Following are the solutions:
1. Flow rate = 100 mL/h
2. Time = 4.5 hours
3. Volume = 93.2 mL
4. Flow rate = 450 mL/h
5. Flow rate = 200 gtt/min
6. Flow rate = 80 mL/h
7. Replacement volume = 300 mL
1. To calculate the flow rate in mL/h, divide the volume (500 mL) by the time (5 hours):
Flow rate = Volume / Time
Flow rate = 500 mL / 5 hours
Flow rate = 100 mL/h
2. To calculate the time needed for 225 mL to infuse at a rate of 50 mL/h:
Time = Volume / Flow rate
Time = 225 mL / 50 mL/h
Time = 4.5 hours
3. To calculate the volume that will infuse in 2 hours and 20 minutes (or 2.33 hours) at a rate of 40 mL/h:
Volume = Flow rate * Time
Volume = 40 mL/h * 2.33 hours
Volume = 93.2 mL
4. To calculate the flow rate in mL/h from a flow rate of 30 gtt/min with a drop factor of 15 gtt/mL:
Flow rate (mL/h) = Flow rate (gtt/min) * Drop factor (gtt/mL)
Flow rate (mL/h) = 30 gtt/min * 15 gtt/mL
Flow rate (mL/h) = 450 mL/h
5. To calculate the flow rate in gtt/min for an infusion of 1,000 mL over 10 hours with a drop factor of 20 gtt/mL:
Flow rate (gtt/min) = (Volume (mL) / Time (min)) * Drop factor (gtt/mL)
Flow rate (gtt/min) = (1,000 mL / 10 hours) * 20 gtt/mL
Flow rate (gtt/min) = 200 gtt/min
6. To recalculate the flow rate to finish the infusion on time, subtract the volume left in the bag (600 mL) from the total volume (1,000 mL), and divide by the remaining time (5 hours):
Flow rate = (Volume - LIB) / Time
Flow rate = (1,000 mL - 600 mL) / 5 hours
Flow rate = 400 mL / 5 hours
Flow rate = 80 mL/h
7. To calculate the necessary replacement volume for a urinary output of 500 mL with a replacement ratio of 60 mL water for every 100 mL urine:
Replacement volume = (Urinary output / 100 mL) * Replacement ratio
Replacement volume = (500 mL / 100 mL) * 60 mL
Replacement volume = 300 mL
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How
would you solve a suspension that is difficult to redisperse?
A suspension is a heterogeneous mixture in which the solid particles settle down at the bottom of the container after some time. A suspension that has been stored for an extended period or exposed to temperature and humidity fluctuations may become challenging to redisperse.
The following are some of the methods for solving such a suspension:
1. Redispersion can be accomplished by adding a dispersing agent to the suspension. Dispersing agents may have a variety of chemical structures, and they aid in breaking up the particle aggregates and stabilizing the suspension.
2. The use of ultrasonic energy is also an effective method to redisperse a challenging suspension. Ultrasonic waves cause the particles to disintegrate and become more evenly dispersed.
3. In some situations, it may be necessary to change the suspension's pH to enhance particle stability and prevent sedimentation.
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The nurse is filling out an incident report after an older adult client fell while attempting to transfer this person from bed to a commode. Which health problem-should the nurse consider when client falls occer? A. Bradypnea. B. Palpitations. C. Primary hypertension. D. Orthostatic hypotension
When a nurse is filling out an incident report after an older adult client fell while attempting to transfer this person from bed to a commode, the nurse should consider orthostatic hypotension as the health problem the client is suffering from.
Orthostatic hypotension is a medical condition characterized by a decrease in blood pressure that occurs when a person stands up from a sitting or lying down position. It is most common in older adults.
Its symptoms include dizziness, lightheadedness, and falls. When a client falls in such a situation, it is essential to consider orthostatic hypotension as one of the probable causes of the fall. Therefore, the answer is option D. Orthostatic hypotension.
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Exemplar: 6 y/o male presented with likely gastroenteritis. C/o nausea without emesis, diarrhea, flatulence, and eructating. Denies rebound tenderness, r/o appendicitis. No pyrexia, but anorexia for two days.
Definitions:
Gastroenteritis:
Nausea:
Emesis:
Diarrhea:
Flatulence:
Eructating:
Appendicitis:
Pyrexia:
Gastroenteritis is an inflammation of the digestive tract caused by a virus, bacterium, or parasite, resulting in symptoms such as nausea, emesis, diarrhea, flatulence, and eructating.
Gastroenteritis: Gastroenteritis is an inflammation of the digestive tract, usually caused by a virus, bacterium, or parasite, resulting in symptoms such as nausea, emesis, diarrhea, flatulence, and eructating.
Nausea: Nausea is the feeling of wanting to vomit, usually accompanied by a sensation of sickness.
Emesis: Emesis is the act of vomiting, the forceful expulsion of the contents of the stomach through the mouth.
Diarrhea: Diarrhea is the frequent passage of watery stools, often caused by an infection or irritation of the digestive tract.
Flatulence: Flatulence is the accumulation of gas in the digestive tract, often causing discomfort and bloating.
Eructating: Eructating is the act of belching, the release of gas from the stomach through the mouth.
Appendicitis: Appendicitis is inflammation of the appendix, usually causing pain in the lower right abdomen.
Pyrexia: Pyrexia is another term for fever, an increase in body temperature above the normal range.
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A nurse is discussing various sexually transmitted diseases at a community sponsored event. All of the following are correct EXCEPT: O A> A distinguishing feature of Trichomoniasis infection is green foul-smelling vaginal discharge. O B. Chlamydia and gonorrhea can cause PID (pelvic inflammatory disease). C. The tertiary stage (Gumma formation) of syphilis is the most contagious of the three stages. D. Herpes simplex 2 can be found in either the mouth or genital area. E. The school nurse evaluates an 8th grade girl with a noticeable spinal deviation and one hip is higher than the other.
The option that is incorrect while discussing various sexually transmitted diseases at a community-sponsored event is (C) The tertiary stage (Gumma formation) of syphilis is the most contagious of the three stages.
The tertiary stage (Gumma formation) of syphilis is the least contagious of the three stages, and it is not correct to say it is the most contagious. In the first two stages, the infectious stage, syphilis is highly contagious. During the first phase of the illness, it is most likely to be spread through sexual activity.
Because the sores or rashes appear in areas that come into touch with sexual fluids, such as the genitals, anus, and mouth, the illness is transmitted via direct touch with these sites. Late-stage syphilis, including the tertiary stage, is much less contagious because it is mainly internal. Syphilis is a sexually transmitted disease (STD) caused by Treponema pallidum bacteria.
This disease is passed from one person to another via direct contact with a syphilis sore, which can be found on the external genitalia, vagina, anus, or rectum, and, in rare cases, on the lips or in the mouth (in the case of oral syphilis). Hence, the correct answer is option (C).
