A. Present a detailed clinical account of a 32-year-old woman with a 3-day history of abdominal pains and vomiting.

B. From your presentation above, list ten (10) differential diagnoses.

1. Which of the following is necessary to establish professional negligence?

a.) Two of the choices listed

b.) The breach of duty proximally caused harm to the client.

c.) The health/fitness professional breached a duty.

d.) The health/fitness professional is not covered by professional liability insurance.

e.) All of the choices listed

2. False negative GXTs may result from

a.) All of the choices listed

b.) Two of the choices listed

c.) poor patient motivation.

d.) monitoring an insufficient number of ECG leads.

e.) stopping the GXT before reaching an ischemic threshold.

Select an aspect of nursing leadership and/or management Chose a specific type of healthcare organization/setting. For example you may wish to consider a local hospital, outpatient clinic, or rehabilitation center/nursing home on which to focus the paper a. What is the current state of the key aspect chosen in regards to the setting have identified. Consider including its importance, change in value over time (has it become more or less important), and does it have a critical application to the healthcare organization/setting you have chosen and if so, what impact does it have on the setting? b. What are some current challenges/barriers facing nursing leadership and managers in this healthcare setting as it relates to the key aspect have chosen to discuss? What would to do to overcome these challenges? c. What recommendations would make to the organization/setting as to how they could apply this key aspect to improve the quality of patient care?

Co-morbid chronic illness often requires that many prescribed medications often resulting in what is referred to as “polypharmacy”. This can result in several problems. Adherence to a medication regimen is a key factor in promoting health and quality of life in those with chronic illness. Non-adherence can be attributed to a multitude of factors including cost, complexity of the medication regimen, and actual or perceived side effects (Ferdinand et al., 2017). Side effects and adverse drug reactions are other problems associated with polypharmacy. Nurses in both acute care and community or public health settings play an integral role in increasing medication regimen adherence and reducing adverse medication reactions for those with chronic illness (Shin & Haberman, 2016). For this assignment, evaluate a medication list and search for an evidence-based interventions to increase quality of life and promote health through improved medication adherence.

Consider an 80-year old patient, Mrs. X.   Mrs. X has a long list of medications, both prescribed and OTC.

Altace 5 mg qd for congestive heart failure

Adalat CC 60 mg qd for hypertension

Cardizem LA 180 mg qd for coronary artery disease

Lasix 40 mg qd for edema

Hydrochlorothiazide 25 mg qd for hypertension/edema

Baby aspirin 81mg qd to prevent clots

Lipitor 10 mg qd for hypercholesterolemia

Synthroid 0.125 mcg ac qd for hypothyroidism

Tylenol 650 mg q4-6h for pain (arthritis)

Aleve 250 mg q6-8 hrs for prn for pain (arthritis)

Amrix 15 mg qd for pain/muscle spasms

Glucosamine 500 mg bid for pain

Amitriptyline 75 mg qhs for pain/sleep

Paxil 20 mg qd for depression

Oxazepam 15 mg hs for insomnia

Tylenol PM 1 tab qhs prn for insomnia

Benadryl 25 mg prn for allergy/itching

Prilosec 40 mg ac qd for gastric reflux/heartburn

Fiber laxative in water qd for constipation

Colace 50 mg bid for constipation

Multivitamin 1 qd

1. What are your first thoughts as you see this list? What are your impressions of Mrs. X’s health?

2. What potential problems and concerns do you have for Mrs. X related to side effects and drug interactions?

3. What health promotion strategies would you use to address these concerns about side effects and drug interactions?

4. What evidence-based interventions would you recommend to help Mrs. X remain compliant with her medications?

1 (a) Define the terms “Ethics” and “Nursing Ethics”.

(b) Describe (5) ethical principles that you are familiar with and state its importance to nursing practice, giving examples in your answer.

Create an ethic training pptfor new employees hired into the hospital. the presentation should be at least 10 slides and utilize speaker's note or recording. the presentation should cover the ethics training needed for any new employee that is hired at a hospital. make sure to include the concepts of negligence, malpractice, beneficence and patient self determination.

