Using the case study below, prepare a 3-5 page paper.

A 21-year old female (A.M) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.

You get more information from A.M. and learn

• She had some readings on her glucometer which were reading ‘high’
• She vomits almost every time she takes in fluid
• She hasn’t voided for a day but voided a great deal the day before
• She’s been sleeping long hours and finally woke up this morning and decided to seek care

Current labs and vital signs:

1. What is the pathophysiology for the condition you believe A.M. has?
2. Relate the etiology and clinical manifestations for the condition you identified for A.M.

The practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders these items:

1. 1000 ml Lactated Ringer’s (LR) IV stat
2. 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now
3. CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
4. 1800 calorie, carbohydrate controlled diet
5. Bed rest
6. Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN
7. Furosemide (Lasix) 60 mg IV push now
8. Urinary output every hour
9. VS every shift

The orders above -- which are questionable related to her condition and which are appropriate?

3. What are the expected treatments for this condition?

Instructions:

formulate what may be happening with A.M. and how you would improve her condition. I need 3 pages please don't just answer the questions it's a paper . 3 pages no less please , if you can't do it please don't do it . like I said don't just answer the questions one by one but just add them all together it is a research paper . NOTHING IS MISSING. i need a full 3 pages please. also i need new answers

The registered nurse at the local middle school is responsible for health promotion and disease prevention of the seventh and eighth grade students. The nurse provides screenings and illness care as well as assurance that immunizations are up to date with documentation on file. Nurses who work with the school population are aware of their significant influence on the students and the importance of teaching ways to develop and maintain good health habits at a young age. Nurses hope the students will carry the information home and have an influence on the health of the families as well.

1. The mother of a 13-year-old boy approaches the school nurse because she is concerned about her son’s weight. She states that she approached his pediatrician about the issue and felt dismissed. The nurse assesses the height and weight of the boy and determines that he is above the 95th percentile for his age. What are the next steps for the school nurse?

a. Educate about a healthy diet but tell the mother that her son is too young to be concerned about his weight.

b. Place the student on a diet and exercise plan with a goal of losing 2 to 3 lb per week.

c. Educate about a healthy diet and physical activity and instruct the mother that her son should maintain his current weight while he continues to increase his height.

d. Inform the mother that she should have been more concerned before her son reached puberty.

2. The school nurse provides education to the students about injury prevention measures. What educational topic is shared with the middle school age?

a. Bicycle safety

b. Poisoning prevention

c. Violence

d. Motor vehicle safety

3. A student presents to the nurses’ office with a severe allergic reaction to a bee sting. What is the primary role of the nurse in delivering emergent care to the child?

a. Call the parents to obtain phone consent for treatment.

b. Provide emergency care and then inform the parents.

c. Call the child’s primary care physician to obtain orders.

d. Send the student to the nearest emergency department.

4. A parent who fails to ensure that their child attends school is exhibiting

a. acts of commission.

b. psychological abuse.

c. acts of demission.

d. acts of omission.

Select one of the Healthy People 2020 objectives and identify how biological risk (including age-related risk), environmental risk (including economic risk), and behavioral risk contribute to family health risks for that objective. Give examples.

2. Identify three public health problems in your community and discuss the implications of these problems for the health of families. How did you arrive at your conclusions?

• Identify and describe the various social and cultural factors of diversity that affect an individual’s institutional prejudice and discrimination.
• Define cultural competence and evaluate the importance to administering quality human and social service care.
• Identify areas of potential conflict between human and social service providers and a patient's cultural beliefs and values.
• Assess the role of one's own personal social and cultural identity in relation to others of similar and different backgrounds in the delivery of human services.

A client presents to the Emergency Department reporting a “deep and piercing pain in the mid-epigastric region for the last little over a week, with pain getting progressively worse over the last few days.” The initial assessment include findings of irritability, twitching, and numbness and tingling around the lips. Bowel sounds are absent, with the client reporting pain of 7/10. Per the client, “I start feeling bad after I eat.”

