaned from the site? Please briefly describe how you might incorporate this information into patient teaching
The act of active listening to our patients and establishing
Question The act of active listening to our patients and establishing an environment where they feel comfortable and safe. When this happens, it is amazing what our patients will share with us about their home life and assistance they may need. Please share your perspectives on holistic care.
Can you explain how the sample was selected and evaluate
Question Can you explain how the sample was selected and evaluate the effectiveness of the sampling technique on post-op urinary retention.
Question 42 Which finding is of greatest concern to the
Question Question 42 Which finding is of greatest concern to the RN when assessing a patient with Type 1 Diabetes Mellitus who reports bumping his right great toe a few days ago?a. Pain with ambulation.b. Darkened area at tip of right great toe.c. Numbness and tingling of the right foot.d. Inability to extend the toe.Question 43 The RN knows which of the following to be true about the relationship between Diabetes Mellitus and Chronic Kidney Disease?a. Diabetes Mellitus is the primary cause of Chronic Kidney Disease.b. Chronic Kidney Disease is a genetic disorder that may cause Diabetes Mellitus.c. Chronic Kidney Disease and Diabetes Mellitus are related to excessive intake of protein.d. Tobacco use is the primary risk factor in the development of both Chronic Kidney Disease and Diabetes Mellitus.Question 44 What information about “sick-day rules” should the RN include in the teaching plan for a patient with Diabetes Mellitus?a. Decrease the insulin dose to account for reduced food intake.b. Avoid consuming juice, soda or gelatin.c. Check blood sugar and urine for ketones every 3-4 hours.d. Restrict fluids to keep blood glucose levels stable.Question 45 Which data finding for the patient with prolonged vomiting and diarrhea requires collaboration by the RN with the interprofessional team?a. Urine output of 80 mL per hourb. Creatinine of 0.5 mgc. BUN of 35 mgd. Blood pH of 7.48Question 46 The RN knows that discharge teaching for a patient who was hospitalized for Acute Pancreatitis has been effective when the patient states the need to eliminate which items from their diet?a. Breads and cerealsb. Chicken and fishc. Tea and coffeed. All dairy productsQuestion 47 Which menu selection would be most appropriate for a patient with Cholecystitis?a. Scrambled eggs and buttered toast.b. Broccoli and cheese soup.c. Broiled fish and steamed rice.d. Oatmeal with 2% milk.Question 48 Which assessment finding for the patient diagnosed with Hyperthyroidism who is prescribed propylthiouracil (PTU) requires intervention by the RN?a. Nausea and vomiting.b. Heart rate 100 beats per minute.c. White blood cell count (WBC) 2,000/mm3.d. Serum glucose 120 mg/dL.Question 49 Which of the following clients poses ethical considerations in the self-management of Type 1 Diabetes Mellitus?a. 19-year-old college student who lives at home with parentsb. 82-year-old widowed client who lives alone in a small housec. 33-year-old divorced client who lives in a mobile home park with 2 childrend. 45-year-old developmentally delayed client who lives in a group home
Question 50 Which intervention should the RN implement for the
Question Question 50 Which intervention should the RN implement for the patient receiving long-term prednisone therapy?a. Restrict high-calcium foods.b. Provide a low-protein diet.c. Limit consumption of foods high in Vitamin C.d. Encourage foot exercises when in recumbent position.Question 51 Which data finding indicates to the RN that the patient is in the oliguria period of Acute Kidney Injury?a. Polyuriab. Elevated urine specific gravityc. Elevated creatinined. HypokalemiaQuestion 52 Which symptom reported by the patient immediately following the surgical removal of the thyroid and parathyroid gland requires intervention by the RN?a. Earacheb. Depressionc. Foot crampsd. IndigestionQuestion 53 Which assessment finding in a patient following a renal transplant should the RN report to the primary care provider?a. Polyuriab. Hypertensionc. Anorexiad. FatigueQuestion 54 Which assessment should the RN perform first for the patient suspected of Fulminant Hepatic Failure?a. Appetiteb. Cognitive statusc. Skin colord. Blood glucose levelsQuestion 55 Which is the RN’s best response when a patient with Type 2 Diabetes who has been prescribed the medication nateglinide (Starlix) asks the RN how the medication works?a. “It suppresses beta cell activity in the pancreas.”b. “It decreases blood sugar levels after meals.”c. “It suppresses the secretion of glucagon from the liver.”d. “It increases the secretion of insulin from the pancreatic beta cells.”Question 56 Which assessment finding in the patient diagnosed with Stage 1 Hepatic Encephalopathy should the RN report to the primary care provider?a. Periods of lethargyb. Impaired writingc. Asterixisd. DisorientationQuestion 57 Which finding in a patient with esophageal varices indicates to the RN that immediate intervention is necessary?a. Increased urine outputb. Tachycardiac. Abdominal tendernessd. Hypertension
