A 13-year-old adolescent with sickle cell disease is being admitted for RBC transfusion therapy. Explain potential complications from transfusion therapy and the nurse’s role in prevention.

1. What is Intracranial Pressure?

2. Describe the earliest sign of Increased Intracranial pressure

3. A patient who has increased ICP is at risk for?

A school bus has recently slid off of an icy bridge and is now in the icy waters below. Several children
were identified and brought to the local ER for medical treatment. A mother arrives at the ER seeking
her son. The nurse encounters the frantic mother and determines that the boy she is looking for was
pronounced dead at the scene.

1. What is the nurse’s best action?
2. What priority assessments should the nurse complete?
3. What nursing interventions are appropriate at this time?

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Jabari an 84-year-old man is hospitalized for a course of intravenous clindamycin to treat an infected tooth following a root canal procedure. A week later the patient develops profuse diarrhea: no blood is visible in the stool, but lab test was positive for blood. He is running fever with temperature of 101.9⁰ F. Physical examination reveals substantial abdominal tenderness and distension. White Blood Cells are elevated (Neutrophils 91%, monocytes 7%, lymphocytes 2%).

1. What is the microbial agent? Describe the morphology (shape, arrangement, gram reaction) and cultural properties (O2 requirement, biochemical requirements, motility, etc.) for this microbe.
2. Explain the spread or the occurrence for this infection (cause and transmission) and pathogenicity (virulent factors) of this agent relevant to this case study.
3. Describe the diagnoses (source of specimen, lab tests, and results that confirm your microbe) and treatment (name of Rx, what it targets, why/how does it work against this microbe) also include the general management of this patient.

The Spirit Catches You and You Fall Down

Would you assign blame for Lia's tragedy? If so, to whom? How do you think Anne Fadiman would respond to this question?

1. What is hemodynamic monitoring and why is it needed?
2. Noninvasive versus Invasive monitoring?
3. Define pre-load( what is a pre-load reducer and increaser?) CVP=RAP
4. Define what is after load? Patients who have too much afterload and treatment? Do we want to decrease resistance and what type of patients? SVR(invasive hemodynamic monitoring)
5. What is cardiac output? When do we need to increase/decrease it? Normal CO is what and how do we get that number ( what is stroke volume?). What is cardiac index and normal value?
6. What is MAP and the normal value?
7. What is contractility? Positive or negative inotrope? Give examples and explain their purpose.
8. Pulmonary Artery wedge pressure( Swan Ganz Catheter or pulmonary artery catheter). Normal measure and types of clients we would use this with. Left or right side of the heart measuring?

Evaluate one or more of the agency-specific policies and the impact on the provision of care for this patient.

Was policy a barrier or facilitator for care?

How does nursing leadership advocate for safe, quality care?

Analyze ethical and legal standards that impacted the care of the patient and family. Possible discussion topics include ethical standards for professional nursing practice, end-of-life decisions and advanced directives, respect for ethical rights of patients (autonomy, beneficence, etc.)

Identify the best practices that will form the basis of service delivery.

Provide at least two examples of evidence-based practice that can be referred to for the program.

Analyze and explain which of the summative evaluation methods is the most effective in accessing a research program's outcomes or effects. Describe the pros and cons of using each method.

Written Assignment

What are some characteristics of spiritual fitness?

Why are alternative health methods considered unconventional?

Why are some patients turning to alternative medicine for wellness care?

Why should patients exercise caution when relying on alternative care?

What are the benefits of good nutrition?

What are the pathophysiologic changes in COPD and how does it differ from asthma

Describe the services and resources provided by a carer support organisation. (100–150 words)