It sounds like you are extremely passionate about mental health though specifically in a rural setting with a focus on women’s health during pregnancy and post-partum.

What are the limits of patient confidentiality? Are there situations in which a duty to warn or otherwise protect third parties might exist? Provide a rationale for your position

HPI: An otherwise healthy nine-year-old boy developed flu-like symptoms (nausea/vomiting, decreased oral intake, lethargy, and weakness). After three days, the boy’s father called the pediatrician’s office at 8:00PM on a Saturday night. The on-call nurse practitioner returned the call (which was recorded). The father relayed the symptoms and said that Gatorade was making the boy nauseous, but he was still drinking some ginger ale. The father expressed concern about how tired his son was—he’d slept for 24 hours straight (from 8:00 p.m. the previous night). The boy woke up only to be carried downstairs to watch some TV for a little while. He felt a little better than the day before, but he also had some rectal bleeding and some bleeding from his mouth. The NP acknowledged the boy’s symptoms and said that most of it sounded like a viral illness, but that the rectal bleeding could be something different. She asked the father several questions in order to get a better understanding of the boy’s condition, including: Was he alert? (father’s response: yes but very tired) Had he passed any urine? (response: yes) Did he have a fever or rash? (response: no) The NP then asked the father whether he thought the child was “OK” tonight or felt he should be seen right away. The father replied that he didn’t think he needed to be seen right now. The NP agreed and made plans for him to be seen in the office the next morning (Sunday) after 8:00AM, and she told him to call back if anything developed during the night. The father asked, “I don’t need to worry about him not taking any food? He is taking some ginger ale.” The NP responded by telling him to push the ginger ale and make sure he’s urinating periodically. The NP documented the call in the medical record, including that the father was offered an ED visit (although that was not specifically said, per the audio recording). At about 4:00AM, the father checked his son and noted that his son was sleeping but also noted that his son's respiratory rate had increased significantly. Since his son was sleeping, the father didn't touch him to check for fever because he didn't want to wake his son. But, the father couldn't rest worrying about why his son was breathing so much faster than normal, almost like he had just been exercising even though his son had been asleep. At about 8:30AM, when the father again checked on his son, his son was not breathing at all. The father called 911 and started CPR. The ambulance and EMTs arrived within minutes and found the child apneic, pulseless, with fixed and dilated pupils, and his corneas cloudy. At 9:30AM, the child was pronounced dead. An autopsy found the cause of death to be diabetic ketoacidosis (the child had undiagnosed diabetes mellitus). His blood sugar was 1,165 (nl 50–80); potassium was 7.1 (nl 3.5–5.3); and his HgA1C was 15.3% (nl 4–5.9%). The parents sued the nurse practitioner, alleging wrongful death of their son due to negligent delay in diagnosis and treatment of diabetic ketoacidosis.

Question: WHAT 10 QUESTION WOULD YOU ASK TO HELP YOU MAKE A DIFFERENTIAL DIAGNOSIS?

please provide me an answers for the questions below using the above case study. and also please provide me the references used for the information. thank you

Case study: Asthma

The nursing instructor is discussing asthma and its various treatments with the students. The instructor tasks the students with preparing a patient teaching brochure about the use of the leukotriene receptor antagonists (LTRA) montelukast (Singulair®) in the treatment of asthma.

1. What information will the students include in the brochure regarding the adverse effects of montelukast?

2. What information will the students include in the brochure regarding drug interactions that can occur with montelukast?

3. What are three other patient teaching points that the students should include in the brochure regarding this medication?

4. The physician ordered 1g of Cefuroxime IV. You have on hand 125mg/5ml vial of Cefuroxime. How many mls of Cefuroxime will you administer?

5. Physician order reads: administer Cefuroxime IV over one hour in a 100 ml bag. The drop factor of tubing is 60 gtts/ml. What is the drip rate?

discuss the relationship between history and social welfare policy. Please give a different response other than the ones posted .

1. Diagnosis of Contraception initiation

a. Explain the pathophysiology of Contraception initiation

b. Therapeutic Regimen of Contraception initiation

c. What lab test is required to diagnosis the contraception initiation and explain why

2. Diagnosis Asthma

a. Explain the pathophysiology of Asthma

b. Therapeutic Regimen of asthma

3. Diagnosis bronchitis

a. Explain the pathophysiology of bronchitis

b. Therapeutic Regimen of bronchitis

c. Explain why the chest posteroanterior and lateral views are ordered for this diagnosis

4. Diagnosis esophageal atresia with G-tube

a. Explain the pathophysiology of esophageal atresia with G-tube

b. Therapeutic Regimen of  esophageal atresia with G-tube

d. Explain why EGD is ordered for this diagnosis

c. Explain why esophageal function study acid reflux is ordered for this diagnosis

Heteronormative is the idea that binary gender identity and heterosexual orientation (meaning, there are only two sexual orientations and genders) are the norm. Gender identity is where you see yourself on the continuum of gender (if you identify with the sex you were born with at birth, you are considered cisgender). Meanwhile, sexual orientation is who you are attracted to, and can range from being straight/heterosexual, to being bi or anything on the spectrum between.

Certainly, there are a lot of labels. For many people, they’re a way of identifying themselves and discovering their identities; others, on the other hand, choose to avoid labels altogether. But no matter which camp you fall into, there are many reasons why heteronormativity is an idea that should be rejected.

If you’re not heteronormative, you’re forced to explain yourself, while cisgender and heterosexual people don’t have to.

When your identity does not cohere with heteronormativity, you are often asked to explain yourself — why you don’t have a boyfriend/girlfriend, how sex for you “works,” and other insensitive, inappropriate questions.

