Questions
summarize the growth and development of the middle child, young adult, middle adult and adolescent showing...

summarize the growth and development of the middle child, young adult, middle adult and adolescent showing milestones, growth patterns, cognitive development as related to 2 theorist study of the age group and play , exercise

In: Nursing

The decision to develop your own medical bag touches on three spheres: identity, clinical settings, and...

  • The decision to develop your own medical bag touches on three spheres: identity, clinical settings, and other practical considerations as Nurse Practitioner. What are the pros and cons of purchasing your own equipment and developing your own medical bag as Nurse Practitioner?
  • What are the priorities for your medical bag as Nurse Practitioner? For example, Medical Bag includes if you plan to take care of patients with diabetes, you will need a glucose monitor and test strips, or if you want to take care of children, you may want to have some brightly colored stickers to play with.

In: Nursing

A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion....

A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion. He reports some minor discomfort in his jaw. The patient is alert and oriented; BP 90/50; HR/80. You are the RN assigned to his care. There is an unlicensed assistive personnel (UAP) working with you.

1. Which assessment data will you perform on his arrival to the ED? Why?

2. The provider orders labs, 12-lead ECG, IV fluids, blood pressure checks, medication for chest pain, and oxygen at 2 L per nasal cannula. What part of the patient's care will you delegate to the UAP? Which information will you communicate on delegation?

3. Which interventions will you implement to ensure this patient's safety?

4. Which priority information will you document in the patient's electronic health record?

5. The patient's wife is very concerned about her husband returning to work as owner of a roofing company. What education will you provide the patient and his wife at this time? With which health care team members will you collaborate to ensure positive patient outcomes?

In: Nursing

What dynamics prevent a battered spouse from leaving the battering situation? Identify nursing interventions for working...

  1. What dynamics prevent a battered spouse from leaving the battering situation?
  2. Identify nursing interventions for working with a rape survivor.
  3. What is the cycle of violence?

In: Nursing

please understand this discussion ,and how as a student I might begin to talk a community...

please understand this discussion ,and how as a student I might begin to talk a community of people about the importance of need things ,

name 3  important indicators(LHI) that a student would like to promote as a community health nurse.

Discuss why these three indicators might be important to the community ?

Identify a primary, secondary or tertiary prevention strategy that you would use to improve the health of people in the community using one of these selected indicators

1. Substance Abuse,Health Impact of Substance Abuse

2.Tobacco,Health Impact of Tobacco Use

3.Mental Health, Health Impact of Mental Health untreated

In: Nursing

How important is it to involve physicians in financial improvement efforts? What is the best strategy...

How important is it to involve physicians in financial improvement efforts? What is the best strategy for physician engagement?

In: Nursing

The following is a list of physiologic and psychosocial assessment data. Choose each piece of data...

The following is a list of physiologic and psychosocial assessment data. Choose each piece of data that should be assessed further when there is a concern about failure to thrive. Select all that apply.

a.

Avoidance of eye contact or touch

b.

Weight less than 3rd to 5th percentile

c.

Unresponsive to cuddling

d.

Inability to establish a sense of trust in caregiver

e.

Decreased muscle mass

f.

Intense watchfulness

g.

Wary of caregivers

h.

Muscle hypotonia

i.

Nonnurturing parenting behaviors

j.

Sleep disturbance

k.

Sudden deceleration in growth or weight loss

l.

Delay in reaching milestones

m.

Lack of preference for parents

In: Nursing

1)Why RA increases the risk of osteoporosis, CV diseases and chronic kidney disease ? 2),Why biologic...

1)Why RA increases the risk of osteoporosis, CV diseases and chronic kidney disease ?

2),Why biologic DMARDs require a trial period of 3-6 months to judge their efficacies?

In: Nursing

Case Study: Mitral Stenosis Patient Profile L.S. is a 59-year-old female who goes to see her...

Case Study: Mitral Stenosis

Patient Profile

L.S. is a 59-year-old female who goes to see her primary care provider because of increasing fatigue and shortness of breath with activity. She has a history of hypertension, hypothyroidism, rheumatoid arthritis, and rheumatic fever as a child. She is taking the following medications:

Triamterene/hydrochlorothiazide 37.5/25 mg PO daily
Levothyroxine 150 mcg PO daily
Methotrexate 15 mg PO every Sunday
Subjective Data

Does not exercise, but was always able to do daily activities such as go up and down the stairs of her home and go grocery shopping
The last few weeks has noticed that she gets short of breath with her normal daily activities
Has been waking up at night short of breath
Denies any pain in her chest
Does not have any pain in her joints as long as she takes her “arthritis medicine”
Objective Data

Physical Examination

Temperature 98.5° F, pulse 88 and irregular, respirations 24, blood pressure 134/82, O2 saturation 92%
Irregular heart rate with a grade III diastolic murmur
Crackles in bilateral bases of lungs
No peripheral edema noted
Diagnostic Studies

ECG shows atrial fibrillation with heart rate of 90
Echocardiogram reveals mitral valve stenosis with mild left-sided heart failure
Laboratory Studies:
Hemoglobin 12 g/dL
Hematocrit 37%
T4 (total) 5.1 mcg/dL
Discussion Questions

What is mitral stenosis? What could be the possible cause of L.S.’s mitral stenosis
What clinical manifestations of mitral valve stenosis does L.S. have?
How did the mitral valve stenosis contribute to the development of left-sided heart failure?
What clinical manifestations of left-sided heart failure does L.S. have?
What are the treatment options for L.S.?
What would be some pertinent nursing diagnoses and goals for L.S.?
What are the priority nursing interventions for these nursing diagnoses?

