Based on your personal Erikson psychosocial developmental stage, how can you promote health to yourself and your closest peers? Answer should not exceed 150 words.

What are the benefits of evidence-based practice?

Explain why each of the following health policies is a seminal piece of health care regulation: Americans with Disabilities Act (1990), Balanced Budget Act 1996, and the Tax Equity and Fiscal Responsibilities Act of 1982.

Part 1

M.A. is a 44-year-old man who presents to the family practice with complaints of sore throat, hoarseness, and a dry cough that worsens at night. He states that the cough started 6 days ago, and the sore throat and hoarseness began 3 days ago and appear to be getting worse The patient has a history of prediabetes, which is controlled through diet and exercise. Vital signs are T 99.5, P 58, R 16, and BP 110/55.

• 1. What subjective information should the nurse obtain?
• 2. The nurse is assessing the structures of the oral cavity. What are the physical features?

The nurse notes that the patient’s teeth are stained yellow and asks the patient about tobacco use. The patient states that he chews one bag of tobacco every other day.

• 3. What health promotion concepts should the nurse include in the teaching plan?
• 4.What is the most likely cause of this patient’s cough, sore throat, and hoarseness?

Part 2

M.A. is a 72-year-old female who presents to the family practice with her 40-year-old daughter. The daughter states that her mother has been confused lately, complaining of a headache, shortness of breath, and coughing. The cough has been persistent for 6 days, and a fever developed 2 days ago. The patient states that she is bringing up yellow-green mucus and has a cough, which gets worse at night. Vital signs are T 100.5, P 88, R 16, and BP 110/55. Lungs are positive bilaterally for wheezing, positive egophony. A chest x-ray reveals consolidation indicative of bacterial pneumonia. Labs and culture are pending for specific antigen. The nurse proceeds with the physical assessment of the head, face, neck, and associated lymphatic system.

• 1. When performing a review of systems, the nurse obtains subjective data concerning the patient’s headache. What specific questions will assist the nurse in determining the cause of the headache?

The nurse proceeds to palpate the lymph nodes.

• 2. Which lymph nodes are located in the neck?
• 3. When performing the physical assessment, what objective data should the nurse inspect and palpate for the head and neck?
• 4. How might the physical assessment vary given the patient’s age?

Part 3

M.A. is a 4-year-old boy who presents to the pediatrician’s office with pain in his right ear.

Subjective Data

Mom states that her son woke up in the middle of the night, crying, 2 nights ago. She gave the child ibuprofen, and he went back to sleep. Last night he woke up in pain, and he was inconsolable. She felt the physician should see him.
Attends preschool program
Lives with mother
Father estranged

Objective Data

TM appears inflamed—it is red and may be bulging and immobile
T = 100.3
Last ibuprofen 3 hours ago

Questions

1. What other assessments should be included for this patient?
2. What questions are appropriate for a patient presenting with earache?
3. What risk factors are associated with earaches for this age group?
4. From the readings, what is the difference between otitis media and otitis externa?
5. From the readings, what is the most probable cause of the earache in this patient?
6. What are three nursing diagnoses?
7. What interventions should be included in the nursing care plan?

Lab Assignment

Part 1

What are the abnormal characteristics of lymph nodes associated with acute infection, chronic inflammation, and cancer?

What are the facial characteristics that occur with Down syndrome?

Part 2

Discuss three concentric coats of the eyeball.

Distinguish between direct light reflex and consensual light reflex.

Discuss visual changes that occur with older adults.

Part 3

Describe the functions of the middle ear.

Discuss using an otoscope for an infant vs an adult.

Identify the types of hearing loss.

John Stokes is a 42-year-old banking executive who has been diagnosed with a duodenal ulcer due to H. pylori infection. He reports persistent abdominal pain associated with the ulcer. His medical history includes a recent knee injury, and he has been taking ibuprofen as needed for knee pain. His physician has prescribed treatment with Prevpac. (Learning Objectives 1, 5, and 6)

John asks the nurse about the Prevpac. When he is informed that it contains three drugs, he responds, “Wait a minute. I don’t like to take a lot of medications. Isn’t three drugs excessive?” How should the nurse respond?

Please describe the 3 meds that are in prevpac and why they are used for duodenal ulcer.

