The nurse is preparing a client for coronary artery bypass graft cardiac surgery. Which interventions should the nurse provide during the preoperative phase? Select all that apply. Select one or more: a. Instruct the client how to use the incentive spirometer. b. Measure the legs for graduated compression stockings. c. Prep the skin of the chest and legs with surgical prep. d. Explain what to expect after the surgery. e. Assess the midsternal and leg dressings.
In: Nursing
Disease management is the concept of reducing health
care costs and improving quality of life for individuals with
chronic conditions by preventing or minimizing the effects of the
disease through integrated care. Disease management programs are
designed to improve the health of persons with chronic conditions
and reduce associated costs from avoidable complications by
identifying and treating chronic conditions more quickly and more
effectively, however slowing the progression of those
diseases.
Disease management inclueds
- members with a chronic disease
- supports the provider-patient relationship and plan
of care
-optimizes patient care through prevention and
proactive interventions based on evidence-based
guidelines
Components of disease management programs
include:
Population identification processes
Programs designed to target individuals with specific
diseases
Chronic and costly conditions
References:
https://www.amcp.org/about/managed-care-pharmacy-101/concepts-managed-care-pharmacy/disease-management
What else can be added to this
In: Nursing
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, currently and projected.
In: Nursing
Write a 175- to 265-word response to the following questions:
In: Nursing
Ms. Posten, a nursing instructor, explains to her class that nursing’s scholarly writing contributes to the profession by sharing information via academic papers and journal manuscripts.
1.How should Ms. Posten explain the difference in the intended audiences of these writing
2. What steps should Ms. Posten mention that are involved in before the outlining of scholarly paper can begin?
In: Nursing
Discuss how epidemiological methods are used to evaluate Healthy People 2020 objectives. Provide examples
In: Nursing
1. You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient’s room according to unit specifications and collect the necessary equipment and forms. When the patient arrives, she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions. Accompanying the patient is her daughter, who comments, “This is the fourth time she’s been admitted to this hospital in the past year.” The patient and her daughter demonstrate a close, loving relationship. The daughter not only encourages her mother, but also sets boundaries regarding her mother’s anxiety.
a. How would you evaluate the patient’s achievement of cognitive, affective, and physiologic outcomes?
b. Describe factors that could derail the attainment of expected patient outcomes.
c. List common plan of care problems encountered during evaluation and how you might respond.
In: Nursing
Implement the five stages of the writing process and apply the criteria of a good writing style.
give at least 3/4 examples
In: Nursing
Case Study 5-3
A patient with COPD
patient with COPD Is currently taking albuterol by MDI four times a day. The patient states that her inhaler does not seem to work as well as it used to. She still gets short of breath and it is sometimes hard to wait for the next dose. She is not taking any other medications at this time. Which of the following would you recommend?
(a) Continue albuterol as ordered.
(b) Give albuterol by nebulizer.
(c) Discontinue albuterol and give Serevent®.
(d) Continue albuterol and add tiotropium once a day.
Explain your answer.
The physician asks if you think the patient would do better with
levalbuterol (Xopenex®). What do you think?
If levalbuterol is ordered, should another drug be used with it?
Why or why not?
In: Nursing
In Journal article Self-stigma in PTSD: Prevalence and correlates.
Bonfils, K. A., Lysaker, P. H., Yanos, P. T., Siegel, A., Leonhardt, B. L., James, A. V., Brustuen, B., Luedtke, B., & Davis, L. W. (2018). Self-stigma in PTSD: Prevalence and correlates. Psychiatry Research, 265, 7-12. https://doi.org/10.1016/j.psychres.2018.04.004
1. Brief summary of Critical Rapid Appraisal Tool
2. Level of Evidence (hierarchy of evidence)
In: Nursing
A 66-year-old male with a history of COPD is admitted to the emergency department with shortness of breath. He is not currently taking any medication for his breathing. The patient states that he usually gets short of breath only upon exertion, but he developed a “cold” several days ago that made his breathing worse. He has been placed on oxygen. The doctor wants him to have breathing treatments.
What medication, dose, and route of administration would you suggest?
(a) How should the effectiveness of the treatments be monitored?
(b) After several days of breathing treatments and antibiotics, the patient is ready for discharge, but he still becomes short of breath during the night. What maintenance medication(s) do you suggest?
In: Nursing
B. GLOMERULONEPHRITIS
A patient with cleft lip and bronchial asthma was brought to the emergency department with chief complaint of low-grade fever, puffiness of the face and eyes in the morning, +2 edema on both feet, and tea-colored urine. Urinalysis revealed numerous RBC and certain degree of proteinuria and Antistreptolysin-O titer reaches more than 300 todd units. The doctor came up with the diagnosis of Acute Glomerulonephritis (AGN).
Answer the following questions:
1. What history-taking question should be asked by the nurse to
strengthen the diagnosis of AGN?
2. Explain the pathophysiological tracing on the development of
AGN.
3. The doctor ordered hydrocortisone TIV, create a drug study
specifying the following:
a. Drug classification
b. Mechanism of action
c. Indication (*for the case of the patient mentioned above)
d. Contraindication
e. Side effects
f. Nursing Considerations
In: Nursing
D. RENAL FAILURE
A patient with uncontrolled Type 2 Diabetes consulted in the emergency department due to shortness of breath, bipedal edema, palpitation, and decreased urinary output during the past 2 days. The following laboratory test values are presented
Serum Creatinine –2.5 mg/dL
BUN level –30 mg/dL
Serum potassium –5.9 mEq/L
HBA1C –8%
A diagnosis of Acute Renal Failure secondary to DM Nephropathy was
made by the doctor. Sodium polyesterene sulfonate (Kayexalate) was
ordered to normalize potassium level. Oral hypoglycemic agents were
revised, and insulin therapy was started to manage the blood sugar
level. Urine output is closely monitored for possible
hemodialysis.
Answer the following questions:
1. Explain the relationship of diabetes mellitus on the development
of acute renal failure using a flow chart.
2. Identify three (3) nursing diagnoses pertinent to the patient’s
condition and create hypothetical Nursing Care Plans (NCPs) for
each nursing diagnosis.
3. Create a drug study for the medication: SODIUM POLYESTERENE
SULFONATE specifying the following:
a. Drug classification
b. Mechanism of action
c. Indication (*for the case of the patient mentioned above)
d. Contraindication
e. Side effects
f. Nursing Considerations
In: Nursing
In: Nursing
write a two page reflective essay about the story of the geese focusing on teamwork and leadership as a nurse.
In: Nursing