As a nurse, discuss the importance of these:

1)Assessment—gather information or data about the individual, family, or community.

2)Analysis and identification of the problem

3)Prioritizing Nursing Diagnoses

4)Selecting Interventions and Planning Care

5)Documentation

how does orems theory relate to labor & delivery, intrapartum care of a patient

Todd is a 44-year-old electrical engineer who works 50–60 hours per week. He is 5’9”, 233 pounds, with total cholesterol of 192 mg · dL–1, low-density lipoprotein (LDL) of 138 mg · dL–1, high-density lipoprotein (HDL) of 41 mg · dL–1, triglycerides of 200 mg · dL and blood glucose of 120 mg dL. Todd’s resting heart rate is 81 bpm and blood pressure is 144/86 mmHg. His waist and hip circumference measures are 42 inches and 40 inches, respectively.

Todd has never smoked, but usually has one to two glasses of wine with dinner. He reports no leisure-time physical activity and does not exercise on a regular basis (less than two sessions per month).

Todd denies all complaints of chest discomfort and shortness of breath at rest or with exertion; however, he has gained 20 pounds over the last 2 years. Todd’s wife reports he snores frequently and has difficulty waking up in the mornings. Further testing reveals that Todd has obstructive sleep apnea and is being treated with continuous positive airway pressure (CPAP).

A review of his family history reveals that Todd’s father had double-bypass surgery at age 53 and suffered a fatal myocardial infarction at age 62. Todd’s brother (42 years old) also is hypertensive and was recently diagnosed with type 2 diabetes, which is being treated with diet and physical activity recommendations.

Questions:

Known CV, metabolic or renal disease?

Absolute or relative contraindications to exercise testing?

Signs or symptoms suggestive of disease?

Moderate or vigorous intensity? Why?

Medical clearance needed? Why or why not?

Should they get medical clearance before progressing to higher intensities? Why or why not?

ACSM CVD Risk Factors? How many?

One day, an employee was coding an inpatient record at City Hospital. The physician's documentation was not

clear on a high acuity patient; therefore, the employee needed to query the physician for clarification. The employee knew

the answer to her question and was tempted to bypass querying the provider and just code the patient's

record based on what she knew. She was tired of all the querying!

1. Should the employee query the provider?

2. Is it acceptable for the employee to code the patient record since she knew the answer, and didn't want to

bother with the query?

3. What repercussions might there be if she doesn't query and the medical record doesn't support her

coding logic?

A 45-year-old female with a past medical history of Type II Diabetes Mellitus (last hemoglobin A1c of 12, currently on intensive insulin therapy), tobacco abuse (approximately 2 packs/day for the last 15 years), and thyroid cancer (anaplastic carcinoma, status post total thyroidectomy) presents to her family nurse practitioner with complaints of a sore throat, cough productive of thick sputum which appears “green,” and subjective fevers and chills (though her temperature has never been above 98.5 degrees Fahrenheit).

She states that her symptoms have been present for 1 week now and that they have gotten worse with time. She initially thought that she had a “head cold” since she gets them around this time of the year (summer) often, and she notes that she attended a family gathering at which she was exposed to a sick individual (her niece who has a strong history of Bruton’s X-linked agammaglobulinemia). Her cough, in particular, has been bothersome, as for the past few days, she has expectorated so much mucus that, per her own testimony, “she has run out of paper cups!”

Her vital signs were stable upon examination, but auscultation of the lungs did reveal significant crackles; a chest radiograph performed at the office was revealing of a right lower lobe pneumonia, and sputum cultures were revealing of Streptococcus Pneumoniae.

Please answer the following questions:

    Given the duration of her symptoms, what components of her immune system are most active at this time?

    What is the mechanism as to how her immune system develops antibodies for the specific pathogen in her sputum?

    What would be the difference between the way in which immunoglobulins will eradicate the pathogen versus the T cell receptor?

    How will her immune system (particularly the adaptive immune system) respond to a second infection with this particular Streptococcal species?

Module 10 Course Project - Final Submission

Prepare a two to three page written assignment that includes the following:

• Introduction to the assignment (sections of the assignment: caring, professional identity, and professional organizations/associations)
• Explain your belief of caring in nursing (self, nursing, environment, and profession)
• Describe your professional identity including your beliefs, values, motives, and experiences
• Discuss one to two professional organizations/associations you plan to be involved in during your nursing career
• Conclusion (reflect on the criteria of the assignment; caring, professional identity, and professional organizations/associations)
• Use at least two credible resources to support your findings. For example, one of the resources could be the website for a professional organization or association, and another resource could be a textbook. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style.

2. What type of health insurance do you have? Is it an HMO, a PPO, an ACO, or some hybrid form of MCO? Are you familiar with your deductible? What other details about your health insurance are important to you?  

Maria is a 21-year-old single mother. On the way to work, she drops off her 3-year-old daughter at a community day care center and picks her up on the way home. Because her income is low, Maria works at a second job from home in the evening and rarely goes out for social interaction. For the last several days, her daughter has been sick with influenza, so Maria has stayed awake throughout the night to care for her. One morning, while preparing her daughter’s breakfast, Maria realized that they had run out of milk and bread again. Maria sat down on the floor and began to cry

1. One of the effects of chronic stress is an impaired immune response. What are the physiologic mechanisms that will make Maria particularly prone to contracting her daughter’s illness?
2. Assuming the stressors are the same, how is it that someone might react differently than Maria? From what you know of her history, what are some factors affecting Maria’s ability to cope both physically and psychologically?
3. What are the signs and symptoms that would distinguish a person with posttraumatic stress disorder from an individual like Maria?

Discuss how disability insurance differs from workers compensation insurance.

The nurse has taught the parents of a 5 month old client about nutrition. Which of the following statement by a parent indicate correct understanding of the teaching? Select all that apply

1. I can begin feeding my infant whole milk after my infant's first birthday

2. I will stop formula feedings now that my infant is eating solid foods

3.I should introduce fruits and vegetables at the same time

4.I can now begin feeding my infant rice cereal

5.I will now begin providing fruit juice infant bottles

what can a novice nurse do to improve their clinical reasoning skills?