NURS4900 - Assessment 5

Hello, Can you please help me with this assigment? Hypertension: Modifiable Risk Factors assignment An estimated 1.28 billion adults aged 30–79 years worldwide have hypertension, most (two-thirds) living in low- and middle-income countries An estimated 46% of adults with hypertension are unaware that they have the condition. Less than half of adults (42%) with hypertension are diagnosed and treated. Approximately 1 in 5 adults (21%) with hypertension have it under control. Hypertension is a major cause of premature death worldwide. Modifiable risk factors [for hypertension] include unhealthy diets (excessive salt consumption, a diet high in saturated fat and trans fats, low intake of fruits and vegetables), physical inactivity, consumption of tobacco and alcohol, and being overweight or obese (World Health Organization, 2023). Create a short, but comprehensive, teaching handout that addresses each of these modifiable risk factors. Your intended audience is the community. Give…

Guide Questions: Essay. Kindly answer the following guide questions.

Patient Presentation: Monica Buffay is a 35-year-old woman who presents to her new PCP with some complaints of feeling tired, lethargic, and “fuzzy-headed” for the last 6 months. When asked about how she has been feeling she uttered “I always feel so tired lately. Maybe I’m working too hard?” . She has seen her previous PCP several times over this period of time, and she has been told that her symptoms are probably due to anemia, depression, or perimenopause. Several months ago, she developed menorrhagia that resulted in iron deficiency anemia (hematocrit 31%, MCV 68 μm3). However despite treatment with iron (and resultant improvement of her anemia), a hormonal contraceptive to help regulate her menstrual cycle, and an antidepressant, her symptoms have slowly worsened. She notes that 24 months ago, she attended a local health fair that provided a variety of laboratory tests. The result of her TSH at that time was 6.2 mIU/L, and her total cholesterol was 246 mg/dL. Her PCP felt that the…

Patient Presentation: Monica Buffay is a 35-year-old woman who presents to her new PCP with some complaints of feeling tired, lethargic, and “fuzzy-headed” for the last 6 months. When asked about how she has been feeling she uttered “I always feel so tired lately. Maybe I’m working too hard?” . She has seen her previous PCP several times over this period of time, and she has been told that her symptoms are probably due to anemia, depression, or perimenopause. Several months ago, she developed menorrhagia that resulted in iron deficiency anemia (hematocrit 31%, MCV 68 μm3). However despite treatment with iron (and resultant improvement of her anemia), a hormonal contraceptive to help regulate her menstrual cycle, and an antidepressant, her symptoms have slowly worsened. She notes that 24 months ago, she attended a local health fair that provided a variety of laboratory tests. The result of her TSH at that time was 6.2 mIU/L, and her total cholesterol was 246 mg/dL. Her PCP felt that the…

Patient Presentation: Monica Buffay is a 35-year-old woman who presents to her new PCP with some complaints of feeling tired, lethargic, and “fuzzy-headed” for the last 6 months. When asked about how she has been feeling she uttered “I always feel so tired lately. Maybe I’m working too hard?” . She has seen her previous PCP several times over this period of time, and she has been told that her symptoms are probably due to anemia, depression, or perimenopause. Several months ago, she developed menorrhagia that resulted in iron deficiency anemia (hematocrit 31%, MCV 68 μm3). However despite treatment with iron (and resultant improvement of her anemia), a hormonal contraceptive to help regulate her menstrual cycle, and an antidepressant, her symptoms have slowly worsened. She notes that 24 months ago, she attended a local health fair that provided a variety of laboratory tests. The result of her TSH at that time was 6.2 mIU/L, and her total cholesterol was 246 mg/dL. Her PCP felt that the…

Patient Presentation: Monica Buffay is a 35-year-old woman who presents to her new PCP with some complaints of feeling tired, lethargic, and “fuzzy-headed” for the last 6 months. When asked about how she has been feeling she uttered “I always feel so tired lately. Maybe I’m working too hard?” . She has seen her previous PCP several times over this period of time, and she has been told that her symptoms are probably due to anemia, depression, or perimenopause. Several months ago, she developed menorrhagia that resulted in iron deficiency anemia (hematocrit 31%, MCV 68 μm3). However despite treatment with iron (and resultant improvement of her anemia), a hormonal contraceptive to help regulate her menstrual cycle, and an antidepressant, her symptoms have slowly worsened. She notes that 24 months ago, she attended a local health fair that provided a variety of laboratory tests. The result of her TSH at that time was 6.2 mIU/L, and her total cholesterol was 246 mg/dL. Her PCP felt that the…

Guide Questions: Essay. Kindly answer the following guide questions.

