Question Answered step-by-step -Among the many vociferous objections to an increased governmentrole in the financing of health care, is the accusation that public financing of health care brings with it the inevitable “rationing of health care.”  Proponents of the public financing of health care point out that under the status quo in American health care, the rationing of health care is already deeply embedded in the American health care system. Are either or both claims valid? How so or why not? Health Science Science Nursing NSG 748 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step -Among the many vociferous objections to an increased governmentrole in the financing of health care, is the accusation that public financing of health care brings with it the inevitable “rationing of health care.”  Proponents of the public financing of health care point out that under the status quo in American health care, the rationing of health care is already deeply embedded in the American health care system. Are either or both claims valid? How so or why not? Health Science Science Nursing NSG 748 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Can you please explain the role of finance in the implementation of Evidence Practice Project.  Health Science Science Nursing EVIDENCE B NUR590 Share QuestionEmailCopy link Comments (0)
QuestionAnswered step-by-stepWhich of the following drugs for headache is contra- indicated in patients with peripheral vasculardisease? Acetaminophen ErgotamineNaproxenIbuprofen Aspirin  Question 2 (2 points)Whichof the following drug classthat may treatvasomotor symptoms associated with menopause? Sumatriptan  Selective serotonin reuptakeinhibitorsErgots Opioids  Question 3 (2 points)Which of the followingis a false statement about medication therapyfor gout? Colchicine is an anti-inflammatoryagent used for gout. Colchicine can relieve the pain of gout.Colchicine can decrease the frequency of acute flare-ups. Duringyour assessment of a patient taking SerotoninNorepinephrineReuptake Inhibitors(SNRls), whichof the followingside effects is most likelyto be seen? ':: O phtha lmoplegia., Hyperthyroidism Decreased libido Muscle wasting Questi on 5 (3 points)What mechanism of action or pharmacological actionis best associated with Bupropion? InhibitsCytochrome P450 r     Inhibi t H+/K+/ATPase ,     Block Dopamine receptors Increase Dopamine and Norepinephrine  Question 6 (3 points)Which of the following is most likely an indication for Serotonin Norepinephrine ReuptakeInhibitor (SNRls)? CHF , Acutepancreatitis   Duringovulation. peak plasmaconcentration(s)of which of the following hormonc(s) will be reached? ,         Both LH andFSH reachesa peak during ovulation,.    Progesterone Follicle-stimulating hormone (FSH) ,         Lu teinizing hormone{LH)  Question 8 (2 points)Which medication(s) is/are used to treat cervical so ening? {Selectall that apply). Progestin Oxytocin Misoprostol EstrogenDinoprostone Question 9 (2 points)If a patientis allergic to sulfonamide antibiotics. he or she will most likely havecross­ sensitivity to: ,All the answersare correct SulfonylureasThiazide diuretics  Oral hypoglycemic drugs (sulfonylureas,biguanides,meglitinides, thiazolidinedionE dipepti dyl-peptidase-4 inhibitors) are usedonly in type 2 diabetes mellitusand act di fferentmechanisms to control glucose levels. TrueFalse  Question 11 (2 points)In a patientwith type 2 diabetes, whichcomorbidity requires metformin usage to t closely monitored for an elevation in serum aminotransfera se levels' Non-alcoholic fatty liver disease ,     Patientswith liver disease or non-alcohol ic fatty liver diseaseshould be closelmonitored for an elevation in serum aminotransferase level when they are on metformin.  Only patients who have liverdisease, should be monitored for elevation in sen aminotransferase levels when they are on metformin.  Liver disease  Question 12 (2 points) Type 2 diabetes mellitusis 021 characterized by:  A higher postprandial glucagon       A major reduction in hepatic glucose output Insulin resistanceA decline in Beta cellfunction and/or massover time Low postprandial GLP-1 levels Question 13   Which is the principal neurotransmitter involved in Parkinson disease? DopamineAspart ate Serotonin  'GABA Question 14 (2 points)A geriatric patient has tremors in Lhe fingers , a mask-like facial expressoi n, and bradykinesia.Whichof the following medication will you prescribe? Bromocr ip tine Methylphenidate ')ModannalLevodopa/carbidopa  Question 15 (2 points)What are the adverseeffects of Orlistat?Select all that apply. Flatus with discharge _ Fatty stools