The correct answer is: a. None of these patients meets this classification.
Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing. A variety of organisms, including bacteria, viruses and fungi, can cause pneumonia.
The signs and symptoms of pneumonia may include:
Cough, which may produce greenish, yellow or even bloody mucus.
Fever, sweating and shaking chills.
Shortness of breath.
Rapid, shallow breathing.
Sharp or stabbing chest pain that gets worse when you breathe deeply or cough.
Loss of appetite, low energy, and fatigue.
hence correct option is a.
To know more about Pneumonia visit:
https://brainly.com/question/30820519
#SPJ11
Major: Nursing
Consider your major and your future career. What is the focus of
this field of study and this profession? Where and how do people in
this profession use anecdotes or longer narratives?
The field of nursing is concerned with patient care and promoting the health of individuals.
The focus of nursing is on the provision of evidence-based care, as well as ensuring the comfort and safety of patients.
What is the focus of nursing?
The focus of nursing is on the provision of evidence-based care, as well as ensuring the comfort and safety of patients. This entails assessing patients, identifying their healthcare needs, developing and implementing care plans, and evaluating the effectiveness of interventions.
How do people in the nursing profession use anecdotes or longer narratives?
People in the nursing profession often use anecdotes or longer narratives to illustrate clinical situations, patient care, and the nurse-patient relationship.
Anecdotes and narratives can help nurses communicate complex information to patients and families in a way that is easy to understand.
Anecdotes and narratives can also be used to reflect on clinical practice, identify areas for improvement, and inform evidence-based practice.
By sharing their experiences, nurses can learn from each other and continuously improve their practice.
In addition, narratives can be used to develop empathy and understanding among healthcare professionals, as well as to promote a patient-centered approach to care.
To know more about nursing visit:
https://brainly.com/question/31596584
#SPJ11
How should the nurse ask the patient about the following?
i. Language:
ii. Health:
iii. Family structures:
iv. Dietary practices:
V. Use of folk medicine:
A nurse should be able to approach patients in a culturally acceptable manner. In the following manner, the nurse should ask the patient about the mentioned concerns.
i. Language: To ask the patient about language the nurse should inquire about the patient's preferred language for communicating, in addition, the nurse should inquire about the individual's fluency in other languages.
ii. Health: To inquire about the health of the patient, the nurse should ask for a comprehensive review of symptoms, including how long the patient has been experiencing symptoms, and the severity of the symptoms.
iii. Family structures: To inquire about the patient's family structure, the nurse should inquire about the family members, the types of relationships, and their roles.
iv. Dietary practices: To ask the patient about their dietary practices, the nurse should ask the patient what kind of foods they prefer, if they have any dietary restrictions, and how they eat their food.
V. Use of folk medicine: To inquire about the use of folk medicine, the nurse should ask the patient if they utilize alternative medicine practices to treat their illness. It is essential to ask the patient if they utilize both traditional and nontraditional medicine.
To know more about culturally acceptable manner visit:
https://brainly.com/question/28544446
#SPJ11
For any healthcare activity, four performance factors can be measured: structure, process, outcome, and patient experience. Identify one measure from each of these categories that could be used to evaluate the following ambulatory surgery center admission process: Upon arrival, the patient reports to the center’s registration or admitting area. The patient completes paperwork, provides an identification card, and supplies insurance information, if insured. Money for the patient’s insurance co-pay or self-pay deposit is collected at this time. Often, patients register on the surgery center’s website before the date of admission to facilitate the registration process. An identification bracelet, including the patient’s name and doctor’s name, is placed around the patient’s wrist. Before any procedure is performed the patient is asked to sign a consent form. If the patient is not feeling well, a family member or caregiver can help the patient complete the admission process. Utilize a table with 2 columns. One column heading will be the "Measure" category. The 2nd column heading will be "Examples" Measure Examples 2. Describe each measure you selected to evaluate the center's admission process. What are the numerator and denominator? If it doesn't require one, please explain. Utilize the table format below. Measure Measure Description,
Structure - Availability of registration staff
Process - Average time taken for completing paperwork
Outcome - Percentage of patients who had accurate identification bracelets
Patient Experience - Patient satisfaction with the admission process
Structure measure evaluates the availability of registration staff at the ambulatory surgery center. It assesses whether there are enough staff members present to efficiently handle the admission process and assist patients as needed. Process measure focuses on the average time taken for patients to complete the required paperwork during the admission process.
