- Name and describe the gold standard of research design and what makes it the gold standard.

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: Identify at least 5 questions you would ask the patient's father to elicit more information to make your decision?

what organization is mandatory for practical nurses to belong to and what is the mandate of this organization?

A 68 year-old male patient is in the intensive care unit recovering from a hemorrhagic stroke. The patient has made some progress and is able to move his previously paralyzed left arm and leg in a limited way. His speech is also improving.

The nurse enters the room and greets the patient. The patient opens his mouth to speak, and his eyes immediately roll upward. His back arches, and then his arms and legs begin to jerk rhythmically.

Q1: What is happening to this patient?

Q2: What might have caused this event?

Q3: Which medication should be administered immediately? What medication might be prescribed for the long term?

Q4: By which route would one need to administer the medication given immediately?

Q5: Should the nurse be especially alert for any adverse effects of the medications that were administered (consider the route by which they were given)?

Q6: Are there pharmacokinetic considerations when dosing these medications? How might dosing be altered if this patient's liver function were impaired? Discuss the dosing considerations for the medication that was given for ongoing maintenance.

Q7: The nurse notes that the patient is taking several other medications, including nimodipine to control his blood pressure. Should the nurse be concerned?

What drew African Americans to the cities in the north during the  Great Migration?

Why did so many African Americans migrate to Newark, NJ at the beginning of the 20^th century?

You are assigned to care for three patients. Which patient would you see FIRST after receiving report? Consider which patient has the highest priority. Explain your answer based on Maslow’s Theory (Hierarchy).

• Patient #1 is complaining of incisional knee pain at level 6 out of 10, after a knee surgery.
• Patient #2 is complaining of difficulty catching his breath 4 hours after neck surgery.
• Patient #3 is complaining of being worried about lack of independence due to being confined to bed after a motor vehicle accident.

Should the drinking age be changed back to 18 years or stay at 21 years, and why? Should it be older?? Younger??

  Be sure to cite your references in APA format. Each post should be a minimum of 75 words.

Read the case scenario and apply the FIVE STEPS OF THE NURSING PROCESS.

Identify:

-Three appropriate nursing diagnoses

-For each nursing diagnosis provide one goal/expected outcome (goal should be SMART)

-Three nursing interventions for each diagnosis (independent, dependent, collaborative) and with scientific rationale

-One evaluative statement for each nursing diagnosis (indicate if goal met, goal partially met, or goal not met)

Follow the standard format of a nursing care plan. Thank you.

Levi Yosh is a 36-y/o police officer assigned to a high crime police precinct. One week ago he received a surface bullet wound to his arm. Today he arrives at the outpatient clinic to have the wound redressed. While speaking with the nurse, Mr. Yosh mentions that he has been promoted to the rank of detective and has assumed new responsibilities. He states that since his promotion, he has experienced increasing difficulty falling asleep and sometimes staying asleep. He expresses concern over the danger of his occupation and his desire to do well in his new position. He complains of waking up feeling tired and irritable. During the interview the nurse notes that he is pale, drawn with dark circles under his eyes. Temp: 37.0 C Pulse: 80 bpm, Resp: 18cpm, BP: 140/90mmHg

write down about blood thinner safety and monitoring.

Mr. Jenaro is a 61-year-old Spanish-speaking man who presents to the emergency room with his wife Dolores. Mrs. Jenaro is also Spanish speaking, but understands some English. Mr. Jenaro complains of nausea and vomiting for two days and symptoms of confusion. His blood glucose is 796 mg/dL. Intravenous regular insulin (Novolin R) is prescribed and he is admitted for further evaluation. He will require teaching regarding his newly diagnosed diabetes. Mr. Jenaro is newly diagnosed with diabetes. His hemoglobin A1C is 10.3%. Mr. Jenaro is slightly overweight. He is 5 feet 10 inches tall and weighs 174 pounds (79 kg). He reports no form of regular exercise. He does not follow a special diet at home. He states, “I eat whatever Dolores puts in front of me. She is a good cook.” For the past few months, Mrs. Jenaro has noticed that her husband “has been very thirsty and has been up and down to the bathroom a hundred times a day.” Neither can recall how long it has been since these changes in Mr. Jenaro began. Dolores states, “It has been quite a while now. It just seems to be getting worse and worse.” BP- 133/89 HR – 88 RR- 20 O2 sat – 98% T- 98.7 His last blood sugar/FS – 450

can someone help me with a nursing assessment

1. Explain the classes of substances associated with substance-related disorders.

2. Explain the central nervous system stimulants (amphetamines and cocaine). Include the general effects, diagnostic criteria, treatment, and epidemiology.

3. Explain opioid related, hallucinogen-related, and cannabis-related disorders. Include the general effects and treatment.

You are interviewing at a major corporation for a newly created position as a health educator.  The position has been described as one that will focus on helping employees become more healthy by modifying or changing selected health behaviors. As a part of the interview, you are asked "of all the theories related to health education/promotion you studied in your college courses, which one do you think will have the greatest application to your work here?" Defend your response by explaining how that theory will best fit with the work being done, and how others would not. Write two paragraphs defending your response.

4. Explain phencyclidine and inhalant related disorders. Include the general effects and treatment.

5. Explain implications for therapeutic recreation in regards to substance-related disorders.