Increaseddefecation Bloody stoolf  What are the adverse effects of Orlistat?Select all that apply. Flatus with discharge Fatty stools Increaseddefecation Bloodystool[  Abdominaldiscomfort Oily spottingFecalurgency  Question 16 (2 points)Which of the followingparameters has the greatest effect on Levothyroxine dose requirement in an adult? ( Gender Age Weight Height Question 17 (2 points)Whilereviewing the historyand the lab reportsof an adult patient, the NP finds that the patient has decreased metabolic rate. weight gain. and hair loss. What can the NP interpret from these findings? The patient may have Plummer's disease. the patient has decreased metabolic rate, weightgain, and hair loss, What can the NP interpret from these findings? :'    The patient may have Plummer's disease. "'The patient may havecretinism.--.. The patient may havemyxedema. .-,,    The patient may have Graves' disease. uestion 18 (2 points)A patient arrives in the emergency department witha heart rate of 128 beats/minute and a temperature of 105°F. The patient's skinfeels hot and moist.The free T4 level is 4 ng/dl.thefree T3 level is 685 pg/dl , and the TSH levelis 0.1 microunits/ml.Theprovider caring for this patientwill give what intervention priority? lodine-131(1311) ."' Intravenous levothyroxine Propylthiouracil(PTU)M ethimazole  uestion 19(2 points)A patient with ahistoryof gastroesophagealrenux (GERD) is taking Bethanechol for her GERD (off-the-label use of this medication). Which patient assessment data contraindicates useof this drug? ._:= History of asthma "  Blood pressure140/83 mm Hg        Question :.!U{2 po,ntsJMast cell stabilizers are: Select all that apply. :=;Nedoc   romilC lpratropium '7 CromolynL.,Zanrlukast Question 21 (2 points)A patient is taking oral theophylline for maintenance therapy of stable asthma. The patient is instructed to avoid using which substance to prevent a complication? Echinacea .2 Caffeine ,:; Cimetidine C Sunscreen Question 22 (2 points)Frequent blood pressures of a patient witha history of hypertension shouldbe monitored if he takes whichmedication for allergicrhinitis? r Mometasone Pseudoephedrine Montelukast;)    Oxymetazoline  Whichteaching should be provided to an asthmatic patient who uses Timolol eye drops? '":: Stay upright for 3 hours afteradministering the eye drops. (;    Take the bronchodi lator inhaler beforeadministering the eye drops. "' Instill the dropsto one eye: wait 30 minutes,and then applythem to the other eye. '--- Apply pressure to the inner aspects of the eye during and after administration.  Q uesti on 24 (2 points)The NPat the immunization clinicis reviewing the list of patients who are scheduled to receive the varicella vaccination. The NP willcancel all of the followingpatients_1?  ,_An-yealpatient withasthma. 0    A 12-yearold patient with anallergy to gelatin.C' A patientwho is pregnant.'     A 21·yearold patient who is allergic to neomycin.  Q uesti on 25 (2 points)An adult patient arrives at the clinic with a wound innicted by a rusty nail. The patient last received the tetanus booster and tetanus reduced diphtheria toxoids and acellular pertussis vaccine(Tdap) about 10 years earlier. What would be the most appropriate action in this situation? 8 Administertetanus immune globulin (TIG).=:- Administer tetanus plus diphtheria toxoids for adults (Td).  A malepatient is diagnosed with mild prostateenlargement. What willyouprescribe to control thiscondition? ../ Dutasteride ,1Tamsulosin Vardenanl Finasteride Question 27 (2 points)When prescribing Adderall (amphetamine and dextroamphetamine) to adults with ADHD the nurse practitioner will need to monitor: Blood pressure Blood glucose l evels Urine ketone levels liver function Question 28 (2 points)Whichof the following antacids may be used in treating hyperphosphatemia? v Aluminum hydroxide '-' Magnesium sulfate :: Sodium Bicarbonate " Calcium carbonate A patient who has gastroesophagealreflux disease (GERO) is taking magnesium hydroxide (milk of magnesia). Which outcome should the patient expect if the medication is achieving the desired therapeutic effect? .    Reduced duodenal pH ,     Increasedbarrier to pepsinReduced stomach motility Neutralized gastricacid Que sti on 30 (2 points)It is reasonable to add which of the following to a Helicobacter pylori treatment regimen to improve eradication rates of H. plyori. Plant sterols 2 FiberOmega-3 fatty acidsProbiotics Questi on 31 (2 points)A provider orders hydroxyzine for a patient with acute urticaria. What information will the provider includewhen teaching the patient aboutthis drug? Alcohol should be avoided while taking the drug. The drug willreduce redness and itching but not edema.This antihistamine is not likelyto cause sedation.Shortness of breathmay occur while taking the drug.  