Questions
Give the best possible definition of food security explaining how good food security leads to meeting...

  1. Give the best possible definition of food security explaining how good food security leads to meeting the six dietary principles, good IDATME and good WWFQ.   You must identify and explain the six dietary principles (Adequacy, Balance, Energy Control, Nutrient Density, Moderation, Variety), and each component of IDATME and WWFQ
  2. List the six nutrient classes explain how each of those nutrient classes contribute, individually and in conjunction with other nutrient classes, to the ability to exercise.

In: Nursing

Mr. Chen asks the nurse how he should be instructing his 14-year-old child to use the...

Mr. Chen asks the nurse how he should be instructing his 14-year-old child to use the newly prescribed inhaler.

  1. In your post explain how you as a nurse would teach Mr. Chen and his son.

  2. Include how, when, and why using scholarly sources.

In: Nursing

1.You are a nurse admitting a patient to the hospital from the emergency department with shortness...

1.You are a nurse admitting a patient to the hospital from the emergency department with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient s room according to the unit specifications and collect the necessary equipment and forms. When the patient arrives,she is using oxygen via a cannula and seems to be comfortable. As you begin your admission activities and paperwork,you note that her shortness of breath slightly increases as she answers your questions. Accompanying the patient is her daughter,who comments,"This is the fourth time she's been admitted to this hospital in the past year ".The patient and her daughter demonstrate a close loving relationship. The daughter not only encourages her mother but also sets boundaries regarding her mother's anxiety.

1. What general priorities would you expect to establish from this information?
2. How would you determine their priority?
3. How would you identify expected patient outcomes in this case?
4. what might they be ?
5. How would you select evidence based nursing intervention?
6. Why is it important to develop well written plans of care?

In: Nursing

Mr. Chen asks the nurse how he should be instructing his 14-year-old child to use the...

Mr. Chen asks the nurse how he should be instructing his 14-year-old child to use the newly prescribed inhaler.

  1. In your post explain how you as a nurse would teach Mr. Chen and his son.

  2. Include how, when, and why using scholarly sources.

In: Nursing

In what ways do cultural care expressions, patterns, and practices influence an individual’s health and well-being?

In what ways do cultural care expressions, patterns, and practices influence an individual’s health and well-being?

In: Nursing

share your readings and learning about the life of Martha Rogers, share her biography, her contributions,...

share your readings and learning about the life of Martha Rogers, share her biography, her contributions, frameworks/models and how she defined the 4 metaparadigms. At the last part of your creative presentation/discussion, please indicate how you were inspired with her theory and how will you apply this in your nursing practice.

In: Nursing

Opinions on Bioethical Issues Write your personal opinion regarding the following bioethical issues. After writing your...

Opinions on Bioethical Issues

Write your personal opinion regarding the following bioethical issues. After writing your opinion, consider differing opinions by writing a brief opposing argument. You should be able to express your views logically and provide reasons for your views on the subjected/issue selected.

Choose only one of the following bioethical issues. Remember you must also provide an opposing argument.

Dialog used during your interaction with instructor(s) and peers should be done while remaining civil and respectful of different points of views, which is all part of the learning experience. Re-read your own posts before you submit them, to make sure you aren’t coming across the wrong way.

Example:

Many people believe that having an abortion is not morally acceptable, however, many also believe that it is a free choice and that women should be allowed to seek abortion in cases of desperation such as rape, poverty, and or violence.

1. abortion

2. stem cell research

3. human cloning

4. genetic counseling

5. physician-assisted suicide

In: Nursing

Assignment-Vocabulary Review Use the information provided in Kinn's Chapter 4 "Healthcare Laws" of the text and/or...

Assignment-Vocabulary Review

Use the information provided in Kinn's Chapter 4 "Healthcare Laws" of the text and/or any other sources you have. Copy and Paste your assignment on a separate MS word document or compatible file, and submit your completed assignment electronically via Moodle prior to due date. Please highlight your answers.