It assesses the efficiency of the process and helps identify any bottlenecks or areas for improvement in terms of time management. Outcome measure assesses the percentage of patients who receive accurate identification bracelets with their correct name and doctor's name. It ensures proper patient identification throughout their stay in the center, reducing the risk of errors or confusion.
Patient Experience measure captures patient satisfaction with the admission process. It involves obtaining feedback from patients about their overall experience, including their comfort level, clarity of instructions, and assistance provided during the admission process.
To know more about the Ambulatory, here
https://brainly.com/question/32150334
#SPJ4
History. A 47 year-old woman presented with chief complaint of fever to 103F, non-productive cough and dyspnea which has progressed over one week. She was tested HIV-positive 5 years ago at which time her CD4 lymphocyte count was 583. Zidovudine was started, but she stopped taking it after one month and did not return to her doctor for follow-up. She has anorexia and lost 70 pounds over the last 3 months.
She used heroin and cocaine intravenously for a six month period 6 years ago. She does not smoke or drink, has no past STD's and is not sexually active. She has no known drug allergies (NKDA).
Physical Assessment. She was pale, diaphoretic and in acute respiratory distress. T 37.4 C, P 96/'min, R 30/min, BP 110/70. Oral thrush was present. Assessment of the lungs disclosed poor inspiratory effort and bibasilar crackles 2/3 of the way up the posterior lung field. She had a tachycardia but no murmurs. Her abdomen was nontender, and there was no enlargement of the liver or spleen. Pelvic assessment was normal except for vaginal candidiasis. Neurologic assessment was normal.
Laboratory Evaluations:
Hgb: 10.8 g/dl
WBC: 7,500/mm3
Segs: 43, Lymphs: 41, Monos: 9, Eos: 6, Basos: 1
Platelets 248k/mm3
ABG: 7.48(pH)/32(pCO2)/51(pO2)/23(HCO3)
CD4: %=11.#=235/mm3
HIV RNA level: 234,000 copies/ml
Induced sputum: Direct fluorescence positive for Pneumocystis carinii
Questions
1. What is Pneumocystis?
2. How is Pneumocystis carinii acquired? Was this patient recently infected?
3. What is the mechanism by which Pneumocystis carinii causes pneumonia?
4. How is infection with Pneumocystis carinii diagnosed?
The patient is started on intravenous trimethoprim/sulfamethoxazole (20 mg/kg/D trimethoprim: 100 mg/kg/D sulfamethoxazole) plus prednisone 40 mg twice daily. Two days later she is improved: respiratory rate is down to 18/min, O2 saturation is 98% with FiO2 of 21%. Trimethoprim sulfamethoxazole therapy is changed to oral. On day 5, she develops fever, a morbilliform rash and elevations of AST, ALT and alkaline phosphatase.
5. To what can we attribute the rash? Are the rash, fever and abnormalities in liver function related?
6. What alternative therapies are available?
7. What is the likelihood of an adverse reaction to trimethoprim sulfamethoxazole in a patient with AIDS?
8. Can relapses of pneumonia due to Pneumocystis carinii be prevented? How?
Pneumocystis is a fungal organism that causes pneumonia primarily in immunocompromised individuals, such as those with HIV/AIDS. It is commonly referred to as Pneumocystis pneumonia (PCP).
