Questions
1. What are the biological changes during pregnancy (Explain first trimester, second trimester, third trimester, and...

1. What are the biological changes during pregnancy (Explain first trimester, second trimester, third trimester, and hormones)?

No opinions, credible info only

In: Nursing

Ada is in the hospital. She is a 47-year-old woman who has metastatic breast cancer and...

Ada is in the hospital. She is a 47-year-old woman who has metastatic breast cancer and does not want her family to know that she is at the end-of-life and is dying. ada has low energy, and her fatigue level now taxes her coping mechanisms, which are normally excellent; she does not feel that she can deal with her family’s grief. Ada's daughter has been discharged from the Air Force and is returning home from an overseas deployment. The family has planned a surprise party for Ada in the hospital when her daughter arrives back home and has invited many of her friends and family members. Ralfa’s nurse is conflicted because she practices under the principle of
utilitarianism and is aware of her patient’s desire for privacy as well as the party planned by the family. Ada does not know about the party and her family does not know about her prognosis.

Discussion Questions

1. Define and state the limitations of utilitarianism, privacy, and veracity
2. What would a person of utilitarian thought do in this case?
3. What about the unwritten nurse-patient agreement as it relates to beneficence?
4. How does this pose a conflict for a nurse practicing the ethical principle of utilitarianism?
5. Are your values regarding veracity stronger or weaker than your desire to cause no harm to Ralfa’s feelings (nonmaleficence)?

TASK 3. CASE ANALYSIS
Instructions: Briefly answer the following discussion questions. (see rubrics for scoring)

Scenario: Over the past several weeks, you have noticed that your closest friend, Ada has been erratic and has been making poor patient-care decisions. On two separate occasions, you quietly intervened and “fixed” his errors. You have also noticed that he volunteers to give pain medications to other nurses’ patients, and you see him standing very close to other nurses when they remove controlled substances from the medication distribution center. Today you watched him go to the center immediately after another colleague and then saw him go into the men’s room. Within about 20 minutes his behavior had changed completely. You suspect that he may be taking controlled substances. You and Ada have been friends for more than 20 years. You grew up together and went to nursing school together. You realized that if you approached him, you may jeopardize his close friendship that means a great deal to you.

1. Using the Moral ethical decision making model, devise a plan to resolve this dilemma

In: Nursing

Welcome to the Body Company. You are applying for a job with us as a vitamin...

Welcome to the Body Company. You are applying for a job with us as a vitamin or mineral. Please describe 3 functions you can play for The Body Company and which other nutrients you work best with. Include in your interview what will happen when there is too much of you (toxicity) or not enough (deficiency) as well as the 3 best places to get you (food sources). Please find your name on the table below. Supplements Use Google or some other search engine, or look in the supplement aisle in the store, or even (maybe) on your medicine shelf at home to locate a real supplement that contains at least 3 vitamins or minerals and promises to help your body respond to stress. List those 3 ingredients and describe how these vitamins might combat stress in the body. For each of the 3 ingredients, identify a food source you are willing to eat instead of taking a supplement. "Please focus on Calcium foods" This is important all you can use is Calcium rich foods.

In: Nursing

Create/formulate a clear research questions about this topic: Medicinal herbs or plants vs. Pharmaceutical medicine

Create/formulate a clear research questions about this topic: Medicinal herbs or plants vs. Pharmaceutical medicine

In: Nursing

Social class stratification system can have a great long-term impact on individuals’ health and can result in health disparities in all life resources

 

PHC 181

“Social class stratification system can have a great long-term impact on individuals’ health and can result in health disparities in all life resources”.

Based on this statement, answer the following: -

  • Discuss the influences of social class on health
  • Mention the theoretical explanations that highlight the relationship between social class and health

Written in a Word document (ONE PAGE) divided as introduction, body conclusion

In: Nursing

Define health technology policy. What are some key terms in health information technology? List and define...

  • Define health technology policy.
  • What are some key terms in health information technology? List and define two
  • What organizations safeguard health policies? List at least two organizations and a policy they safeguard.
  • Provide a brief description of the U.S. Food Drug Administration’s (FDA’s) role in health policy.

In: Nursing

1. Enumerate types of care to the cancer patient. What is the Nurse Role for this...

1. Enumerate types of care to the cancer patient. What is the Nurse Role for this patient?

2. Types of medication given to Patient with acute pain and with chronic pain.

3. List down the Nurse Role in giving medication.

In: Nursing

Highlight and present one key player/stakeholder (i.e., federal, state, or local) in political health policy in...

