A 67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Examination of back indicates significant kyphosis, and the patient states that she is ‘shrinking.’ Bone density testing of the hip is ordered.”

1. How does the nurse interpret “limited circumduction”
2. When the patient arrives, the nurse correlates the “kyphosis” with what physical finding? What causes kyphosis in the older adult?
3. How should the nurse explain the patient’s decreasing height?
4. What is the rationale for ordering bone density testing of the hip in this patient?

As the community health LPN, you have received a referral for a 39-year old Indonesian lady for staple removal, post-op emergency cholecystectomy. Upon arrival to the home, you observe broken glass around the entrance of the basement apartment and note it is in desperate need of repairs. One of the windows has been boarded up and the step has a board missing and the wood looks rotten. The client answers the door, carrying a 2-year child on her hip and 2 older siblings, ages 5 and 7 are standing behind her. The children are all noted to be dressed in several layers of clothing. Upon entering the home, you note the home feels quite cold and damp. The only furniture you can see is a small table, two chairs and a mattress on the floor of the only bedroom. There is no visible toys, books, or TV. In communicating with the client, you detect a thick accent and she speaks in broken English. She informs you that she is doing ok; however, the family is struggling financially since they arrived in NL from Indonesia 1 year ago. Her husband is working at the local gas bar part time. The client states "I try get groceries cheap but that hard". " I like NL but miss my home country. (I talk to my family every month". I get job but need more education. My son he needs medicine but we no money. My husband has bad cough, he always tired and no taste no more." I attend my church online and meet 2 ladies from my home country. One lady wants to teach me how make masks. She tells me I think take English course by our church.

1. What resources are available in your community?

2. What is the role of a community health LPN in caring for the client and her family?

3. Who should be included in the interprofessional care team for this client?

4. How can the LPN provide culturally appropriate care?

• How can LPN’s working in community ensure they are empowering families to meet their own needs?

YOU ARE TRAINING TO GO INTO A FIELD WHERE YOU WILL BE PROVIDING CARE TO PATIENTS IN THEIR MOST VULNERABLE TIME. WE ALSO LIVE IN SOUTH FLORIDA, ONE OF THE MOST DIVERSE PLACES IN THE COUNTRY. NOW THAT YOU HAVE GONE THROUGH ETHICS AND THE FOUNDATIONS OF NURSING, ENTERING INTO MEDICAL SURGICAL, YOU WOULD NORMALLY BE DOING CLINICAL PRACTICE HOURS AT THE CLINICAL SITE WHERE YOU WOULD BE INTERACTING WITH PATIENTS. YOU WOULD EXPERIENCE FIRST HAND CARING FOR PATIENTS WHO ARE FROM VAST AND DIVERSE SOCIAL, ECONOMIC, DEMOGRAPHICALLY, AND OTHERWISE BACKGROUNDS. WHILE CONTINUING TO LEARN ABOUT THE MEDICAL ASPECTS, YOU ALSO NEED TO START FOCUSING ON YOUR SENSITIVITY AND CULTURAL AWARENESS WHEN DEALING WITH PATIENTS. IT'S TIME TO PUT INTO REFLECT ON AND PUT INTO PRACTICE WHAT HAS BEEN LEARNED IN ETHICS AND FOUNDATIONS, AND WHAT YOU WILL BE LEARNING MOVING FORWARD TO EFFECTIVELY PROVIDE YOUR PATIENT WITH THE BEST LEVEL OF CARE.

QUESTIONS TO ANSWER IN AT LEAST 2-3 SENTENCES EACH: (REMEMBER THERE ARE NO RIGHT OR WRONG ANSWERS. THESE ARE REFLECTION QUESTIONS TO HELP YOU CONSIDER SOME OF THESE POINTS THAT YOU MIGHT HAVE TO ADDRESS AT SOME POINT WHEN DEALING WITH CULTURALLY DIVERSE PATIENTS.)

1. WHERE DO YOU CONSIDER YOURSELF TO BE ON THE CULTURAL COMPETENCY CONTINUUM OVERALL? CONSIDER HOW YOUR RESERVATIONS, OPENMINDEDNESS, AND WHAT YOU MIGHT HAVE HESITATIONS WITH.

2. YOU REPORT TO WORK AND YOU ARE INFORMED THAT ONE OF YOUR PATIENTS IS HIV/POSITIVE AND HAS AIDS. HOW WOULD YOU REACT, RESPOND TO, OR FEEL ABOUT TREATING HIM OR HER?

3. YOU REPORT TO WORK AND YOU ARE INFORMED THAT ONE OF YOUR PATIENTS IS TRANSGENDER. HOW WOULD YOU REACT, RESPOND TO, OR FEEL ABOUT TREATING THIS PATIENT?

