(L) What is the therapeutic usage of cyclosporine?methotrexate?…

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Question Answered step-by-step (L) What is the therapeutic usage of cyclosporine?methotrexate?… (L) What is the therapeutic usage of cyclosporine? methotrexate?Immunosuppression for immune-mediated diseases. Science Chemistry CHEM 4276 Share QuestionEmailCopy link Comments (0)

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What are the nursing considerations/patient teaching for a patient...
Question Answered step-by-step Utilize the information below that is copied-and-pasted out of theSOAP Note Assignment instructions to assist you in formatting your post:Assessment (A):Diagnosis/Diagnoses: Start with the presenting chief complaint diagnosis first. Number each diagnosis.A statement of current condition and all other chronic illnesses that were addressed during the visit must be included (i.e. HTN-well managed on medication}.Remember the data you provide in the 'S' data set and the 'O' data set must support this diagnosis (or these diagnoses if more than one is listed}. Pertinent positives and negatives must be found in the write-up.Plan (P):These are the interventions that relate to each individual, numbered diagnosis.Document individual plans directly after each corresponding assessment (Ex. Assessment­ Plan). Address the following aspects (they should be separated out as listed below):Diagnostics: labs, diagnostics testing - tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient's chief complaintTherapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications.Educational: information clients need in order to address their health problems. Include follow­ up care. Anticipatory guidance and counseling.Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning.NOTE: please input N/A where appropriate for the above 4 categories, do not assume that your clinical faculty person will know it was not applicable. Subjective (S):CC: chief complaint - "This rash is getting worse, even with the creams you gave me". HPI: history of present illness - Patient is an 11-year-old black female who presents with complaint of worsening rash on bilateral arms and increased itching and flakiness on her scalp.   PMH: past medical history - She has a past medical history of mild eczema with no prior treatment needed before this fall.  There is no reported history of asthma. Allergies:   NoneMedications:  Hydrocortisone topical cream 2.5% to be applied twice daily to affected area. Social history: She lives at home with her mother, father, and younger brother.  She is currently attending online schooling due to the pandemic.  She has two cats as well in the home. Family history: Mother reports that the patient's younger brother also suffers from eczema and asthma, both are controlled.  She reports they have never had to treat her brother's eczema and he uses a rescue inhaler for his asthma. Health Maintenance/Promotion - A screening of blood pressure is necessary yearly and was normal for this visit. She received her influenza vaccine in October 2020.  The family has declined the HPV vaccine while they review education materials. She is up to date on all other vaccinations.  Depression screening was performed at her last physical in October and she scored a zero.  She last saw her dentist about six months ago and goes twice a year.  She does not receive regular vision exams and does not report any vision concerns.  She denies any concerns of interpersonal violence or safety concerns in the home (this was asked while the mother was outside of the exam room). ROS: review of systems -General: She reports having a rash on her arms for the last month that is worsening.  She reports trying "the cream that was prescribed" with little to no improvement.  She also states that her scalp is itchy and flaking over the last month.  Her mother reports she has always had a flaky scalp in the colder months, but the itching is new. Skin: She denies any new skin lesions, growths and hair or nail changes.  She reports that the "rash" that she has in the inside of her upper arm and some new "flaking" on her scalp. She denies noticing any skin changes to the skin on her neck. HEENT: She denies any vision changes.  She denies any headaches.  She denies eye pain, hearing concerns (ringing), vertigo, dizziness, nosebleeds, or balance concerns.  She denies any ear pain, tinnitus, or drainage from her ears.  She reports that she always has dry scalp but now she is having increased flaking and itchiness on her head. Neck: She denies any swollen glands or throat, difficulty swallowing or changes with range of motion in neck.CV: She denies any palpitations, chest pain or feeling any abnormal heart beats. Lungs: She denies any shortness of breath, congestion, or hemoptysis nor wheezing.  She denies any coughing at night or coughing that awakens her at night.Endo: She denies any heat or cold intolerances noticed.  She and her mother deny any polyuria, polydipsia, or polyphagia.  