MED SURG ASSISGNMENT

MED SURG 1.A home care nurse visits a client who has stage 4 metastatic lung cancer. He tells the nurse, “I don’t want any more chemotherapy or surgery. I just want to be made comfortable”. How can the nurse advocate for this client? ​2. A nurse is caring for a client who has a halo traction device following a cervical spine injury. Discuss two (2) relevant teaching points for when this client is ready to be discharged home. ​3. A nurse is providing community teaching regarding prevention of HIV transmission. Identify two (2) points the nurse will share with the client. ​4. A nurse is providing teaching to the family member of an immobile home care client regarding prevention of pressure ulcers. Identify three (3) important teaching points the nurse should include.

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Technology is integral to successful implementation in many projects

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

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Week 3: Personality Disorders

Week 3: Personality Disorders Discussion: Treatment of Personality Disorders – Schizotypal Personality Disorder Explain the diagnostic criteria for your assigned personality disorder. Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned personality disorder. Describe clinical features from a client that led you to believe this client had this disorder. Align the clinical features with the DSM-5 criteria

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family assessment part II

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000 word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following: Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication. Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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Module 10 Course Project – Staff Development PowerPoint Due

Your staff development PPT presentation will include the information from your written paper in 10-12 slides (including a title and reference slide in APA format). Make sure to include speaker notes at the bottom of your slide to explain the content of your slide.

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need help 2

1. Provide a concise introduction for your posting. 2. Reflect upon a leader who impacted your practice. a. How was this person an effective leader? b. What leadership knowledge, skills, and attitudes (KSAs) did the person possess? c. How did this person impact others? 3. Share a self-assessment of your leadership KSAs; explain how they reflect the constructs within the Chamberlain College of Nursing Conceptual Framework. 4. Discuss the significance of leadership competencies and personal leadership acumen to your future MSN role and specialty track. 5. Conclude with a succinct synopsis of key points and concise self-reflection of how this topic contributes to your growth as a future leader in the chosen specialty track. Requirement · Your primary posting must be a minimum of 300 words and no more than 500 words in length (not including the reference list). o A minimum of two peer-reviewed scholarly sources, current within five years, are required to support the primary posting. · Rules of grammar, spelling, word usage, punctuation, sentence and paragraph structure are followed and consistent with formal, scholarly writing as noted in the APA Manual (6th edition). · Correct APA format is used for citing and referencing of sources. · Includes an introduction to the posting · Addresses each element within the discussion question in a thorough manner · Demonstrates insightful application of course concepts and information · Includes a summary of key points shared · Discusses how learning specific to this topic contributes to growth as future leader in the chosen specialty track Integrates scholarly support to validate assertions made

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2-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

