You are the nurse working the evening shift on a general post-operative surgical unit. You assess your patient, on admission to your unit after surgery. She tells you she was admitted from the ED this morning complaining of 1 day of severe nausea and vomiting. She had her appendix removed a few hours later and has been in the recovery unit for 3 hours. The aide got her up to the chair so she could eat her tray that just arrived from dietary. She is on a general diet. She is awake and alert x 3 but c/o the room spinning. She is still complaining of severe nausea and pain 8/10. Her VS are 98.6, 120, 24, 84/70 98% 10/10 pain. She has no IV fluids hanging. She has an order for Morphine sulfate 2mg IV push for pain and Ondansetron 4 mg IV push for nausea. She also has a prn antihypertensive medication ordered for a systolic BP over 160.

1. What is the priority issue of concern?

2. What are other areas of concern with the pt's assessment?

3. Why are these other areas not your first priority?

4. What do you think has to be done to help this patient?

5. What action would you take first? Calling for help is always a good choice but what do you do when help is coming. Cite evidence to support your suggested intervention.

6. What would be your suggested treatment for your second priority? Cite evidence to support your suggested intervention. (This may be a collaborative intervention i.e. a recommendation to a physician.)

7. What would be your suggested treatment for your third priority?

Researchers now believe that most medical errors cannot be prevented by perfecting the technical work of individual doctors, nurses, or pharmacists. Improving patient safety often involves the coordinated efforts of multiple members of the health care team, who may adopt strategies from outside health care.”

“The report reviews several practices whose evidence came from the domains of commercial aviation, nuclear safety, and aerospace, and the disciplines of human factors, engineering and organizational theory. Such practices include root cause analysis, computerized physician order entry and decision support, auto-mated medication dispensing systems, bar coding technology, aviation-style preoperative checklists, promoting a ‘culture of safety,’ crew resource management, the use of simulators in training, and integrating human factors theory into the design of medical devices and alarms.

” Discuss this concept of utilizing standard business quality initiatives and the logic of adopting them to use in healthcare. Using the practice of Root cause analysis, research, summarize, and include how you might apply this concept in your healthcare facility

Appraise the evolving role of holistic nursing in the contemporary health care system.

1. Evaluate the Evolving role as a holistic nurse

2. Explain how the holistic nursing journey affects the way nurses provide care for self

3. Evaluate how Culturally competent communication skills and techniques in the creation of caring environments with the interprofessional team

Watch the documentary on “Daughters of Mother India”. Based on the documentary, answer the following questions using your own thoughts. Be sure to give thorough explanations for your answers and reasoning. You must write at least 5 or more sentences for each question. Please write your answers in the spaces provided after each question.

1. Write a brief summary on the documentary. What was it about? Who are the main characters? What important events took place? What is the message being sent?
   
   
   

Do you feel that the Delhi Police Headquarters are doing a good job of preventing further rape and sexual abuse cases from occurring now? Why or why not?

Researchers mention in their CBPR (Community Based Participatory Research) study that is a quasi-experimental design that the community need for basic information about HIV and STDs superseded the strategy for using navigators as community advocates. What are some other potential limitations that could be drawn about the use of the soccer league navigators being used as community advocates.

1.describe how the organisation reviews and updates the support recipients current goals and needs.
2. explain how the workplace systems protect and store the information of the support recipients .how have you stored information according to the organisation policy and protocols?

Which of the following should be monitored regularly for a patient who is taking a luteinizing hormone-releasing hormone (LHRH) agonist?

A. Bone mineral Density.

B. Echocardiogram.

C. Nuclear medicine bone scan.

D. Positron emission Tomography.

1. Use your knowledge of Medical Terminology to best answer the questions:

1. What is the medical specialty that studies the characteristics and uses of radioactive substances in diagnosis of disease?      
2. What is a Myelogram?      
3. What is the medical term for an x-ray of a joint?      
4. In which x-ray view is the patient upright with the back to the x-ray machine and the film to the chest?      
5. What is the meaning of adduction?      
6. In which procedure is a transducer used?      
7. Technique using a radioactive substance and a computer to create three-dimensional images is called a     . (note the acronym AND list what it stands for)

