Case Study 1 Questions

Case Study, Cardiovascular Disorders  Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning 1.Explain the rationales for the laboratory tests and ECG stress test.   2. What should the nurse do to prepare for the cardiac catheterization that is scheduled?

Case study diabetes mellitus Eric is a 52-year-old High school principal, who presented with a 2-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision. A random glucose test performed 1 day before presentation was 352 mg/dl. The patient denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough or fevers. He had no prior history of diabetes and no family history of diabetes.    Admission of non-fasting serum glucose 248 mg/dl (N=<180 mg/dl), HbA1c 9.6% (N=4-6.1%). Electrolytes, BUN and creatinine were normal. Physical examination revealed weight of 180 pounds, height 5'5.5" (IBW 140-145). The rest of the examination was unremarkable,i.e., no signs of retinopathy or neuropathy.   The patient was taught self-monitoring of blood glucose and began on 5 mg glyburide once a day. He was instructed in diet (1800 cal ADA). Blood glucose levels ranged from 80 to120 mg/dl within 2 weeks of starting glyburide, his symptoms…

CASE STUDY: PRIMARY HYPOTHYROIDISM Connie, age 28, has been hospitalized for 2 days for symptoms leading to the diagnosis of primary hypothyroidism. 1. What tests does the nurse know will assist with the confirmation of diagnosis of primary hypothyroidism for Connie? 2. What clinical manifestations that are consistent with Connie’s diagnosis should be monitored? 3. What comfort measures can the nurse include in Connie’s care?

QUESTIONS. A. What diagnostic testing would identify the cause of T.H.'s Cushing syndrome? B. What is the usual treatment for Cushing syndrome? C. What is meant by a "medical adrenalectomy"?   Thank you! :)

B. RELATED QUESTIONS:1. Discuss what is COPD and its pathophysiology 2. Discuss the pharmacologic and nonpharmacologic interventions for COPD

Please answer both questions 1. Explain the physiologic changes of the aging process that have a major effect on drug therapy.   2. Explain the use of antigout medication

Case study 9 Miss Owusuaa was diagnosed with acromegaly, excess production of growth hormones. There are two ways to investigate it. Insulin growth factor -1 (IGF-1) test. a. State the other and how is it done. b. Classify the following (I) patient - 1 glucose from 0-2 hrs level : 134mg/dl (II) patient - 2 glucose from 0-2 hrs level :185mg/dl (III) patient -2 glucose from 0-2 hrs Level : 201mg/dl

asap please

All please

MAKE SHORT TERM GOAL AND 5 OBJECTIVES FOR THIS DX. Main Dx:  Imbalanced nutrition less than body requirements related to Lacto-Ovo vegetarian diet as evidenced by lack of essential minerals & nutrients (Iron, Zinc & Omega Fatty-acids) SHORT TERM GOAL: OBJECTIVES: 1.  2.  3.  4. 5. SCENARIO:  Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse,…

QUESTIONS. A. Discuss the probable causes of the alterations in T.H.'s laboratory results. B. Explain the pathophysiology of Cushing syndrome.

MAKE AN ANALYSIS OF THE SAID DX. dx: Imbalanced nutrition related to lack of knowledge about diet SCENARIO:  Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time I hang out with my friends for a tea or…

2- need help with following. please be specifiy about answer

B. RELATED QUESTIONS:1. Discuss what is Diabetes Mellitus and its pathophysiology. 2. Discuss the pharmacologic and nonpharmacologic interventions for Type 2 Diabetes Mellitus.

Case Study 3 – Congestive Heart Failure Dottie is a 78-year old CHF patient. She has been exercising with your facility for several years now. She had a CABGx3 in 2020. She came in today with a 5 lb. weight gain since yesterday when she weighed on her home scale this morning. Her meds include- Lipitor, Procardia, and Lasix. (Cholesterol, Calcium channel blocker Hypertension, and Diuretic, respectively) Her blood pressure is 132/88 and her HR = 102; Her weight is 196, up from 191 when last measured. She is a pleasant, overweight individual who enjoys walking on the treadmill and visiting with other members of your facility. 1. What are specific considerations for someone with CHF and exercise? How is the exercise prescription any different from the apparently healthy adult prescription? 2. What is your biggest concern with Dottie today and how would you handle this concern(s)?

B. RELATED QUESTIONS:1. Discuss Rheumatoid Arthritis, its pathophysiology, and its signs and symptoms. 2. Discuss the pharmacologic and nonpharmacologic interventions for Rheumatoid Arthritis.

