A Chinese woman in her mid-twenties had just given birth. The staff became concerned when she would not eat the hospital food and did not bathe. She would only eat foods that her family brought to her. The patient later explained her custom prevented her from bathing for seven days after childbirth and permitted her to eat only certain foods.

Research Chinese cultural beliefs:

What is a lying-in period?

What are the effects of giving birth on this women’s yang?

What accommodations or interventions could a nurse make?

List 3 Stereotypic myths regarding the Chinese that caregivers must recognize and “unknow”:

Name 3 changes or additions to an EHR that could help patients feel more respected and educate healthcare staff -

How should “sexting” among teenagers be treated by school authorities?

Should we be concerned about people forming emotional attachments to robots?

Mr. T. was admitted to the critical care unit after being diagnosed with an MI, which severely injured the left anterior ventricle.  Mr. T. is 80 yrs. old, has a history of diabetes type 2, and hypertension.  He states he was “active” prior to his recent MI and liked to walk at the mall for exercise.  He is alert and oriented, has never smoked, and lives with wife and son.  

Mr. T. was placed on hemodynamic monitoring due to his low blood pressure and urine output.  Mr. T’s pulmonary artery wedge pressure (or pulmonary artery occlusion pressure, PAOP) is 22. Mr. T. has distended neck veins, dyspnea and audible crackles bilaterally.  

Questions:

1. Discuss the risk factors for the development of cardiogenic shock in Mr. T.

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2. Describe how the afterload affects the cardiac output in Mr. T.

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3. Discuss the goals of management in cases of cardiogenic shock.

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4. What is the nurse’s role in the goals of management? Describe specific nursing actions necessary to care for Mr. T.

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5. Review Sodium Nitroprusside (Nipride) in the Abrams Clinical Pharmacology book (p. 519). Describe the pharmacological action of Nitroprusside and why it is ordered for Mr. T. at this time. What should the nurse do to safely administer this drug?  

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6. What is the mortality rate for patients in cardiogenic shock following an MI?

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Case study 4 Alana’s husband and sons are now in her room. They are speaking very loudly and crying. They insist that Mai ‘do something’ quickly. They direct their anger towards her. Mai listens patiently and speaks calmly. The doctor arrives accompanied by an interpreter. He suggests that Alana take a dose of morphine orally at regular intervals to help settle her pain and make her last hours comfortable Alana’s family are worried that increasing the dose of morphine will hasten Alana’s death. Shortly after, Alana’s breathing becomes irregular and Alana is not able to be roused. Alana’s husband notices that Alana’s legs are mottled and her finger feel cool to the touch. He requests that Alana be given more blankets. Although the family members know Alana is dying, it is still a shock when it happens. They are pleased that Alana’s wishes were respected. Alana’s family starts to wail, a traditional Italian expression of open grief. Mai had developed a caring relationship with Alana during her time caring for her. She is sad, as she thought Alana would have lived a little longer; however, she has often thought about death and dying and is comforted by her own beliefs. She follows the organisation’s protocols for maintaining Alana’s dignity after death and comforts Alana’s family members and makes sure her sadness doesn’t affect anyone else. The team leader is impressed by how Mai handles her grief, especially as she is a new worker. He asks Mai to prepare five helpful hints about handling personal grief, which the organisation can provide to new workers in the future.

1. With whom should Mai raise any concerns or ethical issues?

in response to the comment that all there is for the question? maybe thats why it got me confused dont know how to answer it, give it a shot will take anything as i am blank

Develop 5 interview questions you feel you will be asked during an interview for a professional role or a role within a hospital.

Write what your response would be to each of the 5 questions you identified.

Post your questions and responses to discuss with the class. Answer the following questions in your response:

• What did you learn from your classmates? What strategies will you use to prepare for an interview?

Why is it important for health care leaders to have a strong and positive mentor? Provide specific examples. Do you have a mentor? If so, share your experiences. If not, how might you find one?

select two of the following theorists to research.

Piaget Erikson Vygotsky Bronfrenbrenner Freud Skinner

Once you have selected your theorists respond to the following questions/statements:

What are the names of your theorists?

Provide background information about the theorists (i.e. place of birth, age, family information, place of residence, photo, etc.).

What was each person’s theoretical perspective?

Compare and contrast the theories. Explain what the theory asserts and how they are alike and different.

What do you think about each theory? Specifically state what you agree/disagree with and/or like/dislike.

Pete Zaria has a history of HIV and has developed esophageal candidiasis.  The hospitalist prescribes fluconazole 400mg IV once daily.

1. BRIEFLY describe the MOA of the “azole” antifungals.

2. What laboratory values must be frequently monitored in patients receiving fluconazole?

After being hospitalized and receiving treatment for 5 days, Pete’s condition deteriorates, and blood cultures reveal systemic fungal infection.  Amphotericin B is ordered.

1. How is this medication administered? (include information re:  route, setting, rate, dose, etc…)

2. What are the major adverse effects of amphotericin B?  How should the nurse monitor for these adverse effects?

Hematology

1. Describe the composition of blood and their function

2. Identify 3 conditions related to any of above components.

What are some future trends in public health? Is the current health care system prepared for them?

Write a 2-page paper to describe how does a nursing homeowner, Jane Smith, can improve the elderly living experience at her nursing home and seeing a doctor.

1. What technology Jane can adopt to monitor and foresee possible disease and sickness the elderly have? what technology can she adopt to enhance the seeing doctor experience? (Maybe they do not have to go to the doctor's office)
2. What technology can Jane adopt to enhance the communication experience between elderly and remote family members and allowing the family member full access to the elderly medical data?
3. Describe how to balance privacy, Electronic Medical Records(EMR) security, and data sharing.

Todd Lawrence is an 8-year-old boy who has been hospitalized for treatment with skeletal traction after sustaining a compound fracture of his left leg 8 days ago. During the night he developed a fever of 102.6°F (39.2°C). This morning his temperature is 101.8°F (38.8°C). The pin sites are red and inflamed and the upper leg area is tender to the touch. Todd is complaining of pain, rating it a 9 out of a possible 10 on a numerical pain rating scale. Laboratory tests reveal leukocytosis, an increased erythrocyte sedimentation rate (ESR) and positive blood cultures.

1. What data will you report to the provider? Provide rationales.
2. What is causing these symptoms in this patient?
3. What treatment would the nurse expect to be ordered?
4. Provide three interventions for the nurse to promote Todd’s growth and development while he is immobilized in traction and receiving prescribed treatment.

Discussion questions:

Florence Nightingale was one of nursing's greatest pioneers in holistic nursing using your Dossey book and readings:

• Compare and contrast the theories and principles of Florence Nightingale’s and Jean Watson’s work. Discuss their impact on the global field of Nursing.

• What attributes do I have that reflect the core values of holistic nursing? Give examples of environmental patterning.

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