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- Mrs. Mardigrascia, a G1PO pregnant comes for prenatal consult in the Martinez Medical Clinic. History reveals that she takes vitamin supplements because she is afraid of getting sick. The nurse counsel her to avoid taking which of the following? A. VITAMIN A B. VITAMIN C C. FOLIC ACID D. BETA CAROTENE E. VITAMIN EPatient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What role does Lisinopril have in patients with DM. A 32 year old G2P1 (1001) seeks consult at 6 weeks AOG for initial obstetric visit. Her previous child had a spina bifida. How much folate should be given to prevent NTD’s in her current pregnancy? 40 micrograms’day There is insufficient evidence that follate can prevent NTDs 40 milligrams/day 4 milligrams/day 400 micrograms/day
- 7. Mrs J is prescribed oral prednisolone in a descending dose regimen. She is to take 60 mg once daily, reducing by 10 mg every 2 days until a dose of 10 mg is reached. She is then to take 10 mg for 7 days followed by 5 mg for 7 days and then stop. How many prednisolone 5 mg tablets would you need to supply to Mrs J to fulfil the full course of treatment?Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What concerns do you have with the propranolol?1. Directions: Match the items in Column A with their descriptions in Column B. Write the letter of your choice in the space provided for each item. Column A Column B 1. dosage calculations a. medication prepared for insertion into - the rectum
- 8. A 54 y/o Female presented to the emergency room w/ CC of dyspnea. The patient has a significant PMH of T2DM, GAD, CVD, and MI. The patient reported weight loss of 15 pounds in 2 weeks. The patients weight is 185lb and her height is 175cm. She reports that dietary intake has been poor and she cannot make it to the store without having SOB. She states her usual weight is 200lb. Find her energy needs using the Mifflin-St. Jeor equation 10. A 26 y/o F was admitted for GI discomfort, poor appetite, N/V/D. Upon ultrasound a bezoar was discovered in the distal large intestine. She repots a 10 pound weight loss in 2 weeks. Her current weight is 165 pounds or 75kg and her height is 160cm. Find her energy needs Using the Harris-Benedict equationPatient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What type of diabetes does she have?2. Describe the mechanism of action of metformin. In which patients is metformin contraindicated?3. List some non-pharmacologic measures that can lower her blood sugar?4. List the long term complications of DM5. What role does Lisinopril have in patients with DM?6. What concerns do you have with the propranolol?7. Despite her medication regimen, her blood sugar has been very, very high and her physician decidedto start a long acting insulin. Which insulins are long acting?24. A nurse is caring for a client who exhibits manifestations of major depressive disorder. The provider wants to rule out any other medical conditions that may be contributing to or causing the symptoms. Which diagnostic test should the nurse expect to be ordered? a. Kidney function test b. Thyroid panel (TSH, T3, T4) c. Liver function test d. Urinalysis with culture
- 1.Explain gastrointestinal and how does it cause diarrhoea and liver disorders . 2.explain Antidiabetic agents and how does Ascorbate and Acetohexamide help in avoiding or reducing diabetes. 3.Explain the following: a.Maternal and fetal distress b.Cord presentation C. Cord prolapse, with advantages and disadvantages and with examples.7. Deigo is a 55-year-old Hispanic, male, migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged.? 1)How would you provide multidimensional care to include cultural, psychosocial, spiritual, physical, and emotional needs for Deigo?Reproductive: ◆ Care of the patient with: o Infections of the male and female o BPH O STI's Gastrointestinal: ◆ Care of the patient with: o Cirrhosis o Gallbladder disease o Stoma o Crohn's disease o Hernia o Hepatitis o Nasogastric tube Cardiovascular: ◆ Heart sounds ◆ Orthostatic hypotension ◆ Care of the post cardiac care patient ◆ Care of the patient with chest pain ◆ DVT/PE/thrombophlebitis ◆ Care of the patient with heart failure ◆ Care of the patient pre and post cardioversion ◆ Conduction defects and treatments