  • Highlight and present one key player/stakeholder (i.e., federal, state, or local) in political health policy in your state.
  • Choose two state/local/federal healthcare organizations. Then, compare and contrast their political viability in terms of one/more of their health polic(ies).
  • Apply the “method for analyzing political feasibility” as defined in Chapter 10 of your textbook to define your key player’s viability.

In: Nursing

Peter Smith is a 73-year-old male with a history of mild depression. He arrives at the...

Peter Smith is a 73-year-old male with a history of mild depression. He arrives at the clinic holding a bloody towel over his left forearm. He is taken immediately back to the treatment area. He states that he cut himself with a large knife while cutting a pineapple. You take his vital signs while waiting for the physician. You notice the blood is leaking through the towel. You need to control the bleeding.

You put on PPE, most importantly gloves, and apply a large dressing over the area, holding firm pressure. The physician arrives, examines the patient, and determines that the patient will need sutures. While you are preparing Mr. Smith for his wound repair procedure, he tells you that he recently started swimming for exercise and is going to the Bahamas for a snorkeling trip in 2 weeks. He wants to know if this will ruin his trip.

Discussion Questions:

  1. What is the medical assistant’s role during this minor surgical procedure?
  2. Why is it important to document the number of sutures Dr. Buckwalter uses to close Mr. Smith’s wound?
  3. How should you answer Mr. Smith’s question about his trip to the Bahamas?
  4. Knowing that Mr. Smith started swimming last week, what should you tell him about protecting his sutures?

In: Nursing

Which clients would be at risk for developing nonthrombocytopenic purpura? Select all that apply. A. Child...

Which clients would be at risk for developing nonthrombocytopenic purpura? Select all that apply.

A.

Child adopted from India and displaying malaise, lethargy, and petechiae all over the body associated with suspected scurvy.

B.

73-year-old client admitted with concussion that resulted from a fall

C.

55-year-old client diagnosed with Cushing disease displaying bruises, weight gain with a buffalo hump, and "moon" face

D.

15-year-old with insulin-dependent diabetes who has hypoglycemia and is displaying irritability with headaches and tachycardia

E.

Pregnant mother experiencing headaches and proteinuria

Misinterpreting her physician's instructions, a 69-year-old woman with a history of peripheral artery disease has been taking two 325 mg tablets of aspirin daily. How has this most likely affected her hemostatic status?

Irreversible acetylation of platelet cyclooxygenase activity has occurred.

The client's prostaglandin TXA2 levels are abnormally high.

She is at risk of developing secondary immune thrombocytopenic purpura (ITP).

The binding of an antibody to platelet factor 4 produces immune complexes.

A client visited his health care provider after finding an enlarged lymph node along the mediastinal border. The health care provider may be alerted to a possible diagnosis of Hodgkin lymphoma (HL) based on the client having which other clinical manifestations? Select all that apply.

A.

Yeast infection in the mouth

B.

Night sweats

C.

Unexplained pruritus

D.

Joint swelling

E.

Sore throat with pustules on tonsils.

The nurse is caring for a client who develops a paroxysmal supraventricular tachycardia. Which medications should the nurse prepare to administer? Select all that apply.

A.

Adenosine

B.

Diltiazem (Class IV)

C.

Lidocaine (Class 1B)

D.

Metoprolol (Class II)

E.

Amiodarone (Class III)

You note eosinophilia on the client's laboratory results. You should interview the client about a history of which conditions? Select all that apply.

A.

Asthma

B.

Exposure to parasites

C.

Allergic reactions

D.

Viral infection

E.

Bacterial infection

A surgeon is explaining to the parents of a 6-year-old boy the rationale for the suggestion of removing the boy's spleen. Which teaching point would be most accurate?

A.

"We believe that your son's spleen is causing the destruction of many of his blood platelets, putting him at a bleeding risk."

B.

"Your son's spleen is inappropriately destroying the platelets from his blood and needs to be removed."

C.

"Your son's spleen is holding on to too many of his platelets so they're not available for clotting."

D.

"We think that his spleen is inhibiting the production of platelets by his bone marrow."

A 78-year-old male client has undergone a total knee replacement. He just doesn't feel like getting out of bed and moving around. After 3 days of staying in bed, the physical therapist encourages him to get out of bed to the chair for meals. He starts to complain of dizziness and lightheadedness. These symptoms are primarily caused by which pathophysiologic principle? Select all that apply.

