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Additional Scenario:
As the mother is tired after the delivery, the infant is sent to the nursery immediately. On Day 3, the mother is advised to bottle feed as her milk appears to be too weak. She lived in a shack and plans to return to a rural district. It is suggested that the infant starts solids at 1 month.
- What would be your nursing care plan with this case?
- Why is it incorrect to advise formula feeds if the breast milk appears to be weak?
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- A 40-year-old woman comes to the physician for a health maintenance examination. She does not smoke or drink alcoholic beverages. Physical examination shows no abnormalities. Laboratory studies show: Serum Urea nitrogen Glucose, fasting Creatinine Cholesterol, total Triglycerides Urine Blood Glucose Ketones 17 mg/dL 151 mg/dL 1.2 mg/dL 188 mg/dL 163 mg/dL negative 1+ negative This patient is at increased risk for developing which of the following renal abnormalities during the next 20 years? A) Crescentic glomerulonephritis B) Hyperplastic arteriolosclerosis C) Membranoproliferative glomerulonephritis D) Minimal change disease E) Nodular glomerulosclerosis F) Renal cell carcinomaMany older adults are on multiple medications. Take for example Ms. Jones. She is on metformin 1 gram po twice a day, Lantus 20 units SQ daily, Lisinopril 10mg po daily, metoprolol 50mg po twice a day, simvastatin 20mg po qHS, Eliquis 5mg po BID, Calcium 600mg daily, Vitamin D 2000IU daily, baby aspirin 81mg po daily. Define polypharmacy and discuss important prescribing points for safety medication in aging adults. What are some ways to determine if the medications listed is safe for the patient to take? What tools are available to use for safe administration? What questions would be important to ask the patient about her medication?Julie a 16-year-old primigravid comes to the prenatal clinic for her monthly check-up. She has gained 20 lb from her 30-36 weeks, with edema of the face and hands. She is diagnosed as having severe preeclampsia and was referred to the high-risk Obstetrical Unit. The client's weight increase is most likely due to: a. Hypertension b. Obesity c. Overeating d. Fluid retention
- CASE SCENARIO 3: Mrs. Santos gave birth a bouncing baby boy weighing 2,985 grams via cesarean section at a Provincial Hospital. On the 3rd day of confinement, the infant appears well but the weigh dropped to 2,835 grams and it is recommended that formula be started. The next day the mother complained of pain due to engorged breasts. The hospital’s policy is to keep all normal infants in the nursery where the mother can visit at feeding time. Anthropometric Assessment: Head Circumference: Chest Circumference: Admoninal Circumference: Height: Weight: 2,985 grams GUIDE QUESTIONS: What do you think is the primary problem of the case and why? In identifying the problem, what will be your health teaching to the mother? Is it advisable to begin the formula feeding?A 40 year old female with no family history of heart disease is seen in the physician's office with the following fasting laboratory results: Total cholesterol= 230 mg/dL; triglycerides= 150mg/dL; HDL-C= 40mg/dL. According to the NCEP, what should be the first step in the treatment for this patient? Diet and exercise, Statin medication, Niacin,Fish oil?Rx7 Order : Milk of Magnesia 1 oz PO prn daily Supply : Milk of Magnesia 30 mL unit dose How many unit dose/s should be given to the patient?
- Which of these patients has the highest risk for coronary artery disease? Patient 1: 40 year old male with HDL 60, LDL 150, total cholesterol 200 and triglycerides 160. Patient 2: 50 year old male. frequently runs 5K races, HDL 50. Patient 3: 30 year old female with family history of heart disease, smokes, does not have time for exercise, HDL 25, total choesterol 250, triglycerides 300mg/dL Patient 4: 60 year old female?White, chalky stools are likely to be cause by: drinking too much milk ingestion of milk of magnesia barium test meals none of the abovea. How much NS was diluted? b. How much Gentamicin was diluted? c what is the desired concentration?
- of Which ONE of the following statements is TRUE? OA The Flomax Relief symptoms check questionnaire can be used to assess the appropriateness of prescribing tamsulosin for cystitis OB A 45-year old man with fever due to an upper respiratory tract infection may take Flomax Relief for the treatment of benign prostatic hypertrophy. OC. In patients with swallowing difficulties, tamsulosin may be crushed and mixed with orange juice to increase its absorption O D. O E Tamsulosin is an alpha-reductase inhibitor which acts by relaxing certain muscles of the prostate and bladder. Tamsulosin should ideally be taken at night to prevent nocturia symptoms, which are common in patients with benign prostatic hypertrophy.A primigravida at 35 weeks gestation tells the nurse that she gets an occasional cramp in her legs. The nurse should assess the patient's intake of: Calcium Iron Niacin ZincIn this case, a 72-year-old man with a medical history that includes hypertension, type 2 diabetes, coronary artery disease with stent implantation, and congestive heart failure is hospitalized for dyspnea while at rest. Despite salt restriction and diuretics, he continued to have swelling in his legs for four weeks. His L ejection fraction (EF) is 40 percent, which is excellent. Humalog (75/25) 20 units QD, furosemide 40 mg BID, metolazone 2.5 mg QD, spironolactone 12.5 mg QD, carvedilol 12.5 mg BID, ramipril 10 mg QD, atorvastatin 40 mg QD, clopidogrel 75 mg QD, and aspirin 81 mg QD are among the medications prescribed. The patient's blood pressure was 100/60 mmHg, his pulse was 102 beats/min, he had JVD, crackles, an S3, a positive hepatojugular reflex, and pitting edema that reached his knees. Na+ concentrations were 134 mEq/L, K+ concentrations were 3.8 mEq/L, Cl concentrations were 90 mEq/L, HCO3 concentrations were 28 mEq/L, BUN concentrations were 46 mg/dL, creatinine…
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