Reflection

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Please read attachment for instructions. Thank you

Discussion Post-Prevention of Shock

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Your patient is a 42-year-old female that arrives in the ED with complaints of fever and not feeling well. She is currently undergoing chemotherapy for bladder cancer. She has an indwelling urinary catheter with scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa.

  • What type of shock is she experiencing?
  • What interventions do you anticipate the doctor will order?
  • What can you teach this patient about prevention of infection?
  • The doctor orders Bactrim. What should you be concern about? Why?

Minimum of 250 words. 

Genetics

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Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

Jane and Jackie, 30 year old twin sisters, adopted when they were two years old, lived mirrored lives to this point. They do everything together, from having a double wedding, living next door to each other, and making any appointments, medical or social together.

Today they made an appointment with their OB/GYN. Information was as follows:

Jane Information: Jackie’s Information:

BP 115/70 BP 165/96

HR 70 HR 96

Resp. 20 Resp, 22

Temp 98.6 Temp 99.2

N/A Normal U/A + Hematuria

+ Proteinuria

Weight No gain Weight +15 pounds

C/O Intermittent Headache C/O Has lower back and stomach

at times relieved with pain at times and is relieved also

Tylenol by Tylenol.

Other: This individual is noted to have

some loss of muscle mass in her

arms and legs and less subcutaneous

tissue overall.

1. At this point, what do your think is the problem with Jackie? Why is this problem co common in women? What test would you request to confirm your diagnosis?

The physician uses the ultrasound to assess Jackie’s back and abdomen. He finds that her kidneys are about 4 times larger than normal and appear to have numerous fluid filled cysts noted. At this point he asks BOTH sisters to see a nephrologist and to be scheduled for MRI’s of the kidneys. The MRI showed that Jackie’s kidneys were indeed larger and filled with cysts. Jane’s kidneys were somewhat larger than normal, and no cysts were present at this time.

2. What problem do you anticipate that Jackie has now? How was it acquired?

3. Why did Jackie gain so much weight over the last year?

4. Why does Jackie have high blood pressure and the UTI?

5. Why were both sisters requested to have this test.

The sisters went to see the nephrologists who requested that they have MRI’s of the brain and an echocardiogram. Jane’s MRI and echocardiogram were normal. Jackie’s brain MRI and echocardiogram were not. Jackie had a cerebral angiogram that followed which confirmed complications of her disease process, an Intracranial aneurysm and Mitral regurgitation. Jackie undergoes a procedure called Coil Embolization Therapy to resolve the aneurysm.

6. What is an Intracranial aneurysm? How does Coil Embolization Therapy resolve the problem.? Please be specific of the procedure.

7. What is Mitral Valve Prolapse and how will it affect Jackie’s health care needs before procedures in the future?

8. What education is needed to be shared with these sisters related to their children having this condition in the future?

Neafsey. P. (2010).Sisters for life:
Case Mysteries in Pathophysiology. Englewood:

Morton Publishing Company

gmt/2015

Module 1: Indigenous Religions Overview

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Module 1: Indigenous Religions Overview

  

Explain how economic factors have influenced the development of indigenous religious traditions. Include at least one specific example in your response.

Replace this text with your response to the item in 1–2 paragraphs.

Explain why oral traditions are a common influence on indigenous religious traditions. In your response, include a comparison of the influence of an oral tradition to the influence of a sacred text.

Replace this text with your response to the item in 2–3 paragraphs.

Explain the significance of ancestors for indigenous religions. Provide at least one specific example of this significance to support your response.

Replace this text with your response to the item in 1–2 paragraphs.

Identify key characteristics of leadership in indigenous regions and how this understanding of leadership differs from Western religions.

Discussion questions

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1. Because the patient’s reported hallucinations are not persecutory, as a clinician, what medications would you start with?

2. What treatments (pharmacological and non-pharmacological) are most effective for patients with extensive trauma history?

3. What symptoms could be co-occurring in relation to PTSD vs schizophrenia for this patient?  

case

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Competency

Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.

Scenario

You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

Social history:

· (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years

· (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use

· Abusive partner with first pregnancy, states she has a new partner x 4 years

· Depression, currently not taking meds for treatment (tx)

Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

Instructions

Write a three-page analysis of this scenario that answers the following questions:

1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?

2. Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.

3. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?

4. What concerns should be discussed with Ms. Jones before she leaves her appointment?

Each answer to your question should include the following:

· A correct answer with thorough development of the topic

· Gives clinical examples

· Include evidence from scholarly sources

· Appropriate use of medical terminology

Format

· Standard American English (correct grammar, punctuation, etc.)

· Logical, original and insightful

· Professional organization, style, and mechanics in APA format

Nursing

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1.  Analyze the assigned neurological disorder and prepare a report in a two- to three-page document Evaluate the causes of stroke. Discuss the differences between transient ischemic attack and cerebrovascular accidents (CVA). Discuss the types, warning signals, and treatment of CVA. free from plagiarism. Use correct medical terminology, spelling, and grammar.

questions

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[removed]

please read

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 Decubitus ulcers: origin, classification, and how to avoid them.

 a minimum of 1 pages.  include at least 2 academic sources, formatted and cited in APA.

 Submission Instructions: 

  • Your assignment will be run through TurnItIn to check for plagiarism. 

Nursing 3b assignment

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SCENARIO – You are preparing a seminar for your unit staff on effective communication. Your department supervisor has expressed interest in the seminar and wishes to review your material. You have decided you will present the Emotional Intelligence model. The EI (Emotional Intelligence) model has been promoted as a tool that is especially useful in toxic environments.

You develop a role-playing exercise to accompany the presentation. Once you have completed your rough draft, you share your work with the department supervisor. The department supervisor states, “I like your idea behind the seminar, but why are you presenting the EI model? Is your department that disruptive and chaotic? You feel that the nursing supervisor is criticizing your presentation, and you are set back by this line of questioning.

Instructions:

1. Read the scenario above, and then answer the following questions:

a. How should you respond to this statement?

b. Do you feel that the EI model could be useful in this situation? Why or why not? 

c. Do you feel the use of EI would assist in the resolution of this exchange? 

d. Do you personally relate to the aspects of EI, and do you think that it complements your personality?

2. Your paper should be:

. One (1) page

. Typed according to 

APA Writing StyleLinks to an external site.
 for margins, formatting and spacing standards.