Answer the following:

1- What is the function of the endocrine system and how does it work?

2- What is the difference between a psychologist and a psychiatrist? Discuss some of the issues that are diagnosed by either one.

3-Discuss about LBGTQ health issues, transgender medical issues not addressed by family medicine

list two examples of the legal issues that commonly arise in an individual support setting

Compare in detail the following nursing theories ( Dorothea Orem and Hildegard Peplau). This must detail the answers to the following questions.

1. An introduction, including an overview of both selected nursing theories

2. Background of the theories

3. Philosophical underpinnings of the theories

4. Major assumptions, concepts, and relationships

5. Clinical applications/usefulness/value to extending nursing science testability

6. Comparison of the use of both theories in nursing practice

7. Specific examples of how both theories could be applied in your specific clinical setting

8. Parsimony

9. Conclusion/summary

10. References:

8 to 10 pages and APA format

Which one of the seven categories that form the Baldrige criteria is the most significant, and why?

*Remembering that the purpose of Baldrige Performance Excellent is quality improvement, so please explain the response with a focused purpose.

Scenario 3: 67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks. PMH includes hypothyroidism well controlled on Synthroid 100 mcg/day. No hx of HTN or CHF. Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air. Physical exam revealed pale, anxious female appearing older than stated years. HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated. Cardiac-regular rate and rhythm with soft II/VI systolic murmur. Respiratory- lungs clear with no adventitious breath sounds. Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two finger breadths below right costal margin. Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal.

explain the following:

• The factors that affect fertility (STDs).
• Why inflammatory markers rise in STD/PID.
• Why prostatitis and infection happens. Also explain the causes of systemic reaction.
• Why a patient would need a splenectomy after a diagnosis of ITP.
• Anemia and the different kinds of anemia (i.e., micro and macrocytic).

Set a SMART goal using the FITT model for your cardiovascular health:

My goal is:

My current ability level is:

F:

I:

T:

T:

It is Specific because:

It is Measurable because:

It is Actionable because:

It is Relevant because:

It is Time-Bound because:

For the case study section only: Only provide short answers for the case study No more than 2 sentence response. Answer all the questions in all case study scenarios.

Michael is a 7-week-old breastfed infant with a 2-day history of irritability and poor feeding.

Subjective Data

Mom states that her infant has been “fussy” for the last 2 days.

He feeds for only a “few” minutes at a time.

He is breathing heavily and fast for 2 days.

Objective Data

Weight: 4.8 kg

Vital signs: temp, 36.8º C; pulse, 250 bpm; resp, 65 breaths/min; blood pressure, 84/58 mm Hg

Breath sounds clear to auscultation

Oxygen saturation: 95%

Central capillary refill: 4 seconds

Questions:

1. What is the treatment for an unstable patient with supraventricular tachycardia (SVT)?
2. Decreased cardiac output from prolonged SVT would produce what complication?
3. In this clinical situation, what actions should the nurse take? Prioritize the actions.

Discussions

Discussion Topic# 1: What is a “shift to the left” in a CBC?

Discussion Topic# 2: A father brings in his 3-year-old son, James, who was initially running a fever. He was given Tylenol, and the fever went away for 2 days. Now, however, the fever is back, and he has noted dark spots on his body and a lump in his armpit. He has been lethargic and has not wanted to eat for the last 24 hours. The physician suspects acute lymphocytic leukemia and has ordered blood chemistry studies, immunophenotyping, and bone marrow aspiration and biopsy.

1. The father is upset and wants to know what is leukemia and how did his son catches it? How would the nurse address this question?

Part 1 Write the term for the following defintitions:

elevated blood pressure, inflammation of lymph nodes, instrument used to check the electrical impulses of the heart, to hold back blood, removal of tonsils, slow pulse, smallest vessel surgical repair, difficult rhythm condition, surgical repair of the aorta, condition of blood clot

Part 2 Next, I would like you to analyze and label the word parts of the terms you listed.

label and simply define the term: OXYGEN

TEMPLATE FOR PRE-CONFERENCE PRESENTATIONS ON ASSIGNED PATIENTS (Jared Griffin)

1. Who is my client? (for example: age, marital status).

❖ Patient’s initials

❖ Patient’s sex and gender

❖ Patient’s age

❖ Admission date

2. State significant events of this hospitalization (admitting diagnosis, surgery, emotional crises, fracture).

❖ Admission reason

❖ Pertinent medical and surgical history

Medical Hx

Surgical Hx=

3. What are your major concerns for this patient today?

Reason for seeking care (history of present illness) .

