Nursing homework help

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Nursing homework help

Instructions

Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

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Case Study 1 & 2 topics change every semester.  Topic TBD Nursing homework help

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

Case Study # 1

Copyright © 2018 by Elsevier Inc. All rights reserved.

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition

Iron-Deficiency Anemia

Case Study

A 72-year-old man developed chest pain whenever he was physically active. The pain ceased on

stopping his activity. He has no history of heart or lung disease. His physical examination was

normal except for notable pallor.

Studies Result

Electrocardiogram (EKG), p. 485 Ischemia noted in anterior leads

Chest x-ray study, p. 956 No active disease

Complete blood count (CBC), p.

156

Red blood cell (RBC) count, p.

396

2.1 million/mm (normal: 4.7–6.1 million/mm)

RBC indices, p. 399

Mean corpuscular volume

(MCV)

72 mm3

(normal: 80–95 mm3

)

Mean corpuscular hemoglobin

(MCH)

22 pg (normal: 27–31 pg)

Mean corpuscular hemoglobin

concentration (MCHC)

21 pg (normal: 27–31 pg)

Red blood cell distribution width

(RDW)

9% (normal: 11%–14.5%)

Hemoglobin (Hgb), p. 251 5.4 g/dL (normal: 14–18 g/dL)

Hematocrit (Hct), p. 248 18% (normal: 42%–52%)

White blood cell (WBC) count, p.

466

7800/mm3

(normal: 4,500–10,000/mcL)

WBC differential count, p. 466 Normal differential

Platelet count (thrombocyte

count), p. 362

Within normal limits (WNL) (normal: 150,000–

400,000/mm3

)

Half-life of RBC 26–30 days (normal)

Liver/spleen ratio, p. 750 1:1 (normal)

Spleen/pericardium ratio <2:1 (normal)

Reticulocyte count, p. 407 3.0% (normal: 0.5%–2.0%)

Haptoglobin, p. 245 122 mg/dL (normal: 100–150 mg/dL)

Blood typing, p. 114 O+

Iron level studies, p. 287

Iron 42 (normal: 65–175 mcg/dL)

Total iron-binding capacity

(TIBC)

500 (normal: 250–420 mcg/dL)

Transferrin (siderophilin) 200 mg/dL (normal: 215–365 mg/dL)

Transferrin saturation 15% (normal: 20%–50%)

Case Studies

Copyright © 2018 by Elsevier Inc. All rights reserved.

2

Ferritin, p. 211 8 ng/mL (normal: 12–300 ng/mL)

Vitamin B12, p. 460 140 pg/mL (normal: 100–700 pg/mL)

Folic acid, p. 218 12 mg/mL (normal: 5–20 mg/mL or 14–34 mmol/L)

Diagnostic Analysis

The patient was found to be significantly anemic. His angina was related to his anemia. His

normal RBC survival studies and normal haptoglobin eliminated the possibility of hemolysis..

His RBCs were small and hypochromic. His iron studies were compatible with iron deficiency.

His marrow was inadequate for the degree of anemia because his iron level was reduced.

On transfusion of O-positive blood, his angina disappeared. While receiving his third unit of

packed RBCs, he developed an elevated temperature to 38.5°C, muscle aches, and back pain.

The transfusion was stopped, and the following studies were performed:

Studies Results

Hgb, p. 251 7.6 g/dL

Hct, p. 248 24%

Direct Coombs test, p. 157 Positive; agglutination (normal: negative)

Platelet count, p. 362 85,000/mm3

Platelet antibody, p. 360 Positive (normal: negative)

Haptoglobin, p. 245 78 mg/dL

Diagnostic Analysis

The patient was experiencing a blood transfusion incompatibility reaction. His direct Coombs

test and haptoglobin studies indicated some hemolysis because of the reaction. His platelet count

dropped because of antiplatelet antibodies, probably the same ABO antibodies that caused the

RBC reaction.

He was given iron orally over the next 3 weeks, and his Hgb level improved. A rectal

examination indicated that his stool was positive for occult blood. Colonoscopy indicated a rightside colon cancer, which was removed 4 weeks after his initial presentation. He tolerated the

surgery well.

Critical Thinking Questions

  1. What was the cause of this patient’s iron-deficiency anemia?
  2. Explain the relationship between anemia and angina.
  3. Would your recommend B12 and Folic Acid to this patient? Explain your rationale for

the answer

  1. What other questions would you ask to this patient and what would be your rationale for

them?

 

Case Study # 2

Copyright © 2018 by Elsevier Inc. All rights reserved.