John informs the nurse that he has been taking Mylanta for relief of abdominal pain and asks if he can continue taking the Mylanta with the Prevpac. How should the nurse respond? Describe some things Mr. Stokes can be taught to avoid future ulcers.

What is Carafate and how does it work?

3. Case Study, Chapter 39, Drug Therapy for Constipation and Elimination Problems Melissa Drake is a 22-year-old college student who suffered a fractured femur, pelvis, and tibia in a motor vehicle accident. She recently has been discharged after recovering from her injuries and is taking opioid analgesics several times daily for pain. On a routine follow-up visit to the medical clinic, she tells the nurse that she has been constipated; her last bowel movement was 1 week ago and was small, hard, and difficult to pass. She is instructed on risk factors for constipation and advised on lifestyle modifications that may ease the constipation and to take psyllium daily. (Learning Objectives 1, 2, and 6)

Melissa states “I have never been constipated in the past. Why is this happening now?” How should the nurse respond?

Discuss the lifestyle modifications that the nurse should include when providing client education to Melissa.

Melissa states “Wait a minute. Isn’t psyllium for older people?” How should the nurse respond?

Compare and contrast 3 different types of laxatives and when they might be prescribed.

how is COVID 19 affected women's unpaid domestic work and how has womens responsibilities changed in the nursing sector like are women nurses more tired because they have to work and do domestic work? ****You must include references to at least 4 sociological works in your question (scholarly books or journal articles).  

What are your primary nursing considerations for a client with an insulin pump and for Ashley in specific?

Ashley is a 17-year-old Type 1 diabetic. She was diagnosed at the age of 14 and is managing her insulin needs "mostly" independently, but in the office because she is going to start using a lispro insulin pump for control, with a basal rate and boluses as needed based on FSBG and carbohydrate counting. She checks her FSBG upon awakening (fasting), before eating lunch and dinner, and at bedtime. She is currently applying to colleges which are mainly located out of state. Her parents are having a great deal of difficulty dealing with Ashley's choices of where to go to college because of the distance. She is academically motivated and has a high GPA. She has a partner, and is not yet sexually active although she admits that they have been "talking about it." Ashley is on the varsity swim team and practice is every weekday morning at 0630-0730. From there she goes to classes and lunch is at 1130. Ashley states she "sometimes gets up too late to have breakfast before swimming."

A term neonate (4 kg) was born with thick meconium following a prolonged and arduous labor. Apgar scores were 1 at 1 minute and 4 at 5 minutes of life. The neonate required full resuscitation measures at birth, was intubated and mechanically ventilated by t-piece resuscitator in the delivery suite, and transferred to the neonatal intensive care unit. He was ventilated in the SIMV mode on the following settings: PIP 26 cm H2O, PEEP 5 cm H2O, I-time 0.4 seconds, and a respiratory rate of 45 breaths per minute FI O2 0.80. The ABG revealed the following: pH 7.09, CO2 74 mm Hg, PaO2 35 mm Hg, bicarbonate 16 mEq/L, and base excess 8. The PIP was increased to 30 cm H2O, and 5 minutes after the increase to the PIP, the following was observed: SpO2 90% to 95% and the measured tidal volume 3 ml/kg. The measured MAP on the ventilator was 16 cm H2O, and tidal volume was 12 mL (3 mL/kg). The mode of ventilation was switched to HFOV. The initial oscillator settings were MAP 18 cm H2O, amplitude 38, frequency 10 Hz, and FiO2 75%. This continued for 8 hours, during which time the clinical condition and blood gases started to improve. The chest X-ray showed good lung expansion. The amplitude was reduced as chest wiggle was pronounced and CO2 started to decrease. Oxygenation also started to improve, so FiO2 was reduced to 40% on day 2. Over the next 48 hours, the MAP was slowly reduced by increments of 1 to 2 cm H2O until a MAP of 14 cm H2O. The oxygen requirement was only 35%. On day 6 of life, the neonate was to be extubated to nasal CPAP at 4 cm H2O and an FI O2 of 0.28.

1. What was the rationale for transitioning from conventional ventilation to HFOV?

2. How do you approach setting the mean airway pressure when transitioning from conventional ventilation to HFOV?

3. What ventilator parameters are used to increase or decrease CO2 on the HFOV?

4. What is an important aspect of setting the amplitude when transitioning to HFOV?

EHP Model Strengths and Weaknesses

What does James Baldwin say about " the experience of a Black writer in America"?