You are working as a nurse in the emergency department. The triage nurse walks a patient into one of your empty rooms. You look at the computer to see her name is Penny, 20-year old female, c/o abdominal pain. No known drug allergies, no current medications, and denies previous medical history.  

Assessment: Penny is awake, alert, and oriented x3. Reports lower abdominal pain x 2 days. Rates her pain a 6/10, but states it is sometimes a 10/10. +nausea, denies vomiting. Physical examination finds lungs clear bilaterally and heart sounds regular. +bowel sounds x 4 quadrants. Abdomen tender to palpation. Slightest touch causes her to wince with pain. During your physical examination, you notice bruises on her arms and back. Further questioning finds burning with urination. Last bowel movement was prior to arrival. She states frequent diarrhea d/t her use of laxatives as a way to lose weight. She is due to start her next menstrual cycle next week. VS: T-37.6   BP-102/54   HR-105 RR-22    Height 5’4” Weight 100 lbs.

Social history: Penny currently lives with her parents and attends school full-time at the local community college. She is still covered under her father’s insurance plan. +smokes 2-3 cigarettes/day and admits to marijuana use when someone offers her some. You ask her if she is sexually active and she tells you she started using dating apps about 3 months ago and she “has been having a lot of fun”. She reports many new dates over the last few weeks and “feels obligated” to go home with them after the date. You question her about unprotected sex and she admits “if the guy doesn’t use a condom, I don’t say anything about it”.

Pelvic exam: Pelvic examination reveals purulent material pooled in the vaginal vault, which appears to be coming from the cervix. The physician also notes red, friable cervical ectopy. There is also a distinct odor. The vaginal drainage is swabbed and sent to microbiology for culture. You prepare a wet mount for the physician to look for trichomoniasis.

Labs:

RBC:            3.5                                          K+:    3.0                         Urine preg:             Negative

WBC:           11.2                                       Na:    130                        UA:                 

HGB:            9                                             CL:     95                          Specific Gravity     1.030

HCT:             35                                          Mg:   1.6                          WBC                        8

Platelets:    130,000                                                                          Ketones                 trace

                                                                                                             pH                         

PATIENT TEACHING NEEDS (Teach care-giver if patient cannot be taught-include all areas of need)(Must include at LEAST 3 with specific detail)

1.

2.

3.

CONCEPT MAP

Mrs. Johnson is a 70-year-old woman who had a stroke less than a year ago. Mrs. Johnson is alert and oriented. She feels the sensation to void but right-sided weakness prevents her from always being able to get to the bathroom in time. For this reason, she wears incontinence undergarments. Mrs. Johnson’s daughter, Amy stops by twice each day to check on her and prepare meals for her. There are times when Mrs. Johnson is incontinent and remains in a wet undergarment until Amy comes to visit.

While assisting Mrs. Johnson in the bathroom, Amy notices that Mrs. Johnson’s coccyx and perineal area are reddened and excoriated. Amy learns that Mrs. Johnson sometimes sits in a wet undergarment until she arrives. Mrs. Johnson explains, “I know I am wet. It is just easier to wait for you to get here than to try and change the undergarment myself.” Amy is concerned. She calls a local visiting nurses association to get some information about how to manage Mrs. Johnson’s incontinence and asks if there is any skin therapy to reduce the redness.

1. Describe at least three factors that affect voiding and may result in incontinence in an adult.
2. What is incontinence? Describe the characteristics of each of the six types of urinary incontinence: stress, reflex, urge, functional, total, and transient.
3. Which type of incontinence does Mrs. Johnson have and what data support the diagnosis?
4. Mrs. Johnson tells the nurse, “I try to limit the amount of fluid I drink to one of two small glasses a day so that I do not have to go to the bathroom as much.” What teaching should the nurse provide in response to this comment?
5. Explain at least three factors that are contributing to Mrs. Johnson’s impaired skin integrity.
6. What will the visiting nurse most likely tell Mrs. Johnson and Amy to consider in an effort to minimize Mrs. Johnson’s incontinent episodes?
7. What are three suggestions the visiting nurse will include while teaching Amy to care for Mrs. Johnson’s skin?
8. List five nursing diagnoses that are appropriate for Mrs. Johnson (three-part diagnoses).

Lack of places to sit and relax has been a problem in Ibri College of Technology for many students. They find it difficult to choose a place in their breaks where they can sit after a class or while waiting for their next class. Write a recommendation report to Dr Hamdan Al Manthari based on the problem given. Your report should have

1. Introduction

• What is the problem/situation?
• Why is it happening? (Reasons)
• What are the effects of the problem?
• What are the proposed solutions? (Three Recommendations)

2- DISCUSSION OF RECOMMENDATIONS

First solutions

• Describe the solutions
• What are the benefits and who will benefit?
• Evaluation of the solutions. Is it workable /applicable to the context? (justification)

Second solutions

• Describe the solutions
• What are the benefits and who will benefit?
• Evaluation of the solutions. Is it workable /applicable to the context? (justification)

Third solutions

• Describe the solutions
• What are the benefits and who will benefit?
• Evaluation of the solutions. Is it workable /applicable to the context? (justification)

3. Conclusion

• Restate the problem/situation
• Summarize the three solutions with their major advantages/benefits
• Anticipation for future (what will happen when these solutions are implemented)

Title :lack of places to sit and relax has been a problem in College of Technology for many students.