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Rosiane is a 50-year-old Rwandan woman (born in the month of May) who arrived in Australia 18 years ago as refugee. She arrived with her husband (Lonji) and their 3 daughters (aged 12, 10 and 8 years) as refugees from Cogo where they had fled following The Rwandan crisis in 1994.
They have settled well into Australian life; their family has been very important to them and has now grown to include 2 grandchildren with another grandchild due in 6 months’ time
Rosiane and Lonji are practising Muslim’s (Sunni) and are both very active in the local African community. Rosiane is currently working 4 days per week in Lonji’s Home Cleaning business to help meet their financial needs however this has become increasingly challenging for her as she has recently become unwell.
She presented to her GP, Dr White, 2 months ago with increasing fatigue, shortness of breath, mild confusion and hardening of the Right Breast with ‘peau d’orange’ (orange dimpling) causing pain and discomfort in her breast.
Dr White referred Rosiane to Mr Sheal, a Surgical Oncologist who completed a full physical examination and undertook the following investigations:
R) Breast ultrasound
R breast fine needle biopsy
Sentinel lymph node biopsy
CBC, LFT, GFR, HBV, HCV
IHC test (ImmunoHistoChemistry) for HER2 Gene
MRI L) and R) Breast, Chest and Head
Chest X-ray
On review of all the findings Mr Sheal confirms that Rosiane has stage 4 Advanced R) Breast Cancer with lymph, lung + brain metastases. Mr Sheal discusses the diagnosis with Rosiane and Lonji and explains that approaches to treatment were now not curable but rather palliative in intent.
You are the GP Practice nurse assisting Rosiane through these early stages of diagnosis and follow-up tests.
QUESTION 1: Discuss four (4) key elements of a ‘palliative approach to care’ in relation to Rosiane.
QUESTION 2: Describe how you would complete a holistic assessment on Rosiane?
Question 1: Four essential elements of a 'palliative approach to care' in relation to Rosiane are provided below: The main aim of palliative care is to alleviate the suffering that Rosiane is currently experiencing in conjunction with cancer treatment.
It is a multidisciplinary approach that takes into account the patient's social, psychological, and religious needs, as well as her medical needs. Palliative treatment is available to anyone with a life-limiting illness, regardless of their age, race, or creed. This type of care seeks to achieve a comfortable and dignified life for Rosiane, with symptom control as its main objective. Finally, palliative care is used to support family and friends as they care for Rosiane.
It will make a substantial difference in the quality of life for Rosiane as well as her family. Question 2To complete a holistic assessment on Rosiane, the nurse should take the following steps:
First and foremost, assess Rosiane's current situation, which includes her physical, emotional, and mental states. Examine her general health, including her vital signs (blood pressure, heart rate, respiratory rate, and temperature), level of pain, and any other symptoms she is experiencing. Check Rosiane's medical history, including her current medications and allergies, as well as her social and spiritual history.
Check for any environmental hazards in her home and encourage her to seek assistance from her friends and family members. Finally, provide support and guidance to Rosiane's family members and refer them to counselling or support services if required.
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Procedures performed on the skin are coded to the body part
values in the body system skin and breast
True or False
True. Procedures performed on the skin are indeed coded to the body part values within the body system "skin and breast."
In medical coding, procedures performed on the skin are coded to the body part values within the body system "skin and breast." This coding methodology ensures that procedures specific to the skin and breast areas are accurately identified, documented, and communicated. By assigning the appropriate codes within this body system, healthcare professionals can effectively capture the details of the procedures for billing, record-keeping, and analysis purposes.
The skin and breast body system encompasses a wide range of procedures, including but not limited to dermatological interventions, plastic surgery, biopsies, excisions, and reconstruction surgeries. Each procedure is assigned a specific code that reflects the anatomical location and the nature of the intervention. This coding system allows for precise documentation and tracking of procedures related to the skin and breast, enabling accurate reimbursement and statistical analysis.
By utilizing the body system "skin and breast" for coding, healthcare providers can efficiently navigate through a vast array of procedures and ensure consistent and standardized documentation. This approach promotes clarity, accuracy, and efficiency in medical coding practices, benefiting healthcare professionals, insurance providers, and patients alike.
Therefore, this coding system allows healthcare professionals to accurately identify and document procedures specific to the skin and breast areas. By assigning the appropriate codes within this body system, medical coding practices can effectively capture the details of these procedures for billing, record-keeping, and analysis purposes. This ensures accurate reimbursement and facilitates standardized documentation, benefiting healthcare providers, insurance companies, and patients.
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A prime mover (agonist) is the name given to a muscle producing the majority of the ____________ during a joint movement.
A prime mover, also called an agonist, is a muscle that is primarily responsible for generating the force required for joint movement. When it contracts, it produces a concentric contraction, shortening and tightening the muscle fibers. This movement is essential for generating the force required for the joint to move through its range of motion.
Prime movers work together with other muscle groups, such as synergists and antagonists, to create a coordinated movement. The prime mover works by creating the initial movement, while the synergists work to stabilize the joint, and the antagonists work to slow down or stop the movement.
There are various muscles in our body, which work as prime movers or agonists. For instance, the biceps are prime movers in elbow flexion, while the triceps are prime movers in elbow extension. The quadriceps are prime movers in knee extension, while the hamstrings are prime movers in knee flexion.
The pectoralis major is a prime mover in shoulder flexion, while the latissimus dorsi is a prime mover in shoulder extension. The prime mover or agonist is an essential muscle that generates the majority of the force during joint movement. Without it, it would be challenging to produce coordinated movements and execute daily activities like walking, running, and lifting objects.
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What were the modes of transmission for the virus in the movie Contagion? If you were an epidemiologist assigned to this pandemic, on which specific link(s) in the chain of infection would you have focused?
The modes of transmission for the virus in the movie Contagion include coughing and sneezing, contact with surfaces, and direct contact.
The modes of transmission for the virus in the movie Contagion were coughing and sneezing, contact with surfaces, and direct contact. The virus could be transmitted when an infected person coughs or sneezes in the presence of others, causing respiratory droplets to spread from one person to another. Another mode of transmission was through contact with surfaces that were contaminated by the virus, such as door handles, tables, or any object used by the infected person. The virus could also be transmitted through direct contact with an infected person.
As an epidemiologist assigned to this pandemic, I would focus on the links in the chain of infection, including the mode of transmission, source of the infection, and susceptible host. I would work to prevent the virus from spreading further by promoting healthy practices such as proper hygiene, social distancing, and isolation of infected individuals. Moreover, I would identify the source of the virus and take appropriate measures to limit or eliminate the spread of the virus.
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Please code the following scenarios, assigning ICD-10-CM diagnosis codes only:
** Use your Official Coding Guidelines for things like sequencing overdoses and coding CHF with hypertension- these are important guidelines that will come up on the CCA exam also.
Jack Black was admitted for diuresis for acute systolic congestive heart failure. Jack also has chronic conditions, including hypothyroidism, persistent a-fib, hypertension, and stage IV CKD.