Question 58 Which evidence has been established about the concurrent
Question Question 58 Which evidence has been established about the concurrent use of rosiglitazone (Avandia) and oral contraceptives?a. The oral contraceptives may need to be discontinued.b. There may be an increased risk of pregnancy.c. The contraceptive dosage may require a reduction. d. The medications should be taken 6 hours apart.Question 59 Which intervention should the RN implement first when the patient diagnosed with diabetes is confused and diaphoretic with slurred speech?a. Call the healthcare provider.b. Administer insulin.c. Activate the rapid-response team.d. Administer a fast-acting concentrated carbohydrate.Question 60 The RN should expect the healthcare provider to prescribe which dietary modification for a patient admitted with Acute Nephrotic Syndrome?a. Potassium-rich foodsb. High-protein dietc. Fluid encouragementd. High-carbohydrate dietQuestion 61 Liver transplantation involves many ethical considerations, especially with regards to allocation of organs. Which strategy would best objectively determine transplant need and minimize ethical considerations?a. Rigorous counseling and education prior to the transplant.b. Evaluating client for any history of drug or alcohol abuse.c. Determining client motivation to adhere to the post-transplant treatment regimen.d. Use of the MELD (Model for End-Stage Liver Disease) classification system.Question 62 The RN instructs the LPN to report which data findings when caring for the patient with a diagnosis of Diabetes Insipidus? Select all that apply.a. Craving for carbohydratesb. Intense thirstc. Copious, dilute urined. Urine specific gravity of 1.030e. OliguriaQuestion 63 Which assessment data indicates to the RN that the patient is experiencing Diabetic Ketoacidosis (DKA)? Select all that apply.a. Serum bicarbonate 10 mEq/Lb. Acetone breathc. Tenting of skin over clavicled. Serum glucose 500 mg/dLe. Urine output 30 mL per hour Question 64 Which intervention should the RN implement for the patient that is one-hour postoperative thyroidectomy?a. Monitor serum calcium level.b. Change the surgical dressing.c. Observe posterior neck for bleeding.d. Assess for Chvostek’s sign.Question 65 Following the change of shift report, which patient should the RN assess first?a. The patient diagnosed with Hypoparathyroidism who has a positive Chvostek’s sign.b. The patient diagnosed with Diabetes Insipidus who is drinking large amounts of water.c. The patient that is day one postoperative thyroidectomy who is hoarse.d. The patient diagnosed with Hypothyroidism with a temperature 94.2°F (34.5°C) and BP 90/40.
Question 66 Which nursing intervention takes priority when providing care
Question Question 66 Which nursing intervention takes priority when providing care to a patient with Acute Pancreatitis?a. Monitoring daily weight.b. Assessment of skin turgor.c. Maintaining intake and output.d. Administering pain medication.Question 67 Which data finding for the patient diagnosed with End-Stage Kidney Disease (ESKD) requires the RN to collaborate with the interprofessional team?a. Pulse rate of 98b. Serum potassium of 4.5 mEq/Lc. Blood pressure of 170/100d. Hemoglobin of 12 g/dLQuestion 68 Which statement made by a patient being discharged home on Continuous Ambulatory Peritoneal Dialysis (CAPD) indicates to the RN that teaching has been effective?a. “Exchanges include infusion, dwell and drainage time.”b. “The fistula can be used immediately after insertion.”c. “I will need to travel to the dialysis unit three times weekly.”d. “The dialyzer machine will remove toxins from the body.”Question 69 Which of the following is recommended regarding exercise in a person with Diabetes Mellitus?a. Exercise at various times of the day during the week.b. Inspect feet prior to each exercise session.c. Exercise no more than 3 times weekly.d. Avoid exercise when the blood glucose level exceeds 250 mg/dL.Question 70 Which order should the RN anticipate from the primary care provider for the patient diagnosed with Hyperparathyroidism that has a serum calcium of 16 mg/dL?a. 0.45% normal saline IVb. calcium carbonate tabletsc. calcitonind. furosemide (Lasix)Question 71 Which instruction should the RN provide to the patient that reports pain in the area of the right scapula following a laparoscopic cholecystectomy?a. Change the surgical dressing.b. Take hydrocodone (Lortab) 5/500 mg.c. Apply a heating pad to the area for 15-20 minutes hourly.d. Report to the Emergency Room immediately.Question 72 Which assessment finding in the patient following the surgical removal of a Pheochromocytoma requires immediate intervention by the RN?a. Hypotensionb. Oliguriac. Bradycardiad. HyperglycemiaQuestion 73 Which data finding for a patient with a history of esophageal varices who reports not feeling well after moving furniture requires the RN to collaborate with the interprofessional team?a. Blood pressure of 100/70b. Severe nauseac. Hematocrit of 9d. Pulse rate of 95
