Tag Archive for: nursing

Anti-hypertensive Medications

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Topic is  psyllium power point please.

 

This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.

  1. Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’.
    • Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.
  2. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted
  3. The presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.
  4. This is worth 20 points.

Submission Details:

  • Submit your assignment to the Submissions Area by the due date assigned.

oversight of risk management policies

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Throughout this course, you have identified, examined, and provided individual as well as collaborative analysis on multiple facets of risk management in the health care setting.

Addressing the knowledge you have gained, and building on that knowledge to add your evaluation of the role that the managed care organization (MCO) plays in today’s health care environment, develop a 250-500 word reflection to incorporate the following:

  1. What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
  2. What is your assessment of the value provided to an organization that stems from the regulatory statutes of a typical MCO? Consider the establishment of conflict resolution and risk management strategies within the health care organization from the employer/employee perspective as well as in regards to patient conflict circumstances.
  3. What MCO responsibilities pertain to the Patient Protection and Affordable Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

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 Turnitin. Please refer to the directions in the Student Success Center.

health care information systems.

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Assignment 3: Presentation Of Assignment 2

In this assignment, you will condense information from Assignment 2 to create a PowerPoint presentation.

Create a seven to nine (7-9) slide PowerPoint Presentation in which you:

1. Provide a title slide (as indicated in the format requirements below), followed by a slide with an executive summary containing a brief statement of your proposal, as covered within Assignment 2.

2. Summarize your response to each of the criteria in Assignment 2—one (1) slide per criterion, for a total of six (6) slides.

3. Provide a summary slide which addresses your key points from Assignment 2.

4. Narrate each slide, using a microphone, indicating what you would say if you were actually presenting in front of an audience.

Your assignment must follow these formatting requirements:

· Format the PowerPoint presentation with headings on each slide and three to four (3-4) relevant graphics (photographs, graphs, clip art, etc.), ensuring that the presentation is visually appealing and readable from 18 feet away. Check with your professor for any additional instructions.

· Include a title slide containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The title slide is not included in the required slide length.

The specific course learning outcomes associated with this assignment are:

· Examine the impact technologies have on health care information systems.

· Describe the basic components of a strategic information system plan.

· Describe the major types and classifications of health care information standards and the specific organizations that develop and regulate these standards.

· Discuss the need for, and identify methods of, accomplishing the security of information systems.

· Evaluate the impact of strategic information system plans on organizational competiveness and performance.

· Use technology and information resources to research issues in health information systems.

· Write clearly and concisely about health information systems using proper writing mechanics.

healthcare organizations

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Review the following

https://www.linkedin.com/pulse/standards-care-emergency-room-waiting-game-sharon-r-n-m-p-h-

https://www.leagle.com/decision/inilco20090619106.xml

https://www.nap.edu/read/9728/chapter/2

https://www.hopkinsmedicine.org/news/media/releases/study_suggests_medical_errors_now_third_leading_cause_of_death_in_the_us

Then write a 2 page essay discussing how errors in care affect healthcare organizations in the context of the challenges currently facing hospitals both to provide the standards of care and to keep patients safe from harm, negligence, and errors in care. Discuss your answers in the context of a “position paper” regarding the major points of the Quaid case.

nature of spirituality

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Based on the required topic study materials, write a reflection about worldview and respond to following:

  1. In 250-300      words, explain the Christian perspective of the nature of spirituality and      ethics in contrast to the perspective of postmodern relativism within      health care.
  2. In 250-300      words, explain what scientism is and describe two of the main arguments      against it.
  3. In 750-1,000      words, answer each of the worldview questions according to your own      personal perspective and worldview: (a) What is ultimate reality? (b) What      is the nature of the universe? (c) What is a human being? (d) What is      knowledge? (e) What is your basis of ethics? (f) What is the purpose of      your existence?

Remember to support your reflection with the topic study materials. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.

Rubric 

· Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear, detailed, and demonstrates a deep understanding of the subject. Explanation is supported by topic study materials.

· Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear and insightful. Details are clearly supported by topic study materials.

· Each of the worldview questions is answered clearly and with deep personal insight.

· Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

· Writer is clearly in command of standard, written, academic English.

· Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

· All format elements are correct.

· Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Digoxin level

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Question

Question 1 1 / 1 point

Digoxin levels need to be monitored closely when the following medication is started:

Question options:

Loratadine

Diphenhydramine

Ipratropium

Albuterol

Question 2 1 / 1 point

When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:

Question options:

They need to get any live vaccines before starting the medication.

Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective.

Patients should rinse their mouths out after using the inhaled corticosteroid to prevent thrush.

They can triple the dose number of inhalations of medication during colds to prevent

needing systemic steroids.

Question 3 1 / 1 point

Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they are:

Question options:

More effective than first-generation antihistamines

Less sedating than the first-generation antihistamines

Prescription products, therefore are covered by insurance

Able to be taken with central nervous system (CNS) sedatives, such as alcohol

Question 4 1 / 1 point

Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry?

