Please answer for study guide:
In: Nursing
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!
In: Nursing
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:
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
Case Progression
After following the chain of command, you are able to speak with the doctor and received the following orders.
Your shift is finally over,
Questions:
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:
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
Case Progression
After following the chain of command, you are able to speak with the doctor and received the following orders.
Your shift is finally over,
Questions:
In: Nursing
Instructions
Please provide a clear WELL-WRITTEN interpretation for each question.
|
Name |
Variable information |
|
Diabetes |
Diabetes status (Yes, No) |
|
Age |
Age measured in years |
|
Race |
Race of each woman described as White, African American or Others. |
|
Glucose |
Blood glucose level measured in mmol/L |
|
BMI |
Body mass index measured in Kg/m2 |
|
Statins |
Intake of Statins medication to lower the levels of LDL (Yes, No) |
|
Alcohol |
Intake of alcohol (Yes , No) |
|
Smoking |
Smoking cigarettes (Yes, No) |
|
Exercise |
Any type of exercise (i.e. physical activity) routine (Yes, No) |
|
Physical_Activity |
Level of physical activity (Minimum, Moderate and vigorous) |
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).
Q2. First, determine the relationship between body mass index, BMI (dependent variable) and diabetes only (independent variable).
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.
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.
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?
In: Nursing
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
In: Nursing
An adult male patient has a Carboxyhemoglobin level of 26% and is exhibiting intermittent confusion and disorientation. You, as the respiratory therapist are recommending HBO therapy. The physician, being unfamiliar with the treatment, asks what your rationale is for recommending HBO. How would you explain it to her?
In: Nursing
In: Nursing
please read the soap note below and write a presentation for it thank you (case presentation)
Joanne Bennett, 29 yr old Caucasian woman
CC: “I have a cough that won’t go away.”
S) HPI: c/o cough for one month. It began suddenly. Noticed that it started around the beginning of spring as weather became warmer. Becomes worse when goes outside, especially at night. Symptoms worse at night and often wakes with coughing. On two occasions coughing fits have caused her to throw up. Denies sputum with the cough. Concerned because during her coughing attacks she sometimes feels that she cannot catch her breath, which is “extremely frightening.” Sometimes sounds wheezy. Taking Robitussin every 4-6 hours, but this is not alleviating her cough. Sleeps w/ 1pillow. Sleeps with windows closed.
PMH: Last Physical Ex was more than 2 years ago. Was told to lose wt. No h/o of asthma or bronchitis. Surgery: none. No hospitalizations.
Meds: birth control pills (Lo-Ovral for the past 2 years). OTC Claritin 10mg for seasonal allergies taken occasionally.
Allergies: NKDA; no food allergies. Seasonal allergies to pollen. Sleep: 8 hours/night when not coughing. TB skin test neg 6 months ago. Flu shot last winter.
SH: works full time as a receptionist in a corporate office building x 2yrs. Sedentary lifestyle. Her only exercise is walking 3 blocks from BART station to work each day. Non-smoker. Denies drug use. ETOH occasionally. 3 cups of coffee daily. Lives alone in apt; in no current relationship. Has no pets.
FH: Father: 56, smoker, asthma, COPD, HTN PGF: asthma; died age 56 in MVA
Mother: 55, smoker, DM type 2, HTN PGM: 78, alive with Alzheimer
MGF: died age 68 from CVA Brother: 25, asthma, obesity
MGM: died age 70 from CVA, DM type 2
ROS: General: Denies recent weight changes, fevers, or chills.
Derm: Denies rash
HEENT: Voice hoarse; no throat pain. No nasal d/c. Denies sinus pain or pressure.
Resp: See HPI
CV: Denies chest pain or SOB with exertion.
Endocrine: Denies excessive hunger, thirst or excessive urination.
MS: Chest muscles tight from coughing. Has mild knee pain sometimes esp with going up stairs.
Psych: Denies depression, thoughts of harm to self or others.
O) Vitals: Temp: 98.5, BP: 124/85, RR: 16, HR: 70, O2 sat: 98%, Height: 5’2”, wt: 168 lbs BMI: 31
General: obese. Wheezing with inspiration.
Skin: pale. No excessive dryness.
HEENT: Canals clear. TMs visible, translucent, gray, cone of light and landmarks visible. Nasal mucosa pink, clear d/c, septum midline. Oral mucosa pink and moist, no pharyngeal erythema, no exudates, tonsils 2+. No frontal/maxillary sinus tenderness. Neck supple, trachea mid-line. No LAD. Thyroid without enlargement or nodules.