A patient is having an lgE-mediated hypersensitivityreaction. Whataction by the NP is best? C Give the patient an antihistamine.'.:;Apply warm.moist heat to the affectedarea. '-...I Prepare to give the patienta blood transfusion. ":'•Ask the patientif he or she is having painat the site.  Questi on 33 (2 points)Glutamate is an excitatory aminoacid in the CNS. Overstimulation of glutamate receptorsmay lead to cell death.Memantine, by antagonizing the NOMA typeof glutamate receptors, may improve cognitive function in Alzheimer's disease. True-._ False Questi on 34 (2 points)In whichof the following patient shouldDonepezil be discontinued? The patientwithlow serum sodium levels.       The patientwhose heart rate was 55 beats/minute. ;     The patientwith reduced serumuric acid levels. The patientwith a fasting blood glucoselevel of 80 mg/dl.  Question 35 (2 points)Whichone of the following drugs acts by inhibiting neurotransmitterreuptake? '.'.::, Donepezil Which is the principal neurotransmitter involved in Parkinson disease? Q Dopamine Aspart ate Serotonin  ' ) GABA Question 14 (2 points)A geriatric patient has tremors in Lhe fingers , a mask-like facial expressoi n, and bradykinesia.Whichof the following medication will you prescribe? Q Bromocr ip tineQ Methylphenidate ') Modannal( ' Levodopa/carbidopa  Question 15 (2 points)What are the adverseeffects of Orlistat?Select all that apply. Flatus with discharge _ Fatty stools Increaseddefecation Bloody stoolf  What are the adverse effects of Orlistat?Select all that apply. Flatus with discharge Fatty stools Increaseddefecation Bloodystool[  Abdominaldiscomfort Oily spottingFecalurgency  Question 16 (2 points)Which of the followingparameters has the greatest effect on Levothyroxine dose requirement in an adult? ( Gender Age Weight Height Question 17 (2 points)Whilereviewing the historyand the lab reportsof an adult patient, the NP finds that the patient has decreased metabolic rate. weight gain. and hair loss. What can the NP interpret from these findings? The patient may have Plummer's disease. the patient has decreased metabolic rate, weightgain, and hair loss, What can the NP interpret from these findings? :'    The patient may have Plummer's disease. "'The patient may havecretinism.--.. The patient may havemyxedema. .-,,    The patient may have Graves' disease. uestion 18 (2 points)A patient arrives in the emergency department witha heart rate of 128 beats/minute and a temperature of 105°F. The patient's skinfeels hot and moist.The free T4 level is 4 ng/dl.thefree T3 level is 685 pg/dl , and the TSH levelis 0.1 microunits/ml.Theprovider caring for this patientwill give what intervention priority? lodine-131(1311) ."' Intravenous levothyroxine Propylthiouracil(PTU)M ethimazole  uestion 19(2 points)A patient with ahistoryof gastroesophagealrenux (GERD) is taking Bethanechol for her GERD (off-the-label use of this medication). Which patient assessment data contraindicates useof this drug? ._:= History of asthma "  Blood pressure140/83 mm Hg        Question :.!U{2 po,ntsJMast cell stabilizers are: Select all that apply. :=;Nedoc   romilC lpratropium '7 CromolynL.,Zanrlukast Question 21 (2 points)A patient is taking oral theophylline for maintenance therapy of stable asthma. The patient is instructed to avoid using which substance to prevent a complication? Echinacea .2 Caffeine ,:; Cimetidine C Sunscreen Question 22 (2 points)Frequent blood pressures of a patient witha history of hypertension shouldbe monitored if he takes whichmedication for allergicrhinitis? r Mometasone Pseudoephedrine Montelukast;)    Oxymetazoline  Whichteaching should be provided to an asthmatic patient who uses Timolol eye drops? '":: Stay upright for 3 hours afteradministering the eye drops. (;    Take the bronchodi lator inhaler beforeadministering the eye drops. "' Instill the dropsto one eye: wait 30 minutes,and then applythem to the other eye. '--- Apply pressure to the inner aspects of the eye during and after administration.  Q uesti on 24 (2 points)The NPat the immunization clinicis reviewing the list of patients who are scheduled to receive the varicella vaccination. The NP willcancel all of the followingpatients_1?  ,_An-yealpatient withasthma. 0    A 12-yearold patient with anallergy to gelatin.C' A patientwho is pregnant.'     A 21·yearold patient who is allergic to neomycin.  