ICD-10-CM diagnosis codes for the given scenario are I50.1 for acute systolic congestive heart failure, E03 for hypothyroidism, I48.1 for persistent a-fib, I10 for hypertension, and N18.4 for stage IV CKD.
Diagnosis codes for the given scenario:
Acute systolic congestive heart failure: I50.1Hypothyroidism: E03Persistent a-fib: I48.1Hypertension: I10Stage IV CKD: N18.4Explanation:Acute systolic congestive heart failure: The ICD-10-CM diagnosis code for acute systolic congestive heart failure is I50.1. It is characterized by the reduced ability of the heart to pump blood to the body's organs. This can be due to a variety of causes, such as infections, heart attacks, and high blood pressure.
Hypothyroidism: Hypothyroidism is a condition in which the thyroid gland doesn't produce enough hormones. It can cause fatigue, weight gain, and other symptoms. The ICD-10-CM diagnosis code for hypothyroidism is E03.Persistent a-fib: Atrial fibrillation (a-fib) is a type of irregular heartbeat. Persistent a-fib is a subtype that lasts for more than seven days. The ICD-10-CM diagnosis code for persistent a-fib is I48.1.
Hypertension: Hypertension is a condition in which blood pressure levels are higher than normal. The ICD-10-CM diagnosis code for hypertension is I10.Stage IV CKD: Chronic kidney disease (CKD) is a long-term condition in which the kidneys don't work as well as they should. CKD is categorized into five stages, with stage IV being the second most severe. The ICD-10-CM diagnosis code for stage IV CKD is N18.4.
To summarize, the ICD-10-CM diagnosis codes for the given scenario are I50.1 for acute systolic congestive heart failure, E03 for hypothyroidism, I48.1 for persistent a-fib, I10 for hypertension, and N18.4 for stage IV CKD.
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To help with the novel disease a new vaccine was developed. In a experimental study a group of
400 people were randomized to either the treatment group (received the vaccine) or the control group
(placebo). 200 children took the experimental medication and 10 developed the disease after 2 months.
Among the 200 who were in the control group and took the placebo, 45 developed malaria over that
same period.
Additionally, A new test was also developed to help screen for the new disease quicker. The gold
standard test was the PCR test and was used to confirm if the new rapid screening test was accurate.
When the new screening test was used it found that 22 people had a positive result and 55 had a
negative result. Of the 22 who were positive on the screener the confirmatory PCR test found that 20 of
them were true positives. Of the 55 who were negative on the screener 43 of them were confirmed to
be true negatives on the confirmatory PCR test.
YOU MUST SHOW YOUR WORK
Please calculate and interpret the following:
1. Relative risk of the new vaccine (leave as a decimal)
2. Efficacy of the new vaccine (convert to a %)
3. Sensitivity of the new screener test (convert to a %)
4. Specificity of the new screener test (convert to a %)
5. Positive Predictive Value of the new screener test (convert to a %)
6. Negative Predictive Value of the new screener test (convert to a %)
1. Relative risk of the new vaccine:Relative risk (RR) = (attack rate in the treatment group) ÷ (attack rate in the control group) = (10 ÷ 200) ÷ (45 ÷ 200) = 0.22RR = 0.22The relative risk of the new vaccine is 0.22.2.
Efficacy of the new vaccine:Efficacy = (1 - RR) × 100 = (1 - 0.22) × 100 = 78%Efficacy = 78%Therefore, the efficacy of the new vaccine is 78%.3. Sensitivity of the new screener test:Sensitivity = (true positives) ÷ (true positives + false negatives) = 20 ÷ (20 + 2) = 20 ÷ 22Sensitivity = 91%Sensitivity = 91%Thus, the sensitivity of the new screener test is 91%.4. Specificity of the new screener test:Specificity = (true negatives) ÷ (true negatives + false positives) = 43 ÷ (43 + 12) = 43 ÷ 55Specificity = 78%
Therefore, the specificity of the new screener test is 78%.5. Positive Predictive Value of the new screener test:Positive Predictive Value (PPV) = (true positives) ÷ (true positives + false positives) = 20 ÷ (20 + 12) = 20 ÷ 32Positive Predictive Value = 62.5%Therefore, the Positive Predictive Value of the new screener test is 62.5%.6.
Negative Predictive Value of the new screener test:Negative Predictive Value (NPV) = (true negatives) ÷ (true negatives + false negatives) = 43 ÷ (43 + 2) = 43 ÷ 45Negative Predictive Value = 95.6%Thus, the Negative Predictive Value of the new screener test is 95.6%.
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LEARNING OBJECTIVES CHAPTER 10 IDENTIFYING AND APPLYING LANGUAGES OF LOVE Identify and apply the languages of love in specific situations Reflect on the impact of using love languages. INSTRUCTIONS For each of the situations below, offer examples of how the languages of love might be applied and reflect on what the impact might be of using love languages. 1. John and Daphne have been married for six months. He's in school full time during the day and works full time at night. Daphne works full time days and commutes an hour each way to her job. On the weekends, they're both extremely tired and John needs time to study. Lately they've been fighting about little things and John is afraid that the "honeymoon" is truly over. He could express his love to Daphne by (give specific examples for each of the love languages): Words of affection: Quality time: Gifts: Acts of Service: Physical touch: Which love language or combination of love languages do you think would be the most effective for John use? Why? 2.Cecilia and Jerry have been in a dating relationship for three years. Jerry is divorced and has two young children who he takes care of every other weekend. Jerry has expressed feelings of love for Cecilia, but he's nervous about making another long term commitment. After three years, Cecelia is ready for a commitment. She would like to have children of her own and is anxious about "wasting her time" with a man who doesn't want what she wants. For a while, Cecelia has been showing her discontent by picking lots of fights about small things. But she does love him and still has hopes for the future. She would like to express her love to Jerry and see if they can deepen their commitment (give specific examples for each of the love languages): Words of affection: Quality time: Gifts: Acts of Service: Physical touch: Adapted from Adler & Proctor, Looking Out, Looking In, Student Activities Manual, 15th ed Which love language or combination of love languages do you think would be the most effective for Cecilia to use? Why? 3.Jane and Samantha have been in a committed romantic relationship for more than 10 years. The state in which they 3.Jane and Samantha have been in a committed romantic relationship for more than 10 years. The state in which they live has recently passed a law making it legal for them to marry. They happily set a date for their wedding, but since that time Jane and Samantha have had many arguments. Jane has been feeling very depressed because many of her family members are against her getting married and have told her that they will not attend. Samantha's family has been very supportive and are actively participating in planning the big event. Jane has withdrawn from participating in the preparations. Instead of fighting, Samantha would like to reconnect with Jane and engage her in their wedding plans in a positive way. (give specific examples for each of the love languages): Words of affection: Quality time: Gifts: Acts of Service: Physical touch: Which love language or combination of love languages do you think would be the most effective for Samantha to use? Why? 4.Using your romantic relationship or the romantic relationship of someone close to you, share expressions of love (give specific examples for each of the love languages): Words of affection: X Quality time: Gifts: Acts of Service: Physical touch: Which love language or combination of love languages do you think would be the most effective to use?