Question options:

High-dose colchicine

Low-dose colchicine

High-dose aspirin

Acetaminophen with codeine

Question 5 1 / 1 point

Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:

Question options:

Metformin, a biguanide to prevent diabetes

Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease

Naproxen, an NSAID to treat joint pain

Furosemide, a diuretic to treat fluid retention

Question 6 1 / 1 point

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:

Question options:

Black tarry stools

Vomiting

Tremors

Tinnitus

Question 7 1 / 1 point

Prior to developing a plan for the treatment of asthma, the patient’s asthma should be classified according to the NHLBI Expert Panel 3 guidelines. In adults mild-persistent asthma is classified as asthma symptoms that occur:

Question options:

Daily

Daily and limit physical activity

Less than twice a week

More than twice a week and less than once a day

Question 8 1 / 1 point

Patients with a COPD exacerbation may require:

Question options:

Doubling of inhaled corticosteroid dose

Systemic corticosteroid burst

Continuous inhaled beta-2-agonists

Leukotriene therapy

Question 9 1 / 1 point

Asthma exacerbations at home are managed by the patient by:

Question options:

Increasing frequency of beta-2-agonists and contacting their provider

Doubling inhaled corticosteroid doses

Increasing frequency of beta-2-agonists

Starting montelukast (Singulair)

Question 10 1 / 1 point

The most common bacterial pathogen in community-acquired pneumonia is:

Question options:

Haemophilus influenzae

Staphylococcus aureus

Mycoplasma pneumoniae

Streptococcus pneumonia

Question 11 1 / 1 point

The first-line antibiotic choice for a patient with comorbidities or who is immunosuppressed who has pneumonia and can be treated as an outpatient would be:

Question options:

Levofloxacin

Amoxicillin

Ciprofloxacin

Cephalexin

Question 12 1 / 1 point

Wing-Sing is a 4-year-old patient who has suspected bacterial pneumonia. He has a temperature of 102°F, oxygen saturation level of 95%, and is taking fluids adequately. What would be appropriate initial treatment for his pneumonia?

Question options:

Ceftriaxone

Azithromycin

Cephalexin

Levofloxacin

Question 13 1 / 1 point

Instructions for a patient who is starting nicotine replacement therapy include:

Question options:

Smoke less than 10 cigarettes a day when starting nicotine replacement.

Nicotine replacement will help with the withdrawal cravings associated with quitting tobacco.

Nicotine replacement can be used indefinitely.

Nicotine replacement therapy is generally safe for all patients.

Question 14 1 / 1 point

If prescribing bupropion (Zyban) for tobacco cessation, the instructions to the patient include:

Question options:

Bupropion (Zyban) is started 1 to 2 weeks before the quit date.

Nicotine replacement products should not be used with bupropion.

If they smoke when taking bupropion they may have increased anxiety and insomnia.

Because they are not using bupropion as an antidepressant, they do not need to worry about increased suicide ideation when starting therapy.

Question 15 1 / 1 point

The most appropriate smoking cessation prescription for pregnant women is:

Question options:

A nicotine replacement patch at the lowest dose available

Bupropion (Zyban)

Varenicline (Chantix)

Nonpharmacologic measures

Question 16 1 / 1 point

Drug resistant tuberculosis (TB) is defined as TB that is resistant to:

Question options:

Fluoroquinolones

Rifampin and isoniazid

Amoxicillin

Ceftriaxone

Question 17 1 / 1 point

Kaleb has extensively resistant tuberculosis (TB). Treatment for extensively resistant TB would include:

Question options:

INH, rifampin, pyrazinamide, and ethambutol for at least 12 months

INH, ethambutol, kanamycin, and rifampin

Treatment with at least two drugs to which the TB is susceptible

Levofloxacin

Question 18 1 / 1 point

Ezekiel is a 9-year-old patient who lives in a household with a family member newly diagnosed with tuberculosis (TB). To prevent Ezekiel from developing TB he should be treated with:

Question options:

6 months of Isoniazid (INH) and rifampin

2 months of INH, rifampin, pyrazinamide, and ethambutol, followed by 4 months of INH

9 months of INH

12 months of INH

Question 19 1 / 1 point

Myles is a 2-year-old patient who has been diagnosed with acute otitis media. He is afebrile and has not been treated with antibiotics recently. First-line treatment for his otitis media would include:

Question options:

Azithromycin

Amoxicillin

Ceftriaxone

Trimethoprim/sulfamethoxazole

Question 20 1 / 1 point

Jacob has been diagnosed with sinusitis. He is the parent of a child in daycare. Treatment for sinusitis in an adult who has a child in daycare is:

Question options:

Azithromycin 500 mg q day for 5 days

Amoxicillin-clavulanate 500 mg bid for 7 days

Ciprofloxacin 500 mg bid for 5 days

Cephalexin 500 mg qid for 5 days

Micronutrients necessary for metabolism

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Chapter 8 – Micronutrients necessary for metabolism

1. (5 ) You have just returned from the Farmers Market.  How will you store and prepare your foods to  maintain micronutrient value.  You purchased a bag of leafy greens,  red and yellow peppers, and fresh green beans. You also bought a glass bottle of organic milk from the local dairy farmer. Outline strategies to minimize loss of micronutrients.

