An environmental health nurse is completing an assessment of a patient who has worked with pesticides in a lawn maintena...
An environmental health nurse is completing an assessment of a patient who has worked with pesticides in a lawn maintenance business for many years. The nurse is seeing this patient with complaints of chronic dermatitis.
A. The nurse is concerned about the chronic exposure this patient has had to pesticides. What regulations are in place for pesticides?
B. The nurse is taking exposure history. What type of questions should the nurse ask about the patient's present work?
C. What is the precautionary principle of environmental health for nursing practice?
Homework Answers
l
FIFRA ie Federal Insecticide,Fungicide and Rodenticide Act regulates the registration,manufacture,transportation and use of pesticides.
RUP-Restricted Use Pesticide may only be applied by certified applicators or under the direct supervision of a certified applicator.
FQPA-Food Quality Protection Act set tougher standards for new and old pesticides and it made uniform requirements regarding processsed and unprocessed fooods.
WPS -Workers Protection Standard aimed at reducing the risk of pesticide poisoning and injuries among agricultural workers and pesticide handlers.
B The nurse should use the Environmental Health Assessment using the pneumonic I P-R-E-P-A-R-E.
I-Investigate potential exposures such as asking questions How did the patient come in contact with the exposure?
P-Present Work. What was the root cause of exposure?
R-residence Where are the chemicals stored?
E-Environmental-Has anyone in the nearby environment raised concerns about water or pollution due to the the lawn maintenance business?
P-Past Work-How long were the patient working in the concerned business.?
CThe principles developed by ANA for scope of practice of Environmental health are
- Knowledge of environmental health concept is essential to nursing practice.
- The Precautionary Principle guides nurses in their practice to use products and practices that do not harm human health or the environment and to take preventive action in the face of uncertainity.
- Nurses have a right to work in an environment that is safe and healthy.
- Healthy environments are sustained through multidiscipliniary collaboration.
- Choices of materials,products,technology and practices in the environment that impact nursing practice are based on the best evidence vailable.
- Approaches to promoting a healthy environmentrespect the diverse values,beliefs,cultures and circumstances of patients andtheir families.
- Nurses must be supported in advocating for and implementing environmental health principles in nursing practice.
- Nurses participate in research of best practices that promote a safe and healthy envirinment.
Add Answer to:
An environmental health nurse is completing an assessment of a patient who has worked with pesticides in a lawn maintena...
1. The nurse is completing an assessment and health history an HIV positive client who is...
1. The nurse is completing an assessment and health history an HIV positive client who is considering starting antiretroviral therapy with several medications. Which client information concerns the nurse most? a. Client has been HIV positive for 8 years and has never been on any drug therapy for HIV. b. Client tells you she/he has never been very consistent about taking medications in the past. c. Client continues to be sexually active with multiple partners and says that he/she is...
You are a home health nurse caring for a patient who has recently been diagnosed with...
You are a home health nurse caring for a patient who has recently been diagnosed with heart failure and started on Po furosemide (Lasix) daily. The patient tells you she is not taking the medication as prescribed because she was having to get up so much at night and urinate. She is also concerned that she has been having terrible leg cramps, especially at night, since starting the diuretic. What are two key nursing interventions for this patient you are...
1. The nurse is completing an assessment and health history an HIV positive client who is considering starting anti...
1. The nurse is completing an assessment and health history an HIV positive client who is considering starting antiretroviral therapy with several medications. Which client information concerns the nurse most? a. Client has been HIV positive for 8 years and has never been on any drug therapy for HIV. b. Client tells you she/he has never been very consistent about taking medications in the past. c. Client continues to be sexually active with multiple partners and says that he/she is...
Holistic Health Assessment The home care nurse is seeing a 68-year-old Vietnamese woman for an initial...
Holistic Health Assessment The home care nurse is seeing a 68-year-old Vietnamese woman for an initial visit. The patient was discharged from the hospital with a diagnosis of congestive heart failure (CHF). The home health nurse notices the patient's blood pressure is elevated, and the patient has a productive cough. The patient speaks very little English. However, the patient's daughter is present and able to interpret. The nurse completes a full health assessment, including a review of medications, and notes...
Describe your approach to completing a comprehensive assessment and health history in this case. 1: How...
Describe your approach to completing a comprehensive assessment and health history in this case. 1: How will you address the patient's substance use? 2:What communication techniques will you use? Explain. 3: Are there any special implications for documentation? 4:What ethical dilemmas might surface in regard to this patient's care? 5. What resources would you consider recommending / referring for this patient? Include some of these resources in your post 6 What legal and or ethical principles apply? What health promotion...
exposed Acties should O : 48 The nurse is caring for a patient who has retumed...
exposed Acties should O : 48 The nurse is caring for a patient who has retumed to the unit following a bronchoscopy. The should which orarion will determine when the p how the patient to drink enis asing for something to ads va Presence of a cough and agree Question : 40 The medical nurse who works on a pulmonology unit is aware that several repertory prwtory conditions would lead to an increase in o complace. The presence of what...
The nurse is caring for Donna Henderson (D. H.), a patient with diabetes on an inpatient...
The nurse is caring for Donna Henderson (D. H.), a patient with diabetes on an inpatient medical unit. The nurse enters D. H.'s admission history and nursing assessment into the bedside computer, checks the admission laboratory test results, and reads the patient's current orders entered by the primary care provider. The nurse plans D. H.'s care for the day on the basis of the information in the electronic health record. D. H. tells the nurse that a friend mentioned a...