Patient 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 intravenously

Heart Failure Case Study James is a 70-year-old male brought to the emergency department (ED) by ambulance with complaints of shortness of breath. The patient's medical record shows a past history of hypertension, diabetes, MI X 2, congestive heart failure (CHF), and chronic renal insufficiency. Upon assessment, James has labored breathing at 36 breaths/min and tachycardia at 112 beats/min. His pulse oximetry is 90% on 40% oxygen via a face mask. Crackles are heard throughout his lungs. 1. List potential causes and risk factors for his condition. 2. Identify the typical symptoms of left-sided heart failure vs. right-sided heart failure with an "L" or an "R" or "B" for both. Cough Blood-tinged sputum Tachycardia Fatigue Nocturnal polyuria Exertional dyspnea Peripheral edema Crackles or wheezes Jugular venous distension Ascites and GI distress Orthopnea Cyanosis Paroxysmal nocturnal dyspnea The physician orders a chest x-ray, ECG, arterial blood gases (ABGS), and lab work to be done.…

questions. Which structure is carrying blood from the heart to all parts of the body? K Black arrows indicate direction of blood flow • Blue structures contain deoxygenated blood Red structures contain oxygenated blood В C А В A None of these D N- M- F K-

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MEDICATIONS Factors to Assess Questions and Approaches What medications are you taking that the primary care provider prescribed for you? What over-the-counter medications, natural, or herbal supplements are you taking on a regular basis? Do you use nonmedicinal drugs (e.g., alcohol, caffeine, home remedies)? How often do you use them? What is the reason for taking the medication? What medications have you taken during the past year and for what reasons? Is there anything else you have tried to alleviate your symptoms? Previous and current drug use At what times do you take your medications? Is there any special way your medication has to be prepared (e.g., crushing and mixing with applesauce)? Do you have any special method for remembering to take your medications? Medication schedule Response to medications Have the medications had the expected effects? Have you ever experienced any adverse or unexpected reactions to the medications? Is there a family history of this type of reaction…

QUESTIONS: 1. Explain the role of dietary fat in atherosclerosis. 2. Define essential fatty acids and give examples.

ADDITIONAL ACTIVITIES 1. A patient with iron deficiency anemia experiences shortness of breath, weakness and has a pale skin. Explain why anemic people experience and share the same symptoms. 2. A pacemaker is a small device that is placed in the chest or abdomen to help control abnormal heart rhythms. This device uses electrical pulses to prompt the heart to beat at a normal rate. Who are the patients greatly in need of this procedure of having pacemaker built in their chest? And why?

questions. Which structure is carrying blood from the heart to the lungs? A • Black arrows indicate direction of blood flow Blue structures contain deoxygenated blood Red structures contain oxygenated blood K C А- В В None of these D N- M- K- К H-

help on part F - please include sketch

Must post first. Bob, a 65-year-old man with atrial fibrillation, has been using warfarin for the past 12 months after he presented to the local emergency department with signs of a TIA. A head CT scan and trans-esophageal echocardiogram done at the time were normal. He has been well since. Bob has came  it the clinical today as the INR taken this morning was 4.6. Up until now, his INR results (which have been measured every 2 weeks) have been stable and in the range of 2.0√3.0. He has not started any new prescribed medications recently. Bob also has hypertension and osteoarthritis (for which he had a left total hip replacement 6 months ago). Current medications: Atenolol 50 mg once daily, Lisinopril 10 mg once daily and warfarin 6 mg at night. On examination: BP 140/80 mmHg; pulse rate 65, irregular. The remainder of the physical examination is normal with no evidence of bruising, epistaxis, or gastrointestinal bleeding.   List potential drug interaction(s) with warfarin, which…