She denies any history of any autoimmune disorders. Diet: She reports that she eats almost anything. She does drink "flavored water", but it is zero calorie sweetener such as sucralose, according to her mother. She reports drinking about 10 glasses of water a day.  She loves chips and eats a lot of "fast food".  Mc Donald's is her favorite. Pain: She reports that the area of her arms is very itchy, they are also painful most of the time.  She reports the pain as a 7/10 and a burning feeling along with the severe itching.  She reports that nothing makes the pain better and the only things that feels better is when she itches. She reports that right after she itches then it starts to burn worse and itch more.  She reports this itching and burning starting "sometime in October". She reports that nothing makes it better.  She reports that scratching makes it worse, it burns more.  She says that putting on the cream makes it hurt worse (burn).  Objective (O):Gen: Patient appears calm, focused, and a little tired.  She is dressed appropriately for the environment and responds appropriately to questions.  She is alert and oriented to person, place, and time.  She is well nourished and in no acute distress. VS: Weight 97 lbs. Height 4 ft. 7in BMI 22.5Temperature 100.7Heart rate 92Respiratory rate 16Blood pressure 101/68Pulse Oximeter 100% Skin: Patient had signs of excoriations on bilateral antecubital region.  She also had scaling on bilateral antecubital regions with erythema about 3 inches in diameter.  The arms appear xerotic bilaterally.  She has medium brown skin and no signs of cyanosis or pallor.  Nails appear intact and long with no signs of clubbing.  The neck had acanthosis nigricans circumferentially. HEENT: The nose had no signs of erythema nor edema.  The nasal turbinates were pink in color and without edema bilaterally.  The exterior nose was symmetric.  The septum has no signs of deviation, inflammation, or perforation.  The mouth did not have any lesions.  The tonsils were inspected and were 2+ bilaterally, they were symmetric, and had no edema, and no exudate.   The uvula was inspected and was midline.  The dentition had no broken or missing teeth and gingiva was free of edema or lesions.  The posterior pharynx was free of lesions and no signs of drainage or irritation.  The frontal and maxillary sinuses were palpated, and no edema was noted nor any discomfort.  The tongue had no lesions nor edema and was symmetric. The conjunctiva was free of drainage, discharge, or erythema.  The sclera had was not discolored and there were no vascular abnormalities noted. The ears were visualized externally with no drainage or edema.  The inner ears were visualized via otoscope and the ear drums were inspected and there were no effusions bilaterally, there were no ruptures, or draining fluid. There was a moderate amount of cerumen blocking the visualization of the left ear drum, but this was easily removed to gain visualization.  The internal auditory canal was visualized without any edema, nor erythema and no foreign bodies were observed.  The preauricular and post auricular lymph nodes were not palpable.Neck: The cervical, neck, mandibular, supraclavicular, tonsillar, and submental lymph nodes were not palpable, there was no edema nor tenderness noted on the tonsillar, cervical and neck.  The neck was visualized with no signs of asymmetry or JVD.  Full ROM was tested and there are no concerns of internal edema causing motor deficits. CV: The heart sounds were auscultated in all areas, valve locations along were auscultated along with PMI, a normal S1 and S2 and no murmurs or abnormal heart beats were heard.  The heart rate and rhythm were normal.  Blood pressure and heart rate was assessed, and blood pressure was normal. Lungs: Anterior and posterior lung fields were auscultated with all field being clear bilaterally. Respiratory rate and rhythm were measured and normal.  Bilateral lung expansion was visualized. Psych:  Patient was happy and talkative and was willing to answer questions and respond to my conversation with good eye contact and without difficulty. Assessment (A):      Number each diagnosis you assign AND list in parentheses behind the diagnosis the pertinent positives and pertinent negatives you used to assign the diagnosisPlan (P):Complete plan References Huang, R., Ning, H., Shen, M., Li, J., Zhang, J., & Chen, X. (2017). Probiotics for the Treatment of Atopic Dermatitis in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Frontiers in Cellular and Infection Microbiology, 7. https://doi.org/10.3389/fcimb.2017.00392 Kapur, S., Watson, W., & Carr, S. (2018). Atopic dermatitis. Allergy, Asthma & Clinical Immunology, 14(S2). https://doi.org/10.1186/s13223-018-0281-6 Wollenberg, A., Howell, M. D., Guttman-Yassky, E., Silverberg, J. I., Kell, C., Ranade, K., Moate, R., & van der Merwe, R. (2019). Treatment of atopic dermatitis with tralokinumab, an anti-IL- 13 mAb. Journal of Allergy and Clinical Immunology, 143(1), 135-141. https://doi.org/10.1016/j.jaci.2018.05.029 Health Science Science Nursing NURSING NU671 Share QuestionEmailCopy link Comments (0)
PLAYA DORADA TENNIS CLUB: EXPANSION STRATEGY What are the costs...
