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QQQ3

Q1
 
An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.
Answer the following questions:
1. What else should you ask the client?
2. What teaching would you reinforce to prevent the recurrence of otitis media?
3. What expected outcomes would be specific to this situation?
 
Please make this 1-2 paragraph for each question, with a minimum of 6 sentences per paragraph and in-text citation. Please also make a reference page.
 
 
Q2
 
A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief.
Develop a Plan of Care for this patient that includes:
· 2 Nursing Diagnosis
· 2 goals for each Nursing Diagnosis
· Interventions with rationales
 
Please make this 1-2 paragraph for each question, with a minimum of 6 sentences per paragraph and in-text citation. Please also make a reference page.
 
 
Q3
 
Due to a fall from a second story townhouse, Jimmy sustained a fractured left femur and a mild head injury. Jimmy is 10 years old. He was reaching for a ball that had gotten lodged into the gutter over the small balcony of his parent’s bedroom. He thought if he stood on the railing and reached with the badminton racket he could get it. Currently he is 2 days postoperative from repair of the left femur. He is being transferred out of the pediatric ICU where the Neurologist has stated he is stable but needs continued neuro checks q2 hours. He has a full left leg cast. The Foley catheter is to be replaced today, or he can attempt to roll onto a bedpan if needed. Please list the systems that are affected by this boy’s injuries. List the nursing interventions now that he is on your nursing unit. Start a list of nursing diagnosis match the system you are presenting.
Please make this 1-2 paragraph for each question, with a minimum of 6 sentences per paragraph and in-text citation. Please also make a reference page.
 
Please make all 3 question comprehensive APA format papers.
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