Briefly identify Betty Nueman's theorist’s background, including credentials and practice experiences, title of model/theory, reason for development and how the model/theory is classified (level of theory development) by the nursing community.

1. What is/are your suggestion(s) for improvement of care plans as it relates to CDS?
2. Discuss potential risks of the your CDS improvement suggestions.

detailed health assessment vs comprehensive health assessment

-Compare the clinical manifestations of bacterial meningitis in infants with those seen in older children and adolescents.

•Explain the pathophysiology of bacterial meningitis.

•Discuss Neisseria meningitides as a causative agent in bacterial meningitis.

•Discuss the actions, side effects, contraindications and nursing considerations of the following medications:

• Ceftriaxone

o Vancomycin hydrochloride

o Fentanylcitrate

o Midazolam hydrochloride

o Diazepam

o Lidocaine/Prilocaine topical cream

•What is a febrile seizure, and what age group is most likely to experience this type of seizure?

•Discuss nursing responsibilities in initiating seizure precautions.

•What is the meningococcal conjugate vaccine, and what are the recommendations for its administration?

Describe the difference between relative and absolute risk. Which one would you use to convince community members to change a behavior or exposure of your choice? Why?

The International Council of Nurses (INC)

How Nurses belong to this organization can demonstrate collegiality.

How can professional Nurses collaborate with and support other nurses and nursing students through this organization?

1. Write a brief definition for the following terms:

• in-patient
• out-patient
• ambulatory care service

2. Discuss the importance of, and give two examples of each, disaster and emergency preparedness plans for:

• fires
• natural disasters
• large-scale accidents
• pandemics

Clarification:

You need to give two examples that you would find in a disaster or emergency preparedness plan for each of the bulleted items.

fires: an item in a disaster plan may be that all fire doors are held open by magnets and when the alarm sounds the doors automatically close. another example would be that the emergency preparedness plan states that all employees must leave the building through the exit closest to their work area to be accounted for.

Then the same kind of thing for each of the other three items.

Please answer for study guide:

1. What will be some patient teachings for Addison’s and Cushings?
2. What will be some patient teaching for hypothyroidism and hyperthyroidism?
3. Are there any lab values to be concerned about for Addison’s? If so, what are they?

I need assistance finding studies as references for an assignment. These are the parameters I require:

Topic: PTSD as a result of trauma.
PUBLISHED 2014 or after
Peer reviewed study
One author is a RN
Study conducted NOT in the following countries: China, Middle East, Russia, India

I need TWO of these types of studies. Thanks in advance!

Case Scenario

80 year-old male that presented with a clinical history of CVA with right hemiparesis and aphasia, chronic atrial fibrillation, and currently on anticoagulants.

Patient’s had developed abdominal, constipation, wheezing, and shortness of breath 1-week PTA. The patient was diagnosed with a 1.5 cm ureteral stone, pulmonary congestion, and bilateral pleural effusions.

Labs:

WBC 15.0.

Hgb 5.8

MEWS: 2

Interventions:

1 Unit PRBC

VS:

Pre- Transfusion: BP 120/75, Temp 97.5, HR 80 bpm, RR- 20 on 2 lpm at 97% Saturation

During Transfusion: BP 180/95, Temp 98.2, HR 124, and RR 18 on 2 lpm at 96% Saturation

Post Transfusion: BP 150/85, Temp 99.2, HR 120, RR 25 on Venti Mask 50% Fi02 at 95% Saturation

Transferred to ICU at 04:00

Question

What is the process for Blood Transfusion?

What are the signs and Symptoms of Blood Transfusion Reaction?

Are there any abnormal findings? If yes, what would you do?

Case Progression

Patient was admitted to ICU at 04:05. Patient in critical condition due to multiple acute medical conditions upon arrival to the ICU and continued to decline, you immediately placed a call with Intensivist to inform of the patient condition, but the physician never return your call.

VS: BP 90/85, Temp 99.2, HR 130, RR 25 on Venti Mask 50% Fi02 at 88% Saturation.

Labs: Stat ABG: PH 7.1, SPO2 78, CO2 45, Bicarb 23; lactic acid 6

MEWS: 6

Questions:

Chain of Command

What is the process for Chain of Command?

What action will be taken if chain of command was used but the patient condition is deteriorating?

Case Progression

After following the chain of command, you are able to speak with the doctor and received the following orders.

Immediate intubation

Insert central venous catheter and arterial line for IV access and hemodynamic monitoring

Additional units of FFP and PRBC ordered

Labs: CBC, CMP, ABG, CXR, Lactic Acid, Pan- culture

Antibiotics, Sedation

Your shift is finally over,

Questions:

What communication tool should you utilize to provide thorough report to oncoming nurse?

