Question Answered step-by-step 1. Tony is a 32 year old man with HIV. His first AIDS defining illnesscaused his weight to drop from 175 to 116 lbs. due to intractable diarrhea. The physician thought caloric intake was of primary importance and urged Tony to eat whatever he wanted. The physician also prescribed tincture of opium for the diarrhea, but Tony hated the tincture of opium because it made him feel out of control. Because Tony was getting worse, his nurse argued that he needed intravenous nutrition and should eat only bananas, rice, apple sauce and weak tea until the diarrhea stopped. The nurse suggested adding other foods one at a time and only as tolerated. Tony’s family and friends offered to take control of Tony’s food preparation.The physician compared AIDS to advanced cancer and argued he would not prescribed IV nutrition to advanced cancer. The nurse argued that this was Tony’s first AIDS infection and that the prognosis was better than someone with advanced cancer. The nurse primary focus was on stopping the diarrhea and supplementing nutrition with IV’s. Tony’s friends preferred the nurse’s approach, but Tony was not as easily convinced.Guide question:1.How might Florence Nightingale analyse the situation?2.What appear to be the perspective or views represented by the physician and the nurse  ( how might you say they are defining the metaparadigm)?RATIONALE: 2. Mr. Woo, a 50 year old professional man, has pneumonia and is currently being treated with antibiotics. He smokes two packs of cigarettes a day. Since this bout of pneumonia he voices concern about his smoking and his wonders if he should try to quit again. He states “I’ve tried everything and nothing works. The longest I smoke last is about one month.” He admits to being 30lbs. overweight and state that his wife and he have started walking for 30 minutes every evening. His wife has also started making low fat meals. He is concerned that if he quits smoking he will gain more weight. GUIDE QUESTION:Each contact between a nurse and a client is an opportunity for health promotion. Based on the knowledge or key concepts listed above, what questions would you ask to Mr. Woo?RATIONALE: The nurse’s  3. The nurse is examining a patient involved in a car accident. The patient complains of shortness of breath. The tissue of the patient’s face,neck and torso gives a crackling sensation when palpated. The nurse suspects subcutaneous emphysema. GUIDE QUESTION:How can you assess a client suffering from subcutaneous emphysema?RATIONALE:    Health Science Science Nursing NURSING NR708 Share QuestionEmailCopy link Comments (0)

/in /by

Question Answered step-by-step 1. Tony is a 32 year old man with HIV. His first AIDS defining illnesscaused his weight to drop from 175 to 116 lbs. due to intractable diarrhea. The physician thought caloric intake was of primary importance and urged Tony to eat whatever he wanted. The physician also prescribed tincture of opium for the diarrhea, but Tony hated the tincture of opium because it made him feel out of control. Because Tony was getting worse, his nurse argued that he needed intravenous nutrition and should eat only bananas, rice, apple sauce and weak tea until the diarrhea stopped. The nurse suggested adding other foods one at a time and only as tolerated. Tony’s family and friends offered to take control of Tony’s food preparation.The physician compared AIDS to advanced cancer and argued he would not prescribed IV nutrition to advanced cancer. The nurse argued that this was Tony’s first AIDS infection and that the prognosis was better than someone with advanced cancer. The nurse primary focus was on stopping the diarrhea and supplementing nutrition with IV’s. Tony’s friends preferred the nurse’s approach, but Tony was not as easily convinced.Guide question:1.How might Florence Nightingale analyse the situation?2.What appear to be the perspective or views represented by the physician and the nurse  ( how might you say they are defining the metaparadigm)?RATIONALE: 2. Mr. Woo, a 50 year old professional man, has pneumonia and is currently being treated with antibiotics. He smokes two packs of cigarettes a day. Since this bout of pneumonia he voices concern about his smoking and his wonders if he should try to quit again. He states “I’ve tried everything and nothing works. The longest I smoke last is about one month.” He admits to being 30lbs. overweight and state that his wife and he have started walking for 30 minutes every evening. His wife has also started making low fat meals. He is concerned that if he quits smoking he will gain more weight. GUIDE QUESTION:Each contact between a nurse and a client is an opportunity for health promotion. Based on the knowledge or key concepts listed above, what questions would you ask to Mr. Woo?RATIONALE: The nurse’s  3. The nurse is examining a patient involved in a car accident. The patient complains of shortness of breath. The tissue of the patient’s face,neck and torso gives a crackling sensation when palpated. The nurse suspects subcutaneous emphysema. GUIDE QUESTION:How can you assess a client suffering from subcutaneous emphysema?RATIONALE:    Health Science Science Nursing NURSING NR708 Share QuestionEmailCopy link Comments (0)