4-Explain each sampling technique discussed in the “Visual Learner: Statistics” in your own words, and give examples of when each technique would be appropriate The visual learner statistics learner statistics include five different types of sampling techniques. They are simple random sampling, systematic sampling, convenience sampling, stratified sampling and cluster sampling. Simple Random Sampling: In a simple random sampling, individuals are chosen at random and not more than once to prevent a bias that would negatively affect the validity of the result of the experiment. Individuals in the sample are given equal opportunity to be selected. Stratified Sampling : The population is divided into two or more groups called strata that share common characteristics and deriving a sample from each different group. Example: Collecting the same set of data from college educated individuals, individuals with some college education, and data from individuals with no college experience. Convenience sampling: Sampling a group of people that are readily available, an easy or convenient way to collect a sample. Example: Collecting a data on a group of patients that have an appointment with their doctor in a single day Cluster sampling: Is a simple technique where the entire population is divided into groups or clusters and then a random sample of these clusters are selected. Example of use of this type of sampling would be to find out about city taxes in Maryland. It would be too difficult to get a random sample in the state of Maryland, so the researcher could use cluster sampling to get data from certain cities in Maryland and that would basically give them an idea of city taxes in Maryland. Systematic sampling: In systematic sampling, the member of the population is selected randomly at a particular starting number. Example a researcher has a total population of 100 individuals. From the list, the researcher randomly selects the first sample elements from the K elements of the population list, thereafter every K element on the list is selected. Reference Alvi, M. (2016). A manual for selecting sampling techniques in research. Moore D.S &McCabe (2013) Introduction to the practice of statistics  (5TH edition) Freeman and company New York. 5-I defiantly agree with you, Nurses as researchers need to find the right mix of sampling type that would be most appropriate first to the patients involved, secondly as to the particular dialysis if involved and future treatments, they must also be looking at the future growth of the profession and best practices before embarking with any type of sampling decision. Sampling bias and error is the end product of poor decision making involving sampling types 6-You did a great job explaining the types and forms of visual learning provided, I also opine that because population keeps getting wider and wider and there is a need to streamline it into manageable parts, the idea for types of sampling was birth. And the choice on the type is dependent on the researcher, the research basis and the population itself. Dr. James Lani of Complete Dissertation defines sampling as a “statistical procedure that is concerned with the selection of the individual observation; it helps us to make statistical inferences about the population” References James L (n.d) Sampling. Retrieved from http://www.statisticssolutions.com/sample-size-calculation-and-sample-size-justification/sampling/

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4060-3 Disaster Recovery Plan

Develop a disaster recovery plan to lessen health disparities and improve access to community services after a disaster. Then, develop and record an 8-10 slide presentation (PowerPoint preferred) of the plan with audio for the Vila Health system, city officials, and the disaster relief team. As you begin to prepare this assessment, you are encouraged to complete the Disaster Preparedness and Management activity. The information gained from completing this activity will help you succeed with the assessment as you think through key issues in disaster preparedness and management in the community or workplace. Completing activities is also a way to demonstrate engagement. Professional Context Nurses fulfill a variety of roles, and their diverse responsibilities as health care providers extend to the community. The decisions we make daily and in times of crisis often involve the balancing of human rights with medical necessities, equitable access to services, legal and ethical mandates, and financial constraints. When an unanticipated event occurs, such as an accident or natural disaster, issues can arise that complicate decisions about meeting the needs of an individual or group, including understanding and upholding their rights and desires, mediating conflict, and applying established ethical and legal standards of nursing care. As a nurse, you must be knowledgeable about disaster preparedness to safeguard those in your care. You are also accountable for promoting equitable quality of care for community residents. This assessment provides an opportunity for you to apply the concepts of emergency preparedness, public health assessment, triage, management, and surveillance after a disaster. You will also focus on hospital evacuation and extended displacement periods. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Analyze health risks and health care needs among distinct populations. Describe the determinants of health and the cultural, social, and economic barriers that impact safety, health, and disaster recovery efforts in a community. Competency 2: Propose health promotion strategies to improve the health of populations. Present specific, evidence-based strategies to overcome communication barriers and enhance interprofessional collaboration to improve disaster recovery efforts. Competency 3: Evaluate health policies, based on their ability to achieve desired outcomes. Explain how health and governmental policy affect disaster recovery efforts. Competency 4: Integrate principles of social justice in community health interventions. Explain how a proposed disaster recovery plan will lessen health disparities and improve access to community services. Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health. Present a compelling case to community stakeholders to obtain their approval and support for a proposed disaster recovery plan. Note: Complete the assessments in this course in the order in which they are presented. Preparation When disaster strikes, community members must be protected. A comprehensive recovery plan, guided by the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework, is essential to help ensure everyone’s safety. The unique needs of residents must be assessed to lessen health disparities and improve access to equitable services after a disaster. Recovery efforts depend on the appropriateness of the plan, the extent to which key stakeholders have been prepared, and the allocation of available resources. In a time of cost containment, when personnel and resources may be limited, the needs of residents must be weighed carefully against available resources. In this assessment, you are a member of a community task force responsible for developing a disaster recovery plan for the Vila Health co…

