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- 1. Female, 40 years old. The left index finger was accidentally stabbed by a shoe repair needle. In the past 3 days, the pain gradually increased, swelling, throbbing pain, and she was unable to sleep. The current primary treatment measures are ( ) Use analgesics Incision and drainage Antibiotics Elevate the affected limb Rest 2. Female, 65 years old, with a history of hepatitis B for more than 20 years. Sudden of hematemesis this morning, the color was bright red, the amount was about 1500ml, and she came to our hospital for emergency. Physical examination: pale appearance, cold limbs, BP 78/50mmHg, P 112 beats/min. Abdominal distension, shifting dullness (+), 5 cm below the spleen rib. The inappropriate treatment for this patient is: Compression of three cavities and two balloon tubes Intravenous somatostatin Emergency laparotomy for hemostasis Blood transfusion Interventional treatment with fiber gastroscopeHistory of Present IllnessTwo hours prior to admission, at 4am, patient Jake was jogging along LacsonStreet when a group of bystanders had approached him and stabbed himmultiple times. He claims that he does not know these people. He tried todefend himself resulting to multiple injuries in his upper extremities where hehad 3 lacerations, cheeks where he had a laceration on the left, right chest andright upper abdominal quadrant. Medications: Tetanus Toxoid 0.5 ml/amp, give 1 ampule via deep IM, now at right deltoid ATS 3,000 IU/amp, give 1 ampule via deep IM, now, ANST at left deltoid Piperacillin Tazobactam 2.25 grams/vial, give 1 vial via IV drip to run for 3 hours Q8H Tramadol 50 mg/amp, give 1 ampule very slow IV push now then Q6 PRN for pain Omeprazole 40 mg/amp, give 1 ampule via IVTT ODHS Latest Vital Signs : Blood Pressure: 90/60 mmHg Heart Rate: 121 bpm Respiratory Rate: 26cpm Temperature: 37.3 ⁰C Pain Scale: 10/10 NURSING CARE PLANArterioschlerosis Describe the • Type symptoms here symptoms & treatment Type treatment here of this disease/disorder. SYMPTOMS TREATMENT ΤΥΡE 21
- Mr. Wright is recovering from abdominal surgery. When thenurse assists him to walk, she observes that he grimaces, moves stiffly, and becomes pale. She is aware that he hasconsistently refused his pain medication. What would be apriority nursing diagnosis for this patient? a. Acute Pain related to fear of taking prescribed post-operative medications b. Impaired Physical Mobility related to surgical procedurec. Anxiety related to outcome of surgeryd. Risk for Infection related to surgical incisionPt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Base on this information please do the concept map in the imagePt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Vitals at 800: Vitals at 11:20Am: Pulse: 99 HR: 72 SPO2: 99. BP: 144/97 BP: 135/82. R: 17 Temp: 95:4 HR:70 R: 16 Base on the information above can you please do a intervention for each body system. Neurological, Musculoskeletal, cardiovascular, respiratory, integumentary, GI, GU Patient…
- 37) Female,51 years old,has swelling and pain in both wrist joints for 3 months. The 3rd and 4th interphalangeal joints of both hands are swollen and painful, second metacarpophalangeal joint of both hands is swollen and painful for 2 months, morning stiffness for 2 hours, and low fever. Her most likely diagnosis is? A Systemic lupus erythematosus B Rheumatoid Arthritis C Osteoarthritis D Gout E SpondyloarthropathyAlfred a 45 year-old African-Spanish male two days ago complained of awakening with severe, 8 out of 10 left knee pain, erythema, and swelling three days prior. He the pain was “in and all around the joint area.” he denied being able to ambulate without his wife’s assistance and stayed home from work as a teacher. He thought he “overdid it” playing with his kids. The pain persisted throughout the day despite taking two OTC NSAID tablets. The pain mostly subsided by the next morning. Peter also said that he had a similar episode of sudden onset pain upon waking in the morning in his right great toe, but thought he stubbed his toe. He denies injury, fever, rash, chills or decreased range of motion. Alfred’s History Height: 5’11’’; Weight: 239 lbs History of hypertension Takes 25 mg HCTZ a day Reports drinking beer on most weekends John’s Vitals upon examination Temp: 98.8°F HR: 79 bpm BP: 136/78 Resp: 17 Question: What are the parameters to confirm that it is therefore gout?Compare the ideal position in a chair for a client witharterial obstruction with that for a client with varicoseveins.
- A patient began noting inability to recognize the faces of family members. He described their faces as looking the same, like “looking at the faces of monkeys;they all appear similar.” His lesion is in the Both left and right area 1,2,3. Both left and right area 17 Parietal lobe Fusiform gyrusembed an image for each type of malformations of the face. 4. Astomia 14. Macrostomia 5. Uranoschisis 15. Macrognathia 6. StaphyloschisisA 65 year old man is brought to the emergency department after an episode of a transient ische