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Question Answered step-by-step The area of the piston to the master cylinder and a hydraulic… The area of the piston to the master cylinder and a hydraulic braking system of a car is 0.4 square inches if a force of 6.4 lb is applied to this piston what is the force on the brake pad of one wheel if the area of the pad is 1.7 square inches.Hint: since the force on each of the four wheels will be the same you only need to calculate the force on one Science Physics PHYS 102 Share QuestionEmailCopy link Comments (0)

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QuestionPlease begin watching the video (https://youtu.be/OO1TnvlBKPc) and pay close attention to all the different categories during the assessment of the patient in the video as the mental health nurse interviews the patient. You are expected to derive a score at the end of the assessment.RE: Orientation: The patient is oriented, but the video does not allow us to change the date, time, year, etc....so provide full points for this section of the MSE.Re: Three-Stage Command: The psychiatric nurse does ask the patient to follow commands by folding a paper and placing it on the table (not the floor as in the tool). Patient should be given full points for that too. She is asked to draw dissecting pentagons and does so appropriately as well.Pause the video at 7 minutes and 20 seconds (approximately) so you may score your MSE.Continue watching the video until reaching 27 mins and 50 seconds. PAUSE video again. Reflect on your understanding of the MSE at this point after having watched the psychiatric nurse go through the entire MSE during her interview of the patient.***What aspects of the psychosocial assessment were incorporated and why? ***Did you note any changes in the patient's demeanor throughout the interview? ***Was there a shift in the prioritizing of needs of this patient from the beginning of the interview up to now? You will now begin the video again so you can watch how to utilize the Patient Safety Plan Template. for the inpatient setting. Note how the psychiatric nurse asks the patient to be the one to fill it in. Note how she asks to sit side-by-side. She does this to show a partnership in filling out the safety plan rather than an authoritative stance.Restart the video and follow along until the break on video that has a "Day of Discharge" pause noted. As you proceed to watch the remainder of the video. Pay particular attention to differences in the safety plan from inpatient to outpatient setting. Note psychiatric nurse agrees to make copies for patient so it is readily available to her in different areas including her vehicle, her friend Mary, etc. Make several copies to place on refrigerator and important locations so it is readily available to patient in times of increased stress or crisis.  I. ORIENTATION (Ask the following questions; correct = ☒)    (Maximum Score =10) What is today's date?  Date (eg, May 15)  1 ☐ What is today's year?  Year   1 ☐ What is the month?  Month   1 ☐ What day is today?  Day (eg, Monday)  1 ☐ Can you also tell my what season it is?  Season   1 ☐ Can you also tell me the name of this hospital/clinic?  Hospital/Clinic   1 ☐ What floor are we on?  Floor   1 ☐ What city are we in?  City   1 ☐ What county are we in?  County   1 ☐ What state are we in?  State   1 ☐ II. IMMEDIATE RECALL  correct = ☒ (Maximum Score = 3) Ask the subject if you may test his/her memory. Say "ball, flag, tree" clearly and slowly, about one second for each. Then ask the subject to repeat them. Check the box at the right for each correct response. The first repetition determines the score. If he/she does not repeat all three correctly, keep saying them up to six tries until he/she can repeat them  Ball  1 ☐ Flag  1 ☐ Tree  1 ☐   NUMBER OF TRIALS: _________ III. LONG TERM RECALL    (Maximum Score = 3) Ask the subject to name the current president. Ask the subject to name the last three presidents. Check the box at right for each correct response.    Trump  1 ☐ Obama  1 ☐ Bush  1 ☐ Clinton  1 ☐ IV. ABSTRACTION & CONCEPTULIZATION    (Maximum Score = 1) Ask the subject to explain the meaning of the following proverb: "People who live in glass houses shouldn't throw stones." If the subject correctly interprets the meaning of the proverb, check the box at right.  Correctly interprets meaning of proverb.  