Discuss the appeal process involved in responding to internal and external audits in healthcare facilities.

Explain the impact of failure to comply with state and federal laws, regulations, and statutes in health care. Be sure to include the doctrine of corporate negligence in your answer. Also, discuss the steps that are employed for ethical decision making in health care, including the four key ethical principles.

Your response must be at least 500 words in length

This week as we continue our discussion on health promotion we will begin to look at health literacy. Health literacy affects everyone we treat. When thinking of health literacy and your current practice or experiences based on the readings and content this week answer the following prompts:

1. Describe an issue where health literacy posed a problem in your practice or experiences-describe this in paragraph format.
2. Provide and describe two evidence-based strategies that can be used to improve a patient's understanding of what "health literacy" is. Support this response with a scholarly source with intext citations and APA formatted reference.

16. The nurse is caring for a patient with cerebral edema and with an order to administer dexamethasone 6.5 mg IVp q6h. How many mL should the nurse prepare to administer if dexamethasone 4mg/mL is available? Round your answer to first decimal place.

17. The nurse receives and order to give Solu-cortef 200mg IM for patient with respiratory infection.

Available is a vial of Solu-Cortef with a direction to add 1.8 mL of sterile water to yeild a solution of 250mg/mL. How many mL should the nurse administer?

18. A nurse is caring for a patient newly diagnosed with tuberculosis. The prescriber ordered to administer the first dose of Streptomycin 0.5g IVP. The pharmacy send Streptomycin with instruction to reconstitute with 9mL of sterile water for a concentration of 400mg / 2mL. How many mL should the nurse prepare to administer? Round your answer to first decimal place.

19. The nurse receives and order to give Solu-cortef 200mg IM for patient with respiratory infection.

Available is a vial of Solu-Cortef with a direction to add 1.8 mL of sterile water to yeild a solution of 250mg/mL. How many mL should the nurse administer?

18.A nurse is caring for a patient newly diagnosed with tuberculosis. The prescriber ordered to administer the first dose of Streptomycin 0.5g IVP. The pharmacy send Streptomycin with instruction to reconstitute with 9mL of sterile water for a concentration of 400mg / 2mL. How many mL should the nurse prepare to administer? Round your answer to first decimal place.

19. The nurse is calculating the patient's intake for the morning meal. What is the total intake in mL?

The patient consumed:

1 box of milk (6oz)

3/4 glass of cranberry juice (1 glass=8 oz)

4 coffee creamer (0.5 oz each)

1 cup coffee (1 cup = 6 oz)

20. The nurse weighs the patient and weighed 250 lb after 2 weeks of dieting. The patients record shows a weight of 285 lbs prior to dieting. What is the percentage of change in the patient's weight?

In Community Health Planning, Can you provide me with several examples of population-level versus program level versus individual level health planning? Thank you

A 50 year old truck driver has been diabetic and has required insulin therapy for the past 20 years. Diabetic neuropathy has led to several complications, including end stage renal disease, which he developed two years ago. He now receives hemodialysis 3 times a week and has an AV fistula in his left forearm. Yesterday, C.S presented in the ER with respiratory infection and was hospitalized with pneumonia, hypertension, and fluid overload. He will receive dialysis while on your nursing unit.

1. What is hemodialysis and name 3 side effects and patient teaching in reference to hemodialysis?

2. What medication therapy is limited by kidneys inability to excrete?

3. What lab values would indicate the kidney is not functioning well?

4. What are the clinical manifestations of end stage renal dialysis (ESRD).  

solidifying concepts.write five things about grief that you didnot know before reading the text

Identify the main patient-related conditions and other applicable factors that contraindicate safe use of phosphodiesterase type 5 (PDE5) inhibitors. Also, in doing so, describe the main systemic hemodynamic effects of the drug.

QUESTION 5

Calcium and Iron are most likely to fall short in the diet. What is the result of this inadequate intake? 2 pts.

What dietary changes can promote improved intake and reduce risk of deficiency? 4 pts.

Discuss the underlying pathophysiology of benign prostatic hyperplasia (BPH) and relate it to the mechanism of action of 5-alpha-reductase inhibitors and alpha blockers.

V. Conclusion/action – Why is it important to practice counseling as a student pharmacist? What steps will you take to ensure you provide optimal counseling in the future?

In the epidemiologic triangle, what do the following mean? (a) Agent, (b) Host, and (c) Environment

Chapter 46 Acute Kidney Injury Disease

Acute Kidney Injury

Approx 60 min

Patient Profile

A.S. is a 70-year-old white woman who presented to the emergency department because of a 4-day history of increased shortness of breath and generalized weakness. A.S. stated that she has been able to do her daily chores at home independently, but for the past few days, it was getting difficult for her to get around and that she needed to take frequent breaks because she was short of breath and had no energy. She has a long history of heart failure, type 2 diabetes, and hypertension. She is admitted with a tentative diagnosis of acute kidney injury (AKI).

Subjective Data

• Has been having headaches on and off, with nausea and dizziness
• Reported that she had not been taking her medications regularly at home because of “forgetfulness”
• Has not been urinating a lot
• Feels “puffy” in her legs and hands

Objective Data

Physical Examination

• Blood pressure 178/96, pulse 110, temperature 98.9°F, respirations 24, and an oxygenation of 93% on room air
• Alert and oriented to person, place, and time
• Mild jugular venous distention
• Fine crackles in bilateral lower lobes
• Heart rate regular, no murmurs
• Bowel sounds normoactive and present in all four quadrants
• 2+ edema bilateral lower extremities and hands

Diagnostic Studies

• Echocardiogram shows decreased left ventricular function
• Urinalysis: Urine dark yellow and cloudy, protein 28 mg/dL, negative for glucose and ketones, positive for casts, red blood cells and white blood cells
• 24-hour urine output = 380 mL
• Laboratory Tests:

Case Study Questions

• 1. What orders do you as the nurse, anticipate the physician will order? Student must list at least six (frequencies not necessary to list; only what you think the physician will order):

6. Explain what might have contributed to A.S.’s present condition as described above? What are two evidence-based preventive health care provisions/programs that if put in place early might have prevented this from occurring?

Explain what might have contributed to A.S.’s present condition:

Evidence-based Preventive Health Care Provisions/Programs:

1.

2.

1. 3. What is the significance of A.S.’s Hemoglobin, Hematocrit, and RBC levels being significantly decreased?

1. 4. You are planning discharge for A.S. What would you include in your discharge instructions/teachings and what other interdisciplinaries/health professionals would you include? Student must list at least five each:

Nursing Teaching/Instructions                    Other Health Professionals

1.                                                                 1.
2.                                                                 2.
3.                                                                 3.
4.                                                                 4.
5.                                                                 5.

Reference: (Lewis, S. M., Bucher, L., Heitkemper, M. M. L., Harding, M., Kwong, J., & Roberts, D. (2017). Medical-Surgical Nursing: Assessment and Management of Clinical Problems. St. Louis: Elsevier