Home>Homework Answsers>Nursing homework helpResearchevidence based practiceB.  Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.1.  Identifyeachof the following PICO components of the clinical practice problem:•P: patient, population, or problem•I: intervention•C: comparison•O: outcome2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.Note: Refer to the “Appendix B: Question Development Tool” web link for information on the creation of an EBP question.C.  Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.Note: The article you select should not be more than five years old.1.  Discuss the background or introduction (i.e., the purpose) of the research-based article.2.  Describe the research methodology used in the research-based article.3.  Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to level a research-based article.4.  Summarize how the researcher analyzed the data in the research-based article.5.  Summarize the ethical considerations of the research-based article. If none are present, explain why.6.  Identify the quality rating of the research-based article according to the JHNEBP model.Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to establish the quality rating.7.  Analyze the results or conclusions of the research-based article.a.  Explain how the article helps answer your EBP question.D.  Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.Note: The article you select should not be more than five years old.1.  Discuss the background or introduction (i.e., the purpose) of the non-research-based article.2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.3.  Identify the level of evidence in the non-research-based article using the JHNEBP model.Note: Refer to the “Appendix F: Non-Research Evidence Appraisal Tool” web link for information on how to level the non-research-based article.4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.5.  Discuss how the author’s recommendations in the non-research-based article help answer your EBP question.E.  Recommend a practice change that addresses your EBP question usingboththe research-based and non-research-based articles you selected for part C and part D.1.  Explain how you would involvethreekey stakeholders in supporting the practice change recommendation.2.  Discussonespecific barrier you may encounter when implementing the practice change recommendation.3.  Identifyonestrategy that could be used to overcome the barrier discussed in part E2.4.  Identifyoneoutcome (theOcomponent in PICO) from your EBP question that can be used to measure the recommended practice change.F.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.G.  Demonstrate professional communication in the content and presentation of your submission.File RestrictionsFile name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )File size limit: 200 MBFile types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7zDeboraDangSandr_2018_AppendixFNonresearchE_JohnsHopkinsNursingEv.pdfDeboraDangSandr_2018_AppendixEResearchEvid_JohnsHopkinsNursingEv.pdfDeboraDangSandr_2018_AppendixBQuestionDeve_JohnsHopkinsNursingEv.pdf3 years ago12.01.202310Report issueBids(89)Emily ClarePROF_ALISTERDr. Freya Walkerfirstclass tutorFiona DavaProf Double Rsherry proffMUSYOKIONES A+MISS HILLARY A+Discount AssignJudithTutorDr Cloverpacesetters2121Jahky BTop MalaikaColeen Andersonbonieta123Brilliant GeekWIZARD_KIMAshley EllieShow All Bidsother Questions(10)Prof. MaCQueenWeek 1 HomeworkPAYMENT LINK FOR Ecet classamerican historyArt Appreciation Essay: Comparison and Contrast of Cezanne’s The Bather and Nadel’s Portrait of a Young ManI need help with my project management assignment.ECE 611 Week 6 Journal ~ ( Latest Syllabus – Perfect Tutorial – Scored 100% )Research Study AnalysisOpposition report – Management control systemsTraining and Development 4

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Home>Homework Answsers>Nursing homework helpnursingHematopoietic:J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately, there have been 6 days of heavy flow and cramping. She denies abdominal distension, backache, and constipation. She has not had her usual energy levels since before her last pregnancy.Past Medical History (PMH):Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5 with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.Case Study 1 Questions:Name the contributing factors on J.D. that might put her at risk to develop iron deficiency anemia.Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.Why Vitamin B12 and folic acid are important for erythropoiesis? What abnormalities their deficiency might cause in the red blood cells?The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.Lab results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe appropriate recommendations and treatments for J.D.CardiovascularMr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. En route to the hospital, the patient was placed on a nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg PO) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was9/10in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.Case Study 2 Questions:For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarction, describe the modifiable and non-modifiable risk factors.What would you expect to see on Mr. W.G. EKG and which findings described in the case are compatible with the acute coronary event?Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarction, which would be the most specific laboratory test you would choose and why?How do you explain that Mr. W.G’s temperature has increased after his Myocardial Infarction, when can that be observed, and for how long? Base your answer on the pathophysiology of the event.Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarction. Elaborate and support your answer.3 years ago19.01.20236Report issueBids(80)PROF_ALISTERSheryl HoganDr. Freya Walkerfirstclass tutorFiona DavaProf Double RMUSYOKIONES A+Discount AssignDr CloverJudithTutorpacesetters2121Jahky BMajesticMaestroTop MalaikaColeen AndersonBrilliant GeekWIZARD_KIMTeacher A+ WorkAshley EllieAmerican TutorShow All Bidsother Questions(10)Juvenile Justice position paperPromotion Plans and BlendsFinal English IV essay/literary analysiscan someone help me in this please ?i have siso homeworkBig Five personality traitsworksheetENGL214—-db12—–at least 250 wordsi wrote 3 pages history research paper. i want someone to edit my work.workplace security Unit III Research Paper

