How are the ethical principles of nonmaleficence and beneficence violated by ransomware that could be in a healthcare organization's information system?

Scenario:

Your AMTRAK train has just derailed while crossing the Northern Plains of the U.S. during wintertime. Fortunately, you and your traveling companion (both trained in first aid) have escaped with minimal injury, but many passengers are injured in the rail cars that overturned. Emergency crews are limited in this remote rural area, and the severity of the weather is a major concern. As you arrive on the scene of the overturned cars you see that many injured passengers are being dragged from the wreckage. After a quick assessment of the injured and the available resources, you and your partner select a 10 year old child with obvious musculoskeletal injuries. Other bystanders are not available to help, since they are either involved with other victims or they have themselves sought out shelter.   This area does not have 9-1-1 service. Emergency services are being called in, but response times will obviously be more than 30 minutes, mainly due to location and number of victims involved. Decide what your assessment steps will be when approaching the scene and victim, how you will budget out the supplies you have at hand and what you will do with your victim until advanced help is available.

Your available resources include:

A single broken snow ski (one 3 ft. board)

A single short piece of debris (one 1 ft. board)

A blanket

Strips of cloth torn from clothing (triangular bandages)

Magazines

A pillow

Paper towels

One roll of gauze (luckily found in your travel gear)

You discover the following signs/symptoms:

• Closed fracture of the upper arm on the victim’s right side (arm presented bent) (no open wound)
• 4 in. laceration of the right upper leg (1/2 in. deep)
• Moderate to severe bleeding of the lower right leg at the sight of a protruding bone (leg presented straight)
• Small avulsion with bleeding on temple (just above ear) on the right side
• Large scrape with minimal bleeding (superficial) covering the majority of the left forearm
• Potential for Hypothermia due to weather conditions

1. What will your assessment steps be upon arrival? (The things you do and check upon recognizing that an emergency exists until you begin bandaging and splinting. Think back to the first four chapters of the NSC text.)

2. How will you use items from your resources to address the victim’s injuries? Describe what materials you will use for each injury and briefly describe how you will treat the injury/illness.

3. What will you do with your victim after you have completed first aid treatments? (Are you moving them or staying put and any additional steps you should take.)

create an E Portfolio for a surgical technologist

1. In the CNS, morphine _______.

Marie earned her bachelor’s degree in HIM. After working intraditional HIM roles for a few years, she decided that she wanted tobe involved in the selection and implementation of the EHR andother healthcare information systems. Marie went back to school andearned her master’s degree in health informatics. After graduation,Marie worked for an information system vendor for several years.She decided to take another turn in her career path and become aprofessor in an accredited HIM program. She took a position as afaculty member in a bachelor’s-level HIM program. Marie nowteaches the information system courses for the HIM program and isable to give the students real world examples from her experience inthe traditional HIM departments and the information system vendor.Marie enjoyed her position so much that after teaching for a while,Marie went back to school again to earn her doctorate degree inadult education.

1. Identify how this Real-World Case ties to this chapter.

2. In the Real-World Case, Marie earned a bachelor’s degree, a master’s degree, and a doctoral degree. Do you think that some or all of the new roles discussed in this chapter will require graduate education? Why or why not? How do these roles tie into HIM Reimagined?

26. The nurse is educating the community regarding Food Safety. The nurse explained that Botulism comes from which of the following food source?
A. improperly home-canned foods
B. under cooked meat
C. egg dishes
D. soft cheese
27. The nurse is caring for a patient who's religious belief is Muslim. Which of the following actions by then nurse displays understanding of the Religious Dietary Restrictions for this patient? The nurse:
A. provides food available, turkey and ham sandwich
B. notify food services to deliver a food tray with no pork
c. would warm the roast pork in the tray
d. request a dinner for the patient

The capstone project is designed to be completed in sections. This is part three of the assignment.

Review your logic model, change proposal, and initiation plan. Describe in detail how the overall change plan will be evaluated, and the resources needed to evaluate the project. Discuss the evaluation process in relationship to the projected outcomes.

Create a dissemination plan. Explain how the outcome of the project will be disseminated externally (outside the setting to health care community) and internally (unit or hospital where the change process has taken place). A detailed plan answers the questions who, what, where, how, and when.

I am writing about Medication errors in emergency departments. The goal is to reduce medication errors in emergency using barcode technology

Case Study: Sickle Cell Anemia
You need to prepare a case study of a patient with all the necessary information (chief complaint, current medical history, symptoms, signs, past medical history, family history, or physical and laboratory diagnostic findings)
a) Possible diagnoses (differential diagnosis). After analyzing the patient’s case, you need to make 3 (minimum) to 4 (maximum) possible diagnoses (rank by the most possible to the least possible). You need to be specific: e.g. a diagnosis of anemia is not specific enough, you need to elaborate: which type of anemia. If you make less than 3 differential diagnoses, your points will be deducted.
b) Explanation of Pathophysiology of each of differential diagnoses. You need to write all of the pathophysiologies thoroughly of each of your differential diagnoses you write in the first part. This has to be detailed enough so that you can explain all the signs, symptoms, patient’s history, and all diagnostic test results. There are no minimum or a maximum number of pages you need to write, but comprehensive pathophysiology should suffice.
c) Your suggestions of what extra work-up/laboratory/diagnostic tests/information needed to come to a more definite diagnosis for the patient.
d) In the last part, you need to give suggestions, as to what is (are) to be done to come to a more specific diagnosis for your patient case.
e) Treatment  

please answer question. TYSM!

