...Running head: NEWBORN ASSESSMENT Newborn Assessment College of Southern Nevada Nurs 247 Newborn Assessment Student Name: Date: November 21st, 2009 Infant Sex: Male Age at Exam: 6 hours old Gestational Age: 40 weeks Diet: Formula Features of Pregnancy, Labor & Delivery: Data obtained from Prenatal History, L&D Record, and Verbal Report: The patient is a 27 year old female that was a G3 P2. The patient did not receive any prenatal care with this pregnancy or previous pregnancy. The patient stated that this pregnancy went very fast as she didn’t realize how far along she was until her water broke at home on 10/9/09. The patient stated that she did not have much pain and did not receive any pain medication. When the patient arrived, she was 10cm, 100% and +2. The patient gave birth to the baby vaginally within 15 minutes of arriving to the hospital and stated she only pushed 3 times. The patient lost approximately 200mL of blood during birth and the patient had lab work drawn the morning of the interview however no results were available. The patient reports no known diseases or illnesses. |Assessment |Textbook Normals |Finding | |Posture |Vertex: arms and legs in moderate flexion; fists clenched |Flexion of arms and legs. Fists | | ...
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...INSTRUCTOR GUIDE Human Anatomy & Physiology Laboratory Manual MAIN VERSION, Eighth Edition Update CAT VERSION, Ninth Edition Update FETAL PIG VERSION, Ninth Edition Update ELAINE N. MARIEB, R.N., Ph.D Holyoke Community College SUSAN T. BAXLEY, M.A. Troy University, Montgomery Campus NANCY G. KINCAID, Ph.D Troy University, Montgomery Campus PhysioEx™ Exercises authored by Peter Z. Zao, North Idaho College Timothy Stabler, Indiana University Northwest Lori Smith, American River College Greta Peterson, Middlesex Community College Andrew Lokuta, University of Wisconsin—Madison San Francisco • Boston • New York Cape Town • Hong Kong • London • Madrid • Mexico City Montreal • Munich • Paris • Singapore • Sydney • Tokyo • Toronto Editor-in-Chief: Serina Beauparlant Project Editor: Sabrina Larson PhysioEx Project Editor: Erik Fortier Editorial Assistant: Nicole Graziano Managing Editor: Wendy Earl Production Editor: Leslie Austin Composition: Cecelia G. Morales Cover Design: Riezebos Holzbaur Design Group Senior Manufacturing Buyer: Stacey Weinberger Marketing Manager: Gordon Lee Copyright © 2009 Pearson Education, Inc., publishing as Pearson Benjamin Cummings, 1301 Sansome St., San Francisco, CA 94111. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means...
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...Holistic Health Assessment: SOAP Paper Roxie Butterfield University of Texas at Arlington Assessment of BB BB appears to be a healthy 63 year old male. He is neatly groomed and dressed. He is 5”10 and weighs 220 lbs. His BMI is 29.04. Subjective Data Skin, hair, and nails: BB states he has no skin rashes or lesions. He does, however, state that he has very dry skin. Patient states that he has no bruising, swelling, or pigmentation problems. His main concern today is a large raised mole on his shoulder. C: light brown dry raised mole. “I think about 1/2” in length.” O: “It has been there for a long time.” L: “It is on my right shoulder, you can't miss it. I don't have anything like it on my body.” D: “It doesn't go away and I haven't noticed that it has changed in size or color.” S: “It doesn't really bother me but I have heard I should have it check out.” P: “There isn't anything that makes it feel better or worse, because it doesn't hurt at all.” A: “I am afraid that I might scrape it when I am putting my shirt on and off. It bothers my wife more than it does me.” BB denies having any other moles that he is concerned with. BB states that he hasn't had any other skin issues such as itching, pain, tingling or redness. BB does think that his skin is somewhat dry. BB states that he has had no skin problems other than a sunburn once...