1 ☐ IV. ATTENTION AND CALCULATION     A. Counting Backwards Test  (Record each response, correct = ☒)  (Maximum Score = 5) Ask the subject to begin with 100 and count backwards by 7. Record each response. Check one box at right for each correct response. Any response 7 or less than the previous response is a correct response. The score of is the number of correct subtractions. For example: 93, 86, 80, 72, 65 is a score of 4; 93, 86, 78, 70, 62 is 2; 92, 87, 78, 70, 65 is 0.  93  1 ☐ 86  1 ☐ 79  1 ☐ 72  1 ☐ 65  1 ☐ B. Spelling Backwards Test     Ask the subject to spell the word "WORLD" backwards. Record each response. Use the instructions to determine which are correct responses, and check one box at right for each correct response.  D  1 ☐ L  1 ☐ R  1 ☐ O  1 ☐ W  1 ☐  C. Final Score     Compare the scores of the Counting Backwards and Spelling Backwards tests. Write the greater of the two scores in the box labeled FINAL SCORE at right and use it in deriving the TOTAL SCORE.    FINAL SCORE:___ (Max of 5 or Greater of two Scores) V. RECALL  correct = ☒ (Maximum Score = 3) Ask the subject to recall the three words that you previously asked him/her to remember. Check the box at right for each correct response.  Ball  1 ☐ Flag  1 ☐ Tree  1 ☐ VI. LANGUAGE  correct = ☒ (Maximum Score = 9) Naming     Show the subject a wrist watch and ask him/her what it is. Repeat for a pencil    Watch  1 ☐ Pencil   1 ☐                         Repetition     Ask the subject to repeat "no, ifs, ands, or buts"  Repetition   1 ☐                         Three-Stage Command     Establish the subject's dominant hand. Give the subject a sheet of blank paper and say, "Take the paper in your right/left hand, fold it in half, and put it on the floor"  Takes paper in hand   1 ☐                         Folds paper in half   1 ☐                         Puts paper on the floor   1 ☐                         Reading     Hold up the card that reads, "Close your eyes" so the subject can see it clearly. Ask him/her to read it and do what it says. Check the box at right only if he/she actually closes his/her eyes.  Closes eyes   1 ☐                         Writing     Give the subject a sheet of blank paper and ask him/her to write a sentence. It is to be written spontaneously. If the sentence contains a subject and a verb, and is sensible, check the box at right. Correct grammar and punctuation are not necessary  Writes sentence   1 ☐                         Copying     Show the subject the drawing of the intersecting pentagons. Ask him/her to draw the pentagons (about one inch each side) on the paper provided. If ten angles are present and two intersect, check the box at right. Ignore tremor and rotation.  Copies pentagons  1 ☐ DERIVING THE TOTAL SCORE Add the number of correct responses.  The maximum is 35.  TOTAL SCORE ____________ 28-35 = Normal 24-28 = Borderline <24 = Impaired  Up to Grade 8 Level       Patient Safety Plan TemplateStep 1:  Warning signs (thoughts, images, mood, situation, behavior) that a crisis may be                                            developing:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Step 2:  Internal coping strategies - Things I can do to take my mind off my problems                                  without contacting another person (relaxation technique, physical activity):_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Step 3:                      People and social settings that provide distraction:Name____________________________________________________ Phone______________________________Name____________________________________________________ Phone______________________________Place__________________________________________ 4. Place______________________________________Step 4:                 People whom I can ask for help:Name____________________________________________________ Phone______________________________Name____________________________________________________ Phone______________________________Name____________________________________________________ Phone______________________________Step 5:                      Professionals or agencies I can contact during a crisis:1. Clinician Name____________________________________________ Phone______________________________   Clinician Pager or Emergency Contact #   _________________________________________________________ 2. Clinician Name____________________________________________ Phone______________________________   Clinician Pager or Emergency Contact #   _________________________________________________________ 3. Local Urgent Care Services______________________________________________________________________  Urgent Care Services Address___________________________________________________________________              Urgent Care Services Phone_____________________________________________________________________4. Suicide Prevention Lifeline Phone: 1-800-273-TALK (8255) Step 6:                Making the environment safe:__________________________________________________________________________________________________________________________________________________________________________________________Safety Plan Template ©2008 Barbara Stanley and Gregory K. Brown, is reprinted with the express permission of the authors. No portion of the Safety Plan Template may be reproduced  without their express, written permission. You can contact the authors at b..2@columbia.edu or g..w@mail.med.upenn.edu.Health ScienceScienceNursingNURS 4564Share Question