1. Gwen is an 89-year-old female who was diagnosed with gastric cancer three months ago. Gwen has undergone chemotherapy and radiation Ann recently had surgery to remove the cancer. During the surgical procedure, the surgeon discovered that the cancer had spread to other organs. Gwen's family is having difficulty deciding treatment options. which of the following interventions are appropriate for Gwen's care?

1. Schedule Patient for additional chemotherapy
2. Schedule patient for additional radiation therapy
3. Consult the palliative care nurse
4. Discharge patient to Hospice

2. The nurse explains to a diabetic client that which lab test is the best indicator of the client’s average blood glucose level over the past three months?

1. Oral glucose tolerance test
2. Random blood glucose test
3. Glycosylated hemoglobin (HbA1c)
4. Preprandial blood glucose test

3. A nurse is caring for a patient who presented to the emergency room s/p motor vehicle accident. The patient is unconscious with a cervical collar in place. The patient has been diagnosed with syndrome of inappropriate anti diuretic hormone secretion. Which of the following lab values validate the diagnosis?

1. Decrease serum sodium
2. Increase serum sodium
3. Decreased urine osmolality
4. Decreased glomerular filtration rate

4. A 40-year-old female presents to the emergency room with upper abdominal pain radiating to her right shoulder and nausea. Upon assessment the patient's temperature is 101.2 degrees Fahrenheit, heart rate 110 BPM and a blood pressure is 140/82 MM HG. Based on the patient’s presentation, which of the following do you anticipate being the patient’s diagnosis?

1. Pancreatitis
2. Cholecystitis
3. Appendicitis
4. Diverticular disease

5. The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of 89mg/dL and hemoglobin A1C of 6%. What is the nurse’s interpretation of these findings?

1. The client's glucose control for the past 24 hours has been good, but the overall control is poor.
2. The client's glucose control for the past 24 hours has been poor, but the overall control is good.
3. The values indicate the client has poorly managed his or her disease.
4. The values indicate that the client has managed his or her disease well

6. Which of these laboratory results would be most important for a nurse to monitor for a client with a lower gastrointestinal bleed?

1. Hemoglobin and hematocrit
2. Bleeding time
3. Platelet count
4. Potassium level

7. A nurse is caring for a patient who was prescribed high dose corticosteroid therapy for one month to treat severe inflammatory condition. the patient symptoms have now resolved, and the patient asks when can I stop taking these medications how would the nurse respond?

1. it is possible for the inflammation to recur if you stop the medication
2. once you start corticosteroids you have to be weaned off them
3. you must decrease the dose slowly so your hormones will work again
4. the drug suppresses your immune system which must be built back up

8. Continuous muscle spasms in a patient with hypoparathyroidism are related to which condition?

1. Nerve damage x
2. Seizures x
3. Tetany
4. Decreased potassium

9. A nurse is performing discharge teaching for a patient who was recently diagnosed with gastritis. Which of the following should be included in the teaching?

1. Exercise
2. Eat three large meals each day
3. Stress reduction
4. Take NSAIDS as prescribed

Discuss about the cold application and warm bath as a part of hemophilia management

What is the causative agent or etiology of uterine rupture?

Topic 2

Patient Education

a. Create a lesson pertaining to caring for a patient with COPD who is from another culture.

b. Discuss potential barriers and solutions

c. Address learning evaluation methods.

27. A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial cardiac catheterization. Which of the following information should the nurse include in the teaching?
a. “You will need to keep your leg straight for 8 hours following the procedure”
b. “You will be on bed rest for 2 days after the procedure”
c. “You will have your dressing removed 12 hours after the procedure”
d. “You will be on a clear liquid diet for 24 hours following the procedure”

28. A nurse in a provider’s office is assessing the vital signs of a 2-year-old child at a well-child visit. Which of the following findings should the nurse report to the provider?
a. Pulse rate 98/min
b. Respiratory rate 26/min
c. Blood pressure 118/74 mmHg
d. Temperature 37.2 oC (99oF)

29. A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply)
a. partial thromboplastin time (PTT)
b. C-reactive protein (CRP)
c. Antistreptolysin O (ASO) titer
d. Erythrocyte sedimentation rate (ESR)
e. Blood urea nitrogen (BUN)

31. A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (Select all that apply)
a. Increased appepetite
b. Enlarged subclavicular lymph node
c. Crying
d. Fever
e. Restlessness

32. A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?
a. initiate contact precautions for the child
b. maintain a patent intravenous catheter
c. encourage frequent physical activity to increase bone mass
d. provide a high-calorie, low-protein diet