Maria, a new professional nurse graduate, has been asked to…

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Question Answered step-by-step Maria, a new professional nurse graduate, has been asked to… Maria, a new professional nurse graduate, has been asked to participate in her unit’s quality improvement council. Each unit in the hospital has been directed to focus on nursing-sensitive indicators and report the following results to the National Database of Quality Indicators (NDQI) database: hours per patient-day, falls with injury, pressure ulcers, and registered nurse (RN) satisfaction. Maria has been informed that over the past year, the hospital has used the results to implement several changes, including decreasing the nurse-to-patient ratio on select units, developing a clinical ladders program, and increasing orientation services for newly hired professionals.3.  How can Maria approach this challenge in a way that she can learn something from her co-workers and her co-workers can learn something from her? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step  Mary Grace Gacutno, a 29-year-old divorced woman, works as an office manager for a large, prestigious law firm. She reports she recently went to see a doctor because "my hair was falling out in chunks, and I have a red rash on my face and chest. It looks like a bad case of acne." After doing some blood work, her physician diagnosed her condition as discoid lupus erythematosus (DLE). She says she has come to see you, the occupational health nurse, because she feels "so ugly," and she is concerned that she may lose her job because of how she looks. During the interview, she tells you that she is a surfer and is out in the sun all day nearly every weekend. She shares that she uses sunscreen but forgets to put it on at regular intervals during the day. Your physical examination reveals an attractive, tanned, thin, anxious-appearing young woman. You note confluent and nonconfluent maculopapular lesions on her neck, chest above the nipple line, and over the shoulders and upper back to about the level of the T5 vertebra. Many of the lesions appear as red, scaling plaques with depressed, pale centers. A few of the lesions on her forehead and cheeks appear blistered. Patchy alopecia is also present. Her vital signs are within normal limits, and no other abnormalities are apparent currently. In this case study make a concept map that illustrate the diagnostic reasoning process based on the following:Identify abnormal findings and client strength.Identify cue cluster.Draw Inference.List possible diagnosisCheck your defining characteristicsConfirm or rule out diagnosisDocument conclusion  Health Science Science Nursing NUR 3225 Share QuestionEmailCopy link Comments (0)
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