❖ Paint a picture of the patient’s problem(s), including:

➢ Discussion of the pathophysiology

4. Discussion of how the medical and surgical history impacts the current problem(s)

• Impact on normal body function

• Signs and symptoms (and rationale for those signs and symptoms)

• Important laboratory and diagnostic exam results and the significance

• Discuss Common complications experienced because of your patient’s problem(s)

5. Patient’s current treatment plan (Discuss diet, activity, medications, therapy, etc.)

5. Discuss the nursing plan of care for your patient –

• What will you focus on?

• What are your key safety considerations for the day?

PATIENT'S DATA

Location: Orthopedic unit 0800

SBAR report from a night nurse:

Situation: Jared Griffin is a 63-year-old African American male who had a right total knee arthroplasty (TKA) yesterday morning.

Background: Mr. Griffin has a history of MRSA, which was diagnosed 3 years ago when he had surgery for a hammertoe. A nasal swab was done in the office during his recent preoperative check that came back positive for MRSA. Decolonization protocol was initiated prior to the admission for the total knee procedure and he is currently under contact precautions per hospital policy. He has a history of osteoarthritis and mild hypertension.

Assessment: Mr. Griffin is afebrile with a temp of 37.2 °C (99.8 °F), and vital signs have been stable during the night. Pain level has been at a 2–3. He has dangled his feet off the side of the bed and will have physical therapy in his room at 1000. He has been able to bend his knee to a 75-degree angle and the goal is 90 degrees. The surgeon changed Mr. Griffin’s dressing, and discontinued the drain and IV fluids, at 0700 on his morning round. His labs just came up, but I haven't had a chance to look at them yet.

Recommendation: You'll need to go in and do your morning assessment. Continue with contact precautions, and observe for signs and symptoms of infection. (Vsim online)

Please this question need to be answered in full. Questions 1 - 5

TEMPLATE FOR POST-CONFERENCE PRESENTATIONS ON ASSIGNED JARED GRIFFIN

Clinical Post Conference Worksheet

I. SBAR-Report

II. Nursing process

Nursing Diagnosis that may apply to your patient’s situation (must be NANDA diagnoses and include all parts and must list at least 3 diagnoses; 2 actual and 1 risk for)

1. ________________________________________________________________________________________________________________________________________________
2. ________________________________________________________________________________________________________________________________________________
3. ________________________________________________________________________________________________________________________________________________

What is the priority diagnosis for this patient and why? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What is your short-term goal for this patient? (List at least one time referenced, pt oriented goal (outcome) that is measureable).

List at least two (2) nursing interventions for each NANDA that you will/have complete/d during your clinical hours:

List any upcoming labs, diagnostics and procedures

What is the plan for discharge?

Any additional consultations or resources needed to optimize pt’s care?

Did you delegate tasks related to patient care to another member of the health care team? What and to whom?

III. Patient teaching:

IV. Reflections

In addition to reporting on your patients, please consider these questions each week at the end of your clinical day and be ready to discuss in post conference with your group.

1.         What went well for you today?

2.         What can I improve?

3.         Describe the most important new learning that you experienced today.

4.         If you were caring for this patient tomorrow, what additions or changes would you make to your plan of care?

5.         Identify one area for further learning related to this patient assignment.

6.         Identify any questions concerning the rational for the delivery of this patient’s multidisciplinary plan of care.

PATIENT'S DATA

Location: Orthopedic unit 0800

SBAR report from a night nurse:

Situation: Jared Griffin is a 63-year-old African American male who had a right total knee arthroplasty (TKA) yesterday morning.

Background: Mr. Griffin has a history of MRSA, which was diagnosed 3 years ago when he had surgery for a hammertoe. A nasal swab was done in the office during his recent preoperative check that came back positive for MRSA. Decolonization protocol was initiated prior to the admission for the total knee procedure and he is currently under contact precautions per hospital policy. He has a history of osteoarthritis and mild hypertension.

Assessment: Mr. Griffin is afebrile with a temp of 37.2 °C (99.8 °F), and vital signs have been stable during the night. Pain level has been at a 2–3. He has dangled his feet off the side of the bed and will have physical therapy in his room at 1000. He has been able to bend his knee to a 75-degree angle and the goal is 90 degrees. The surgeon changed Mr. Griffin’s dressing, and discontinued the drain and IV fluids, at 0700 on his morning round. His labs just came up, but I haven't had a chance to look at them yet.

Recommendation: You'll need to go in and do your morning assessment. Continue with contact precautions, and observe for signs and symptoms of infection. (Vsim online)

what is the statistic in the United States for Thalassemia?