Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal […]
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In what ways, does the MCO actually manage cost, and does it do so without diminishing the quality of care? How would your future role as an APN/APRN interface with the MCO? In what ways, does the ACO actually manage cost, and does it do so without diminishing the quality of care? How would your
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Discuss the standard(s) of care to which the parties will be held in this case scenario. How will the standards of care and your state’s Nurse Practice Act be applied in the courts if the case is sued? Case Scenario SK, age 61, went to the hospital with what she thought was a bad cold,
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What should be included in an introductory paragraph of the research paper? Select an introduction from scholarly, peer-reviewed research, and appraise the introduction to assess whether it includes the necessary elements of an introduction. Why and why not? How does PICOT help form a clinical question? Use Box 2.2 in your textbook to discuss population,
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Ed Beatty is a 52-year-old client with a history of chronic renal insufficiency who presents to the medical clinic reporting a severe sore throat. He is diagnosed with a streptococcal pharyngitis. He is informed by the primary care provider that he will be treated with an IM injection of penicillin G. (Learning Objectives 2, 3,
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The patient, a 16-year-old high-school football player, was brought to the emergency room in a coma. His mother said that during the past month he had lost 12 pounds and experienced excessive thirst associated with voluminous urination that often required voiding several times during the night. There was a strong family history of diabetes mellitus
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What are ‘infant reflexes’ and why are they important to test for? Identify and describe two infant reflexes. What is a ‘motor milestone’ and why do we care when they are supposed to happen? Identify and describe two motor milestones (can be fine motor and/or gross motor) that occur in early childhood. Define
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You are a manager on a medical unit in a community hospital. You are concerned about a recent increase in falls with injury on your unit. How might you assess this situation? Where might you find the data in your hospital to support your concern? What type of study could you perform to identify the
You are preparing to discharge a 43-year-old male patient who has received treatment for a fracture of the right tibia. You provide the patient with a prescription for a narcotic analgesic to be used as needed for pain, along with information about the medication. The patient states, “I don’t need the prescription. My cousin just
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A 45-year-old woman complained of heartburn and frequent regurgitation of “sour” material into her mouth. Often while sleeping, she would be awakened by a severe cough. The results of her physical examination were negative. Studies Results Routine laboratory studies Negative Barium swallow (BS), p. 941 Hiatal hernia Esophageal function studies (EFS), p. 624 Lower esophageal
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