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition

AIDS (Acquired Immunodeficiency Syndrome)

Case Studies

The patient, a 30-year-old homosexual man, complained of unexplained weight loss, chronic

diarrhea, and respiratory congestion during the past 6 months. Physical examination revealed

right-sided pneumonitis. The following studies were performed:

Studies Results

Complete blood cell count (CBC), p. 156

Hemoglobin (Hgb), p. 251 12 g/dL (normal: 14–18 g/dL)

Hematocrit (Hct), p. 248 36% (normal: 42%–52%)

Chest x-ray, p. 956 Right-sided consolidation affecting the posterior

lower lung

Bronchoscopy, p. 526 No tumor seen

Lung biopsy, p. 688 Pneumocystis jiroveci pneumonia (PCP)

Stool culture, p. 797 Cryptosporidium muris

Acquired immunodeficiency syndrome

(AIDS) serology, p. 265

p24 antigen Positive

Enzyme-linked immunosorbent assay

(ELISA)

Positive

Western blot Positive

Lymphocyte immunophenotyping, p. 274

Total CD4 280 (normal: 600–1500 cells/L)

CD4% 18% (normal: 60%–75%)

CD4/CD8 ratio 0.58 (normal: >1.0)

Human immune deficiency virus (HIV)

viral load, p. 265

75,000 copies/mL

Diagnostic Analysis

The detection of Pneumocystis jiroveci pneumonia (PCP) supports the diagnosis of AIDS. PCP is

an opportunistic infection occurring only in immunocompromised patients and is the most

common infection in persons with AIDS. The patient’s diarrhea was caused by Cryptosporidium

muris, an enteric pathogen, which occurs frequently with AIDS and can be identified on a stool

culture. The AIDS serology tests made the diagnoses. His viral load is significant, and his

prognosis is poor.

The patient was hospitalized for a short time for treatment of PCP. Several months after he was

discharged, he developed Kaposi sarcoma. He developed psychoneurologic problems eventually

and died 18 months after the AIDS diagnosis.

Case Studies

Copyright © 2018 by Elsevier Inc. All rights reserved.

2

Critical Thinking Questions

  1. What is the relationship between levels of CD4 lymphocytes and the likelihood of

clinical complications from AIDS?

  1. Why does the United States Public Health Service recommend monitoring CD4

counts every 3–6 months in patients infected with HIV?

  1. This is patient seems to be unaware of his diagnosis of HIV/AIDS. How would you

approach to your patient to inform about his diagnosis?

  1. Is this a reportable disease in Florida? If yes. What is your responsibility as a

provider?

.

Complementary And Alternative Health Care And Advance Pathophysiology

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Complementary And Alternative Health Care And Advance Pathophysiology

Complementary And Alternative Health Care And Advance Pathophysiology

Parts  3 and 4  have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

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APA format

 

1) Minimum 6 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

 

You must strictly comply with the number of paragraphs requested per page. Complementary And Alternative Health Care And Advance Pathophysiology

 

           Part 1: minimum  1 page

           Part 2: minimum 1 page

           Part 3: minimum 2 pages

           Part 4: minimum 2 pages

           

 

Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted

         Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

 

Submit 1 document per part

 

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

 

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

 

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

 

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Part 1: Complementary and alternative health care

 

  1. Explain how do chiropractice practitioners view health?
  2. Explain how do chiropractice practitioners view the illness?

 

Part 2: Complementary and alternative health care (writhe in the first person)

 

  1. How can you incorporate pressure point therapies into nursing practice for pain management.
  2. Give two examples.

 

Part 3: Advanced Pathophysiology

 

Briefly answer the questions in a couple of lines. Do not include unsolicited information

 

1- Benign Tumors vs Benign Tumors. Compare both of it.

2- What is a mutation causing cancer?

  1. Describe types of mutations.

3- Paracrine and Autocrine signals, concepts of each.

4- What is Cell adaptation and why it is so important?

5- Concepts of Adaptation mechanism such as:

  1. Hypertrophy
  2. Atrophy
  3. Hyperplasia
  4. Metaplasi
  5. Dysplasia.

6- Are cancer cells immortals? Why?

  1. What is an Oncogene
  2. Give an example.

7- What are two example of Viral Infections which may produce Cancer changes in cells.

8- Do We have vaccines against Oncogenic Viruses?

  1. Give two examples

9- What is metastasis?

10- Cancer can produce these clinical manifestations, explain why each of it.

  1. Paraneoplastic Syndromes
  2. Anemia
  3. Fatigue
  4. Caquexia
  5. Leukopenia
  6. Alopecia.

11- What is the meaning of TNM Staging system for Malignancies?

12- What is Epigenetics?

13- Environmental Lifestyle Factors and Cancer. Explain relationship for:

Tobacco Use, Nutrition, Obesity, Alcohol Consumption, Physical Activity, Ionizing and UV Radiation, Infections.

14- Apoptosis: post about it.

 

Part 4: Advanced Pathophysiology

 

Briefly answer the questions in a couple of lines. Do not include unsolicited information

 

1- Benign Tumors vs Benign Tumors. Compare both of it.

2- What is a mutation causing cancer?

  1. Describe types of mutations.

3- Paracrine and Autocrine signals, concepts of each.

4- What is Cell adaptation and why it is so important?

5- Concepts of Adaptation mechanism such as:

  1. Hypertrophy
  2. Atrophy
  3. Hyperplasia
  4. Metaplasi
  5. Dysplasia.

6- Are cancer cells immortals? Why?