Case Scenario

80 year-old male that presented with a clinical history of CVA with right hemiparesis and aphasia, chronic atrial fibrillation, and currently on anticoagulants.

Patient’s had developed abdominal, constipation, wheezing, and shortness of breath 1-week PTA. The patient was diagnosed with a 1.5 cm ureteral stone, pulmonary congestion, and bilateral pleural effusions.

Labs:

WBC 15.0.

Hgb 5.8

MEWS: 2

Interventions:

1 Unit PRBC

VS:

Pre- Transfusion: BP 120/75, Temp 97.5, HR 80 bpm, RR- 20 on 2 lpm at 97% Saturation

During Transfusion: BP 180/95, Temp 98.2, HR 124, and RR 18 on 2 lpm at 96% Saturation

Post Transfusion: BP 150/85, Temp 99.2, HR 120, RR 25 on Venti Mask 50% Fi02 at 95% Saturation

Transferred to ICU at 04:00

Questions:

1. What is the process for Blood Transfusion?
2. What are the signs and Symptoms of Blood Transfusion Reaction?
3. Are there any abnormal findings? If yes, what would you do?

Case Progression

Patient was admitted to ICU at 04:05. Patient in critical condition due to multiple acute medical conditions upon arrival to the ICU and continued to decline, you immediately placed a call with Intensivist to inform of the patient condition, but the physician never return your call.

VS: BP 90/85, Temp 99.2, HR 130, RR 25 on Venti Mask 50% Fi02 at 88% Saturation.

Labs: Stat ABG: PH 7.1, SPO2 78, CO2 45, Bicarb 23; lactic acid 6

MEWS: 6

Questions:

Chain of Command

1. What is the process for Chain of Command?
2. What action will be taken if chain of command was used but the patient condition is deteriorating?

Case Progression

After following the chain of command, you are able to speak with the doctor and received the following orders.

1. Immediate intubation
2. Insert central venous catheter and arterial line for IV access and hemodynamic monitoring
3. Additional units of FFP and PRBC ordered
4. Labs: CBC, CMP, ABG, CXR, Lactic Acid, Pan- culture
5. Antibiotics, Sedation

Your shift is finally over,

Questions:

1. What communication tool should you utilize to provide thorough report to oncoming nurse?

   Case Scenario

   82 year-old male that presented with a clinical history of CVA with right hemiparesis and aphasia, chronic atrial fibrillation, and currently on anticoagulants.

   Patient’s had developed abdominal, constipation, wheezing, and shortness of breath 1-week PTA. The patient was diagnosed with a 1.5 cm ureteral stone, pulmonary congestion, and bilateral pleural effusions.

   Labs:

   WBC 15.0.

   Hgb 5.8

   MEWS: 2

   Interventions:

   1 Unit PRBC

   VS:

   Pre- Transfusion: BP 120/75, Temp 97.5, HR 80 bpm, RR- 20 on 2 lpm at 97% Saturation

   During Transfusion: BP 180/95, Temp 98.2, HR 124, and RR 18 on 2 lpm at 96% Saturation

   Post Transfusion: BP 150/85, Temp 99.2, HR 120, RR 25 on Venti Mask 50% Fi02 at 95% Saturation

   Transferred to ICU at 04:00

   Questions:

2. What is the process for Blood Transfusion?
3. What are the signs and Symptoms of Blood Transfusion Reaction?
4. Are there any abnormal findings? If yes, what would you do?

5. Case Progression

   Patient was admitted to ICU at 04:05. Patient in critical condition due to multiple acute medical conditions upon arrival to the ICU and continued to decline, you immediately placed a call with Intensivist to inform of the patient condition, but the physician never return your call.
   

   VS: BP 90/85, Temp 99.2, HR 130, RR 25 on Venti Mask 50% Fi02 at 88% Saturation.

   Labs: Stat ABG: PH 7.1, SPO2 78, CO2 45, Bicarb 23; lactic acid 6

   MEWS: 6

   Questions:

   Chain of Command

6. What is the process for Chain of Command?
7. What action will be taken if chain of command was used but the patient condition is deteriorating?

8. Case Progression

   After following the chain of command, you are able to speak with the doctor and received the following orders.

9. Immediate intubation
10. Insert central venous catheter and arterial line for IV access and hemodynamic monitoring
11. Additional units of FFP and PRBC ordered
12. Labs: CBC, CMP, ABG, CXR, Lactic Acid, Pan- culture
13. Antibiotics, Sedation

14. Your shift is finally over,

    Questions:

15. What communication tool should you utilize to provide thorough report to oncoming nurse?

Instructions

• Please answer all questions
• Use the given dataset “Homework_EX_1”.
• Please include the relevant SPSS output (such as tables and graphs).
• Include the screen snapshots of how you specify the model in SPSS (use the “Print_screen” function in your keyboard to capture each screen and paste it in the word document).