Question Answered step-by-step 1. A nurse is assessing a client's personal hygiene. Which of the following findings indicates that the client might have difficulty with routinely bruising their teeth? The client's mucosa is moist The client gums feel spongy The client has a missing tooth The Client's tongue is a dull red color 2. A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first? Make a copy of the medication reconciliation form for the client Provide the client with the contact number for a diabetes education specialist Determine whether the client can afford the insulin administration supplies Obtain printed about insulin self-administration 3. A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include? Contact your pelvic muscle when performing the exercises Expect improvement after 2 weeks of performing the exercises Hold your breath when performing the exercises Tighten your buttocks when performing the exercises 4. A nurse is assessing the skin of a client who has worked outdoors for the past 20 years. Which of the following findings is the nurse's priority? Skin tags noted in the neck region A change in appearance of a mole on the shoulder A flat, nonpalpable, discovered area of skin on the trunk Atrophic wart on the left index finger 5. A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take? cover the client with heavy blankets after shivering subsides place ice packs on the client's neck and behind the knees apply a bath blanket between the client and a cooling blanket give the client a sponge bath using alcohol water solution 6. A nurse is caring for an infant who is to undergo surgery. The nurse should identify which of the following individuals should sign the consent form? The infants 17-year-old mother The infant's provider The infant's grandmother The mother's 21-year-old sibling 7. A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse use? Encourage the client to try to defecate for 20 min while on the fracture pan. Keep the bed flat while the client is on the fracture pan. C. Hyperextend the clients back while the fracture pan is in place. D. the shallow end of the fracture pan under the client's buttocks. 8. A nurse is reviewing the medical record of a client who asks about the use of a magnet therapy for pain relief. The nurse should identify which of the following findings is a contraindication for receiving this type of therapy? The client is allergic to penicillin  The client has a prescription for metoprolol The client has a history of alcohol use disorder The client has an implanted defibrillator 9. A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the clients room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first? Gloves Eyewear Gown Mask 10. A nurse is teaching a newly licensed nurse about the care of a client who has methicillin resistant staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? I will wear an N95 respirator mask when caring for the client I will tell the clients visitors to wear a mask when they are within 3 feet of the client. I will place the client in a private room I will remove my gown before my gloves after providing client care. 11. A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include? Delirium has an abrupt onset 12. A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take? choose the most proximal site on the extremity selected apply a cool compress for several minutes before insertion of the IV catheter place the tourniquet below the proposed insertion site place the extremity in a dependent position 13. A nurse is teaching a client who is about to undergo a bowel resection about advance directives. Which of the following instructions should the nurse include in the teaching? Your partner must be present when you sign the advance directive You will receive written information about advance directives prior to signing You are required to sign advance directives prior to surgery Your provider must sign the advance directives before surgery 14. A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take? Remove one restraint at a time 15. A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take? Dilute each crushed medication with sterile water Mix the medication together in a single syringe Flush the NG tube with 5 mL of sterile water prior to administration Combine the medication with the formula in the feeding bag  Health Science Science Nursing NURS 318 Share QuestionEmailCopy link Comments (0)
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Question This week we are discussing Capillary Puncture and the different typesof test the medical faculty can perform. There are many CLIA-Waived capillary test that are performed in the medical facility. Medical assistants must understand how to perform these test and recognized the values for each test to assist with the patient's conditions. Please answer all the following questions on what you will do to make sure you are a successful medical assistant. -As a medical assistant, what can you do to make sure you are prepared to be evaluated on the capillary check off? -Pick one of the capillary test that was discussed in this unit that you would like to learn more about and tell your classmates why you picked it and then tell them additional information you learned. -What have you learned from the P.R.I.C.E Model of Success that you feel will be important when performing capillary punctures and CLIA Waived test in your office and explain why? -In your opinion, what is the most important takeaway that was presented in this unit's material and how will it relate to your career as a medical assistant? -Please pose a question to your classmates that you feel will enhance this unit's learning.Please be sure to validate your opinions and ideas with citations and references in APA format.Please review post and response expectations. Please review the rubric to ensure that your response meets criteria. Health Science Science Nursing NURSING MS 2657B Share QuestionEmailCopy link Comments (0)