In: Nursing

Case Study: Deep Vein Thrombosis Patient Profile D.R. is a 74-year-old obese Hispanic woman who is...

Case Study: Deep Vein Thrombosis

Patient Profile

D.R. is a 74-year-old obese Hispanic woman who is in the third postoperative day after an open reduction internal fixation (ORIF), for repair of a left femoral neck fracture after a fall at home.

Subjective Data

States pain in her left hip is a 4 to 5 on a 1-to-10 scale
States pain in her left calf area is a 3 on a 1-to-10 scale
Objective Data

Physical Examination

Vital signs: blood pressure 140/68, pulse 64, temperature 98.7° F, respirations 20
Oxygen saturation 93% on room air
Lungs clear all lobes
Bowel sounds arepresent in all four quadrants
Apical pulse: 64, irregular
Alert and oriented to person, place, and time
Skin warm to touch bilateral lower extremities, slight erythema left lower extremity
No edema right lower extremity, 2+ left lower extremity
Pedal pulses 3+ right lower extremity, 1+ left lower extremity
Calf circumference: right, 8 cm; left, 10 cm
Left hip wound has staples; no signs or symptoms of infection
Last bowel movement was four days ago
Interprofessional Care

Medication Administration Record

Morphine sulfate 2 mg IVP every two hours as needed for pain scale 6-10
Lisinopril 20 mg PO daily
Bisacodyl 10 mg PO daily
Discussion Questions

What do you suspect is occurring with D.R.? What data were used to make this determination?
What are the priority nursing interventions at this time?
Using SBAR, what would you report to the provider?
What diagnostic studies would be used to determine the existence, location, and extent of a DVT?
What risk factors for development of a DVT does D. R. have?
What measures can be taken to prevent a DVT in an at-risk patient?

In: Nursing

Acute Lymphocytic Leukemia A father brings in his 3-year-old son, James, who was initially running a...

Acute Lymphocytic Leukemia

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.

The father is upset and wants to know what is leukemia and how did his son catch it? How would the nurse address this question?
The nurse arranges to have laboratory tests drawn and schedules the immunophenotyping and bone marrow aspiration and biopsy. Discuss the importance of these tests.
Is there a possibility that leukemia has spread in the body?
What treatments are available for leukemia?

In: Nursing

Describe the purpose of the project management function. Discuss the relationship and necessity of this discipline...

Describe the purpose of the project management function.

Discuss the relationship and necessity of this discipline in managing healthcare IT projects.

Identify and describe the skills an effective project manager needs to be successful in this field

In: Nursing

Module 05 Assignment – Designing a Care Map Purpose of Assignment Assist students with coordination of...

Module 05 Assignment – Designing a Care Map

Purpose of Assignment

  1. Assist students with coordination of care for clients with musculoskeletal disorders.
  2. Enhance understanding of the nursing process in coordinating care for a client.

Course Competency

  • Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
  • Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility

Instructions

After reviewing the medical conditions presented in the textbook, including osteoporosis, osteomyelitis, disorders of the feet, plantar fasciitis, carpal tunnel disorder, rotator cuff injury, or other musculoskeletal disorders, develop a care map using the template directly after these instructions. For this assignment, include the following: common assessment findings, a nursing diagnosis, outcomes, and nursing interventions with rationale for a client with a musculoskeletal disorder.

Use at least two scholarly sources to support your care map. Be sure to cite your sources in-text and on a reference page using APA format.

In: Nursing

A 50-year-old woman with rheumatoid arthritis (RA) presented to her nurse practitioner for a follow-up visit...

A 50-year-old woman with rheumatoid arthritis (RA) presented to her nurse practitioner for a follow-up visit at the rheumatology clinic. After being diagnosed with moderate RA 18 months earlier, the patient was started on methotrexate, a standard disease-modifying antirheumatic drug (DMARD). After more than a year of successful disease management, the patient experienced several flare-ups with swelling and pain in her hand joints, which began a few months prior to her recent clinic visit. After conducting tests that indicated high levels of inflammatory markers, the patient's rheumatologist prescribed a TNFα-inhibitor in combination with methotrexate.

In her visit with the rheumatology clinic's Registered Nurse, the patient expressed concerns about side-effects to the new therapy and overall management of her disease. BP – 118/65, P – 75, RR – 18, SPo2 – 98%, afebrile

Make a Nursing care plan with 1 diagnose and 3 goal and per goal have 9 inerventions and rationale.

In: Nursing

in healthcare we talk about data quality and integrity from two (maybe three) perspectives: clinical, administrative,...

in healthcare we talk about data quality and integrity from two (maybe three) perspectives: clinical, administrative, and research. Clinical data has the potential for disastrous effects if it is not correct. However, once it stops being clinical in nature and moves into one of the other two categories, poor data does not have the same potential deleterious effects. The use of administrative and research data is more forgiving, but it could still have negative effects. Even if entered correctly on the clinical side, the data may not be very useful ‘on the back end’. Describe how an organization could improve the quality and integrity of administrative and research data before it is ever entered at the patient encounter.

In: Nursing