Questions
Please review Good Research Practices for Cost-Effectiveness Analysis alongside Clinical Trials: The ISPOR RCT-CEA Task Force...

Please review Good Research Practices for Cost-Effectiveness Analysis alongside Clinical Trials: The ISPOR RCT-CEA Task Force Report (Available at: http://www.ispor.org/workpaper/clinical_trial.asp) and answer the following question: Contrast the differences between cost effectiveness and cost utility studies and give several examples of these.

In: Nursing

The Summary Open Quiz is an opportunity for you to prepare for class and assess the...

The Summary Open Quiz is an opportunity for you to prepare for class and assess the knowledge and skills gained at the conclusion of class. These areas will be covered by your instructor. Use your reading and knowledge and skills to answer these questions and bring your written answers to class. Briefly discuss three important considerations when giving nursing care to clients who have problems with their Endocrine System. Briefly discuss three important consideration when giving nursing care to clients who have problems with their Renal System. Briefly discuss three important considerations when giving nursing care to clients who have problems with their reproductive system. What are the two most important interventions that can be taken to manage pain? Briefly describe the appropriate role for nurses as advocates for clients?

In: Nursing

Discuss some concerns of health care professionals with Radiation Safety regarding pregnant patients and children

Discuss some concerns of health care professionals with Radiation Safety regarding pregnant patients and children

In: Nursing

Define Law, Ethics, and Bioethics and explain what each means?

Define Law, Ethics, and Bioethics and explain what each means?

In: Nursing

Description: Shenya Jones, 34-year-old female, arrives at the office with swelling and a red pustule on...

Description:

Shenya Jones, 34-year-old female, arrives at the office with swelling and a red pustule on her face. She states that the problem started 2 days ago as a small pimple near her nose. It became irritated, and then extremely swollen and painful overnight. This morning, she noticed yellow drainage at the lesion site and the swelling has increased. The area of drainage is approximately 1 cm in diameter. Her upper lip, side of the face, and nose are all swollen. The examination and treatment areas need to be prepared before you bring her to the back office.

Discussion Questions:

1. What needs to be done before Shenya is brought back into the exam room?

2. Shenya is diagnosed with community-acquired MRSA (a highly contagious microorganism). What measures should you take to ensure there is no transfer of infection?

3. After Shenya’s examination, you will need to use an ultrasonic cleaner for sanitization. Describe how you would proceed and what source you would use if you had questions about the cleaner you are using.

P.S: Please answer all 3 questions individually. Thank you.

In: Nursing

Mr. Elder Lee, age 86, is admitted for a hip replacement. His H&H upon admission is...

Mr. Elder Lee, age 86, is admitted for a hip replacement. His H&H upon admission is 9.0 g/dl and 28%. The doctor wants two units crossmatched and held for a possible transfusion. You receive his properly labeled specimen and proceed with the crossmatch. Here are your findings for the type and screen:

Forward Grouping

Reverse Grouping

Gel Screen

>A

>B

>D

D Control

A1 Cells

B Cells

SCI

SCII

SCIII

0

0

4+

0

0

0

0

0

0

1. What is your interpretation of the forward grouping?

2. What is your interpretation of the reverse grouping?

3. What type of discrepancy do you suspect?

4. Name two ways to resolve the discrepancy.

In: Nursing

Multiple Choice 11. A newborn, at 5 hours old, wakes from a sound sleep and becomes...

Multiple Choice

11. A newborn, at 5 hours old, wakes from a sound sleep and becomes very active. He exhibits the following signs when assessed. Which one would require further assessment?
a. Increased mucous production
b. Passage of meconium
c. Heart rate of 160 beats per minute
d. Two apneic episodes of 20 and 24 seconds’ duration

12. When assessing a newborn boy at 12 hours of age, the nurse notes a rash on his abdomen and thighs. The rash appears as irregular reddish blotches with pale centers. The nurse would
a. Document the finding as erythema toxicum
b. Isolate the newborn and his mother until infection is ruled out
c. Apply an antiseptic ointment to each lesion
d. Request non-allergenic linen from the laundry

13. As part of a thorough assessment of a newborn, the nurse should check for hip dislocation and dysplasia. Which if the following techniques would the nurse most likely use?
a. Check for syndactyly bilaterally
b. Stepping or walking reflex
c. Magnet reflex
d. Ortolani’s maneuver

14. Newborns are at risk for cold stress.
a. State the dangers that cold stress poses for the newborn

b. Heat loss can occur by the following four mechanisms. Define each.
i. Conduction

ii. Convection

iii. Evaporation

iv. Radiation

c. Describe care measures the nurse should implement to prevent cold stress from occurring via the four mechanisms you outlined above.

