Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (PO 5) 1, 3, 5, 7, 8
Apply concepts of person-centered care to nursing practice situations. (PO1, PO2) 3, 7, 8
Analyze essential skills needed to lead within the context of complex systems. (PO2, PO3) 1, 5, 7, 8
Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (PO3, PO4) 8
Thinking back over this course, what were the three most important or most interesting things you learned? How do you envision using the information you learned in your future nursing practice? What steps will you take to ensure your success in the master's program?
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write down a brief note on urinary bladder
cancer?
Note: No plagiarism.
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Write down Methodology and performance characteristics
of UROVYSION BLADDER CANCER KIT includes specificity, sensitivity
and accuracy .
NOTE: *No plagiarism
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Describe the official procedures for enacting/passing a policy for hypertension among newark new jersey residents at the state or federal level (i.e. the legislative process)
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Which of the following is a challenge in the implementation of electronic health records?
A. lack of standardization
B. employee resistance
C. multiple end-user needs
D. all of the above
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considering the three types of immigration law- legal, humanitarian, and illegal - what kind of immigration policies do you think the united states should pursue in the future and why?
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Which of the following is NOT true regarding forms of vitamin A compounds?
Retinol is stored in the liver.
Retinal is used in processing visual signals.
Retinoic acid is the hormone form.
Carotenoids are vitamin A precursors found in plant foods.
Only plant foods are preformed vitamin A sources.
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Write discuss the methods of development that were used in "The Importance of Health Education" By Marcy Vadurro's article by bringing the examples.
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There are THREE things you try to change with an audience when you are giving a persuasion speech. One is ATTITUDE. What are the other TWO?
9. What is the hardest to try and change when you are trying to persuade an audience or a person and why?
10. There are several places where you can get documented evidence to support your information when giving a speech. Name FIVE.
11. What is ETHOS?
12. What is PATHOS?
13. True False Pathos deals with the emotional side of a person.
14. There are TWO questions a speaker must ask before they pick a e topic for their speech. One is: “What do I know about the topic?” What is the other question?
15. True False Logos deals with the logical appeal to the audience; does the speaker’s argument makes sense?
16. What is the purpose of the NEED step in your speech?
17. What is the purpose of the SATISFACTION step in your speech?
18. What is bigotry?
19. Who wrote the poem “STILL I RISE?”
20. What does “K.I.S.S.” mean when giving a speech?
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Who are the major stakeholders when it comes to the overuse of medical care in the United States Healthcare system? What are their presepctives when it comes to the over use of medical care in the United States Healthcare system?
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BPH Discussion Case Study
S.M. is a 68-year-old man who is being seen at your clinic for routine health maintenance and health promotion. He reports that he has been feeling well and has no specific complaints, except for some trouble “emptying my bladder.” Vital signs (VS) at this visit are 148/88, 82, 16, 96.9° F (36.1° C). He had a CBC and complete metabolic panel (CMP) completed 1 week before his visit, and the results are listed below.
Laboratory Test Results
Sodium 140 mEq/L
Potassium 4.2 mEq/L
Chloride 100 mEq/L
Bicarbonate 26 mEq/L
BUN 19 mg/dL
Creatinine 0.8 mg/dL
Glucose 94 mg/dL
RBC 5.2 million/mm 3
WBC 7400/mm 3
Hgb 15.2 g/dL
Hct 46%
Platelets 348,000/mm 3
Prostate-specific antigen (PSA) 0.23 ng/mL
Urinalysis WNL
What can you tell S.M. about his lab work?
What is the significance of the PSA result?
What other specific examination will S.M. need to have along with the PSA?
While obtaining your nursing history, you record no family history of cancer or other genitourinary (GU) problems. S.M. reports frequency, urgency, and nocturia × 4; he has a weak stream and has to sit to void. These symptoms have been progressive over the past 6 months. He reports he was diagnosed with a large prostate a number of years ago. Last month, he began taking saw palmetto capsules but had to stop taking them because they “made me sick.
Why did S.M. try taking the saw palmetto, and why do you think he stopped taking it?
S.M. is curious why his enlarged prostate would affect his urination. He is concerned that he has prostate cancer. What would you teach him?
