Question why it is important to Registered Nurse professional practice to… why it is important to Registered Nurse professional practice to understand the importance of the impact of the determinants of health on the health and well-being of a person of Aboriginal and Torres Strait Islander background Health Science Science Nursing NURS 3045 Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step 1. “Revenge is a dish best served cold” is a notorious assessment…. 1. “Revenge is a dish best served cold” is a notorious assessment. what are two instances of particularly cruel vengeance, often “sublime punishment,” inflicted by Mortal A upon offending Mortal B. (Neither may be a god.) What is the offense in each case? Who is/are the direct, innocent victim/s of the indirect attacks on the (perceived) offensive persons? 2. Thinking like a Greek. Gods have sent many targeted plagues and epidemics against this or that human community in recent centuries which so-called secular “scientists” have explained away as natural events and been scarcely unable to control or repel. An ancient Greek, of course, would have known better! What would he or she want to learn about the circumstances of the COVID-19 plague in order to understand its actual supernatural cause, and what would they do in his or her power to end it and prevent its worsening or future recurrence? History Ancient History GREK 1416 Share QuestionEmailCopy link Comments (0)
Question What is the rational model of decision making? a chelanagers are… Image transcription textWhat is the rational model of decision making? a chelanagers are expected to act rationally when makingdecisions aclogical and consistent choices to maxi mise value atRepresents an ideal scenario atBased onseveral key assumptions about the decision context ROR Adapted by Or Valerie Caines BUSN 1012 51 2020… Show more Business Share QuestionEmailCopy link This question was created from BUSN 1021 S1 2020_Week 4.pptx Comments (0)
Question Answered step-by-step George’s wife Yu Yan is originally from China. If George were to… George’s wife Yu Yan is originally from China. If George were to become unresponsive you would need to communicate and respectfully interact with her. explain your understanding of the NMBA’s code of conduct in relation to culturally safe and respectful behaviour. hint Explain the NMBA’S code of coduct in terms of vales, attitudes cultures etc. Health Science Science Nursing BUSINESS BSBCUS401 Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step What other blood or diagnostic tests would you plan for monitoring… What other blood or diagnostic tests would you plan for monitoring the barrel chest finding? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step Read the articles below and answer the questions on the critical… Read the articles below and answer the questions on the critical appraisal table. Chien, W. T., Mui, J., Gray, R., & Cheung, E. (2016). Adherence therapy versus routine psychiatric care for people with schizophrenia spectrum disorders: a randomised controlled trial. BMC Psychiatry, 16(1). https://doi.org/10.1186/s12888-016-0744-6 Dobber, J., Latour, C., de Haan, L., Scholte op Reimer, W., Peters, R., Barkhof, E., & van Meijel, B. (2018b). Medication adherence in patients with schizophrenia: a qualitative study of the patient process in motivational interviewing. BMC Psychiatry, 18(1). https://doi.org/10.1186/s12888-018-1724-9 Hughes, F., Vess, J., & Johnson, E. (2018b). Increase Adherence to Psychotropic Medication Through Motivational Adherence Therapy: A Quality Improvement Project. Issues in Mental Health Nursing, 39(8), 709-713. https://doi.org/10.1080/01612840.2018.1455118 Ertem, M. Y., & Duman, Z. Ç. (2019). The effect of motivational interviews on treatment adherence and insight levels of patients with schizophrenia: A randomized controlled study. Wiley-Blackwell. https://doi.org/10.1111/ppc.12301 McKenzie, K., & Chang, Y. (2015). The effect of nurse-led motivational interviewing on medication adherence in patients with bipolar disorder. Wiley-Blackwell. https://doi.org/10.1111/ppc.12060 Full Citation: Author, date of publication, title, journalAims or Purpose Design/MethodSample/ Setting Major variables and how measuredDataAnalysis Study Findings Strength of the Evidence (i.e., level of evidence + quality [study strengths and weaknesses]) State the purpose, aims or research question DesignBe more specific than quantitative vs. qualitativeWas this cross-sectional? An RCT? A meta-analysis, phenomenologic? SAMPLENumber, (N=?)and Characteristics, SETTINGDescription of setting Dependent variables (e.g., DV = ). This will be your outcome variable, e.g., number of falls