  1. What is an Oncogene
  2. Give an example.

7- What are two example of Viral Infections which may produce Cancer changes in cells.

8- Do We have vaccines against Oncogenic Viruses?

  1. Give two examples

9- What is metastasis?

10- Cancer can produce these clinical manifestations, explain why each of it.

  1. Paraneoplastic Syndromes
  2. Anemia
  3. Fatigue
  4. Caquexia
  5. Leukopenia
  6. Alopecia.

11- What is the meaning of TNM Staging system for Malignancies?

12- What is Epigenetics?

13- Environmental Lifestyle Factors and Cancer. Explain relationship for:

Tobacco Use, Nutrition, Obesity, Alcohol Consumption, Physical Activity, Ionizing and UV Radiation, Infections.

14- Apoptosis: post about it.

 

Advanced Pathophysiology And Health Care Policy

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Advanced Pathophysiology And Health Care Policy

Advanced Pathophysiology And Health Care Policy

Parts  1 and 2   have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

ORDER A PLAGIARISM FREE PAPER NOW

APA format

 

1) Minimum 8 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

 

You must strictly comply with the number of paragraphs requested per page. Advanced Pathophysiology And Health Care Policy

 

           Part 1: minimum  2 pages

           Part 2: minimum  2 pages

           Part 3: minimum  1 page

           Part 4: minimum  1 page

           Part 5: minimum  2 pages

 

Submit 1 document per part

 

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted

         Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

 

Submit 1 document per part

 

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

 

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

Part 5: Minimum 5 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

 

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

 

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Parts  1 and 2   have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

 

Part 1: Advanced Pathophysiology

 

Briefly answer the questions in a couple of lines. Do not include unsolicited information

 

1- Benign Tumors vs Benign Tumors. Compare both of it.

2- What is a mutation causing cancer?

  1. Describe types of mutations.

3- Paracrine and Autocrine signals, concepts of each.

4- What is Cell adaptation and why it is so important?

5- Concepts of Adaptation mechanism such as:

  1. Hypertrophy
  2. Atrophy
  3. Hyperplasia
  4. Metaplasi
  5. Dysplasia.

6- Are cancer cells immortals? Why?

  1. What is an Oncogene
  2. Give an example.

7- What are two example of Viral Infections which may produce Cancer changes in cells.

8- Do We have vaccines against Oncogenic Viruses?

  1. Give two examples

9- What is metastasis?

10- Cancer can produce these clinical manifestations, explain why each of it.

  1. Paraneoplastic Syndromes
  2. Anemia
  3. Fatigue
  4. Caquexia
  5. Leukopenia
  6. Alopecia.

11- What is the meaning of TNM Staging system for Malignancies?

12- What is Epigenetics?

13- Environmental Lifestyle Factors and Cancer. Explain relationship for:

Tobacco Use, Nutrition, Obesity, Alcohol Consumption, Physical Activity, Ionizing and UV Radiation, Infections.

14- Apoptosis: post about it.

 

Part 2: Advanced Pathophysiology

 

Briefly answer the questions in a couple of lines. Do not include unsolicited information

 

1- Benign Tumors vs Benign Tumors. Compare both of it.

2- What is a mutation causing cancer?

  1. Describe types of mutations.

3- Paracrine and Autocrine signals, concepts of each.

4- What is Cell adaptation and why it is so important?

5- Concepts of Adaptation mechanism such as:

  1. Hypertrophy
  2. Atrophy
  3. Hyperplasia
  4. Metaplasi
  5. Dysplasia.

6- Are cancer cells immortals? Why?

  1. What is an Oncogene
  2. Give an example.

7- What are two example of Viral Infections which may produce Cancer changes in cells.

8- Do We have vaccines against Oncogenic Viruses?

  1. Give two examples

9- What is metastasis?

10- Cancer can produce these clinical manifestations, explain why each of it.

  1. Paraneoplastic Syndromes
  2. Anemia
  3. Fatigue
  4. Caquexia
  5. Leukopenia
  6. Alopecia.

11- What is the meaning of TNM Staging system for Malignancies?

12- What is Epigenetics?

13- Environmental Lifestyle Factors and Cancer. Explain relationship for:

Tobacco Use, Nutrition, Obesity, Alcohol Consumption, Physical Activity, Ionizing and UV Radiation, Infections.

14- Apoptosis: post about it.

 

 

Part 3: Health care policy

 

Visit

http://www.aha.org/advocacy-issues/communicatingpts/pt-care-partnership.shtml

and review the American Hospital Association’s Patients’Bill of Rights.