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Question CASE STUDY SCENARIO   Mr. Zane is a 65 –year-old African Canadian male from Brampton, Ontario, Canada. He came to the Emergency Department with his wife of 30 years. Mr. Zane was sent to the Emergency Department by his primary healthcare provider because “he has not been feeling well” for the past few days. He describes a fullness in his head and chest without any associated symptoms. His medical history is pertinent only for primary hypertension, and he states that he ran out of his medication two weeks before he started experiencing symptoms.   Physical examination reveals an anxious man with a BP of 230/130 mm Hg and a heart rate of 108 beats per minute. Respirations are elevated at 22 breaths per minute. No papilledema is seen on funduscopic examination. Lungs have bilateral crackles, one quarter up from the bases. Cardiac examination reveals a regular tachycardic rhythm with normal S1 and S2. Jugular venous pressure is normal but demonstrates sustained fullness with…

CASE STUDY SCENARIO Mr. Zane is a 65 –year-old African Canadian male from Brampton, Ontario, Canada. He came to the Emergency Department with his wife of 30 years. Mr. Zane was sent to the Emergency Department by his primary healthcare provider because “he has not been feeling well” for the past few days. He describes a fullness in his head and chest without any associated symptoms. His medical history is pertinent only for primary hypertension, and he states that he ran out of his medication two weeks before he started experiencing symptoms. Physical examination reveals an anxious man with a BP of 230/130 mm Hg and a heart rate of 108 beats per minute. Respirations are elevated at 22 breaths per minute. No papilledema is seen on funduscopic examination. Lungs have bilateral crackles, one quarter up from the bases. Cardiac examination reveals a regular tachycardic rhythm with normal S1 and S2. Jugular venous pressure is normal but demonstrates sustained fullness with abdominal…

CASE STUDY SCENARIO Mr. Zane is a 65 –year-old African Canadian male from Brampton, Ontario, Canada. He came to the Emergency Department with his wife of 30 years. Mr. Zane was sent to the Emergency Department by his primary healthcare provider because “he has not been feeling well” for the past few days. He describes a fullness in his head and chest without any associated symptoms. His medical history is pertinent only for primary hypertension, and he states that he ran out of his medication two weeks before he started experiencing symptoms. Physical examination reveals an anxious man with a BP of 230/130 mm Hg and a heart rate of 108 beats per minute. Respirations are elevated at 22 breaths per minute. No papilledema is seen on funduscopic examination. Lungs have bilateral crackles, one quarter up from the bases. Cardiac examination reveals a regular tachycardic rhythm with normal S1 and S2. Jugular venous pressure is normal but demonstrates sustained fullness with abdominal…

CASE STUDY SCENARIO  Mr. Zane is a 65 –year-old African Canadian male from Brampton, Ontario, Canada. He came to the Emergency Department with his wife of 30 years. Mr. Zane was sent to the Emergency Department by his primary healthcare provider because “he has not been feeling well” for the past few days. He describes a fullness in his head and chest without any associated symptoms. His medical history is pertinent only for primary hypertension, and he states that he ran out of his medication two weeks before he started experiencing symptoms. Physical examination reveals an anxious man with a BP of 230/130 mm Hg and a heart rate of 108 beats per minute. Respirations are elevated at 22 breaths per minute. No papilledema is seen on funduscopic examination. Lungs have bilateral crackles, one quarter up from the bases. Cardiac examination reveals a regular tachycardic rhythm with normal S1 and S2. Jugular venous pressure is normal but demonstrates sustained fullness with abdominal…

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questions. Which structure is bringing blood from the upper part of the body to the heart? K • Black arrows indicate direction of blood flow Blue structures contain deoxygenated blood Red structures contain oxygenated blood C A A- None of these C D D N- M- -G K-