4. YOU REPORT TO WORK AND YOU ARE INFORMED THAT ONE OF YOUR PATIENTS IS AN ADDICT TO OPIOIDS. HOW WOULD YOU REACT, RESPOND TO, OR FEEL ABOUT TREATING THIS PATIENT?

5. HAVE YOU CONSIDERED WHAT IT WOULD BE LIKE IF YOU EVER HAVE TO TREAT A PATIENT WHO HAS COMPLETELY DIFFERENT BELIEVES THAN YOURSELF AND EXPRESSES THEM? OR A PATIENT WHO HAS AND EXPRESSES BELIEVES THAT DIRECTLY MIGHT INSULT YOU.

Step 2 (Assessment) Look at your assessment data which is your subjective and objective data

Step 3 (Diagnosis) Develop your nursing diagnosis

Step 4 (Planning) you develop your patient goals this is the planning what you're going to do for this patient to help get them better and help them overcome this nursing diagnosis that you came up with

Step 5 (Interventions) these are nursing interventions this is what you're going to do in order to get the patient to meet their goals they're very patient-oriented and they're nurse specific

Step 6 (Rationale) This is where you will write out why you are choosing the interventions for your plan.

Step 7 (Evaluation) You're going to evaluate how the patient is meeting those goals and if not you're going to redo your maybe your diagnosis because the patient's changed or you're going to redo your nursing interventions

1. WHAT ARE THE A, B, C'S IN PRIORITIZATION? WHAT DO THEY STAND FOR AND WHAT IS AN EXAMPLE OF WHAT EACH DEALS WITH IN A REAL-LIFE SCENARIO?
2. DRAW YOUR OWN MASLOW'S HIERARCHY OF NEEDS PYRAMID LABELING EACH AREA AND DESCRIBING EACH OR ADDING PICTURES, OR OTHER WAYS YOU FEEL WILL MAKE IT EASY FOR OTHERS TO EASILY UNDERSTAND. TAKE A CLEAR PHOTO OF YOUR DRAWING OR SCAN IT AND SUBMIT THE FILE.
3. GIVE AN EXPLANATION AND EXAMPLES OF WHAT IS SUBJECTIVE AND OBJECTIVE DATA IN A SCENARIO OR REPORT.
4. WHAT ARE THE 3 PARTS OF A DIAGNOSIS YOU SHOULD INCLUDE IN THE CARE PLAN?
5. WHEN DEVELOPING THE PLAN, WHAT ARE THE 2 THINGS YOU NEED TO KEEP IN MIND? WHY IS THE "PLANNING" WITHIN THE CARE PLAN IMPORTANT?
6. WHAT ARE THE NURSING INTERVENTIONS IN REGARDS TO THE CARE PLAN? WHY IS IT IMPORTANT?
7. WHILE EVALUATING THE EFFICIENCY OF THE CARE PLAN, WHAT WILL TYPICALLY HAPPEN?

1-Groups of conditions that often start before a child enters grade school and include limitations on learning and difficulty with behavior control and social skills are known as

Multiple Choice

• neurodevelopmental disorders.

• psychotic disorders.

• depressive disorders.

• mood disorders.

2-An achievement orientation is associated with which personality type?

Multiple Choice

• Type A

• Type B

• Type C

• Type D  

3-The highest level of Maslow's needs hierarchy is characterized by

Multiple Choice

• a state of transcendence and well-being.

• a continuing drive to achieve more.

• a profound sense of unworthiness.

• constant self-absorption.

4-The concept of self-actualization was developed by Abraham Lincoln in the 1960s as a model of human personality development.

True or False

5-Daily hassles, such as arguments and car problems, can cause health problems when

Multiple Choice

• they occur infrequently.

• they coincide with a major stressful life event.

• you don't have a period of recovery.

• you forget to take an anti-anxiety medication.

6-People addicted to sex, Internet use, or shopping can experience euphoria similar to that experienced with drug use.

True or False

7-According to Kübler-Ross, when a person believes he or she is in the process of dying, the person passes through five stages. Which of the following is the linear order originally presented by Kübler-Ross?

Multiple Choice

• depression; bargaining; anger; denial and isolation; acceptance

• denial and isolation; bargaining; depression; anger; acceptance

• denial and isolation; anger; bargaining; depression; acceptance

• anger; denial and isolation; bargaining; depression; acceptance

8-The body can no longer keep up with the demands of the stressor in the ________ stage of the General Adaptation Syndrome.

Multiple Choice

• alarm

• resistance

• fight-or-flight

• exhaustion

9-Jenna sometimes "shops till she drops," meaning she shops on an exhilarating high until she crashes into a major depressive episode. Jenna's behavior is most common to which disorder?

