Questions
Post a brief post introducing yourself to your colleagues. Include an explanation for how Walden’s vision,...

Post a brief post introducing yourself to your colleagues. Include an explanation for how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN program outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner.

In: Nursing

Post an explanation of at least two strategies for including academic activities and accomplishments into your...

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

Support main post with 3 of more current, credible sources and cite source within content of posting and on a reference list in proper APA.

In: Nursing

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties...

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

Support main post with 3 of more current, credible sources and cite source within content of posting and on a reference list in proper APA.

In: Nursing

Assignment: Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network When...

Assignment: Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network

When was the last time you read Devotions Upon Emergent Occasions and Several Steps in my Sickness—Meditation XVII?

Unless you are a student of 17th-century poetry, you may not be all that familiar with this piece by author John Donne. However, you may be much more familiar with one of its well-known phrases: “No man is an island.”

As you begin your journey toward achieving your academic and professional goals, you have a great opportunity to network with academics and professionals who can help ensure you do not travel alone. This network can help to clarify your own vision for success and can help guide you now and in the future. To paraphrase Donne, no one is an island.

Begin creating an academic and professional network by identifying which academic and professional connections and resources you need to collaborate with to be successful in your MSN program and as a practicing nurse.

To Prepare:

  • Consider individuals, departments, teams, and/or resources within Walden University and within your profession that you believe can support your academic and professional success.
  • Identify at least two academic and at least two professional individuals, colleagues, or teams to collaborate with to help you be successful in your MSN program and as a practicing nurse.
  • Download the Academic Success and Professional Development Plan Template.

The Assignment:

Academic and Professional Network

Complete Part 1 of your Academic Success and Professional Development Plan Template. Be sure to address the following:

  • Clearly and accurately identify at least two academic individuals or teams to collaborate with to be successful in the MSN program and as a practicing nurse.
  • Clearly and accurately identify at least two professional individuals or teams to collaborate with to be successful in your MSN program and as a practicing nurse.
  • Clearly and thoroughly explain in detail why the academic and professional individuals/teams were selected to support success in the MSN program and as a practicing nurse.
  • Clearly and accurately explain how the academic and professional individuals/teams will support success in the MSN program and as a practicing nurse.

In: Nursing

The need to protect professional autonomy and independence may lead to ethical issues concerning _____. CHOOSE...

The need to protect professional autonomy and independence may lead to ethical issues concerning _____.

CHOOSE THE BEST (one) ANSWER

A) respect for others

B) loyalty and respect for others

C) loyalty

D) hiring decisions

In: Nursing

Case Scenario: Ruba is a 39 years old, pregnant woman at 8 weeks gestation, and her...

Case Scenario:

Ruba is a 39 years old, pregnant woman at 8 weeks gestation, and her husband, Ali, is 50 years old, arrives at antenatal clinic for follow-up. The couples have been married for 12 years. Ruba completes the initial paperwork, and the nurse notes the following obstetric history: G6 T0 P0 A5 L0 M0. Ruba and Ali asked the nurse many questions regarding Down syndrome as Ali’s sister, recently, has a boy with Down syndrome.

Q1:What are the 5 questions in the history taking are the highest priority for the nurse to ask, given Ruba’s obstetric history?

Q2:What are the initial prenatal assessment and screening tests would the nurse anticipate for Ruba at this antenatal visit?                                                                

In: Nursing

A 2-year-old child presents to the pediatrician’s office with a two-day history of fever, vomiting and...

A 2-year-old child presents to the pediatrician’s office with a two-day history of fever, vomiting and diarrhea. The nurse obtains the child’s temperature, pulse, and respirations. Temp was 101.3 (38.5 C), HR 156, Respirations 32. The child appears tired but alert and clings to mother when the nurse is obtaining vital signs. What other assessments are necessary and the nurse would need to complete next.

In: Nursing

Read the following case: On the morning of January 11, 1983, twenty-five-year old Nancy Cruzan lost...

