What patient care might the nurse delegate to nursing assistive personnel (NAP) when a patient’s nasogastric tube is removed?          

Mr. Whitlock has been receiving a tube feeding of Ensure® via nasogastric tube for 3 weeks via a bolus infusion.  He has just started to have loose stools (300mL each-6 today).  You should first suspect the following to be responsible for the diarrhea: 

A nurse is  preparing to insert an NG tube on a client for stomach decompression.  When determining the length of the tube to be inserted what anatomical locations should the nurse use for measurement? 

Which landmarks should the nurse use to correctly measure a client prior to nasogastric tube insertion?  Select all that apply.

The nurse will irrigate a patient’s nasogastric (NG) tube. Which action should the nurse take?

Why does the nurse kink the nasogastric tube before removing it from a patient?          

Clinical Coding Workout Chapter 4, question 4.74 Hospital Summary: A male new-born, born at this hospital with pre axial polydactyly of the thumbs, bilateral claw hands and claw feet, had a harsh murmur heard posteriorly and faint femoral pulses on initial new-born exam. The new-born was 39 weeks gestation and was born vaginally. Cardiology was consulted and determined a diagnosis of coarctation of the aorta and a very small conoventricular ventricular septal defect. The newborn had surgical repair of the coarctation but the VSD could not be repaired at this Young age due to closeness to the aortic valve. Cardiology will follow to manage the VSD. Orthopedics was consulted for the hand and feet deformities and will schedule serial repairs after the age of about one Year. The family will be seen by Medical Genetics as an outpatient for possible determination of a syndrome that encompasses this combination of defects. Assign the correct diagnostic code(s)- 

Clinical Coding Workout Chapter 4, question 4.80  This 3-month-old infant was brought to the emergency department (ED) by the babysitter after she did not wake up from a nap. The babysitter admits to shaking the baby because she would not stop crying earlier in the day. She was admitted to ICU and was unconscious for eight hours. Diagnosis at discharge: Shaken infant syndrome, subdural hematoma, loss of consciousness for eight hours, and total retinal detachment, right eye. What codes are assigned?

QUESTION 3                                                                                                          (14 marks)Forecasting is the process of estimating the expected consumption of pharmaceutical products based on historical consumption, other data or assumptions when data are unavailable, to calculate the quantities of pharmaceutical products needed to meet demand during a particular time frame. Using different procurement methods, forecasts (and supply plans) are turned into purchased products that are delivered to a point of entry.3.1 Explain why accurate forecasting is important. (7)3.2 Describe pooled procurement, highlighting its advantages. (7)

There are no standard metrics displayed on dashboards because they are intended to be tailored to the user’s needs, but operational dashboards typically involve metrics pertaining to inputs, outputs, outcomes, efficiency, and efficiency.