Health Insurance Portability and Accountability Act

1. The _______________________ enforces HIPAA.

2. Describe the following components of HIPAA.

a. Standard 1 related to transactions and code sets: ______________________________________________

b. Standard 2 related to the Privacy Rule: ______________________________________________________

c. Standard 3 related to the Security Rule: _____________________________________________________

d. Standard 4 related to unique identifiers: _____________________________________________________

3. List five covered entities.

· _______________________

· _______________________

· _______________________

· _______________________

· ________________________

4. Define business associates and give two examples.

· _____________________________________

· _____________________________________

5. What is the main purpose of the Privacy Rule? ___________________________________________________

6. Patients have rights over their information. List three of these rights.

· _______________________________

· _______________________________

· _______________________________

7. List six permissions that do not require written patient authorization.


· ___________________________________

· ___________________________________

· ___________________________________

· ___________________________________

· ___________________________________

· ___________________________________

In: Nursing

Based on Madeleine Leininger theory of transcultural nursing, in what way do worldview, social structure, and...

Based on Madeleine Leininger theory of transcultural nursing, in what way do worldview, social structure, and environment influence the expression of culture in the United States, and in the U.S. healthcare system in particular?

In: Nursing

what’s a good example of writing an autobiography including the following: relevant background about myself. a...

what’s a good example of writing an autobiography including the following:
relevant background about myself.
a clear thesis statement.
stories about my life and how did they affect my life.
a conclusion.

In: Nursing

1 Conduct a research on geriatric problems with bowel elimination, urinary incontinence,and dehydration. Write a one...

1 Conduct a research on geriatric problems with bowel elimination, urinary incontinence,and dehydration. Write a one page report on your findings.

In: Nursing

3.Write in detail a global overview of existing regulations on nutrition labelling and claims?

3.Write in detail a global overview of existing regulations on nutrition labelling and claims?

In: Nursing

Include how you provide patient-centered care and patient advocacy-especially providing culturally competent care for diverse patients...

Include how you provide patient-centered care and patient advocacy-especially providing culturally competent care for diverse patients and communities. How do you promote patient rights?

In: Nursing

Mr. C., age 68 with a history of COPD, presented in the emergency department 2 days...

Mr. C., age 68 with a history of COPD, presented in the emergency department 2 days ago febrile with a productive cough of large amounts of purulent sputum and in acute respiratory failure. He was diagnosed with community-acquired pneumonia and treated with antibiotics, hydration, aggressive pulmonary hygiene, and supplemental oxygen therapy. Although his oxygenation improved, he continued to be diaphoretic, using accessory muscles of respiration and complaining, "I am exhausted" and "I can't get enough air." Arterial blood gas revealed: pH 7.31, PaCO2 59 mm Hg, PaO2 89 mm Hg, SaO2 91%, HCO3 29 mEq/L. The decision was made to intubate and place him on mechanical ventilation with the following settings: assist control (AC) mode, tidal volume (VT) 625 mL, respiratory rate 16 breaths/min, FiO2 0.70, and 5 cm H2O of positive end-expiratory pressure (PEEP). He was transferred to the critical care unit.

Two days later, his presentation at 0500 is as follows:

  • Ventilator settings: Mode AC, VT625 mL, respiratory rate 12, FiO235, 5 cm H2O PEEP
  • Total RR 16, peak inspiratory pressure (PIP) 22 mm Hg
  • Moderate amounts sputum, rhonchi that clear with coughing, chest x-ray shows clearing pneumonia
  • Negative inspiratory force ­-37 cm H2O, spontaneous tidal volume 5 mL/kg, vital capacity (VC) 10 mL/kg, minute ventilation 10 L/min, rapid shallow breathing index of 37
  • Temperature 99.0° F oral, heart rate 86 beats/min, blood pressure 132/84 mm Hg
  • No vasopressor or inotropic agents, urinary output is good, NPO since admission.
  • Alert and oriented to person, place and situation, hypervigilant and restless, has not slept well since admission

The team decides to perform a ventilator weaning trial. At 0620 Mr. C. is placed on 10 cm H2O of pressure support with an FiO2 0.40.
Assessment at 0720 is as follows:

  • Heart rate 108 beats/min
  • Blood pressure 157/90 mm Hg
  • Respiratory rate 36 breaths/min and labored
  • SpO290%

He is diaphoretic and alternates between picking at his gown and falling asleep and needing to be aroused to stimulate breathing. He is placed back on the ventilator at the previous settings.
Late that morning, during rounds, Mr. C. is started on nutritional support via tube feeding and given trazodone at night for sleep. He is allowed a morning nap and has physical therapy that afternoon.