Multiple Choice

• obsessive-compulsive

• generalized anxiety

• major depressive

• bipolar

10-Suicide is the ________ leading cause of death among college students.

Multiple Choice

• third

• second

• fifth

• first

11-In the hierarchy of needs pyramid, the order of human needs progresses as follows:

Multiple Choice

• physiological needs; safety and security; self-actualization; self-esteem; love and belongingness.

• safety and security; love and belongingness; physiological needs; self-esteem; self-actualization.

• safety and security; physiological needs; self-esteem; love and belongingness; self-actualization.

• physiological needs; safety and security; love and belongingness; self-esteem; self-actualization.

12-Your brain is not fully developed until you reach your

Multiple Choice

• early twenties.

• fifth birthday.

• fortieth birthday.

• teens.

13-Which type of intelligence involves self-awareness and sensitivity to others?

Multiple Choice

• interpersonal

• emotional

• general

• spatial

14-Scott, age 24, has withdrawn from most social contact and stopped dressing appropriately. When you speak with him, his conversation tends to make no sense. Of the following options, Scott is most likely to be diagnosed with

Multiple Choice

• a generalized anxiety disorder.

• schizophrenia.

• a specific phobia.

• an addiction.

Read each clinical scenario and discuss the questions with your classmates.

Scenario A

As a student, you have several tasks to complete. There is an Anatomy and Physiology test in 4 days. You just collected the library materials you need for a comprehensive paper due in 1 week. A 50-page reading assignment needs to be completed for a lecture the day after tomorrow.

1. How would you organize to accomplish these tasks?

2. In what order of priority would you place each of these tasks? Explain why you placed each task in the order chosen.

Scenario B

Your clinical area does not have sphygmomanometers (blood pressure cuffs) on the wall by each patient; portable ones are used. You need to take 8 am vital signs (temperature, pulse, respiration rate, and blood pressure) quickly, and there is no portable unit available right now. How would you solve this problem?

Scenario C

Your clinical assignment is for:

M.H., age 72; diagnosis: pneumonia

F.S., age 52; diagnosis: leg ulcer

J.P., age 78; diagnosis: abdominal hernia repair

1. It is 9:45 am. If J.P. needs to be ambulated three times a day, M.H. needs his antibiotic given at 10 am, and F.S. needs her dressing changed this morning, in what order would you do these tasks?

2. How did you make this decision?

What are four indicators that you can use to determine when strategies are not having the desired result?

Please describe an example of both a primary and secondary spinal cord injury.

Our discussion this week pertains to Spinal Cord Injuries. Primary spinal cord injury involves damage to vertebral or neural tissues from compression, traction, or shearing forces. Secondary spinal cord injury is related to ischemia, excitotoxicity, inflammation, edema, oxidative damage, and activation of necrotic and apoptotic cell death; it begins within minutes after injury and continues for weeks.

Assignment Instructions:

Some learners will use the same injury, such as a fall off of a horse. Describe how the patient experienced both primary and secondary injuries. Be sure to describe symptoms, implications, and testing that helped clinicians to classify the injury into these categories

MAKE SURE YOU CITE THIS APA

1. How does Petrolatum, U.S.P. differ from White Petrolatum, U.S.P.?

2. How does Paraffin, U.S.P. differ from Petrolatum, U.S.P.?

3. Name two (2) disadvantages of hydrocarbon ointment bases?

Chapter 49 Endocrine Problems

Adrenal Insufficiency or Adrenocortical Insufficiency

Patient Profile

J.S. is a 58-year-old woman brought to the emergency department (ED) at 7:00 am by her husband because when she got up this morning, she was light-headed, confused, and so weak that she could not dress herself. J.S.’s husband immediately drove her to the ED in her pajamas. She has a history of rheumatoid arthritis and had been taking prednisone 10 mg daily.

Subjective Data

• Husband states that J.S. has not been feeling good, has been tired, and has had very little appetite
• Husband states he lost his job a couple of months ago, and J.S. stopped taking her medication a couple of weeks ago because they could not afford it because they no longer had health insurance
• J.S. denies a headache or blurred vision

Objective Data

Physical Examination

• Temperature 98.7°F, pulse 94, respirations 20, blood pressure 100/60
• No difficulty speaking
• Oriented to name only
• Poor skin turgor
• Dry mucous membranes
• Weakness in bilateral upper and lower extremities

Diagnostic Studies

• Lab values

Case Study Questions

                                Name: __________________________                 Date: ________________

1. What are four characteristics associated with Adrenal Insufficiency?

a.

b.

c.

d.

