share your perspective on a universal healthcare system.

Based on Paul’s letter to the Corinthian church, the focus was on equity rather than strict equality. Discuss how these teachings might guide the Christian health administrator in mastering the challenges of addressing cost, quality, and access in healthcare delivery.

Maxine Overland is an RN, working on a medical-surgical unit in a partnership model of primary nursing. She has been on vacation for 2 weeks, and when she returns, she finds that the unlicensed assistive personnel she typically worked with is not expected to be back at work for several months because of a family emergency. A new nursing assistant, John Maxwell, who had worked in the hospital for only 2 weeks, is assigned as her partner.

Maxine was pleased to learn that John had previous experience in another hospital and is a certified nurse aide. However, as she began to work with him, she realized that he does not understand the delegation rules established by the state Board of Nursing. For example, she entered a patient’s room to find that John was removing an IV from the patient’s arm because it had infiltrated. Maxine took over the task, noting that the IV was in fact infiltrated. After leaving the room, she asked John why he had begun to remove the IV instead of calling her. He indicated that he had been taught how to do this at his last place of employment. She indicated to him that this was not a delegated task in this hospital. He responded, “Why? I know how to do it.”

Later in the morning, Maxine was reviewing the vital signs of the patients to whom they were assigned. The values for all blood pressures, pulses, and respirations were numerically very close, despite the fact that the patients had previously had widely different vital signs results.

Question ( 4 pts)

1. If you were Maxine, what would you do? ( must relate your answer to the NCSBN delegation rules.)

Refer to the accompanying data table. The entries are weights (pounds) and pulse (beats/min) from male subjects examined as part of a large study conducted by a health organization. The data are matched, so that the first subject has a weight of 169.1 and a pulse of 68, and so on. Given the context of the data in the table, what issue can be addressed by conducting a statistical analysis of the measurements?

A. Is there a relationship or an association between weight and pulse?

B. Does a change in weight cause pulse to increase or decrease?

C. Is there a relationship between the mean weight and the mean pulse?

D. Does a change in pulse cause weight to increase and decrease?

E. No conclusion can be drawn from the data.

Data Table

1 2 3 4 5

Weight 169.1 144.2 179.3 175.8 152.6

Pulse 68 64 88 72 64

a patient, who is Indian, is in the hospital and is ordering what they want for lunch. The healthcare professional discussing their lunch order states "we have hamburgers and steak" and the patient replies "I don't eat meat". The healthcare professional says back "oh, I could not go without meat for meals at least twice a day". The healthcare provider then proceeds to ask the patient how could you possibly not eat beef? What about the healthcare workers' statements are projecting the wrong impression and how could they better communicate in this situation without projecting their preferences?

Topic :SPANISH FLU AND LESSON LEARN FROM THE EPIDEMIC( how can this relate to nursing )

250 word max

1. How do you stay up-to-date with safe work practices in regards to workplace systems, equipment and processes in your work?
2. . Describe the situation, discuss the safe work practices you followed throughout the job, discuss any hazards or risks you identified, the steps you took to remove or minimise the hazard and the reporting procedures you followed or would have followed to report hazards, incidents, injuries or client-related risk factors.

Discuss how the Ebola virus evaded the first line of defense?

Is there a gender bias when it comes to assessment, diagnosis, and treatment of heart disease? Discuss how your findings may change how you assess and care for patients with cardiovascular problems. Using peer-reviewed sources

According to the CDC (2013), stroke is one of the leading causes of death in the United States, with over 800,000 people in the US dying from this each year. There is a geographic and racial disparity in risk and mortality.

What are some of the best practice stroke assessments and the nurse's role in stroke prevention related to those at highest risk and discuss your findings. Discuss ways the nurse can apply the neuro assessment to identify those at risk for stroke.