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...PHYSICAL ASSESSMENT EXAMINATION STUDY GUIDE Nursing Assessment 1. Part of Nursing Process 2. Nurses use physical assessment skills to: a) Obtain baseline data and expand the data base from which subsequent phases of the nursing process can evolve b) To identify and manage a variety of patient problems (actual and potential) c) Evaluate the effectiveness of nursing care d) Enhance the nurse-patient relationship e) Make clinical judgments Gathering Data Subjective data - Said by the client (S) Objective data - Observed by the nurse (O) Document: SOAPIER Assessment Techniques: The order of techniques is as follows (Inspect – Palpation – Percussion - Auscultation) except for the abdomen which is Inspect – Auscultation – Percuss – Palpate. A. Inspection – critical observation *always first* 1. Take time to “observe” with eyes, ears, nose (all senses) 2. Use good lighting 3. Look at color, shape, symmetry, position 4. Observe for odors from skin, breath, wound 5. Develop and use nursing instincts 6. Inspection is done alone and in combination with other assessment techniques B. Palpation – light and deep touch 1. Back of hand (dorsal aspect) to assess skin temperature 2. Fingers to assess texture, moisture, areas of tenderness 3. Assess size, shape, and consistency of lesions and organs 4. Deep = 5-8 cm (2-3”) deep; Light = 1 cm deep C. Percussion – sounds produced by striking body surface 1. Produces different notes depending on underlying mass (dull...
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...VELEZ COLLEGE F. Ramos St., Cebu City College of Nursing A CASE ANALYSIS REPORT ON PATIENT N.M.C., 47 YEARS OLD, FEMALE, DIAGNOSED WITH UTERINE LEIOMYOMA (s/p TOTAL ABDOMINAL HYSTERECTOMY and BILATERAL SALPINGO OOPHORECTOMY), BILATERAL OVARIAN NEWGROWTHS, METABOLIC SYNDROME, AND HYPERTENSION Submitted By: Villavelez, Carmina Anne Z. BSN III-C Submitted to: Mrs. Miraluna Echavez, RN, MN March 2013 UTERINE LEIOMYOMA/ UTERINE FIBROIDS Uterine fibroids are noncancerous growths of the uterus that often appear during your childbearing years. Also called fibromyomas, leiomyomas or myomas, uterine fibroids aren't associated with an increased risk of uterine cancer and almost never develop into cancer. As many as 3 out of 4 women have uterine fibroids sometime during their lives, but most are unaware of them because they often cause no symptoms. Your doctor may discover fibroids incidentally during a pelvic exam or prenatal ultrasound. In general, uterine fibroids seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain or profuse menstrual bleeding. Symptoms In women who have symptoms, the most common symptoms of uterine fibroids include: * Heavy menstrual bleeding * Prolonged menstrual periods — seven days or more of menstrual bleeding * Pelvic pressure or pain *...
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...teach the client? A) B) C) D) Clean the meatus, begin voiding, then catch urine stream Void a little, clean the meatus, then collect specimen Clean the meatus, then urinate into container Void continuously and catch some of the urine A: Clean the meatus, begin voiding, then catch urine stream. A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it’s best to just slip the container into the stream. Other responses do not reflect correct technique 3. Following change-of-shift report on an orthopedic unit, which client should the nurse see first? A) B) C) D) 16 year-old who had an open reduction of a fractured wrist 10 hours ago 20 year-old in skeletal traction for 2 weeks since a motor cycle accident 72 year-old recovering from surgery after a hip replacement 2 hours ago 75 year-old who is in skin traction prior to planned hip pinning surgery. C: Look for the client who has the most imminent risks and acute vulnerability. