SITUATION: Charles, an 8-year-old boy, one of several siblings in the family, is kept home by his motherbecause he has a temperature of 100.2F and a history of hacking cough for two weeks. A definite whoop hasbeen heard and the doctor made a diagnosis of whooping cough. The visiting nurse is to instruct the mother inproper care of this patient.67. This young boy should be:T.kept in draft-free room.U. kept in a room with a temperature of 60F.C. placed in a sunny room.D. allowed free sun run of the house

Whooping cough is a highly contagious infection of the respiratory tract that is easily preventable.…

Answered: SITUATION: Charles, an 8-year-old boy,…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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A previously healthy 12-month-old boy is brought to the emergency department by his parents because of a 1-day history of intermittent abdominal pain, loss of appetite, and vomiting. His parents say that he seems disoriented. He appears pale and ill. His temperature is 36.8°C (98.2°F), pulse is 128/min, respirations are 36/min, and blood pressure is 84/62 mm Hg. Abdominal examination shows mild distention; increased, high-pitched bowel sounds are heard. A mass is palpated in the left upper quadrant. Test of the stool for occult blood is positive. An x-ray of the abdomen is shown. Which of the following is the most likely underlying cause of this patient's current symptoms? A) Fecalith B) Foreign body obstruction C) Functional ileus D) Malrotation of the midgut E) Telescoping of the bowel
Nursing care plan with the nursing diagnosis of ineffective thermogulation related to lack of subcutaneous fat in preterm baby
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?
10:45 O O 0 .l.il 55 امتحان نصف السنة لمادة الطب الباطني ل لعام . . . During an oral examination of 1 point 65-year-old woman you noticed macroglossia and hoarseness of voice. On further questioning, the woman was complaining from excessive fatigue, weight gain, and cold intolerance. Her laboratory investigations show a high TSH level. This old woman has? Hyperthyroidism. Hypothyroidism. Hyperparathyroidism. Hypoparathyroidism. Thyroid cancer.
DOB: 28 Jun 1961 | GENDER: FEMALE SITUATION Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch BACKGROUND Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension and beginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA). ASSESSMENT Her observations at…
A mother takes her 15-month-old son to the pediatrician for the sixth time since his first birthday for continued cough and wheezing. The mother explains that her child consistently has a runny nose and cough, pulls at his ears, and occasionally wheezes. She is tired and frustrated after months of sleepless nights and multiple visits to the doctor for the same symptoms. Her son is underweight, according to the growth charts. The pediatrician believes that the child suffers from an exaggerated response against environmental antigens or allergies. Hypersensitivity reactions that include allergies are classified by the tYpe of the reaction. Allergies are typically classified as: 1. Type I or IgE-mediated 2. Type Il or tissue-specific 3. Type IIl or immune complex-mediated 4. Type IV or cell-mediated
113. A 10-month-old girl develops a cough and grunting following a 3-day hospital stay for surgical repair of a cleft palate. Her temperature is 39.2°C (102.6°F), and respirations are 40/min. Crackles are heard over most lung fields, and breath sounds are decreased. There is a mild pleural rub in the right upper thorax. Her leukocyte count is 68,000/mm³ (85% segmented neutrophils, 10% bands, and less than 5% myeloblasts, promyelocytes, and myelocytes). Which of the following mechanisms most likely caused the increased leukocyte count in this patient? A) Accelerated release of cells from the bone marrow postmitotic reserve pool B) Decreased margination and rolling of circulating cells C) Increased production of myeloblasts in the spleen D) Shift in bone marrow from eosinophil production to segmented neutrophil production E) Transformation of myeloid stem cells
88.A patient with pneumonia is prescribed a cough suppressant containingdextromethorphan. Which statement made by the patient indicates to the RN that more teaching is needed?“I can take this medication every 4 to 8 hours as needed to control coughing.”“This medication can result in addiction if taken for long periods of time.”“I need to call my doctor if the cough lasts more than one week."“It is not safe drink alcohol while using this medication.”
A related pair of words/phrases is provided. Give the correct word/phrase that best expresses a relationship similar to that in the original pair.
Subpart 10
This is a Respiratory Case Study. Gladys Young is a 68 year old female that resides in an Independent Living facility with her husband. She presents to her primary care physicians office with complaints of fever, chills, nausea and vomiting. She also states that she has had some mild hemoptysis occasionally with her persistent coughing. She has recently completed treatment with Chemotherapy for Breast cancer and is concerned that she may have an infection. You are the nurse caring for her. She is able to complete a sentence in its entirety, but she is persistently coughing during the history. She is a former smoker, she smoked ½ pack of cigarettes per day for 30 years and quit when she was diagnosed with breast cancer 6 months ago. She denies shortness of breath or chest tightness. She has not yet gotten her influenza vaccine, but did receive the Pneumovax vaccine last year. She has had problems with persistent coughing at night which has prevented her from getting a good night’s sleep…
140. A 42-year-old man is brought to the emergency department by his wife because of a 24-hour history of severe abdominal pain. His wife says that he has been drinking excessive amounts of alcohol for the past 3 days. His blood alcohol concentration is 160 mg/dL. Physical examination shows scleral icterus and right upper quadrant tenderness of the abdomen. Microscopic examination of a liver biopsy specimen shows hepatocyte necrosis, bridging portal fibrosis, and macrovesicular steatosis. There are numerous Mallory bodies and neutrophilic infiltrates. Which of the following abnormalities is most likely in this patient? A) Globules of a-antitrypsin OB) Impaired synthesis of fatty acids C) Increased conjugation of bilirubin D) Increased generation of ATP by mitochondria E) Increased NADH/NAD* ratio F) Increased oxidation of fatty acids

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