The primary care provider (PCP) asked for a postvoiding residual (PVR) urine test. You use a bedside bladder scanner and document that S.M. voided 60 mL and his PVR is 110 mL. You report the PVR to the PCP. What is the significance of his PVR?
Commonly used medications for BPH are 5-alpha reductase inhibitors, such as finasteride (Proscar) and alpha-blocking drugs, such as tamsulosin (Flomax). How do these drugs differ?
The PCP ordered tamsulosin (Flomax) 0.4 mg/day PO. You enter S.M.'s room to teach him about this medication. What side effects will you tell S.M. about? (Select all that apply.)
a. Dizziness
b. Diarrhea
c. Dry mouth
d. Insomnia
e. Heartburn
f. Orthostatic hypotension
The client asks, “Will this condition affect my relationship with my wife?” What should you tell him?
What would you expect S.M. to report if the medication was successful?
S.M. returns in 8 months to report that his symptoms are worse than ever. He has tried several different medications, but medication management failed, and he is told that surgical intervention is necessary.
What surgical options are available to S.M.?
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Patient CB is an 88 year-old female with a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following: Glipizide 10 mg po daily, HCTZ 25 mg daily, Atenolol 25 mg po daily, Simvastatin 80 mg daily, Verapamil 180 mg CD daily.
Write a 2- to 3-page paper that addresses the following:
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1. List in proper order the different elements of providing post-mortem care (in detail).
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4. A 36-year-old patient is dying from acute lymphocytic leukemia. He is a home hospice patient, and 6 hours ago his family brought him to the emergency room for pain and intractable vomiting. He’s now resting comfortably after receiving medications and hydration. His family, however, is concerned because they’ve noticed that his extremities look mottled. He also rouses less easily. His blood pressure is 80/40 and his pulse is 150, with occasional skipped beats. The family reviews his DNR status and informs you that the patient wishes to die at home, surrounded by his extended family. Their house is located in another state, about 3 hours from the hospital. They tell you that the patient can recline in their van for the trip home, and that they wish to take his IVs and morphine pump. As his nurse, how will you handle this situation? Explain in detail.
5. How would the nurse ask a family to donate organs after their 23-year-old son has just been mortally injured? What are the processes for the organ retrieval?
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Welding fumes are a common occupational exposure. Several different welding fumes can cause similar adverse health effects. Personal sampling of a welding operation at a manufacturing facility produced the following 8-hour time-weighted average (TWA) results for individual metal fumes.
| Metal Fume | Result | OSHA PEL | ACGIH TLV |
|---|---|---|---|
| Antimony | 0.05 mg/m³ | 0.5 mg/m³ | 0.5 mg/m³ |
| Beryllium | 0.00001 mg/m³ | 0.0002 mg/m³ | 0.00005 mg/m³ (I) |
| Cadmium | 0.025 mg/m³ | 0.005 mg/m³ | 0.01 mg/m³ |
| Chromium | 0.02 mg/m³ | 1 mg/m³ | 0.5 mg/m³ |
| Copper | 0.03 mg/m³ | 0.1 mg/m³ | 0.2 mg/m³ |
| Iron Oxide | 0.5 mg/m³ | 10 mg/m³ | 5 mg/m³ (R) |
| Magnesium Oxide | 0.02 mg/m³ | 15 mg/m³ | 10 mg/m³ |
| Molybdenum | 0.003 mg/m³ | 15 mg/m³ | 10 mg/m³ (I) |
| Nickel | 0.25 mg/m³ | 1 mg/m³ | 1.5 mg/m³ (I) |
| Zinc Oxide | 0.3 mg/m³ | 5 mg/m³ | 2 mg/m³ (R) |
(R) Respirable fraction (I) Inhalable fraction
Briefly summarize the primary health effects associated with overexposure to each type of metal fume, including both acute and chronic health effects. Explain what analytical methods you would use for evaluating health hazards in the workplace.
Identify the types of metal fumes that would produce similar health effects on an exposed worker. Assume that each listed metal can cause respiratory irritation. Use the equation in 1910.1000(d)(2)(i) to calculate the equivalent exposure (in relation to OSHA PELS) for the metal fumes with similar health effects based on the “Result” column in the table above. Discuss whether you believe any of the individual metal fume exposures or the combined exposure exceeds an OSHA PEL or an ACGIH TLV.
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