6) Dale's friend Alicia is heavily intoxicated. Dale should call 911 if she Multiple Choice • continues drinking. passes out and can't be woken up. starts to stumble and slur her words. becomes nauseous.
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- You are assigned to care for Mr. Cruise, 85, who has Alzheimer's disease. He often wanders from room to room and tries to open the outside doors. He frequently becomes agitated and restless, especially in the evening. Most of the time, Mr. Cruise is unable to feed himself and is often incontinent. He keeps on repeating, “Help me! Help Me!” all day long. Why would it be ineffective to o remind him of the date and time of your shift? Why is he more agitated in the evenings? What part of Mr. Cruise’s behavior would be most difficult to tolerate?Which of the following is NOT among the criteria for a substance use disorder according to the DSM-5 definition? failing to fulfill major responsibilities taking the same amount of the substance for a long period of time spending a great deal of time to get the substance developing a tolerance to the substanceSituation: Reyes, 65 years old, was admitted with a medical diagnosis of Chronic Obstructive Pulmonary Disease (COPD). She lives in one-room apartment with a maid in a slum district in Tondo, Manila. Her son and daughter, both married, live in a neighboring town. They rarely visit as they are both married, live in a neighboring town. They rarely visit as they are both busy with jobs. They rarely visit as they are both busy with their jobs. They send her money but she claims this is not enough for their daily sustenance. She claims she has lost her appetite and she appears to be malnourished. She claims she has diabetic mellitus and is undergoing treatment for congestive heart failure. She has a history of smoking cigarettes. You are assigned to provide her care. Question: What are the usual physical and laboratory findings of patients with COPD) How will you validate your collected data?
- A 24 yrs old female nursing student, who is working 4 nights in a week and studying full time doesn’t get enough sleep and eat on go or skip meals. She starts to feel run down and lethargic. She began to notice infected toenail. She is also feeling thirsty quite often and craving for sweets. She is also urinating frequently. She had to call sick on the work. When she went to get sick certificate, doctor assesses her BGL which is 19mmol/L, her HR124bpm, BP 98/56, spo2 100% and temp 37.2. She weighs 62kg. Please develop SMART goals for her care as her caring nurse. Devise holistic nursing actions (at least 6) in order of priority and specify if it is a dependent or independent nursing action. You must consider the medical, pharmacological, social and psychological requirements of the patient. Also provide relevant evaluate outcomes for each action.Twenty-six-year-old Wei isn’t feeling well. Wei uses he/him/his pronouns. He is more tired than usual, dragging through his workdays despite going to bed earlier and napping on the weekends. He doesn't have much of an appetite and has started losing weight. When he presses on the side of his neck he notices an unusual lump. Wei goes to his doctor, who performs a physical exam and determines that the lump is a swollen lymph node. Lymph nodes are part of the immune system, and they will often become enlarged when the body is fighting off an infection. Dr. Bouazizi thinks that the swollen lymph node and fatigue could be signs of a viral or bacterial infection, or indicate a type of cancer called lymphoma. However, an infection is a more likely cause, particularly in a young person like Wei. Dr. Bouazizi prescribes an antibiotic in case Wei has a bacterial infection and advises him to return in a few weeks if his lymph node does not shrink or if he is not feeling better. Wei returns a few…An individual is found unconscious and is admitted to the hospital with heroin overdose. Which nursing action is the priority. Monitoring level of consciousness Establishing a patent airway Monitoring for heroin withdrawal Establishing a therapeutic relationship
- Jane, a 22 year old, single Caucasian college freshman, had been in the emergency room for a reaction to alcohol. She had a blood alcohol level of .30 and was almost comatose. They were able to stabilize her in the ER. She had been binge drinking (over 4 drinks per night) for the last 2 weeks. She was admitted to the hospital for observation and stayed in the hospital for the next few days. When the alcohol was out of her system, she admitted to the counselor that she had been "hearing voices" belittling her for the last six months. She had been feeling people were talking about her on TV and on the radio and felt her professors and her roomate were conspiring against her. She stated she had felt this way for the past 7 months. She had become more and more socially isolated because of her mistrust of others and her grades had dropped. Jane said she started drinking to "drown out the voices" so she could sleep. She wanted the counselor to get the professors and her roomate to stop…Consider that your client is a 55 yo male alcoholic, whose family completed an intervention and he agreed to go to treatment. He has had blackouts (periods of being awake but not remembering what he did when drinking), arrest for DUI, physically abusing his wife while intoxicated, suffers from high blood pressure and fatty liver due to his drinking. He is in the 3rd day of his detoxification and he feels nauseated, has trouble sleeping, and is just generally uncomfortable. His thinking is still a little foggy. Based on the information in the text develop a script of how you would try to convince the client to remain in treatment. You can consider how the AMA script( page 38) might give some guidance but this needs to be your personal script not a paraphrase of the AMA conversation on page 38.Kickit is a 59-year-old woman who presents to the community pharmacy with complaints of a biased administration at her workplace. A smoking ban at her health care facility will begin in 3 weeks. She states that “I need the income but could work part time to pay the bills. I don’t want to quit smoking. What can you suggest to help me get through my shift without going though nicotine withdrawal? Oh, and don’t suggest those nicotine patches. I tried those in the past and they just made me want to smoke more. Mother died at age 78 of natural causes. Father died at age 61 of aheart attack. Patient is the oldest child of four siblings. All siblings havesmoked cigarettes, but in the past 5 years, two of the siblings have quitsmoking. Son and daughter do not smoke. Twenty-nine-year-old sonhas attention deficit hyperactivity disorder (ADHD). Twenty-five-yearold daughter was hospitalized with a collapsed lung 8 years ago. This pediatric nurse works the night shift (11 PM–7 AM) at a…
- A nurse is caring for a child who is experiencing a generalized tonic/clonic seizure. Which of the following is the priority action for the nurse to take? Position the child in aside- lying position Try to determine the seizure trigger Reorient the child to the environment Place a bite stick in the mouth to prevent injury to oral tissuesJ.C. is a 52-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal bleeding for which he has been hospitalized on six separate occasions over the years. He continues to drink and exhibits most of the common manifestations of alcoholic cirrhosis. He was recently hit by a car and was hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 0.18. What are the common manifestations of alcoholic cirrhosis? Which of these are secondary to hepatocellular failure? Which are secondary to portal hypertension? (List at least 6 manifestations of alcoholic cirrhosis and discuss which of those manifestations are secondary to hepatocellular failure and which are secondary to portal hypertension.) Why is J.C. at particular risk for GI bleeding? (List at least 3 reasons for an elevated risk of GI bleeding.)Situation: Reyes, 65 years old, was admitted with a medical diagnosis of Chronic Obstructive Pulmonary Disease (COPD). She lives in one-room apartment with a maid in a slum district in Tondo, Manila. Her son and daughter, both married, live in a neighboring town. They rarely visit as they are both married, live in a neighboring town. They rarely visit as they are both busy with jobs. They rarely visit as they are both busy with their jobs. They send her money but she claims this is not enough for their daily sustenance. She claims she has lost her appetite and she appears to be malnourished. She claims she has diabetic mellitus and is undergoing treatment for congestive heart failure. She has a history of smoking cigarettes. You are assigned to provide her care. Question: How will you approach her to established goodwill and trust?