Write a short essay of between 300-600 words about Why have you chosen to pursue a career in health care and what are the key qualities you possess that will help you be successful?

1-Define clinical leadership and explain your preferred style of leadership; give reasons why.

2-What is the role of the nurse manager in a given system? How would you apply your skills to help new nurses or employees meet

their own professional development? Give specific examples.

3-Discuss the issues about having millennials as working nurses and debate their participation in the nursing field, current and projected.

How would you define health? Why would you define it that way?

List 5 steps in the medical management of those clients with anemias

When caring for a client with sickle cell anemia, list 5 nursing intervention with an explanation of each

Interpret the following medication orders:

1. naproxen 250 mg p.o. b.i.d.______________________________________________________
2. cefaclor 500 mg p.o. stat, then 250 mg q.8h ________________________________________

3. Ativan 10 mg IM q.4h p.r.n., agitation ______________________________________________
4. Mylanta 10 ml p.o. p.c. at bedtime_________________________________________________
5. atropine sulphate ophthalmic 1% 2 gtt o.d. q.15 min x 4 _______________________________

6. Compare and contrast t.i.d. and q.8h administration times. Include sample administration time for each in your explanation.

7. Describe your action if no method of administration is written?

8. Do q.i.d. and q4.h have the same meaning? Explain.

9. Name the seven parts of a written medication prescription.

10. Who determines the medication administration times?

Provide an overview of the interpersonal skills, personal qualities and presentation techniques that can contribute to the successful sharing of updated information and knowledge.

Clinical Note

Age     58             Sex           M        Date

Chief complaint "Pain on my chest" on and off for the past six months.

History of present illness Mr. Solomon is a 58 year old insurance broker who presents tonight in the office following an episode of "chest pain" that he experienced earlier in the day during a golf game. Although he minimizes the severity of the pain and attributes it to being "out of shape," his wife insisted that he see a physician because he has had similar episodes during the past six months.

Mr. Solomon describes the pain as being more of a discomfort or heaviness. It is localized to "my breast bone" and does not radiate. Today, following a brief rest, the pain subsided and he returned to his golf game. Previous episodes of the heavy feeling tended to occur following large meals and one occasion, while dancing at a wedding. None of the episodes lasted more than "several minutes."

Although Mr. Solomon did not experience nausea or vomiting today, he notes many episodes in the past of feeling a burning sensation in his chest. He describes the sensation as being "like acid behind my breast bone." This feeling occurs most often late at night when he lays down. Usually he has had a large meal or drank alcohol. The sensation does not radiate.

Patient's perspective: When asked about how he feels about these episodes, he admits to being concerned about his health and longevity, considering his father died at age 52 of "heart problems." He says, business is poor, my kid is always in trouble. "Who’s going to take care of things?"

Past Medical history: Not significant

Past Surgical History: None

Family History: Father died of "heart problems" at the age of 52.

Social History: Mr. Solomon smokes � to 1 pack of cigarettes per day. He drinks 2-3 cocktails per nights to "settle my nerves."

Medications: Vitamins

Allergies: None

Review of systems: No significant problems

Physical Examination

Mr. Solomon is a short, moderately obese man who appears somewhat anxious but is in no apparent distress. He is wearing clean casual shirt/pants. Vital sings: BP right arm 162/94; left arm 160/92. Weight 176lbs; Height 5’7". Respiratory rate is 16/minute. Temperature, 98.4� F.

Examination of cardiovascular system reveals a regular, apical heart rate of 86/minute. S1 is heard best at the apex; a loud S2 is heard best in the R2ICS and L parasternal border. A questionable S4 is heard at the apex. There are no murmurs or apical prominence. There is no peripheral edema.

Lungs are clear to percussion and auscultation. An indirect hernia is noted in the right inguinal region. The abdomen is examination is negative for abnormalities.

LABORATORY TESTS:

CBC: WBC = 5,600/mm3, hemoglobin = 15.2g/dL, hematocrit = 45%, platelet count = 320,000/mm3

Chemistries: Glucose 110mg/dL, Blood Urea Nitrogen (BUN) 11mg/dL, Creatinine 0.9mg/dL

Urinalysis: Specific gravity: 1.016; Protein, Glucose, Ketones = negative.

Chest X-ray: normal

QUESTION:

1. Describe the disease process with a minimum of 300 words: definition, epidemiology, signs and symptoms treatment and management.

2. Describe the significance of the laboratory examinations performed to the patient.

3. Trace the pathophysiology of disease.

4. Make a drug study with 6 columns.

   4.1. Generic name, brand name if any, classification, dosage, frequency, route of administration
   4.2. Mechanism of action
   4.3. Indications and drug rationale (why the drug is being given to patient

   4.4. Contraindication
   4.5. Common side effects
   4.6. Nursing considerations while taking the drug.

5. Make at least 2 nursing care plan based on your assessment that needs to prioritize.

6. What are your discharge plan or recommendation to C.D. using the mnemonic

   METHOD

a.M-Medication

b.E-Environment/Exercise

c.T-Treatment

d.H-Health Teachinge.

O-Observation/Out-patientf.

D-Diet

  In regards to "The Spirit Catches You and You Fall Down", discuss two (2) cultural differences between the Hmong culture and western medicine. Support these differences with sources and be comprehensive with your answers.