What type of management style do you feel most comfortable working under as a student? Are there situations when you feel co mfortable with a different type of management style?
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The patient tested with Nerresira Gonorrhea.
The patient's urine appeared clear, and urine culture was negative, although urinalysis was positive for leukocyte esterase, and multiple white cells were seen on microscopic c examination of urine. He gave a history of being sexually active with five or six partners in the past 6 months. He claimed that he and his partners had not had any sexually transmitted infections. His physical exam was significant for a yellow urethral discharge and tenderness at the tip of the penis.
1) Are his urinalysis and urine culture findings consistent with his illness? Explain
2) What virulence factor(s) made by this organism is responsible for his symptoms?
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Listen to the following conversation by Paul Farmer. Do you agree or disagree with his argument that health care is a human right? Why/Why not?
Share at least one outside resource to support your argument.
Paul Farmer: I Believe in Health Care as a Human Right.
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Listen to the following conversation by Paul Farmer. Do you agree or disagree with his argument that health care is a human right? Why/Why not?
Share at least one outside resource to support your argument.
Paul Farmer: I Believe in Health Care as a Human Right.
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Do you think the mental health system in our country today functions well, or is it broken? Why or why not?
Support your choice with at least two examples and one credible resource.
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Que 1, You are a RN working in ED, looking after Edith, an 87-year-old with an admitting diagnosis of Acopia. All acute interventions have been completed for Edith, but the wards are full, so she will spend the next 8 hours (+) on an ED trolley in a corridor.
What is the impact of a diagnosis based on the labelling of a patient?
How do normal changes of ageing increase the risk of Edith developing a pressure injury in this scenario?
Que 2, You are a RN working in community care, visiting Amita, a 76-year-old with a chronic and painful venous ulcer on her lower leg. She takes multiple medications for chronic illness, and a codeine-based medication for pain. Amita lives alone in her own home.
How would Amita’s chronic pain impact on her ability to maintain a safe environment?
Why is Amita, as an older adult, more vulnerable to adverse drug events?
Que 3, You are a RN working on an acute medical ward, looking after Oliver, an 80-year-old with painful cellulitis from hand to shoulder resulting from a small left hand scratch sustained while gardening. He is admitted for 7 days of QID IVABs via a right cubital fossa PIVC. Because of the cellulitis, PIVC and IVAB regime, Oliver’s mobility is limited.
Outline the normal changes of ageing on the respiratory system in predisposing Oliver to pneumonia during his hospital admission.
What are the benefits of increasing the mobility of an older adult during hospitalisation? How should the RN encourage incidental exercise during Oliver’s admission?
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Examine the Strength and weakness if nightingles theory using the criteria from chinn and karmmer
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Roger works in a rural emergency department and on night shift him and another RN are the only nurses within department. One night his bestfriend was brought in with a minor trauma. Unfortunately,his partner for the night was busy with another client and the Roger did not know what to do as he recognized that nursing his best friend could be a conflict of interest .How should rogers handles this situation ?
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Description:
John Miller, a 65-year-old male, arrives at the clinic complaining of his shoes not fitting and feeling like he cannot take a deep breath. During the patient interview, he also states that he is having intermittent pain in his chest. He is taking glyburide 2.5 mg daily, captopril 25 mg twice a day, and HCTZ 25 mg daily. He has not taken the HCTZ for 2 weeks and is hoping to get this medication refilled. The physician wants to evaluate his congestive heart failure. He orders an ECG and a stress echocardiogram. The patient has not previously had a stress echocardiogram and you need to explain it to him before the test begins.
Discussion Questions:
1. Explain to John the difference between an ECG and an echocardiogram.
2. John expresses concern about having a heart attack during the procedure. How can you alleviate his fear?
3. You must perform an ECG on this patient. Describe the steps in the procedure.
Please answer all 3 questions separately. Thanks.
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Select a prevalent health issue (Obesity) discussed in the lecture or required reading for this unit. Using this health issue, provide one example for each of the six building blocks of the health belief model (HBM).
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Cardiovascular Case Study
Scenario
Joan is a 78 year old female who is scheduled with you today because she needs refills for her blood pressure medication. When you look at her record you notice that she has not been in for 14 months. You notice that there are a number of missed appointments on record, but that she has been calling in for refills for her meds. During the last call the office nurse told her she would need to come in for a visit to obtain the refills. Her record indicates that her medications at her last visit included lisinopril/hctz 10/12.5 and simvastatin 20mg daily.
She reports that she takes her blood pressure medication “most of the time” but doesn’t take the simvastatin regularly because her neighbor developed liver problems from it. She remembers in the past that she was told she has a “touch of sugar”. She feels good but she wants to get checked out and wants to “get her act together” and start taking care of herself because her brother, who is 48, just found out that he has “clogged arteries.” She would like some help with quitting smoking as well. She also tells you that she had a “little heart attack” when she was 72.
Her vital signs are: BP: 168/94, pulse: 84 and regular, resp: 18
Remember that the case study needs to include a minimum of two evidence-based practice articles to support your work. All papers must conform to the most recent APA standards.
Address these questions as well:
You conduct the visit. The review of systems and physical exam, with the exception of her blood pressure and weight, are normal.
The diagnostic tests and laboratory test you ordered were normal with the exception of the following:
During the follow up visit, you discuss the labs above and their implications.
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