Question 74 A client is being evaluated for a possible
Question Question 74 A client is being evaluated for a possible cadaveric kidney transplant. Which factor surrounding a kidney transplant may pose ethical considerations?a. Health prognosis of the organ recipient.b. ABO and antigen compatibility of the donated organ.c. Health history of the organ recipient.d. Ethnic differences between donor and recipient.Question 75 Which nursing intervention is a priority when caring for a patient with Hyperparathyroidism?a. Discourage the use of stool softeners.b. Ensure a minimum of 2000 mL fluid intake daily.c. Encourage intake of calcium-rich foods.d. Monitor for episodes of diarrhea.Question 76 Which nursing interventions should the RN implement when providing care for a patient with ascites related to Cirrhosis of the liver? Select all that apply.a. Ambulate in hallway three times daily.b. Measure abdominal girth every few hours.c. Administer furosemide (Lasix) as prescribed.d. Encourage an increase in oral fluids.e. Maintain strict intake and output.Question 77 Which statement made by the patient who received extracorporeal shock wave lithotripsy (ESWL) for urolithiasis indicates to the RN that education is effective?a. “I should expect to run a slight fever after the procedure.”b. “I should expect to see small stones in my urine.”c. “I need to be on bedrest for a few days.”d. “I need to drink at least 8 glasses of water every day.”Question 78 Which statement made to the RN by a patient diagnosed with Myxedema who is non-adherent with dosing of levothyroxine (Synthroid) indicates the need for additional education?a. “I will take my medication as prescribed.”b. “I need to have routine blood draws while taking this medication.”c. “I should take extra Synthroid when I feel very fatigued.”d. “I need to be monitored for cardiac disease.”Question 79 Which statement made by a patient who reports right upper quadrant abdominal pain indicates to the RN that the patient may be experiencing acute gallbladder disease?a. “I sometimes have pain on the left side too.”b. “The pain occurs when I urinate.”c. “The pain occurs 30 minutes after I eat.”d. “I feel worse when I take a deep breath.”Question 80 Which assessment finding in the patient with untreated Hypothyroidism should the RN report to the primary care provider?a. Respiratory rate 22 per minute.b. Blood pressure 120/78 mm Hg.c. Heart rate 98 beats per minute.d. Oral temperature 95.2°F (35.1°C).
Psychotherapy Have a Biological Basis
Discussion: Does Psychotherapy Have a Biological Basis?Many studies have found that psychotherapy is as effective as psychopharmacology in terms of influencing changes in behaviors, symptoms of anxiety, and changes in mental state. Changes influenced by psychopharmacology can be explained by the biological basis of treatments. But how does psychotherapy achieve these changes? Does psychotherapy share common neuronal pathways with psychopharmacology? For this Discussion, consider whether psychotherapy also has a biological basis.To prepare:Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with the current evidence-based literature3-4 current references required for the discussion.Read a selection of your colleagues’ responses.
Explain the following four (4) major types of cellular adaptation
Question Explain the following four (4) major types of cellular adaptation
A female client who wants to delivery at home asks
Question A female client who wants to delivery at home asks the nurse to explain the role of a nurse-midwife in providing obstetric care. What information should the nurse provide?
Which nursing intervention should the nurse implement with parents who
Question Which nursing intervention should the nurse implement with parents who experience a fetal demise and express the wish not to see the baby?
What is the difference between Maryland state and Pennsylvania state
Question What is the difference between Maryland state and Pennsylvania state in nursing delegation
This question was created from CHCDIV001_002_AT1_W_TQM_v1 (1).docx https://www.coursehero.com/file/34482595/CHCDIV001-002-AT1-W-TQM-v1-1docx/ I really
Question This question was created from CHCDIV001_002_AT1_W_TQM_v1 (1).docx https://www..com/file/34482595/CHCDIV001-002-AT1-W-TQM-v1-1docx/ I really need help understanding the question,please. ATTACHMENT PREVIEW Download attachment 34482595-334221.jpeg 5b. This table outlines key areas of diversity, beside each key area outline their characteristics Key area of diversity Characteristic Disability transgender Intersex
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