NRS301 Lecture Notes - Lecture 1: Ace Inhibitor, Lisinopril, Penicillin

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morgskennedy02

29 Mar 2023

School

Carroll University

Department

Nursing

Course

NRS301

Professor

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Document Summary

Inform the pt about the intended effects and possible side effects. Iodine, zn, ca, mg: plants, opioids, animals, hormones, synthesis, chemical compounds man made, epinephrine, microorganisms, antibiotics, penicillin"s, vaccines. Local vs systemic: local- intended to act where it is placed, skin or mucous membranes, systemic- action of a drug that is absorbed and then distributed throughout the body, whole body or specific organ. If the drug causes a reaction- it has an agent that can reverse its action: predictability, having a knowledge of side effects and potential adverse effects, ease of administration, the route should be convenient. Case study: you are a nurse working in a family practice. Mr. jones is a 74 yr old african american male. He has had three bp readings of 160/90 or higher. Lisinopril 10mg po: what are the three most important characteristics of medication selection, effectiveness- most important!

Related Questions

1. The nurse working in a long-term care facility incorporates a focused assessment of
the immune system for all newly admitted patients over the age of 65. Older adults

are more likely to develop problems related to immune function than are middle-
aged people. The focused immune assessment includes a systemic approach based

on age-related changes in immunologic function. (Learning Objective 4)
a. What changes in the immune system in the older adult increase the incidence of
infection and cancer in this population?
b. Explain why older adults may have decreased inflammatory responses.
c. Why are older adults at increased risk of gastroenteritis and diarrhea secondary
to proliferation of intestinal organisms?

2. The nurse educator for an oncology unit is preparing an in-service presentation for
new nurses about the care of patients with immunodeficiencies. Patients with cancer
who are receiving chemotherapy, as well as those with bone marrow transplants, are
immunocompromised and require special attention to assess for signs of infection.
The nurse educator focuses on special care needs of this patient population.
a. What is the rationale for assessing the pulse and respiratory rates for 1 full
minute in a patient with immunodeficiency?
b. What special precautions about dietary restrictions and food preparation should
be included in the teaching for a patient with immunodeficiency?
c. What nursing actions should be implemented to decrease the risk of infection in
the patient with immunodeficiency?
3. Molly Baker, a 22-year-old patient, presents to the clinic with the diagnosis of
allergic rhinitis. She states that she develops paroxysmal sneezing, clear nasal
drainage and congestion, watery, red eyes, and nasal itching from the late spring
until the first frost in the fall. She states that she has a dry cough and voice
hoarseness. She complains of feeling extremely tired, unable to sleep at night, and
having difficulty concentrating on her collegiate course work.
a. What further assessment should the nurse provide?

Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
fibromyalgia syndrome. The nurse at the clinic obtains a history and physical
assessment of the patient. (Learning Objective 2)
a. On what areas should the nurse concentrate when interviewing the patient
during the history process?
b. On what areas should the nurse concentrate when assessing the patient?
c. What diagnostic tests are used with fibromyalgia syndrome?

goldworm200

Mrs. Tom, a 79 year old female presents to the ER with complaints of a persistent productive cough, fatigue, fever and shortness of breath. Mrs. Tom reports that she has had a persistent cough and shortness of breath with activity for several months. She was given a prescription for antibiotics for a presumed infection 4 weeks ago, with only slight improvement in symptoms. Her past medical history includes stroke 6 months ago. She also smokes 20 cigarettes per day. On exam, she has a fever with decreased lung sounds bilaterally to auscultation with the right side slightly more obvious than the left. She is obviously short of breath and presents with 4-word dyspnea. Her vital signs are BP 110/70, HR 99, SP02 94% on 4 L of oxygen via nasal prongs, Temp 38.9.

Identify the infection of inflammatory response that Mrs. Tom is experiencing? (2)

Explain the pathology of how smoking affects the innate defense system of the lungs? (5)

What diagnostic tools could you expect to be used in this case? (xray,CT,laboratory data etc). (2)

Identify risk factors that Mrs. Tom has that are associated with the diagnosis? (3)

Internal medicine assesses Mrs. Tom and orders a STAT lactate and arterial blood gasses. Based on the patient’s vital signs above, what would you expect to see in the results of these tests? (5)

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The hospital risk management department has reviewed Zelda's care. The medical record is analyzed. The incident report is reviewed. It is revealed that Zelda's protected health information (PHI) was disclosed: to her mother, to her health insurance company, to the county's Adult Protective Services agency, the State Department of Health and Human Services, the medical staff peer review committee, the marketing department (photos are used in an campaign against abuse in the home), and hospital legal counsel.

Define PHI.

And are any of these disclosures legally allowable?

Why or why not?

Cite to the law or laws that direct your response.

Here is our shared scenario: Zelda is in trouble again. She is brought to the ED by police after a domestic dispute with her husband. Zelda has lacerations and suffered a hit to her head and is being brought to the ED for assessment and treatment. Zelda also has little red spots (rash) all over her arms which she says were due to a recent bout with Chicken Pox. Pictures of her injuries and rash were taken by the ED nurse as part of the department domestic violence policies. The pictures were placed in the patient’s medical record.

While helping Zelda get onto the stretcher, Zelda bites the police officer. The officer’s skin is broken and the officer is cared for by the ED staff. The ED Nurse submits an incident report to the hospital’s internal risk management reporting system. In addition, a hospital social worker comes to talk to Zelda about her safety at home.

After the biting incident, both Zelda and the police officer undergo testing for HIV and other blood borne pathogens. The police don’t pursue charges against Zelda and she is discharged that same day.

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NRS301 Lecture Notes - Lecture 1: Ace Inhibitor, Lisinopril, Penicillin

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