Question: Pros and Cons of virtual clinical experience in shadow health. At least one page

For this discussion, consider the role of the LPN and RN in the nurse process. How would the LPN and RN collaborate to develop the nursing plan of to ensure the patient is achieving their goal?

What are the expectations for the LPN and RN in nursing process?

Please include references in a APA format.
It should be at least 100 words.

Pros and Cons of virtual clinical experience in nursing. At least one page

NEED ANSWER PART 3

Kate is a 30 year old woman who just delivered her second child two weeks ago. Two weeks after her delivery, Kate comes to your office to be evaluated. She states she has been tired, weak, and has widespread joint and muscle pain. Despite the mild weather, she notes that she is cold all the time, and that instead of losing her “baby weight” she has actually gained about 15 pounds.

Kate has delivered two healthy children. She has no other medical history. It is her intention to breastfeed for at least the first 12 months. She continues to take her prenatal vitamins, and plans on having an intrauterine device placed for contraception at her six week follow up. She is a non-smoker, does not have a history of illicit drug use, and is currently abstaining from alcohol though she has consumed alcohol socially prior to her pregnancies.

Her vital signs are as follows: Height 5’4”, weight 165 lb, Heart rate slowed at 48 beats per minute, blood pressure normal at 110/56, temperature normal at 98.2℉.

Her lab work is as follows:

Her treatment is:

• Based on laboratory results, Kate is supposed to suffer from Post partum Hypothyroidism. Since the presence of thyroperoxidase antibody is found to be negative, she is free of autoimmune disorder.
• TSH regulates the production of T4 and then conversion to T3 takes place. Increased TSH is released when there is demand by feedback mechanism due to decreased T3 and T4. This happens in hypothyroidism.
• Kate can have primary thyroid malfunction. That is why her TSH is elevated and body lacks feed back mechanism. Pituitary gland is functioning with TSH secretion, and is increased due to lack of thyroid hormone's feedback.

Rationale (part 3)

It’s time to treat Kate, and explain her treatment to her. In a half-page response, explain to Kate what type of treatment she will undergo and why. Be sure to also explain what the treatment will do for Kate’s physiology, and what you expect to happen to her lab values.

49-year-old single Caucasian male with multiple past mental health (PMH) hospitalizations, admitted through ED, secondary to increasing depression with suicidal ideation (SI), and alcohol abuse.  Patient lives alone, has no daytime structure.  Highest level of education is high school.  Past social history indicates possible sexual abuse.  Patient currently denies SI but has had past attempts using knives; details regarding these attempts are unclear. Patient denies any legal history of violent/criminal behaviors.

• Admitting Assessment Data & Mental Status Examination (MSE): Patient appears older than stated age of 49.  He is heavy set with fair grooming.  Mild psychomotor retardation noted.  Maintains eye contact, though at times is staring intently and seems preoccupied.  Concentration is poor.  Mood is reported as depressed and anxious.  Affect is odd, anxious and constricted in range.  Speech halting at times.  Thought process significant for thought blocking.  Denies any visual or auditory hallucinations.  No delusions elicited.  He currently denies suicidal ideation or homicidal ideation.  Judgment and insight are fair.

∙ History of Present Illness (HPI): This is one of multiple hospitalizations for this man who has a diagnosis of schizoaffective disorder.  The patient has a history of alcohol dependence and this intensified after his friend recently died.  Also, the patient’s father died last year on the patient’s birthday, of prostate cancer.  The patient himself was diagnosed with lymphoma in 2010, and underwent biopsy of axillary lymph nodes in 2010; resolved but he states this is contributory to his increasing depression and SI.  He admits to increased drinking of “about 6 beers a day and some vodka”.  He reports having blackouts.  He denies any change in weight or appetite.  He reports his concentration is poor, sleep is decreased. He reports his mood as depressed and he says he feels overwhelmed.  The client self‐admitted to the ED because of feeling unsafe, but upon admission to the unit he denies SI.  He also denies symptoms of psychosis, although he appears preoccupied and guarded during the interview.  He appears to have some thought blocking, but when questioned, reports he is “trying to concentrate”.  No history of withdrawal seizures or DTs.  Patient has been admitted for substance abuse numerous times, at several locations.

Please answer the following questions:

1. Explain how you would perform a brief mental status assessment for client orientation

4. How would you assess potential for withdrawal using CIWA tool

5. Confirm intake information, by asking client additional open‐ended questions pertaining to his HPI and past presentations. What questions would you ask?

6. Assess for SI in patient using therapeutic communication skills: ∙ Assess ideation ∙ Assess plan ∙ Assess means to carry out plan. How would you ask these questions?

7. Educate client on the following topics:

∙ Alcohol use & abuse:  signs and symptoms of alcohol withdrawal (elevated VS, tremors, nausea/vomiting, DTs, diaphoresis, seizures)

∙ substitution therapy using benzodiazepines (side effects, physical assessment indicators of withdrawal)

∙ supportive medications given for alcohol withdrawal and reasons for administration (thiamine, folic acid, magnesium oxide, Wernicke Korsakoff’s encephalitis)

Meningitis bacterial risk factors?

Meningitis Viral risk factors?

Meningitis Viral Priority Interventions?

Meningitis Bacterial Priority Interventions?

Talk about what are the dangers when discovering abnormal vitals. What will the provider would like to know and what would proceed.

look for your assigned topic :  A male teen with a Body Mass Index of 36 and weight of 140 Lbs

make a post, paragraph length. of it

What are the different roles of an ER nurse vs Oncology nurse:

as far as which of these nurses do the following?

•Communicator

•Teacher

•Counselor

•Leader

•Researcher

•Advocate

•Collaborator

What are your thought on female circumcision? What's your opinion on girls who want to get the procedure done in a sanitary environment with anesthesia?

Wk 5 HCS/451

ABC Hospital is a small, privately-owned community hospital. It has been struggling to survive financially, as reimbursement rates have declined and consumers are being drawn to the larger state-of-the-art hospital facilities in urban areas that are perceived to have better quality. ABC Hospital was built in 1960 and has been operating in the same manner for many decades. The hospital meets legal and regulatory requirements but has not kept pace with some of the newer technologies and patient conveniences becoming more prevalent in the health care industry.

Write a 175- to 265-word response to the following:

• What strategies can the organization take to survive, improve its performance, and compete with other hospitals over the next 5 years?
• What are some advantages or disadvantages of these strategies?

1) Amiti currently smokes one pack of cigarettes a day; she typically smokes with her morning coffee, after meals, in her car, and when hanging out with her friends who smoke. Identify five actions or strategies that Amiti can use to increase her chances of success at quitting.

2) Your cousin has confided in you that she thinks she might have a drug problem. She explains that lately she can only think about getting high and seems to need much more of the drug in order to achieve that high. She is having difficulty in school and has been reprimanded at her job for being late. She has tried to cut back on her use of the drug, but she got sick every time she tried to quit. Identify and define the characteristics of drug dependence being manifested by this individual.

Ordered: medication 50 mg/m^2

The patient is 163 cm tall and weighs 118 lbs.

Patient's BSA:_____

Patient's dosage:_____