The love languages of John and Daphne are:
Words of affectionQuality timeGiftsWhat is love languagesWords of love: John seem express his cherish to Daphne by taking off small notes or sending content messages all through the day, communicating his appreciation for her difficult work and commitment.
Quality time: John might arrange a extraordinary date night where they can spend continuous time together, such as going for a walk, having a excursion, or observing a motion picture at domestic.
Blessings: John might astonish Daphne with little astute endowments, such as her favorite nibble, a book she's been needing to perused, or a unwinding shower set.
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Both 5 alpha-reductase inhibitors and alpha 1 adrenergic receptor blockers can be used in the treatment of benign prostatic hypertrophy. How does each one work to reduce the symptoms of BPH? Identify priority nursing care/assessments for patients taking these each of these medications References required
Benign prostatic hypertrophy (BPH) is a common condition in elderly men, characterized by noncancerous prostatic enlargement that obstructs the bladder outlet leading to urinary symptoms. Treatment options for BPH include medical management and surgical intervention.
This question seeks to identify how two categories of drugs, 5 alpha-reductase inhibitors and alpha-1-adrenergic receptor blockers, work to relieve BPH symptoms and priority nursing care/assessments for patients taking each medication.
5 alpha-reductase inhibitors 5 alpha-reductase inhibitors work by blocking the enzyme that converts testosterone to dihydrotestosterone (DHT). DHT is responsible for prostatic growth; thus, blocking its production leads to prostate shrinkage. 5 alpha-reductase inhibitors take a long time to work, up to 6 months, but are useful in managing BPH symptoms over time.
Examples of 5 alpha-reductase inhibitors are Finasteride and Dutasteride. Alpha-1-adrenergic receptor blockers Alpha-1-adrenergic receptor blockers work by relaxing the smooth muscles of the prostate gland, bladder neck, and urethra, leading to better urine flow and decreased symptoms of BPH.
Alpha-1-adrenergic receptor blockers are fast-acting, taking effect in days, but do not reduce prostate size. Examples of alpha-1-adrenergic receptor blockers include Prazosin, Terazosin, and Tamsulosin.
Priority nursing care/assessments for patients taking 5 alpha-reductase inhibitors and alpha-1-adrenergic receptor blockers include; Assess baseline blood pressure, as alpha-1-adrenergic receptor blockers may cause orthostatic hypotension and syncope.
Monitor prostate-specific antigen (PSA) levels to monitor prostate size and screen for prostate cancer.
Monitor liver function tests as 5 alpha-reductase inhibitors are metabolized in the liver and may cause liver damage.
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The muscles that carry out contraction in the patellar reflex is
the group of hamstrings.
TRUE OR FALSE
Answer:
False. The muscles that carry out contraction in the patellar reflex are the quadriceps muscles.
Answer:
False
Explanation:
Browse the Healthy People 2030 website Data Sources and write 3 or more paragraph explaining the topic Cardiac Arrest Registry to Enhance Survival (CARES)
-Add any additional information or sources you choose
The Cardiac Arrest Registry to Enhance Survival (CARES) is an important initiative that is featured on the Healthy People 2030 website. The registry is designed to help healthcare professionals collect data on out-of-hospital cardiac arrests and improve outcomes for patients.
The CARES system is a standardized way for healthcare providers to collect and track data on patients who experience a sudden cardiac arrest. The registry can help healthcare providers to identify areas where care can be improved and can be used to develop new strategies for improving outcomes for cardiac arrest patients. The registry also allows healthcare providers to track patient outcomes over time, which can help to determine which interventions are most effective.
The registry allows healthcare providers to track patient outcomes over time, identify areas where care can be improved, and develop new strategies for improving outcomes for cardiac arrest patients. Through the CARES initiative, healthcare providers can better understand the causes and risk factors associated with sudden cardiac arrest, which can help to inform public health policies and guidelines for cardiac arrest prevention and treatment.
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"Pharmacology type questions:
1. What are cell cycle-nonspecific drugs? And how do they
work?
2. What do you do if an antineoplastic drug extravasates during IV
infusion?
3. What is a dose-limiting factor
1. Cell cycle-nonspecific drugs are a group of antineoplastic drugs that work by disrupting cellular function in a non-cell cycle-dependent manner. These drugs are active against both proliferating and resting cancer cells, making them useful in treating tumors with low growth fractions.
Eg: Alkylating agents, platinum analogs, and nitrosureas.The mechanism of action of cell cycle-nonspecific drugs is thought to be a combination of DNA damage induction and the formation of protein and membrane adducts.
2. Extravasation management: Extravasation happens when an antineoplastic drug or another vesicant substance escapes from the vein into the surrounding tissue during an IV infusion, causing harm and tissue injury.To manage the situation if antineoplastic drugs extravasates during IV infusion, the following steps should be taken:
Stop the infusion immediately.Do not remove the cannula.Inject the recommended antidote, depending on the specific antineoplastic drug involved.Apply warmth or cool to the affected area as directed by the protocol.Notify the doctor in charge, as well as any relevant person or department, and fill out the mandatory documentation.3. Dose-limiting factor is a term used to describe a drug's toxicity level. The highest possible therapeutic dose of a drug is determined by the point at which toxicity becomes unbearable. As a result, dosage reduction or medication discontinuation is typically required when toxicity sets in, since it may result in serious side effects.
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Scott is a 14 year old boy newly diagnosed with Type 1 diabetes. He needs to eat 80 - 100 grams of carbohydrate (CHO) at each meal and 15 grams of CHO at each snack. Using Carbohydrate Counting (see page 563 in textbook), help Scott plan 1 breakfast, 1 lunch, 1 dinner and 2 snacks that provide the correct amount of carbohydrate. Your menu should:
Be appropriate and appealing for a 14 year old boy.
include specific foods and portion sizes
specify the grams of CHO for each food and total for each meal/snack. To find CHO content of foods, you can use any of the following resources: Table 21-5 or Appendix A in your textbook; USDA FoodData Central. You are familiar with all of these. You may also use food labels or the MyPlate website.
We will provide Scott with a menu that specifies the grams of carbohydrates for each food and the total for each meal and snack, ensuring it is appropriate and appealing for his preferences and needs.