or ER visits, etc. Independent variables(e.g., IV1 = IV2 =). These would be your process or balancing variables or measures. If a qualitative study there will be no independent and dependent variables but there will be concepts of interest. Describe methods of measurement. This is how the variables were operationalized. What stats were used to answer the clinical question?Please identify the test and what variable it measured. Examples: Pearson’s Correlation Coefficient for association between EMS-SI and MBI Regression Analysis – odds ratio/CI to evaluate the association between the dimension of burnout and the three safety outcomes Frequencies, percentages, means and their corresponding standard deviations and min/mas were examined for the participant characteristics Statistical findings or qualitative findings (i.e., for every statistical test you have in the data analysis column, you should have a finding). Be sure to address how the results answer the research question or aims. Examples: -Higher reading comprehension scores correlated to 33% decreased risk of having a first relapse after initial treatment (tertile 3 vs 1 hazard ratio 0.67, 95% [CI]: 0.48-0.94, P trend = .02) Self-efficacy significantly differed between the two groups during four centimetres cervical dilation (Z=?5.21, p<0.001) and eight centimetres cervical dilation (Z=?2.21, p=0.027). Strengths and Limitations of the studyWhat is your assessment of the strengths and limitations; not only what the investigators identified as limitations.Risk or harm if study intervention or findings implementedFeasibility of use in your practice Remember: level of evidence + quality of evidence = strength of evidence & confidence to actUse the evidence hierarchy for Level of Evidence use the scheme outlined in Appendix D inpart 3 of the lecture on quantitative analysisQuality of Evidence: If the study was of poor quality or had major limitations, make sure you note how the evidence may be changes by this. Health Science Science Nursing NURS 6102 Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step Instructions: A test requisition contains the following test… Instructions: A test requisition contains the following test abbreviations. Write the complete name of the test andthe department that will perform the test on the corresponding line next to the abbreviation.Image transcription textAny Hospital USA 1123 West Physician Drive Any Town USA Laboratory Test Requisition PATIENTINFORMATION: Name: Smith Jane R last (first) (MI) Identification Number: 09365784 Birth Date: 06/21/63Referring Physician: Coleman Date to be Collected: 03/11/11 Time to be Collected: 0600 Special I… Show more… Show more Health Science Science Nursing MEDTECH 101 Share QuestionEmailCopy link Comments (0)
Question Time: Upon arrival to ED Setting: Emergency Department Part 1-… Time: Upon arrival to EDSetting: Emergency Department Part 1- CardiacShift Report (SBAR)S: Carl Shapiro is a 54- year-old Caucasian male who was brought to the ED by a female co-worker today for c/o chest pain and diaphoresis. He states the chest pain started this morning and has been unrelieved after taking Tums. He notes he has had similar pain in the past that has improved with rest. He is here on business and lives in Ohio.B: He has a past medical history of hypertension. He states that he takes a “water pill” for his blood pressure (he is not sure of the medication name). No significant past surgical history. Smokes less than ½ pack of cigarettes per day and reports occasional alcohol use. He states he has been married for 5 years and has a very stressful life secondary to his job. He has been trying to exercise and lose weight but admits it is very hard when he travels. A: Vital signs in triage: BP 155/90, RR 24, HR 110, SpO2 93% RA, T 98.5F, weight 252 lbs. Saline lock in place to R AC.R: Please perform an appropriate focused cardiac assessment on this patient. Dr. Williams, MD has seen the patient and placed initial orders. Vitals that students take: RR: 26HR: 120BP: 158/92SpO2: 90% RATemp: 98.4FPain: 8/10 and he is sweatingPart 1 1. Pt states: “The pain is like a constant tight belt around my chest. It does not radiate anywhere. I’ve had pain like this before, but normally it goes away when I take Tums. Just walking from the hotel to the car made the pain worse.” Based off what Mr. Shaprio stated, write out how you would chart his pain using PQRST (P= palliative/provoking, Q=quality, R=radiation/region, S=severity, T=time). 2. What system would you focus assessment on based off his history and complaint? Describe in detail everything you would assess within that system. Example: Auscultate (anterior and posterior) lungs for breath sounds and adventitious sounds. 