B. Parker Prof. Fern Baudo December 4‚ 2013 Nursing Process Paper ! Managing ineffective health maintenance in a patient with multiple chronic illnesses. Overview. M.E.P. is a 37 year old African-American female who came to the ER on September 20‚ complaining of widespread severe body pain‚ shortness of breath‚ weakness‚ extreme fatigue‚ and a fever. In the ER‚ the physicians admitted her to inpatient care with two diagnoses: sickle cell anemia crisis and mycoplasmic pneumonia
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Treatment After a diagnosis of COPD is made‚ the next step is a plan of care for the patient. Primary healthcare providers can reduce further lung damage and COPD exacerbations through early diagnosis‚ pharmacological‚ and rehabilitation interventions (Bauldoff‚ 2012). Pulmonary rehabilitation is a program in which a team of healthcare professionals help manage and treat the problems caused by COPD‚ resulting in a reduction of symptoms and an improved quality of life. It typically combines exercise
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Chapter 28: Nursing Management: Lower Respiratory Problems Test Bank MULTIPLE CHOICE 1. Following assessment of a patient with pneumonia‚ the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis? a. Weak‚ nonproductive cough effort b. Large amounts of greenish sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of 85% ANS: A The weak‚ nonproductive cough indicates that the patient is unable to clear
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from the lungs following breathing in as deeply as possible. The purpose of this study was to see if position of measurement‚ gender‚ and athleticism affected vital capacity. This experiment was conducted on 46 college-aged students using a wet spirometer in standing and sitting positions. Each student self-reported their age‚ and whether or not they were an athlete or a smoker. Measurements of each individual’s chest circumference‚ and height were recorded. The experiment showed that both gender
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There are three phases for muscle cell contraction: initiation of action potential in the sarcolemma‚ excitation-contraction coupling‚ and contraction‚ sliding of the myofilaments. ATP and calcium ions are two essential elements for muscle contraction. When ATP attaches to the myosin head‚ it gets hydrolyzed to ADP and Pi. Calcium ions bind to the troponin molecules and help expose the binding sites of actin filaments to allow for the attachment of the myosin heads. After the sliding of the myofilaments
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The Inspiratory capacity is the amount of air that is inhaled‚ TV + IRV. It is 60% of the total lung capacity. The Functional Residual Capacity is the volume in the lungs after residual expiration. This cannot be measured directly by the spirometer because the residual volume (RV) cannot be exhaled‚ is measured indirectly using helium dilution or nitrogen washout. ERV +
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be in place when he awoke‚ such as‚ the sequential compression device and hip immobilizer wedge‚ plus not being able to roll or move in bed immediately. Other things that could have been included in teaching would be deep breathing‚ use of incentive spirometer‚ and post-op hip precautions (Wilkinson.‚ Treas.‚ Barnett.‚ & Smith‚ 2016.p 539). After double checking all consents the nurse gave the patient a cocktail of drugs which include a dose of Xanax to relieve anxiety and promote relaxation
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physicians instructions to patients. Tools that a medical assistant will use include intramuscular needles‚ intradermal needles‚ baumanometers‚ and manual blood pressure measuring equipment. They will also use nebulizers‚ ophthalmoscopes‚ and spirometers. Medical assistants have various computer technologies they have to use on a daily basis. Knowledge of billing software‚ Microsoft Exchange‚ and electronic medical record software is necessary to a medical assisting career. Some employers also
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Diverticular disease has two separate manifestations. The subtle signs and symptoms of diverticulosis are important to understand because many people who have this problem are asymptomatic‚ but often this diverticular disease can lead to a more serious condition known as diverticulitis. In diverticulosis‚ there are diverticula present‚ but they do not cause any symptoms. In diverticulitis‚ which will be discussed in detail‚ the diverticula are inflamed which can lead to other serious consequences
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Peri-operative Nursing Phases of Peri-operative period 1. PRE- operative phase 2. INTRA- operative phase 3. POST- operative phase PRE-Operative Phase Begins when the decision to have surgery is made and ends when the client is transferred to the operating table INTRA-Operative Phase Begins when the client is transferred to the operating table and ends when the client is admitted to the post-anesthesia unit Post-operative Phase Begins with the admission of the client to the PACU
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