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Question Damage to the hypothalamus would be expected to produce b. changes… Image transcription textDamage to the hypothalamus would be expected to produce b. changes in eating,… Show more Social Science Psychology Share QuestionEmailCopy link This question was created from biopsych8.docx Comments (0)

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Question 6. History A female patient is a diagnosed depression patient who... 6. HistoryA female patient is a diagnosed depression patient who needs to restart on medications. Her major symptoms are lack of interest in her usual activities and some anxiety associated with her workplace stress, but she denies issues of sleep disturbance and overeating. These were issues when she was diagnosed as depressed 2 years ago. She received a selective serotonin reuptake inhibitor (SSRI) medication, Paxil, at that time. She is reluctant to take them again because she had an onset syndrome that she had not been warned about. She admits she did not do very well on it because the MD took a slow and watchful approach to altering her medications. She also had a "rough time" when she decided to stop taking it after 2 years. She read an article that said timelines for depression medication therapy have changed and she has some questions about this.The patient then asks about the internet article about the newer approach behind aggressively moving dosage levels higher at a rapid pace (unlike the slow and cautious approach she had previously). What do the research studies show related to pushing dose levels at a fast pace schedule? How quickly should you increase the dose intervals? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step -Identify a need for change in your healthcare organizationthat would benefit population health.  develop ONE SMART goal for the SWOT Analysis. -Conduct a SWOT analysis by identifying the organizations STRENGTHS, WEAKNESSES, OPPORTUNITIES and THREATS related to the proposed change  Health Science Science Nursing NURS 6550 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Client Profile:Case Study:Questions: Nisha is a 14 year-old with sickle cell anemia. She lives with her mother and grandmother in a rural neighborhood. Nisha has experienced several "sickle cell crises". However, they seem to have become more frequent since she became an adolescent. Nisha is enjoying her summer break from school. She is active in softball and enjoys shopping with her girlfriends. Nisha's mother brings her to the hematology clinic at the hospital with complaints of severe generalized pain following a softball game in which she pitched seven innings. She is admitted to the medical pediatric unit. Her vital signs are: temperature, 37.6 degrees C (99.7 degrees F); pulse 110 beats/minute; respiration, 30 breaths/minute; and blood pressure, 96/70. She weighs 110 lb. Her complete blood count reveals; hemoglobin, 9 g/dL; hematocrit 24%; white blood cell count, 12,000 cells/mm3 and platelet count, 140,000 cells/mm3. Her oxygen saturation is 89%. 1. Discuss your impressions of Nisha's clinical manifestations. 2. Discuss the pathophysiology of sickle cell 3. What causes sickle cell anemia and how common is it? 4. What is sickle cell crisis? 5. What other assessment data would be helpful for the nurse to have to prepare Nisha's care plan? 6. What are the priorities of care for Nisha on admission? 7. The health care provider prescribes the following for Nisha: a. vital signs q 4 h. Notify health care provider of temperature > 38 degrees C (100.4 degrees F) b. regular diet c. Strict bed rest d. Complete blood count with differential in the morning e. Urine for urinalysis (U/A) and culture and sensitivity (C/S) f. Chest x ray g. IV fluids of 5% dextrose in water with 0.45% normal saline to infuse at 175 mL/hour h. PCA morphine sulfate 1.5 mg continuous and 1 mg every 8 minutes, PCA dose. i. Acetaminophen 650 mg q 4hr PO for temperature >38 degrees C (100.4 degrees F) j. Oxygen at 2 liters per nasal cannula, titrating to maintain oxygen saturation >94%. 8. Discuss these prescriptions and if the nurse should question any of them 9. What nursing diagnoses would be appropriate in meeting Nisha's needs 10. What nursing interventions would be appropriate in meeting Nisha's needs? What I need help with is (1) Explain disease process of Sickle Cell and nursing management. (2) Explain treatments and medications in case study  Health Science Science Nursing NUR 301 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step 1. Describe workforce attributes of millennials. 2. What is the... 1. Describe workforce attributes of millennials.2. What is the ANA's position statement on assisted suicide?3. List 4 signs of possible physical abuse in an older patient.4. List 3 nursing interventions for prevention of elder abuse.5. What are the 3 phases of Kotter's Change Management Model?6. How does autonomy relate to informed consent?  Health Science Science Nursing NURS C475 Share QuestionEmailCopy link Comments (0)