CASE STUDY: Nelson Amoah, 54-year-old male presents to the emergency department with abdominal pain, nausea, vomiting, abdominal distension and constipation which started 3 days prior to presentation. He denied fever, chills and headache. Except for peptic ulcer disease, he is otherwise healthy with no previous surgeries. He is a smoker, smoking a little less than a pack a day for twenty-two years. On examination he was afebrile, with a heart rate of 120 beats/min, blood pressure 130/80 mmHg and respiratory rate of 22 cycles/min. Abdominal examination revealed mild distension with generalized guarding and marked rebound tenderness in the epigastrium. There were no palpable masses and bowel sounds were absent. Erect and supine abdominal and chest radiographs were normal. However, abdominal ultrasonography revealed free fluid throughout the abdomen and pelvis. a.       State at least FIVE questions that you would ask in analyzing Mr. Amoah’s pain b.      Identify all;…

Patient C., 32 y/o, complains of excessive weight, shortness of breath, defective memory, performance decrement, feeling cold, emotional retardation. It is known from the case history that the patient is suffering from primary hypothyroidism. Objectively: the skin is dry, waxlike, swollen, periosteal reflexes are lowered, body mass index: 33.5 kg/cubic meter, TSH (thyroid-stimulating hormone) – 25 µU/dL (norm 0.5 -5.0). Obesity is homogenous. Arterial pressure: 150/100 mm column ob mercury. What type of obesity can be suspected?A. Endocrine hypothyroidB. Endocrine accompanying dysfunctions of hypothalamopituitary systemC. Alimentary constitutionalD. HypothalamicE. Androidal with the developed symptoms of metabolic syndrome

CASE STUDY 2: (re) Sam Smith is a 57-year-old male, who lives alone in a large city in New Jersey. Sam had recently been feeling weaker and noticed he was having difficulty picking up his pen or lifting a cup of coffee. Sam decided to schedule an appointment in the Federally Qualified Health Center at which you are employed. After seeing the Nurse Practitioner and multiple tests, Sam is diagnosed with Amyotrophic Lateral Sclerosis (ALS). After receiving the diagnosis and some literature to read, Sam schedules a follow up appointment to discuss his options further. Sam returns to the center in a few days and informs you he has been reading about ALS online and knows that it is a terminal disease. Sam states he does not have family nearby and does not want to be a burden on any of his friends. Sam is exhibiting signs of depression and asks you about ending his life. He has read about the laws in New Jersey and would like to know how he goes about getting the medication. 1. What are your…

Questions for the Case Study:1. Make a table of the medications prescribed to the patient. Include the indication, mechanism of action, standard dose, and frequency. 2. Analyze the case and identify the adverse reaction/s that occurred. What type of ADR happened? 3. What should be done to avoid the type of adverse reaction that happened to the patient?

PLEASE ANSWER asap   write diagnostic statement    3. The client is 45 pounds overweight . He states that he is in a high stress job and doesn't have time to cook regular meals - he tends to eat fast food and snacks a lot . His job is sedentary , and he does not engage in any type of physical exercise or sport . Fo fun, he likes to " eat at a nice restaurant "

Answer c and D please

MAKE 5 OBJECTIVES FOR THIS DX. Main Dx:  Imbalanced nutrition less than body requirements related to Lacto-Ovo vegetarian diet as evidenced by lack of essential minerals & nutrients (Iron, Zinc & Omega Fatty-acids) OBJECTIVES: (ex. after 10 mins, the patient will.. after nursing shift, the patient will.. THE OBJECTIVES ARE ALL ABOUT THE PATIENT.) - includes time-frame - includes on what the patient shall achieve again, PATIENT-BASED OBJECTIVE PLEASE DO NOT WRITE NON-SENSE ANSWERS AND COPIED ANSWERS. I WILL REPORT YOUR TUTOR ACC TO BARTLEBY.  1.  2.  3.  4. 5. SCENARIO:  Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present…

Case study #6

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

MAKE SHORT TERM GOAL AND 5 OBJECTIVES FOR THIS DX. SHORT TERM GOAL: OBJECTIVES: 1.  2.  3.  4. 5.   dx: Imbalanced nutrition related to lack of knowledge about diet SCENARIO:  Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo…

Case Study: A 68-year-old diabetic male resident in a long term care facility is bedridden and has refused food and fluids for two days. He has a Stage 3 pressure ulcer in the coccyx and multiple venous ulcerations in the left lower leg. The following questions will assist the nursing student in the assessment of a client with skin breakdown. 1. How is skin turgor assessed? Give the different sites for checking skin turgor in clients with special considerations (i.e., pediatric and gerontological cases). 2. How will you check skin moisture? 3. Describe the techniques in checking skin temperature. 4. How will you assess for edema of the lower extremities? 5. Describe the key features in pressure ulcer assessment. 6. Describe a Stage III pressure ulcer. 7. Differentiate an arterial ulcer from a venous ulcer.

MAKE 5 OBJECTIVES FOR THIS DX. Main Dx:  Imbalanced nutrition less than body requirements related to Lacto-Ovo vegetarian diet as evidenced by lack of essential minerals & nutrients (Iron, Zinc & Omega Fatty-acids) OBJECTIVES: (ex. after 10 mins, the patient will.. after nursing shift, the patient will.. THE OBJECTIVES ARE ALL ABOUT THE PATIENT.) again, PATIENT-BASED OBJECTIVE PLEASE DO NOT WRITE NON-SENSE ANSWERS AND COPIED ANSWERS. I WILL REPORT YOUR TUTOR ACC TO BARTLEBY.  1.  2.  3.  4. 5. SCENARIO:  Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as…

Please tell me about Hypoglycemia:   Definition  Pathophysiology  Causes  risk factors  sign and symptoms  Complications