What is the Government's role in the US Healthcare System?

the medical office is moving toward electronic health records (EHR) management. how the change over from paper to electronic health records management can and will affect management in a medical office, what are some advantages and disadvantages of electronic health records?

A wealthy individual is admitted to your hospital. He was diagnosed 48 hours ago with kidney failure and needs a transplant. He is placed on the transplant list, but is advised it will probably take months or years to obtain a kidney. Suddenly, today an individual arrives with a foreign appearing man, who doesn't speak English and appears unkempt. He states he is the patient's "cousin" and wishes to "gift" a kidney to your patient. What rules apply to organ donation? Who oversees them? Is this illegal activity or OK? What is the hospital's obligation in "policing" the source of donated organs? 500 word response and use own words - not copy and paste from Google.

Explain, using 2 different examples, why you think nurses are important in preventing the spread of infection.

2. Using one link in the chain of infection explain how the nurse may break the link. Provide 2 separate examples.

3. a. Provide 2 different examples of health care-associated infections that a patient might acquire. .

b. What could the nurse have done to prevent them? .

4. As a student nurse how do think an outbreak in a facility may affect you?

46-A patient’s finger stick blood sugar (FSBS) is 45 mg/dL. The patient is conscious, but it is more than 2 hours until the next meal. What interventions should you perform?

47. How can you encourage optimal intake while assisting a patient with a meal?

48. What supplies should you gather prior to inserting an NG tube and attaching low, intermittent suction?

49. What tips can you provide the patient to ease the insertion of an NG tube?

50 Why would it be unsafe to use a petrolatum product, such as Vaseline, for lubrication of an NG tube?

51. What are the various methods used to verify tube placement prior to instillation of anything into the NG tube?

52 How will ENFit connectors promote patient safety?

53 You suspect a patient is experiencing hypoglycemia. What are the signs and symptoms for which you should assess? List at least six. If you find several of these signs and symptoms,

What is the pathophysiology of pneumonia, in your own words?

Aromatherapy

1.         Purpose

Describe the process

Describe relevant background information.

2.         Scope

Identify the intended audience and /or relevant activities

3.         Prerequisites

Outline information required before proceeding with the listed procedure; for example, worksheets, documents, IFAS reports, etc.

4.         Responsibilities

Identify the personnel that have a primary role and describe how their responsibilities relate to this document.

5.         Procedure

Provide the steps required to perform this procedure (who, what, when, where, why, how). Include a process flowchart.

6.         References

List resources that may be useful when performing the procedure;

7.         Definitions

Identify and define frequently used terms or acronyms. Provide additional and/or relevant information needed to understand thebdocument

A dose of 2 mg/kg of an antibiotic results in a peak blood serum level of 5 mcg/mL. How many milligrams of the drug should be given to a 143 lb patient if a peak blood serum level of 5.5 mcg/mL is desired? Round answer to the nearest whole number. Do not include units.

What is the pathophysiology of tuberculosis, in your own words?

This is a respiratory case study

Patient Profile:

Gladys Young is a 68 year old female that resides in an Independent Living facility with her husband. She presents to her primary care physicians office with complaints of fever, chills, nausea and vomiting. She also states that she has had some mild hemoptysis occasionally with her persistent coughing. She has recently completed treatment with Chemotherapy for Breast cancer and is concerned that she may have an infection. You are the nurse caring for her.

You complete the following assessment:

Subjective Data:

She is able to complete a sentence in its entirety, but she is persistently coughing during the history. She is a former smoker, she smoked ½ pack of cigarettes per day for 30 years and quit when she was diagnosed with breast cancer 6 months ago. She denies shortness of breath or chest tightness. She has not yet gotten her influenza vaccine, but did receive the Pneumovax vaccine last year. She has had problems with persistent coughing at night which has prevented her from getting a good night’s sleep for the past two weeks. She also states that she has been waking up soaked in sweat in the morning.

Objective Data:

 Temp – 38.6 C; HR – 132 beats/min; RR—28; BP – 168/87; O2 sat – 90% on Room Air

 Auscultation: Lungs with faint crackles at bases bilaterally. No wheezing present.

 Patient is flushed and warm to touch.

The patient diagnosis is Tuberculosis. Please answer the following question.

1) What pharmacologic interventions do you expect will be ordered for this patient? What routes of administration will be best indicated for this patient? (Include mechanism of action, indication for use and desired outcomes)

2) What are the nursing implications for the above listed pharmacologic treatments (teaching pearls, things to anticipate, adverse reactions)?

