Stress and adaptation

Stress and adaptation

Informatics nursing

Informatics nursing

Advanced Medical Surgical

Hello, this is an assignment from Med Sur. Please fill in each file, the first file is from System Disorder (Diabetic Ketoacidosis) and the other three files are from Medication(Regular Insulin, Fentanyl, Ondansetron), it is a total of four files that you will have to do.1. ATI Active Learning Template:System Disorder (Diabetic Ketoacidosis)ATI System Disorder

finalw8d1

This is a Master Degree Nurse Practioner program minimum of 350 words with at least 2 peer review reference in 7 the edition apa style.  Please do not use international referencesSepsis and SIRS often present with a host of complications. Acutely, you need to provide stabilization for this geriatric patient. The common presenting sources of infection are urinary tract infections and pulmonary infections. How would you approach this population to determine the source of infection? How are the critical care and emergent situation conditions and disorders inclusive of systemic inflammatory response syndrome (SIRS) and sepsis different? Using a patient from your clinical practicum for whom you have provided care, describe and explain the diagnostic workup to determine the source of infection or inflammatory response. Support your answer with two or three peer-reviewed resources.

finalwk8d2

This is a Master Degree Nurse Practioner program minimum of 350 words with at least 2 peer review reference in 7 the edition apa style.  Please do not use international referencesYou are making rounds in the intensive care and the nurse reports the patient has spiked a fever, oxygen saturations are below 85%, tachycardia, and variant hypotension. The patient is intubated and has been treated for COVID pneumonia for 10 days. What are some specific aspects of assessment and diagnostic workup on which you would want to focus? Provide three differential diagnoses at this point and what treatment parameters you need to start while ruling out complications. What are the risk factors necessary to take into considerations as you develop treatment parameters for this patient? Think about sepsis from multiple sources of a prolonged ICU stay. Support your answer with two or three peer-reviewed resources.

Replies to 2 Discussions Post

Please see Attachment for Instructions

BENCHMARK ASSIGNMENT-EVALUATION OF CLINICAL PRACTICE GUIDELINE

SEE THE ATTACHED QUESTION, RUBRIC AND SAMPLE

Assessment Tools, Diagnostics, Growth, Measurement, and Nutrition in Adults and Children

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.Not only do these diagnostic tests affect adults, but body measurements can also provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.To PrepareReview this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.Search the school Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?Also, as you search the school library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.Consider how you could encourage parents or caregivers to be proactive toward the child’s health.The Scenario Health Issues R/T Weight:   Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother explanation of the health issues and risks that are relevant to the child you were assigned.  The Question:Describe additional information you would need in order to further assess his or her weight-related health.Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

Public Health Websites Analysis

Research national, state, and local government health agency websites for information on access to health care in the state of Miichigan.

Soap Note

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.GENITALIA ASSESSMENTSubjective:CC: “I have bumps on my bottom that I want to have checked out.”HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.PMH: AsthmaMedications: Symbicort 160/4.5mcgAllergies: NKDAFH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERDSocial: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)Objective:VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbsHeart: RRR, no murmursLungs: CTA, chest wall symmetricalGenital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labiaAbd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurneyDiagnostics: HSV specimen obtainedAssessment:ChancrePLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.To prepare:With regard to the SOAP note case study provided:Review this week’s Learning Resources, and consider the insights they provide about the case study.Consider what history would be necessary to collect from the patient in the case study.Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.To complete:Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study.  Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.Analyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or Why not?Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.