please reflect on the attached in one bage 

Case Study: Urinary Tract Infection

You are working in an extended care facility when M.Z.’s daughter brings her mother in for a week’s stay while she goes on a planned vacation. M.Z. is an 89-year-old widow with a 4-day history of non- localized abdominal pain, incontinence, new-onset mental confusion, and loose stools. Her most current vital signs are 118/60, 88, 18, 98.4° F (37.4° C). The medical director ordered a post void catheterization, which yielded 100mL of cloudy urine that had a strong odor, and several lab tests on admission. Urine culture and sensitivity results are pending; the other results are shown in the chart.

Chart View Laboratory Test Results:

Complete metabolic panel: Within normal limits except for the following results:

 BUN 25mg/dL Sodium 131mEq/L

 Potassium 3.2mEq/L

White blood cell count 11,000/mm3

Urinalysis Appearance Cloudy Odor Foul

 pH 6.9

 Protein Negative

 Nitrites Positive

 Crystals Negative

WBCs 6 per low-power field

 RBCs 3

1. What condition do the lab reports point toward?
2. Which assessment findings are typical of an older adult with the condition in Question 1?
3. Considering her history and laboratory results, what other condition is a possibility?

4.The medical director makes rounds and writes orders to start an IV of D5 ½NS at 75mL/hr. and insert a Foley catheter to gravity drainage. Because M.Z. is unable to take oral medications, the medical director orders ciprofloxacin (Cipro) 400mg q12h IV piggyback (IVPB). Are the type of fluid and rate appropriate for M.Z.’s age and condition? Explain.

 5. While the IVPB ciprofloxacin is being administered, which adverse effects might occur?

6. You enter the room to start the IV infusion and insert the Foley catheter and find that the nursing assistive personnel (NAP) has taken M.Z. to the bathroom for a bowel movement. M.Z. asks you to help her, and, as you open the door, you observe her wiping herself from back to front. What do you need to do at this time?

7. Because M.Z. has been having diarrhea, what special instructions should you give the NAP assigned to give basic care to M.Z.?

Case Study Progress:

 The next day, you are the nurse assigned to M.Z.’s care. You notice that the NAP emptying the gravity drain is not wearing personal protection devices. You also observe that the drainage port of the drainage bag was contaminated during the process because the NAP allowed it to touch the floor.

8. What issues need to be considered in protecting M.Z.’s safety? Describe your actions in working with the nursing assistant.

9. As you assess M.Z., you notice that her catheter tubing is not secured. Why does the tubing need to be secured, and where is the correct place for the catheter tubing?

10. What changes, if any, will be made to the antibiotic therapy?

https://drive.google.com/drive/folders/1OsWb_C6_6dYRYPZgSSTOFscc6xEASnqm?usp=sharing

1)  Submit 1 document per part

Part 1: Complete the file “Template Soap Note” taking into account the file “Note 1”

Part 2: Complete the “Template Soap Note” taking into account the following information:

     Name: LR

     Gender: Female

     Age: 55 years

     Diagnosis: Pure hyperglyceridemia

     Chief complain:  Pain in the mid-epigastric, chest, and back regions 

Part 3: Complete the “Template Soap Note” taking into account the following information:

    Name: MK

    Gender: Female

    Age: 55

    Diagnosis: Vitamin D deficiency

    Chief complain:  Fatigue 

2)¨******APA norms, please use headers

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

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase 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 and SafeAssign

4) Minimum 4 references per part not older than 5 years

Read: Technology Informatics Guiding Education Reform (TIGER) The Future of Interprofessional Education Is Here! 

Access the HIMSS TIGER website using this link:

http://www.himss.org/professional-development/tiger-initiative/virtual-learning-environment (Links to an external site.)

Read the information on this website to gain a basic knowledge of the Virtual Learning Environment (VLE),  and discuss the following:

 1) History of the VLE

2) TIGER VLE Work group

3) What does the VLE provide?