Nursing Care Plan ) Case Study Linda Shaw is a 56-year-old female who was brought to the hospital by EMS on December 23, 2019. She presented to the emergency department with complaints of shortness of breath. She has had a productive cough for 3 days with a fever. She is admitted to the hospital with pneumonia and septicemia. She has a history of cellulitis, iron deficiency, high cholesterol and hypertension. She has an allergy to penicillin and vancomycin. She is taking ramipril 10mg daily, atorvastatin 20 mg daily and iron replacement daily. Since her arrival to hospital she has been on IV ceftriaxone 1gm q24 hours. She has been admitted for 2 days on the medicine unit that you are working on. Upon your assessment of the patient you notice she is short of breath during the interview. She can get no more than two words out before having to stop talking and rest. She is on wall oxygen at 2L via nasal prongs. You use your stethoscope to auscultate her chest and note decreased breath sounds to the LLL. You are aware that she has a left-sided pneumonia. You ask her to sit up in the bed and notice that she becomes increasingly short of breath with bed mobilization. Her respiratory rate is 24/min with evidence of accessory muscle use (abdominal breathing). You assess her oxygen saturation to be 92% on 2L of oxygen via nasal prongs. When asked if she has any pain the patient states “I have a heavy feeling in my chest”. You ask her what makes this pain worse, Linda states “The pain is worse when I am coughing”. You ask Linda when she first noticed the pain, “I first noticed the pain at 5am today”. Linda mentions that the pain in her chest seems to move into her throat. You ask Linda to describe the pain in her throat, “it is a scratchy pain”. Linda states that since changing her position on the bed she feels less pain. Linda states “before you asked me to move up in the bed my pain was 7/10 but since moving it is now 2/10 and mostly gone from my throat”. You assess Linda’s heart rate to be elevated (99 beats/min). You auscultate her apical pulse to match that finding. You note that her pulse is regular. You assess her blood pressure to be 111/80. You compare that to the blood pressure that the previous nurse had obtained overnight. Her pressure overnight was 118/79. You recognize that her blood pressure is lower than normal and ask her if she is dizzy or lightheaded, she tells you that she is not. Linda is alert and oriented and answering questions appropriately with no evidence of confusion. Upon assessment you note her pupils are equal and reactive bilaterally. Linda explains to you that she is feeling “unwell and tired”. She expresses frustration with her inability to sleep due to noise in the hallway at night. She tells you that she overheard the nurses talking all night long about baking Christmas cookies and it made her sad because she may not be home for Christmas. While Linda is talking to you about her inability to sleep, you notice that her oxygen saturation remains 92% despite her obvious shortness of breath when talking. Also, while she is talking to you, you take a look at her skin tone and note a normal skin colour and normal skin temperature. She does have dried blood at the site of her IV and the dressing is not intact. You assess her temperature to be elevated at 39 degrees Celsius. Linda also expresses frustration to you about being constipated, “I think I need some bran flakes. I haven’t had a bowel movement in 2 days”. Her abdomen does appear distended. You palpate all four of her abdominal quadrants and note they are soft and appear to be non-tender. You auscultate for bowel sounds and note that they are active in all quadrants. You ask Linda if she is passing gas, “you betcha” she replies. She tells you that before coming to the hospital she was 135lbs and that she believes she has lost weight. You ask her why she thinks this, “I haven’t eaten well since arriving to this hospital. I have no appetite and it seems to take a lot of effort to eat”. She seems to be moving her legs in bed frequently while you are interviewing her. You ask Linda, “Do you have pain in your legs?”. Linda explains that she does not have pain but rather wants to keep moving them so that she doesn’t “stiffen up”. Linda goes on to explain that she has had soreness and morning stiffness every morning for the last several years and her family doctor is investigating for arthritis. She denies requiring any mobility aids currently and denies any history of falls. You notice that Linda has a foley catheter insitu. There is 400cc of straw colour urine in the foley collection bag. You ask her why she has a catheter in. Linda states “the nurses put this catheter in while I was in the emergency department, they needed a urine specimen. Truthfully, I would like it out so that I can try to pee on my own”. Before terminating the interview, you hand Linda her cosmetic bag that she requested. She tears up and states, “I am not feeling much like putting make-up on. I fear that I will never get better. I seem to be wasting away in this bed. I am on my own with two kids in university so all that I can think about is who is going to work to pay for what they need. I need to get out of here!”. LAB VALUES AND DIAGNOSTIC TESTS FOR CASE STUDY #2 You can use the values below to add to the case study provided. If you have already developed the case study using your own lab values that is also acceptable. The idea is to explore the data and learn how to collect it in a comprehensive format along with identifying the priority nursing problem. WBC-16.2 Hgb-123 Plt-361 Na+-134 k-3.3 Cr-69 Glucose-6.2 CXR shows consolidation to left lower lung.

1-Assesment data collection/ demographics.

2-Clustring of data

3-identfying 1 priority rank 1-4