1. A 29-year old newly immigrated woman complains of weakness, shortness of breath, cough and night sweats for the past month.

For the case you have chosen:

• Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
• In SOAP format, list:
  • Pertinent positive and negative information
  • Differential and working diagnosis
  • Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

In SOAP format, list: Pertinent positive and negative information Differential and working diagnosis Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

• Discuss why it is important for the APRN to explore the individual stage of development of each family member when analyzing a family’s response to an illness event. Consider your population of interest or study.

What are all important side Effects of Amlodipine?

What elements would you recommend to the chief compliance officer to be included in an overall compliance plan and in a more specific coding compliance plan?

Please show the work

1. What is the total flow for a 35% venture mask set at 10 liters per minute at the flow meter?

2. How long will an E cylinder last if the flow rate is set at 5, and there is 1500 PSIG on the pressure gauge?

3. What is the total flow for a 50% venture mask set at 15 liters per minute at the flow meter?

Find an evidence-based article on the importance of verifying the 6 rights of medication administration. Read the article in its entirety and write a 1 to 2 paragraph reflection on why verifying the rights of medication administration is a necessary safety measures for nurses in real practice.

Please discuss only ONE: Medicare or Medicaid Give a brief description of Medicaid or Medicare (no more than 2 sentences). Then discuss 3 specific (non-age; non-financial) criteria for services from the program, for an older adult client. Be sure to cover service, length of time, provider types that may provide the service, the channels through which the patient may obtain each service.

Develop a nursing care plan with a priority diagnosis, outcomes, and interventions. Be sure to include patient teaching, growth and development, self-concept, and lifestyle issues both in the present and going forward.

You are the RN assigned to George, age 62, who was admitted to the hospital with hyperglycemia and a diabetic foot ulcer. His medical history includes diabetes Type 2 (diagnosed 15 years ago) and pre-proliferative retinopathy. He is obese but states, “I am working really hard to keep my weight down.” Two weeks ago, he noted a red, open sore on the medial aspect of his left foot. He states he has many problems with his feet and has “shooting pains in my feet and legs at night.” He reports thirst and frequent urination. He says he is sometimes unable to get to the toilet on time. He adds that, “My days of being physically intimate with my wife are over." Medications he takes at home: glipizide, metformin, sitagliptin, and acarbose. He states he does not want his foot amputated because of the sore on his foot. “I’ll do anything I am supposed to do to get better and have this foot heal.” The UAP reports the following: FSBS 390, oral temp. 100.7, pulse 98, RR 20, & BP 158/82. The health care provider orders the following tests: CBC, HgA1C, metabolic panel, wound C&S, urinalysis & 24-hour urine for microalbumin and creatinine clearance.

A 33 year old female is being treated for rheumatoid arthritis with Methotrexate, a Disease-Modifying Antirheumatic arthritis drug (DMARD). She has a history of DVT, but no other significant medical history. The physician currently increased her dose from 10 mg/week to 25 mg/week and also added Leucovorin to her treatment regimen. Bone marrow suppression is a common adverse effect of methotrexate treatment.

What are contraindications for treatment with a DMARD?

What therapeutic effects should the patient experience from treatment with a DMARD?

Why has the physician ordered Leucovorin (See Chapter 45-Methotrexate)? Explain your answer.

Develop a nursing care plan with a priority diagnosis, outcomes, and interventions. Be sure to include patient teaching, growth and development, self-concept, and lifestyle issues both in the present and going forward.

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."

Find three videos related to the terms, and describe how you would use them to educate families and others in the community about the key concepts.

Key term #1 Communication temptations – minor challenges to the expected occurrence of events in familiar situations in an effort to stimulate communication.

Key term #2 Dynamic Assessment – assessment method focused on how a child is learning as opposed to measuring what is already known in an effort to both ascertain need for support for learning language but also to determine what types of supports are effective.

Key term #3 Zone of proximal development – concept discussed by Vygotsky that represents the targeted zone for learning that represents what a child can do with supports.

What are the different types of anemia, their clinical presentations, causes, and diagnostic tests

Discuss the difference between right sided and left sided Heart failure, their causes, clinical manifestations, and diagnostic tests