2. Matching terms with meanings (re-type the terms to match with meanings below)

1. Therapeutic procedures performed by a radiologist      
2. Transformation of electrically neutral substances into electrically charged particles      
3. Diagnostic x-ray procedure whereby a cross-sectional and other images of a specific body segment are produced      
4. Materials are injected to obtain contrast with surrounding tissue when shown on x-ray film      
5. Radioactive substance is given intravenously, and a cross-sectional image is created of cellular metabolism based on local concentration of the radioactive substance      
6. Magnetic field and radio waves produce images of the body in three planes (coronal, sagittal, and axial)      
7. Test that combines radioactive chemicals and antibodies to detect minute quantities of substances in a patient’s blood      
8. Image of an area, organ, or tissue obtained from ultrasound, radioactive tracer studies, computed tomography, or magnetic resonance imaging      
9. Obstructing the passage of x-rays      
10. Diagnostic nuclear medicine test using radiopharmaceuticals and gamma cameras to create images      

Just answer no need to explain. please type. thank you.

2. give meanings for the following abbreviations, and provide an explanation/ definition below (what do the letters stand for AND fully define)

9. AP       
10. Ba       
11. CXR      
12. Decub       
13. KUB       
14. LAT      
15. RFA      
16. T-spine      
17. UGI      
18. V/Q scan      

3. Name the medical term from its definition and word parts given:

19. Radioactive drug administered for diagnostic purposes: radio      
20. Transformation of stable substances into charged particles:      ization
21. A physician who specializes in diagnostic radiology: radi     

4. Diagnostic Test Matching:

Just answer is fine. no need to explain. please type. thank you.

Discussion:

Diuretics Rosemary Fox is a 78-year-old client with a history of heart failure. Her treatment regimen includes hydrochlorothiazide, digoxin, an ACE inhibitor, and a potassium supplement. She is now hospitalized with acute exacerbation of heart failure, including a weight gain of 10 lb over the past week, severe 3+ pitting edema of her ankles and feet, and difficulty breathing with orthopnea. Furosemide 40 mg has been added to her drug regimen. The nurse is preparing to administer the first-ordered dose of IV furosemide. Ms. Fox asks what drug the nurse is preparing to administer. Upon learning that it is another type of diuretic, she states, “I’m already on a diuretic. Can’t you just give me a bigger dose of that?” How should the nurse respond?

1. Describe the potential adverse effects that may occur with the combination of drugs being given to Ms. Fox. Discuss nursing measures to prevent, detect, and/or manage these adverse effects.

2. Discuss the client teaching related to diuretic therapy that will be necessary for the nurse to provide to Ms. Fox prior to discharge.

1. Provide an example and a brief description of the nursing intervention that is based upon nursing or healthcare theory and the seminal theory/conceptual model.

a. Describe the concepts involved in the theory/model.

b. What the theory/model states the relationship(s) is/are between the concepts.

c. How and why was this theory created?

A local community health center identifies childhood obesity as a problem in the community. They collect data demonstrating that the problem begins as early as elementary school. They develop a plan that includes clinical interventions at the health center and also at the elementary school. They ask the health department to help them organize an educational campaign and assist in evaluating the results. Working together, they are able to reduce the obesity rate among elementary school children by 50%. This seems like a new way to practice public health. What type of approach is this?

Please help me with 1 page thoughtful and evidence-based reaction to the question, make reference to the sub-topics in chapter 12- Public Health Institutions and Systems-Introduction to Public Health 101 that relates to my choice question.

TJ is a 50yo male, 70kg, 5’10”, being treated for NYHA Class III moderate heart failure. His current serum creatinine is 3.5mg/dL, and it has been stable over the last three months.
Meds: aspirin 81mg daily, enalapril 10mg twice a day, metoprolol XL 100mg daily, simvastatin 20mg at bedtime. BP 127/76 mmHg, Pulse 65bpm, RR 21rpm, Temp 37.5C,
Pain 0/10. Labs: CBC within normal ranges, Glu 83mg/dL, K 4.1mmol/L, Cl 96mmol/L, Ca 9.5mg/dL, AST 20IU/L, ALT 24 IU/L. The physician asks for your advice to begin digoxin.
Compute and oral digoxin tablet maintenance dose for this patient (Include calculations).

a. 74.23mcg daily
b. 125mcg every 48 hours
c. 125mcg daily
d. 250mcg every other day