Vital signs are T 100, HR 115, BP 100/57 mm/Hg, RR 26, weight is 131 kilograms. (20 points each)

• Describe the possible clinical reasons for the findings, and include the possible medication that may be ordered and why.
• Discuss the interventions the nurse can implement to help keep the client comfortable, in addition to pain medication, with rationale.
• Identify several possible reasons for absent bowel sounds in this client and the expected orders with rationale.
• “My stomach pain went away. I am ready to eat.” Describe the type of diet the client would receive and why.

A young client is admitted for frequent vomiting, macerated knuckles, with reddened eyes and weighs 60 kgs. The client reports feeling overwhelmed with suicidal ideation, and states they are trying out for cheerleading and have to be a certain weight. She is crying and her mother is at her side and is prescribed fluoxetine. (20 points each)

• Describe the orders the nurse may anticipate from the provider with rational, in priority order.
• List questions the nurse would ask the client to help determine further assessment and treatment, with rationales for each.
• Based on the assessment findings, identify the therapies the provider would potentially initiate for this client and why.
• Identify two members of the multidisciplinary team that should be consulted prior to the client discharge from hospital, with their roles and client goals.

The nurse is admitting a client who is experiencing severe abdominal pain, a hemoglobin level of 8.6 and with difficulty passing of flatus. The client reports having emesis that looked like the food he just ate for one week prior to coming to the Emergency Room. An order to 1500 mL of IV fluid replacement over 90 minutes is ordered prior to receiving blood products. (20 points each)

• Describe the additional history will nurse anticipate gathering and why.
• Identify potential diagnoses the nurse might anticipate with rationale.
• Discuss the differences between an ileostomy and colostomy. List the stool, fluid, and bowel characteristics of each.
• The provider orders 2 units packed red blood cells. The client care technician delivers the units of blood to the nurse at 0620. IV fluids were completed at 0700. How quickly must the nurse administer each unit of blood at (in mL/hour) if each contains 350 mL? Round to the nearest whole number.

Define the following terms, according to Alligood (Nursing theory: Utilization & application, 2018) chapter 3. Make sure you cite properly. (20 points) Many try to cite without using the APA Manual…that is generally the difference between receiving a grade of A or B or C. a. Philosophy b. Nursing Philosophy c. Metaparadigm d. Nursing Metaparadigm

It is worthwhile planning human resources even if you have no strategy”.
(a) For what reasons might you agree or disagree with this statement?
(b) Examine any five (5) challenges associated with human resource planning in organisations.

a) According to medication guidelines, when is a care worker able to administer medications?

The Registered Nurse on duty is busy and has asked you to give Mrs Jones her Endone tablets as she is in pain. Additionally, the RN also asks you to give Mrs Jones a suppository as she is suffering from constipation.

b) Are you able to give Mrs Jones her medication? Explain your answer

c) What are five things should you never do when it comes the administration of medication?

d) List three place you can find information if you are unsure of what your role, responsibilities and limitations are? Give 3 answers

e) What are the five responsibilities you have as a care worker when administering medication?

Job analysis is meaningless unless it is linked to the other activities of human resource management in an
organisation. Discuss this statement in terms of the relationship between job analysis and five (5) key
activities of human resource management.

7.The health worker has essentially curative, preventive or surveillance roles.(2 نقطة)

True

False

Think about the clinical environment where you currently practice or one you are familiar and analyze opportunities for waste reduction.

Review the IHI resources(http://www.ihi.org/sites/search/pages/results.aspx?k=waste&start1=1 and Hosaapital Inpatient Waste Identification Tool (http://myresource.phoenix.edu/secure/resource/NSG451r2/IHI_Hospital_Inpatient_Waste_Identification_Tool_White_Paper_2011.pdf)to better understand some of the ways you can affect waste as a nurse and a nurse in a leadership role.

Format: Provide a summary of your analysis in the findings column of the table within 200-250 words (single space) communication that you would submit to frontline nurse managers/administrators.

Maintain a scholarly/professional tone - write in third person, so that the focus of the communication is objective and not subjective in presentation (see APA guidelines item #6) correct grammar, spelling, punctuation, sentence structure, APA formatted citations and references, and word limits (20)

Summary Communication

                                                                               References                                                                   

4. What is your understanding of the phrase ‘You must take responsibility for your own health?’ Using the World Health Organization (WHO) (2010) Global recommendations on physical activity for health, list and explain 4 ways you can adapt to make sure you and your students stay healthy.