Menu for Scott:
1. Breakfast:
- 1 cup of oatmeal (30g CHO)
- 1 medium-sized banana (30g CHO)
- 1 cup of milk (12g CHO)
Total: 72g CHO
2. Lunch:
- Turkey sandwich: 2 slices of bread (30g CHO), 4 ounces of turkey (0g CHO), lettuce, and tomato
- 1 small apple (15g CHO)
- 1 cup of carrot sticks (8g CHO)
Total: 53g CHO
3. Dinner:
- Grilled chicken breast (0g CHO)
- 1 cup of cooked brown rice (45g CHO)
- 1 cup of steamed broccoli (10g CHO)
- 1 small dinner roll (15g CHO)
Total: 70g CHO
4. Snack 1:
- 1 medium-sized orange (15g CHO)
- 1 string cheese (0g CHO)
Total: 15g CHO
5. Snack 2:
- 1 cup of yogurt (30g CHO)
- 1 small granola bar (15g CHO)
Total: 45g CHO
By following this menu plan, Scott will be able to meet his carbohydrate requirements, with each meal providing 80-100 grams of CHO and each snack providing 15 grams of CHO.
It's important to note that the specified portion sizes and carbohydrate content may vary depending on the specific brand or preparation method used. Therefore, it's crucial to refer to food labels, reliable resources such as Table 21-5 or Appendix A in the textbook, USDA FoodData Central, or the MyPlate website to obtain accurate carbohydrate information.
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Discuss the importance of taking prescribed medication for a
pediatric client with a cardiovascular disorder.
It is crucial to take prescribed medication for a pediatric client with a cardiovascular disorder. Cardiac diseases can significantly impact the growth and development of children. Treatment plans are designed to address specific issues related to the disorder.
The appropriate medication helps maintain a stable environment within the body, ensuring the body gets the necessary nutrients and oxygen for growth and development. This is particularly critical for children, whose bodies are growing and developing.
There are several reasons why taking prescribed medication is important for a pediatric client with a cardiovascular disorder. Firstly, medication can help reduce symptoms such as chest pain, shortness of breath, and dizziness, and improve the child's overall well-being. It is essential to note that taking medication as directed is the most effective way to manage the symptoms of cardiac disease. Secondly, medication can help prevent long-term damage to the heart, which can lead to significant health issues later in life. By taking medication as directed, the pediatric patient can reduce their chances of developing severe cardiac problems later in life.
Lastly, taking medication as directed can help reduce hospitalizations, missed school days, and emergency room visits. It also ensures that the child's disease is being managed correctly and helps prevent further complications. In summary, taking medication as directed is vital to a pediatric client with a cardiovascular disorder. It helps manage symptoms, prevents long-term damage to the heart, and reduces hospitalizations and missed school days. Therefore, it is crucial to take prescribed medication for pediatric patients with a cardiovascular disorder.
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How many mL of a 15% w/v solution can be made from 300 g of dextrose? PCMC
300 mL of a 15% w/v solution can be made from 300 g of dextrose.
To find the number of mL of a 15% w/v solution that can be made from 300 g of dextrose, we need to follow the steps below. Step 1: Convert the given mass of dextrose into grams.300 g of dextrose = 300 × 1000 mg of dextrose (since 1 g = 1000 mg)= 300000 mg of dextrose Step 2: Calculate the mass of dextrose that will be required to make 150 mL of a 15% w/v solution.
We know that a 15% w/v solution means there are 15 g of dextrose in 100 mL of solution. Therefore, to make 150 mL of a 15% w/v solution, we would need:(15 g/100 mL) × 150 mL= 22.5 g of dextrose Step 3: Use the formula for percentage w/v to calculate the amount of dextrose that can be dissolved in 150 mL of water.15% w/v = (mass of solute/volume of solution in mL) × 100 Rearranging this formula gives: mass of solute = (percentage w/v × volume of solution in mL) / 100mass of solute = (15 × 150) / 100mass of solute = 22.5 g Step 4: Use the mass of dextrose from step 2 to calculate the volume of water needed to make 150 mL of a 15% w/v solution. Let x be the volume of water needed. Then, mass of dextrose + mass of water = total mass of solution22.5 g + x g = 150 g We know that 1 mL of water has a mass of 1 g.
Therefore, x g = 150 g - 22.5 gx = (150 - 22.5) gx = 127.5 g = 127.5 mL (since 1 mL of water has a mass of 1 g)So, 127.5 mL of water is needed to make 150 mL of a 15% w/v solution. Now, let's find how many mL of a 15% w/v solution can be made from 300 g of dextrose. We already found out that 22.5 g of dextrose are needed to make 150 mL of a 15% w/v solution. Therefore, to make 300 g of dextrose we would need 2 × 150 mL = 300 mL of a 15% w/v solution. Thus, 300 mL of a 15% w/v solution can be made from 300 g of dextrose. Answer: 300.
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Zahara Noor wants to create a presentation of different molecules that helped change the world, but she needs help in naming them, so that anyone is able to understand the molecules that she is talking about. Provide the name of the molecule described here:C3H8: A gas used for grilling and cooking purposes. Use the editor to format your answer Question 17 1 Point Use the editor to format your answer 1 Point Zahara Noor wants to create a presentation of different molecules that helped change the world, but she needs help in naming them, so that anyone is able to understand the molecules that she is talking about. Provide the name of the molecule described here:C4H10: The fluid found in lighters that is easily flammable.
Molecule described here is Propane for C3H8, and Butane for C4H10.
Zahara Noor is looking for help to create a presentation of different molecules that helped change the world. She wants to name them so that everyone can understand the molecules she is talking about.
Given below are the name of the molecules described here: C3H8:
Propane - A gas used for grilling and cooking purposes.
C4H10: Butane - The fluid found in lighters that is easily flammable.
Hence, the name of the molecule described here is Propane for C3H8, and Butane for C4H10.
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Chapter 14, Risk of Infectious and Communicable Diseases
Case Study # 2
A public health nurse is asked to investigate the number of cases of HPV in women in the community. The public health nurse needs to put a series of educational programs together. (Learning Objective: 7)
a. What is the estimation of sexually active men and women acquiring genital HPV infection in their lifetime?
b. What is the difference between the two groups of genital HPV?
c. What recommendations has the CDC put forth about HPV vaccines?
d. What age group has the highest prevalence of HPV?
a. It is estimated that 75% of sexually active men and women will acquire genital HPV infection in their lifetime.
But, the majority of these infections will be asymptomatic and self-limited, and about 10% of men and 5% of women will develop persistent HPV infections that may progress to cancer. b. The two groups of genital HPV are low-risk types and high-risk types. Low-risk types cause genital warts, while high-risk types cause cancer. c. The CDC has recommended HPV vaccines for all females and males aged 9-26 years. Three doses of the vaccine are given over six months. The vaccine is recommended to be given before the onset of sexual activity when the person is not exposed to the virus. Vaccination may also be offered to males aged 22 to 26 years who have not been vaccinated before. d. The highest prevalence of HPV is in young adults aged 15 to 24 years. HPV is the most common sexually transmitted disease in the United States, and about 14 million people are infected with the virus every year.
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Under COVID-19 pandemic, the demand for COVID-19 Rapid Test Kit greatly increased. A trader purchased a batch of the rapid test kit and would like to conduct an inspection to secure the product quality before released to market. The information of the product is as listed below:
Product name: Trusty COVID-19 Rapid Test Kit
Supplier: The Best Medical Co.