4) Reflect on this portion of the initiative and what you found interesting and of value to nursing informatics.

Minimum of 4 references

SEE ATTACHED

 Week 2 DiscussionCOLLAPSEOverall Rating:

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In the discussion preparation, you were asked to use critical thinking and metacognition and analyze the three basic categories of tort law: negligent torts, intentional torts, and strict liability. You were also asked to identify the four elements necessary to show that the plaintiff presented a prima facie case of negligence. In this discussion, present your analysis by using applicable legal precedents.

Module 5 Case Study 3

Breastfeeding is a process in which the mother feeds the baby milk directly from the breast. Some factors need to be considered when breastfeeding and this includes the nutritional value of breast milk to the infant, the HIV status of the mother, history of certain medications among other things. When explaining this to the young mothers, the health promoter should educate them on the importance of breastmilk to the baby which includes the nutrients and the immune factors. When educating them, the nurse should also inform them of the importance of exclusive breastfeeding especially for those mothers who are HIV positive and are breastfeeding (Rouw, von Gartzen & Weissenborn, 2018). They also need to be informed of the effects of some drugs when breastfeeding and whether or not it should be stopped. To increase the duration and active participation of these clients the health promoter should consider a better teaching strategy since the clients may not be comfortable with the current learning style. A better learning style for this group could be a multimodal strategy (Yang et al., 2020). By having a combination of all these styles the students will have more information with an enjoyable session especially with the inclusion of videos showing how to breastfeed and to take care of the baby.

            There is a relationship between culture and growth and development. Culture is simply the peoples’ way of life which may include what the consume and what they don’t. Therefore in a culture where there’s prohibited consumption of certain nutrients will cause a delayed milestone. It is important to assess children’s milestones irrespective of their culture (Clerk, 2020). This is because there is no difference in growth, all milestones are the same and this will help in the identification of any alterations in case there are any.

            The teaching objective is to educate parents on how to prevent injury during infancy. These parents will learn through an interactive session of asking and answering questions and also by a demonstration of how this prevention will be done. The sessions will be three in a day each lasting for 2hours and a break of 1hour in between each session (Fujii, 2019). After each session, learners are supposed to answer some questions to gauge their understanding. After the program, the parents will be provided with guidelines on further care of infants.

References

Clark, R. (2020). Assessing Relative Importance of Clinical Milestones on Adherence to Recovery Pathway and Discharge Readiness in Patients Undergoing Pulmonary Lobectomy. In A70. ADVANCES IN LUNG CANCER THERAPEUTICS (pp. A2468-A2468). American Thoracic Society. Retrieved fromhttps://www.atsjournals.org/doi/pdf/10.1164/ajrccm-conference.2020.201.1_MeetingAbstracts.A2468 (Links to an external site.)

Fujii, T. (2019). Designing and adapting tasks in lesson planning: A critical process of lesson study. In Theory and Practice of Lesson Study in Mathematics (pp. 681-704). Springer, Cham. Retrieved fromhttps://link.springer.com/chapter/10.1007/978-3-030-04031-4_33 (Links to an external site.)

Rouw, E., von Gartzen, A., & Weissenborn, A. (2018). The importance of breastfeeding for the infant. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 61(8), 945-951. Retrieved fromhttps://europepmc.org/article/med/29943259 (Links to an external site.)

Yang, X., Zhao, X., Tian, X., & Xing, B. (2020). Effects of environment and posture on the concentration and achievement of students in mobile learning. Interactive Learning Environments, 1-14. Retrieved fromhttps://www.tandfonline.com/doi/abs/10.1080/10494820.2019.1707692

I need just a nurses 

What are the current prescription drug addiction trends among teens today? Everyone is to list at least one prescription drug that is being abused by teens today. You will find that many of these items are found in the home. Post and respond to 2.

2. Define key Medical terms.

1. Buccal

2. Buffered

3. Delayed action

4. Enema

5. Enteric- coated

6. Mortar and pestle

7. Sublingual 

9. Time – release