 

  1. Discuss how health care professionals can ensure that patients* rights are upheld and protected.

 

Part 4: Health care policy (Only two paragraphs)

 

  1. Give one example of one strategy of how health care professionals ensure that patient’s rights are upheld in clinical practice today (One paragraph)
  2. Give another example of another strategy of how health care professionals ensure that patient’s rights are upheld in clinical practice today (One paragraph)

 

Part 5: Health care policy

 

Health Policy Analysis Pap3r: Support for Patients and Communities Act

 

  1. Introduction (One paragraph)
  2. Analyze and evaluate the Health Policy impact on health care (Two paragraphs)
  3. Identify the application of health policy into clinical practice (Two paragraphs)
  4. Conclusion (One paragraph)

 

American Sentinel N521 Advanced Pharmacology Progress Test 1 Paper

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American Sentinel N521 Advanced Pharmacology Progress Test 1 Paper

Question 1

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Question text

The CNP orders the patient a tetracycline antibiotic and instructs him to avoid taking the medication with foods, beverages, or drugs that contain calcium, iron, or magnesium. The patient takes the antibiotic along with a daily multivitamin, not realizing that the vitamin contains iron. What effect may this have on the tetracycline? American Sentinel N521 Advanced Pharmacology Progress Test 1

Select one:

a.

Increased distribution

b.

Decreased metabolism

c.

Impaired excretion

d.

Impaired absorption

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Question 2

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During completion of the exam and review of the patient’s most recent medical record notes, it is noted by the CNP that the patient has a malignant brain tumor. What pharmacokinetic phase may be affected by the presence of the tumor? American Sentinel N521 Advanced Pharmacology Progress Test 1 Paper

Select one:

a.

Distribution

b.

Metabolism

c.

Absorption

d.

Excretion

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Question 3

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The patient requires a drug to be prescribed by the CNP that is known to be completely metabolized by the first-pass effect. During the prescribing process the CNP knows that due to this requirement:

Select one:

a.

The drug must be given by a non-oral route.

b.

The drug must be given in higher doses.

c.

The drug must be given in a lipid-soluble form.

d.

The drug must be given more frequently.

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Question 4

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A patient with cirrhosis of the liver exhibits decreased metabolic activity. This will require the CNP to make what possible changes in the patient’s pharmacotherapeutic regimen? (Select all that apply.) American Sentinel N521 Advanced Pharmacology Progress Test 1

Select one or more:

a.

More frequent monitoring for adverse drug effects

b.

A reduction in the dosage of the drugs

c.

A change in the timing of medication administration

d.

An increased dose of prescribed drugs

e.

Giving all prescribed drugs by intramuscular injection

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Question 5

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Question text

A patient who is in renal failure may have a diminished capacity to excrete medications. During the course of drug therapy, the CNP must assess the patient more frequently for what development?

Select one:

a.

Increased risk of allergy

b.

Increased risk for drug toxicity

c.

Increased absorption of the drug from the intestines

d.

Decreased therapeutic drug effects

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Question 6

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Question text

A patient experiences profound drowsiness when a normal or low dose of a stimulant drug is given. This is an unusual reaction for this drug, a reaction that has not been associated with that particular drug. What is the term for this type of drug reaction?

Select one:

a.

Unaltered reaction

b.

Enzyme-specific reaction

c.

Allergic reaction

d.

Idiosyncratic reaction

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Question 7

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Question text

The CNP has ordered atropine, a drug that will prevent the patient’s own chemical, acetylcholine, from causing parasympathetic effects. What type of drug would atropine be considered?

Select one:

a.

A protagonist

b.

An agonist

c.

A partial agonist

d.

An antagonist

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Question 8

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Question text

The CNP explains to the patient that the drug he is prescribing has a “narrow therapeutic index,” and what this means. The provider knows the patient has correctly understood the meaning of his explanation when the patient tells him that the drug has what properties? American Sentinel N521 Advanced Pharmacology Progress Test 1

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Select one:

a.

It has a narrow range of effectiveness and may not give him the desired therapeutic results.

b.

It has a narrow range of conditions or diseases that the drug will be expected to treat successfully.

c.

It has a narrow segment of the population for whom the drug will work as desired.

d.

It has a narrow safety margin and even a small increase in dose may produce adverse or toxic effects.

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Question 9

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Question text

The CNP instructs her nursing student that 10 mg of morphine is considered to provide the same pain relief as 200 mg of codeine, and tells the student that this indicates that the morphine would be considered more

Select one:

a.

potent than codeine.

b.

toxic than codeine.

c.

likely to cause an adverse event than codeine.

d.

likely to require dosing beyond once per day, than codeine.

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Question 10

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What is the term used to describe the magnitude of maximal response that can be produced from a particular drug?

Select one:

a.

Potency

b.

Comparability

c.

Efficacy

d.

Toxicity

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Question 11

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The CNP is prescribing butorphanol (Stadol), a partial agonist. This term “partial agonist” reminds the CNP that Stadol:

Select one:

a.

is a drug that will occupy a receptor and prevent the endogenous chemical from acting.

b.

is a drug that produces the same type of response as the endogenous substance.

c.

is a drug that produces a weaker, or less efficacious, response than an agonist drug.

d.

is a drug that causes unpredictable and unexplained drug reactions. American Sentinel N521 Advanced Pharmacology Progress Test 1 Paper

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Question 12

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Question text

Nonlinear kinetics or zero-order kinetics describes a process whereby drug elimination does not depend on its:

Select one:

a.

dose

b.

concentration

c.

