14- The clinic nurse instructs parents of a child with sickle cell anemia about the precipitating factors related to sickle cell crisis. Which, if identified by the parents as a precipitating factor, indicates the need for further instruction? 1.Stress 2. Trauma 3. Infection 4.Fluid overload 15- A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should prepare to administer which prescription? 1.Injection of factor X 2. Intravenous infusion of iron 3. Intravenous infusion of factor VIII 4.Intramuscular injection of iron using the Z-track method
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- 12-The nursing student is presenting a clinical conference and discusses the cause of B-thalassemia. The nursing student informs the group that a child at greatest risk of developing this disorder is which of these? 1.A child of Mexican descent 2.A child of Mediterranean descent 3.A child whose intake of iron is extremely poor 4.A breast-fed child of a mother with chronic anemia 13- A child with B-thalassemia is receiving long-term blood transfusion therapy for the treatment of the disorder. Chelation therapy is prescribed as a result of too much iron from the transfusions. Which medication should the nurse anticipate to be prescribed? 1.Fragmin 2. Meropenem 3.Metoprolol 4.Deferoxamine16-The nurse is instructing the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the parents? 1. Administer the iron at mealtimes. 2.Administer the iron through a straw. 3. Mix the iron with cereal to administer. 4. Add the iron to formula for easy administration 17- Laboratory studies are performed for a child suspected to have iron deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia? 1.Elevated hemoglobin level 2.Decreased reticulocyte count 3.Elevated red blood cell count 4. Red blood cells that are microcytic and hypochromic10-A child with thalassemia was given desferoxamine (Desferal); which of the following should alert the nurse to notify the physician? A. Decreased hearing B. Hypertension C. Red urine D. Vomiting 11-The nurse is providing home care instructions to the parents of a 10-year-old child with hemophilia. Which sport activity should the nurse suggest for this child? 1.Soccer 2.Basketball 3.Swimming 4.Field hockey
- 19-The nurse is conducting staff in-service training on von Willebrand's disease. Which should the nurse include as characteristics of von Willebrand's disease? Select all that not apply. A. Easy bruising occurs. B. Gum bleeding occurs. C. It is a hereditary bleeding disorder. D. Treatment and care are similar to that for hemophilia. E. It is characterized by extremely high creatinine levels. F. The disorder causes platelets to adhere to damaged 73-When positioning the neonate with an unrepaired myelomeningocele, which of the following positions would be most appropriate ? a. supine the hip at 90 degree flexion b. right side-lying position with knees flexed c. prone with hips in abduction d. semi-fowler's position with chest and abdomen elevatedPatient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenouslytein X Case Studies.docx X + rl=https://wheatland.orbundsis.com/einstein-freshair/Videos/0216D9403D0ED43358766A676D8A4817/Case+Stuc TCentral | NBA... a Amazon.com: Onlin... (6) The Reason Why... Isaiah Blames Zora... Beyond The Lights... Case Study, Chapter 26, The Digestive System Mr. McArthur is hospitalized with pancreatitis and cholecystitis. Neither his gallbladdernor his pancreas are functioning normally at this time. The client is placed on a NPO (nothing by mouth) diet order, given intravenous fluids and pain medication. The nurse is aware that the pancreas has two functions: one being endocrine, secretion of hormones to assist with glucose control and the other being exocrine, aiding the digestive system. Mr. McArthur is scheduled for gallbladder removal in the morning to treat the cholecystitis. (Learning Objective 4) 1. The client asks what his gallbladder does. What is the nurse's best response? 2. The client also asks how the pancreas works to help with digestion. What…
