Reference no: EM133844867
Question
67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks. PMH includes hypothyroidism well-controlled on Synthroid 100 mcg/day. No hx of HTN or CHF.
Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air.
Physical exam revealed pale, anxious female appearing older than stated years.
HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinate's pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated.
Cardiac-regular rate and rhythm with soft II/VI systolic murmur. Respiratory- lungs clear with no adventitious breath sounds. Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two fingerbreadths below the right costal margin. Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal.
Explain the following:
· The factors that affect fertility (STDs).
· Why inflammatory markers rise in STD/PID.
· Why prostatitis and infection happens. Also explain the causes of systemic reaction.
· Why a patient would need a splenectomy after a diagnosis of ITP.
· Anemia and the different kinds of anemia (i.e., micro and macrocytic).
|
Which medication is most appropriate to administer at time
: Acetaminophen 650 mg PO/NG every 6 hours PRN for mild to moderate pain. Which medication is the most appropriate to administer at this time?
|
|
Describe post-traumatic stress disorder-bipolar mania
: Describe post-traumatic stress disorder, bipolar mania, major depressive disorder, and obsessive-compulsive disorder.
|
|
Nutritional challenges facing school
: What are some of the nutritional challenges facing a school nurse at an urban elementary school?
|
|
What causes nursing to be stressful occupation
: What causes nursing to be a stressful occupation? What are some examples you have observed in the clinical areas?
|
|
Chief complaint of shortness of breath-fatigue-weakness
: 67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet.
|
|
Methodology and main outcomes of the paper
: Identify its key components. Additionally, you should pinpoint the scientific contribution, methodology, and main outcomes of the paper
|
|
Diagnosis of multi-infarct dementia
: Mrs. Green is a client of your agency. She has a diagnosis of multi-infarct dementia, but is in the early stages and is most often only mildly forgetful.
|
|
Which regions of brain is associated with mood regulation
: A 27-year-old man presents for evaluation. He is diagnosed with bipolar II disorder. Which regions of the brain is most associated with mood regulation?
|
|
What you would do if you made this error
: Answer into a short paragraph.why making the wrong choice has an adverse effect on the patient and what you would do if you made this error?
|