Both a and b

d.

Neither a nor b

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Question 13

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Question text

Which herbal supplement should be taken with caution by people on Plavix(clopidogrel) due to its impact on platelet activity? American Sentinel N521 Advanced Pharmacology Progress Test 1

Select one:

a.

Acacia

b.

Meadowsweet

c.

Dandelion

d.

Garlic

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Question 14

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Question text

Which supplement increases bulk in stool but should be taken with a space of one to two hours from other medications?

Select one:

a.

flaxseed

b.

docusate

c.

garlic

d.

St John Wort’s

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Question 15

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Question text

The following medication has a lower potential for abuse than schedule 1 and it is considered a schedule 3.

Select one:

a.

Tylenol #3

b.

Methadone

c.

Meperidine

d.

Hydromorphone

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Question 16

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Question text

When prescribing drugs for an older adult, what factor affecting elimination of drugs should the practitioner consider?

Select one:

a.

The kidney is the major organ of drug metabolism for older adults.

b.

Aging produces an increase in hepatic blood flow.

c.

Increased oxidation of drugs occurs with aging.

d.

Phase II metabolism of drugs by conjugation is not affected by age.

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Question 17

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Question text

Which statement accurately describes the structure and function of a P&T Committee?

Select one:

a.

It creates and implements medication use policies.

b.

It is composed of pharmacists and insurance company CFOs.

c.

It licenses pharmacists to practice in hospital settings.

d.

It helps to develop and manufacture safe, effective generic medications.

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Question 18

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Question text

A health care practitioner is caring for an older patient diagnosed with dementia. Which measure is appropriate for this patient? American Sentinel N521 Advanced Pharmacology Progress Test 1 Paper

Select one:

a.

Periodically assessing a patient who is taking a cholinesterase inhibitor

b.

Ordering antipsychotic medication for BPSD as first-line therapy

c.

Treating insomnia with benzodiazepines

d.

Ordering physical restraints to prevent falls

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Question 19

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Question text

When prescribing doses for pediatric patients the NP must consider

Select one:

a.

Height in centimeters

b.

Body Surface Area (BSA)

c.

Age in months

d.

Weight in kilograms

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Question 20

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Question text

When prescribing doses for geriatric patients the NP must consider

Select one:

a.

Age in years

b.

Weight in Kilograms

c.

Renal function

d.

Visual acuity

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American Sentinel N521 Advanced Pharmacology Progress Test 1. American Sentinel N521 Advanced Pharmacology Progress Test 1 Paper

Nursing homework help

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Nursing homework help

When conducting research, it is important to know where it can make the most of an impact. For my project, I would discuss my results in the Journal of Childhood Obesity (Prime Scholars, 2022). It is not always understood the pivotal role that school nurses play in a child’s health and the limitations that they sometimes face. When trying to improve the healthcare of the students it can prove challenging as the nurse has to follow the rules set forth by the school board which is not always in the child’s best interest. The school board is trying to focus on positive body culture while students as young as twelve are suffering from hypertension. This should not be the case and the message needs to be heard that there are steps that can be taken to stop this trend. This information can be presented at a conference for the National Association for School Nurses (nasn.org, 2022).  Nursing homework help

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School nurses do a significant amount of work when it comes to caring for growing children. They see the health challenges the children face and can only sit by watching them get worse unless there is an action taken. By presenting the capstone at one of their conferences it can show how their education can make a difference and how much of a role they play. School nurses across the country watch these children grow and as of late, they watch them grow into unhealthy children. Unless there are adjustments made now then the child will only grow into an unhealthy adult. There is a growing need to protect children’s health and this can be done by school nurses around the country voicing their concern for the future leaders of our country.

 

Nursing homework help

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Nursing homework help

  1. Choose from one of the following topics:
    1. Nursing during an epidemic, pandemic or natural disaster across the country or around the globe
    2. Social media influences on health or health care delivery
    3. The effect of the media on nursing image. How can nurses educate the public and help portray the true image of nursing?
    4. The prevalence and impact of substance abuse among nurses (impaired nursing)
    5. Impact of collective bargaining on the nursing profession
    6. Impact of workplace harassment and violence on the nursing profession
    7. You may select from ONE of the following technological advances and discuss its impact on patient outcomes: Nursing homework help
      1. Telehealth technology
      2. Health applications
      3. Health-related/electronic wearables
    8. PPT Presentation will have 8-10 slides, NOT including the title and reference slides. You will also need to include graphics to make your slides interesting.
    9. You are to create bullet points for each slide, not including the title and reference slides. Include speaker notes for each slide by including 4-5 sentences to address the bulleted items on each slide. Please follow APA style and include citations in your speaker notes.
    10. Including a minimum of 4-5 peer research articles as references in the presentation. All research articles needs to be within 5 years from today’s date. No blog, chat, other university or Wikipedia information allowed in presentation.  The PowerPoint presentation must follow APA style.
    11. Describe in detail your plan for how you would lobby your legislators or local government for funding and support for your chosen current issue or trend.
    12. Include the following elements in your presentation:
      1. How will the topic impact your role as a nurse in nursing workforce or clinical setting?
      2. Current relevance of the topic
      3. How your topic is integrated and used in clinical practice

