Mr. Smith brings his 4-year-old son to your primary care office. He states the boy has been ill for three days. Mr. Smith indicates that he would like antibiotics so he can send his son back to pre-school the next day.

History – Child began with sneezing, mild cough, and low grade fever of 100 degrees three days ago. All immunizations UTD. Father reports that the child has had only two incidents of URI and no other illnesses.

Social – non-smoking household. Child attends preschool four mornings a week and is insured through his father’s employment. No other siblings in the household. Nursing homework help

PE/ROS -T 99, R 20, P 100. Alert, cooperative, in good spirits, well-hydrated. Mildly erythemic throat, no exudate, tonsils +2. Both ears mild pink tympanic membrane with good movement. Lungs clear bilaterally. All other systems WNL.

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Do not consider COVID-19 for this patient diagnosis.

For the assignment, do the following:

1. Diagnose the child and describe how you arrived at the diagnosis (i.e. how you ruled out other diagnoses).
2. Provide a specific treatment plan for this patient, pharmacologic and/or nonpharmacologic.
3. Provide a communication plan for how the family will be involved in the treatment plan.
4. Provide resources that Mr. Smith could access which would provide information concerning your treatment decisions. Nursing homework help
5. Utilize national standards, your pharm and/or patho book and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts to support your diagnosis and treatment.
6. Use references to support your concepts. Utilize correct APA formatting and mechanics of professional communication.

Present this Assignment as a narrative document, with a minimum of 4, and maximum of 5 pages not counting the cover page or reference page. It is not necessary to repeat the facts of the case in your narrative.

Before finalizing your work, you should:

• Read the Assignment description carefully(as displayed above);
• Consult the Grading Rubric(under Course Resources) to make sure you have included everything necessary; and
• Utilize spellingand grammar check to minimize errors.

Your writing assignment should:

• Follow the conventions of Standard American English(correct grammar, punctuation, mechanics, etc.);
• Be well organized, logical, and unified, as well as original and insightful;
• Utilize correct APA formatting, 7th edition.
• Submit to, and review results of Turnitin. Purdue University Global Student Conduct policy as it relates to plagiarism will be adhered to in this course. Nursing homework help

Applying Appropriate Nursing Care Interventions For Clients During Pregnancy, Labor, And Birth

Appling appropriate nursing care interventions for clients during pregnancy, labor, and birth.

Scenario

You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows. Applying Appropriate Nursing Care Interventions For Clients During Pregnancy, Labor, And Birth

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolaou (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years.

Allergies: Penicillin

Social history:

• (+) tobacco, “occasional” per client (pt.), <5 per/day currently, has smoked “off and on” for 15 years
• (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use
• Abusive partner with first pregnancy, states she has a new partner x 4 years
• Depression, currently not taking meds for treatment (Tx)

Medications: Prenatal vitamins; Labetalol 200mg BID.

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased) Applying Appropriate Nursing Care Interventions For Clients During Pregnancy, Labor, And Birth

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Instructions

Write a two to three-page analysis of this scenario that answers the following questions:

1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases, and depression?
2. Document the considerations of yourself as the professional nurse in regard to self-awareness; be aware of attitudes, values, and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.
3. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?
4. What concerns should be discussed with Ms. Jones before she leaves her appointment?

Each answer to your question should include the following:

• A correct answer with thorough development of the topic
• Gives clinical examples
• Include evidence from scholarly sources
• Appropriate use of medical terminology

Format

• Standard American English (correct grammar, punctuation, etc.)
• Logical, original and insightful
• Professional organization, style, and mechanics in APA format. Applying Appropriate Nursing Care Interventions For Clients During Pregnancy, Labor, And Birth

HIT Evaluation Plan – Cost Analysis

When evaluating the success of travel, whether the food or sites met expectations may be the main qualitative measure. Other measures will be more quantitative, such as whether the projected budget reflected the actual cost.

Some measures of successful HIT are qualitative in nature, while others are more quantitative. Most HIT evaluations will include one very important quantitative measure based on costs and returns. A cost analysis can help ensure that HIT investments are returning the benefits necessary to meet goals while remaining within budget.

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In this Assignment, examine various types of cost analysis and select one for use in your HIT Evaluation Plan Project and justify your choice. HIT Evaluation Plan – Cost Analysis

To prepare:

· Recall the HIT-ACE for the Evaluation Plan Project.

· Review Chapter 7 in the Herasevich text (link below)

· Select one of the five main types of analysis Herasevich lists as appropriate for HIT.

In a 3-page assignment:
– Choose one of the five main types of analysis Herasevich lists as appropriate for HIT and describe how you might use it to perform an analysis of a financial aspect of your HIT-ACE evaluation methodology.

– Describe the key elements you would include in your analysis.

– Justify your choice and provide a brief explanation of the alternative types of analysis.

– Explain why each would not be useful to analyze the financial aspect of your chosen case.HIT Evaluation Plan – Cost Analysis

Requirement:

– 5 scholarly articles, peer-reviewed, within the last 5 years.

1)

Herasevich, V., & Pickering, B. W. (2017). Health information technology evaluation handbook: From meaningful use to meaningful outcome (1st ed.). Taylor & Francis Group.

· Chapter 7, “Cost Evaluation” (pp. 124–146)

2)

Teh, R., Visvanathan, R., Ranasinghe, D., & Wilson, A. (2018, June). Evaluation and refinement of a handheld health information technology tool to support the timely update of bedside visual cues to prevent falls in hospitals. International Journal of Evidence-Based Healthcare, 16(2), 90–100. doi:10.1097/XEB.0000000000000129

3, 4, 5 – please add related scholarly and peer-reviewed articles within last 5 years. HIT Evaluation Plan – Cost Analysis