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NURS6521 Week 1 Quiz latest 2017

Question Week 1 Quiz Question 1 A patient has a blood serum drug level of 50 units/mL . The drug’s half-life is 1 hour . If concentrations above 25 units/mL are toxic and no more of the drug is given, how long will it take for the blood level to reach the nontoxic range? Question 2 During a clinic visit, a patient complains of having frequent muscle cramps in her legs . The nurse’s assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years . The nurse informed the patient that prolonged use of laxatives Question 3 Which of the following affects drug distribution throughout the body? Question 4 An unconscious patient has been brought to the hospital, and the physician has prescribed a life-saving drug to be administered parenterally . Which of the following methods would be the most appropriate for the nurse to use when administering the medication? Question 5 An older adult patient with a history of Alzheimer’s disease and numerous chronic health problems has been prescribed several medications during his current admission to hospital and recent declines in the patient’s cognition have impaired his ability to swallow pills . Which of the following medications may the nurse crush before administering them to this patient? Question 6 A nurse has been administering a drug to a patient intramuscularly (IM) . The physician discontinued the IM dose and wrote an order for the drug to be given orally . The nurse notices that the oral dosage is considerably higher than the parenteral dose and understands that this due to Question 7 A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM . How should the nurse best administer this medication? Question 8 A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat the spasms . She has a poorly documented allergy to eggs, synthetic clothes, and perfumes . What is the priority action of the nurse to ensure that prescribed medication does not experience an allergic reaction? Question 9 The nurse is caring for a patient receiving an aminoglycoside (antibiotic) that can be nephrotoxic . Which of the following will alert the nurse that the patient may be experiencing nephrotoxicity? Question 10 A nurse is caring for a patient who has recently moved from Vermont to south Florida . The patient has been on the same antihypertensive drug for 6 years and has had stable blood pressures and no adverse effects . Since her move, however, she reports “dizzy spells and weakness” and feels that the drug is no longer effective . The nurse suspects that the change in the effectiveness of the drug is related to Question 11 A patient with a recent diagnosis of acute renal failure has a long-standing seizure disorder which has been successfully controlled for several years with antiseizure medications . The nurse should recognize that the patient’s compromised renal function will likely Question 12 A nurse is caring for a patient who has had part of her small intestine removed due to cancer . She has also now developed hypertension and has been prescribed a new medication to decrease her blood pressure . While planning the patient’s care, the nurse should consider a possible alteration in which of the following aspects of pharmacokinetics? Question 13 A nurse who is responsible for administering medications should understand that the goals of the MedWatch program are to (Select all that apply . ) Question 14 The nurse’s assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented . What statement by the client would confirm this? Question 15 A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patient’s medication regimen . Which of the patient’s medications should prompt the nurse to teach her to avoid drinking gra…

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Head-to-Toe Assessment For this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following: Topical headings to delineate systems. For any system for which you do not have equip

Head-to-Toe Assessment For this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following: Topical headings to delineate systems. For any system for which you do not have equipment, explain how you would do the assessment. Detailed review of each system with normal and abnormal findings, along with normal laboratory findings for client age. An analysis of age-specific risk reduction, health screen, and immunizations. Your expectation of normal findings and what might indicate abnormal findings in your review of systems. The differential diagnosis (disease) associated with possible abnormal findings. A plan of care (including nursing diagnosis, interventions, evaluation). Client and age-appropriate evidenced based practice strategies for health promotion. Pharmacological treatments that can be used to address health issues for this client. Provide your answers in a 6- to 7-page Microsoft Word document. Support your responses with examples. On a separate references page, cite all sources using APA format. Use this APA Citation Helper as a convenient reference for properly citing resources. This handout will provide you the details of formatting your essay using APA style. You may create your essay in this APA-formatted template. Submission Details

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