- An 86-year-old woman with a history of diabetes and hypertension presents to the emergency room with a complaint of chest pain x 4 hours. And I noticed intense nausea with two bouts of vomiting, too. She is now free of chest pain. Her blood pressure is 130/70, heart rate 50, breathing 20, and oxygen saturation 95% in room air. A physical examination reveals normal breathing sounds. 1- What is the medical diagnosis? 2- What is the specific investigation in order of priority? 3 What is the link between a patient's history and diagnosis? 4- Nursing care for this patient.IV. Indicate whether the sentence is True or False 1 1. Wright's stain is sued to visualize a peripheral blood smear 2. cerebral cortex is the outermost layer of the brain 3. Ifa cell has a greater mumber of protein carriers, the rate of facilitated diffusion across the phospholipid bilayer of the plasma membrane will be increased 4. Long bone grows in length as a result of endochondral deposition of bone tissue 5. Smooth and cardiac muscle are innervated by the autonomic nervous system, whereas skeletal muscle is innervated by the somatic nervous system 6. As skeletal muscle shortens with contraction, the length of the I band remains constant as the length of the A band decreases 7. When voltage-dependent calcium channels open, calcium moves out of the cell s. The smallest living units capable of carying out their own basic life functions are the cells 9. During the absolute refractory period, the majority of voltage-gated sodium channels closed and incapable of opening 10.…11:11 Back CASE #3DISCUSSI... Case #1 Patient is an 89 year old male admitted with Hyperkalemia, ESRD, HTN, and Bladder Cancer. Patient's past medical history includes recurrent bladder carcinoma, CVA, hernia repair and hemodyalisis. Patient was admitted due to weakness and 2 weeks of diarrhea for which he had refused to be dialyzed for 7 days. Patient lives s at home with wife and daughter who are both his healthcare surrogates. Based on patient's poor prognosis, oncologist had recommended on previous admissions that patient be made Hospice Care with comfort measures. Case #1 Cont. Daughter and wife have refused Hospice care and want patient to be dialyzed and continue aggressive treatment to include full resuscitation if cardiopulmonary arrest. Daughter and wife have requested all physicians to refrain from speaking to patient about his prognosis. At t this time all physicians have followed daughter and wife's request not let patient know that his cancer has returned, except for the…
- 10:43 Developing Critical Thinking Through Understanding Pathophysiology Primary problem (medical diagnosis) of patient:__ 1. Define and describe in your OWN WORDS, the pathophysiology of the primary problem of your patient: 2. How would you explain and teach your patient about the pathophysiology of this medical problem using non-medical terminology? 5G UC ll 78% 3. What body system(s) are directly impacted by this disease and how are those systems affected? BODY SYSTEM(S): HOW BODY SYSTEM IS AFFECTED(S): 4. PRIORITY nursing assessments with this disease? (refer to body system that is most affected). What assessment findings may be abnormal as a result of this illness? PRIORITY ASSESSMENTS: EXPECTED ABNORMAL ASSESSMENTS: 5. What lab tests are altered by this problem? How are those lab tests affected? Does the altered lab test affect any physical assessment findings? ABNL. LAB TESTS: HOW LAB TESTS AFFECTED: DOES IT IMPACT SESSMENTS? 6. What medications are most commonly used to manage…Case study of a child suffering from pneumonia 4 years old in detail c. Any assistant device used e.g. catheter d. Activity – exercise pattern: a. Developmental screening of the child: 1. Gross motor: 2. Fine motor: b. Self-care abilities or activities: Independent Needs assistance Dependent Activity Feeding Bathing Dressing Toileting | Mobility 3*Case Study* A 2-year-old boy fell from a backyard gym set. His shoulder and upper arm became very swollen shortly after the fall. The boy’s mother took him to the emergency department a few hours after th incident because he was complaining of pain. On physical examination, the physician noted that large hematoma had formed in the upper part of the boy’s right arm. There was no history of surgery (he had not been circumcised), injury, or illness. The boy was receiving no medication. Emergency department treatment consisted of aspirating the hematoma Subsequent to this treatment, the boy began to bleed extensively. He was admitted to the hospital. The following laboratory tests were ordered: a hemoglobin and hematocrit, platelet count, and bleeding time. Because the bleeding continued, a type and crossmatch for two units of fresh blood were ordered on a standby basis. Additional information from the mother revealed that the boy’s cousin had “bleeding problem.” Laboratory Data…