Assuming that people only identify as either male or female is incorrect

In our world, we commonly think of gender as just male and female, especially when we’re categorized by things like color and clothing. It seems like we can’t even look at anything without seeing it divided into boys and girls — this is heteronormativity. But the thing is, not everyone identifies as one or the other, or expresses themselves that way. Even if someone “looks” like a guy (also evidence of heteronormativity), they may prefer to use the pronouns “she/her” — and we need to respect that by not misgendering people. Some people identify as genderfluid, which means that your identify (like male or female), can move from one side of the spectrum to the other, and some people are genderless, or identify with neither of the genders that are imposed on people. The most important thing to remember is that everyone’s gender can be unique and everyone’s gender identity, gender orientation, and gender expression is important to respect.

Further, "female" and "male" even as solely biological designations still exclude some people, who are often classified as "intersex." Intersex means that one's anatomy or genetics does not line up with typical expectations for either male or female people. Heteronormativity would have society believe that to be intersex is to not be normal — which is simply untrue. For intersex people, doctors and parents have often decided their gender at birth and genital reconstructive surgery is performed to turn what is seen as atypical genitalia into something that is recognizably either male or female. Intersex identity also has its own spectrum, which means that anatomy for an intersex person can be entirely different for another intersex person.

Assuming all people are straight is incorrect.

Plain and simple, not everyone is straight. And not everyone is bisexual Less than 50% of the teen population currently identifies as straight, but even if the majority of people identified as straight, it's wrong to assume someone falls into the majority. This is erasure of all other identities that do not fall under heteronormativity. To make sure everyone feels respected and represented, never assume anything about someone's identity unless they tell you themselves.

Heteronormativity leads to serious consequences for those who aren't heteronormative.

The National Coalition for the Homeless eports that while 10% of the youth population in the U.S. are LGBTQ (and this is only the reported figure), 20% of homeless youth in the U.S. are LGBTQ. And the Trevor Project puts that figure at 40%.

And it’s not just in homeless shelters and on the street where LGBTQ youth face harassment and safety issues. Even if families are supportive of LGBTQ identities, the statistics on school bullying against LGBTQ people are alarming. The GLSEN in the year 2010 study showed that while appearance was the top reason for bullying, “the second most common reason was actual or assumed sexual orientation and gender identity.” Its figures indicated that 82% of LGBTQ youth had been bullied over their actual or assumed sexual orientation in the past year alone. Sixty-four percent of respondents felt unsafe at school because of their sexual orientation, while 44% felt unsafe at school because of their gender identity.

Unfortunately, statistics on violence against LGBTQ people, especially those who are transgender, are equally as troubling. In the U.S. alone, transgender homicides hit an all time high in consecutive years from 2015 to 2019 — none of which were prosecuted as hate crimes.

Answer the prompts below (be sure to answer all parts of question

1.    What is the difference between heterosexism and homophobia?

2.    Can homosexuals change their sexual orientation if they want to or are people born with their orientation? And if so, can heterosexuals do the same?

3.    Why do researchers generally recommend using the term "sexual orientation" rather than "sexual preference"?

4.    Should discrimination based on sexual orientation be outlawed to the same extent as discrimination based on race and sex?

5.    If people believe in a literal interpretation of the Bible, is it still prejudiced for them to:

§  regard homosexual behavior as sinful?

§  view homosexuality as an abomination before God?

§  support the death penalty for homosexual behavior?

§  Why or why not?

6.    Why do people call homosexuality unnatural, when it exists in all sexual species in nature?

Case: Tuberculosis

I.P. is a 50-year-old female who presents to the emergency room with productive cough and fever. Sputum results are positive for tuberculosis.

Subjective data

• Patient states cough started 10 days ago, getting worse
• Reports feeling tired and no appetite for days
• Smokes 1 pack a day for 33 years
• Married with two children, ages 12, 14
• Takes a “sugar” pill to help with diabetes
• Works as home health aide

Objective data

• Vital signs: T 38 C, P 64, R 12, BP 120/64
• Weight: 145 lb (Last ED visit 6 months ago documented weight at 155 lb.)
• Height: 5'4"
• Sputum positive for tuberculosis
• Chest x-ray shows infiltrates right and left lower lobe

Medications: ASA 81 mg per day, metoprolol 25 mg per day, Simvastatin 20 mg per day, Metformin 500 mg BID, multivitamin 1 per day

Questions

1. Are vital signs within normal limits? Why or why not?
2. What other equipment is necessary to assess this patient?
3. Create a problem list from data.
4. How should you measure the patient’s oxygen levels?
5. What teaching and nursing interventions should you consider for this patient?

What is the class of exposures that Koch’s Postulates addresses?

A 17 year old mother brought her 9 month old infant son in for a health maintenance check up. You note the baby appears a little pale, capillary refill is greater than 5seconds and his conjunctiva are pale? You ask mom how the baby is eating and what she is feeding him. a) What are you trying to ascertain, in other words, what are some of the medical diagnosis that come to mind? b) what nursing care should you implement? c) What are some of your outcomes?

You are the house supervisor in an acute care hospital. Most of the units are full. The ED request 2 admissions to the step-down unit. The floor with appropriate and empty beds has only 4 RNs on duty for this 30-bed unit with a census of 20 patients. The charge nurse (one of the 4 nurses present) tells you that they can’t safely admit any more patients. You currently have no more float pool staff and upper administration has already said no to closing the unit for admissions at this time. What should be done? What is the ethical dilemma? How does this impact patient care? What possible solutions are there for this situation? Using the scenario prepare a 5 minute healthcare skit through which the roles of RN, LVN/LPN, AND UAP can be played out. Clear differentiation of roles and legal scope of practice should be apparent in the skit. The skit should include examples of appropriate delegation.

Describe in one paragraph the process of CSF production and intracranial pressure regulation. (Explain in your own words)