Read the following case:

On the morning of January 11, 1983, twenty-five-year old Nancy Cruzan lost control of her car as she traveled down an icy deserted county road in Missouri. The car overturned, and she was discovered, lying face down in a ditch, without detectable respiratory or cardiac function. Emergency medical technicians were able to restore her breathing and heartbeat, and she was transported to a hospital in an unconscious state. A neurosurgeon there diagnosed her as having sustained probable brain damage, compounded by significant oxygen deprivation. The estimated length of the period without oxygen was twelve to fourteen minutes. (Permanent brain damage generally results after six minutes without oxygen.)

Cruzan remained in a coma for approximately three weeks, and then progressed to an unconscious state in which she was able to orally ingest some nutrition. In order to ease feeding and further her recovery, surgeons implanted a feeding and hydration tube with the consent of her then husband. In October 1983, she was admitted to a state hospital. Subsequent rehabilitative efforts proved unsuccessful. It became apparent that she had virtually no chance of regaining her mental faculties, and that Cruzan was in a persistent vegetative state (PVS).

Answer the following question:

1.     Should the emergency medical responders provide treatment and why? Provide a reasoned opinion and define terms (50% or 25/25)

2.     Should the physician continue treatment and why? Provide a reasoned opinion and define terms (50% or 25/25)

In: Nursing

A client has suffered damage to the anterior pituitary gland, reducing the ability to respond to...

A client has suffered damage to the anterior pituitary gland, reducing the ability to respond to increases in plasma osmolality. The nurse should monitor for what expected assessment findings? Select all that apply.

A.

A urine specific gravity of 1.000

B.

A urine to serum osmolality of 1.5:1

C.

An increase in body weight

D.

Increased thirst and fluid consumption

E.

Decreased urine output

A middle-aged man with diabetes reports that he must strain to urinate, that his urine stream is weak and dribbling, and that his bladder never really empties.You know that all of his symptoms are likely caused by which diagnosis?

A.

Detrusor muscle areflexia

B.

Detrusor–sphincter dyssynergia

C.

Uninhibited neurogenic bladder

D.

Bladder atony with dysfunction

You know which clinical manifestations may be present with the diagnosis of acute nephritic syndrome? Select all that apply.

A.

Sudden onset of hematuria

B.

Proteinuria

C.

Flank pain

D.

Excess urine output

E.

Edema

The nurse caring for a child with respiratory problems is concerned he may be developing respiratory failure. Upon assessment, which findings correlate to impending respiratory failure? Select all that apply.

A.

Severe accessory muscle retractions

B.

Nasal flaring

C.

Grunting on expiration

D.

Inspiratory wheezes heard

E.

Swollen glottis

You are reviewing a patient's laboratory results and notices the blood urea nitrogen (BUN):creatinine ratio is 16:1. This ratio most likely correlates to which factor in the client's medical history?

A.

Hepatitis, a liver disease

B.

Recent weight loss by following a low-protein diet

C.

10-year history of heart failure treated medically

D.

Chronic hemodialysis three times/week

A client has stopped taking the prescribed anticholinergic medication for overactive bladder, due to the associated side effects of dry mouth, constipation, and reflux. Which other medication, injected directly into the bladder, is an alternative treatment for this condition?

A.

Botulinum toxin type A

B.

Alfuzosin, an alpha-adrenergic blocking agent

C.

Cyclobenzaprine, a skeletal muscle relaxant

D.

Lidocaine, an anesthetic

A patient has recently been diagnosed with large cell carcinoma, and the nurse is preparing the client for diagnostic testing to identify distal metastases. Which sites should the nurse explain to the client as the primary focus for the investigation? Select all that apply.

A.

Mediastinal lymph nodes

B.

Brain

C.

Liver

D.

Bone

E.