Batch size: 10000 boxes
Lot number: 202205
Expiry Date: Apr 2024
The inspection is implemented under the ANSI /ASQ Z1.4 standard, general inspection level II, single sampling plan with AQL for critical, major and minor defects are 0.065, 0.65 and 6.5 respectively.
a) Identify 3 quality characteristics for rapid test kit and assign the corresponding defect level with reason.
b) With the quality characteristics elaborated above, prepare a checklist for the inspection.
a) The 3 quality characteristics for COVID-19 rapid test kit are: accuracy, sensitivity and specificity. b) Checklist for the inspection: Boxes in the batch, Lot number and expiry date, Accuracy of the test kit, Sensitivity of the test kit, Specificity of the test kit,
Accuracy: The accuracy of the Trusty COVID-19 Rapid Test Kit must be tested with the help of standards that are set by the regulatory authorities. Inaccurate results can put people's lives at risk, particularly when they are dealing with a pandemic like COVID-19. Therefore, the AQL for critical defects is set at 0.065.
Sensitivity: The Trusty COVID-19 Rapid Test Kit's sensitivity should also be tested with the help of standards that are set by the regulatory authorities. Sensitivity is the minimum amount of viral load that the test kit can detect. If the kit is not sensitive enough, it may not detect the virus in the patient, leading to a false negative result. Therefore, the AQL for major defects is set at 0.65.
Specificity: The Trusty COVID-19 Rapid Test Kit must not give false positive results because they can lead to unnecessary panic and further testing that is unnecessary. Specificity is the ability of the test kit to detect only the virus and nothing else. Therefore, the AQL for minor defects is set at 6.5.
b) Quality checklist for Trusty COVID-19 Rapid Test Kit inspection: A checklist that can be used to inspect the Trusty COVID-19 Rapid Test Kit includes the following elements: Items to be inspected:
Boxes in the batch, Lot number and expiry date, Accuracy of the test kit, Sensitivity of the test kit, Specificity of the test kit, Checkpoints for inspection:
Verify that the boxes in the batch match the delivery note,
Verify that the lot number and expiry date on the boxes match the delivery note,
Verify that the accuracy of the test kit is as per the standard test,
Verify that the sensitivity of the test kit is as per the standard test,
Verify that the specificity of the test kit is as per the standard test,
Verify that there are no critical, major or minor defects in the test kits in the batch,
Conduct a random inspection of boxes in the batch to ensure that the test kits are working properly.
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1. What are the types of parallel fiber arrangement? Provide an example for each type. 2. What are the type of pennate fiber arrangement? Provide an example for each type. 3. In general, what would be the order for largest to smallest physiological cross section area between Parallel, Unipennate, Bipennate, and Multipennate fiber arrangements Largest to Smallest= 4. Based on physiological cross section area, compare and contract parallel and pennate muscles. Which type would be able to produce higher velocity of movement? Which type would be better at producing powerful movements and generating force? Which type allow for a greater range of motion? 5. What types of sports or physical activity would a person with more type 1 fibers have an advantage over a person with more type 2 fibers? 6. Which muscle of the hip works to stabilize the pelvis when standing on one leg?
There are two types of parallel fiber arrangement such as strap muscles and fusiform muscle. Whereas, three types of pennate fiber arrangement exist including unipennate muscles, bipennate muscles and multipennate muscles. So far as, the order for the largest to smallest physiological cross-sectional area would be as Multipennate > Bipennate > Unipennate > Parallel.
Strap muscles: Muscles that have long, parallel fibers running the length of the muscle. Example: Sartorius muscle in the thigh.
Fusiform muscles: Muscles that have fibers that run parallel to the long axis of the muscle, tapering at both ends. Example: Biceps brachii muscle in the arm.
Types of pennate fiber arrangement:
Unipennate muscles: Muscles where the muscle fibers are arranged diagonally on only one side of the tendon. Example: Extensor digitorum longus muscle in the leg.
Bipennate muscles: Muscles where the muscle fibers are arranged diagonally on both sides of the tendon. Example: Rectus femoris muscle in the thigh.
Multipennate muscles: Muscles where the muscle fibers are arranged diagonally in multiple directions around multiple tendons. Example: Deltoid muscle in the shoulder.
Comparing parallel and pennate muscles based on physiological cross-sectional area:
Higher velocity of movement.
Producing powerful movements and generating force.
Greater range of motion.
A person with more type 1 fibers (slow-twitch fibers) would have an advantage in endurance activities that require sustained contractions over a long duration.
Examples include long-distance running, cycling, or marathon events. Type 1 fibers are more resistant to fatigue and are efficient in aerobic metabolism.
The muscle of the hip that works to stabilize the pelvis when standing on one leg is the Gluteus Medius muscle.
It is responsible for abduction and medial rotation of the hip and plays a crucial role in maintaining stability and balance during single-leg stance.
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1. What changes have you seen (if you are a practicing nurse) or have you heard about (if you are a nursing student with no practice experience) in clinical nursing practice within the past 2 years? How do these changes impact your ability to provide safe, effective nursing care to patients and families?
2. What areas of professional nursing practice do you see expanding based on current changes to government funding of health care?
3. What has been your personal experience as a patient or family member of a patient with the current changes in hospital care?
4. What changes in professional practice do you foresee occurring as a result of increased governmental influences in health care delivery?
5. What strategies may be helpful for nurses to cope with current and future changes in health care delivery? Design a plan for helping current and future professional nurses. Determine the feasibility of this plan.
Changes seen or heard in clinical nursing practice within the past 2 years include the use of new technologies to improve patient outcomes, changes in health care policies and regulations, and increased emphasis on interprofessional collaboration.
1. These changes have impacted the ability of nurses to provide safe and effective care by requiring nurses to continuously update their skills and knowledge. Nurses must also be able to work closely with other health care professionals to provide coordinated care to patients.
2. Areas of professional nursing practice that are expanding based on current changes to government funding of health care include care coordination, population health management, and patient education. These areas are all essential to improving patient outcomes and reducing health care costs.
3. Personal experiences as a patient or family member of a patient with the current changes in hospital care may vary, but many people report feeling that the quality of care has improved due to the increased emphasis on patient safety and satisfaction.
4. Changes in professional practice that may occur as a result of increased governmental influences in health care delivery include increased emphasis on evidence-based practice, improved patient safety, and greater accountability for health care outcomes.
5. Strategies that may be helpful for nurses to cope with current and future changes in health care delivery include staying up-to-date with the latest research and technologies, building strong relationships with other health care professionals, and participating in continuing education programs. A plan for helping current and future professional nurses might include a mentoring program that pairs experienced nurses with new graduates or students. The feasibility of this plan would depend on the availability of experienced nurses to participate in the program and the resources needed to support the program.
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Changes seen or heard in clinical nursing practice within the past 2 years include the use of new technologies to improve patient outcomes, changes in health care policies and regulations, and increased emphasis on interprofessional collaboration.