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Question Answered step-by-step Image transcription textQUESTION 14 What is the PVR of a patient with a mean PAP of 25, PCWP of 15, and a cardiac output of 5.6L/min? a) 189 dynes/sec/cm-5 O b) 142 dynes/sec/cm-5 c) 203 dynes/sec/cm-5 Od) 190 dynes/sec/cm-5... Show more Health Science Science Nursing RES MISC Share QuestionEmailCopy link Comments (0)
QuestionThe nurse reviews A. M.'s laboratory results. Laboratory Report...The nurse reviews A. M.'s laboratory results. Laboratory Report Normal 1/1/22 1/2/22WBC 4,000-11,000 uL 9,000 15,000Hemoglobin 12.0-17.0 g/dL 11.0 6.9Hematocrit 36.0-51.0% 35 28RBC 4.2-5.9 cells/L 3.8 2.5Platelets 150,000-350,000 uL  145,000 102,000Calcium 9-10.5 g/dL 8.8 8.7Chloride 98-106 mEq/L 99 98    Laboratory Report Normal 1/1/22 1/2/22Magnesium 1.5-2.4 mEq/L 2.1 1.9Phosphorus 3.0-4.5 mg/dL 3.1 3.0Potassium 3.5-5.0 mEq/L 3.2 3.3Sodium 136-145 mEq/L 142 144Glucose 70-199 mg/dL 189 267BUN 8-20 mg/dL 39 25Creatinine 0.7-1.3 mg/dL 1.3 1.2CPK 30-170 U/L 422 304LDH 60-100 U/L 154 279AST 0-35 U/L 34 33ALT 0-35 U/L 30 32GGT 9-48 U/L 42 36T. Bilirubin 1.2 mg/dL 0.9 1.0Cholesterol <200 mg/dL 259 246Triglycerides <150 mg/dL 198 188 Which laboratory results should the nurse bring to the attention of the healthcare provider prior to surgery?   Select all that apply.White blood cellsHgb & HctCalciumPotassiumGlucoseCholesterol/Triglycerides Which additional lab(s) is/are concerning and should be reported to the surgeon prior to surgery?Red blood cellsPlatelet countCreatinine level                                              Liver enzymes                                                                                    After alerting the surgeon of the lab reports, the surgery is postponed. Intravenous antibiotics ae started, potassium is replaced, and the client receives 1 unit of packed red blood cells. Because of poor venous access, a peripherally inserted central catheter (PICC) is placed in the left basilic vein. Additionally, A.M. is started on short-acting insulin to control the blood glucose levels. The next day, 1/3/22, she shows improvement and is taken to surgery for an Open Reduction Internal Fixation of the Left hip. A.M. is now 24 hours postoperative. The nurse reviews her electronic vital sign record.  Day Time BP HR RR O2 Sats Temp Pain1/2/22 1310 110/75 105 14 99%O2 2L 100.7 2/10  2050 108/67 100 16 96%O2 1L 99.0 3/101/3/22 0030 145/88 110 22 95% RA   7/10  0200 127/78 88 16 94% RA 97.2 4/10  0815 100/76 90 18 95% RA   3/10  1635 110/72 92 22 94% RA 98 8/10  1905 115/70 88 20 94% RA 100.0 5/10  2200 110/75 86 18 95% RA 97.0 2/101/4/22 0800 118/75 98 20 95% RA 98 4/10  1620 98/56 110 22 92% RA 100.5 6/10  2110 89/50 114 24 95%O2 1L 101.2 5/10 After analyzing the vital sign trends, what information is most concerning to the nurse?Respirations of 14 on 1/2/22BP 145/88 at 0030 on 1/3/22BP 89/50 at 2110 on 1/4/22Temp 101.2 at 2110 on 1/4/22 Based on this information, what should be the nurse's priority action?Increase O2 for respirations of 14 on 1/2/22Administer pain medication for BP at 0030 on 1/3/22Increase IV fluids for BP at 2110 on 1/4/22Deliver acetaminophen for fever at 2110 on 1/4/22     At 1620 on 1/4/22, there is a change in the client's condition. What action(s) should the nurse take?  Select all that apply.Deliver pain medication with close monitoringStop IV fluidsApply OxygenPlace a cool cloth on the client's foreheadEncourage coughing and deep breathingHave the client walk in the hall At 2110 on 1/4/22, the nurse decides to contact the provider for additional orders. What additional assessment information should the nurse collect in preparation for the SBAR communication.  