Colon

A client, admitted after an automobile accident in which ther head and chest hit the steering wheel, has a combination of biomarker testing (SP-D, neutrophil chemotractor factor, and interleukin-8). The family asks, "Why are there so many blood tests?" The response by the nurse reveals these test results will confirm the client has developed which condition(s)? Select all that apply.

A.

Acute lung injury

B.

Pulmonary embolism

C.

Pulmonary hypertension

D.

Acute respiratory distress syndrome (ARDS)

E.

Pneumothorax

An older adult resident of a long term care facility with a recent history of repeated urinary tract infections and restlessness is suspected of having urinary retention. Which intervention by the care team is most appropriate to confirm urine retention?

A.

Uroflowmetry to determine to rate of the client's urine flow.

B.

Ultrasound bladder scanning to determine the residual volume of urine after voiding.

C.

Renal ultrasound aimed at identifying acute or chronic kidney disease.

D.

Urinalysis focusing on the presence of absence of microorganisms, blood, or white cells in the client's urine.

A client with systemic lupus erythematosus (SLE) glomerulonephritis is experiencing a worsening of the disease and has progressed to the higher classes resulting in renal involvement. Which medication(s) will likely be prescribed by the health care provider to treat the deterioration of the renal function? Select all that apply.

A.

Increase in Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID)

B.

Oral corticosteroid

C.

Spironolactone, a mineralocorticoid-receptor antagonist

D.

Lisinipril, an angiotensin-converting enzyme (ACE) inhibitor

E.

Intravenous antimicrobial combination drug trimethoprim and sulfamethoxazole

A client has visited the health care provider reporting intermittent passing of blood-tinged urine over the last several weeks. Cytology confirms a diagnosis of invasive bladder cancer. Which statement by the provider is most accurate about treatment options?

A.

"There are new and highly effective chemotherapy regimens that we will investigate."

B.

"Fortunately bladder cancer has a very low mortality rate, and successful treatment is nearly always possible."

C.

"It is likely that you will need surgery, possibly a procedure called a cystectomy."

D.

"Unfortunately there are almost no treatment options for this type of cancer, but we will focus on addressing your symptoms."

In: Nursing

benztropine mesylate carbidopa-levodopa ropinirole What is the classification of this medication? What conditions is/are this med...

benztropine mesylate carbidopa-levodopa ropinirole What is the classification of this medication? What conditions is/are this med used for? How is it administered? How does it work in the body? What are the contraindications? What signs and symptoms will you monitor? What will you teach your patient about the medication?

In: Nursing

Scenario You are working the day shift on a medical inpatient until. You are discussing discharge...

Scenario

You are working the day shift on a medical inpatient until. You are discussing discharge instructions with J.B., an 86 year old man who was admitted for mitral valve repair. His serum blood glucose had been averaging 250mg/dL or higher for the past several months. During this admission his dosage of insulin was adjusted and he was given additional education in managing his diet. While you are giving these instructions, J.B. tells you his wife died 9 months ago. He becomes tearful when telling you about that loss and the loneliness he has been feeling. He tells you he just doesn’t feel good lately, feels sad much of the time, and hasn’t been involved in his normal activities. He has few friends left in the community because most of them have passed away. He has a daughter in town, but she is busy with her work and grandchildren. He tells you that he has been feeling so down the past few months that he has had thoughts about suicide.

1. What other information should you ask J.B. regarding his thoughts of suicide?

2. What characteristics of J.B. put him at risk for suicide?

3. Which psychiatric disorders can result in suicidal ideations or gestures? Name at least three.

4. What questions would you ask J.B. to determine whether his is clinically depressed? Name at least six.

5. Ill people often have trouble sleeping, experience a change in appetite, reduce their level of activity, and have thoughts of death. How can you tell the difference between old age with illness and depression?

6. List five of the most common signs of depression in the older adult.

Case Study Progress:

You use the SAD PERSONS scale to assess J.B.’s potential for suicide and find that he is at a 4 on the 10-point scale. J.B. tells you that he has just had general thoughts of suicide, but has not really thought about how he would do it. You recall that there are two types of suicide methods based on lethality: Higher-risk or hard methods, and lower-risk or soft methods.

