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The nurse cares for a 78-year-old female admitted to the medical intensive care unit in respiratory distress. Nurses’ Notes 0900. Client was admitted to the ICU in respiratory distress after minimal response to high flow oxygen for a pulse oximeter reading of 83% in room air. Crackles heard bilaterally in lower lobes with diminished breath sounds in right middle lobe; S1S2 auscultated; bowel sounds positive in all 4 quadrants; skin warm dry and intact. VS T 99.8F(37.7C); HR 110; RR 34; B...

Nathan, a 16 - year - old patient, is brought to the offi ce by his mother. She is insisting that Nathan be tested for “ drugs . . . all of them, because his grades are terrible and I don ’ t like his friends. ” You ask his mother to be more specifi c about her concern regarding drug use. She explains that his grades have slipped in the last 2 months or so and says, “ I won ’ t have a son of mine using drugs. ” His mother denies having any drugs in the house but comments that his...

As part of healthcare reform through the Affordable Care Act of 2010, hospitals across the United States are being held accountable for providing a positive patient experience and will lose up to 2% of their reimbursement by 2017 if they fail to reach targeted scores. The purpose of this quality improvement project was to review the process used by a Georgia hospital to educate newly-hired nurses about customer service expectations and to provide recommendations for process improvement. The...

Introduction • Rural communities have limited resources • Family Medicine Clinic – Strives to limit travel and expenses for patients • DNP Scholarly Project – Improve patient education – Promote overall community health

HPI: RR, a one-month-old female Caucasian patient, was brought in by her mother for a routine checkup. Concerns arose regarding a sudden rash on RR's face, which began approximately one week ago. Her mother stated that there had been no changes in RR's diet, skincare products, or detergents. RR is exclusively breastfed, and her mother confirmed that her own diet had not deviated from the norm. The rash tends to clear up towards the end of the day but is more prominent during daytime hours. Whi...

Case1: Jamie, a 38-year-old patient with bipolar disorder Treatment plan Jamie's current presentation of acute psychosis necessitates a comprehensive treatment plan with both pharmacological and psychosocial interventions. As stipulated by Volkmann et al. (2020), lithium carbonate serves as the cornerstone of treatment due to its well-established efficacy in mood stabilization for bipolar disorder. Regular therapeutic drug monitoring is crucial, ensuring serum lithium levels remain within the...

The patient reports feeling "depressed and anxious," with a significant increase in fatigue and a lack of motivation over the past few months. History of Present Illness (HPI): The patient is a 42-year-old female with a past medical history of MDD and complains of deterioration in her depressive and anxiety symptoms for the past 3 months. They outline the symptoms that indicate low mood, hopelessness, powerlessness, reduced energy and social interest, anhedonia, and inability to derive pleas...

CC (chief complaint): “I have been experiencing insomnia, anger outbursts and have no interest in studies or work for the past 2 weeks”. HPI: David Arve, a 23-year-old male presents with persistent symptoms of difficulty sleeping and constant irritation. D.A reports that he can’t seem to get moving and struggles to concentrate, especially in class and at work. He also states that he has experienced suicide ideation and fears a repeat of his previous episode characterized with self-harm a...

How does the orbitofrontal cortex (OFC) affect the amygdala? - ANSWER-inhibits and activates the amygdala Wernicke's area is associated with which of the following? - ANSWER-speech comprehension The limbic system is associated with which of the following - ANSWER-emotion and learning Which brain structure is most associated with long term memory? - ANSWER-hippocampus When prescribing psychotropic medications, the PMHNP knows that these medications work within which specific areas? - ANSWE...

The loading of the first and second check valves in a RP is always (A) Less than 1 psid (B) The same (C) Different (D) Maxumun 2 pisd different - answer-Different A total cross connectiom program should be coordinated with (A) Plumbling Insprctor (B) Local Health Dept (C) Water Purveyor (D) All the Above - answer-All the Above Whan testing a DC water continuues to flow the #4 tesrt cock after the use of bleed off assy the most probale cause (A) Fouled #2 check (B) Fouled #1 check (...