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You will need to follow these steps below for saving your PowerPoint so that your speaker notes are visible:  

  1. Open your PPT and go to “file” in top left corner.
  2. Click “print” option. Make sure “print all slides” and “print slides with notes” is selected.
  3. Go to “Save As” on the left hand side and be sure you save as a PDF.
  4. Under your save as selection, click “more options”. Select the “Options” button and click the “Publish What” pull-down and then select “Notes Pages.” (If you click slides it will not show the speaker notes)
  5. Click “OK.”
  6. Complete your selection process by checking “Open file after publishing” and selecting the “Optimize for: ‘Standard’ and ‘Minimum Size’” choices.
  7. Click on “Save” next to the “Tools” button at the bottom of the box.

 

Mental Health Legal and Ethical Assignments

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Mental Health Legal and Ethical Assignments

Mental Health Legal and Ethical Assignments

 

Name:

 

Evan is a psychiatric nurse working on an inpatient floor in a general community hospital. Mr. Girardi has been in a car accident, which has landed both him and his daughter in critical care. Because of Mr. Girardi’s extensive injuries, his physicians prescribe that he be put on light sedatives that do not induce coma but keep him sleepy and calm. They simultaneously decide not to immediately inform him of his daughter’s critical condition. The rationale for both decisions is their concern that he does not cry, which would cause extended damage to his perforated lung. Mr. Girardi is kept drowsy and motionless and as pain-free as possible. He has asked about his daughter, but when told that the staff will check on her, he is satisfied with that and drifts back to sleep. Mental Health Legal and Ethical Assignments

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               Mr. Girardi’s wife arrives to stay with him. It is 3:18 am, and Evan has just administered Mr. Girardi a sedative through his IV set. Mrs. Girardi tells Evan that her husband took his last “kidney stone pill” at 6 pm with his dinner before he and his daughter left the house. “He’s overdue for that kidney stone pill,” Mrs. Girardi says. “He’s not supposed to skip that.”

Evan says, “He shouldn’t take anything else right now, but I’ll check that out.” She assures Mrs. Girardi that she’ll ask the doctor about that and leaves the room.

Fifteen minutes later, Evan returns, explaining that she consulted with the hospital surgeon, who checked with Mr. Girardi’s urologist. The urologist confirmed that the “kidney stone pill” was a painkiller, which, under the circumstances, should be discontinued as long as Mr. Girardi is on the more powerful IV sedatives.

“Oh, that’s okay,” Mrs. Girardi tells Evan. “He woke up a bit while you were gone, and I was able to give him his pills.”

Mr. Girardi suffers moderate complications from the IV sedative and oral analgesic combination, which extends his hospital stay by 2 days. The Girardis feel that the hospital should have been in better control of the overdose, saying that if the staff had been on top of things and supervising more closely, this would not have happened.

 

  1. In the case of Mr. Girardi, do you think this case is most concerned with cause in fact, proximate cause, or foreseeability of harm?

 

 

Answer all the questions below each of the scenarios.

 

  1. As Joe, a registered nurse, prepares the medication for the evening shift, he notices that two of his patients’ medications are missing. Both are bedtime Ativan (lorazepam). When he phones the pharmacy to send up the missing medications, the pharmacist responds, “You people need to watch your carts more carefully because this has become a pattern.” Shortly after, another patient complains to Joe that he did not receive his 5 p.m. Xanax (alprazolam). On the medication administration record, Beth has recorded that she has given the drugs. Joe suspects that Beth may be diverting the drugs.

 

  1. What actions can Joe take regarding his suspicions of Beth?

 

  1. If Beth admits that she has been diverting the drugs, should Joe’s next step be to report Beth to the supervisor or to the board of nursing?

 

  1. When Joe talks to the nursing supervisor, should he identify Beth or should he state his suspicions in general terms?

 

  1. One day, Linda arrives at work on the behavioral care unit. She is informed that the staffing office has requested that a nurse from the psychiatric unit report to the ICU. They need help in caring for an agitated car accident victim with a history of schizophrenia. Linda goes to the ICU and joins a nurse named Corey in providing care for the patient. Eventually, the patient is stabilized and goes to sleep, and Corey leaves the unit for a break. Because Linda is unfamiliar with the telemetry equipment, she fails to recognize that the patient is having an arrhythmia, and the patient experiences a cardiopulmonary arrest. Although he is successfully resuscitated, he suffers permanent brain damage.

 

  1. Can Linda legally practice in this situation? (That is, does her registered nurse license permit her to practice in the ICU?)

 

  1. Does the ability to practice legally in an area differ from the ability to practice competently in that area?

 

  1. Did Linda have any legal or ethical grounds to refuse the assignment to the ICU?

 

  1. What are the risks in accepting an assignment in an area of specialty in which you are professionally unprepared to practice?