A.

Client is experiencing a reduction in plasma volume.

B.

Peripheral vasoconstriction mechanism has failed.

C.

Client is so stressed that he is releasing too many endorphins.

D.

Client is still bleeding from the surgical procedure.

E.

Client has loss all of his muscle tone.

From the current health histories, which client(s) is at risk for developing secondary forms of immune thrombocytopenic purpura (ITP)? Select all that apply.

A.

Female client in the first trimester reporting abdominal cramping

B.

Middle-aged client scheduled for gastroscopy to confirm Helicobactor pylori

C.

Former IV drug user recently diagnosed with hepatitis C virus

D.

Older adult female undergoing testing for cause of joint discomfort

E.

Adolescent admitted for facial burns when the "vape" (cigarette) exploded in the mouth

In: Nursing

What is the pathophysiology of Sepsis?

What is the pathophysiology of Sepsis?

In: Nursing

CASE STUDY PARKINSON’S DISEASE Miss Rose is a 74-year-old female, who is a retired widow and...

CASE STUDY PARKINSON’S DISEASE

Miss Rose is a 74-year-old female, who is a retired widow and lives with her son for the past five years. Both enjoy planting seedlings and own a community agriculture store. She does not suffer with hypertension or diabetes and has an active lifestyle. She is also not known to have any psychiatric illnesses. Over the past six months Miss Rose’s son and herself noticed physical changes and decided to visit her General Practitioner. At her visit she mentioned to the doctor that she was having difficulty rising from a sitting position after grooming her plants or turning from one table to another when she has customers. Documentation on her clinic file noted that she previously complained of difficulty walking and falling when coming out of bed. She was sent for an X-ray but there were no clinical findings. The physician asked her to describe what happened when she fell. Miss Rose verbalized that when she got up from bed and starting walking, she started moving forward and backward then stooped forward with small fast steps and then she fell. Her son mentioned to the doctor that he has noticed that when she is pruning her plants, she has abnormal rhythmic movement of the upper and lower limbs. She occasionally has a slight limp, and her handwriting has become smaller over the past months. This has stopped her from doing her daily yoga exercises and she has been very disturbed about it. Miss Rose then further explained that the movement started on the distal part of both upper limbs at the same time. She also expressed that during rest she noticed the movement in her limbs and as she started her tasks the movements became more aggravated. Urinary incontinence is also a problem for Miss Rose, and she is having difficulty in her swift movements to her bathroom. The patient was later diagnosed with Parkinson’s disease.

After the assessment and interview of Miss Rose the Physician documented the following: Physical Assessment Vital Signs: BP- 130/74 mmHg Temperature - 36.7 C, Pulse- 78 bpm regular and bounding Respiration- 20 bpm Height- 5ft 7 in Weight- 70 kg Facial expression- Masklike Gait- Shuffling gait with tendency to fall forward and backward CNS Examination Alert and oriented to time, person and place Level of consciousness GCS- 15/15 Sleeping patterns- normal Swallowing gag reflex- normal Cogwheel rigidity present Tremor present Bradykinesia present Dysphonia present

INSTRUCTION:

  1. Prepare the nursing management for this patient using a care plan, include assessments three actual problems, patient desired goals, nursing interventions, and evaluations?

  1. Prepare the nursing management for this patient using a care plan, include assessments, two potential problems, patient desired goals, nursing interventions, and evaluations?

In: Nursing

Stress continues to have a significant impact on health during middle adulthood, as it did in...

Stress continues to have a significant impact on health during middle adulthood, as it did in young adulthood, although the nature of what is stressful may have changed. Psychoneuroimmunologists, who study the relationship between the brain, immune system, and psychological factors, conclude that stress produces three main consequences.

  • Identify the three main consequences of stress.
  • Discuss the cultural factors that may influence the body's reaction to stress  
  • Discuss the gender differences that influence how someone manages stress.

In: Nursing

Research and describe 2 (two) workplace procedures for hazard identification in a healthcare setting (in 50-70...

Research and describe 2 (two) workplace procedures for hazard identification in a healthcare setting (in 50-70 words).

In: Nursing

Discuss at least two strategies used to include community members in the development and management of...

Discuss at least two strategies used to include community members in the development and management of public health initiatives.

In: Nursing