Question Answered step-by-step Tommy Jones is an 8-year-old boy referred to the student health centerwhere you are working. This is the 4th time this week you have seen him and the 8th time this month. His teachers report that he has been inattentive in class and provoking his peers. When you talk with Tommy and ask him if he took his medications methylphenidate (Ritalin) today, he replied, no that his mommy “crushes it and puts it up her nose” she says, “it’s the only way to get through the day.” (Learning Objectives 1,5, 15, 17)1. What additional questions do you want to ask Tommy and why?2. What do you think the main issue is in this event and why?3. Describe what nursing actions you would need to take in this case and why? Health Science Science Nursing PSYC 4357 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Tommy Jones is an 8-year-old boy referred to the student health centerwhere you are working. This is the 4th time this week you have seen him and the 8th time this month. His teachers report that he has been inattentive in class and provoking his peers. When you talk with Tommy and ask him if he took his medications methylphenidate (Ritalin) today, he replied, no that his mommy “crushes it and puts it up her nose” she says, “it’s the only way to get through the day.” (Learning Objectives 1,5, 15, 17)1. What additional questions do you want to ask Tommy and why?2. What do you think the main issue is in this event and why?3. Describe what nursing actions you would need to take in this case and why? Health Science Science Nursing PSYC 4357 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Derek Smith, a 31-year-old Caucasian male injection drug user, whois homeless, presents to the ED with a chief complaint of shortness of breath. He describes a 1-month history of intermittent fevers and night sweats associated with a nonproductive cough. He has become progressively shorter of breath, initially only with exertion, but now he feels dyspneic at rest. He appears to be in moderate respiratory distress. His vital signs are abnormal, with fever to 39°C, heart rate of 112 bpm, respiratory rate of 20/min, and oxygen saturation of 88% on room air. Physical examination is otherwise unremarkable but notable for the absence of abnormal lung sounds. Chest x-ray film reveals a diffuse interstitial infiltrate characteristic of pneumocystis pneumonia, an opportunistic infection. Upon discharge he will likely be admitted to the "medical respite floor," of a local homeless shelter, which has the services of a Nurse Practitioner three times per week—with on-call weekend consultation, and a registered nurse, Monday through FridayInstructions: -Describe and discuss the underlying disease most likely responsible for this patient's susceptibility to pneumocystis pneumonia. -Describe and discuss the immunosuppression caused by this underlying disease. -Describe and discuss the natural history of this disease and some of the common clinical manifestations seen during its progression. -Describe your plan of care for this patient following his hospitalization Health Science Science Nursing NURS N512 Share QuestionEmailCopy link Comments (0)
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