 

  1. Would there have been any way for Linda to minimize the risk of retaliation by the employer had she refused the assignment?

 

  1. If Linda is negligent, is the hospital liable for any harm to the patient caused by her?

 

  1. A 40-year-old man is admitted to the emergency department for a severe nosebleed and has both of his nostrils packed. Because of a history of alcoholism and the possibility for developing withdrawal symptoms, the patient is transferred to the psychiatric unit. His physician orders a private room, restraints, continuous monitoring, and 15-minute checks of vital signs and other indicators. At the next 15-minute check, the nurse discovers that the patient does not have a pulse or respiration. The patient had apparently inhaled the nasal packing and suffocated.

 

  1. Does it sound as if the nurse was responsible for the patient’s death?

 

  1. Was the order for the restraint appropriate for this type of patient?

 

  1. What factors did you consider in making your determination?

 

 

 

Discussion: Ethical and Legal Foundations of PMHNP Care

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Discussion: Ethical and Legal Foundations of PMHNP Care

Discussion: Ethical and Legal Foundations of PMHNP Care

Advanced practice nursing in all specialties is guided by codes of ethics that put the care, rights, duty, health, and safety of the patient first and foremost. PMHNP practice is also guided by ethical codes specifically for psychiatry. These ethical codes are frameworks to guide clinical decision making; they are generally not prescriptive. They also represent the aspirational ideals for the profession. Laws, on the other hand, dictate the requirements that must be followed. In this way, legal codes may be thought to represent the minimum standards of care, and ethics represent the highest goals for care. Discussion: Ethical and Legal Foundations of PMHNP Care

Photo Credit: [Hero Images]/[Hero Images]/Getty Images

For this Discussion, you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice, and also how these facets differ in the care of adult patients versus children. Keep in mind as you research your issue, that laws differ by state and your clinical practice will be dictated by the laws that govern your state.

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To Prepare

  • Select one of the following ethical/legal topics:
    • Autonomy
    • Beneficence
    • Justice
    • Fidelity
    • Veracity
    • Involuntary hospitalization and due process of civil commitment
    • Informed assent/consent and capacity
    • Duty to warn
    • Restraints
    • HIPPA
    • Child and elder abuse reporting
    • Tort law
    • Negligence/malpractice
  • In the Walden library, locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents.

By Day 3 of Week 2

Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state. Attach the PDFs of your articles.

Read a selection of your colleagues’ responses.

By Day 6 of Week 2

Respond to at least two of your colleagues on 2 different days by sharing cultural considerations that may impact the legal or ethical issues present in their articles.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! Discussion: Ethical and Legal Foundations of PMHNP Care

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 2 Discussion Rubric

 

Post by Day 3 of Week 2 and Respond by Day 6 of Week 2

Ethical and Legal Foundations of PMHNP Care Across the Lifespan

In your role as a PMHNP, you will regularly encounter situations that require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidence-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their background or worldview. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action.

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Learning Objectives

Students will:

  • Analyze salient ethical and legal issues in psychiatric-mental health practice
  • Analyze the impact of cultural considerations on ethical/legal decision making in advanced practice nursing
  • Evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination*

*Assessed in Week 3 Assignment

Learning Resources

Required Readings (click to expand/reduce)

 

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/coe-view-only/

American Psychological Association. (2017). Ethical principles of psychologists and diagnostic formulation. http://www.apa.org/ethics/code/

American Academy of Child & Adolescent Psychiatry. (2014). Code of ethics. https://www.aacap.org/App_Themes/AACAP/docs/about_us/transparency_portal/aacap_code_of_ethics_2012.pdf

American Psychiatric Nurses Association. (2020). APRN psychiatric-mental health nursing practice. https://www.apna.org/i4a/pages/index.cfm?pageID=3846

Anderson, S. L. (2012). Practice parameter on gay, lesbian, or bisexual sexual orientation, gender nonconformity, and gender discordance in children and adolescents. American Academy of Child and Adolescent Psychiatry, 51(9). 957–974. https://www.jaacap.org/action/showPdf?pii=S0890-8567%2812%2900500-X

Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental health. American Psychiatric Association Publishing. Discussion: Ethical and Legal Foundations of PMHNP Care

  • Chapter 2, “Addressing Behavioral and Mental Problems in Community Settings”

 

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.

  • Chapter 19, “Legal Issues in the Care and Treatment of Children with Mental Health Problems”

Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer.

  • Chapter 1, “Preparing to Pass the Psychiatric-Mental Health Nurse Practitioner Certification Exam”

Reminder: Keep Your Library of Advanced Practice Nursing Texts at Your Fingertips

Several textbooks are assigned in multiple courses in your program. That is, you will see reading assignments from the books assigned in the Learning Resources of more than one course. You should, however, keep all prior textbooks—not just the ones explicitly assigned—readily accessible. The expectation is that you will independently consult these prior textbooks to synthesize information needed to complete your final courses. This is your time to “put it all together” and to more fully embrace the advanced practice nursing role. Part of the responsibility of advanced practice is developing information literacy skills to know where to locate needed information for your clinical practice.

