Physical Assessment ( Due maxomum 3 hours)

 

1) Minimum 2 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

          

Submit 1 document per part

2)¨******APA norms

          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 (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 per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

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:  Physical Assessment 1

See PPT Ch07

The nurse is completing a cardiovascular assessment on a patient diagnosed with orthostatic hypotension. 

1. Identify what can result in a false high or false low blood pressure reading.

Based on specific medical conditions, the nurse may assess variations in vital signs. 

2. Discuss medical conditions that are associated with variations in a person’s vital signs.

Part 2:  Physical Assessment 2

 See PPT Ch09

The nurse is caring for a 60-year-old patient diagnosed with a cervical spinal cord injury in the ICU.

1. Discuss potential risk factors for pressure ulcers in this patient population and others.

Search http://annals.org/article.aspx?articleid=2173506 for the 2015 recommendations for treatment of pressure ulcers. 

2. Discuss the findings in relation to what is the current practice in your hospital facility.

Fluid, Electrolyte, and Acid-Base Balance

  

1. You are a nurse who frequently cares for post-surgical patients in your hospital unit. Most of the medical-surgical patients have IV fluids infusing during their admission. Due to the frequent use of IV fluids on your floor, understanding fluid balance and electrolyte function is primary to your nursing practice. 

a. What conditions might lead to the development of hypovolemia?

b. How would the amount of patient fluid loss be determined?

c. Describe how hypovolemia and third-space fluid shifts correlate.

d. Outline the major difference between hypovolemia and third-space fluid shift.

e. Which conditions can result in third-space fluid shift?

2. You are a nurse in a nonsurgical cardiac unit caring for a 92-year-old patient who has two sons, 15 grandchildren, and 49 great-grandchildren. She lives in assisted living and has a history of congestive heart failure (CHF). She consistently struggles with balancing her fluids and electrolytes and has an affinity for dill pickles and sauerkraut. While hospitalized, she remains on a fluid restriction—much to her chagrin, as she loves ice cream. 

a. What within her history would indicate she was at risk for hypervolemia?

b. How would dill pickles and sauerkraut impact her fluid volume?

c. What body areas offer observational evidence of excessive interstitial extracellular fluid (ECF)?

d. Why would your patient be on a strict fluid restriction while hospitalized?

e. Outline nursing interventions used while a patient is on fluid restriction.

does social media improve or hurt our socitey

 

Module 9 Assignment: Persuasive Ethics Research Paper Due November 15, 2020!

This is the paper mentioned in week 3.

Your persuasive paper is due this week.  Please pick a topic, and write a 5 page persuasive paper. 5 pages is approximately 2500 words. It is your responsibility to submit a 5 page paper. That does not include the cover page and references page. Shorter or longer papers will get a significant grade reduction. Please don’t write about abortion, the death penalty, mercy killing or stem cells. Please use at least 2 ethical theories to analyze your position. Please use at least 3 outside resources. Please use the APA citation method. Include in text citations and a references page. 

Submit your paper as an MSWord or .rtf file through the link below.

Assignment: Advocating for the Nursing Role in Program Design and Implementation

 

 To PREPARE

  • Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

The Role of the RN/APRN in Policy Evaluation

  

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

  • In the Module 4 Discussion, you considered how      professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of      professional nurses in policy evaluation.

Resources attached and following

https://www.nursingoutlook.org/article/S0029-6554(18)30061-7/fulltext

By Day 3 of Week 9

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

300-350 word with in text citations with at least 3 references from professional sources

Posttraumatic Stress Disorder

 It is estimated that more than 6% of the U.S. population will experience post traumatic stress disorder (PTSD) in their lifetime (National Center for PTSD, 2010). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of  anxiousness and depression frequently lead to substance abuse issues and  even physical ailments. For this Discussion, as you examine the Thompson Family Case Study in this week’s Learning Resources, consider how you might assess and treat clients presenting with PTSD.  

 Post on or before Day 3 an explanation of your observations of the client William in Thompson Family Case Study,  including behaviors that align to the PTSD criteria in DSM-5. Then,  explain therapeutic approaches you might use with this client, including  psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support  your approach with evidence-based literature. 

No plagiarism 

4 references not more than 5 years

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6640/05/mm/academic_year_in_residence_thompson_family_case_study/index.html 

Essay

 

Compare and contrast the symptoms of anorexia nervosa and bulimia nervosa.

  Anorexia and bulimia are types of eating disorders. They may have similar symptoms for instance body image but normally have different food related characteristics. For instance, individuals having anorexia tend to minimize their food consumption to lose weight. On the other hand, individuals having bulimia tend to increase their food consumption to gain weight. Unlike bulimia, physical symptoms of Anorexia may be severe and life threatening to the victims.

  What role does media/or society plays in the development of these disorders?  

The media has been negatively impacting eating disorders with how the media platforms uses their adverts, shows, programs, etc. To put many people at a higher disordered eating risk making anyone to feel dissatisfied about their body appearances, hence lowering their self-esteem. Conducted research shows that many girls who see photographs in the fashion magazines have a higher probability of finding means to lose weight because of the influence of an article (Feldman, Runfola & Lock, 2018). Concerns about losing weight matters and dieting and the desires to look like other prominent people may be used to indicate the rise in eating disorders risks. Although it is hard to avoid the influence of media with the current technology, media education can offer the necessary tools of evaluating and questioning the information received and in mitigating the negative effects (Marshall, G. W., Moncrief, Rudd & Lee, 2012).

          What are some important nursing considerations regarding the treatment of a client with eating disorders during inpatient hospitalization? 

  Treating eating disorders patients’ needs proper medical evaluation and care. Treatment options should include inpatient hospitalization, day program and outpatient medical care. Nurses should consider educating the patients of eating disorders to avoid the stigma they may experience due to their appearances. They should educate the patients also on knowledge of the disorders, thinness idealization, body dissatisfaction, dieting, BMI, etc.