Questions
Module 11 Discussion - Reflection Initial Post Describe how you achieved each course competency including at...

Module 11 Discussion - Reflection

Initial Post

Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.

Describe how this new knowledge will impact your nursing practice.

Course Competencies

  1. Explain principles of care for clients with oncological disorders.
  2. Identify components of safe and effective nursing care for clients experiencing fluid and electrolyte imbalances.
  3. Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.
  4. Select appropriate nursing interventions for clients with upper gastrointestinal disorders.
  5. Select appropriate nursing interventions for clients with lower gastrointestinal disorders.
  6. Evaluate responses to nursing interventions for clients with endocrine disorders.vv

In: Nursing

Chapter 46 Acute Kidney Injury Disease Acute Kidney Injury Week 14 Case Study #10 Approx 60...

Chapter 46 Acute Kidney Injury Disease
Acute Kidney Injury Week 14 Case Study #10
Approx 60 min
Patient Profile
A.S. is a 70-year-old white woman who presented to the emergency department because of a 4-day history of increased shortness of breath and generalized weakness. A.S. stated that she has been able to do her daily chores at home independently, but for the past few days, it was getting difficult for her to get around and that she needed to take frequent breaks because she was short of breath and had no energy. She has a long history of heart failure, type 2 diabetes, and hypertension. She is admitted with a tentative diagnosis of acute kidney injury (AKI).
Subjective Data
• Has been having headaches on and off, with nausea and dizziness
• Reported that she had not been taking her medications regularly at home because of “forgetfulness”
• Has not been urinating a lot
• Feels “puffy” in her legs and hands
Objective Data
Physical Examination
• Blood pressure 178/96, pulse 110, temperature 98.9°F, respirations 24, and an oxygenation of 93% on room air
• Alert and oriented to person, place, and time
• Mild jugular venous distention
• Fine crackles in bilateral lower lobes
• Heart rate regular, no murmurs
• Bowel sounds normoactive and present in all four quadrants
• 2+ edema bilateral lower extremities and hands
Diagnostic Studies
• Echocardiogram shows decreased left ventricular function
• Urinalysis: Urine dark yellow and cloudy, protein 28 mg/dL, negative for glucose and ketones, positive for casts, red blood cells and white blood cells
• 24-hour urine output = 380 mL
• Laboratory Tests:
*
Hemoglobin
8 g/dL
*
Hematocrit
23.8%
*
RBC
2.57 million/mm3
*
WBC
4.7 mm3
*
Sodium
132 mEq/L
*
Potassium
5.2 mEq/L
*
Calcium
9 mg/dL
*
BUN
36 mg/dL
*
Creatinine
4.9 mg/dL
*
BNP
182 pg/mL

5. What orders do you as the nurse, anticipate the physician will order? Student must list at least six (frequencies not necessary to list; only what you think the physician will order):
6. Explain what might have contributed to A.S.’s present condition as described above? What are two evidence-based preventive health care provisions/programs that if put in place early might have prevented this from occurring?
Explain what might have contributed to A.S.’s present condition:
Evidence-based Preventive Health Care Provisions/Programs:
1.
2.
7. What is the significance of A.S.’s Hemoglobin, Hematocrit, and RBC levels being significantly decreased?
8. You are planning discharge for A.S. What would you include in your discharge instructions/teachings and what other interdisciplinaries/health professionals would you include? Student must list at least five each:
Nursing Teaching/Instructions​​ Other Health Professionals
1. ​​​ ​1.
2. ​ ​​​2.
3. ​​​​3.
4. ​​​​4.
5. ​​​​ 5.

In: Nursing

Give a scenario in which the condition hypothyroidism would be coded, along with the ICD-10-CM code(s).

Give a scenario in which the condition hypothyroidism would be coded, along with the ICD-10-CM code(s).

In: Nursing

Select a current example of a population that is oppressed by life experiences or factors in...

Select a current example of a population that is oppressed by life experiences or factors in the environment. Here are some populations from which to choose: Children caught in abusive homes

4. How does the Code of Ethics guide the nurse in mobilizing forces to address this social issue?

In: Nursing

Surgical Technology program Case study: A CST is setting up the back table and mayo stand...

Surgical Technology program
Case study: A CST is setting up the back table and mayo stand while the patient is in the OR, and the anesthesia care provider is preparing to administer general anesthesia. After confirming that the external steam indicator has changed color, the CST places the basin set from the ring stand to the back table and continues moving items to their appropriate place. Just before the patient is anesthetized, the circulator notices water on the inside of the wrap that had been around the basin.

                    Questions
Q5. What are the reporting requirements in this situation?

Please this question has been answered except Q5. thank you

In: Nursing

2. You work for an organisation that provides counselling for clients with a history of substance...

2. You work for an organisation that provides counselling for clients with a history of substance abuse. A funding opportunity is available, but to be eligible for the funding you have to be able to provide short-term accommodation for your clients while they participate in an accredited rehabilitation program. While you are not able to provide accommodation or treatment, you consider you are in a good position to provide the counselling. What are the motives for collaborating and what services, organisations, and key people are you going to seek from potential partners so that you can all access the funding? 80-100 words

In: Nursing

Describe how to prevent and evaluate risk factors for medication nonadherence in older adults.

Describe how to prevent and evaluate risk factors for medication nonadherence in older adults.

In: Nursing

what are the effects of aging on drug absorption, metabolism and excretion?

what are the effects of aging on drug absorption, metabolism and excretion?

In: Nursing

If you were the head of health communication unit at Saudi MOH, how will you improve the health communication strategies used now during COVID-19

 

PHC 312

  • If you were the head of health communication unit at Saudi MOH, how will you improve the health communication strategies used now during COVID-19
  • Give suggestions and/or recommendations

Briefly discuss the importance of citizen engagement in health communication

In: Nursing

-Discuss impacts of environmental health and the relationship to risk. -Provide examples of the social, cultural,...

-Discuss impacts of environmental health and the relationship to risk.

-Provide examples of the social, cultural, political, and economic impacts of environmental health problems

In: Nursing

There are many obstacles to the development of an HIV vaccine, the complexity of the virus,...

There are many obstacles to the development of an HIV vaccine, the complexity of the virus, its pathogenesis, and the human immune response also make it difficult to determine when any investigations vaccine satisfies ethical criteria for research use in human subjects . Describe or explain the ethical dilemmas of testing human candidate for HIV vaccines?

In: Nursing

Write a narrative involving an emergency rescue. In your story, students should include how the emergency...

Write a narrative involving an emergency rescue. In your story, students should include how the emergency occurred, how they rescued or attempted to rescue the person, and the outcome of the emergency situation. It can be real or fiction.

In: Nursing

Describe, in writing, how to respond....you are hiking when someone in your party suddenly sits down...

Describe, in writing, how to respond....you are hiking when someone in your party suddenly sits down and appears to be in pain.

What signs do you look for?

What could be the problem?

What do you do?

How do you plan for a trip into the woods?

In: Nursing

How has the discovery of blood transfusion from 1667 by jean Baptiste denis has changed the...

How has the discovery of blood transfusion from 1667 by jean Baptiste denis has changed the united states health care system?

In: Nursing

How is proteins digested and absorbed after eating a peanut and jelly sandwich on whole wheat...

How is proteins digested and absorbed after eating a peanut and jelly sandwich on whole wheat including the constituents representing proteins and how and where they are digested and absorbed and how and where proteins are utilized or stored in the body. Include the chemical, hormonal, and enzyme changes that impact this meal.

In: Nursing