QUESTION Joanne is a newly graduated nurse working on a general medical floor in a large urban teaching hospital. She is typically assigned between four and six patients during her shift depending on the acuity mix. Many of her patients are direct admit patients or are transferred from the emergency department. Joanne has recently noticed a significant delay on weekend shifts with room turnover and […]

QUESTION After obtaining consent, the scope was passed under direct vision. Throughout the procedure, the patient’s blood pressure, pulse, and oxygen saturations were monitored continuously. The Olympus pediatric flexible colonoscopy was introduced through the anus and advanced to the ileum. ANSWER Pediatric Colonoscopy Procedure: Ensuring Patient Safety and Monitoring Introduction Medical procedures, especially those involving invasive measures, require meticulous attention to patient safety and continuous […]

QUESTION Case Study 1 Preoperative diagnosis: Enlarged lymph node in left axillary area Postoperative diagnosis: Left axillary lymphadenitis Procedure: Excision of one axillary lymph node The patient was prepped and draped in the usual fashion and sedated via IV. The left axillary area was cleansed with Betadine, and 1% Xylocaine was injected. An incision was made through the skin, and the enlarged node was identified […]

QUESTION experience when receiving routine vaccines during wellness checks. She randomly assigns her 2 year old patients to either receive brief instructions on how to use deep breathing techniques or to receive no instruction prior to receiving routine vaccines. She expects that the children who receive the deep breathing instruction will show less distress during the vaccines than the children who did not receive the […]

QUESTION 2. Considering that the family represents the paradox of food insecurity and obesity, discuss programs that would provide some nutrition education and more nutritious meals and food options. ANSWER Addressing the Paradox of Food Insecurity and Obesity: Programs for Nutrition Education and Nutritious Meals Introduction The coexistence of food insecurity and obesity, often referred to as the “hunger-obesity paradox,” is a complex and alarming […]

QUESTION A 72-year-old male patient who has been well managed with his DM with diet, exercise and oral hypoglycemic agents for several years comes in for a follow up visit 4 weeks after a hospitalization for an acute GI bleed. The event necessitated an emergent colonoscopy with intervention for benign bleeding colonic polyp, and transfusion with 2 units of PRBC due to symptomatic anemia r/t […]

QUESTION Many nurses report that implementing new policies is difficult because there are so many changes that happen so quickly. How do we get buy-in from nurses staff when they are already overworked and understaffed? ANSWER Fostering Nurse Buy-In for New Policies in Overworked and Understaffed Environments Introduction In the dynamic and high-pressure healthcare environment, implementing new policies can be a challenging task, especially when […]

QUESTION Scenario 1: A patient who’s being counseled regarding weight loss installs an app on his phone to track diet, exercise and weight. He submits this data to his physician prior to his follow up appointment. Scenario 2: A patient installs an app on her phone, which she uses to track her own blood glucose levels she obtained using an over the counter glucose monitor. […]

QUESTION Anna was a heavy smoker but managed to quit when she was 40. What is likely to happen to her risk of death from smoking-related causes if she never smokes again? ANSWER The Potential for Improved Health After Quitting Smoking Introduction Anna’s decision to quit smoking at the age of 40 is commendable and holds significant promise for her overall health and well-being. Smoking […]

QUESTION An explanation of the factors that indicate the appropriateness of the medication in potentially treating the client’s substance abuse An explanation of the expected side effects of the medication and the mental health professional’s role in monitoring these side effects A justification of the medication to advocate for its use to encourage the client to continue with treatment ANSWER Medication-Based Treatment for Substance Abuse: […]