3. Based off your assessment and patient complaint, what do you think is our patient clinical problem? 4. What medication would you give for his chest pain? What is your rationale? 5. After recognizing your medication of choice, perform AIDET (see example at end of worksheet) to your patient. In detail, describe how would you educate them on the necessity of this medication. Part 2. Respiratory Setting: Emergency Room Time: Immediate upon patient presenting to the EDShift Report (SBAR)S: Jennifer Hoffman is a 33-year old female brought to the Emergency Department by ambulance. She has a history of asthma (since childhood) with multiple emergency visits within the last year. She is in acute respiratory distress.B: She has a history of asthma (since childhood). She reports having seasonal hay fever and frequent upper respiratory infections. Ms. Hoffman has been to the ED several times in the past year and most recently diagnosed with a respiratory infection. Never married. No kids. She is a nonsmoker but does drink alcohol occasionally (1-3 drinks/week). A: She appears to be in severe respiratory distress, struggling to breathe. She is unable to speak other than simple one-word statements. She is extremely anxious, profusely diaphoretic, and is seen leaning over using accessory muscles to breath. There are no family members with her. R: Please perform VS and an appropriate focused respiratory assessment on this patient. MD has seen the patient and placed initial orders in the electronic health record. The patient needs to be put on the cardiac monitor, the labs have been drawn, X-Ray done, and the IV has been started in right arm.Initial Vitals:RR: 24HR: 118BP: 140/90SpO2: 85% on RA Temp: 98.9 FPain: 4/10 (from coughing) Part 21. Based off what was received in report, what are your initial concerns? 2. What about her vital signs are concerning to you? Give your rationale as to why they are out of normal range. 3. What systems would you focus assessment on based off her history and complaint? Describe in detail everything you would assess within that system. Be sure to list what abnormal findings you would expect for this patient to have. Example: Auscultate (anterior and posterior) lungs for breath sounds and adventitious sounds. 4. Describe in detail what interventions you would implement and your order of priorities. 5. What medication would be your first choice to help correct her distress. Rationale? Explain how you would give that medication. 6. How would you evaluate that your interventions had a positive outcome? 7. Write 2 nursing diagnosis related to this patient. Part 3- NeuroTime: Upon arrival to EDSetting: Emergency Department. EMT is giving you report. S: William Edmondson is an 85-year old male who presented to the emergency department via EMS approximately 5 minutes ago after experiencing Right sided weakness and garbled speech.B: He has past medical history of hypertension, diabetes type II, hyperlipidemia, and coronary artery disease, No significant past surgical history. Allergic to Codeine. Smokes 1 pack of cigarettes per day. Reports occasional alcohol use. He is married to his wife of 55 years. He is a retired police officer. Stated he hasn’t had much of an appetite lately, he worried about his wife who is battling cancer. A: Vital signs take by EMS: BP 168/90, RR 24, HR 95, SpO2 98% RA, T 98.5F. Saline lock in place to R AC. C/O Numbness in the face, arm, and leg, especially on right side of this body. Garbled speech, decreased mobility, and an unsteady gait. Pupils: R > L. EMT asked him to raise both arms but he could only lift his right arm halfway. Extremities cool to touch, decreased sensation, no signs of breakdown. Reports visual disturbance. R: Dr. Amin has seen the patient and placed initial orders including a CT Head w/o contrast and NPO. Labs, EKG, and X-ray completed. Vital signs taken by the Students in ED:RR: 26HR: 92BP: 172/98SpO2: 98% RATemp: 98.4FPain: 3/10 (HA)BG- 202Pt states with a slurr: “I cccan bbbarely lift my aarm. It feels nnnuuummbb, I cant ffeel you ttttouching me. I am sooooooo weakkkkk. I amm Willliam Eeeedmondson and I’m atttt the hossspital. I think it hassss to be abbbbout 10pm bbby now right.” Part 31. Based off what was received in report, list your major initial concerns. Describe in detail what you think Mr. Edmondson could be suffering from. 2. What systems would you focus assessment on based off his history and complaint? Describe in detail everything you would assess within that system. Be sure to list what abnormal findings you would expect for this patient to have. Example: Auscultate (anterior and posterior) lungs for breath sounds and adventitious sounds. 