Chapter 6, Problem 220R

Which complication would the nurse monitor in a client who sustained a transection of the spinal cord, but no other injuries? Hemorrhage Hypovolemic shock Gastrointestinal atony. Autonomic hyperreflexia

State what are the Clinical Manifestations (Signs & Symptoms) of: 1) Spinal Cord Injuries 2) Degenerative Disk Diseases

Identify one(1)radiographic procedure (ie.,trauma c-spine,décubitus abdomen,cross table lateral hip,etc)that requires critical thinking and problem-solving skills.Explain why

Describe what it might be like to have presbycusis. What activities that you now enjoy would be limited by this condition? How would this condition affect your work life? Please include references.

Upon presentation:An 18-month-old female arrives by ambulance at the emergency department. Theparamedics report that there was no known history of any recent trauma, and no knownfever, vomiting, or other unusual behavior. There were no known ingestions ormedications in the household. There was no evidence of trauma.Interview and History:At 9 PM the previous night, Ella was described by her mother as appearing more quietthan usual. They had spent the day traveling from the grandmother's house and Ella hadbeen carsick so had not eaten very much during the day. When they got home, Ella hadsome water and went to bed. Ella slept longer than usual and was found unresponsive by her mother at 9AM; at this time her mother called 911.Follow-up tests:1. Blood glucose: 23 mg/dL (normal range 90 – 125 mg/dL)2. Repeat blood glucose: 50 mg/dL following administration of glucagon3. Urinary acids: Markedly elevated levels of glutaric, ethylmalonic, and dicarboxylicacids; ketones absent4. Serum free…

E. L. is an 88-year-old widow who has advanced dementia. She is a retired secretary and is cared for in the home of her divorced daughter, who is her power of attorney for health affairs. E. L. requires assistance with all activities of daily living. She spends most of the day sitting in her orthopedic recliner (she has had bilateral hip replacements) or lying in bed. She does not speak or acknowledge the presence of others. Recently, E. L. has stopped eating all meals except for small banana slices. She resists a spoon when it is brought to her mouth, and she pockets food in her cheeks without swallowing. E. L. was admitted to the hospital several months ago for influenza and bilateral pneumonia. She was treated in the intensive care unit for three days and then sent home. The possibility of a feeding tube insertion was discussed during her hospitalization. E. L.’s daughter is seeking guidance on artificial nutrition and hydration. Use the assigned readings to guide you in the…

PATHOPHYSIOLOGY :Infection  After suffering with a cold for 5 days, Mr. Smith developed otitis media and sinus. The nasal  secretions changed from thin, clear, and colorless to thick, yellow-green mucus. Fever and sore  throat developed, as well as pain around the eyes and right ear.  Initially, what type of infection do you think Mr. Smith initially had (bacterial or viral)  and why?  What changes in manifestations occurred during the course of his illness?  What did these changes in manifestations mean or indicate with respect to the  progression of his illness?   Why does Mr. Smith have pain around the eyes and in the right ear?  5. What is the likely course of treatment for Mr. Smith?

A 57 year old male presented to the Tulane Emergency department at 4:00 AM with the acute onset of right-sided facial drooping, speech slurring, and difficulty with lifting his right upper extremity.  Upon presentation, he is unable to communicate with medical staff, as he cannot get any words out; when asked about his birthday, he attempted to speak but was unable to produce any words, but he was able to write his birthdate down correctly when asked to do so. He was unable to lift his right arm, turn his head toward the right side, or   He has a strong history of heart issues, dating back to his 40’s when he suffered from a myocardial infarction (heart attack) which required two stents placed in his left anterior descending (LAD) artery. He was prescribed Plavix (Clopidogrel) and aspirin 80 mg daily after his heart attack, and he was advised to stop smoking.  He had successfully stopped smoking for 2 months prior to restarting. He currently smokes 2 packs of Marlboro Menthol Light…

Patient is a 73 year old male with gradual memory loss for the 5 years with difficulty learning and remembering new information, deterioration in personal hygiene and appearance, loss of eye contact with a fearful look in his face. When daughter ask about time and place he is not able to responds correctly. In the last 2 years has been experiencing changes in mood and personality as well as problems with words in speaking and writing.