1. These changes have impacted the ability of nurses to provide safe and effective care by requiring nurses to continuously update their skills and knowledge. Nurses must also be able to work closely with other health care professionals to provide coordinated care to patients.
2. Areas of professional nursing practice that are expanding based on current changes to government funding of health care include care coordination, population health management, and patient education. These areas are all essential to improving patient outcomes and reducing health care costs.
3. Personal experiences as a patient or family member of a patient with the current changes in hospital care may vary, but many people report feeling that the quality of care has improved due to the increased emphasis on patient safety and satisfaction.
4. Changes in professional practice that may occur as a result of increased governmental influences in health care delivery include increased emphasis on evidence-based practice, improved patient safety, and greater accountability for health care outcomes.
5. Strategies that may be helpful for nurses to cope with current and future changes in health care delivery include staying up-to-date with the latest research and technologies, building strong relationships with other health care professionals, and participating in continuing education programs. A plan for helping current and future professional nurses might include a mentoring program that pairs experienced nurses with new graduates or students. The feasibility of this plan would depend on the availability of experienced nurses to participate in the program and the resources needed to support the program.
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You have a 75, year-old woman who lives in a group home she has physiological and psychological issues. As an LPN what nursing intervention within your scope of practice can you perform to help, her take better care of her health.
As an LPN, I am a licensed practical nurse who provides direct patient care under the supervision of a registered nurse or physician. My scope of practice includes performing a wide range of nursing interventions to promote the health, well-being, and safety of patients.
As an LPN, I can perform the following nursing interventions within my scope of practice to help the 75-year-old woman take better care of her health:
Conduct a comprehensive assessment of her physical and psychological health: This includes taking her vital signs, assessing her mobility, looking for signs of infection, and asking about her symptoms and medical history.
Develop a care plan: Based on the assessment, I will develop a care plan that outlines specific nursing interventions that are necessary to address her health needs. This plan should be tailored to her specific needs and should be reviewed and updated regularly.
Administer medications: As an LPN, I can administer medications as prescribed by the woman's physician and as authorized by the state's Board of Nursing.
Monitor vital signs: I will monitor the woman's vital signs, such as her blood pressure, heart rate, and respiratory rate, on a regular basis to detect any changes or abnormalities.
Assist with activities of daily living (ADLs): I will assist the woman with activities such as bathing, dressing, grooming, and using the bathroom.
Assess for signs of pressure ulcers: I will assess the woman for signs of pressure ulcers and document them in her medical record.
Assess for fall risk: I will assess the woman for fall risk and implement interventions to prevent falls, such as providing supervision and assistive devices.
Provide education: I will provide the woman with education on her health conditions, medications, and self-care practices, such as proper nutrition, exercise, and pain management.
Document care: I will document all nursing interventions and assessments in the woman's medical record to ensure continuity of care.
Collaborate with other healthcare professionals: I will collaborate with other healthcare professionals, such as the woman's physician, therapists, and social workers, to ensure that her care is coordinated and comprehensive.
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Using the scenario provided, answer the questions that follow. A pharmaceutical company is testing a new drug to treat hypercholesterolemia. The experiment involves 5,000 people who are over the age of 40 and have been diagnosed with hypercholesterolemia in the past one year. All participants have a normal BMI, exercise 2-3x per week, are employed full-time, and do not have any other major underlying health conditions. The population profile includes both genders, is racially and ethnically diverse, and includes participants from five states in the mid-west United States. Half of the participants were given the new drug, the other half were given placebo, and both groups were monitored over the course of two years. All participants were required to eat oatmeal 3x per week. No other dietary modifications were required. Results of the study show that those given the drug had an average of a 20% decrease in blood cholesterol levels, while those that took placebo had a 5% decrease. Side effects of those who took the drug included joint pain, headaches, and stomach pain. Side effects of those taking placebo included headaches.
a. Identify the independent and dependent variables in this experiment. b. The placebo group demonstrated a slight decrease in blood cholesterol and experienced headaches. What may account for this? c. Do you think there was bias in this study? Explain your answer. d. Are the results of this study statistically significant? Explain your answer. e. What question(s) might you ask the person who conducted this study?
a. Independent variable: Drug (new drug or placebo)
Dependent variable: Blood cholesterol levels
b. Possible reasons for placebo group's slight decrease in cholesterol and headaches: Natural variations, placebo effect
c. Potential bias due to lack of blinding: Participants and researchers knew treatment assignment, impacting side effect reporting and cholesterol assessment
d. Statistical significance requires further analysis: Hypothesis testing, p-value calculation
e. Possible questions for the researcher: Randomization, blinding methods, oatmeal adherence, data analysis, future research plans
a. In this experiment, the independent variable is the administration of the new drug or placebo. This variable is manipulated by the researchers. The dependent variable is the blood cholesterol levels of the participants, which are measured and affected by the independent variable.
b. The slight decrease in blood cholesterol levels and the occurrence of headaches in the placebo group can be attributed to several factors. Firstly, natural variations in cholesterol levels may occur over time, even without any intervention. Additionally, the placebo effect can play a role, where participants experience positive changes due to their belief that they are receiving an effective treatment.
c. There is a potential for bias in this study due to the lack of blinding. Both the participants and the researchers were aware of who received the drug and who received the placebo. This knowledge could have influenced the reporting of side effects and the assessment of cholesterol levels, introducing bias into the study results.
d. Without specific statistical information provided, it is not possible to definitively determine the statistical significance of the results. To establish statistical significance, further analysis such as hypothesis testing and calculation of p-values would be required. These statistical tests would assess the likelihood that the observed differences in cholesterol levels between the drug and placebo groups are due to the intervention and not due to random chance.
e. When asking the person who conducted this study, potential questions could focus on various aspects of the research design and methodology. Some questions might include inquiries about the randomization process used to assign participants to the drug and placebo groups, the methods employed to blind participants and researchers, participant adherence to the oatmeal consumption requirement, the specific statistical analyses performed, and any plans for future research to validate and expand upon the current findings.
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Medicaid managed care is an easy to manage line of business. Most plans have a well diverse population with little medical and social needs therefore requiring limited provider networks. True False
False.
It is important to recognize that the ease of managing a Medicaid managed care line of business can vary depending on factors such as the demographics of the enrolled population, the structure of the plan, the availability of healthcare resources in the area, and the regulatory environment.
Medicaid managed care is not necessarily an easy line of business to manage. While it is true that some plans may have a diverse population with fewer medical and social needs, it is not universally the case for all Medicaid managed care plans.
Medicaid beneficiaries often have complex healthcare needs due to low-income status, chronic health conditions, disabilities, or other social determinants of health. They may require a range of medical services, including primary care, specialty care, mental health services, and long-term care. Managing the care for these individuals can be challenging and requires coordination among various healthcare providers and social service organizations.