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...College of Nursing End Stage Renal Disease 20 to Diabetic Nephropathy Presented by: Balgos, Rachelle Ann Dayto, April Feranil, Daniel Fulinara, Janice Fuentes, Maila Joy Garrido, John Paolo Mendoza, Kenneth Robert Nazareno, Jhon Ryan Olfindo, Kristine Joy Sombilon, Jorgette Kim *** In Partial Fulfilment of the Requirement in NURS 60 for the Degree Bachelor of Science in Nursing TABLE OF CONTENTS I. Demographic Data 4 II. Chief Complaints 4 III. History of Present Illness 4 IV. Past Medical History 5 V. Developmental History 6 VI. Heredo-familial History 15 VII. Gordon’s Functional Health Patterns 16 VIII. Physical Examination 22 IX. Diagnostic Test 43 X. Anatomy and Physiology 75 XI. Pathophysiology 81 XII. Case Management 82 XIII. Nursing Care Plan 107 ABSTRACT “"The divine is not something high above us. It is in heaven, it is in earth, it is inside us..." - Morihei Ueshiba We, group 2 of Level III section 2, have chosen this case to gain more knowledge about the mechanism of End Stage Renal Disease and its process. Our patient C.C is a 51 -year old male who was diagnosed to have diabetes mellitus seventeen years ago and now has End Stage Renal Disease due to Diabetic Nephropathy. His disease leads to fluid accumulation to his lungs and edema on his extremities. Our group chose the case because it is also our...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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...C DESIGN ERS R E D I STACY LONGSTREET T S SE N IOR A RT DI REC TOR R P G R& D A RT DI REC TOR S GWENDOLYN F.M. KESTREL , JENNIFER CLARKE WILKES, KOLJA RAVEN LIQUETTE DEVELOPMENT TEAM KARIN JAQUES, STACY LONGSTREET C OV E R A RT I S T BRUCE R. CORDELL , ANDY COLLINS, ROB WATKINS EDITORS STEVE PRESCOTT I N T E R IOR A RT IST S MICHELLE LYONS, CHRIS SIMS EDITI NG MANAGER KIM MOHAN DESIGN MANAGER STEVEN BELLEDIN, ED COX, DAARKEN, WAYNE ENGLAND, EMILY FIEGENSCHUH, CARL FRANK, DAN FRAZIER, BRIAN HAGAN, RALPH HORSLEY, CHRIS MALIDORE , JIM NELSON, ERIC POLAK CA RTOG R A PHE R CHRISTOPHER PERKINS DEV ELOPMEN T MANAGER MIKE SCHLEY GRAPHIC DESIGN ER JESSE DECKER DIRECTOR OF RPG R&D DEE BARNETT G R A P H IC P RODUC T ION S P E C I A L I S T BILL SLAVICSEK P RODUC T ION MA NAGE R S ERIN DORRIES IMAGE T ECHN ICIAN JOSH FISCHER, RANDALL CREWS CHRISTINA WILEY Playtesters: Kraig Horigan, Jason H. Haley, Richard Hughes, Richard Stephenson. Some information in this book is taken from or derived from Draconomicon: The Book of Dragons by Andy Collins, Skip Williams, and James Wyatt. Based on the original DUNGEONS & DRAGONS® rules created by E. Gary Gygax and Dave Arneson, and the new DUNGEONS & DRAGONS game designed by Jonathan Tweet, Monte Cook, Skip Williams, Richard Baker, and Peter Adkison. This product uses updated material from the v.3.5 revision. This WIZARDS OF THE COAST® game product contains no Open Game...
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...SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is A. Stay with the person, Encourage her to remain still and Immobilize the leg while While waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to a safer place. 2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is A. Lengthened, Abducted and Internally Rotated. B. Shortened, Abducted and Externally Rotated. C. Shortened, Adducted and Internally Rotated. D. Shortened, Adducted and Externally Rotated. 3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to A. Infection B. Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following...
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...Vance Packard With an Introduction by Mark Crispin Miller PUBLISHING Brooklyn, New York Copyright © 1957, 1980 by Vance Packard Originally published by Pocket Books, a division of Simon & Schuster, Inc. Introduction Copyright 2007© by Mark Crispin Miller All rights reserved. Printed in Canada Reissue Edition 10 9 8 7 6 5 4 3 2 No part of this book may be used or reproduced in any manner without written permission of the publisher. Please direct inquiries to: Ig Publishing 178 Clinton Avenue Brooklyn, NY 11205 www.igpub.com Library of Congress Cataloging-in-Publication Data Packard, Vance Oakley, 1914The hidden persuaders / Vance Packard ; [new] introduction by Mark Crispin Miller. p. cm. Originally published in 1957 by McKay and reissued in 1980 by Pocket Books with a new afterword. ISBN-13: 978-0-9788431-0-6 ISBN-10: 0-9788431-0-X 1. Advertising--Psychological aspects. 2. Consumers--Psychology. 3. Advertising, Political. 4. Propaganda. 5. Control (Psychology) I. Title. HF5822.P3 2007 659.101'9--dc22 2007027043 To Virginia CONTENTS Introduction by Mark Crispin Miller 1. The Depth Approach PERSUADING US AS CONSUMERS Z. The Trouble With People 3. So Ad Men become Depth Men 4. ....And The Hooks Are Lowered 5. Self-Images for Everybody 6. RX for Our Secret Distresses 1. Marketing Eight Hidden Needs 8. The Built-In Sexual Overtone 9. Back to the Breast, and Beyond 10. Babes In Consumerland 11. Class and Caste in the Salesroom 12. Selling Symbols...
