Question Question 1 A 45-year-old man who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin . The nurse will advise the patient to Question 2 A 55-year-old man’s hypertension has not responded adequately to his current medication regimen consisting or an ACE inhibitor, a beta-blocker and a thiazide diuretic . As a result, he will soon begin taking hydralazine (Apresoline) in addition to his existing antihypertensives . The addition of this medication to his regimen means that  the nurse must prioritize which of the following nursing actions? Question 3 A nurse has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension . After 2 weeks of medication therapy, the patient begins to complain of numbness and tingling in his hands and feet . The nurse suspects that these signs or symptoms are Question 4 A nurse is caring for a male patient who has a diagnosis of coronary artery disease (CAD) . His drug therapy includes lovastatin . Because the patient has a history of severe renal disease, the  nurse will assess for which of the following? Question 5 A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem . Verapamil achieves a therapeutic effect by Question 6 An expected outcome for a patient who has just taken sublingual nitroglycerin should be Question 7 A clinic nurse has been assigned a 49-year-old female patient who has a history of diabetes . A recent diagnosis of hypertension has been made, and the patient has been prescribed a thiazide diuretic and labetalol . The patient will be scheduled to return to the clinic once a month for the next 6 months . A priority action by the nurse will be to Question 8 A 39-year-old African-American male is 25 pounds overweight and has been diagnosed with hypertension after three consecutive above-normal blood pressure readings . The most likely initial drug therapy for this patient will be Question 9 A nurse is caring for a patient with chronic angina . The patient is receiving ranolazine (Ranexa) 500 mg PO bid . Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication? Question 10 Several months of treatment with a statin accompanied by lifestyle modifications have failed to appreciably improve a patient’s cholesterol levels . Consequently, the patient has been prescribed cholestyramine . The nurse should recognize that this drugs achieves its therapeutic effect by Question 11 A resident of a long-term care facility receives 12 . 5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily . Before administering this drug, the nurse should perform and document what assessments? Question 12 A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure . Nesiritide (Natrecor) has been ordered . When preparing for administration of the drug, the nurse will Question 13 A normal maintenance dose for digoxin is 0 . 125 to 0 . 5 mg/day . In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin? Question 14 A nurse who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients . Treatment of high cholesterol using statins would be contraindicated in which of the following patients? Question 15 A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix) . In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient’s Question 16 A 58-year-old man is admitted to the emergency department . A diagnosis of severe digoxin toxicity is made . Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity . The nurse will administer which of…

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Assignment 1: Gastrointestinal Tract: Disorders of Motility Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned. Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. To Prepare · Review this week’s media presentation on the gastrointestinal system. · Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production. · Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different. · Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor. · Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis. To Complete Write a 2- to 3-page paper that addresses the following: · Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders. · Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. · Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper. Assignment 2: The Pathophysiology of Disorders During the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within…

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In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations: 1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020. 2. Recommendation 5: Double the number of nurses with a doctorate by 2020. 3. Recommendation 6: Ensure that nurses engage in lifelong learning. Identify your options in the job market based on your educational level. ( I have Associate degree in nursing (ADN) and this a Bachelor science in nursing program, (BSN) so you can have based it on BSN, because I will be done soon) 1. How will increasing your level of education affect how you compete in the current job market? 2. How will increasing your level of education affect your role in the future of nursing? A minimum of Four scholarly references are required for this assignment . solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, an abstract is not required, CITE WEBSITE SOURCE.

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B.  Write your community health nursing diagnosis statement. 1.  Explain how the health concern from your community health nursing diagnostic statement is linked to a health inequity or health disparity within the target population. a.  Discuss the primary community resources and primary prevention resources currently in place to address the health concern. b.  Discuss the underlying causes of the health concern. 2.  Discuss the evidence-based practice associated with the Field Experience topic. a.  Identify data about the selected Field Experience topic from the local (e.g., county), state, and/or national level. C.  Develop a community health nursing social media campaign strategy that will convey your health message and address the Field Experience topic by doing the following: 1.  Describe your social media campaign objective. 2.  Recommend two population-focused social marketing interventions and justify how each would improve the health message related to your selected Field Experience topic. 3.  Describe a social media platform you would use that is appropriate for communicating with the target population. a.  Discuss the benefits of the selected social media platform in supporting preventative healthcare. 4.  Discuss how the target population will benefit from your health message. D.  Describe best practices for implementing social media tools for health marketing. E.  Create a social media campaign implementation plan by doing the following: 1.  Describe stakeholder roles and responsibilities in implementing the plan. 2.  Discuss potential public and private partnerships that could be formed to aid in the implementation of your campaign. 3.  Create a specific timeline for implementing your campaign. 4.  Explain how you will evaluate the effectiveness of the campaign. 5.  Discuss the costs of implementing your campaign. F.  Reflect on how social media marketing supports the community health nurse’s efforts to promote healthier populations. 1.  Reflect on how your social media campaign could apply to your future nursing practice. G.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized. H.  Demonstrate professional communication in the content and presentation of your submission.