Additionally, Medicaid managed care plans typically have contractual obligations to provide a sufficient network of healthcare providers to ensure access to care for their enrollees. The provider network must be able to meet the diverse needs of the Medicaid population, which may include specialties such as obstetrics, pediatrics, behavioral health, and more.
Furthermore, Medicaid managed care plans must comply with federal and state regulations, ensure quality of care, address social determinants of health, and manage the financial aspects of the program. These responsibilities add complexity to the management of Medicaid managed care plans.
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Please code the following scenarios, assigning ICD-10-CM diagnosis codes only:
** Use your Official Coding Guidelines for things like sequencing overdoses and coding CHF with hypertension- these are important guidelines that will come up on the CCA exam also.
Connor Smith was admitted at 17 days of age with a high temperature. Connor also has an atrial septal heart defect and will be followed up with cardiology after discharge. A cause of the temperature was not found and the physician listed a final diagnosis of fever.
Based on the information provided, the assigned ICD-10-CM diagnosis code is R50.9 for fever.
The scenario states that Connor was admitted with a high temperature, but a specific cause for the fever was not identified. Therefore, the unspecified code R50.9 is appropriate in this case. It is important to follow the Official Coding Guidelines, which recommend using the most specific code available.
However, in situations where a definitive cause cannot be determined, an unspecified code is used. It is mentioned that Connor also has an atrial septal heart defect, but no further details or documentation regarding this condition are provided.
Therefore, the focus is on the symptom of fever, and the code R50.9 accurately reflects the final diagnosis based on the available information.
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Decreased ECF (extracellular) volume would result in
A) sympathetic output from the cardiovascular control center to increase.
B) parasympathetic output from the cardiovascular control center to increase.
C) the force of ventricular contraction to decrease.
D) arteriolar vasodilation.
E) A and D are correct.
Decreased extracellular fluid (ECF) volume would result in Sympathetic output from the cardiovascular control center to increase and Arteriolar vasodilation.
Explanation: Decreased extracellular fluid (ECF) volume would result in a decrease in blood volume, decrease in blood pressure and a decrease in blood flow to the kidneys and brain. The effect is sensed by the baroreceptors in the carotid and aortic arch, which send signals to the cardiovascular control center in the medulla oblongata. The cardiovascular control center responds by increasing sympathetic output and decreasing parasympathetic output, which leads to an increase in heart rate, force of ventricular contraction, arteriolar vasoconstriction and venous constriction, and release of aldosterone and antidiuretic hormone.
The increase in heart rate and force of ventricular contraction helps to maintain cardiac output, while the arteriolar vasoconstriction and venous constriction help to increase peripheral resistance and return venous blood to the heart. The release of aldosterone and antidiuretic hormone helps to increase sodium and water reabsorption by the kidneys, which helps to increase blood volume and blood pressure.
Arteriolar vasoconstriction increases peripheral resistance, and venoconstriction increases venous return to the heart, which increase cardiac output. Thus, options A and E are correct. Arteriolar vasodilation is incorrect. So, option E is incorrect.
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Emerald Green 30-year-old female was admitted for TBI you're falling off of her four wheeler. She has a history of borderline hypertension, polynephritis, bipolar type 1, diabetes type 2. She is alert to person only. She cannot Express words but understands when you talk to her. Just weakness on the left side upper and lower extremities. He says her pain is three out of 10 and it's in her head as a headache. She's taking oxycodone 20 mg 4 hours PRN. She has a 5-year-old child and a 7 year old child. My husband works over the road and does not miss it often. Her and her mother had a good relationship with her mother visits every day brings the children to see her. She is a two assist with a walker and only can ambulate 5 ft. The last lab values were white blood count elevated red blood count normal lipid panel normal analysis showed two plus white blood cell count specific gravity 0.145. cheese assistance with dressing bathing and grooming. Vital signs temperature 101.1 blood pressure 128/ 80 post 88 respirations 20 O2 saturation 98% on RA. Patient currently on thinking liquids and has healing trach incision on neck. Trach remove 3 days ago. Patience is a Seventh-Day Adventist. Your mother practices as a Jehovah witness and it's very upset with the staff when they gave what to her when she was admitted her trauma. About them going against her religious practices.
Read scenario above and answer the following questions:
What is your initial plan for this patient when you're planning the plan of care?
What assessments should you do on this patient and what kind of assessment would you be expected to find?
What medications would you expect this patient to be on?
The initial plan for the patient when planning the plan of care should include interventions to prevent infection, monitor vital signs, assist with ADLs as needed, etc. The assessments that should be done on this patient include neurological assessment, cardiovascular assessment, etc. The medications that this patient is expected to be on are oxycodone and antibiotics.
1. The initial plan for the patient when planning the plan of care should include the following:
Implement interventions to prevent infection.Monitor vital signs and report signs of fever.Assist with activities of daily living (ADLs) as needed.Monitor the incision site and report any signs of infection or delayed healing.Ensure that the patient has appropriate pain relief and observe for signs of opioid toxicity.Provide emotional support and counseling as needed.2. The following assessments should be done on this patient:
Neurological assessment: Assess the patient's level of consciousness, orientation, cognition, speech, and motor function.Cardiovascular assessment: Assess the patient's heart rate, rhythm, blood pressure, and peripheral pulses.Respiratory assessment: Assess the patient's respiratory rate, rhythm, depth, and oxygen saturation.Gastrointestinal assessment: Assess the patient's bowel sounds, appetite, and hydration status.Genitourinary assessment: Assess the patient's urinary output, color, and clarity of urine, and any signs of infection.Skin assessment: Assess the patient's skin integrity, wound healing, and any signs of infection or pressure ulcers.3. The medications that this patient is expected to be on are:
Oxycodone 20 mg every 4 hours PRN: This is for pain relief.Antibiotics: This is to prevent or treat any infection that may be present.To know more about activities of daily living (ADLs), refer to the link below:
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a nurse is assessing a family's interactions with a local recreational soccer league their daughter participates in, their synagogue, their children's private school community, and their neighborhood. which tool would be best for the nurse to use?
In addition, the nurse can use the tool to evaluate the effectiveness of the plan of care over time. The Family APGAR tool is an effective tool for assessing family functioning and identifying areas for improvement in families.
A nurse that is assessing a family's interactions with a local recreational soccer league, their synagogue, their children's private school community, and their neighborhood would use the Family APGAR tool. Family APGAR stands for Adaptability, Partnership, Growth, Affection, and Resolve. This tool is commonly used to evaluate family functioning. A nurse can use the tool to determine if the family is functioning well or if there are any issues that need to be addressed. The Family APGAR tool is made up of five sections, each representing an area of family functioning.
The nurse asks the family members questions about each of these sections and scores their responses. If the score is high, it means that the family is functioning well in that area. If the score is low, it means that there are issues that need to be addressed.The tool is helpful in identifying any problems that may be affecting the family's interactions with the soccer league, synagogue, private school community, and neighborhood. The nurse can then use the results of the assessment to develop a plan of care to help the family address these issues.
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