PLEASE READ THE CASE STUDY AND ANSWER THE QUESTIONS TO THE BEST OF YOUR ABILITY:

Mr. Jackson is 86 years old. He is admitted to HUMC for congested heart failure. He also has a history of renal failure and goes for dialysis on Mondays, Wednesdays and Friday. He has an AV fistula in his right hand. He also has a history of diabetes, hypertension and depression.

He is allergic to shrimp. He is a nonsmoker. He lives with his wife and two sons.

He is on a renal, low sodium, low cholesterol diet.

He is positive for clostridium difficile.

He suffered a stroke while he was in the hospital and now has left sided weakness.

9. After you have identified possible complications for Mr. Jackson list nursing outcomes or interventions that would be included in his plan of care?

PLEASE READ THE CASE STUDY AND ANSWER THE QUESTIONS TO THE BEST OF YOUR ABILITY:

Mr. Jackson is 86 years old. He is admitted to HUMC for congested heart failure. He also has a history of renal failure and goes for dialysis on Mondays, Wednesdays and Friday. He has an AV fistula in his right hand. He also has a history of diabetes, hypertension and depression.

He is allergic to shrimp. He is a nonsmoker. He lives with his wife and two sons.

He is on a renal, low sodium, low cholesterol diet.

He is positive for clostridium difficile.

He suffered a stroke while he was in the hospital and now has left sided weakness.

10. Mr. Jackson is incontinent of stool. As a student nurse what would you do to address his bowel elimination needs?

1. What is one of the most important responsibilities of the Clinical Research Coordinator?

Group of answer choices

The patient comes in for their visits

Every patient has read, understands, and signs the Informed Consent Form

The investigational product is dispensed

Meets enrollment goal or target

2. Who can create Source Documents?

Group of answer choices

Principal Investigator

Clinical Research Coordinators

Nurses

All of the choices

3. What are some common data errors?

Group of answer choices

All of the choices

Providing ambiguous data

Misspelling

Providing incomplete data

Approval of the protocol by the Institutional Review Board is required when?

Group of answer choices

After Initial Protocol Institutional Review Board Approval, Protocol Amendment Institutional Review Board Approval, and Continuing Institutional Review Board Approval

Institutional Review Board approval is never needed

Only Initial protocol needs Institutional Review Board Approval

When there is a change to the Institutional Review Board Approved protocol

How often after the initial Institutional Review Board approval should a protocol be reviewed by the Institutional Review Board?

Group of answer choices

The Institutional Review Board reviews on a monthly basis for greater than minimal risk studies.

The Institutional Review Board reviews after every new patient has been enrolled.

The frequency of reporting varies but should be reviewed at least annually.

A protocol never has to be reviewed after initial approval.

What are the rationales of the each symptoms below of Ischemic stroke?

1. Numbness on the left side of the face​

2. Blurred vision in both eyes

3. Blurred vision in both eyes​

4. BP: 138/92 ​

5. HR: 92 ​

6. Slurred speech​

7. Drooping left side of face​

8. Carotid artery bruit​

9. Redness, warm, and tenderness of the left lower extremity. ​

PLEASE READ THE CASE STUDY AND ANSWER THE QUESTIONS TO THE BEST OF YOUR ABILITY:

Mr. Jackson is 86 years old. He is admitted to HUMC for congested heart failure. He also has a history of renal failure and goes for dialysis on Mondays, Wednesdays and Friday. He has an AV fistula in his right hand. He also has a history of diabetes, hypertension and depression.

He is allergic to shrimp. He is a nonsmoker. He lives with his wife and two sons.

He is on a renal, low sodium, low cholesterol diet.

He is positive for clostridium difficile.

He suffered a stroke while he was in the hospital and now has left sided weakness.

12. How will you evaluate the nursing care that was provided after the care plan and implementation of his conditions?

As the new chief executive officer (CEO), you have put many things in place at the Mucho County Healthcare System, and it has been in operation now for 3 years. Reflect on the work that you have done so far.

What do you think were the major managerial failures at the Mucho County Healthcare System? What could it have done better to command good care outcomes and patient experience?