Please provide a clear WELL-WRITTEN interpretation for each question.

Objective 1: To assess relationship of body mass index (BMI) and relevant variables using dataset (Homework_EX_1). Data were collected on 2763 female to assess their risk of metabolic conditions. The variable Age, smoking, race, exercise, physical activity, alcohol, glucose, statins and diabetes are included in the given dataset.

Q1. First, determine the relationship between body mass index, BMI (dependent variable) and Blood glucose, glucose only (independent variable).

1. What is the null and alternative hypotheses?
2. Comment on the fit of the model? How much variability does it explains?
3. Is there a significant relationship between these two variables?        
4. Interpret the blood glucose coefficient?
5. Are the assumptions of the linear regression model satisfied?

Q2. First, determine the relationship between body mass index, BMI (dependent variable) and diabetes only (independent variable).

1. Is there a significant relationship between these two variables?
2. Interpret the diabetes coefficient?

Q3. Next, determine the relationship between body mass index, BMI (dependent variable) and glucose (independent variable) while including Age, diabetes, smoking, alcohol or physical activity variables in the model.

1. Fit regression model for body mass index using enter method for all these variables. If Age, diabetes, smoking, alcohol or physical activity are significant variables to keep in the model. If yes, then please specify the nature of this relationship i.e. confounder or effect modifier and also include interaction term, if appropriate.
2. Now, fit regression model for body mass index using different selection methods (stepwise, backward, forward) and compare their results?
3. Comment on the fit of the final chosen model using different selection methods? How much variability does it explains?
4. Is there significant relationship between these independent and the dependent variable? Which variables are significant and interpret these coefficients?
5. Are the assumptions of the linear regression model satisfied for your final chosen model?

Q4. Now, Compare the fit of the first model in Q1 and the final model in Q3? Does the inclusion of these variables improve the model? Should all of them be included in the model? Explain your reasoning?

Objective 2: To assess relationship of diabetes and relevant variables using dataset (Homework_EX_1). Data were collected on 2763 female to assess their risk of metabolic conditions. The variable Age, smoking, race, exercise, physical activity, alcohol, glucose, statins and body mass index are included in the given dataset.

Q5. To assess relationship between diabetes as dependent variable and other variables as independent variable.

1. Run a regression model to test for association between diabetes and blood glucose. Does this suggest that blood glucose is associated with diabetes? How do you interpret the effect size and 95% CI? Now, also include race variable in the model, does this suggest that race is associated with diabetes? How do you interpret the effect size and 95% CI of variable race when adjusted for blood glucose level?

2. Run a regression model to test for association between diabetes and independent variables (body mass index and blood glucose) and also their interaction term (body mass index and blood glucose). Is the interaction term significant? How do you interpret the interaction co-efficient effect sizes and their 95% CI?

3. Run a regression model to test for association between diabetes and statins. Does this suggest that statins are associated with diabetes? How do you interpret the effect size and 95% CI?

4. Run a regression model to test for association between diabetes and exercise. Does this suggest that blood glucose is associated with diabetes? How do you interpret the effect size and 95% CI?

5. Run a regression model to test for association between diabetes and Smoking. Does this suggest that smoking is associated with diabetes? How do you interpret the effect size and 95% CI?

6. Run a regression model to test for association between diabetes and alcohol. Does this suggest that alcohol is associated with having diabetes? How do you interpret the effect size and 95% CI?

Q6. Use forward LR method and enter method to assess relationship between diabetes as a dependent variable and all other co-variates (Age, blood glucose, race, smoking, alcohol, exercise, physical activity, and body mass index). Also include in the models to assess the following three mentioned interaction terms; body mass index and blood glucose, alcohol and smoking and finally body mass index and physical activity. Which variables and their interaction terms are statistically associated with diabetes and only include Interaction terms which are appropriate? Choose your final model between enter and forward LR method and then perform model diagnostics. How do you interpret the effect size and 95% CI of your final model?

Which statements are true about helium and heliox mixtures?

I. Helium is a gas that is denser than either air or oxygen.

II. Heliox decreases the effective flow resistance in patients with upper airway obstruction.

III. If you use a flow meter calibrated for oxygen to deliver a 70:30 heliox concentation, the actual flow of heliox will be 1.8 times greater than the indicated flow.

IV. Heliox can’t be administered through a mechanical ventilator.

A. I and IV only

B. II and III only

C. III and IV only

D. I and II only