I need the same as this model for recommendation report

1. Introduction

• What is the problem/situation?
• Why is it happening? (Reasons)
• What are the effects of the problem?
• What are the proposed solutions? (Three Recommendations)

2- DISCUSSION OF RECOMMENDATIONS
First solutions

• Describe the solutions
• What are the benefits and who will benefit?
• Evaluation of the solutions. Is it workable /applicable to the context? (justification)

Second solutions

• Describe the solutions
• What are the benefits and who will benefit?
• Evaluation of the solutions. Is it workable /applicable to the context? (justification)

Third solutions

• Describe the solutions
• What are the benefits and who will benefit?
• Evaluation of the solutions. Is it workable /applicable to the context? (justification)

3. Conclusion
• Restate the problem/situation
• Summarize the three solutions with their major advantages/benefits
• Anticipation for future (what will happen when these solutions are implemented)

1. What is your competency level for informatics? Has this class challenged it or improved it?
2. What types of nursing informatics did you have in your pre-licensure program? Was it enough to prepare you for nursing practice?

1. What improvements are needed in both nursing education and healthcare to best utilize informatics for better patient care?

1. Obviously, these are pros and cons of advanced technology occurring at such a rapid rate. How do you believe the current virus has advanced and/or deterred technology? Provide examples.

Mobile health can transform how individuals access healthcare. Please include references

this assigment must be following criteria  concept;

1. introduction

2.Define mHealth.

3.What are the strengths of using mHealth technologies in clinical practice?

4.What are the barriers to using mHealth technologies in clinical practice?

5.Explain some of the risks involved in using mHealth technology.

6.How can mHealth technologies be used to support patient care?

7. conclusion

Demonstrate your knowledge and understanding of health information systems by listing 5 examples of terminology used in the world of Electronic Health Record (EHR). One such example is CPOE

Explain the difference between EMR, EHR, and PHR?

Are ethical codes ( Clinical trials) well designed, or are they missing information in them?

ques :

A 23-year-old patient who is suspected of having an epidural hematoma is admitted to the emergency department. Which action will the nurse plan to take?

Select one:

a. Type and crossmatch for blood transfusion.

b. Initiate high-dose barbiturate therapy.

c. Administer IV furosemide (Lasix).

d. Prepare the patient for craniotomy.

ques :

After sustaining an ABI, a 64-year-old patient has a nursing diagnosis of impaired physical mobility related to decreased level of consciousness and weakness. An appropriate nursing intervention is to

Select one:

a. turn and reposition the patient side to side every 2 hours.

b. cluster nursing activities to allow longer rest periods.

c. perform range-of-motion (ROM) exercises every 4 hours.

d. position the bed flat and log roll to reposition the patient.

ques :

The nurse is caring for an older adult patient who was admitted to the hospital following a closed head injury that resulted in a 5-minute period of unconsciousness. The nurse most carefully monitors the patient for which change?

Select one:

a. Decreasing heart rate

b. Decreasing level of consciousness (LOC)

c. Decreasing pulse pressure

d. Increasing respiratory rate

ques :

The nurse is caring for a patient with a neurologic injury who is awake. On assessment, the patient displays mild disorientation to surroundings and time and needs additional verbal cues to stimulate response to commands. The nurse correctly documents the patient’s level of consciousness (LOC) by using which term?

Select one:

a. Confused

b. Lethargic

c. Obtunded

d. Alert

Medication with strength 125 mg/mL has been ordered at 15 mg/kg. The patient weighs 274 lb. How much should be administered?

1. Describe what each parameter does:

EEG:

EOG:

ECG:

EMG:

Leg wires:

Belts:

Nasal Flow:

SpO2:

Snore:

2. Bio-calibrations! Next to each bio-calibration, enter why it is important for the patient to perform this?

Eyes Closed:

Eyes Open:

Look up:

Look down:

Look left:

Look right:

Blink rapidly:

Grind teeth:

Breath in 3 times through nose:

Deep breath and hold 10 seconds:

Flex left foot:

Flex right foot:

Count to 10:

3. After performing bio-calibrations, what is the next most important button we click on the study when patient is going to sleep?

4. During the night, C3 appears to show high impedance. What should you do?

5. List the different types of PVC's.

An integrated healthcare system implemented an electronic health record. In preparation for the implementation of a patient portal system, the healthcare organization aimed to better understand the current technology utilization of its patients and the preferences associated with the use of a patient portal for accessing electronic personal health information. 1. As the healthcare system prepares to implement a patient portal as part of the electronic health record, what method(s) should the organization use to market the portal to patients?