why Walden University offers a flexible online learning formats that fit the needs of a diverse student body as a nurse practitioner

1. What is CHIP an acronym for? In your own words what is their mission statement?

List 2 hospital partners. Is your local health department a partner?  

List at least two goals for each priority area with the corresponding objective and strategy.  

What have they implemented (you will find on home page ) and what priority area would that correspond to.

List the 8 dimensions of wellness.

The term ‘palliative care’, when used in relation to making health care decisions, takes into perspective all of the following except:

1. The experience of pain is subjective
2. Family and carers need to be supported through the grieving process as well
3. Having a discussion with a person who is in palliative care about where they wish to die
4. Patients have to stay in a hospital to get effective pain relief

Palliative care should include all of the following principals except:

a. It is only relevant for cancer patients

b. It provides relief from pain and other distressing symptoms

c. It should neither hasten nor postpone death

d. It enhances quality of life

When a person is dying the nurse should:

a. Understand the person’s wishes and support the person to die with dignity

b. Ask to look after other patients as this person has no hope of cure and is wasting their time and skills

c. Ignore the family and carers as they are not the patient

d. Delay giving pain medication as they could become addicted

Morphine is a common pain-relieving medication in palliative care. Which of the following statements is false?

a. People should wait until their pain is severe to take morphine so it will be effective when it is really needed

b. The experience of pain is subjective

c. An overdose of morphine may inhibit normal respiratory function

d. Give morphine as charted and have the dose reviewed if needed to manage pain

Cultural factors that may impede nursing care include:

a. Language barriers that inhibit effective communication

b. Lack of understanding regarding religious or spiritual needs

c. Personal bias or preconceived beliefs about other cultures

d. All of the above

Breakthrough pain occurs:

a.   When a patient is on a therapeutic level of pain management and is comfortable

b.   As a result of nausea and vomiting

c. In between regular intervals of pain relief and requires additional pain relief titrated to the patient’s level of comfort

d. As a result of administering too much analgesia

Intravenous Calculations

1. Directions: Determine the following in drops per minute using the drop factor provided.

Lactated Ringer solution is infusing at 45 microgtt/min. The drop factor is 60 gtt/mL. How much fluid volume will the client receive in 5 hr? _____

2. Directions: Determine the following in drops per minute using the drop factor provided.

D5 NS is infusing at 28 macrogtt/min. The drop factor is 10 gtt/mL. How much fluid volume will the client receive in 8 hr? _____

Which of the following are true statements regarding data analysis in qualitative research? (Select all that apply.)

Select one or more:

a. Qualitative data analysis involves examining and interpreting data in order to elicit meaning, gain understanding, and develop knowledge.

b. Although qualitative data analysis may identify additional data that may need to be collected, once the data collection period is over, the researcher is discouraged from contacting participants again to gather additional information.

c. Data analysis in some types of qualitative research occurs concurrently with data collection.

d. Researchers "dwell with the data" by immersing themselves in transcripts, tapes, and interview notes, and then reflecting, to make sense not only of what participants have said but also of meanings underlying expressions, emphasis, and nonverbal communications.

e. In all qualitative methods, data are analyzed according to the theoretical connections of the study framework.

f. Qualitative researchers may defer the literature review until after data analysis is complete, to avoid bias.

g. Hypotheses guide qualitative data analysis.

Intravenous Calculations

1. Directions: Determine the following in drops per minute using the drop factor provided.

Lactated Ringer solution is infusing at 45 microgtt/min. The drop factor is 60 gtt/mL. How much fluid volume will the client receive in 5 hr?

2. Directions: Determine the following in drops per minute using the drop factor provided.

D5 NS is infusing at 28 macrogtt/min. The drop factor is 10 gtt/mL. How much fluid volume will the client receive in 8 hr?

Which statements about quantitative research are accurate? (Select all that apply.)

Select one or more:

a. The results of quantitative research should be generalized back to the population from which the sample was drawn.

b. The methods of quantitative research are consistent with the philosophy of logical positivism.

c. Quantitative research addresses quantities, relationships, and causes.

d. Quantitative research predominates in the nursing research literature.

e. Quantitative research is always experimental.

f. Quantitative research tells the story of the research participants' daily lives, within their culture.

You have entered the patients rooms to   and you find the patient lying on the floor

What are the first steps you would take?

You have determined that the patient is not breathing you attempt manual ventilation and do not see the chest rise and fall. What the first three steps you would take under these circumstances.

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

You are called to the ER to  evaluate b Mr. Collins who has a long standing history of COPD. He was brought to the ER by ambulance and is complaining of increasing shortness of breath and productive high laugh with thick, green sputum. During an examination the his chest you notice hyperesonant percussion with decreased fremitus over the lung except the lower right lope that has a dull percussion note and increased fremitus.

What are the reasons for the differences in the findings?

Based on the findings what would you hear on auscultation over RLL.

A patient with stage four (terminal) brain cancer is estimated to have 3 months to live. This patient, before the confused state of mind, had asked to 'die with dignity', by taking a lethal dose of a cocktail of drugs. (His physicians have conceded to his request and will not be breaking any laws in the state they are in).

