Question Answered step-by-step ohn Smith is a 64-year-old male. His past medical history includes… ohn Smith is a 64-year-old male. His past medical history includes BPH, HTN, chronic back pain, COPD, seasonal allergies, Erectile dysfunction, and intermittent UTIs. Mr. Smith has completed school through 8th grade but then ultimately became a laborer until his retirement. His wife accompanies him to meetings with doctors to assist and learn about the medications as well. Mr. Smith is very independent however and does not want to rely on his wife.Create an educational pamphlet on one of the prototype medications from the semester that applies to the scenario and client above. They must use the appropriate health literacy level for a patient/family member. The pamphlet must include:expected actiontherapeutic usesside effects/adverse effectsmedication/food interactionsany specific details pertinent to that medicationAlbuterol is the chosen drug medication Health Science Science Nursing PHARMAOCOLOY 354 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Gastric tube feeding to a patient with a new G tube State the… Gastric tube feeding to a patient with a new G tube  State the various indications for a specified diet Explain the scientific rationale for a prescribed diet Describe food/fluid restrictions appropriate for diet or food/fluids encouraged to meet nutritional needs Describe how to present a short nutritional teaching plan to a patient & family with cultural differences. Health Science Science Nursing NURS 211L Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step What type of immunity results from vaccination? a) naturally… What type of immunity results from vaccination?a)   naturally acquired passive immunity  b) artificially acquired active immunity c)  naturally acquired active immunity  Health Science Science Nursing NUR 165 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Case Study 11 Rule Out Myocardial InfarctionX Scenario The time is1900. You are working in a small, rural hospital. It has been snowing heavily all day, and the medical helicopters at the large regional medical center, 4 hours away by car (in good weather), have been grounded by the weather until morning. The roads are barely passable. W.R., a 48-year-old plumber with a 36-pack-year smoking history, is admitted to your floor with a diagnosis of rule out myocardial infarction (R/O MI). He has significant male-pattern obesity (“beer belly,” large waist circumference) and a barrel chest, and he reports a dietary history of high-fat food. His wife brought him to the emergency department after he complained of unrelieved “indigestion.” His admission vital signs (VS) were 202/124, 106, 18, and 98.2° F (36.8° C). W.R. was put on oxygen ( O 2 ) by nasal cannula (NC) titrated to maintain Sa O2 (arterial oxygen saturation) over 90% and started on an IV of nitroglycerin (NTG). He was given aspirin 325 mg to chew and swallow and was admitted to Dr. A.’s service. There are plans to transfer him by helicopter to the regional medical center for a cardiac catheterization in the morning when the weather clears. Meanwhile, you have to deal with limited laboratory and pharmacy resources. The minute W.R. comes through the door of your unit, he announces he’s just fine in a loud and angry voice and demands a cigarette. He also says he has no time to fool around with hospitals.1. From the perspective of basic human needs, what is the first priority in his care?2. Are these VS reasonable for a man of his age? If not, which one(s) concern(s) you? Explain why or why not.3. Identify five priority problems associated with the care of a patient like W.R4. Which laboratory tests might be ordered to investigate W.R.’s condition? If the order is appropriate, place an “A” in the space provided. If inappropriate, mark with an “I,” and provide rationales for your decisions. 1. CBC 2. EEG in the morning 3. Chem 7 (electrolytes) 4. PT/PTT 5. Bilirubin 6. Urinalysis (UA) 7. STAT 12-lead ECG 8. Type and crossmatch for 2 units of packed RBCs (PRBCs)5. What significant lab tests are missing from the previous list?6. How are you going to respond to W.R.’s angry demands for a cigarette? He also demands something for his “heartburn.” How will you respond? CASE STUDY PROGRESS You phone Dr. A.’s partner, who is on call. She prescribes morphine sulfate 4 to 10 mg IV push (IVP) q1h prn for pain (burning, pressure, angina).7. Explain two reasons for this order8. What special precautions should you follow when administering morphine sulfate IVP?9. The pharmacy supplies morphine for injection in vials of 5 mg/mL only. For the first dose, you will be giving 4 mg of morphine. How many milliliters will you give for this dose? Mark the syringe with your answer10. What will you do with the rest of the morphine in the vial? a. Discard it. b. Save it for the next dose. c. Return it to the pharmacy. d. Discard it with a second witness.11. 11. Angina is not always experienced as “pain” as many people understand pain. How would you describe symptoms you want him to warn you about? Why is this important?12. 12. What safety measures or instructions would you give W.R. before you leave his room?13. 13. Mrs. R. asks you, “If he can’t smoke, why can’t you give him one of those nicotine patches?” How will you respond? Explain that use of the nicotine patch should be avoided in patients with severe angina or uncontrolled HTN and for 8 weeks following an MI..14. 14. Are there any alternatives to help him with his nicotine cravings? Would they be helpful now?15. 15. Before leaving for the night, Mrs. R. approaches you and asks, “Did my husband have a heart attack? I’m really scared. His father died of one when he was 51.” How are you going to respond to her question?16. 16. When you come into W.R.’s room at 2200 hours to answer his call light, you see he is holding his left arm and complaining about aching in his left shoulder and arm. What information will you gather? What questions will you ask him? •.17. 17. You give him one sublingual NTG tablet, per protocol, but his pain is not relieved. Based on your assessment findings, you decide to call the physician.18. Using SBAR ( S ituation, B ackground, A ssessment, R ecommendation), what information would you provide to the physician when you call?CASE STUDY OUTCOME In the morning, W.R. is transferred by helicopter to the medical center, and a cardiac catheterization is performed. It is determined that W.R. has coronary artery disease (CAD). The cardiologist suggests it would be best to treat him medically for now, with follow-up counseling on risk factor modification, especially smoking cessation. He is discharged with a referral for a follow-up visit to his local internist in 1 week. 19. What does it mean to treat him “medically” (conservatively)? What other approaches might be used to treat CAD? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Question 1-3 Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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