• Posted in: Home
• 32
• Author: admin

Bronchiectasis is an uncommon disease, most often secondary to an infectious process, that results in the abnormal and permanent distortion of one or more. Practice Board Questions Education Resources Certified Medical Educators Continuing Medical Education. Hemoptysis is an important sign of an underlying disease Mortality rate can be as high as 80 Upto 30 of patients have no cause identified even after careful evaluation. Page 13 from Radiology Review Manual Dahnert, Radiology Review Manual by Wolfgang F Du00e4hnert Lippincott Williams Wilkins ISBN 0781766206. Explain what nursing actions should be implemented when administering a diuretic George Brown, 7. The patient has a history of coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are blood pressure 8. Hg, heart rate 1. X99UOdT2So/UDONXt-F3jI/AAAAAAAAAm4/2XGFDqzdT6k/s1600/589px-Mittellappenatelektase_CT_sagittal.jpg' alt='Crackles Right Lower Lobe' title='Crackles Right Lower Lobe' />F. There are bubbling crackles and wheezing throughout the lung fields and the patient is raising frothy blood tinged clear sputum. The patients admission weight is 1. What first actions should the nurse take and what are the rationales for these actions The physician ordered furosemide Lasix 4. IVP STAT. b. What are the actions of furosemide that will help the patientPneumonia Synonyms Pneumonitis, bronchopneumonia A chest Xray showing a very prominent wedgeshape area of airspace consolidation in the right lung characteristic. Crackles Right Lower Lobe' title='Crackles Right Lower Lobe' />What nursing actions should be implemented when administering a diuretic Carl Edwards is a 7. Having sustained three myocardial infarctions in the last 1. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he presents to the emergency department with fatigue, generalized weakness, and feelings of skipping heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV is inserted. He currently denies chest pain, but is experiencing some shortness of breath, and is placed on 2 L of oxygen via nasal cannula. Which of his medications might be contributing to his symptoms of generalized weakness and heart irregularities For what clinical manifestations should you assess to correlate to his left sided heart failure How do his medications treat his congestive heart failure How does the hypokalemia affect the effects of Digitalis Case Study, Chapter 3. Assessment and Management of Patients With Hypertension. Home Current Health Articles Pneumonia Cough, Sputum and Other Signs and Symptoms Pneumonia Cough, Sputum and Other Signs and Symptoms. Posted by Dr. Chris. OSCEs at a Glance Adrian Blundell BMedSci, BM, BS, MRCP, MMed Sci Clin Ed, MAcadMEd Consultant Geriatrician Honorary Associate Professor Nottingham University. Heart failure HF is a syndrome of ventricular dysfunction. Left ventricular failure causes shortness of breath and fatigue, and right ventricular failure causes. So I just had my first job interview last week for a residency program and I didnt get the job. I was preparing for behavioral questions, since a hiring manager. The community health nurse is preparing a program about hypertension for a local community center. The focus of the program is on the reduction of risk factors and compliance for those who have been diagnosed with high blood pressure. The target population includes older adults. The nurse focuses on primary hypertension because it accounts for 9. United States. What risk factors does the nurse include for this population The nurse prepares to discuss the changes in how the JNC 7 defines hypertension. What ranges and descriptions should the nurse include Because this is a gerontologic audience, the nurse needs to review why blood pressure increases with age. Explain how the structural and functional changes of aging contribute to higher blood pressure in the older adult. What information does the nurse include about lifestyle modifications that may decrease risk of hypertension or complications associated with diagnosed hypertension Case Study, Chapter 5. Assessment and Management of Patients With Diabetes. Sallie Smith, 4. 