Topic: why parents shouldn't refuse vaccine for their children.

1. what are the ethical principles-
Autonomy:
Beneficence:
Nonmaleficience:
Justice:
Fidelity:
Veracity

1. Define 5-character features of hydrogel that could affect either their performance to be used in stenting systems, their delivery to the tissue, and their ability to enable controlled drug delivery.
2. Define a specific hydrogel matrix and drug target for a metallic stent system. Provide the relevant rationale for the selections.

1. How does evidence-based practice influence and improve nursing care? (Not more than 150 words)

1. What steps are used to evaluate the evidence within clinical practice guidelines?

Case Study

Amnah is a 55-year-old female patient who has been admitted to the medical ward with acute shortness of breath, chesty cough, wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82% on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28 breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD and hypertension for 15 years. She was also diagnosed with heart failure 2 years ago. While doing the physical examination, the patient seemed to use her accessory muscles and have cyanosis in the lips and nose. She also started to get mixed up during the nursing assessment as she could not figure out that she was in the hospital. Amnah also complaint of weakness and fatigue and her lower limbs were very edematous. After a medical review, ABG was taken, CXR was done and venous blood samples were sent for complete blood count, chemistry and culture and sensitivity. Amnah’s lab results were as follows:

Based on the medical review and the diagnostic tests results, Amnah was mainly diagnosed with impaired respiratory functions. She was also found to have some cardiac and renal abnormalities. The doctor ordered immediate treatment and requested very close monitoring of Amnah.

1. Amnah’s doctor has commenced her on immediate treatments. Give five types of the medical treatments that could benefit Amnah?

Case Study

Amnah is a 55-year-old female patient who has been admitted to the medical ward with acute shortness of breath, chesty cough, wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82% on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28 breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD and hypertension for 15 years. She was also diagnosed with heart failure 2 years ago. While doing the physical examination, the patient seemed to use her accessory muscles and have cyanosis in the lips and nose. She also started to get mixed up during the nursing assessment as she could not figure out that she was in the hospital. Amnah also complaint of weakness and fatigue and her lower limbs were very edematous. After a medical review, ABG was taken, CXR was done and venous blood samples were sent for complete blood count, chemistry and culture and sensitivity. Amnah’s lab results were as follows:

Based on the medical review and the diagnostic tests results, Amnah was mainly diagnosed with impaired respiratory functions. She was also found to have some cardiac and renal abnormalities. The doctor ordered immediate treatment and requested very close monitoring of Amnah.

1. Amnah was diagnosed with health issues other than respiratory. Identify two of these issues and give one diagnostic finding for each?

Case Study

Amnah is a 55-year-old female patient who has been admitted to the medical ward with acute shortness of breath, chesty cough, wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82% on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28 breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD and hypertension for 15 years. She was also diagnosed with heart failure 2 years ago. While doing the physical examination, the patient seemed to use her accessory muscles and have cyanosis in the lips and nose. She also started to get mixed up during the nursing assessment as she could not figure out that she was in the hospital. Amnah also complaint of weakness and fatigue and her lower limbs were very edematous. After a medical review, ABG was taken, CXR was done and venous blood samples were sent for complete blood count, chemistry and culture and sensitivity. Amnah’s lab results were as follows:

Based on the medical review and the diagnostic tests results, Amnah was mainly diagnosed with impaired respiratory functions. She was also found to have some cardiac and renal abnormalities. The doctor ordered immediate treatment and requested very close monitoring of Amnah.

1-You are the nurse looking after Amnah. Explain five immediate nursing interventions?

1.

2.

3.

4.

5.

Part 1.
Write a Reflection Paper about "Fluid Imbalances".

Part 2.
Make plan of care or interventions to address the following possible nursing diagnoses associated with AKI and ESRD.

a. Fluid volume excess
b. Decreased cardiac output
c. Impaired tissue integrity: renal

Test 1.
Direction: Choose the correct answer and give the rationale.

1. The purpose of research question is to generate new knowledge, while the purpose of EBP questions is to make decision about patient care.
a. True
b. False
c. Maybe
RATIONALE: _________________________________________________

2. Evidence-based practice includes which of the following?
a. Best available evidence
b. Individual clinical experience
c. Patient values
d. All of the above
RATIONALE: _________________________________________________

3. What is the first step in applying EBP concepts to answer a clinical question?
a. Ask the question
b. Acquire the evidence
c. Appraise the evidence
d. Assess the whole process
RATIONALE: _________________________________________________

4. Evidence-based practice can be said to be a quality improvement process because?
a. You have critically analyzed many research articles
b. You have learned how to skim read many research articles
c Trial and error is still important in clinical practice
d. Evidence-based practice is a key factor contributing to accountability and benchmarking

RATIONALE: _________________________________________________

5. Evidence-based nurses ask whether there is a scientific basis for the care they deliver in order to:
a. Make certain they can evaluate findings correctly
b. Convince their colleague to change practice
c Change their practice regularly
d. Provide the most effective care for their patients.

RATIONALE: _________________________________________________

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