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Module 11 Discussion – Reflection

July 13, 2025/in Nursing Questions /by Besttutor

Directions:

Initial Post

Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.

Describe how this new knowledge will impact your nursing practice.

Course Competencies

  1. Explain principles of care for clients with oncological disorders.
  2. Identify components of safe and effective nursing care for clients experiencing fluid and electrolyte imbalances.
  3. Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.
  4. Select appropriate nursing interventions for clients with upper gastrointestinal disorders.
  5. Select appropriate nursing interventions for clients with lower gastrointestinal disorders.
  6. Evaluate responses to nursing interventions for clients with endocrine disorders.

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Advanced Pharm 3

July 13, 2025/in Nursing Questions /by Besttutor

LW is a 32 year old female patient who comes to your medical clinic for primary care.  She has been on hormonal contraceptives for years, although she’s just been married and has stopped her pills in hopes of becoming pregnant.  Her PMHx includes obesity, HTN (diagnosed 3 years ago), familial hypercholesterolemia, and PCOS.  Her current medications are as follows: Metformin 2000 mg PO daily, Lisinopril 10 mg PO daily, rosuvastatin 5 mg PO daily, and a multivitamin.

GD is an 82-year-old patient is taking 2 mg of terazosin for BPH every morning. He comes in complaining of dizziness, generalized muscle weakness and persistent lower urinary tract symptoms (LUTS).

How should you advise these patients and manage their medications?  What was the process you went through to assess the current medications and to recommend an updated regimen?

A minimum of 150 words, scholarly written, APA formatted, and referenced.  A minimum of 2 references are required.

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Advanced Primary Care of Family Practicum

July 13, 2025/in Nursing Questions /by Besttutor

Cover Letter.

I am currently enrolled in the MSN program to become a nurse practitioner in family care. I will need a cover letter to present to my future employers. I will also attach my resume so you can have an idea on how to formulate the letter.

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fluid

July 13, 2025/in Nursing Questions /by Besttutor

Fluid and Electrolytes: Balance and Disturbance

1. Mrs. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. (Learning Objective 4)

  1. What are possible causes of a low potassium level?
  2. What action should the nurse take in relation to the serum potassium level?
  3. What clinical manifestations might the nurse assess in Mrs. Dean?

2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and tenting of skin. The physician orders an IV to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas. (Learning Objective 7)

The following results are returned from the laboratory:

Sodium (Na+)  150

Potassium (K+)  5.5

Chloride (Cl¯)  110

BUN    42

Creatinine   0.8

Glucose   86

pH   7.32

PaCO2    35

HCO3¯    20

PaO2    90

O2 Sat    98%

  1. What is your interpretation of this arterial blood gas sample?
  2. Explain the high potassium in this patient.
  3. Calculate the patient’s anion gap:
  4. What is the interpretation of this anion gap?

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Medication Reconciliation Assignment

July 13, 2025/in Nursing Questions /by Besttutor

a.  Explain the medication reconciliation process

b.  Analyze the client scenario for any omissions, additions, or duplications of medications and discuss the implications to the client.

c.  Analyze the client scenario for potential risks associated with the client’s current condition and currently prescribed home medications

d.  Identify potential drug interaction and prioritize the drug interactions that are most concerning to you.

e.  Identify actions that the nurse should implement and provide a reason for each action.

1.  Mr. H. is being admitted with a broken hip due to falling at home and will be having surgery the next morning.  Past medical history includes hypertension and Type 2 diabetes. Allergies: Penicillin.  The home medication list is provided to the nurse and includes the following medications:

a.  Metoprolol 25 mg PO daily

b.  Atenolol 50 mg PO daily

c.  Garlic 1000 mg PO daily

d.  Metformin 500 mg PO twice daily

e.  Aspirin 81 mg PO daily

2.  The admitting orders include the following medication orders:

a.  Continue all home medications except metformin

b.  Insulin subcutaneous based on sliding scale B

i.  Blood sugar <150= 0 units

ii.  Blood sugar 151-175= 2 units

iii.  Blood sugar 176-200=3 units

iv.  Blood sugar 201-225=4 units

v.  Blood sugar 226-250=5 units

vi.  Blood sugar 251-300= 6 unites

vii.  Blood sugar > 300= notify healthcare provider

c.  Enoxaparin 40 mg subcutaneous daily, first dose tomorrow following surgery

d.  Piperacillin/tazobactam 3 gram/0.375 gram IV every 6 hours, first dose 30 minutes prior to surgery

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Week 4 Discussion 1: Therapeutic Communication Skills

July 13, 2025/in Nursing Questions /by Besttutor

Due: In an effort to facilitate scholarly discourse, create your initial post by Tuesday 9/21/21 , and reply to at least two of your classmates, on two separate days, by Friday.