15. After a long and difficult labor, baby boy James was born with a caput succedaneum and significant molding over the occipital are. Low forceps were used for the birth, resulting in ecchymotic areas on both cheeks. Describe what you would tell the parents of James about these assessment findings.

16. Mary and Jim are concerned that their baby boy who weighed 8lb 6oz at birth now, at 2 days of age, “weighs only 7lb 14oz.” Describe how you would respond to their concern.

17. Tonya and Sam, an African-American couple, express concern that their new baby girl has several bruises on her back and buttocks. They ask if their baby was injured during birth or in the nursery. Describe the appropriate response of the nurse to this couple’s concern.

Nursing Care of the Newborn

Multiple Choice

18. The nurse evaluates the laboratory test results of a newborn who is 4 hours old. Which of the following results would require notification of the pediatrician?
a. Hemoglobin 20g/dL
b. Hematocrit 54%
c. Glucose 34mg/dL
d. Total serum bilirubin 0.6mg/dL

19. A newborn male has been designated as Large for Gestational Age (LGA). His mother was diagnoses with gestational diabetes late in her pregnancy. The nurse should be alert for signs of hypoglycemia. Which of the following assessment findings would be consistent with a diagnosis of hypoglycemia?
a. Unstable body temperature
b. Cyanosis
c. Loose, watery stools
d. Abdominal distension

20. A radiant warmer will be used to help a newborn girl to stabilize her temperature. The nurse implementing this care measure should
a. Dress the infant before putting her under the warmer.
b. Dress and wrap the infant prior to placing her under the warmer.
c. Place the infant only in a diaper under the warmer, with the skin probe attached to the newborn’s skin.
d. Place the infant under the warmer with the heat set to maximum.

21. A newborn male has been scheduled for a circumcision. Essential nursing care measures as part of this surgical procedure would include which one of the following?
a. Feed the infant just prior to the procedure to help him remain relaxed and quiet.
b. Apply petroleum jelly to the site with every diaper change until the for at least 24 hours.
c. Check the penis for bleeding every 15minutes for the first 4 hours.
d. Teach the parents to remove the yellowish crust/exudate that forms over the glans using a diaper wipe

22. Apgar scoring is a method of newborn assessment used in the immediate post birth period, at 1 and 5 minutes. Indicate the Apgar score of the following newborns:
a. BB Smith, at 1 minute after birth:
Heart rate 160 beats/min
Respiratory effort – good, crying vigorously
Muscle tone – active movement, well flexed
Reflex irritability – cries with stimulus to soles of feet
Color – body pink, feet and hands cyanotic
i. Score:
ii. Interpretation:
b. BG Doe at 5min after birth:
Heart rate – 102 beats/min
Respiratory effort – slow, irregular with weak cry
Muscle tone – some flexion of extremities
Reflex irritability – grimace with stimulus to soles of feet
Color – pale
i. Score:
ii. Interpretation:

23. Parents of BB Marion are concerned about the color of their baby who has developed hyperbilirubinemia at 30hours of age, and the need to put the baby under special lights. “My uncle was yellow just like our baby and he died of liver cancer!”
a. Describe how the nurse should respond to the parents’ concern.

b. Identify the expected assessment findings and physiologic effects related to hyperbilirubinemia.

c. List the precautions and care measures that are required by the nurse caring for a newborn under phototherapy in order to prevent injury to the newborn yet maintain the effectiveness of the treatment.

Newborn Feeding and Nutrition

Multiple Choice

24. The nurse should teach breastfeeding mothers about breast care measures to preserve the integrity of the nipples and areola. Which of the following should the nurse include in these instructions?
a. Cleanse nipples and areola twice daily with mild soap and water
b. Apply vitamin E cream to nipples and areola at least 4 times daily before feedings
c. Insert plastic-lined pads into the bra to absorb leakage and protect clothing
d. Apply modified lanolin to both dry and sore nipples

In: Nursing

Give the rationale for each of the following nursing interventions and selected activities for the nursing...

