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20 Nov
2020

• Initial Post: 1) What is your Philosophy of Nursing – in one or…

Category:ACADEMICIAN

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• Initial Post: 1) What is your Philosophy of Nursing – in one or two sentences. 2) According to Fawcett, nursing scholars can use one of these three Nursing Worldviews: Reaction, Reciprocal Interaction or Simultaneous Action, while Parse suggests the Totality or Simultaneity Paradigm. Others may incorporate Rationalism, Empiricism, or Historicism philosophies. Give a brief description of one of these that you identify with. 3) Explain how this philosophy or worldviews are most closely in alignment with your nursing philosophy and why.
Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA)
Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population. -Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources. -write a problem statement. -Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable. -Discuss the impact on the health care delivery system.
A child weighs 20 kg and has an order for Garamycin (gentamicin) 40 mg IV piggyback every 8 hours. The
A child weighs 20 kg and has an order for Garamycin (gentamicin) 40 mg IV piggyback every 8 hours. The recommended dosage range is 2 to 2.5 mg/kg every 8 hours. The medication is supplied in 20-mg vials with a strength of 10 mg/mL. How many milliliters would the nurse withdraw from the vial? Use dimensional analysis to calculate the amount to give.
Topic: Your hospital has a hospital-wide strategic plan. Performance in meeting the Core measures by the Joint Commission, Nursing Quality
Topic: Your hospital has a hospital-wide strategic plan. Performance in meeting the Core measures by the Joint Commission, Nursing Quality Indicators, reducing Hospital Acquired Condition is important. Preventing IV site complications such infiltration, phlebitis, extravasation for oncology pediatric clients receiving chemotherapy and TPN is listed as an overall arching house-wide goal. Your pediatric oncology unit has IV complications rate of 9.53%. The local competition has rates ranging from 0% to 1% Your rate has decreased in the past year from 14% to 9.53% over the past year. You have been asked to participate in performance improvement project on your unit. Using evidence-based practice as a guidance in the clinical decision-making process, explain how your team can prevent IV site adverse events for oncology pediatric clients receiving chemotherapy and TPN, and improve overall performance. Questions 2 .Participant and interdisciplinary • Identify all interdisciplinary team members• Who needs to be part of the quality improvement process? Who are the stakeholders? For example, leadership, nurses, providers, risk management, case management, pharmacy, PT, OT, RT, diagnostic, IT, engineering, housekeeping, integrated practice units, etc.• What is the benefit of interdisciplinary team collaboration?• What is the role of each member on the team?With references.
Current Public Health Awareness Issue Objective: Identify current public health awareness issues and the role of the community health nurse
Current Public Health Awareness Issue Objective: Identify current public health awareness issues and the role of the community health nurse to address the issue.Current Public Health Awareness Issue (10 points)1. Identify a current public health awareness issue. [4 points]2. Identify a scholarly nursing journal article to support this issue. [2 points]o Author must be a Registered Nurseo Publication must be within 5 yearso Document reference using 3. Describe the interventions identified to address this issue. [4 points]4. Post assignment on Discussion Board.Peer Response (10 points)1. Respond to 2 peers on Discussion Board. [2 points]2. Explain the role of the community/public health nurse in addressing this issue. [4 points]3. Evaluate the interventions and make recommendations to successfully address this issue. [4 points]Advocacy Letter (5 points)1. Generate an advocacy letter to policy makers supporting the information gleaned from the current public health awareness issue you identified. [5 points]2. Attach the advocacy letter with your discussion post using the attach option.3. Sample Advocacy Letter.docx How to search for a Registered Nurse author:Go the Marian University LibraryYou can only narrow the search for a Registered Nurse author via a search in CINAHL (Links to an external site.) Links to an external site..· Go to the CINAHL Database (Links to an external site.)Links to an external site.· Insert your search term(s) into the CINAHL search box· BEFORE clicking the green search box, scroll down a bit and on the right hand side are two links.1. One says First Author is a Nurse2. Second says Any Author is a Nurse1. You only want to select one OR the other, not both options.2. First Author is Nurse – means the Nurse was the lead or primary author· Any Author is a Nurse – means the Nurse contributed to the study/article/research but was not the lead author, but still an author.· Attached is a screenshot for further clarification. NurseAuthor
A 22 year old black woman present with complaints of burning and frequency of urination for the past 2 to