Q uesti on 25 (2 points)An adult patient arrives at the clinic with a wound innicted by a rusty nail. The patient last received the tetanus booster and tetanus reduced diphtheria toxoids and acellular pertussis vaccine(Tdap) about 10 years earlier. What would be the most appropriate action in this situation? 8 Administertetanus immune globulin (TIG).=:- Administer tetanus plus diphtheria toxoids for adults (Td).  A malepatient is diagnosed with mild prostateenlargement. What willyouprescribe to control thiscondition? ../ Dutasteride ,1Tamsulosin Vardenanl Finasteride Question 27 (2 points)When prescribing Adderall (amphetamine and dextroamphetamine) to adults with ADHD the nurse practitioner will need to monitor: Blood pressure Blood glucose l evels Urine ketone levels liver function Question 28 (2 points)Whichof the following antacids may be used in treating hyperphosphatemia? v Aluminum hydroxide '-' Magnesium sulfate :: Sodium Bicarbonate " Calcium carbonate A patient who has gastroesophagealreflux disease (GERO) is taking magnesium hydroxide (milk of magnesia). Which outcome should the patient expect if the medication is achieving the desired therapeutic effect? .    Reduced duodenal pH ,     Increasedbarrier to pepsinReduced stomach motility Neutralized gastricacid Que sti on 30 (2 points)It is reasonable to add which of the following to a Helicobacter pylori treatment regimen to improve eradication rates of H. plyori. Plant sterols 2 FiberOmega-3 fatty acidsProbiotics Questi on 31 (2 points)A provider orders hydroxyzine for a patient with acute urticaria. What information will the provider includewhen teaching the patient aboutthis drug? Alcohol should be avoided while taking the drug. The drug willreduce redness and itching but not edema.This antihistamine is not likelyto cause sedation.Shortness of breathmay occur while taking the drug.  A patient is having an lgE-mediated hypersensitivityreaction. Whataction by the NP is best? C Give the patient an antihistamine.'.:;Apply warm.moist heat to the affectedarea. '-...I Prepare to give the patienta blood transfusion. ":'•Ask the patientif he or she is having painat the site.  Questi on 33 (2 points)Glutamate is an excitatory aminoacid in the CNS. Overstimulation of glutamate receptorsmay lead to cell death.Memantine, by antagonizing the NOMA typeof glutamate receptors, may improve cognitive function in Alzheimer's disease. True-._ False Questi on 34 (2 points)In whichof the following patient shouldDonepezil be discontinued? The patientwithlow serum sodium levels.       The patientwhose heart rate was 55 beats/minute. ;     The patientwith reduced serumuric acid levels. The patientwith a fasting blood glucoselevel of 80 mg/dl.  Question 35 (2 points)Whichone of the following drugs acts by inhibiting neurotransmitterreuptake? '.'.::, Donepezil    Health ScienceScienceNursingMSN 571Share Question
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Theory or Model. Then using Fawcett's framework for theory evaluation (as discussed in Peterson & Bredow, 2016, p. 43), discuss to what extent your selected practice theory or model meets the criterion of pragmatic adequacy (that is, how well the theory or model can be utilized in real-life situations, particularly clinical practice) by addressing the following: -State the theory or model your group chose and the reason(s) for your choice. -Describe the practice theory or model and define the main concepts of this theory. -Evaluate the practice theory or model. -Describe the special education and/or skill training recommended for nurses so that the theory or model can be used in their clinical practice. -Is it possible to derive clinical protocols from the theory or model? If yes, briefly explain. If no, explain why not? -How often has the theory or model been used for nursing research? If it has been used for research, provide a full APA citation for one study example that used this theory or model. If it hasn't been used, please explain why it hasn't been used. -Discuss at least two favorable outcomes that result from using this theory or model as a basis for nursing practice. -Connect this theory or model to clinical practice. -View the Healthy People 2020 Topics and Objectives and choose an objective/topic to review. -Identify the objective/topic. -Discuss how you would apply your chosen Healthy People 2020 objective to the selected theory or model, focusing on the following two areas: -Outlining client outcomes -Designing nursing interventions -Your paper should be two-to-three (2-3) pages long (not including the references list) and use APA formatting for all components.The theory I picked is "  Promoting health for families with children with chronic conditions .