Explain how each of the three types of crystalloids listed below causes fluid shifts
c. Hypotonic crystalloids:
In: Nursing
1. What is constructive criticism and why is it important?
2. Explain the professional behaviors that should be exhibited by medical assistants.
3. What is cultural diversity?
In: Nursing
Use the brain injury key terms to fill in the blank complete the sentences below Answers used once
KEY TERMS
extension
short term memory loss
comatose
dilated
nystagmus
flexion
a. A person who is unable to be aroused, even by vigorous painful stimuli, is _______________.
b. Persistent jerky movements of the eyes is known as _________________.
c. Decorticate posturing is demonstrated, in part, by abnormal _________________ of the elbow.
d. Decerebrate posturing is demonstrated, in part, by abnormal _____________ of the elbow.
e. Cognitive impairment is associated with _________________.
f. Increased intracranial pressure can cause fixed, ____________ pupils.
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Provide an overview of how patient safety relates to healthcare effectiveness data and information set (HEDIS) and Diagnostic and Statistical Manual and Mental Disorders (DSM). Explain you theory.
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Who should decide when a healthcare procedure is medically necessary: the doctor who is treating the patient, or the health insurance company who is paying the bill? What are the moral and ethical issues concerning the insurance company making these decisions, which are driven by cutting healthcare costs and making a profit?
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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
In: Nursing
In: Nursing
list two examples of the legal issues that commonly arise in an individual support setting
In: Nursing
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
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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.
In: Nursing
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:
In: Nursing
You are the nurse coordinator of the Neurology ICU at Metropolitan Hospital. Last week, a homeless patient was admitted after he was found unresponsive outside of the hospital emergency room. He had experienced a stroke and was in need of non-emergency surgery to stop the bleeding. The doctors performed the surgery and the patient was improving, but the patient had a long road of recovery ahead and the doctors did not know whether the patient had any support system available or whether they had done the right thing by operating. The following week, a pediatric patient underwent a risky procedure that doctors didn’t think was advisable, but it was at the request of the child’s parents. The child is in the ICU, and has not been responsive since the surgery. Doctors on the unit are upset about both situations and would like more guidance on how your ICU is going to handle such events in the future.
They would like you to give a presentation to the Neuro ICU that addresses the following scenarios where an incompetent patient requires non-emergency neurologic surgery. Assume that the providers in your ICU know absolutely nothing about the ethics of decision-making.
Using what you have read this week, craft a brief PowerPoint presentation (no more than 500 words total, 10-15 slides) providing step-by-step instructions for dealing with decision-making in the following cases:
In each of these cases, who ultimately should decide what type of care the patient gets? What standard is being used: best interests or substituted judgement? Does the severity of the condition or length of recovery matter? Are there limits in each case in terms of whether we can know, for certain, that we are respecting the wishes of the patient?
In scenario 1, particularly, who do you recommend to make this decision? What should he/she/they consider in doing so? Are there other alternative decision-makers?
These are both difficult cases that stretch out ethical guidance but they are not uncommon in a clinical situation. Think creatively and do your best to fuse the information you have learned this week into a cohesive presentation about these challenging cases.
In: Nursing
In: Nursing
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:
In: Nursing
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:
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.
In: Nursing