You might also like
Discuss entities that have jurisdiction over nurse shortage....
Answer 6-10, please
Here is another extensive manual-based resource that many of you...
Question Answered step-by-step 41. (42)a nurse is witnessing the informed consent of a client scheduledfor cardiopulmonary bypass. When the nurse asks the client if they understand the risks and benefits of the procedure as explained by the surgeon., the client states. Yes., I spoke with my doctor's nurse, and they answered all of my questions. Which of the following actions should the nurse take? -Ask the client if the surgeon's nurse explained the procedure thoroughly  -Determine if the client has spoken with the surgeon about the surgery -Check to see if the client has additional question -Allow the client to sign the consent 42. (41). A nurse in a long-term care facility is reinforcing with a newly nurse about chemotherapy-induced nausea. Which of the following food selection indicates the newly licensed nurse understands the teaching? -Soft-serve ice cream -Hot tea -Raisin toast -String cheese 43. (40). A nurse in a long-term care facility is serving on a committee that is reviewing recent incident reports. Which of the following situations is an example of an intentional tort? -A nurse administers a dose of oxycodone to the wrong client -A nurse injures a client's skin when she is removing stapies from his knee -A nurse tells a visitor that a client has a diagnosis of hepatitis C -A nurse trips over an object on the floor and spills hot coffee on a client. 44. (37). A nurse is reviewing the computer documentation of a newly licensed nurse. Which of the following practices by the newly licensed nurse should the charge nurse identify as appropriate documentation practice? -Includes quotes from the client -Documents that the provider wrote an inaccurate prescription -Makes reference in the nurse notes of completing an incident report -Remains logged into the chatting system throughout the shift. 45. (36). A nurse is caring residents at a long-term care facility following a tornado. Which of the following task should the nurse delegate to assistive personnel? -Determine which clients need priority medical treatment -Answer questions from area residents who have health concerns -Perform CPR for a client who is not breathing -Complete distal capacity refill checks for a client who has an open leg wound 46. (35). A staff nurse discovers treatment error made by a nurse on the previous shift. The staff nurse finds no documentation of the error. Which of the following actions should the staff nurse take first? -Report the error to the provider -Educate the client for injury -Complete an incident report -Notify the nurse manger 47. (32). A nurse is receiving change-of-shift about four clients. Which of the following clients should the nurse ask the charge nurse to reassign to an RN? -A client who requires tracheostomy suctioning -A client who requires an eternal feeding -A client who requires initial education about blood glucose monitoring -A client who requires irrigation of an indwelling urinary catheter 48.(31). A nurse in a provider's office is caring for four clients. The nurse should recommend an interdisciplinary conference for which of the following clients?A. A client who is receiving digoxin and has a heart rate of 98/minB. A client who has asthma and has a peak expiratory flow rate of 85%C. A client who had a stroke and has dysphagiaD. A nurse who has sickle cell anemia and reports pain 49. (`29). A nurse is assisting with planning an educational session about time management. Which of the following information should the nurse recommend including in the teaching?            A. Focus on completing least important tasks first            B. Take time at the beginning of the shift to plan clients' care            C. Set aside time at the end of the shift to complete charting            D. Work through breaks to complete assigned tasks.50. (23). A nurse is supervising assistive personnel (AP) who is collecting a clean-catch urine specimen from a client. Which of the following actions by the AP indicates an understanding of the procedure?A. collects the specimen from the initial stream of urineB. Dons a pair of sterile gloves prior to collecting the urine specimenC. Stores urine specimen at room temperature for 1 hr following collectionD. Offers the client fluids 30 min before collecting the urine specimen          Health Science Science Nursing NURSING LPN PNP124 Share QuestionEmailCopy link Comments (0)
Explain how health care reform has helped shift the focus from a...
Historically, our society has conflated sex with gender. As we have...
Answer questions
According to Silverblatt in "Media as Social Institution", what is...