1.Define, and provide examples for the following database: Complete, Episodic, FollowUp, and Emergency.

2. What is evidence-informed practice?

Vera Cella is a 59-year-old patient who is seen in the clinic today for a painful rash that runs in a half-circle along her rib line. The rash is composed of raised, fluid-filled lesions. The patient describes the pain as the most severe pain she has ever experienced. The physician makes a diagnosis of shingles and gives the patient a prescription for acyclovir (Zovirax). The patient has some questions for the nurse regarding the disease and the medication.

1. The patient asks the nurse why she has developed shingles. How will the nurse respond?

2. S.C. asks what side effects she can expect. How will the nurse respond?  What can the nurse encourage S.C. to do to lessen the most common side effects?

3. S.C. asks the nurse “can’t I just have this medicine in an IV?”  How should the nurse respond?  Would intravenous administration be appropriate for this patient?  Explain why or why not.

4. What are the serious adverse effects of acyclovir?  What labs should the nurse monitor?

5. S.C. returns to the clinic in 4 weeks stating she still have severe pain where the blisters once were. What would the nurse instruct S.C.?

6. Eight months later, S. C. returns to the clinic with another outbreak of shingles.  What medication does the nurse anticipate will be ordered for S. C.?

Anne Chovy, a 57 year-old female, comes to the office with c/o of blood-tinged sputum; she reports having a productive cough for “about a month”.  Upon further questioning, Anne mentions that she has been having “really bad night sweats but thought it was probably due to menopause”.  She tells you she has lost 15 pounds since her annual check-up, which was 6 months ago.  She lives in a rural home with her spouse and is the volunteer coordinator at the county homeless shelter.  She is given a PPD test and the result is positive.  

PMH:  optic neuritis

1. List the manifestations that helped you make Anne’s diagnosis.   

2. What additional tests may be done next to diagnose/confirm her diagnosis?

3. Anne is hospitalized and placed on special precautions to prevent the spread of illness to others.  What type of precautions do you think will be initiated?

4. Anne is started on 4 different medications:  Isoniazid, Rifampin, pyrazinamide & ethambutol.  Anne asked why she is taking so many medications.  What is the nurse’s best response?

5. What labs will be assessed before initiating drug therapy?  Any special exams?  What labs do you anticipate will be monitored during therapy?  How will you monitor for therapeutic response?

6. Anne is discharged home with prescriptions for a isoniazid/rifampin combo drug and instructions to take pyridoxine (vitamin B6) daily.  Her husband, Bon Chovy, is prescribed isoniazid.  Why is Anne being told to take vitamin B6? Why is her husband Bon also prescribed medication?  What patient teaching will you provide to Anne and Bon?  (Be thorough!)

1. Conversation is both an art and an essential nursing tool. If you had 30 minutes to spend with each of the following patients while doing a procedure that allows you to communicate, what would you talk about (communicate) and why?
   • An older adult recently admitted to a long-term care facility
   • A 6-year-old boy newly admitted to a hospital for asthma
   • An HIV-positive, 33-year-old man who has just been given the news that he has acquired immunodeficiency syndrome (AIDS)
   • A 45-year-old amputee who has been in a rehabilitation hospital for 3 weeks after a motorcycle accident
   • A 19-year-old woman who has just had an elective abortion and is in the recovery unit
   • An unconscious patient in a critical care unit
2. An experienced nurse observes your distress after leaving the room of a patient who has just told her family that her cancer has recurred and is in an advanced state. She tells you that you better “toughen up” if you want to survive in nursing. She counsels not getting emotionally involved with patients and families: “Become a rock.” How do you respond to this nurse and why? Of what value, if any, is empathy

Discuss the ways in which the linguistic diversity of a target audience affects programs being planned at each level of the public health pyramid. Please provide examples for each level. The four levels are direct services, enabling services, population-based, and infrastructure.

A woman in her 40s is around 34 weeks gestation and is sent to the hospital for labor and delivery by her health care provider due to a BP of 165/90 which is high compared to her normal.

Suspecting preeclampsia what are questions a nurse should ask on admission?

What are physical assessment data that must be collected?

A 48-year-old woman is admitted to a psychiatric inpatient unit for observation and evaluation after an episode in which she murdered her husband of 22 years, a well-renowned legislator, after finding out that he had been having an affair with his 23-year-old political assistant. The case has received tremendous media coverage.

Upon admission, the patient expresses both suicidal idealization as well as homicidal idealization with a plan to kill her husband’s young lover. She also reveals that her husband had been unfaithful once before, early in their marriage. When documenting the assessment, the RN includes that the patient expresses both suicidal and homicidal idealization with a specific plan toward the 23-year-old political assistant.

Should the information about the husband’s past infidelity also be included in the assessment note? Explain your answer.

Should the RN notify others of the patient’s homicidal thoughts and specific plan for the political assistant with whom the patient’s husband had an affair?

List Classification, Mechanism of action and what to assess before and after administering

4. Carisoprodol (Soma)

5. Vancomycin ( Vancocin)

6. Nystatin (Mycostatin)

7. Amphotericin B (Fungizone)

8.Acyclovir (Zovirax)

9. Cefazolin (Ancef)

10. Azithromycin ( Zithromax)

salmonella in the Caribbean: A case study. Reflect on the epidemiological findings of this study with 100 to 200 words

the 60,000 codes are a conglomeration of several very specific surgical specialties; please name the specialties and the codes they would use

POWER AND POLITICS, p. 50

Discuss how power and politics affect change.

• What political or economic factors influence change?

• Define organizational culture, including that it is both what an organization has and what it is.

  How does organizational culture affect the quality of nursing care and patient outcomes?

In considering the four ideological bases for global health work that are discussed in this week's material (human rights; social justice; charity; securitization), which  do you feel is most valuable in justifying global health interventions? Does this ideology align with your values? Would it matter for you that your organization shared your values if you chose to work in global health?

What is a lead indicator? What is a lag indicator? Explain using relevant examples from your organisation. What are some of the challenges of using lead indicators?