Nr 509 week 2 shadow health respiratory assessment – online nursing essays online nursing ways to make money if you have money essays

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Tina had an asthma episode 2 days ago. At that time she used her albuterol inhaler and her ways to make money if you have money symptoms decreased although they did not completely resolve. Since that incident she notes that she has had ten ways to make money if you have money episodes of wheezing and has shortness of breath approximately every ways to make money if you have money four hours. Tina presents with continued shortness of breath and wheezing. Be sure to ask pertinent questions during the interview about ways to make money if you have money related body systems. This case study will provide the opportunity to carefully assess ways to make money if you have money lung sounds during the physical examination. Be sure to appropriately document your findings using correct medical ways to make money if you have money terminology.

Common significant deviations of the chest for older adults include ways to make money if you have money marked dorsal curvature, kyphosis, increased AP diameter of the chest (barrel chest), and diminished chest expansion (hogstel & curry, 2005). Bones become thinner, more rigid, and change shape, and muscles may become weakened. This results in a lower oxygen level with less carbon ways to make money if you have money dioxide removed from the body, and decreased ability to cough. Osteoporosis causes decreased thoracic vertebrae height. Aging also causes the alveoli to lose their shape causing ways to make money if you have money shortness of breath. Due to diminished cough reflex with decreased sensitivity, large amounts of particles that are more difficult to expectorate ways to make money if you have money can collect in the lungs. In addition, the brain is less sensitive to hypoxia (low oxygen) and hypercapnea (higher than normal carbon dioxide) and higher residual volume. As a result of these changes, older persons are at increased risk for pneumonia and bronchitis ways to make money if you have money (minaker, 2011; sharma & goodwin, 2006).

In the respiratory assessment of this patient, I expect to find marked dorsal curvature, increased AP diameter of the chest, diminished chest expansion, and kyphosis. The weakened muscles will result in lower oxygen levels and ways to make money if you have money lower elimination of carbon dioxide leading to decreased coughing capacity. Alveoli will also will also lose their shape leading to ways to make money if you have money dypnea. Therefore, oxygenation goals will have to take in cognizance these realities ways to make money if you have money and advise the patient accordingly. Consequently, efforts to increase exercise tolerance, treat complication, and relieve symptoms will be initiated.

NR 509 week 2 quiz review – (jarvis 8,9,13,14,15,16,18), (swartz 4,6,7,8,9,10) 1. What does dullness when percussing lung fields: jarvis pg 427 2. Facial sensation controlled by which CN: jarvis 283, 3. Know what two salivary glands are accessible during exam 4. What CN is being … when pt shrugs shoulders jarvis 646 5. What muscles are being …. When …. CN 11 (spinal accessory nerve) 6. Concern for malignant nodules versus benign lymph nodule 7. Know what you’d do next if you palpated a submental lymph node: jarvis pg 253 8. Define visual acuity 9. Know what to do if your patient can’t read the largest number on the snellen chart: jarvis 289 10. Example of good visual acuity : jarvis 289 11. Example of poor visual acuity: jarvis 289 12. What is …. With corneal light reflex- 13. Know normal variances of sclera : jarvis 283 14. Know how to check for ptosis: jarvis 292 15. What does ptosis indicate: jarvis 292 16. Nasal fissure of pt with chronic allergies : jarvis 271 · acute allergies : jarvis p 363 . 17. What is an abnormal palpation of sinuses: jarvis 362 · normal palpation of sinuses 18. Know normal variations in gingival margin 19. Know what a dehydrated oral cavity will look like: jarvis 387 20. What is tactile fremitus, how do you test for it and what does it ways to make money if you have money indicate. Jarvis 425

You are responsible for minimally at least 3 posts for ways to make money if you have money each question in your discussion boards; your initial post and reply to two of your classmates. Your initial post(s) should be your response to the questions posed in the ways to make money if you have money discussion question. You should research your answer and cite at least one ways to make money if you have money scholarly source when appropriate, and always use quality writing.The discussion board is never a place to use text ways to make money if you have money language or emoticons. You will also be asked to respond to your classmates. This is designed to enhance the academic discussion around the ways to make money if you have money topic. It is all right to disagree with something posted by ways to make money if you have money another, however your responses should always be thoughtful and respectful and ways to make money if you have money reflect your opinions professionally.

In your professional opinion, what is the difference between chronic and acute pain? How is the assessment for each type of pain different? What must you keep in mind when assessing acute pain? What must you keep in mind when assessing chronic pain? Reflect upon a time when you assessed a patient in ways to make money if you have money pain. What did you do well? What points could you have improved upon? How did the pain impact the patient? What specific treatments could have lessened the impact of the ways to make money if you have money pain on the patient?

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