Health Medical Homework Help

Question 1 dysrhythmia case study

A 78-year old woman is admitted to a Medical unit directly from her physician’s office for evaluation and management of congestive heart failure. She has a history of systemic hypertension.

The initial assessment completed by the RN of the assigned patient reveals a pulse rate that is rapid and very irregular. The patient is restless, her skin is pale and cool, she states she is dizzy when she stands up and she is slightly short of breath and anxious. Her BP is 106/88. Her ECG monitor pattern shows uncontrolled atrial fibrillation with a heart rate ranging from 150 -170 beats/min. Her respirations are 20/min and her O2 saturation is 90%.

1. Given the findings, what should be the first action of the practical nurse?
2. What additional data would the practical nurse collect?
3. Discuss the potential complications of cardioversion and patient preparation for an elective cardioversion. Because the length of time the patient has been in atrial fibrillation is unknown, what adverse reaction may occur?

Later that evening the patient calls the nurse because she feels “like something terrible is going to happen.” She reports chest pain, has increased shortness of breath, and has coughed up blood-tinged sputum.

1. Based on these symptoms, what might you suspect is happening?
2. What is the first thing the practical nurse should do and what further information would you expect to be collected?

You should include a minimum of 3 references. Include a title page, in-text citations, and a reference page in APA format.

Scoring Rubric: For the above assignment Dysrhythmia Case Study

Criteria	Points
Discuss the first actions the nurse should perform based on the assessment findings and what additional physical assessment techniques should be performed.	5
Discuss the potential complications of cardioversion and patient preparation for an elective cardioversion	5
What is the probable reason for the patient’s worsening condition and what action should the nurse take immediately to assist the patient and what further assessments should the nurse complete?	5
Grammar, APA, Organization	5
Total	20

Question 2

Choose one of the congenital disorders discussed in your text book and create a concept map. You may use the template on ATI as a sample to follow. You can easily create a concept map using the insert tab in Microsoft Word. Click on Shapes, and drag the shape you choose to your paper. Then right click to add text to your shape. You can go to the format tab by right clicking on your shape to add color, depth, and other special effects. Be sure to cite your concept map in APA format.

Be sure to cover these topics:

1. Pathophysiology
2. Assessment findings
3. Diagnostic tests – labs, x-rays etc.
4. Focused assessment
5. Medications, surgical procedures and other treatments
6. Preventative measures, risk factors, or at risk groups
7. What client teaching might a practical nurse reinforce under the guidance of the RN?
8. Prognosis and long term outlook for the patient
9. Support groups
10. Resources (cited in APA format)

Question3

Create a paper, power point, or Prezi presentation to demonstrate your knowledge of this week’s learning objectives. Your presentation should cover the following topic fully, and be correctly cited in APA format. Minimum 1 – 2 page paper or 10 slide presentation, not including your cover sheet/ slide and reference page/ slide.

You are approached by a neighbor and her 16 year old daughter who just found out she is pregnant. The neighbor and her daughter want to know what to expect during the pregnancy. Outline for this mother and daughter what to expect during each of the trimesters.