How do we establish scientific rigor in quantitative research? Why is this important?

At a company picnic held at an out-of-town park, a co-worker’s child falls off the monkey bars. Based on the bruising and slight change in shape of her forearm, you suspect a fracture. The parents give permission for you to give first aid care, but they insist on transporting her to advanced care themselves. You search for materials in your environment to use for splinting her injury.

What material could you use to splint the child's arm?

What parts of the arm must be immobilized?

Describe how you would apply the splint.

can children with a cognitive impairment from down syndrome have a range of cognitive impairment? If so, explain how some children may become higher functioning than others.

Conduct a literature search to locate a journal article related to the health or health care practices of the Arab people. Present the summary of the journal article and examine how the information presented may impact your nursing practice. Please provide a copy of the journal article or hyperlink if possible.

A 34-year-old male patient presents to the ER with severe flank pain. He has just returned from being on a trek through Nepal for the past month. A skin pinch test has very slow rebound of the skin. The patient complains of thirst and difficulty in urinating. a. What is the most likely diagnosis of the patient? b. Explain the pathophysiology of the condition listed in (a) c. How would this condition be treated? d. What is your first priority for the nursing care of this patient? Why?

A student nurse has a 1-day observational experience in the cardiac care unit. As part of the preparation for the experience, the student needs to know about antiarrhythmic agents including propranolol and diltiazem. Answer the below questions for situation.

What are the therapeutic actions for diltiazem and propranolol?

What are the indications for diltiazem?

What are the key nursing considerations prior to and after administration?

What are the key nursing teaching points for patients receiving antiarrhythmic agents?

Finalize your interview protocol for the interview with a professional in a health science career. Meet with the instructor to have it approved. Finalize who you will interview, how you will contact the person, and how you will conduct the interview

A 56-year-old male patient is brought in by ambulance after vomiting bright red blood for the last 30 minutes. On examination the patient has a swollen abdomen and gynaecomastia. His partner, when questioned, mentions that the patient has been a chronic drinker for the last 15 years.

1. What is the likely cause of the patient vomiting blood?                                                       (1 mark)
2. What is the underlining cause of all the symptoms the patient has presented with? (1 mark)
3. Explain the pathophysiology of each of the symptoms the patient has presented with in relation to the diagnosis in (b).                                                                                                                 
4. What is your first priority for the nursing care of this patient? Why?                           

Explain why the TSH, T3, and T4 indicate the client has hypothyroidism.

What is the cause of goiter?

What signs and symptoms indicate Joe Clark has hypothyroidism? Explain at least 4.

What is the name of the medication a client will take for hypothyroidism?

What directions will you give Mr. Clark about his new medication?

If Mr. Clark does not take his medication or has an infection what is the life-threatening condition that can develop? What signs and symptoms would he have if he has this condition? List 3 signs and symptoms and discuss the nursing interventions related to these 3 signs and symptoms

I'm not understanding

Wendy is 22 weeks pregnant with her third baby. Her other children are two and four years old. She gained 15 lbs. with each previous pregnancy. Her previous pregnancies were uncomplicated, so she was surprised to hear that she has developed gestational diabetes. She has always enjoyed eating extra desserts and snacks while she was pregnant, figuring she was eating for two. Plus, now that she has two small children, she reasons that she needs extra energy to take care of them too.

1. What is the most likely explanation for Wendy developing gestational diabetes with this pregnancy, but not with her previous pregnancies?

2. Wendy has an appointment with a registered dietitian. What general diet recommendations is she likely to make?

3. Wendy’s parents both have Type 2 Diabetes. She does not want to develop Type 2 Diabetes when she gets older. What would you suggest to Wendy?

4. Discuss blood glucose goals during pregnancy and the nutritional adjustments for meeting those goals.

Alan, age 75 is a white man admitted to the hospital following a cerebrovascular accident. He has a history of Type 2 Diabetes Mellitus, Hypertension, moderate obesity, and consumes 4 alcoholic drinks per day. Medication on admission are Lasix, Inderal, Hydrochlorothiazide, and Diabanese 500 mg orally twice a day. Alan comes to the clinic regularly, and at his last visit, he complained of blurred vision, polydipsia, polyuria, and a weight loss of 8 pounds in the past two weeks. He was admitted to the hospital with a diagnosis of a urinary tract infection and hyperglycemia. Physical examination revealed the following: • Height 5’11” • Weight 215 lbs. • Cholesterol 380 mg/dl • Triglycerides 300 mg/dl • Blood Pressure 160/82 mmHg • Blood Sugar 315 • Family History: Sister has had Type 2 Diabetes Mellitus for 10 years.

1. What are Alan’s blood glucose and lipid goals?

2. Identify the times of day Alan should check his blood glucose levels?

3. List the symptoms and clinical data that support treating Alan for hyperglycemia. What are the appropriate treatment strategies?

4. What effect does Alan’s daily alcohol consumption have on his blood glucose levels?

5. What long term complications would you expect if Alan’s blood glucose levels are not properly controlled?

1. What can effective communication do for the patient or coworker?
2. What are some things to remember when trying to build trust through communication?
3. What barriers can create miscommunication?
4. What are some ways you can offer criticism in a professional manner?

CASE STUDY TEMPLATE

Case study: Carol, a 50 yr old female patient presents to the office with a month-long history of intermittent headache. Headaches occur 1-2 times weekly, and last approximately 2-3 hours, and improve with over the counter treatment. Pain is described as sharp, and bilateral. Denies systemic symptoms. She has no history of headaches. The patient reports she recently lost her husband in an accident.

PMH includes Diabetes Mellitus Type 2

Social history: Current every-day smoker, ½ PPD, denies ETOH.

Family History: Mother deceased 89 years old with breast cancer

                             Father deceased 72 years old congestive heart failure

Medications: Hormone replacement therapy,

          bupropion XL (Wellbutrin) 150mg by mouth every day.

Vitals: Temp 100F, BP 150/90, HR 70, RR 18

working diagnosis to answer the following questions:

1: Are there any risk factors that predisposed this patient to the working diagnosis?

2: Consider Past Medical history, Social and/or Family history- does any of this influence or support your working diagnosis? if so, explain.

2: What is the classic subjective presentation for a client who has your working diagnosis? (HPI-OLD CART-PQRST)

4: List the body systems will you need to examine based on your working diagnosis, and include the findings that would be expected in that condition.

5: What procedures, labs or diagnostic studies will you need to order to support your working diagnosis, and indicate what results would support your diagnosis.

6: Using approved guidelines from your guideline texts (Fenstermacher or Cash & Glass), establish the treatment plan for this patient. Be specific and include medications you would order, strength, frequency, length of treatment and any referrals for interprofessional care.

7: What type of education will the patient require about the diagnosis and management plan?

8: What is your follow up plan for the patient?

What priority nursing actions apply to the case study (Saunders document along with page number)

John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. No known allergies (NKA). Non-significant past medical Hx. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Neuro WNL's, alert and cooperative. IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Stools are decreasing but patient remains very weak. Wife at bedside. Diet as tolerated. Dr. Jones.