7. Which of these would be considered soft methods of suicide? Select all that apply.
a. Using a gun
b. Slashing one’s wrist
c. Hanging
d. Poisoning with carbon monoxide
e. Ingesting pills
f. In haling natural gas

8. What immediate interventions would you carry out for J.B.?

Case Study Progress

The psychiatrist on call comes in to evaluate J.B. After meeting with J.B., the psychiatrist writes an order for escitalopram (Lexapro) 10mg daily at bedtime. J.B. is scheduled to see the psychiatrist the day after he is discharged from the hospital.

9. Identify two treatments that are available for depression.

10. Would J.B. be a candidate for electroconvulsive therapy (ECT)? Why or why not?

Case Study Progress

The psychiatrist on call comes in to evaluate J.B. After meeting with J.B., the psychiatrist writes an order for escitalopram (Lexapro) 10mg daily at bedtime. J.B. is scheduled to see the psychiatrist the day after he is discharged from the hospital.

11. What special instructions will you give him regarding the Lexapro? Select all that apply.
a. The full effects of the medication might not be seen for 4 to 6 weeks.
b. The medication may cause nausea, dry mouth, sedation, and insomnia
c. There are no known food interactions.
d. The herbal product St. John’s wort will enhance the action of the Lexapro.
e. Taking a glass of wine at bedtime will help him go to sleep.

12. Why do you think that a drug in the SSRI class was chosen over a tricyclic antidepressant or a monoamine oxidase inhibitor (MAOI)?

Case Study Progress

J.B.’s daughter visits him in the hospital, and they have a long talk. She is shocked when she realizes that her father is lonely to the point of considering suicide and tell you that she will do all she can to help him when he goes home.

13. What important information needs to be conveyed to J.B.’s daughter about the first few weeks of therapy with the SSRI?

CASE STUDY OUTCOME

J.B. is discharged to home with a psychiatric home health nurse scheduled to visit him twice a week for 4 weeks. J.B.’s daughter also plans to check-in on him daily and makes an effort to include him in more family activities. He is also considering a move to an assisted living facility.

In: Nursing

Hepatitis B Virus: 1. Describe the viral architecture 2. Nucleic acid composition 3. Enveloped or non-enveloped?...

Hepatitis B Virus:

1. Describe the viral architecture

2. Nucleic acid composition

3. Enveloped or non-enveloped?

4. Host(s)? How does the virus gain entrance to host?

5. Mode of transmission(s)?

6. Organ System(s) affected?

7. Symptoms of viral disease.

8. Treatments?

9. Acute or persistent infection and why?

In: Nursing

A guarantee of a right to healthcare hinges on the notion of justice and on the...

A guarantee of a right to healthcare hinges on the notion of justice and on the nature and extent of the “social contract” upon which a society agrees. First, contrast the libertarian and contractarian views of the social contract. Then, discuss what conclusions each of these perspectives reaches about the possibility of a right to healthcare.

In: Nursing

John Summers is an office manager at Hillcrest Family medicine. The physicians at the office have...

John Summers is an office manager at Hillcrest Family medicine. The physicians at the office have voiced concern to John regarding the lack of professionalism among the office staff. They have asked John to conduct a staff meeting to focus on the importance of professionalism. The physicians have asked John to highlight five qualities of a professional in the health care setting. They have also asked John to create a dress code policy so that all employees project a professional image.

  1. What five qualities do you think John should choose to discuss during the staff meeting? Explain why?
  2. How might John go about creating a uniform dress code? What items might he want to include in the new policy?

In: Nursing

what are nursing consideration for possible electrolyte disturbances and dehydration related to diarrhea in children

what are nursing consideration for possible electrolyte disturbances and dehydration related to diarrhea in children

In: Nursing