Describe patient-care technologies as appropriate to address the needs of a diverse patient population. 4. Investigate safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. 5. Identify patient care technologies, information systems, and communication devices that support safe nursing practice. 7. Examine the use of information systems to document interventions related to achieving nurse-sensitive outcomes. 8. Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care.

Mgmt. of Principles of HIM

Developing Skills and Characteristics of a Culturally Competent Manager (Leader)

To create a culturally competent organization one must consider internal and external objectives which is a continual process. This is not only a crucial component in developing skills and characteristics of a culturally competent leader; but it must be embraced as an ongoing process of professional and personal development.

Challenging and perhaps altering attitudes and opinions of those different from ourselves as well as identifying our own biases, is not an easy task.

This discussion assignment will allow you to take first steps toward self-awareness. Take a moment and share your responses to the following questions:

• When did you first become aware that people were different racially or ethnically?
• When did you first become aware of yourself as a member of a racial or ethnic group?
• When were you first made aware of people being treated differently because of their race or ethnicity?

Make an individual Health Teaching Plan ( Instructional Plan ) for a mother's class specifically focusing on Breast Care and Breastfeeding. Please use the template attached for your guide.

INSTRUCTIONAL PLAN

Theme:

Goal:

Date:

A patient who completed a third cycle of trastuzumab, doxorubicin, cyclophosphamide and paclitaxel reports numbness and tingling of hands and feets. Which medication is most likely causing this side effect:

a. doxorubicin

b. paclitaxel

c. cyclophasmide

d. trastuzumab

Part I

Define the following ethical perspectives in your own words. A minimum of three sources must be utilized and cited properly with in-text citations and a reference list. Avoid using direct quotes. If you summarize or paraphrase information in your own words, you must cite sources to provide credit for the ideas and concepts.

A = Rule utilitarianism
B = Kantian ethics
C = Virtue ethics
D = Care ethics
E = Social contract ethics
F = Subjective relativism
G = Cultural relativism
H = Divine command theory
I = Act utilitarianism

Part II

Determine which ethical perspective above is primarily reflected in each of the ten arguments below and explain why. A minimum of three sources must be utilized and cited properly with in-text citations and in the reference list. Avoid using direct quotes. If you summarize or paraphrase information in your own words, you must cite sources to provide credit for the ideas and concepts.

1. Margarita spoke with her family and they all agreed that they would let her take the medication that would allow her to die peacefully instead of in pain.
2. Souerette watched over the children in the daycare meticulously. She knew which children she could trust alone because of their behaviors with each other.
3. He does not have the right character and temperament to be a state governor. He avoided service by faking a medical condition, he rarely tells the truth, he eats and drinks too much, and he has little patience with people.
4. Patient autonomy and free choice are morally correct.
5. I believe that it is perfectly fine to lie about some things.
6. Wearing a mask when engaging with the public is the right decision because it protects the welfare of those in your community.

Discuss your observations and experiences, how Hawthorne effect increase or decrease productivity (or maybe both?) and what kind of bias will thin introduce?

Delegation

Tom Joserine, a nurse manager of a 36-bed orthopedic unit, has decided that he is too busy to complete all the work that needs to be done. Nurse Joserine has recently read an article on delegation and has decided that delegating tasks to others is an excellent way to accomplish the mound of work that he has to complete. He believes that there are two tasks that take most of his time, disciplinary problems and quality improvement activities. Nurse Joserine calls the nursing coordinator, Janet Jeleen, into the office and informs her that she will now be responsible for all evaluations and handling of incident reports. Nurse Jeleen tells him that she will need some guidance on this new activity. Nurse Joserine informs her that the hospital has managerial classes in which she can enroll to help her with this new duty.

Nurse Joserine also calls Jo Ellen Mae, a clinical nurse specialist for the orthopedic unit, and informs her that she will now be responsible and accountable for the quality improvement activities on the unit. Monthly reports are due on the 10th of each month. He informs Nurse Mae that if she has any questions, she can call the head of the quality improvement committee. When Nurse Joserine leaves the hospital that day, he feels good that he has decreased his workload and happy that he found the article on delegation.

1. Did Nurse Joserine delegate tasks appropriately? Why or why not?
2. Who will be held accountable for the outcomes of the roles/tasks that Nurse Joserine has delegated?