Assignment: Certification Exam Pretest

It is time to begin formally planning and studying for your certification exam. You will use your review text, The Psychiatric-Mental Health Nurse Practitioner Certification Review Manual, in both this course and in NRNP 6675 as a tool to aid in your preparation. Chapter 16 of this text contains practice exam questions that will help you prepare to take the national certification. For this Assignment, you will take 100 of these questions as a pretest.

 

Photo Credit: [Vergeles_Andrey]/[iStock / Getty Images Plus]/Getty Images

To Prepare

You do not need to study or prepare for this test. It is being used as a diagnostic pre-assessment to gauge your current knowledge. Set aside time to complete 100 of these questions. Discussion: Ethical and Legal Foundations of PMHNP Care

By Day 7 of Week 2

Complete the practice questions. Afterward, score your results using the answer key in the text. Save your score for next week, when you will create a certification exam study plan based on your results. There is no submission requirement this week related to your pretest.

Note: Your grade for the Week 3 Assignment will not be derived from your test results but from your self-reflection on the results in your Week 3 Study Plan Assignment. Discussion: Ethical and Legal Foundations of PMHNP Care

Root-Cause Analysis and Safety Improvement Plan Scoring Guide

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Root-Cause Analysis and Safety Improvement Plan Scoring Guide

Root-Cause Analysis and Safety Improvement Plan Scoring Guide

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CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization. Does not identify the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization. Identifies the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization. Root-Cause Analysis and Safety Improvement Plan Scoring Guide Analyzes the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization. Analyzes the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization, noting the degree to which various elements contributed to the safety issue or sentinel event pertaining to medication administration.
Apply evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration. Does not describe evidence-based and best-practice strategies pertaining to medication administration. Describes evidence-based and best-practice strategies but their relevance to the safety issue or sentinel event pertaining to medication administration is unclear. Applies evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration. Applies evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration, detailing how the strategies will address the safety issue or sentinel event pertaining to medication administration.
Create a viable, evidence-based safety improvement plan for safe medication administration. Does not create a viable, evidence-based safety improvement plan for safe medication administration. Creates a safety improvement plan for safe medication administration that lacks appropriate, convincing evidence of its viability. Creates a viable, evidence-based safety improvement plan for safe medication administration. Creates a viable, evidence-based safety improvement plan for safe medication administration that makes explicit reference to scholarly or professional resources to support the plan.
Identify existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration. Does not identify existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration. Identifies existing organizational resources, but their relevance and usefulness to quality and safety improvement for safe medication administration are unclear. Identifies existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration. Identifies existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration, prioritizing them according to potential impact.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling. Does not organize content for ideas. Lacks logical flow and smooth transitions. Organizes content with some logical flow and smooth transitions. Contain errors in grammar or punctuation, word choice, and spelling. Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling. Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar or punctuation, word choice, and free of spelling errors.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format. Does not apply APA formatting to headings, in-text citations, and references. Does not use quotes or paraphrase correctly. Applies APA formatting to in-text citations, headings and references incorrectly or inconsistently, detracting noticeably from the content. Inconsistently uses headings, quotes or paraphrasing. Applies APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format. Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.

 

NURS4020: Improving Quality of Care and Patient Safety

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NURS4020: Improving Quality of Care and Patient Safety

Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide/the headings. NURS4020: Improving Quality of Care and Patient Safety

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Analysis of the Root Cause

Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as:

  • What happened?
  • Who detected the problem/event?
  • Who did the problem/event affect?
  • How did it affect them?

Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as:

  • What was supposed to occur?
    • Were there any steps that were not taken or did not happen as intended?
  • What environmental factors (controllable and uncontrollable) had an influence?
  • What equipment or resource factors had an influence?
  • What human errors or factors may have contributed?
  • Which communication factors may have contributed?

These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event.

Application of Evidence-Based Strategies

Identity best practices strategies to address the safety issue or sentinel event.

  • Describe what the literature states about the factors that lead to the safety issue.
    • For example, interruptions during medication administration increase the risk of medication errors by specifically stated data.
    • Explain how the strategies could be addressed in safety issues or sentinel events.

Improvement Plan with Evidence-Based and Best-Practice Strategies

Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain:

  • Actions, new processes or policies, and/or professional development that will be undertaken to address one or more of the root causes.
    • Support these recommendations with references from the literature or professional best practices.
  • A description of the goals or desired outcomes of these actions.
  • A rough timeline of development and implementation for the plan.

Existing Organizational Resources

            Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan.

  • A brief note on resources that may need to be obtained for the success of the plan.
  • Consider what existing resources may be leveraged to enhance the improvement plan?

 

Conclusion

 

 

References

 

Reference page should be double spaced throughout without extra spaces between entries.

 

Each reference page entry should be formatted according to APA 7 guidelines with a hanging indent as is seen here.