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Question Answered step-by-step What order do these events occur? thickened cervical mucous rise in… What order do these events occur?thickened cervical mucousrise in BBT (basil body temperature)ovulationLH surge Health Science Science Nursing ANW 8000 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Mr. X is a 64-year-old male admitted to the unit with acute myocardialinfarction (AMI) after emergent left (L)-sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes type 2 diabetes mellitus, heart failure, hypertension, and osteoarthritis. Home medications include furosemide (Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), metformin (Glucophage), and ibuprofen (Motrin).Clinical AssessmentTwenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free. His only complaint is shortness of breath and swelling in his ankles, feet, and hands. Physical assessment reveals bilateral breath sounds with basilar crackles; dressing at catheter site; right femoral clean, dry, and intact; peripheral pulses 2+ bilaterally; and 2+ edema noted in lower extremities. Mr. X has a body mass index (BMI) of 35 kg/m2 and weighs 100 kg. IV fluids have been discontinued, and saline lock is in place in preparation for transfer to the telemetry unit.Diagnostic ProceduresAdmission diagnostic studies: Electrocardiogram (ECG) with ST segment elevation in V1-V4; elevated cardiac enzymes; electrolytes and glucose within normal limits; blood urea nitrogen (BUN), 26 mg/dL; serum creatinine, 1.8 mg/dL; cholesterol, 250 mg/dL; and serum B-type natriuretic peptide (BNP), 300 pg/mL. Current vital signs are as follows: blood pressure of 138/80 mm Hg, heart rate of 108 beats/min (sinus tachycardia), respiratory rate of 28 breaths/min, temperature of 99° F, and O2 saturation of 92% on oxygen at 2 L per nasal cannula. Urine output for the past 6 hours is 100 mL. The health care provider is notified of Mr. X's urine output, and repeat diagnostic studies are ordered that reveal the following: BUN, 56 mg/dL; serum creatinine, 5.6 mg/dL; and potassium, 5.8 mEq/L.Medical DiagnosisAcute anteroseptal myocardial infarctionSTEMI (ST elevation myocardial infarction)Contrast-induced nephropathy (CIN) QUESTIONSWhat major outcomes do you expect to achieve for this patient?What problems or risks must be managed to achieve these outcomes?What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified?. What interventions should be initiated to promote optimal functioning, safety, and well-being of the patient?What possible learning needs would you anticipate for this patient?What cultural and age-related factors may have a bearing on the patient's plan of care? Health Science Science Nursing ENGL 2307 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step QuestionIn this neurology case study, you will simulate a patient visit....  In this neurology case study, you will simulate a patient visit. You will be asked a series of questions regarding the patient's education, monitoring, and follow-up plan. You will have the opportunity to listen to and to assess the patient during a neurological test. At the end of the scenario, you will have the opportunity to enter your name and print or save a summary of your answers.Bonnie is a 70-year-old woman who lives alone. One evening, she felt light-headed and dizzy. When her head began to ache, she decided to take an analgesic and go to bed early.Upon awakening the following morning, she was unable to move the bed sheets with her right arm. At this point, she was experiencing tingling sensations in her limbs, and she had difficulty keeping her balance. She dialed 911 for help, and by the time the ambulance arrived, she was confused and unable to articulate her words; although, she knew what information they were asking of her. In the hospital, she was examined and treated for an ischemic stroke.Bonnie arrives at your office for a visit following her trip to the hospital. What follow-up questions do you ask her as follow-up from her ER visit? What questions should you ask her before starting a cognitive assessment? Which type of neurological testing do you recommend for a patient who has had a stroke? After completing the Neurology Case Study, answer the following questions about Bonnie to deepen your understanding.Several variables may influence a decision whether to refer a patient to a neurologist.Based on your assessment of Bonnie during the visit, would you refer her to a neurologist? Explain the reasons behind your decision.What would be your follow-up plan with Bonnie?Stroke, or brain attack, involves brain tissue injury. Describe ischemic penumbra and the factors that contribute to the survival of the neurons involved. What happens if the cells of the penumbra are unable to be preserved?Compare and contrast hypoxia and ischemia. What condition is more dangerous to the brain? Explain your answer.Knowing about the effects of ischemia on the brain, why would someone with ischemic stroke develop cerebral edema?  Health Science Science Nursing PATHOPHYSIOLOGY 2063 Share QuestionEmailCopy link Comments (0)
In this challenging time, HIM managers must deal with increasing responsibilities, constant innovation, and employee needs. After taking a survey of the training needs of your managers, you find that they feel that the most pressing educational need is management training. Many of the managers were promoted from within and had little or no management training at all. You realize that you will need to create a training plan for the managers in your HIM departments. 1. What objectives will the training program include? 2. Create a sample session outline. 3. What are the expectations for your managers as a result of the training?
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