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Mr. smith, a 57-year-old patient, presents at a health fair asking questions about the age-appropriate health maintenance and promotion considerations he should be concerned about. he stated that he only goes to his physician when he is sick and the last time he saw his physician was 2 years ago when he had a sinus infection. a. what further assessment does the nurse need to make before designing a teaching plan? b. what topics does the nurse need to include for mr. smith based on current medical recommendations? c. design a teaching plan that covers the topics.

Ms. b is a 40-year-old woman who is the ceo of a struggling company. lately she has been experiencing headaches that are so severe that she gets dizzy and nauseated, and she is unable to carry out her usual daily routines. she reports that they usually begin as a throbbing pain in the left temple and then seem to spread throughout her head. a diagnosis of migraine headache is made after several tests. based on the patient history and signs and symptoms, discuss this type of headache and its physiological causes. discuss the available treatments to prevent and/or relieve the patient’s migraine.

Conrad jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. during the interview, he describes attending a family reunion and states that perhaps he "ate something bad". upon admission his vital signs are a temperature of 102.7 f, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm hg. the nurse also notes the patient has dry mucuos membranes and tenting of skin. the physician orders an iv to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas. the following results are returned from the laboratory: sodium (na+) 150 potassium (k+) 5.5 chloride (cl-) 110 bun 42 creatinine 0.8 glucose 86 ph 7.32 paco2 35 hco3 20 pao2 90 o2sat 98% a. what is your interpretation of this arterial blood gas sample? b. explain the high potassium in this patient. c. calculate the patient's anion gap: d. what is the interpretation of this anion gap?