2. What other symptoms is J.S experiencing that is not included in the list above, but yet linked to the disease process? Student must list four:

3. What is one major complication associated with adrenal insufficiency or adrenocortical insufficiency and describe it? Additionally, what might trigger this complication in a patient?

a.

4. What diagnostics will be used in diagnosing J.S.?

• 5. What is your critical thinking significance of J.S.’s labs; relate all her labs to the disease process of adrenal insufficiency?
•   
•   
•   

6. What major factor do you believe triggered J.S.’s symptoms?

a.

7. What would you do as the nurse in providing prioritized care to J.S.? Student must list four:

Reference(s):

Harding, M. M., Kwong, J., Roberts, D., Hagler, D., and Reinisch, C. (2020). Lewis’s

     Medical-Surgical Nursing: Assessment and Management of Clinical Problems (11^th Edition),

     St. Louis Missouri: Elsevier.

Proteins and Peptides must be purified prior to analysis. Why?

why is the medical assistant's role in educating a cardiology patient about diet and exercise important?

This is 668 words and NEED to summarize to 475 words! This is 4,186 characters with spaces. I NEED it to be 3000 characters with spaces for nursing application. Please summarize in own words. This helps a lot and greatly appreciated!

Education is a stepping stone for the inception of personal development which acts as a sign for promising career growth. At these unprecedented times, I extend my heartfelt gratitude to my brother and sister who worked as nurses expressing their determination in the fight against the pandemic. No words will justify their dedication to helping the poor at these times. Doctor Martin Luther King once conveyed the importance of education in which, “Intelligence plus character, is the true goal of education”. As I embark on my journey of pursuing a Master’s Degree in Nursing I believe these golden words embedded with wisdom helped me in a great way to discover what my natural calling is. Nurses' contribution to society is immense and compels my interest in studying medicine.
         Ten years ago, my family faced the challenge of persevering after my cousin was involved in a devastating car wreck. I witnessed the nurses, doctors, and medical staff sprung into swift action working together in perfect harmony as they ensured an aura of positivity and hope amidst these tough times. The nurse’s work entailed providing personal insight, building relationships with family, and treating my cousin who was so positive and exhibited no signs of stress even at those moments of panic. The nurses in the surgical subspecialty displayed attributes of dedication and integrity while treating my cousin and ensuring effective communication with my family. This went a long way in ensuring the speedy recovery of my cousin. The guidance provided by nurses caters to both physical well-being and the emotional needs of the patients.
         My incentives to improve in academics required classes in pathophysiology and seminars discovering more about diseases relating to challenges of our health crisis. The principle values during class discussions on ideal topics of the fundamental issues of society, science, and education was a positive learning experience. It brings me much gratitude having a family with strong Guyanese heritage work in the delivery of quality health care devoting themselves to servicing patients with empathy and compassion. This provides the encouragement I need pertaining to my nursing studies. My passion to provide care for others has opened opportunities for me in childhood centers, administrative offices, and daycares. This is crucial understanding my role as a student and contributing to the future of our society. Growing up in a third world country where people struggle to provide for their families and afford hospital visits fuels my drive to be a nurse. Understanding my ability to outweigh these options in school life and persevere encourages me to become a caring nurse.

There is no doubt the nurses have to endure immense hardship while interacting with the patients making them prone every single second to the vicious virus. But, they have answered efficiently to their call of duty and keep converting hardships and struggles into the foundation stones of success. I am also a witness of a similar instance when my two-year-old nephew swallowed a magnet. The situation demanded a surgery, and I am more than happy to say that their remarkable work ethics saved my nephew as they once again played the guardian angel. I am more excited and looking forward to seeing myself as a Pediatric Nurse. There may come several challenges and difficulties but success comes to those who rise to the occasion. Since my childhood days helping the needy has always fascinated me. With this positive mindset and required vision, I strongly believe that it is imperative to possess the necessary knowledge and expertise in patient-centered care. Moreover, I have mentioned my GPA in academia and recently completed my Bachelor’s degree in Biology from Medgar Evers College. My aspiration, knowledge, workmanship, effective communication skill along with a positive vision to bring a change in the society is what I think makes myself worthy for consideration into this Nursing program. I look forward to serving the needy with the same passion and dedication as I accomplish my dream of becoming a nurse at the patient-centered care and pediatrics.

This is 668 words and NEED to summarize to 475 words! This is 4,186 characters with spaces. I NEED it to be 3000 characters with spaces for nursing application. Please summarize in own words. This helps a lot and greatly appreciated!

1. A 29-year old newly immigrated woman complains of weakness, shortness of breath, cough and night sweats for the past month

• Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
• In SOAP format, list Pertinent positive and negative information, Differential and working diagnosis, treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.