Nursing Assignment Writing ServiceA 22 year old black woman present with complaints of burning and frequency of urination for the past 2 to 3 days. It is getting worse. She feels she has to void, rushes to the bathroom and then is only able to void a small amount. it is painful. There is no sign of blood in the urine. She denies fever, chills, diarrhea, nausea, vomiting or vaginal discharge. ” I have to rush to the bathroom, and it hurts when I urinate”.Physical Exam:Essentially unremarkable. Negative suprapubic tenderness: negative costovertebral angle tenderness. Negative abdominal pain and benign abdominal exam. Negative back pain. Afebrile. Vital signs normal. No complaints of vaginal discharge. Uranalysis shows WBCs, trace RBCs. -What additional data are important to factor into this picture? Do you do vaginal exam and why? Should you do urine culture and sensitivity? -What are things in the medical history that may provide clues to the possible cause of dysuria? -What are the possible differential diagnoses for this patient and how do you rule them in or out? -What is your management plan for this patient? Would you prescribe an antibiotic prior to the return of the culture and sensitivity? If you prescribe an antibiotic, which one would you choose and why? -If this were a recurrent problem, would your approach and treatment differ? Why? -Would this differ if this patient is pregnant? How would you approach the diagnosis and management? -Would any complementary therapies be appropriate for this patient? If so, which ones specifically? Cite evidence from the literature to support their use. -What follow-up is needed? -What patient education is needed?
Case Study A local apartment building, which houses approximately 50 low income seniors and disabled persons, has been put on
Case Study A local apartment building, which houses approximately 50 low income seniors and disabled persons, has been put on quarantine lockdown for 14 days. Apparently, during Shelter in Place (mandated by the Governor), the residents were still congregating in the dining area to play cards. The manager of the residence informed the residents they could not play in the dining room any longer. So, against good judgment, the occupants decided to assemble in each other’s apartments (which was even more confined). One of the residents became ill, tested positive for COVID-19 and has died. Another 3 residents have tested positive with other tests pending. As the Community Health Nurse, you have been called to explain and educate the tenants on Social Distancing and Shelter in Place related to COVID-19.What educational opportunities were missed?Why would a Community Health Nurse intervention have been helpful?what are the importance of Shelter in Place/Social Distancing?what are some alternate social activities for this community?
1.) Prior to starting measurement of vital signs it is important to assess for history of: Smoking, A/V Fistula, Mastectomy,
1.) Prior to starting measurement of vital signs it is important to assess for history of: Smoking, A/V Fistula, Mastectomy, and whether patient had recent hot/cold drink; and whether patient has finger nail polish. Explained the reasoning for assessment of each element.2.) Explain what the acronym “PQRST” means and phrase how you would ask the patient each letter of the pain assessment.3.) Explain how to take a temperature in the Tympanic Membrane vs Temporal explain how to find the radial pulse on a patient. Name two other areas of the body where the pulse can be measured, and explain how you would find those pulses correctly.5.) How long should you count the heart rate for?6.) Explain how you would measure the patients’ respirations without letting them know you are doing it and risking inaccurate measurement.7.) Explain how to take a manual blood pressure using the two-step method. In your opinion is it more accurate to take a one-step or two-step blood pressure?8.) Fill in the blank: ____________________________ appropriate vascular access until consistent reading and/or waveform appears9.) Is it important to tell the patient what their vital signs were? Why or why not?10.) Once you have performed vital signs what must you do prior to leaving the patients’ room
Amber De Fleur, an 18-year-old G1, is 12 weeks pregnant when she arrives for her second prenatal visit to your
Amber De Fleur, an 18-year-old G1, is 12 weeks pregnant when she arrives for her second prenatal visit to your clinic. Emil, her 20-year-old boyfriend, has been supportive. Emil has a part-time job and wants to finish college; however, Amber’s parents are upset about the pregnancy and do not want to help her in any way. As the nurse, you begin your relationship with Amber. You determine that she needs support in a wide variety of areas.What issues does Amber need help sorting out? How would you start Amber’s prenatal education? What issue is a priority at this time? Your response should reflect engaging the client in her own care, ongoing planning and support, and collaboration with other health professionals.
Case Study: A 14-year-old female is brought to the urgent care by her mother, who states that the girl has
Case Study: A 14-year-old female is brought to the urgent care by her mother, who states that the girl has had an abnormal number of bruises and “funny looking red splotches” on her legs. These bruises were first noticed about 2 weeks ago and are not related to trauma. PMH not remarkable and she takes no medications. The mother does state the girl is recovering from a “bad case of mono” and was on bedrest at home for the past 3 weeks. The girl noticed that her gums were slightly bleeding when she brushed her teeth that morning.Labs at urgent care demonstrated normal hgb and hct with normal WBC differential. Platelet count of 100,000/mm3 was the only abnormal finding. The staff also noticed that the venipuncture site oozed for a few minutes after pressure was released. The doctor at urgent care referred the patient and her mother to the ED for a complete work-up of the low platelet count, including a peripheral blood smear for suspected immune thrombocytopenia purpura.In your Case Study Analysis related to the scenario provided, explain the following:The factors that affect fertility (STDs).Why inflammatory markers rise in STD/PID.Why prostatitis and infection happens. Also explain the causes of systemic reaction.Why a patient would need a splenectomy after a diagnosis of ITP.Anemia and the different kinds of anemia (i.e., micro and macrocytic)

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