Make a nursing care plan- Assessment Objective & subjective - Diagnosis - Planning - Interventions - Evaluation Case 1:A 36-year-old lady named Apple Cider with a past medicalhistory of fibromyalgia presented to her general physicianfor a regular check-up. The patient reported that hermother was recently diagnosed with hypothyroidism andrequested that her scheduled blood work include thyroidfunction tests. The patient said she has been well; evenher symptoms related to fibromyalgia had been undercontrol. Her only complaint was some hair loss, but it hadslightly improved since she began using over-the-countersupplements 3 months before her appointment.On physical examination, the patient appeared to behealthy: her vital signs were normal, there was noevidence of thyroid eye disease, tremor, or tachycardia;and her thyroid gland was not enlarged. Blood workcompleted the same day revealed normal complete bloodcount and liver and kidney function tests, but thyroid-stimulating hormone (TSH) was low, measuring 0.02plU/mL (reference range, 0.4-4.6 mlU/L). Free thyroxine(T4) was measured at 24 pmol/L (reference range, 10-19pmol/L), and free triiodothyronine was measured at 7.1pmol/L (reference range, 3.5-6.5 pmol/L). After review ofher previous laboratory tests, it was found that her thyroidfunction tests, including TSH and free T4 levels, werepreviously normal on several occasions.In a follow-up visit, the patient denied recent pregnancy,iodine exposure, neck pain or fever, recent acute illness,and symptoms of thyrotoxicosis. In addition, she deniedreceiving any new medication, specifically amiodarone orlithium.Create a Nursing Care Plan focusing on the possibleadverse effect of administering specific medication basedon the case of the patient. You have review and read firstthe medication intended for this patient before you canproceed to the Nursing Care Plan.

Introduction- Nursing care is given in a systematic and rationale way. The nursing process can be…

Answered: Make a nursing care plan - Assessment…

Principles Of Pharmacology Med Assist

6th Edition

ISBN:9781337512442

Author:RICE

Publisher:RICE

Chapter7: Drug Sources, Schedules, And Dosages

Section: Chapter Questions

Problem 19RQ

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Pain is classified as a ________________________ diagnosis sign symptom syndrome
Case 1: A 36-year-old lady named Apple Cider with a past medical history of fibromyalgia presented to her general physician for a regular check-up. The patient reported that her mother was recently diagnosed with hypothyroidism and requested that her scheduled blood work include thyroid function tests. The patient said she has been well; even her symptoms related to fibromyalgia had been under control. Her only complaint was some hair loss, but it had slightly improved since she began using over-the-counter supplements 3 months before her appointment. On physical examination, the patient appeared to be healthy: her vital signs were normal, there was no evidence of thyroid eye disease, tremor, or tachycardia; and her thyroid gland was not enlarged. Blood work completed the same day revealed normal complete blood count and liver and kidney function tests, but thyroid- stimulating hormone (TSH) was low, measuring 0.02 plU/mL (reference range, 0.4-4.6 mlU/L). Free thyroxine (T4) was…
Case 1: A 36-year-old lady named Apple Cider with a past medical history of fibromyalgia presented to her general physician for a regular check-up. The patient reported that her mother was recently diagnosed with hypothyroidism and requested that her scheduled blood work include thyroid function tests. The patient said she has been well; even her symptoms related to fibromyalgia had been under control. Her only complaint was some hair loss, but it had slightly improved since she began using over-the-counter supplements 3 months before her appointment. On physical examination, the patient appeared to be healthy: her vital signs were normal, there was no evidence of thyroid eye disease, tremor, or tachycardia; and her thyroid gland was not enlarged. Blood work completed the same day revealed normal complete blood count and liver and kidney function tests, but thyroid-stimulating hormone (TSH) was low, measuring 0.02 µIU/mL (reference range, 0.4-4.6 mIU/L). Free thyroxine (T4) was…
Patient R., 45 y/o, has an enlargement of the right lobe of the thyroid gland , in which a round soft and elastic growth can be palpated; the growth is neither fused with the surrounding tissues nor painful. Lymphatic nods are not palpated. Clinical examinations and laboratory tests show no disruption of the thyroid function. What diagnosis can be suspected?A. Nodular thyroid glandB. Toxic goiter (Grave’s disease)C. Autoimmune thyroiditisD. Hypothyroidism
1. Female, 40 years old. The left index finger was accidentally stabbed by a shoe repair needle. In the past 3 days, the pain gradually increased, swelling, throbbing pain, and she was unable to sleep. The current primary treatment measures are ( ) Use analgesics Incision and drainage Antibiotics Elevate the affected limb Rest 2. Female, 65 years old, with a history of hepatitis B for more than 20 years. Sudden of hematemesis this morning, the color was bright red, the amount was about 1500ml, and she came to our hospital for emergency. Physical examination: pale appearance, cold limbs, BP 78/50mmHg, P 112 beats/min. Abdominal distension, shifting dullness (+), 5 cm below the spleen rib. The inappropriate treatment for this patient is: Compression of three cavities and two balloon tubes Intravenous somatostatin Emergency laparotomy for hemostasis Blood transfusion Interventional treatment with fiber gastroscope
Explain the medical danger from ingesting excess aspirin
A patient has complained of being dizzy. Is this a sign or symptom? O Both O Neither O Symptom O Sign
Questions 5) Discuss the health promotion educational measures that Mrs Donald will be instructed on, upon discharged from hospital to ensure proper healing of her eyes. 6) Explain briefly two complications that can occur post removal of cataraet.
A 36-year-old female who was divorced 5 years earlierenters the emergency department with severe burns andcuts on her face after an auto accident in a car driven byher fiancé of 3 months. Three weeks later, her fiancé hasnot yet contacted her. The patient states that he is very busyand she is too tired to have visitors anyway. The patientfrequently lies with her eyes closed and head turned away.These data suggest that:a. There is no disturbance in self-concept.b. This patient has ego strength and high self-esteem but mayhave a disturbance of body image.c. The area of self-esteem has very low priority at this timeand should be ignored until much later.d. It is probable that there are disturbances in self-esteem andbody image.
The nurse administering lomustine to a patient knows to teach about which of the following delayed onset risks? a.pulmonary fibrosis b. hypertension c. neuropathy d. cardiomyopathy
Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomnia1. Discuss possible reasons this patient fell.2. List common side effects of Levodopa/Carbidopa3. He states that he doesn’t think his antidepressant is working. How will you address his concern?4. Which of his medications might be causing the insomnia? How could this be addressed?5. List some general education points regarding sleep hygiene.6. Do you have…
Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomniaWhich of his medications might be causing the insomnia? How could this be addressed?

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