The nurse notes that there are two providers following A.M. Which provider should the nurse contact first?Dr. BaldwinDr. Schoenberg The nurse communicates with the provider.S- Hi Dr._________, this is the nurse caring for A.M. at JFKUMC. I'm calling because her BP is low at 89/50 mmHg and temperature is up to 101.2.B- She came in on 1/1/22 after falling and fracturing her hip. She returned from surgery 24 hours ago. She has a history of rheumatoid arthritis and takes prednisone daily. She also had an elevated WBC count prior to surgery and has been receiving cefazolin IV.A-Her wound site is slightly reddened with clear, serous drainage, the staples are intact. Her lungs are diminished in the bases, and she has been placed on O2 1L to maintain her saturations at 95%. WBC's are at 13,000. The indwelling catheter is draining concentrated, cloudy urine. Her PICC catheter dressing is intact with an antimicrobial patch covering the insertion site.  Based upon the SBA(R) communication, what assessment findings indicate the most likely site(s) of infection? Select all that apply. WoundLungsBloodUrinePICC catheter As the nurse, complete the "R" of the SBAR report.  Clinical Hint: It is important for the nurse to clearly articulate what the needs are for each client. Evidence shows that assertive communication reduces health care related errors and client deaths. HealthcareProvider Orders Name: A.M. Martinez                               Age: 54 yearsHCP: S. Baldwin D. O                                 Allergies: NKDACode Status: Full CodeDATE/TIME HEALTH CARE PROVIDER PRESCRIPTIONS1/4/222200 Urine C & S then discontinue indwelling urinary catheterChest x-rayIV fluids 0.9% NaCl, 500 ml over 2 hoursAcetaminophen 650 mg orally every 4 hours PRN for T>101FCiprofloxacin 400mg IV every 12 hours  Which of these prescriptions should the nurse implement first? (Use your clinical judgement to determine the highest risk to safety, coupled with what can be completed quickly when prioritizing a list of prescriptions).Urine C & S, then dc indwelling urinary catheterChest x-rayIV fluids 0.9% NaCl, 500 ml over 2 hoursAcetaminophen 650 mg orally every 4 hours PRN for T>101FCiprofloxacin 400mg IV every 12 hours Reflect on the events that have occurred since A.M. came into the emergency department and apply your critical thinking skills to what events could have prevented the current client situation.    The diagnostic and culture reports return for A.M. Her chest x-ray shows bilateral atelectasis and the urinalysis is positive for leukocytes, nitrate, bacteria, blood and protein, indicating she has a bladder and kidney infection. Given this information, what priority action should the nurse take?Implement coughing and deep breathing hourlyAmbulate in the hallway hourlyPlace an indwelling catheter for accurate I & OLimit oral fluidsThe hospital's quality management and infection control departments notice an increase of catheter acquired urinary tract infections (CAUTI) on the nursing unit where A.M. is a client. A chart review is conducted which leads to a mandatory training session for the nurses and other appropriate health care team members.  What information should be included in the educational session about the prevention of CAUTI's? Select all that apply. Review the Center for Disease Control's (CDC) criteria for catheter insertionDaily review of need for indwelling cathetersEarly recognition of CAUTI symptomsUse of aseptic technique with catheter careImportance of securing the device and keeping the bag below the level of the bladderFrequency of indwelling catheter care During the training session, the nurse reviews the CDC (2009) Criteria for Indwelling Urinary Catheter Insertion. Using these guidelines, did A.M. meet the criteria for an indwelling catheter?YesNo  CDC (2009) Criteria for Indwelling Urinary Catheter (IUC) Insertion:>Acute urinary retention or bladder outlet obstruction>To improve comfort at end-of-life care if needed>Critically ill and need for accurate I & O measurements (hourly monitoring)>Selected surgical procedures (GU surgery/colorectal surgery)>To assist in healing open sacral or perineal wound in incontinent clients>Need for intraoperative monitoring of urinary output during surgery or large volumes of fluid or diuretics anticipated>Prolonged immobilization (potentially unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures)  After the training how will the quality improvement and infection control departments identify that their training is effective?Nurses will place fewer indwelling cathetersUAPs will follow aseptic technique when caring for cathetersThe occurrence rate of CAUTIs will decrease on the nurse unitThe team will state having a deeper understanding of the process     Health ScienceScienceNursingShare Question