Give the rationale for each of the following nursing interventions and selected activities for the nursing care plan for ineffective airway clearance.

INTERVENTIONS

1.Encourage the client to take several deep breaths

Rationale:

2.Encourage the client to take a deep breath, hold for 2 seconds, and cough two or three times in succession

Rationale:

3.Encourage use of incentive spirometry, as appropriate

Rationale:

4.Promote systemic fluid hydration, as appropriate

Rationale:

5.Monitor rate, rhythm, depth, and effort of respirations

Rationale:

6.Note chest movement, watching for symmetry, use of accessory muscles, and supraclavicular and intercostal muscle retractions

Rationale:

7.Auscultate lung sounds aftertreatments to note results

Rationale:

8.Monitor client’s respiratory secretions

Rationale:

9.Monitor client’s ability to cough effectively

Rationale:

10.Monitor for increased restlessness, anxiety, and air hunger

Rationale:

Match the following concepts with each other. Write the letter only. Use CAPITAL letters.

__1.Tracheostomy

__2.Oxygen Therapy

__3.Assessments for need to suction

__4.Hypoxemia

__5.Incentive Spirometry

__6.Tracheostomy precautions

__7.Indications for Tracheostomy

__8.Chest Percussion

CHOICES:

A. Upper airway obstruction, upper airway bleeding, inability to clear lower airway secretions, laryngeal or tracheal fracture, airway burns, need for continuous ventilation, decreased LOC with inability to protect airway

B.Nasal cannula, face mask, non-rebreather, partial non-rebreather, venture mask, face tent

C.Reduced oxygen in the blood characterized by a low PO2 or Sa02

D.Percussions over congested areas can mechanically dislodge tenacious secretions from the bronchial walls

E.Surgical opening into the trachea with the creation of a stoma

F.Improve pulmonary ventilation, counteract the effects of anesthesia/hypoventilation, loosen respiratory secretions, facilitate respiratory gaseous exchange, expand collapsed alveoli

G.Keep duplicate tract tube with obturator at bedside, keep foreign objects such as aerosols and powders away from trach, provide humidified air and 02, keep the stomata dry, good oral and nasal hygiene, medical/ surgical asepsis

H.Restlessness, gurgling sounds during respiration, adventitious breath sounds when chest is auscultated, change in mental status, skin color, rate and pattern of respiration, pulse rate and rhythm

In: Nursing

rough draft for this assignment 17 years female arrives in the ER with severe bleeding from...

rough draft for this assignment 17 years female arrives in the ER with severe bleeding from a motor vehicle accident (MVA). Her parents are Jehovah's Witnesses and have refused any blood products for her. Her injuries could be fatal if she doesn’t receive any blood. Once you have selected a scenario: Introduce the concept of ethics with purpose statement Analyze the scenario using the ethical decision-making model Integrate ethical principles and process using concepts from Black text AND ANA Code of Ethics text Identify current research (last 5 years) that is useful for assisting nurses when handling ethical dilemmas, using at least one journal article. Use scholarly APA format with title and reference page. Use correct grammar and punctuation with clear and organized writing (not written in first person). Your assignment should be approximately 3-5 pages in length.

In: Nursing

1. Discuss how factors relating to biological and age-related risks, environmental risks, and behavioral risks contribute...

1. Discuss how factors relating to biological and age-related risks, environmental risks, and behavioral risks contribute to family health and the achievement of healthy outcomes.

2. Discuss activities that the nurse practicing in the community can implement to assist families to decrease health risks.

In: Nursing

How could Marie have acquired herpes? (Hint: there are multiple possibilities). 3. What can Marie do...

How could Marie have acquired herpes? (Hint: there are multiple possibilities). 3. What can Marie do to cope with her current outbreak? 4. How might she discuss this situation with Christina?

In: Nursing

Sam is a 25-year-old college student. He works full time in addition to taking a full...

