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A pediatric home care nurse schedule a visit to the home of a four week old newborn, who had a low thyroxine T4 and a high thyroid stimulating hormone at birth, and was diagnosed with congenital, hypothyroidism or cretinism, which instruction is most important for the nurse to provide the beatings of the child
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- CASE #1. Alicia is 48 year old female of 76 kilograms and height of 161.5 centimetres. Although she attempted reduced weight, but she has gained instead 11.4 kilograms in the previous months. She also sleeps for 14-16 hours a day. Her movements were slothful, and she has slight enlargement of the neck area, coarse textured hair and dry skin. When her blood sample was analyzed it showed that the hormone T4 (thyroxin) levels were 3.2 micrograms/millilitre which is lower than the normal range, 4.2-11.2 micrograms/millilitre. In addition to this her TSH (thyroid stimulating hormone) levels were high. 1. List possible causes of this case.What lifestyle modifications and patient teaching would you stress for this pt? Does he need any referrals?A nurse is teaching a group of patients about dia- betes mellitus. Which participant should the nurse anticipate will have the most difficulty following al medical regimen associated with a chronic health problem? 1. Adolescent 2. Older adult 3. Young adult 4. Middle-aged adult
- An 82-yr old female was admitted to the orthopedic unit with a righ hip fracture, sustained from a mechanical fall at home. Daughter at the bedside states, " She has a history of osteoporosis." Patient has been taking alendronate, and calcium/vitamin D supplements. History also suggests that she has diabetes(type 2). Daughter states, " She isn't on any insulin, but takes pills to control her sugar." She depends on her daughter, neighbors, and church group to help her with transportation, errands, etc. She is ADL independent. No history of dementia. She is status post open reduction internal fixation fixation (ORIF) of the right hip. AAOx2. Vitals: T100.3, P92, R14, BP 166/90, SPO2 95 (on 2L NC). Breath sounds clear to auscltation. Bowel sounds hypoactive to all 4 quadrants. Noted dressing to lateral aspect of right hip. No noted edema on palpation. Diminished pedal pulses to left lower extremity, no palpable pulse to right lower extremity. Skin is warm to touch on left Low Extremity,…A client who had been experiencing signs of preterm labor at 30 weeks’ gestation with successful suppression in the hospital is being discharged with preterm labor precautions. Her primary provider ordered terbutaline by mouth every 4 hours and for the client to remain on bed rest with bathroom privileges. What side effects of terbutaline should the nurse teach the client prior to discharge? What are two nursing diagnoses that would be appropriate for the client’s home care regimen for preterm labor suppression?Develop a nursing care plan that includes all phases of the nursing process for patients receiving any of the drugs related to women’s health (e.g., estrogens, progestins, uterine mobility–altering drugs, and osteoporosis drugs).
- The nurse assists the patient with Diabetes, with nutritional therapy with the knowledge that a healthy eating plan is designed to: Select one: a. For use during periods of high stress b. To be used only for Type 1 Diabetes Mellitus c. To normalise blood glucose levels by elimination of sugar d. To help normalise blood glucose levels through a balanced dietJazmine Smith is a CMA (AAMA) certified medical assistant who works at an obstetrics and gynecology practice. She works with prenatal visit patients. The next patient is a 29-year-old multigravida in the 16th week of pregnancy for whom the physician has ordered an alfa-fetoprotein test during the same week. After taking her blood pressure, the patient looks anxious and Jazmine asks if she has any questions while she waits for the physician. The patient states that she is nervous because she had preeclampsia during her previous pregnancy, but also because she is curious about the test the doctor ordered. 1.What can Jazmine explain about the test? 2.What is the difference between preeclampsia and eclampsia? 3.What kind of patient education recommendations can Jazmine give to this patient after this visit knowing that she had preeclampsia during the previous pregnancy?A07822 CONTRAINDICATION/WARNING: Do not take if you are pregnant and do not become pregnant while taking this medicine because it can cause miscarriage or other serious complications. See accompanying information. Store at or below 25°C (77°F), in a dry area. SEARLE Usual Adult Dosage: See accompanying literature. 100 mcg (misoprostol) Cytotec NDC 0025-1451-20 120 Tablets Rx only Pharmacist: Dispense in this unit-of-use, child-resistant container with Patient Leaflet attached. Pkgd. by Searle & Co., San Juan PR 00936 Mfd. by Searle, Morpeth, England For G.D. Searle & Co., Chicago IL 60680 USA 8 receive for each dose? at bedtime for a patient with a history of gastric ulcers. How many tablets will the patient The licensed prescriber has prescribed Cytotec 0.2 mg po four times daily with meals and Press Esc to exit full screen
- Nurse Jeanette is an innovative nurse Due to COVID-19 pandemic; she created a free tele-health teaching. This is to avoid or at least minimize the face to face contact with mothers who have concerns in taking care of their babies. A client, Mrs. A.B., used this virtual consultation (via goggle meet) asking anything about breastfeeding and how to do Kangaroo Mother Care properly. Given on the above-mentioned case, if you are in the situation of Nurse Jenette, how will you respond to the given scenario?A female patient age approximately 23-25 years and her body weight is quite normal, BMI is also normal. She don't have any major health related problems. Recently she diagnosed with Poly cystic ovary syndrome (PCOS) and healthcare professionals prescribe her with this medication named Rosen 28 plus, i attached the image below. My question is, if she continue this medication for longer periods of time does any complications occurs? Or is there any problems or health related complications occurs if she continues with this medication for longer time? I will rate you positive if you accurately answer my question. Thank you.Write a biopsychosocial case analysis for the case below: Ursula Norman, a 32-year-old nurse, was brought to an emergency department 6 days after giving birth.Her husband indicated that she had been behaving very strangely and that she had become convincedthat she had smothered and killed her baby.Her husband reported that after a normal pregnancy and uncomplicated delivery, Ms. Norman hadhappily gone home with their first child. On the third day after delivery, however, her mood and affectbegan to shift rapidly between elation and weepiness. She became irritable and anxious. She slept onlyan hour a night, even where her baby was asleep. Her behavior became irritable and anxious. She sleptonly an hour a night, even when her baby was asleep. Her behavior became increasingly bizarre, withoveractivity and agitation. Her speech was rapid and digressive. Although not previously a religiousperson, she became convinced that God was speaking through her and that she had special powers…