1. Do you agree or disagree with physician-assisted suicide? Explain why or why not.

What are common Nursing Plans (SOAP) for a pt with sepsis and afib? Labs and vitals below:

Vital signs:

B/P: 146/92

HR: 112

RR 24

Temp: 101.3 F

Spo2 95%

Pain: 3/10

Labs:

Na+ 135; K+ 4.2; Cl- 95; CO2 29; BUN 18; creat 0.37; glucose 250

Hgb 9.0; Hct 28.7; WBC 15; Plat 371

ABG: 7.46; PaCO2 32; PaO2 97; HCO3 22; O2 sat 95%

An infant is brought to the emergency department by parents who report that the baby’s fontanels seem to be bulging outward. What action by the healthcare provider is most appropriate?

When are childhood cancers most often … ?

The student wants to know how the clinical manifestations and onset of juvenile idiopathic arthritis (JIA) differ from those of rheumatoid arthritis (RA) in adults. What answer by the healthcare professional is best?

An infant has been … with intussusception and the student asks the healthcare professional to explain the condition. What explanation by the professional is most accurate?

A patient is in status epilepticus. In addition to giving medication to stop the seizures, what would the healthcare professional place highest priority on?

A child has osteosarcoma and the healthcare team is assessing for metastases. What diagnostic study would be the priority?

PLEASE Complete the blanks in the following “story” of lipoprotein metabolism

Once upon a time there was a little girl named Alice who ate a double bacon cheeseburger for lunch. After digesting the __________________ in the burger using pancreatic __________, they used a ___________ to cross the unstirred water layer of the small intestine and enter the enterocyte. Once inside the enterocyte, the ___________________ were re-assembled and packaged into a _____________________ with the protein apoB_____ and released first into the _________ and then the __________. During circulation, the chylomicron bumped into it’s friend the happy little HDL particle, which gave the chylomicron two important apoprotein “gifts” named apo_____ and apo_____. The chylomicron was now ready to do its job of delivering _____________ triglycerides to the cells. The chylomicron floated along in the capillary until it docked with __________________________(activated by apo_____), which hydrolyzed the triglyceride to 1 _________ and 3 ___________________ which were taken up by the cell. After releasing its triglycerides, the chylomicron gave back the apo_____ to HDL and became a chylomicron _________________, which was taken up by the liver (whose receptors recognized the apo____ and apo____) and cleared it from circulation.

After eating the double bacon cheeseburger, Alice was very thirsty so she decided that she would drink a 2-liter bottle of soda sweetened with high fructose corn syrup. Because Alice had exceeded her calorie needs for the day, much of the fructose in the soda was converted to ____________ in the liver and used as the backbone for endogenous _____________________ synthesis. The liver took these ________________ triglycerides and packaged them into a ___________________________ with the protein apoB_____. After this nascent _________ was released into circulation, it bumped into it’s friend the happy little HDL particle, which gave the nascent _______ two important apoprotein “gifts” named apo_____ and apo_____, making a mature ________ particle. The mature ________ was now ready to do its job of delivering _____________ triglycerides to the cells. The VLDL floated along in the capillary until it docked with __________________________(activated by apo_____), which hydrolyzed the triglyceride to 1 _________ and 3 ___________________ which were taken up by the cell. As LPL pulled much of the __________________ out of VLDL, the VLDL particle became smaller and more enriched in _______________.

The VLDL particle liked getting smaller and was therefore jealous of its friend the happy little HDL particle, who was the smallest of all the lipoproteins. Therefore, the next time the VLDL particle bumped into the HDL, it made sure that it found a _____________________ to help steal cholesterol esters from the HDL particle and in exchange gave some of its _________________ and phospholipids to HDL. This made the VLDL particle even smaller with less triglyceride and more cholesterol esters, transforming the VLDL into an ________ and then (once the amount of cholesterol was greater than the amount of triglyceride) a ________. Since the VLDL had given back the apo_____ and apo _____ to HDL after the VLDL had released its triglycerides, the only apoprotein remaining on the LDL was apo______.

So now our friend the little LDL particle was ready to do its job of delivering ______________ to the cells. The LDL floated along until it docked with the ____________________ (which recognized the apo______) on the outside of the cell membrane and then the cell engulfed the entire _______ particle, removing it from circulation.

Because Alice had a very high saturated fat diet, she had an excess of cholesterol in her blood. Fortunately, Alice’s liver made the happy little nascent________ particle, who had a flat disc shape and contained apo______, apo______, and apo______. As this happy little particle circulated in the blood, it donated the apo_____ and apo______ to VLDL (and CMs) and became more spherical in shape as it picked up free _______________ from tissues and trapped it inside by esterifying it to make a ______________ ester. The enzyme that helped “trap” the cholesterol inside the _______ particle was named _____________________________, and this enzyme was activated by apo______. Although some of the cholesterol esters inside the ______ particle were transferred to VLDL in exchange for triglycerides and phospholipids by the __________________________________, the HDL was still able to keep much of the cholesterol inside and go back to the liver, which recognized the apo_____ and engulfed the HDL particle. And this is how our friend the happy little HDL takes cholesterol back to the liver, a process called “reverse _________________.”