Questions
you have been posted to anfoega CHIPS compound as a community health officer (CHO). As part...

you have been posted to anfoega CHIPS compound as a community health officer (CHO). As part of your work, you are to mobilize the community members to undertake a project on sanitation. (a) describe how you would mobilize the community memebers to undertake this project? (b) describe how you would educate them on proper disposal of refuse in the community?

In: Nursing

Create a two-part (scholarly APA paper and reflection) paper on community and mental health needs in...

Create a two-part (scholarly APA paper and reflection) paper on community and mental health needs in Brevard County.
The first part has 5 sections:

Part 1: Scholarly APA (please use headings for specific sections)

1. Correlate a theoretical framework for conducting a competent cultural and spiritual assessment with the assessment steps performed to create a culturally sensitive care plan. (Utilize a theoretical framework for addressing community and or mental health needs)

2. Identify the impact of society’s cultural, religious, and spiritual beliefs on psychiatric symptom expression and mental healthcare delivery within Brevard County including the impact of racial and/or ethnic diversity. (Discuss mental health delivery and health disparities on symptom expression)

3. Describe techniques used in nursing for demonstrating sensitivity and acceptance of beliefs, attitudes, and cultural needs of others

4. Identify considerations necessary for planning culturally and spiritually competent nursing care meeting the needs of patients from diverse cultural, racial, and ethnic backgrounds. (Describe plan of care that is culturally sensitive and accepting of beliefs of patients from diverse backgrounds and ethnicities. Include a plan of care within the paper integrating communication skills, concepts and theory)

5. Identify resources for culturally/linguistically sensitive psychiatric mental health (PMH) care within Brevard County

In: Nursing

After watching “Visualizing Effective Healthcare Dashboards”: 1- what area you will use dashboard for? 2- what...

After watching “Visualizing Effective Healthcare Dashboards”: 1- what area you will use dashboard for? 2- what are three metrics you will look at and measure in your dashboard?

In: Nursing

Client Profile Baby Martin was born via a normal spontaneous vaginal delivery (NSVD) at 36 weeks...

Client Profile

Baby Martin was born via a normal spontaneous vaginal delivery (NSVD) at 36 weeks gestation. The mother arrived at the emergency room dilated to 9 centimeters and 100 % effaced. The mother also reports ruptured membranes for the past 22 hours. The fetal heart rate upon admittance to the emergency room is 170 bpm. The mother delivered in the emergency room 30 minutes after being examined. This is her seventh pregnancy, and she did not have prenatal care.

Case Study

Martin was admitted to the observation nursery from the emergency room where he was born. He weighed 5 pounds and was 19 inches long. His APGAR scores were 6 at one minute, and 8 at five minutes. Points were initially taken off for tone, reflexes, and color. His initial glucose was 35 and vital signs were heart rate 150, respirations 76, and temperature 97.2. The nurse noted some nasal flaring, grunting, and coarse breath sounds. He was given 1 ounce of D5W orally; oxygen therapy, and his skin and pharynx were cultured. The orders also included that he be placed on a warmer with skin probe for temperature monitoring.

At two hours the baby's glucose was 40, the nasal flaring continued, respiratory rate was 100 with continued coarse breath sounds. He exhibited acrocyanosis, and his temperature was 96.8. The baby was treated for transient tachypnea of the newborn with oxygen therapy and a warm environment.

At four hours the nurse noted that the baby was lethargic and difficult to arouse. He appeared pale with circumoral cyanosis, nasal flaring, and grunting with sternal retractions. The nurse notified the doctor, an IV was started, and the baby was transferred to the neonatal intensive care unit at a hospital in the next town.

At six hours the mother called the NICU to check on his progress and was told that he had subsequently developed jaundice and was on a ventilator.

Questions

1. What is the significance of the fact that this mother had no prenatal care? ( Please explain in detail)

2. What are the risks involved in a precipitous delivery? What do you think might have been done differently for this delivery had the mother come in at 4 to 6 cm instead of 9 cm? ( please explain in detail and if you use a source please cite it)

In: Nursing

Patient: Mr. Kim, 65 y/o rushed to ER Dept. and diagnose with COPD (Chronic Obstructive Pulmonary...

Patient: Mr. Kim, 65 y/o rushed to ER Dept. and diagnose with COPD (Chronic Obstructive Pulmonary Disease) with difficulty of breathing, BP-100/70, T-38, HR-105, RR-27/min. Use the Maslow's Theory into Nursing Practice.

In: Nursing

break follow words into component parts and provide complete definitions.   example: Cardiomyopathy: cardi/o/my/o/pathy - A disease...