The following day he passes the pre-wean screening and is again placed on PS 5 above 5 cm H2O PEEP. Assessment findings 30 minutes into the weaning trial are as follows:

  • Heart rate 84 beats/min
  • Blood pressure 120/76 mm Hg
  • Respiratory rate 18 breaths/min, unlabored
  • SpO296%

Mr. C. is calm, cooperative, and oriented, so the weaning trial is continued for 90 minutes. Arterial blood gas results were pH 7.34, PaCO2 48 mm Hg, PaO2 74 mm Hg, HCO3 24 mEq/L, and SaO2 95%. The decision was made to extubate, and the patient was discharged from the critical care unit the following day.

Please answer the following questions concerning Mr. C,

  1. What do the measures of negative inspiratory force, spontaneous tidal volume, vital capacity, minute ventilation, and rapid shallow breathing index assess?
  2. What other parameters should/could be assessed as part of the initial wean screen?
  3. Why is pressure support the mode used for the weaning trial?

In: Nursing

Mr. C., age 68 with a history of COPD, presented in the emergency department 2 days...

Mr. C., age 68 with a history of COPD, presented in the emergency department 2 days ago febrile with a productive cough of large amounts of purulent sputum and in acute respiratory failure. He was diagnosed with community-acquired pneumonia and treated with antibiotics, hydration, aggressive pulmonary hygiene, and supplemental oxygen therapy. Although his oxygenation improved, he continued to be diaphoretic, using accessory muscles of respiration and complaining, "I am exhausted" and "I can't get enough air." Arterial blood gas revealed: pH 7.31, PaCO2 59 mm Hg, PaO2 89 mm Hg, SaO2 91%, HCO3 29 mEq/L. The decision was made to intubate and place him on mechanical ventilation with the following settings: assist control (AC) mode, tidal volume (VT) 625 mL, respiratory rate 16 breaths/min, FiO2 0.70, and 5 cm H2O of positive end-expiratory pressure (PEEP). He was transferred to the critical care unit.

Two days later, his presentation at 0500 is as follows:

  • Ventilator settings: Mode AC, VT625 mL, respiratory rate 12, FiO235, 5 cm H2O PEEP
  • Total RR 16, peak inspiratory pressure (PIP) 22 mm Hg
  • Moderate amounts sputum, rhonchi that clear with coughing, chest x-ray shows clearing pneumonia
  • Negative inspiratory force ­-37 cm H2O, spontaneous tidal volume 5 mL/kg, vital capacity (VC) 10 mL/kg, minute ventilation 10 L/min, rapid shallow breathing index of 37
  • Temperature 99.0° F oral, heart rate 86 beats/min, blood pressure 132/84 mm Hg
  • No vasopressor or inotropic agents, urinary output is good, NPO since admission.
  • Alert and oriented to person, place and situation, hypervigilant and restless, has not slept well since admission

The team decides to perform a ventilator weaning trial. At 0620 Mr. C. is placed on 10 cm H2O of pressure support with an FiO2 0.40.
Assessment at 0720 is as follows:

  • Heart rate 108 beats/min
  • Blood pressure 157/90 mm Hg
  • Respiratory rate 36 breaths/min and labored
  • SpO290%

He is diaphoretic and alternates between picking at his gown and falling asleep and needing to be aroused to stimulate breathing. He is placed back on the ventilator at the previous settings.
Late that morning, during rounds, Mr. C. is started on nutritional support via tube feeding and given trazodone at night for sleep. He is allowed a morning nap and has physical therapy that afternoon.

The following day he passes the pre-wean screening and is again placed on PS 5 above 5 cm H2O PEEP. Assessment findings 30 minutes into the weaning trial are as follows:

  • Heart rate 84 beats/min
  • Blood pressure 120/76 mm Hg
  • Respiratory rate 18 breaths/min, unlabored
  • SpO296%

Mr. C. is calm, cooperative, and oriented, so the weaning trial is continued for 90 minutes. Arterial blood gas results were pH 7.34, PaCO2 48 mm Hg, PaO2 74 mm Hg, HCO3 24 mEq/L, and SaO2 95%. The decision was made to extubate, and the patient was discharged from the critical care unit the following day.

Please answer the following questions concerning Mr. C.

  1. How long does a weaning the trial last?
  2. Is Mr. C. tolerating weaning, and how do you know?
  3. What interventions are indicated?

In: Nursing