PCP is acquired through the inhalation of Pneumocystis spores present in the environment. It is not a recent infection in this patient as indicated by the history of HIV positivity for five years. PCP usually occurs when the immune system is severely compromised, resulting in the reactivation of latent Pneumocystis infection or acquisition of new infection from the environment.
Pneumocystis carinii causes pneumonia by attaching to and damaging the lining of the lung alveoli, leading to inflammation and impaired gas exchange. This results in the characteristic symptoms of fever, non-productive cough, and dyspnea seen in PCP.
Diagnosis of PCP involves various methods. Direct fluorescence staining of induced sputum or bronchoalveolar lavage samples can reveal the presence of Pneumocystis organisms. Chest X-rays may show diffuse bilateral interstitial infiltrates. CD4 lymphocyte count and HIV RNA levels can also provide important information regarding disease severity.
The rash seen in this patient can be attributed to a hypersensitivity reaction to trimethoprim/sulfamethoxazole, the treatment given for PCP. The rash, along with fever and abnormal liver function, may be related to an adverse drug reaction.
Alternative therapies for PCP include pentamidine, atovaquone, and dapsone with trimethoprim. However, the choice of alternative therapy should be based on factors such as drug availability, patient tolerance, and local resistance patterns.
In patients with AIDS, there is a higher likelihood of adverse reactions to trimethoprim/sulfamethoxazole. These reactions can range from mild rashes to severe allergic reactions. Close monitoring is essential to detect and manage any adverse effects promptly.
Prevention of relapses of PCP can be achieved through prophylactic treatment. Trimethoprim/sulfamethoxazole is the preferred agent for PCP prophylaxis in HIV-infected individuals with low CD4 counts. Other alternatives include dapsone and atovaquone. Compliance with prophylactic therapy is crucial to prevent relapses.
Learn more about Pneumocystis
brainly.com/question/32273360
#SPJ11
The gractical norse (PN) 6 providing home care for an oldet woman with type 2 diabetes mellitus (DM) who had a coronary aisery bypass gratt 2 years ago Which finding should the PN teport limmediately to the supervhing murse?
A. Poor hair growth on the legs.
B. Blster on the left infier anile.
C. Thickened foenal growth.
D. Cool skn temperature of teet
The Practical Nurse (PN) should immediately report the finding of a blister on the left inferior ankle to the supervising nurse. The correct option is B.
When providing home care for an older woman with type 2 diabetes mellitus (DM) who had a coronary artery bypass graft (CABG) 2 years ago, it is important to monitor for any signs or symptoms of potential complications, particularly those related to impaired circulation and wound healing. Let's examine each option to determine which finding requires immediate reporting:
A. Poor hair growth on the legs: While poor hair growth on the legs may indicate decreased circulation, it is not an urgent finding that requires immediate reporting. The PN should document this finding and continue to monitor for other signs of peripheral vascular disease.
B. Blister on the left inferior ankle: This finding requires immediate reporting. In an individual with diabetes, particularly with a history of CABG, blisters can be a sign of poor wound healing, compromised circulation, or potential infection. Immediate attention is necessary to prevent further complications.
C. Thickened toenail growth: Thickened toenail growth may be associated with fungal infections or other non-urgent conditions. It should be documented and addressed during the next visit or routine follow-up, but it does not require immediate reporting.
D. Cool skin temperature of feet: While a cool skin temperature of the feet may indicate impaired circulation, it is not an acute emergency. The PN should assess for other signs of impaired perfusion and notify the supervising nurse to ensure appropriate follow-up and intervention.
In summary, the finding of a blister on the left inferior ankle in an older woman with type 2 diabetes mellitus and a history of CABG requires immediate reporting. This finding may indicate compromised wound healing or potential infection, requiring prompt attention to prevent further complications. The PN should promptly communicate this information to the supervising nurse for further assessment and appropriate intervention. Option B is the correct one.
To know more about type 2 diabetes refer here:
https://brainly.com/question/32174319#
#SPJ11