A 42-year-old patient with history of ulcerative colitis (UC) and anemia, went to the ED. While at the emergency room, he complaints of abdominal pain/swelling alongside blood in her stool which is watery which has been going on for some days now. Vital signs are (BP) of 90/56, heart rate (HR) 115 bpm, respiratory rate (RR) of 32, temperature of 101.9°F, oxygen saturation (O2 sat.) of 98% on room air, and a pain of 8/10 (using the verbal numeric pain scale) located in his left lower abdominal quadrant that is sharp, constant, and aggravated by movement. He states, “my stomach hurts so much I can barely take the pain”. he claims that he has been taking extra-strength Advil (ibuprofen 400mg) for the pain. His vitals were reassessed after 20 minutes showing a decrease in BP to 85/47, HR 130, RR 29, oral temperature of 101.9°C, O2 sat. 96%, and pain still at 9/10.

QUESTION

1. Which areas of our nursing assessment should we closely monitor and what are we looking for?
2. What are the major concerns with toxic megacolon related to bowel perforation?
3. What other possible diagnoses should be considered and ruled out?
4. What are the primary nursing diagnosis for this patient?

You are the nurse assigned to this group of patients. There are 2 RN’s (one is you: the charge nurse and a staff member, plus another RN), and you have an LPN and 2 nursing assistants. Plan your day/ evening. What is the priority for each patient and what tasks/ skills can be delegated to the LPN, the aid ant the other RN for each patient? Pt #1 Jennifer Hoffman

33-year-old female present to the Emergency Department. Has a history of asthma, with several ED visits in the last year. Presents anxious, coughing and chest tightness Peak Flow levels are decreasing Tracheostomy tube placed during last admission 3 months ago Vitals RR: 30 BP 138/84 HR: 92 Sat 89% RA Albuterol 2.5 mg/ 2.5 ml via trach Solumedrol 100 mg IV available 125 mg/2ml NSS 80 ml/hr Epi Pen prn Trach care q shift

Pt#3 Skyler Hanson 18 –year- old male in diabetic ketoacidosis three days ago. Transferred to the medical surgical floor after being in the ICU for three days. He had been on an Insulin drip and received IV hydration. RR: 18 BP 118/74 HR:78 Sat 99% RA D5W 150 ml/hr NPH insulin 22 units SQ Novalog Insulin 6 units SQ 1800 ADA diet Urine for ketones NKA Blood Glucose 650

Pt#4 Doris Bowman Patient is a 39-year-old who underwent a total abdominal hysterectomy with bilateral salpingoopherectomy. Tolerated the procedure well. Postoperative day 2. She has an abdominal incision covered with a 4x4 gauze dressing. Foley draining 200 ml clear yellow output. Arrives back from x-ray unresponsive. RR: 12 BP 124/84 HR: 92 Sat 88% RA LR 125 ml/hr Morphine Sulfate 2 mg IVP for pain Ondansetron hydrochloride (Zofran) 4 mg IVP Naloxone hydrochloride (Narcan) 0.4 mg/ml IVP PRN for sedation WNL

Pt #5 William Edwards A 65-year-old male with a history of HTN, CAD and NIDDM. Smokes a pack of cigarettes a day. He presented to the emergency department around 10 am after waking up around 7am with right sided weakness. Upon arrival he has slurred speech and right upper extremity flaccid. You are taking over care. RR: 36 BP: 180/90 HR: 95 Sat 88% RA NSS 75 ml/hr Labetalol 5 mg IVP Aspirin 325 mg CT scan r/o bleed HOB elevated 30 degrees WNL

Pt # 6 Liling Sung A 62-year-old who presented to the emergency department after her AICD fired 6 times in the past two hours. She has been stabilized in the emergency room. Transferred to the medical floor. The AICD was placed 2 years ago, after she went into ventricular tachycardia resulting in cardiac arrest RR: 16 BP: 109/58 HR: 110 Sat 100% 2L NSS 100 ml/hr Diazepam (Valium) 5 mg/IV prn Morphine Sulfate 2 mg IV prn Propranolol 25 mg PO WNL