Pick an aspect of therapeutic communication to complete the discussion. Here are some example aspects.

  • Boundaries
  • Transference
  • Cultural Sensitivity
  • Non-Verbal Meanings
  • Resistance
  • Alliance
  • Listening and Attending

 

Initial Post

  • Discuss the problems/barriers that can arise for the topic you have chosen.
  • Identify how these problems/barriers can interfere with therapeutic communication.
  • Discuss how this aspect of therapeutic communication might change to enhance alliance building with individuals who are another culture (choose one).

Replies

Reply to one peers’ post by asking the peer one question about their identified culture as it relates to therapeutic communication. Please do not reply to a student that already has a reply post associated with it. All initial posts should receive one question from a peer. For example, you will reply to one peer and ask them a question as well as answer the question that was posed to you.

Read more

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Culinary science

July 13, 2025/in Nursing Questions /by Besttutor

 (, create a front, back, and/or side panels for a product that you wish to create for market sales. The label you create must be for a new product that does not currently exist in the market. Be creative!Please make a best guess for the actual ingredient list, and the data you provide in the Nutrition Facts panel. There will be credit for ingredient lists that make sense given the nature of the product. The data in the Nutrition Facts panel must also make sense from a food chemistry and nutrient analysis point of view. For example the stated calories should reflect the amount of Fat, Protein, and Carbohydrate listed on your product.Ideally you should develop the label for the product you recommended to be introduced to the market as a result of your Market Assessment assignment from earlier in this course.Feel free to go to the FDA and or the USDA websites to ensure that your label will meet all of the legislative requirements. Your label must meet legislative requirements.

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Annotated Bibliography Help Family Nurse Practitioner

July 13, 2025/in Nursing Questions /by Besttutor

Preparing the Assignment

  1. For this assignment, choose from the theories/models presented in the weekly lesson.
    • Health Belief Model
    • Transtheoretical Model of Behavioral Change
    • Social Cognitive Theory
    • Family Systems Theory
    • Family Assessment and Intervention Model
    • Praxis Theory of Suffering

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SPHE461 Forum Week 5

July 13, 2025/in Nursing Questions /by Besttutor

Please answer the following question in 250-350 words. Thanks!

To build on the last couple of weeks and given that there are many clients and athletes that have medical and/or orthopedic issues, one has to wonder why so many Personal Trainers advertise that they have an “expertise” in more than one area.  I have seen advertisements that say that they are experts in all of this –at the same time:

  • Those with chronic (lifestyle) diseases
  • Youth athletes
  • Older athletes & Anti-aging
  • Pregnancy, pre-natal, & post-partum
  • Sports Specific Training
  • Weight loss

Please choose a client with a specific issue (such as the ones described above –or others) and craft an appropriate discussion that addresses this issue, and how they would advise someone to find an appropriately qualified fitness professional for their needs.

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ART 3

July 13, 2025/in Nursing Questions /by Besttutor

Competency: Analyze how different types of media materials affect style, technique, and the classification of different art

 

Instructions: On the following slides there are six different images representing different types of art media used to create artwork – painting, drawing, sculpture, photography, mixed media, and printmaking. Using these images, create a PowerPoint presentation (one image on each slide) identifying the type of media used. In the notes section (below slide), write a script for a presentation where you identify the genre and analyze how the different types of media materials affect the style and technique

 

MODIGLIANI: YELLOW SWEATER. – Portrait of Jeanne Hebuterne in a Yellow Sweater. Oil on canvas, 1919, by Amedeo Modigliani.. [Fine Art]. Retrieved from Encyclopædia Britannica ImageQuest. http://quest.eb.com/search/140_1690186/1/140_1690186/cite

 

Taos Pueblo / San Geronimo / Ansel Adams. [Photograph]. Retrieved from Encyclopædia Britannica ImageQuest. http://quest.eb.com/search/109_176492/1/109_176492/cite

 

3

Degas, Dancer, Grand Arabesque. [Photo]. Retrieved from Encyclopædia Britannica ImageQuest. http://quest.eb.com/search/109_243337/1/109_243337/cite

Guercino, Juno adorning peacocks, 17th. [Photo]. Retrieved from Encyclopædia Britannica ImageQuest. http://quest.eb.com/search/109_225617/1/109_225617/cite

The Holy Family with a cat, 1654 . [Fine Art]. Retrieved from Encyclopædia Britannica ImageQuest. http://quest.eb.com/search/108_232936/1/108_232936/cite

 

Huti, Pathan Culture (mixed media) . [mixed media]. Retrieved from Encyclopædia Britannica ImageQuest. http://quest.eb.com/search/108_4069566/1/108_4069566/cite

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