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Case Study - Grandmother Seventy-five-year-old Esther, an active grandmother who fractured her hip while hiking with her senior outing group, is a new patient on the 10th floor orthopedic unit of University Hospital at the OSU Wexner Medical Center. A nurse practitioner has examined Esther and prepared her admission orders (prescriptions and care instructions). The nurse practitioner entered the orders into the electronic medical record, which includes a Computerized Physician Order Entry system (CPOE). The prescription orders have just been received by the pharmacist in the hospital pharmacy for review. Esther’s medications are as follows: • Current Prescriptions: o To prevent blood clots: Warfarin Sodium (Coumadin) 5mg once daily o For high blood pressure: Metoprolol Tartrate (Lopressor) 25 mg twice daily o For GERD (heart burn): Esomeprazole Magnesium (Nexium) 40 mg capsules once daily • Current Over-the-Counter Medications: o Analgesic (pain medicine): Acetaminophen (Tylenol) 325…

ASSESSMENT 4 A nurse reviews the drug history of a client who has been prescribed disopyramide for the treatment of an arrhythmia. Which of the following drugs, if taken concurrently, can decrease the serum levels of disopyramide? 1. Erythromycin 2. Quinidine 3. Thioridazine 4. Rifampicin

Assessment Direction: Read the following item carefully. Write TRUE if the statement is correct and FALSE if the statement is incorrect. 1. If you use a household or kitchen spoon to measure liquid medicines, you can be sure you will get the right dose. 2. You can't be harmed by over-the-counter medicines. After all, you can buy them without a doctor's prescription. It's okay to take two medicines with the same active ingredient at the 3. same time. 4. It's alright to use someone else's prescription medicine if you have the same symptoms he or she had when he or she got it. It's also safe to take your leftover prescription medicine later if you get 5. sick again. 6. It's okay to take more medicine than what is directed on the label if you are very sick. medicine, an active ingredient is what relieves a person's The Drug Facts label tells you what symptoms the medicine treats. 8. 7. In a symptoms. 9. 10. The Drug Facts label gives you the dosage information. A pharmacist…

12:01 < Вack Assignment Details Fundamentals of Nursing 1. According to Erikson's theory, what would be the result if your great-aunt didn't achieve the life tasks of the generativity versus stagnation period? 1. Your aunt has requested information from you regarding how she could preserve her physical health. What information would you offer? 2. She continues to voice concerns regarding her physical abilities and what she might expect. What information would your teaching include? 3. A few days after your aunt returns to her home, your youngest daughter (who is 8 years of age) becomes very upset and tearful. Upon questioning, she indicates she doesn't want your great-aunt to be put in a long-term care facility because she's old. How would you respond to her concerns and what other information could you teach your daughter regarding older adults? Submit Assignment Dashboard Calendar To Do Notifications Inbox 因

Edema Case Study Questions The following four patients all have severe edema for different reasons. Your challenge is to explain the cause of the edema. In each case, try to explain the edema in terms of either an increase or a decrease in one of the four pressures that cause bulk flow at capillaries. A picture may be useful. Patient 1: Mr. Taylor Mr. Taylor is a 66 year old alcoholic who has been drinking for years. During the past month he has gained over 25 pounds due to water retention. He exhibits swelling in all areas of the body. He has recently been admitted to the hospital and diagnosed with end stage liver failure. What is the connection between the liver failure and his edema? Which capillary pressure is altered and how does it cause edema? Hint: consider the functions of the liver, particularly the ones that affect blood composition.  Patient 2: Mrs. So   Mrs. So is a 28 year old visiting her OB in the 26th week of her pregnancy. She is experiencing varicose veins and…

What strategies might the nurse use to assist elderly clients consume enough fluid? Question 73 options: a)  Encourage them to drink whenever they are thirsty b)  If preferred, encourage them to drink juice or soda to prevent dehydration c)  Encourage them to choose a specific water bottle (1L) and drink the contents twice a day d)  Remind them that coffee or tea consumption is separate from their fluid requirement

Guide Questions: Essay. Kindly answer the following guide questions.