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You are assesing a 16 year old male with a history of DUchenne's muscular dystrophy. Which of the following would be your primary concern?
A) Assessing tidal volume
B) Assessing respiratory rate
C) Assessing for decubitus ulcers
D) Assessing motor status in the extremities
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- PO Aav DAV == AaBbCcDdEe AaBbCcDdEe AaBb CcD AaBbCcDdE Normal M H No Spacing Heading 1 Heading 2 Question 5 a) Explain the general principles by which medical images may be obtained through the use of radiopharmaceuticals and a gamma camera. b) Explain the use of radiopharmaceuticals in i) Myocardial perfusion scans ii) Skeletal scintigraphy 20 ¶Draw and label the parts of the stethoscope. Discuss the function of each part.A patient with a history of atrial fibrillation presents to the emergency department with palpitations, dizziness, and chest pain. The nurse anticipates administering which medication to control the heart rate? a) Adenosine b) Amiodarone c) Diltiazem d) Nitroglycerin
- Which medication is commonly administered to treat a myocardial infarction by reducing myocardial oxygen demand and improving blood flow to the heart? a) Lisinopril b) Metoprolol c) Clopidogrel d) NitroglycerinIn cases of suspected myocardial infarction, what is the initial pharmacological treatment? A) Aspirin B) Nitroglycerin C) Morphine D) All of the abovePleural fluid is collected via: 1) Thoracentesis 2) Paracentesis 3) Pericardiocentesis 4) Amniocentesis
- You are working a shift from 0700 to 1500, and Mr. Persaud is under your care. He is undergoing nasogastric aspiration with the following orders. Primary IV: D5NS @.95.mL/hr. Replace nasogastric drainage with RL over 3 hours at the beginning of each 8-hour shift via IV piggy-back. Shift report: D5NS: 825 mL RL: 425 mL N/G drainage: 185 mL Show all calculations. a) What volume of D5NS is required over the course of your shift? b) At what time will you begin infusing primary IV fluid? c) At what rate will you administer D5NS? d) At what rate will you administer RL? e) How much primary IV fluid will remain in the IV bag at 1400?With which of the following patients should you remain alert to the possible development of right-sided heart failure? O a) 68-year-old man with dehydration 5 years after having a myocardial infarction Ob) 60-year-old man with chronic obstructive pulmonary disease Oc) 27-year-old woman taking excessive amounts of thyroid hormone to promote weight loss O d) 40-year-old woman who broke an ankle while training for a marathonA 24-year-old female visits her GP after having been in an automobile accident three days prior. She reports that while driving in slippery conditions she rear-ended the car in front of her and she was then rear-ended by the car behind her. She was traveling at about 30 mph and her airbags did employ. She reports first responders found no injuries but advised her to follow up with her GP if she developed any unusual symptoms.The woman reports that she seemed fine after the accident but did wake the morning after with a bit of a stiff neck and a headache; she didn't feel this was unusual given the accident and went on about her day. At the end of the next day she had to carry heavy bags up two flights of stairs to her apartment and when almost to her door she felt a zing all the way down her right arm. She immediately put the bags down. When she lifted the bags again her right arm felt numb. She woke this morning with a very stiff neck, stiffness in her upper arm, and “tingles” in her…
- During a trauma resuscitation, which intervention takes priority? a) Administering analgesics for pain relief b) Assessing airway, breathing, and circulation (ABCs) c) Obtaining a detailed medical history d) Preparing the patient for surgeryUsing your patient’s profile, which muscular dystrophy subtypes (ex Becker, Duchenne, Limb girdle etc) are possible diagnoses for your patient and why? (Propose a minimum of 3 subtypes) Hint: Identify the muscle groups, possible inheritance patterns and any other clues given in your patient’s profile and cross reference Our patient: Age: 10 Birthday: January 21 , 2011 Sex: Male Blood Type: B- Clinical Presentation/Symptoms Extreme muscle fatigue during and after long-distance walking. Documentation of repeated falls, constant fatigue, and inability to climb the stairs since the age of 4 . Exhibits "Gowers sign" when standing from a sitting position. Mild but persistent muscle pain in shoulders and arms. Family History The patient's maternal uncle exhibited similar symptoms and passed away at a young age. Suspected Muscular DystrophyA patient is taking a beta blocker as part of the treatment plan for heart failure. The nurse knows that the purpose of the beta blocker for this patient is toa) increase urine output.b) prevent stimulation of the heart by catecholamines. c) increase the contractility of the heart muscle.d) cause peripheral vasodilation.