Heart: normal S1, S2, No MRG
Lungs: Diffuse expiratory wheezes throughout. Resonant to percussion, thoracic expansion equal. No increased AP/lateral diameter. No egophany. Tactile fremitus equal.
Extremities: No edema, pulses equal 2+ bilaterally in all 4 extremities.
A) Asthma, triggered by seasonal allergies.
P) #1. Rx: Albuterol HFA MDI 2 puff q 4-6 hours prn wheezing/cough. Flovent MDI 40 mcg 2 puffs BID. Claritin 10mg q am.
Dx: none
Pt. Ed: Teach use of peak flow meter; begin learning to self-monitor asthma. Rinse mouth after use of steroid inhaler,
F/U: RTC in 2 weeks; bring log of symptoms and use of rescue inhaler.
In: Nursing
10. Identify possible nursing diagnoses for Addison’s.
11. Who would benefit from Sodium Polystyrene? Possible side effects and patient teaching?
In: Nursing
CPR
Now that you have taken the time to evaluate your lifestyle by completing the Healthy Lifestyles Awareness Inventory, you may be able to identify behaviors that could lead to injury or illness, now or in the future. Identifying these behaviors is the first step to leading a healthier life. By using this contract as a tool, it will help you focus on working towards a specific goal to make your lifestyle healthier.
Behavior Modification Contract
Now that you have taken the time to evaluate your lifestyle by completing the Healthy Lifestyles Awareness Inventory, you may be able to identify behaviors that could lead to injury or illness, now or in the future. Identifying these behaviors is the first step to leading a healthier life. By using this contract as a tool, it will help you focus on working toward one specific goal to make your lifestyle healthier.
Goal:
Complete the sentence below. Be as specific as you can.
In the _____ weeks of this course, my goal is to—.......
Objectives Make a list of the lifestyle changes that are necessary to accomplish your goal. For instance, if your goal is to lose 10 pounds, you might want to make these changes in lifestyle: lower the fat intake in your diet, exercise at least three times a week and start eating a nutritious breakfast daily.
1.
2.
3.
4.
5.
Potential Roadblocks Try to anticipate any roadblocks or difficulties you may face in meeting your goal. Then think about how you will overcome these roadblocks to meet your goal.
1.
2.
3.
Evaluation To realize your goals, it is important to measure your progress at regular intervals. Make a list of the ways in which you will track your progress.
1.
2.
3.
4.
5.
Reward Rewarding positive changes in behavior is important. When I meet my goal, I will reward myself by .......
I agree to do my best to accomplish the goal of this contract during the time allotted.
name:
witness:
date:
In: Nursing
Write a introduction and methods section of a scientific research paper on coffee and average number of cups of coffee consumed per day in association with heart disease.
With regard to using this data for your own individual investigation, you will have to decide: how and when the 105 participants were selected and enrolled in the study; if any inclusion/exclusion criteria were applied when selecting the participants; whether or not the participants belong to a specific population that the study was limited to; when the physical assessment was done, which measurements (i.e., variables) were made during the assessment, and exactly how each measurement was obtained; and which measurements (i.e., variables) refer to a past history vs a prevalent state vs an incident event, how having/not having each history/state/event is defined, and exactly how each measurement was obtained.
In: Nursing
46) Identify the developmental stages of adulthood, two (2) major activities related to each stage and 1 example of variation in health needs and ADLs. Developmental stage of adulthood:
46.1) Early adult period (20 to 40 years)
46.2) Middle adulthood (40 to 65 years)
46.3) Older adult (older than 65 years of age)
Please very super breifly, aproximately 30-50 words, explain below elements in regards to the above senarios seperately for each one of them on each one of the senarios:
Major activities?
Variation in health needs and ADLs?
In: Nursing
48) Briefly, in a very short possible way, discuss the technique of assessing each of the following clinical measurements using the methods mentioned below (in 30-40 words).
48.1) List down various methods used to measure or evaluate vision and hearing.
48.2) List at least 2 aids and equipment used for assisting clients with vision and/ or hearing impairment.
In: Nursing
Research the Josie King case, and address ethical as well as legal issues you identified. Who do you feel was most responsible? Would an EHR have helped in this situation? How?
In: Nursing
In: Nursing