Pt# 7 Charles Jones 68- Year –old male with a history of congestive heart failure, admitted to the intensive care unit from his family physician office after developing severe dyspnea, orthopnea, bilateral lower edema and 10 pound weight gain. Rales are noted in the posterior lobes bilaterally. O2 4 L NC History of hypertension, atrial fib and hyperlipidemia RR: 24 BP: 96/44 HR: 102 Sat 93% 4L Nesiritide (Natrecor) IV bolus 2 mcg/kg Nesiritide (Natrecor) IV maintenance 0.01 mcq/kg/min Lasix 80 mg IV BUN Creatine BNP Electrolytes

Pt#8 Tony Wallace 24-year-old male with sickle cell anemia with severe pain every 2-3 weeks. He presented to the emergency department 3 days ago with acute pain in left arm and left leg. He is receiving IV hydration and pain medication without control. RR: 18 BP: 116/72 HR: 82 Sat 97% Temp 97.8 NSS 120 ml/hr Morphine PCA 2 mg/hour

Pt #9 Bobby Davis 28-year-old presents to the emergency department 45 minutes ago with severe right sided flank pain. Smokes 1 pack of cigarettes a day. Pain has been intermittent for the past 2 day. Started vomiting earlier this morning. Was lifting weights earlier in the day thought he pulled a muscle when he heard something pop. RR: 18 BP: 148/88 HR: 90 Sat 100% Temp 98.8 NSS 125 ml/hr Morphine Sulfate 2 mg q hour Promethazine hydrochloride (Phenergan) 25 mg IVP Toradol 30 mg IV 32 French Chest tube to 20 CM suction Restart IV

Pt #10 Ruth Living ston 80-year-old female who fell at home. Presents with external rotation of the right leg. Fixation tomorrow RR: 20 BP: 150/76 HR: 88 Sat 96% RA Temp 98.9 NSS 75 ml/hr Morphine Sulfate 2 -4mg q hour Zofran 4 mg Place foley cath Pre Op

Pt # 11 Dale Mayman 51-year-old with known liver disease secondary to alcoholic cirrhosis admitted with increased confusion, Increased ammonia levels ETOH level elevated RR: 22 BP: 130/83 HR: 88 Sat 97% RA Temp 98.7 Lactulose 30 ml/day Haldol 5 mg IM for agitation Ativan protocol ETOH 350 Ammonia 200mcq/dl

Pt 12 Geraldine Yost 88 –year-old pt presents to the medical surgical floor as a direct admission from the nursing home. Pt is lethargic. Has received the first cycle of antibiotic in the ED. RR: 26 BP: 90/62 HR: 118 Sat 90% RA Temp 102.4 NSS 500 ml/hr Zyvox (linezolid) 600 mg q 12 hours Azitromycin (Zithromax) 750 mg IV Vancomycin 1g IV Tylenol 650mg via peg tube WBC 30

For the following case studies, develop a progression of transfer activities appropriate for progressing a patient from dependent to independent (as much as feasible) transfer status. Note transfer activity methods, amount, and type of assistance.

1. The patient is an 18-year-old male who sustained a complete T12–L1 spinal cord lesion in a motorcycle accident 2 weeks ago. Following surgery, he is wearing a thoraco-lumbar-sacral orthosis (TLSO). He has medical clearance to begin transfer activity training while wearing his TLSO.

2. The patient is a 23-year-old female with cerebral palsy presenting with spastic quadriplegia. While living with her parents, her father lifted her for all transfer activities. Following her recent college graduation, she is living in a group home for the first time. She ambulates by using a power wheelchair. The staff of the group home requests assistance in selecting appropriate transfer activities. The staff would like a program to assist her in becoming an active participant in her transfer activities. Would the transfer activity method selected be different if she was 5 feet tall weighing 250 pounds, versus 5 feet tall weighing 96 pounds?

when you see dark red bleeding and few clots in the catheter after TURP. what should the nurse do first