2. (5 ) If you were going on a trip and could only take 6 food items with you, which ones would you choose to make sure you met your B Vitamin needs?

  • To answer this…Identify which B vitamins are supplied by each of the 6 foods…there will be overlaps. (There are 8 of them and the book outlines food sources of each.)
  • Do you think you currently meet all of your Vit. B requirements? Explain.

Chapter 9 Water and Electrolytes

1. (3) Most of us do not meet our Adequate Intake (AI) levels for potassium (4.7 gms for adults) and we exceed them for sodium (1.5 gms for adults).  The Dietary Guidelines recommend not exceeding 2.3 gms (2300 mgs) of sodium.

  • What foods should people limit to keep sodium intake under the AI for sodium?
  • List a variety of foods with serving sizes that would help people meet the 4.7 gm AI for potassium.

2.   (3) Who is most vulnerable to becoming dehydrated and under what circumstances?

  • Describe the most effective rehydration strategies when dehydrated.

3.  (4) Read this scenario and answer the following questions to explore how blood pressure is related to sodium and potassium intake.
An overweight, sedentary, male in his 50s has just returned from the doctor where he was told to lower his blood pressure because he has hypertension.  He eats out often at fast food places and relies on convenience foods for home meals. He does not engage in regular physical activity as he owns his own computer store and works at least 50 hours a week. He asks you for ideas to help him decrease his blood pressure. 

  • What would his blood pressure have been for this diagnosis (Refer to p. 371- 372)?
  • What are his risk factors for hypertension?
  • Outline some practical guidelines for change that would help him manage his blood pressure better. (Hint: You should include the DASH diet and you will nee

Strategic Initiatives.

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To complete: The assignment needs to match the discussion post listed below. Thanks 

  • Create a balanced scorecard that could be used to measure and evaluate the impact of your planned change on performance, and determine if the costs are justified in terms of the outcomes.
  • Include what you would measure in terms of finances, customers, internal process, and learning and growth.

 

Creating a balanced scorecard for the new stroke nurse position is critical. The balanced scorecard will track improvements to the quality of patient outcomes and financial outcomes (Jeffs, Merkley, Richardson, Eli, & McAllister, 2011). With the balanced scorecard allows for leadership to see where and how to grow the new stroke nurse position.

Collecting data is how you can justify if the new change is working “Create a Balanced Scorecard of Robust Measures, Meaningful Targets, and Strategic Initiatives,” 2014). Data collection is mandated by the joint commission to maintain comprehensive stroke certification. The stroke nurse will collect and monitor patients progress during admission and give follow-up calls around up to 90 days after discharge from the hospital. This will allow for leadership to see an improvement in the outcome of stroke patients. After six months the collected data from before stroke nurse and after stroke nurse can be compared. The hospital is expected to have an increase in a stroke patient with the new comprehensive stroke certification. This will create an increase in revenue which will help offset the cost of the stroke nurse program.

References

Create a Balanced Scorecard of Robust Measures, Meaningful Targets, and Strategic Initiatives. (2014). Balanced Scorecard Evolution, 221-267. doi:10.1002/9781118915011.ch6

Jeffs, L., Merkley, J., Richardson, S., Eli, J., & McAllister, M. (2011). Using a nursing balanced scorecard approach to measure and optimize nursing performance. Nursing Leadership, 24(1), 47-58. doi:10.12927/cjnl.2011.22334

psychopharmacologic treatments

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In 3–4 pages, write a treatment plan for a with schizophrenia spectrum and other psychotic disorder client in which you do the following:

  • Describe the HPI and clinical impression for the client.
  • Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
  • Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
  • Identify medical management needs, including primary care needs, specific to this client.
  • Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
  • Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

Cultural Diversity and Community Nursing

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Health Promotion and Risk Reduction

Cultural Diversity and Community Nursing

Environmental Health

Read chapter 4, 13, and 14 of the class textbook and review the attached PowerPoint presentations.  Once done answer the following questions;

  1. Discuss various theories of health promotion, including Pender’s Health Promotion Model, The Health Belief Model, the Transtheoretical Theory and the Theory of Reasoned Action.
  2. List and discuss health behaviors for health promotion and disease prevention.
  3. Apply and discuss the principles of transcultural nursing to community health nursing.
  4. Apply and discuss the basic concepts of critical theory to environmental health nursing problems.

As stated in the class syllabus please present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “week 4 discussion questions”.  The assignment must include at least 2 evidence-based references (excluding the class textbook) no older than 5 years.  References must be quoted in the assignment in order to comply with APA.   Two replies to any of your peers sustained with the proper references are required.  

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