  1. break follow words into component parts and provide complete definitions.   example: Cardiomyopathy: cardi/o/my/o/pathy - A disease state of the heart muscle.   Hypoglycemia: hypo/glyc/emia - A blood condition with low levels of blood glucose (sugar)
  2. I'm not sure all words can be a break. if they can not break, just write [can not break]. find at least 18 of the terms include at least 3 word parts such as: 2 roots with a suffix and/or a prefix (e.g. Cardiomyopathy) or a prefix, a root, and a suffix (e.g. hypoglycemia).

diagnosis

epidemiologic

parameters

antihypertensives

cardiac

lipoprotein

diastolic

interventions

hypertriglyceridemia

hemoglobin

myocardial

demographic

Serum

prediction

Collaborators

hypothesis

territories

hypercholesterolemia

Angiology

myocardial

cholesterol

Hemoglobin

please type thank you.

In: Nursing

Client Profile Baby Martin was born via a normal spontaneous vaginal delivery (NSVD) at 36 weeks...

Client Profile Baby Martin was born via a normal spontaneous vaginal delivery (NSVD) at 36 weeks gestation. The mother arrived at the emergency room dilated to 9 centimeters and 100 % effaced. The mother also reports ruptured membranes for the past 22 hours. The fetal heart rate upon admittance to the emergency room is 170 bpm. The mother delivered in the emergency room 30 minutes after being examined. This is her seventh pregnancy, and she did not have prenatal care. Case Study Martin was admitted to the observation nursery from the emergency room where he was born. He weighed 5 pounds and was 19 inches long. His APGAR scores were 6 at one minute, and 8 at five minutes. Points were initially taken off for tone, reflexes, and color. His initial glucose was 35 and vital signs were heart rate 150, respirations 76, and temperature 97.2. The nurse noted some nasal flaring, grunting, and coarse breath sounds. He was given 1 ounce of D5W orally; oxygen therapy, and his skin and pharynx were cultured. The orders also included that he be placed on a warmer with skin probe for temperature monitoring. At two hours the baby's glucose was 40, the nasal flaring continued, respiratory rate was 100 with continued coarse breath sounds. He exhibited acrocyanosis, and his temperature was 96.8. The baby was treated for transient tachypnea of the newborn with oxygen therapy and a warm environment. At four hours the nurse noted that the baby was lethargic and difficult to arouse. He appeared pale with circumoral cyanosis, nasal flaring, and grunting with sternal retractions. The nurse notified the doctor, an IV was started, and the baby was transferred to the neonatal intensive care unit at a hospital in the next town. At six hours the mother called the NICU to check on his progress and was told that he had subsequently developed jaundice and was on a ventilator.

Questions (if you use sources please cite it)

1. Why is this baby hypothermic, and how does it affect this baby's transition? ( Please explain in detail)

2. . What is the significance of jaundice in a 6- hour old infant? ( please explain in detail )

3. How significant is the acrocyanosis? (please explain in detail)

In: Nursing

The nurse is transferring the post-total hip arthroplasty into a wheelchair. Describe the proper method to...


The nurse is transferring the post-total hip arthroplasty into a wheelchair. Describe the proper method to carry out this transfer.  (Review the Fundamentals Review Module)
Suggested Adult Med Surge Learning Activity: Joint Replacement

A nurse is caring for a client with hypokalemia. What medications could have caused this imbalance?
Suggested Medical Surgical Learning Activity: Electrolyte Imbalance

In: Nursing

Make a table to differentiate the 4 common types of leukemia: Acute lymphocytic leukemia (ALL), Chronic...

Make a table to differentiate the 4 common types of leukemia: Acute lymphocytic leukemia (ALL), Chronic lymphocytic leukemia (CLL), Acute myeloid leukemia (AML), and Chronic myeloid leukemia (CML) according to incidence, physiologic alterations, clinical manifestations, management, and prognosis.

Formulate a Nursing Care Plan for a patient with Acute Leukemia.

Enumerate the nursing implications for the administration of blood components.

In: Nursing

we have been discussing drugs and how they are categorized into schedules although they have a...

we have been discussing drugs and how they are categorized into schedules although they have a high risk potential for abuse schedule 11 drugs do have legitimate medical use it is important as the medical assistant to be aware of any signs of abuse when it comes to prescribing medications what are some drug seeking behaviors to watch for

In: Nursing

1) Why do southern states have a higher percentage of people living in poverty? 2) No...

1) Why do southern states have a higher percentage of people living in poverty?

2) No matter the age group why are more females living in poverty?

3). Discuss one issue from the video that was new information to you or that had an impact on how you feel about poverty in America Maternal Health and When the Bou

In: Nursing

Case Scenario: Task A patient rushed to ER Dept. with complaint of severe DOB. As independent...

Case Scenario: Task

A patient rushed to ER Dept. with complaint of severe DOB. As independent nursing intervention,

patient was placed on bed safely in high back rest and hooked to O2 inhalation at 5 Lpm via face

mask. Upon assessment, Mrs. Nicole Reyes, a 42-year-old, the Physician noted that there is

swelling on her right breast, discharge and crusting on nipple, v/s BP: 150/90, RR, 40, SPO2: 88%,

Temp. 36.5 C. On examination, the Physician note that her breasts feel nodular but with discrete masses

T-3 >5 cms, N-3, M-1. Other findings include evidence of inflammation, w/ axillary node enlarged.

