An older client was recently discharged from the hospital for evaluation of seizure activity.

An older client was recently discharged from the hospital for evaluation of seizure activity.
Q1

Alterations in Metabolism

Obesity

Hyperthyroid

Hypothyroid

Pathophysiology

Risk Factors

Assessment Findings (including Labs)

Possible Nursing Diagnosis

Interventions (including Medications)

Q2

An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that he has late-stage Alzheimer’s disease, Parkinson’s disease, hypertension, and type II diabetes mellitus, which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD; levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for home care nursing follow-up.

Questions:

1. On the initial home visit by the nurse, what assessments should be made?

2. The wife and daughter need teaching about his antiepileptic medication. What teaching should be included?

3. During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?

INSTRUCTIONS:

· This is an APA paper format

· Please write a 2 pages paper, with in-text citations

· Please write 2-3 paragraph per question

· Please provide Title and Reference pages separately from content pages

Q3

EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5’6” and 265 pounds. She has a history of Diabetes and hypertension; she is not on medications at the time.

· What client education topics are important to reinforce for this client?

· How will this client’s diet be advanced?

· What complications can occur after this surgery?

· What is Dumping Syndrome and what are some interventions to help prevent its development?

INSTRUCTIONS:

· No separate title or reference page

· Please write 1-2 paragraph per question

· Please provide in-text citation per paragraph

· Please collate reference

Q4

Roslyn is complaining of severe pain. She is 6 years old and has been placed in public school for the first time. Now she is complaining of her legs hurting. She is so excited about being in school finally, but her parents report that she is not participating in play time, seems weaker, and is pale. She is diagnosed with sickle cell anemia, parents undergo genetic testing as well as all her siblings and it is found that she is the only child with the disease.

Provide nursing diagnosis and nursing interventions for this child. What is your priority nursing care?

INSTRUCTIONS:

· Please write 2-3 paragraphs for the above question

· Please write 200-250 words

· Please provide both in-text citations and refence page

Q1

You are working in a rural Family Planning Health clinic and a 16 y/o presents with complaints of vaginal pain, discharge, odor x 4 days. Pain is getting worse. Her mother relates she has a cognitive learning delay and has tried to talk to her about her consensual sexual behavior with multiple partners. She tells you she has “felt some ‘bumps’ down there.” She relates multiple sexual partners because she is now popular, and it is part of the ‘game’ to stay popular with her new friends. Diagnosis: HPV with several condyloma lesions, a vaginal yeast infection, and chlamydia.

She is given a prescription for Chlamydia, and the vulvar lesions, told to follow up in 2 weeks.

How do you approach her and begin the conversation regarding safe sexual practices? What are your thoughts about this young lady? How do you feel about her game? How would you proceed to give her education?

INSTRUCTIONS:

· Please write 2-3 paragraphs for the above question

· Please write 200-250 words

· Please provide both in-text citations and refence page

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