2 years of age, is newly diagnosed with type 2 diabetes. During the patient education, the patient asks the nurse, What should I do if I am sick and cant eat should I still take my medicine for the diabetesa. What management strategies should the nurse provide the patient to deal with sick days Jerry Thomas is a 2. Netdom Tool Windows Server 2003 on this page. He was originally diagnosed at the age of 1. Jerry is employed as a schoolteacher and soccer coach. He presents today with a 2 day history of vomiting and diarrhea. He has been closely monitoring his blood glucoses, and is using regular insulin for high blood glucose levels. He has only been able to tolerate liquids such as Gatorade, but today he is unable to even tolerate that, and comes to the clinic for evaluation of possible diabetic ketoacidosis DKA. Describe the pathophysiology of DKA and why it occurs in patients with type 1 diabetes. Based on the diagnosis of DKA, what assessment findings does the nurse correlate to this disorder The physician orders a complete metabolic panel, and Jerrys blood glucose is 4. Other lab values include a serum sodium of 1. BUN of 6. 4. What is your assessment of these results Explain why it is important for Jerry to continue to take his insulin even though his oral intake is decreased. Case Study, Chapter 2. Assessment of Respiratory Function. John April, 2. 4 years of age, is a male patient who was admitted to the surgical unit after a successful repair of an inguinal hernia. He is 5 feet 1. 0 inches tall and weighs 1. He has a neck circumference of 2. The patient has a morphine PCA. He has no known drug allergies. His vital signs are as follows blood pressure 1. Hg, respiratory rate 2. F. The patient complains of incision pain and rates it on the pain scale as 7 of 1. His family is visiting at the bedside. The nurse administers a bolus dose of morphine. Fifteen minutes after administering the pain medication, a family member enters the hallway and yells, We need help in here John is not breathing. The nurse finds John having periods of apnea lasting a few seconds followed by a short snorting gasp and then he begins breathing at a rate of 1. Texas Drivers License Name Change Marriage. His lips are bluish in coloration and so are his nail beds. The patient is lying supine in the bed. He awakens as the nurse enters, but is very lethargic and somnolent. Which assessment parameters are appropriate to determine the characteristics and severity of the symptoms that the patient is exhibiting Which nursing interventions should the nurse instituteWhich intervention must be provided immediately Explain the possible reasons for the patients sudden decline in the respiratory status. Chapter 2. 3 Case study. Harry Smith, 7. 0 years of age, is a male patient who is admitted to the medical surgical unit with acute community acquired pneumonia. He was diagnosed with paraseptal emphysema 3 years ago. The patient smoked cigarettes one pack per day for 5. The patient has a history of hypertension, and diabetes controlled with oral diabetic agents. The patient presents with confusion as to time and place. The family stated that this is a new change for the patient. Preset Adobe Lightroom 3 Serial. The admission vital signs are as follows blood pressure 9. Hg, heart rate 1. F. The pulse oximeter on room air is 8. The CBC is as follows WBC 1. HCT 3. 0, and Hgb 1. L. ABGs on room air are p. H 7. 3. 0, Pa. O2 5. Pa. CO2 5. 0, HCO3 2. Chest x ray results reveal right lower lobe consolidation, presence of apical bullae, flattened diaphragm, and a small pleural effusion in the right lower lobe. Lung auscultation reveals severely diminished breath sounds in the right lower lobe and absence of breath sounds at the base. The breath sounds in the rest of the lungs are slightly decreased. The patient complains of fatigue and shortness of breath and cannot finish a short sentence before the respiratory rate increases above the baseline and his nail beds and lips turn a bluish tinge and the pulse oximetry decreases to 8. The patient is diaphoretic and is using accessory muscles. The patient coughs weakly, but he does not raise any sputum. What nursing assessment findings support the diagnosis of pneumonia What diagnostic findings support the diagnosis of pneumonia What nursing diagnoses should the nurse formulate for the patient What goals should the nurse develop for the patientWhat overall interventions should the nurse provide Chapter 2. Case Study. Sallie Thorp, a 2. World Wide Web at http www. She states that she would like to develop the plan with the help of the nurse and physician and review it at each appointment to keep it current.