Sam is a 25-year-old college student. He works full time in addition to taking a full course load. He usually eats fast-food cheeseburgers and fries in his car for lunch and a take-out pepperoni pizza right before bed. Sam has noticed that he has put on some extra weight in the past few months, and his clothes are fitting very tight. He also has been experiencing severe heartburn several nights a week. Come up with some changes that Sam can make to his daily habits to help alleviate his heartburn.

In: Nursing

Precis 3 To complete this assignment, follow the instructions below. You will have two arguments to...

Precis 3

To complete this assignment, follow the instructions below.

You will have two arguments to address from both Chapter 8 and Chapter 9.

From Chapter 8, Exercise 8.9, write a precis on passages 4 and 5.

4: If the Copernican and Darwinian theories are reasonable representatives of scientific revolutions, Sigmund Freud’s theory of psychology is a candidate for a revolution in thought. Thus, because both the Copernican and Darwinian theories are reasonable representatives of scientific revolutions, Freud’s theory is a candidate for a revolution in thought.- Friedel Wienert, Copernicus, Darwin, and Freud.

5: Infants can recognize human voices as early as 7 months of age. Researchers studied brain activity in 32 infants, half of whom were 4 months of age and the other half 7 months old. Researchers played different sounds, including human voices speaking nonsense languages, and brain activity suggested that the 7 month-olds could distinguish the human voice from the other sounds and the 4 month olds could not.- Neuron

Be sure to identify the type of argument, if appropriate, and discuss the strength of any possible inductive generalizations.

Work to justify your analysis.

No diagram is necessary.

From Chapter 9, Exercise 9.12, write a precis on passages 1 and 4.

Be sure to identify the type of argument, if appropriate, and discuss the strength of any possible analogical arguments.

Work to justify your analysis.

No diagram is necessary.

(1) Plants are a lot like animals, because they both transfer energy of one kind to energy of another. Since most plants get their energy directly or indirectly from sunlight, animals, too, must get their energy from sunlight.-Tom Garrison, Oceanography.

(4) When studying the frontal lobe, the part of the brain that considers the consequences of actions, we made an insightful discovery about the adolescent brain. A major reason why adolescents often make poor decisions is because the nerve cells that connect their frontal lobes with the rest of their brains are sluggish.- Neuroscientist Frances Jensen.

This assignment should be submitted as a double-spaced Microsoft Word document. Please use the naming protocol Precis3_Lastname. For example, if your name is Jane Smith, the document would be saved as Precis3_Smith.

In: Nursing

1. CASE: Susie G, is a 40-year-old female with Metabolic Syndrome, Obesity, IBS (constipation predominant), Infertility,...

1. CASE:

Susie G, is a 40-year-old female with Metabolic Syndrome, Obesity, IBS (constipation predominant), Infertility, Fatigue, and PCOS. She drinks alcohol, craves sweets, has high cholesterol, high fasting blood sugar levels, insulin resistance, and elevated DHEAs levels. She has returned to you for a follow-up visit to discuss detoxification and how it may benefit her well-being.
2.a. After reading AGE-ALE-RemovalStrategies.pdf, pick two ways you could NATURALLY (ie. using diet/nutrients/ supplements, NOT prescription drugs) help Susie inhibit or degrade AGEs and ALEs. Explain their mechanism of action (ie. antioxidant, enhance phase II detoxification, etc.). 1/2 point

2.b. What else could you do to nutritionally support her detoxification pathways? 1 point

3.a. list which nutrients are depleted/increased from alcohol ingestion and the mechanism by which this occurs. Looking back throughout the semester, how many of Susie's symptoms/conditions and nutrient deficiencies could be related to alcohol ingestion? 1/2 point

3.b. provide 1-3 sentences on the benefits/detriments of alcohol and support your claims with a peer-reviewed journal article, providing the abstract and link to the full article. Knowing what you do about alcohol's effects on the body, how would you counsel clients on the use of alcohol? 1/2 point

In: Nursing

Give your opinion on whether using the CATS(Couple Adaptation to Traumatic Stress) model clarified the study...

Give your opinion on whether using the CATS(Couple Adaptation to Traumatic Stress) model clarified the study or not and please be sure to explain your reasoning using citations and references from peer-reviewed sources.

In: Nursing