3. Based off report, describe what you think he is at risk for. Rationale? 4. Knowing he is NPO and has a blood sugar of 202, would it be appropriate to treat this? Why or why not? Rationale. 5. Describe the 6 P’s. Why would it be important to assess this on this patient? 6. Write 2 nursing diagnosis related to this patient. Health Science Science Nursing NURSING NUR 215 Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step Question Carrie Richards, a 3 month old female, was admitted to the… QuestionCarrie Richards, a 3 ½ month old female, was admitted to the hospital with respiratory distress due to respiratory syncytial virus, long with dehydration and inadequate nutritional status. The mother expresses concern that Carrie Richards has lost weight and is “acting hungry.” Upon arrival in the Emergency Department Carrie Richards exhibited substernal retractions, nasal flaring, with oxygen saturation of 89% on room air, coarse respirations with wheezes and crackles noted in both lungs, T 99°F HR 156 RR 56. Carrie Richards weighed 4.5 kg. IV fluids was ordered D5 0.45 NS with 10 mEq of KCl/100 mL to run at 40 mL/hr. Carrie Richards provider also ordered monitoring oxygen saturation with pulse oximetry, Acetaminophen 45 mg q4H for temperature above 101 degrees or for irritability, Racemic epinephrine and Albuterol inhalation were ordered as well as laboratory workup for baseline information. Transmission-based precaution was ordered, Oxygen at 2 liters through nasal cannula, low oral suction as needed, vital signs every 4 hours.Carrie Richards was admitted to the Pediatric Unit with additional orders for consultation with dietician to assess nutritional needs and possible teachings to the mother. Carrie Richards vital signs: Oxygen saturation at 96% on oxygen at 2 L/min via nasal cannula, T 98.5°F, HR 113, RR 47. The nurse conducted her assessment with the following findings in addition to her vital signs and oxygen saturation, Carrie Richards’ lungs clear bilaterally with no adventitious lung sounds, respiratory rate regular and even, pharynx mildly reddened, brachial and pedal pulses palpable, capillary refill at 3 seconds. Carrie Richards’ mother asked whether the IV is “feeding” her baby and if her baby will start gaining weight by IV alone.1. Which characteristics of infants put them at a greater risk for hydration problems? Select all that apply._____ Infants have a larger body surface area, which results in greater fluid loss through the skin_____ The metabolic rate of an infant is lower than that of an adult_____ Infants have a higher percentage of water in extracellular fluid_____ Infants are less able to concentrate urine2. Which is the most reliable information that can be used to assess an infant’s hydration over time?a. Weight of wet diapersb. Daily weightc. Urine osmolality readingsd. Assessment of oral mucous membranes 3. When weighing an infant, what practices will promote the most accurate readings? Select all that apply._____ Weigh at the same time each day_____ Weigh after feedings_____ Weigh with the infant in a diaper only_____ Weigh the infant without clothing or diaper4. Explain what is meant by oral rehydration therapy (ORT).· Oral rehydration therapy is type of fluid replacement used to prevent dehydration. For example, patient has diarrhea so ORT can used. And involved drinking fluid sodium and potassium. Oral rehydration can be given by nasogastric tube.5. Discuss the nursing responsibilities associated with IV fluid administration in infants. (Hint: Remember that IV fluid is treated as a medication administration.) · Nursing responsibility to ensure that the patient receive the ordered solution and additives at the order rate. Hourly checks for IV fluid side. Monitor intake and output. 6. What should the nurse be looking for when assessing an IV site? · Assessing an IV site for infection, redness 7. What topics should be included in the discharge instructions for the parents of an infant who has been hospitalized with bronchiolitis? · Make sure child drink of fluids to prevent dehydration.· Try to child head elevated for adequate breath· Wash your hand before and after childcare· Give all medication as direction 8. What important hydration assessment parameters can you use with Carrie Richards that would not be available with an older child? · Skin turgor· Mucous membrane 9. When evaluating Carrie Richards’ output, the nurse recognizes that she should have at least __2__ wet diapers per day. 10. What would you tell Carrie Richards’ mother about adequate hydration? How will she know whether or not her baby is getting enough fluids? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