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...FOR BLYTHE Acknowledgments My profound thanks to three dear friends with whom I have the great luxury of working: my editor, Jason Kaufman; my agent, Heide Lange; and my counselor, Michael Rudell. In addition, I would like to express my immense gratitude to Doubleday, to my publishers around the world, and, of course, to my readers. This novel could not have been written without the generous assistance of countless individuals who shared their knowledge and expertise. To all of you, I extend my deep appreciation. To live in the world without becoming aware of the meaning of the world is like wandering about in a great library without touching the books. The Secret Teachings of All Ages ———————————— FACT: In 1991, a document was locked in the safe of the director of the CIA. The document is still there today. Its cryptic text includes references to an ancient portal and an unknown location underground. The document also contains the phrase “It’s buried out there somewhere.” All organizations in this novel exist, including the Freemasons, the Invisible College, the Office of Security, the SMSC, and the Institute of Noetic Sciences. All rituals, science, artwork, and monuments in this novel are real. ———————————— Prologue House of the Temple 8:33 P.M. The secret is how to die. Since the beginning of time, the secret had always been how to die. The thirty-four-year-old initiate gazed down at the human skull cradled in his palms. The skull was hollow, like...
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...errrCHAPTER 1 MOON. GLORIOUS MOON. FULL, FAT, REDDISH moon, the night as light as day, the moonlight flooding down across the land and bringing joy, joy, joy. Bringing too the full-throated call of the tropical night, the soft and wild voice of the wind roaring through the hairs on your arm, the hollow wail of starlight, the teeth-grinding bellow of the moonlight off the water. All calling to the Need. Oh, the symphonic shriek of the thousand hiding voices, the cry of the Need inside, the entity, the silent watcher, the cold quiet thing, the one that laughs, the Moondancer. The me that was not-me, the thing that mocked and laughed and came calling with its hunger. With the Need. And the Need was very strong now, very careful cold coiled creeping crackly cocked and ready, very strong, very much ready now—and still it waited and watched, and it made me wait and watch. I had been waiting and watching the priest for five weeks now. The Need had been prickling and teasing and prodding at me to find one, find the next, find this priest. For three weeks I had known he was it, he was next, we belonged to the Dark Passenger, he and I together. And that three weeks I had spent fighting the pressure, the growing Need, rising in me like a great wave that roars up and over the beach and does not recede, only swells more with every tick of the bright night's clock. But it was careful time, too, time spent making sure. Not making sure of the priest, no, I was long sure of him. Time spent to...
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...www.GetPedia.com Click on your interest section for more information : Acne q Advertising q Aerobics & Cardio q Affiliate Revenue q Alternative Medicine q Attraction q Online Auction q Streaming Audio & Online Music q Aviation & Flying q Babies & Toddler q Beauty q Blogging, RSS & Feeds q Book Marketing q Book Reviews q Branding q Breast Cancer q Broadband Internet q Muscle Building & Bodybuilding q Careers, Jobs & Employment q Casino & Gambling q Coaching q Coffee q College & University q Cooking Tips q Copywriting q Crafts & Hobbies q Creativity q Credit q Cruising & Sailing q Currency Trading q Customer Service q Data Recovery & Computer Backup q Dating q Debt Consolidation q Debt Relief q Depression q Diabetes q Divorce q Domain Name q E-Book q E-commerce q Elder Care q Email Marketing q Entrepreneur q Ethics q Exercise & Fitness q Ezine Marketing q Ezine Publishing q Fashion & Style q Fishing q Fitness Equipment q Forums q Game q Goal Setting q Golf q Dealing with Grief & Loss q Hair Loss q Finding Happiness q Computer Hardware q Holiday q Home Improvement q Home Security q Humanities q Humor & Entertainment q Innovation q Inspirational q Insurance q Interior Design & Decorating q Internet Marketing q Investing q Landscaping & Gardening q Language q Leadership q Leases & Leasing q Loan q Mesothelioma & Asbestos Cancer q Business Management q Marketing q Marriage & Wedding q Martial Arts ...
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