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Assignment: Pharmacotherapy for Cardiovascular Disorders …heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease… —Murphy et al., 2018 Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today. Photo Credit: Getty Images/Science Photo Library RF As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors. Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm To Prepare Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece. Review the case study assigned by your Instructor for this Assignment. Select one the following factors: genetics, gender, ethnicity, age, or behavior factors. Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes. Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy. Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient. By Day 7 of Week 2 Write a 2- to 3-page paper that addresses the following: Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned. Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples. Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting. Learning Resources Required Readings (click to expand/reduce) Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier. Chapter 33, “Review of Hemodynamics” (pp. 285–289) Chapter 37, “Diuretics” (pp. 290–296) Chapter 38, “Drugs Acting on the Renin-Angiotensin-Aldosterone System” (pp. 297–307) Chapter 39, “Calcium Channel Blockers” (pp. 308–312) Chapter 40, “Vasodilators” (pp. 313–317) Chapter 41, “Drugs for Hypertension” (pp. 316–324) Chapter 42, “Drugs for Heart Failure” (pp. 325–336) Chapter 43, “Antidysrhythmic Drugs” (pp. 337–348) Chapter 44, “Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels” (pp. 349–363) Chapter 45, “Drugs for Angina Pectoris” (pp. 364–371) Chapter 46, “Anticoagulant and Antiplatelet Drugs” (pp. 372–388) Required Media (click to expand/reduce) Cardiovascular Disorders Meet Dr. Norbert Myslinski as he discusses ACE inhibitors, angiotensin inhibitors, beta-blockers, calcium channel blockers, and diuretics as different categories of hypertension drugs. What pot…

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Data analysis is key for discovering credible findings from implementing nursing studies. Discussion and conclusions can be made about the meaning of the findings from the data analysis. Share what you learned about descriptive analysis (statistics), inferential analysis (statistics), and qualitative analysis of data; include something that you learned that was interesting to you and your thoughts on why data analysis is necessary for discovering credible findings for nursing. Compare clinical significance and statistical significance; include which one is more meaningful to you when considering application of findings to nursing practice.

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Section 2: Practicum Professional Development Objectives Refer to the instructions in Week 1 to create practicum professional development objectives that meet the requirements for this course. Objective 1: Analyze three common barriers to effective communication, then compare and contrast two effective resolution strategies as defined in evidence-based literature. Objective 2: Contrast units that have success with retention and recruitment of novice nursing staff and those who have high turnover; identifying factors of influence and comparing to peer reviewed literature. Assignment 1: Practicum Professional Experience Plan (PPEP)Success comes from knowing that you did your best to become the best that you are capable of becoming. — John Wooden, My Personal Best: Life Lessons from an All-American Journey As you considered in this week’s Discussion, your experiences in the practicum can provide a vital avenue for professional development.For this Assignment, you develop a Practicum Professional Experience Plan (PPEP) to outline how your involvement in the practicum will contribute to your growth as a professional and allow you to hone your specialization knowledge and skills. The PPEP consists of two or three objectives related to professional development that you will address during your Practicum Experience. Note: In the practicum manual these are referred to as your individualized learning objectives.To prepare:As necessary, review the information related to developing objectives provided in this week’s Learning Resources.Revisit the objective(s) you crafted for this week’s Discussion, and reflect on the ideas exchanged in this forum. Refine the objective(s) as needed, making sure they reflect the higher-order domains of Bloom’s Taxonomy (i.e., Application level and above). Note: You will be developing two to three professional development objectives for this assignment.Think more deeply about areas for which you would like to gain application-level experience and/or continued professional growth. How can your experiences in the practicum help you achieve these aims?Discuss your professional aims and your proposed practicum professional development objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.Download and save the Practicum Professional Experience Plan Form provided in this week’s Learning Resources. To complete your Practicum Professional Experience Plan:Record the required information in each area of the Professional Practicum Experience Plan, including two or three objectives you will use to facilitate your professional development during the practicum. Objective 3: Develop and prioritize a one-month productivity expense report that will be used to budget upcoming expenditures and incorporate a balanced unit financial statement in accordance with previous budgets and evidence based literature. Resources Cipriano, P. F., & Murphy, J. (2011). The future of nursing and health IT: The quality elixir. Nursing Economic$, 29 (5), 286–289. Note: Retrieved from the Walden Library databases. “Technology tools will continue to revolutionize how we plan, deliver, document, review, evaluate, and derive the evidence about care” (p. 289). This article examines how nurses can use information technology to transform nursing and redesign the health care system. It focuses on the use of technology to promote quality and notes that technology can also be used to address challenges in education, research, leadership, and policy.McKimm, J., & Swanwick, T. (2009). Setting learning objectives. British Journal of Hospital Medicine, 70 (7), 406–409. Note: Retrieved from the Walden Library databases. This article clarifies the terminology associated with learning objectives and explains how learning objectives relate to professional development and the transformation from novice to expert. It also introduces common pitfalls when setting learning objectives and provides sugge…

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Comment using your own words but please provide at least one reference for each comment. Do a half page for discussion #1 and another half page for discussion #2 for a total of one page. Provide the comment for each discussion separate.

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You are admitting a 19-year old female college student to the hospital for fevers.  Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.

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In order to write a case study paper, you must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections. Section Information to Include Introduction (patient and problem) Explain who the patient is (Age, gender, etc.) Explain what the problem is (What were they diagnosed with, or what happened?) Introduce your main argument (What should you as a nurse focus on or do?) Pathophysiology Explain the disease (What are the symptoms? What causes it?) History Explain what health problems the patient has (Have they been diagnosed with other diseases?) Detail any and all previous treatments (Have they had any prior surgeries or are they on medication?) Nursing Physical Assessment List all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.) Related Treatments Explain what treatments the patient is receiving because of their disease Nursing Diagnosis & Patient Goal Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?) Explain what your goal is for helping the patient recover (What do you want to change for the patient?) Nursing Interventions Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature) Evaluation Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?) Recommendations Explain what the patient or nurse should do in the future to continue recovery/improvement Your paper should be 3-4 pages in length and will be graded on how well you complete each of the above sections. You will also be graded on your use of APA Style and on your application of nursing journals into the treatments and interventions. For integrating nursing journals, remember the following: Make sure to integrate citations into all of your paper Support all claims of what the disease is, why it occurs and how to treat it with references to the literature on this disease Always use citations for information that you learned from a book or article; if you do not cite it, you are telling your reader that YOU discovered that information (how to treat the disease, etc.)

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