To minimize the frequency of Michael's asthma attacks, the health care provider prescribes theophylline (Elixophyllin) 200...
To minimize the frequency of Michael's asthma attacks, the health care provider prescribes theophylline (Elixophyllin) 200 mg. twice a day. The albuterol inhaler is to be taken as needed. Nursing interventions include patient history of asthma attacks and physical assessment. 5. When taking the patient's history, what should the nurse include concerning asthmatic attacks? 6. What type of drug is Elixophyllin? Why should the nurse ask if Michael smokes?
A Your Patient: D.D. is a 37 year old male who comes to the health care...
A Your Patient: D.D. is a 37 year old male who comes to the health care provider's office with complaints of a "cough that will not go away." Subjective Data: Has had a Is not taking any medications dry, hacking cough intermittently for past 2-3 months Objective Data: Height 5'11", Weight 185 lbs Oxygen saturation on room air is 97% BP 132/78, Pulse 86, Temp 98.5 F, RR 24 Questions: Describe questions that you would ask D.D. to specifically evaluate...
3. A patient tells the nurse that the information about the new over-the-counter drug on an...
3. A patient tells the nurse that the information about the new over-the-counter drug on an internet site is overwhelming, causing the patient to question the information available at the site. The patient wants to know if the medication will interfere with her herbal therapy for lowering cholesterol. The information includes the phrase off- label use of a drug on the internet site.( learning objective 1,2,3 and 4). A). What question should the nurse tell the patient to consider when...
1. The nurse is completing an assessment and health history an HIV positive client who is considering starting antiretroviral therapy with several medications. Which client information concerns the nurse most? a. Client has been HIV positive for 8 years and has never been on any drug therapy for HIV. b. Client tells you she/he has never been very consistent about taking medications in the past. c. Client continues to be sexually active with multiple partners and says that he/she is...
1. The nurse is completing an assessment and health history an HIV positive client who is considering starting antiretroviral therapy with several medications. Which client information concerns the nurse most? a. Client has been HIV positive for 8 years and has never been on any drug therapy for HIV. b. Client tells you she/he has never been very consistent about taking medications in the past. c. Client continues to be sexually active with multiple partners and says that he/she is...
Describe your approach to completing a comprehensive assessment and health history in this case. 1: How will you address the patient's substance use? 2:What communication techniques will you use? Explain. 3: Are there any special implications for documentation? 4:What ethical dilemmas might surface in regard to this patient's care? 5. What resources would you consider recommending / referring for this patient? Include some of these resources in your post 6 What legal and or ethical principles apply? What health promotion...
exposed Acties should O : 48 The nurse is caring for a patient who has retumed to the unit following a bronchoscopy. The should which orarion will determine when the p how the patient to drink enis asing for something to ads va Presence of a cough and agree Question : 40 The medical nurse who works on a pulmonology unit is aware that several repertory prwtory conditions would lead to an increase in o complace. The presence of what...
To minimize the frequency of Michael's asthma attacks, the health care provider prescribes theophylline (Elixophyllin) 200 mg. twice a day. The albuterol inhaler is to be taken as needed. Nursing interventions include patient history of asthma attacks and physical assessment. 5. When taking the patient's history, what should the nurse include concerning asthmatic attacks? 6. What type of drug is Elixophyllin? Why should the nurse ask if Michael smokes?
A Your Patient: D.D. is a 37 year old male who comes to the health care provider's office with complaints of a "cough that will not go away." Subjective Data: Has had a Is not taking any medications dry, hacking cough intermittently for past 2-3 months Objective Data: Height 5'11", Weight 185 lbs Oxygen saturation on room air is 97% BP 132/78, Pulse 86, Temp 98.5 F, RR 24 Questions: Describe questions that you would ask D.D. to specifically evaluate...
Most questions answered within 3 hours.
-
The degree of ionization of a weak acid
____________________.
Select all that are True.
a) varies...
asked 38 seconds ago -
If a trust has income required to be distributed of $11,500,
other amounts paid or required...
asked 41 seconds ago -
Cereal for Breakfast. A cereal company claims
70% of Americans start the day with cereal for...
asked 1 minute ago -
An elevator has a placard stating that the maximum capacity is
2400 lblong dash15 passengers. So,...
asked 4 minutes ago -
two charged proteins P1 and P2 are located at the positions
(1m,1m) and (-1m,1m) respectively on...
asked 14 minutes ago -
eBook
Calculator
Job Order Cost Sheet
Remnant Carpet Company sells and installs commercial carpeting
for office...
asked 19 minutes ago -
Using Kapustinskii equation, determine the lattice energy of a
hypothetical compound NaCl2 . Assume the sum...
asked 21 minutes ago -
Most schools and
businesses require some standard style of documentation for written
reports. Discuss why might...
asked 19 minutes ago -
cookbooks are going metric. in such books 1 cup is equal to 240
ml. Express 1...
asked 22 minutes ago -
________40. Which of the following is the correct sequence of
steps in the general
adaptation...
asked 30 minutes ago -
Hi, Please draw the network diagram.
Activity D on a CPM network has predecessors B and...
asked 32 minutes ago -
Explain how bacteria can be used in Food production
Explain the fermentation of Milk & Cheese...
asked 37 minutes ago