Write the short answers

Q 1. Identify trends in the use of the Internet for healthcare information.

Q 2. Discuss why patient–provider online communications remain relatively uncommon.

Q 3. List three ethical concerns governing provider advice giving over the Internet.

Q 4. Discuss how patients turn to the Internet for information because they are inadequately informed in encounters with their provider.

Describe the feedback you gave and received following any task

include :

1. Who did you share feedback with?

2. What was the nature of your relationship?

3. What feedback were you given? How did this feedback help you?

4. What feedback did you give in return? Describe how you think that feedback was useful to them?

A 75-year-old female client on home health care for post op hip replacement. You are the visiting nurse and you find the patient somulent and only responding to stimulus with nodding. Patient was given prescription for 10 mg oxycodone q4-6 hours. Patient has been out of the hospital for three days. Upon examining the bottle, it is found that 20 tablets were prescribed and only two tablets remain.

a. What measures should the nurse take to ensure an accurate assessment of pain in the client?

b. What patient and family or caregiver education is appropriate in this case? (Be prepared to act as the nurse in a nurse-patient real life scenario.)

For this discussion, examine the practice act for Texas. In your initial post, include a summary of one area in the nurse practice act and include an association you could use to examine the standards of practice. In your response to your peers, discuss the similarities and differences you see in different states.

A 38 y.o. mother is in active labor. On assessment, the nurse obtains the following data: BP 200/140; T 98.9, P 90, R 21, urine protein 3+. The mother complains of dizziness and blurred vision.

1. Based on these findings, which data will the nurse report to the RN? Include rationales.

2. What condition(s) do you suspect this woman is developing?

3. What orders will you anticipate the physician ordering? Include rationales.

4. What nursing interventions will your incorporate into your plan of care? Include rationales.

This question is based on a scenario. A sportsperson who is diagnosed with type 1 diabetes when he was five years old. The doctor put him on a conventional insulin regimen to maintain blood sugar. But now he wants to play in the soccer team and is pretty healthy except he is only on insulin. He requested his doctor to convert to intensive insulin therapy. His blood sugar is well maintained, diet is perfect, and knowing how to give insulin. But mom is concerned with sending him away. My question is how a nurse should advise both son and mom based on the given information.

John Lyons has undergone treatment for kidney stones three times in the last year. Today he calls this primary provider with complaints of acute, excruciating, colicky, pain that radiates down the thigh toward the genitalia. The pain started last night, and has become progressively more severe. He also complains of the urge to void but has little urine output, and it is blood tinged. Due to the pain, he has not taken any fluids or food in 24 hours. Mr. Lyons undergoes lithotripsy, and analysis of stone fragments to reveal calcium stones. (Learning Objective 6)

1. Mr. Lyons’ symptoms are most indicative of stones in what area of the renal system?

Mr. Lyons has the following orders:

• Morphine sulfate, 2 mg IVP every 2 hours as needed for severe pain
• Ibuprofen, 600 mg every 6 hours
• Normal saline at 200 mL/hr

b. Discuss the rationales for the above orders?

c. Based on the calcium composition of the stone, what dietary teaching should the nurse include in Mr. Lyons’ plan of care?

Mr. Prichep, 67, and his wife have come to the clinic for a consultation. "It's her idea, not mine," he says. He glares at you like it's your fault too, this meeting. As Mrs. Prichep begins to talk, you learn that Mr. Prichep recently suffered a myocardial infarction one day in his antiques shop and missed work for about 2 weeks. He was eager to get back to work, but his wife, who runs the shop with him, and their two employees have both seen some changes that concern them since he's come back. "It's true, he likes his cocktails," his wife says. She smiles at him and takes his hand. He stares at her but stays quiet. "He usually insists that we have a little 'happy hour' in the shop after closing, just the two of us, after everyone else has gone. But that's all. He really doesn't drink much more than that, but now sometimes he acts like he's drunk. Our employees see it too. Something's different." When pressed for more details, Mr. Prichep gets angry and defensive, arguing with his wife's perceptions. She shares that Mr. Prichep has trouble sleeping at night. At work he has lapses in judgment, which has caused a few breakages, and forgets things he's just been told. Used to doing his own bookkeeping, Mr. Prichep now seems to lose his concentration. "I walked in while he was supposedly doing the books one afternoon, to find he was just staring. I said, 'Honey, what are you doing?' And he looked at me, bewildered, and said, 'What am I supposed to do now? I just can't think.' He becomes discouraged easily and seems sad," she says. "And his sadness is the hardest part for me. I wouldn't mind the rest."

1. Identify at least three possible causes, besides aging, that may be contributing to Mr. Prichep's symptoms.

2. Mr. Prichep is diagnosed with depression, but with new signs of cognitive impairment. Mr. Prichep asks, "I'm depressed because of the heart attack and how vulnerable it's made me feel. Plus I feel old and fumbling. If my depression is cured, do you think I can get rid of my 'mind problems'?" How will you answer Mr. Prichep?

3. It is believed, at this point, that Mr. Prichep's dementia is related more to depression, brought on by altered physical condition as a result of the myocardial infarction, rather than being caused by any physical damage to the brain from the infarction itself. Nor is it caused by alcohol abuse. As you begin collaborating with Mr. Prichep's doctor on a treatment plan, what will you include in an education plan for Mrs. Prichep, who is his primary caretaker.

8. Select a specialized cell type of the integumentary system and describe the appearance, function and location of the cell. Additionally, select a specialized cell type of the skeletal system and describe the appearance, function and location of the cell 9. Describe three ways in which aging impacts the skin and three ways in which aging impacts the skeletal system 10. Select one disorder of the integumentary system and briefly describe the disorder in terms of cause, symptoms, treatments and who is impacted by this disorder. Additionally, select one disorder of the skeletal system and briefly describe the disorder in terms of cause, symptoms, treatments and who is impacted by this disorder.

The nurse is providing care to several patients in the emergency department. In which order should the nurse assess and provide care to the patients? (Enter the number of each step in the proper sequence)

1) A patient with a leg laceration requiring sutures
2) A patient with abdominal pain rated as a 7 on a numeric pain scale
3) A patient who has multiple trauma due to a motor vehicle accident
4) A patient who took an overdose of opioids with a respiratory rate of eight breaths per minute

concerns/obstacles hospitals are facing at present, along with solutions on the effect of health insurance or health policy on the delivery of health care like

financing and reimbursment affect delivery of care

reimbursement differ in the delivery of outpatient vs inpatient care

Managed Care and Integrated Systems impact the cost, access, and quality of health care delivery

Legislative Health Policy impacted the delivery of care

future of health services delivery