Thorax assessment as follows: Decreased chest movement, Stone dullness to percussion,

diminished breath sounds, decreased resonance and fremitus, + pleural friction rub and

egophony, In response to questioning, she relates that she is a “heavy coffee drinker” and is

under a great deal of stress in her job, and the mass was noticed 5 years ago with no consultation was made due financial constraint. She reports that a maternal aunt died of breast cancer. She

wants to know if the mass could be cancerous or what can be done to eliminate this breast problem.

The Doctor order for some laboratory examinations and stat CXR. Initial Dx r/o Breast Cancer Stage III,

Pneumonia, Covid 19 Suspect

1. Apply COLDSPA

Character

Describe the sign or symptom (feeling,

appearance, sound, smell, or taste if applicable).

Onset

When did it begin?

Location

Where is it? Does it radiate? Does it occur

anywhere else?

Duration

How long does it last? Does it recur?

Severity

How bad is it? Or How much does it bother you?

Pattern

What makes it better or worse?

Associated factors/How it Affects the client

What other symptoms occur with it? How does it

affect the client

2. Make a Concept Map

3. Associated Concepts

WHY WAS IT ORDERED? Level 1

Associated Concepts:

Infection

The purpose of this activity is to evaluate client orders and determine the relationship to the

concept of infection.

Related Concept Learning Outcomes

1. Describe diagnostic and laboratory tests to determine the individual’s infection status.

2. Compare and contrast independent and collaborative interventions for clients with

infection.

Client Diagnosis:

Instructions: Search through the orders in the client’s medical record and identify how each

order is related to the concept of infection. Consider medications, diagnostics, and collaborative

considerations. Fill out the following table.

Order How is the order related to infection?

Sputum GS/ CS ( Gram stain/ Culture and -

sensitivity

CBC w/ Platelet count -

Na+, K+ -

Ferritin -

HCRP -

SGPT, SGOT -

Nasopharyngeal swab/Oropharyngeal -

Swab for Covid 19 -   

Blood Culture R and L pheripheral

In: Nursing

Discuss two different diesases, One disease example must be of microbial origin and the second disease...

Discuss two different diesases, One disease example must be of microbial origin and the second disease example must be of non- microbial origin. For each disease, discuss the following:
-pathophysiology
-prevalence
-ethiology
-clinical manifestations
-diagnosis
-treatment (medication administration and dosage.)

In: Nursing

Please answer this with a thorough explanation and a solution on how you solved the problem...

Please answer this with a thorough explanation and a solution on how you solved the problem so I can understand this lesson. Thank you very much for helping.

Situation: At 6:00 a.m., A one liter Plain NSS solution was started. It is to run for 18 hours. however, after 6 hours, the IV had to be stopped and transferred to another site. After an hour the IV infusion was resumed.

3.1. How much of the solution was consumed 6 hours after it started ? _____________

3.2. How much of the solution was left when it was transferred to another site? _______________

3.3. What should be the drip rate of the solution after it was reinserted? _____________ ml/Hr ? ___________

3.4. What time is it expected to be consumed? __________

3.5. IV fluids should be consumed within 24 hours once it is opened. Is the above solution consumed within 24 hours after it was started?

3.6. Why should an intravenous solution be consumed within 24 hours? What do we do if there is a remaining amount of solution in the bottle?

In: Nursing

A 58 y/o female visits the Health center due to palpitations. Medical background: • H/O myocardial...

A 58 y/o female visits the Health center due to palpitations.
Medical background:
• H/O myocardial infarction in the past and with left ventricular failure, on the following medication:
o Valsartan 80 mg OD
o Furosemide 40 mg OD
o Spironolactone 25 mg OD
o Isosorbide dinitrate PRN
• History of Dyslipidemia since 10 yrs, on
o Atorvastatin 10 mg OD
• Non- Diabetic
History of present illness:
Present condition started few weeks now with palpitations associated with some giddiness, no associated chest pains, cold sweating nor malaise/fever.
Pertinent On Examination:
BP 105/70mmhg​PR 96/min​RR 21/min​Temp: 36.7 C
No anemia
Cardiac: mild tachycardia, irregular rhythm, no murmur
Lungs: Bibasilar crepitation
No edema
ECHO done Ejection fraction 45% with LA and LV, no clots seen
ECG: atrial fibrillation
IMPRESSION:
IHD (ischemic heart disease), CHF(congestive heart failure) , atrial fibrillation w/ normal ventricular respond
INVESTIGATIONS:
a. CBC/LFT/RFT/TFT/CRP/Lipids/Trop I/CKMB if needed
b. Chest XRAY
c. Echo after 6 months to 1 year
Discharge with additional meds:
1. Digoxin 0.25 mg,1 tab OD
2. Aspirin 81 OD
QUESTIONS

3. What is the clinical significance of doing cardiac enzymes for the patient with MI?
4. List at least two complications of MI and explain how they develop?

In: Nursing