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Question Answered step-by-step writeaspeech, 3–5mins writeaspeech, 3–5minsImage transcription textWith the current educational dilemma that we are experiencing, most students are faced witi’i battling the willto continue their academic pursuit. The challenges experienced in distance learning add to the alreadydepressing situation brought about by the constant battle against the pandemic. With this scenari… Show more… Show more  Arts & Humanities Writing Share QuestionEmailCopy link Comments (0)

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Question Make a Nursing Care Plan, FDAR and Drug Study. (Check the Format below) Case Scenario: A 23-year-old pregnant woman went to the clinic for subsequent prenatal check-up. She is now on her 6th month of pregnancy. One of her concerns she said was that "I am experiencing pain at my lower left side". The following were taken, BP 110/70, weight 53 kilograms, temperature, 37 degrees centigrade. Urine test was requested. The nurse prepares the client for Leopold's maneuver. While doing the Leopold's maneuver, the client suddenly complained of dizziness and blurring of vision. Therefore, the client was placed in lateral position. The result of urine test showed some pus cells. Keflex 500 mg one capsule 3 times a day for 7 days was prescribed and was advised to continue taking Ferrous sulfate one tablet once a day.  Here is the Format for Nursing Care PlanASSESSMENTNURSING DIAGNOSISPLANNINGINTERVENTIONRATIONALEEVALUATIONSubjectives:Problem, Etiology, Signs(P.E.S.) formatShort Term Goal:S.M.A.R.T. + EvidenceIndependent:AssessmentTherapeuticEducative     Dependent:AssessmentTherapeuticEducative    Interdependent/CollaborativeAssessmentTherapeuticEducative Short Term Goal Evaluation:Objectives:INFERENCEScientific Explanation (Diagram Form)Long Term Goal:S.M.A.R.T.+ EvidenceLong Term Goal Evaluation:Here is the Format for FDAR DATE/TIMEFOCUSDATA/ACTION/RESPONSE  D›     A›     R› Here is the Format for Drug StudyDRUGCLASSIFICATIONINDICATIONSIDE EFFECTSADVERSE EFFECTNURSING RESPONSIBILITIESGeneric Name:  Brand Name: Dosage:  Route: Frequency:        MECHANISM OF ACTION             CONTRADICTIONS         Health Science Science Nursing NURSING 101 Share QuestionEmailCopy link Comments (0)
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Question Completing A Nursing Care PlanYou received the patient at 19:00 on day 2. You receive report and review the EHR. The following information is what you discover. Complete the Concept Map by following the instructions on the document. Scenario: Patient IdentityThe patient is a 54-year-old female, who is a housewife with a BMI of 26. This patient has had asthma for most for his life and it has been controlled with medications and avoiding triggers. She has been using an albuterol rescue inhaler approximately 1 time per month for the past year.Presenting ComplaintsShe was brought into the ED 2 day ago, complaining of shortness of breath (SOB) and a productive cough. History of Presenting ComplaintsThe patient was experiencing SOB for the past 2-3 days and was progressively worsening on the day on admission. It was not associated with chest tightness or pain. She was also having persistent productive cough with white sputum since she was last discharged 12 days ago.Past Medical HistoryShe was diagnosed with diabetes mellitus and hypertension 8 years ago. She was newly diagnosed with bronchial asthma in her last admission two weeks ago.Social HistoryThe patient is a widow for 6 years. She is a factory worker and cares for 3 teenage children. She stays in a factory area and has a cat at home. She is a non-smoker and a non-alcoholic.Family HistoryHer mother and father have no known medical illness, but she has a cousin who suffers from bronchial asthma and is frequently admitted to the hosptital.Drug HistoryBronchial Asthma. Pulmicort Flexhaler 180 mcg inhaled twice daily.Proventil HFA administer 2 inhalations repeated every 4 to 6 hours, as needed for acute episodes of bronchospasm.Hypertension Fosinopril sodium tablets is 10 mg dailyHydrochlorothiazide tablet 50 mg, dailyType 2 diabetes mellitusMetformin 500mg orally, twice a dayShe has been compliant with her medication and she had no known drug allergy.    Examination DetailsOn examination, the patient was alert and oriented X3. She was pink and appeared to be hydrated. She was also able to speak in full sentences and was not tachypneic. Her blood pressure (BP) was 152/82mmHg, pulse rate (PR) was 109 beats per minute (bpm) and was afebrile. Her oxygen saturation (SpO2) was 96% under 3 liters of oxygen and her blood glucose was 88.Current LabHemoglobin: 13 g/dLHematocrit: 38%Platelet Count: 200,000/mLWhite blood cell: 15,000/mL Medical DiagnosisPatient was initially diagnosed with Acute Exacerbation of Bronchial Asthma secondary to an upper respiratory infection to rule out pneumonia. However, later in the day when the chest X-ray came back, she was diagnosed with pneumonia with right lower lobe effusion.Management PlanThe patient's current medication was continued and 3 liters of oxygen via a nasal canula was administered. She was also started on an antibiotic after the CXR showed pneumonia with right effusion. Medications Prescribed •             Prednisolone tablets, 30mg daily•             Clarithromycin250-500 mg orally every 12 hours•             Pulmicort Flexhaler 180 mcg inhaled twice daily.•             Proventil HFA administer 2 puffs every 4 to 6 hours, PRN for acute episodes of bronchospasm.•             Fosinopril sodium tablets is 10 mg daily•             Hydrochlorothiazide tablet 50 mg, daily•             Metformin 500mg orally, twice a day      Table 1: Vital Signs from the medical recordDay TimeBPPulseSp)2Blood GlucoseTemperature111.00178/102109100%7097.6oF 14.00152/8210098%   18.40133/7311497% 100oF208.30119/6794100%74  15.20112/8296100% 102.2oFQUESTIONS:1. Etiology that led to the medical diagnosis( What condition led to the current medical diagnosis?) 2. Pathophysiology (What is occurring in the effected organ?) 3. Acute Exacerbation of Bronchial Asthma secondary to Pneumonia: (a). Diagnostic findings,(b). General interdisciplinary treatment plan,  (c). Clinical manifestation (list the objective and subjective symptoms),  4. Care plan for your patient (i.e.: Patient teaching. List all the nursing intervention that should be done for this patient at this time)   Health Science Science Nursing NURS 3400 Share QuestionEmailCopy link Comments (0)
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6. Which arterial blood gas ( ABG) are typical for a client with emphysema?