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- 4. Give your nursing considerations/instructions/health education on the following problems a. pica b. pyrosis c. pregnant adolescent d. overweight pregnants1.A client is on magnesium sulfate for severe preeclampsia. The nurse must notify the attending physician regarding which of the following findings? I. Patellar and biceps reflexes of +3. II. Urinary output of 30 mL/hr. III. Respiratory rate of 16 rpm. IV. Serum magnesium level of 9 g/dL. 2.A woman with severe preeclampsia, 38 weeks’ gestation, is being induced with IV oxytocin (Pitocin). Which of the following would warrant the nurse to stop the infusion? I. Blood pressure 160/110. II. Frequency of contractions every 3 minutes. III. Duration of contractions of 130 seconds. IV. Fetal heart rate 156 with early decelerations.. A 32 year old G2P1 (1001) seeks consult at 6 weeks AOG for initial obstetric visit. Her previous child had a spina bifida. How much folate should be given to prevent NTD’s in her current pregnancy? 40 micrograms’day There is insufficient evidence that follate can prevent NTDs 40 milligrams/day 4 milligrams/day 400 micrograms/day
- 1.Explain gastrointestinal and how does it cause diarrhoea and liver disorders . 2.explain Antidiabetic agents and how does Ascorbate and Acetohexamide help in avoiding or reducing diabetes. 3.Explain the following: a.Maternal and fetal distress b.Cord presentation C. Cord prolapse, with advantages and disadvantages and with examples.1. Female, 20 years old, left upper abdominal trauma: 10 hours, abdominal pain, physical examination: conscious, blood pressure 95/60mmHg, left upper abdominal tenderness, rebound pain, shifting dullness (±), abdominal paracentesis (-), the incorrect following measure is ( ) Ultrasound Abdominal paracentesis again Careful observation Fluids therapy Meperidine to relieve pain 2. Female, 50 years old, right nipple itching with burning sense for more than a year, right nipple and areola covered with yellowish-brown scaly crust, skin erosion under the scab, with exudate, hard accessible mass under the areola, 2.0cm×1.5 cm, no swollen lymph node in the right armpit, the diagnosis of this patient may be ( ) Intraductal papilloma Inflammatory breast cancer Eczema-like cancer Nipple and areola eczema Plasma cell mastitis7. Deigo is a 55-year-old Hispanic, male, migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged.? 1)How would you provide multidimensional care to include cultural, psychosocial, spiritual, physical, and emotional needs for Deigo?
- 1. A nurse is assessing a client who is at 37 weeks of gestation. Which of the followingstatement by the client requires immediate intervention by the nurse?A. “It burns when I urinate.”B. “My feet are really swollen today.”C. “I didn’t have lunch today, but I have breakfasted this morning.”D. “I have been seeing spot this morning.”1. Give drugs implicated on the teratogenic effect of anticonvulsants: congenital heart disease. 2. Give a manifestation regarding the teratogenic effect of anticonvulsants: congenital heart disease. 3. Give drugs implicated on the teratogenic effect of anticonvulsants: cleft/lip palate. 4. Give a manifestation regarding the teratogenic effect of anticonvulsants: cleft/lip palate.7. Mrs J is prescribed oral prednisolone in a descending dose regimen. She is to take 60 mg once daily, reducing by 10 mg every 2 days until a dose of 10 mg is reached. She is then to take 10 mg for 7 days followed by 5 mg for 7 days and then stop. How many prednisolone 5 mg tablets would you need to supply to Mrs J to fulfil the full course of treatment?
- Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What type of diabetes does she have?2. Describe the mechanism of action of metformin. In which patients is metformin contraindicated?3. List some non-pharmacologic measures that can lower her blood sugar?4. List the long term complications of DM5. What role does Lisinopril have in patients with DM?6. What concerns do you have with the propranolol?7. Despite her medication regimen, her blood sugar has been very, very high and her physician decidedto start a long acting insulin. Which insulins are long acting?1. True or False: 1. WBC's, like monocytes can live for years 2. Changes in elevation affects respiration due to Dalton's law. 3. Cortisol is stimulated by ACTH and functions to store energy and suppress the immune response 4. Filtration occurs in both the glomerulus and PCI 5. Estrogen is produced in both males and females1. Directions: Match the items in Column A with their descriptions in Column B. Write the letter of your choice in the space provided for each item. Column A Column B 1. dosage calculations a. medication prepared for insertion into - the rectum