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Home>Homework Answsers>Nursing homework helpAPADirections:Initial Post:For your initial post, select one current nursing quantitative research article that may be translated into evidence-based practice. Review the article and complete the worksheet provided. Your analysis will include the required elements of the research process. Identify the steps or elements of the study. Determine the strengths and limitations of the research study including the components of rigor. Evaluate the credibility and meaning of the study findings. Attach the completed worksheet to your initial discussion post.Module 04 Discussion Worksheet.docxReplies to Classmates:Review the quantitative articles selected by a minimum of two classmates. Access the article through the permalink provided in the worksheet.Describe one area of the critical appraisal you found incomplete including a supporting rationaleDescribe one area of the critical appraisal which provided new knowledge.Describe the new knowledge gained including how you will apply in future critical appraisals of research.ResourcesHow to read an articleWhere do I find permanent links?How do I find quantitative nursing articles?How do I find articles about nursing best practices?SON Research GuideQuantitative StudiesPlease make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates.Module04DiscussionWorksheet.docx3 years ago22.01.202310Report issueBids(79)Dr. Ellen RMEmily ClarePROF_ALISTERSheryl HoganDr. Freya Walkerfirstclass tutorFiona DavaProf Double RMUSYOKIONES A+Discount AssignDr CloverJahky BMajesticMaestroTop MalaikaColeen AndersonBrilliant GeekTutor Cyrus KenTeacher A+ WorkAshley Elliemiss AaliyahShow All Bidsother Questions(10)Dish Network Corp Strategic Management*****A++ Rated Tutorial Already***** Use as a Guide Paper*****ANT101 week5-1Due Saturday Nov. 26, 2016 ***FOR SOLUTIONS PRO.***Community PaperSafety and Accident PreventionLearning Plan editfIN 419 fINAL EXAMCreating a new sales and inventory management system for pet supply store.Can you help me with my discussion question? Week 5-1Nutrition Homework; Powerpoint

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Home>Homework Answsers>Nursing homework helpPulmonary Function:D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights in the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually, his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.Case Study 1 Questions:According to the case study information, how would you classify the severity of D.R.’s asthma attack?Name the most common triggers for asthma in any given patient and specify in your answer which ones you consider applied to D.R. in the case study.Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.Fluid, Electrolyte, and Acid-Base Homeostasis:Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:Serum glucose 412 mg/dLSerum sodium (Na+) 156 mEq/LSerum potassium (K+) 5.6 mEq/LSerum chloride (Cl–) 115 mEq/LArterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/LCase Study 2 Questions:Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance she has? Name all of them based on the lab results and clinical presentation.Describe the signs and symptoms of the different types of water imbalance and describe the clinical manifestation she might exhibit with the potassium level she has.In the specific case presented which would be the most appropriate treatment for Ms. Brown and why? Include both pharmacologic and non-pharmacologic approaches.What do the ABGs from Ms. Brown indicate regarding her acid-base imbalance?Based on your readings and your research define and describe Anion Gaps and their clinical significance.Submission Instructions:This assignment has2 case studies. You must work and includeboth case studiesin your initial post.Your initial postshould be at least 500 words for each case study, formatted and cited in the currentAPA stylewith support from at least2 academic sources3 years ago26.01.202310Report issueBids(97)Dr. Ellen RMEmily ClarePROF_ALISTERSheryl HoganDr. Freya Walkerfirstclass tutorFiona DavaProf Double RMUSYOKIONES A+MISS HILLARY A+Discount AssignDr CloverJudithTutorJahky BProf. TOPGRADETop MalaikaBrilliant GeekTutor Cyrus KenWIZARD_KIMTeacher A+ WorkShow All Bidsother Questions(10)MBA 5101 Project 7What are some of the difficulties Liz Murray faces in her life?FIN 571 Week 2 Individual Assignment Text Problem SetsFIN 571 Week 2 Individual Assignment Text Problem Sets [Pin It]Upon receipt of the violations, the company terminated the employment of the employee who notified the union representative. Were the actions of the employee appropriate?kceti week5ACC 227 CHK2Presidential Electionhistoryinternational financetutor Mike

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