Which of the following adoption categories often includes individuals who are well respected or who hold central positions in their community, meaning that their broad influence helps an innovation start to take off and spread through a social system?

Opinion leaders tend to be early adopters and are often the first to adopt
an innovation.

True

False

What does the S-shaped curve associated with Diffusion of Innovation Theory depict?

Which of the following describes a potential communication channel as defined by Diffusion of Innovations Theory?

At 1400 hrs. on Tuesday, Mr. Adebo Ikeme, an 83 year old Black male was admitted to your floor with complaints of significant SOB when taking the stairs to his 3rd floor walkup in Brooklyn.  He is 5’10” tall and weighs 145 lbs. He has a 15 year history of HTN but has not been seen for follow-up in several years. He states that the breathing problem started about a year ago but got worse this week.  His LE evidence 3+Edema to the middle of his shins.  Mr. Ikeme states that he gets up several times a night to use the bathroom – but only has “a little bit of pee” each time. As he speaks to you, you note that his pupils are bilaterally cloudy and his dark brown irises have a distinct pale blue ring around the perimeter.   Admission vital signs:  BP  169/102, Pulse 88, Resp 18 & temp. 96.8°F.

IDENTIFY KEY FINDINGS/SIGNIFICANCE AND NURSING IMPLICATIONS

Listed below is the 48-hour recall for a 72-year-old male who is new to using warfarin. Food or Beverage Item Serving Size Vitamin K (mcg) Day #1 Oatmeal 1 cup 1.2 Whole milk 1 cup 0.5 Orange juice ½ cup 0.1 Tuna salad ½ cup 21.2 Wheat bread 2 slices 1.1 Baby carrots 16 21.1 Roast beef 4 ounces 1.9 Baked potato w/ peel 1 medium 3.5 Butter 2 tsp 0.7 Sour cream 1 Tbsp 0.3 Tomatoes, fresh ½ cup 7.1 Applesauce 1 cup 1.5 Day #2 Special K® 1 cup 0.2 Whole milk 1 cup 0.5 Orange juice 1 cup 0.2 Roast beef 3 ounces 1.4 Wheat bread 2 slices 1.1 Salad greens 1 cup 111.5 Italian dressing 2 Tbsp 16.5 Baked chicken 4 ounces 2.7 Spinach, cooked ½ cup 554 White rice 1 cup 0 Grapes ½ cup 11.7 Q1. Looking the DRI values in the book, what is the recommendation for vitamin K intake? Is he meeting his DRI for vitamin K for Day1? What about vitamin K intake on Day 2? Is he meeting the DRI? Q2. Reading the information on vitamin K intake from the textbook and discussion in the lecture, what advice do you have for him regarding his vitamin K intake over these two days? Also look at the table closely to give specific recommendations about foods consumed. Q 3. Search the Internet for patient education materials on warfarin and vitamin K intake. Are the messages to the patient consistent? Confusing? How do you know the advice is reputable? Summarise what you found and include links for resources you explored.

Initial Post Instructions For this discussion, take on the role of one of the pathogens we learned about. Give us a narrative about what you are doing in the body from the pathogen's point of view. How did you get into the body? In other words, how did the body inherit you. How do you move through the body? What path of destruction are you on? How will you wage battle against the body? How do you plan to win that battle? What will the body try to do to stop you? How will you fight back? Who wins?

based on your reading on ''madness and civilization'', expla,n how our definitions of health affect the treatment models that we use in healthcare.Give details about pros and cons of definitions (you can use research about DSM,its effectiveness and its strictness). You are asked to back up your thoughts with scientific articles if possible.You will be asked to cite references in APA6 style. please write 1 to 2 pages minimum

1. What are the structures of all impurities in paracetamol?

2. What is the testing procedure of paracetamol?

Why it is important for a worker to recognize, respect, and accommodate client's need to express his sexuality?

What is the Rules for writing patient notes in the medical interview guide

Other than AARP, discuss one public interest group, aging service, or professional organization that you believe has or can have the most influence on political decisions related to Long Tern Care? Why do you believe this?