mod 4 dictation assignment

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Please go to the following web address:

https://adfs.rasmussen.edu/adfs/ls?wa=wsignin1.0&wtrealm=urn%3aextranet%3aportal&wctx=https%3a%2f%2fportal.rasmussen.edu%2f_layouts%2f15%2fAuthenticate.aspx%3fSource%3d%252F&wreply=https%3a%2f%2fportal.rasmussen.edu%2f_trust%2fdefault.aspx Please sign in with the following information:

Username: mikayla.schumacher@smail.rasmussen.edu

Password: Addie!0823

Click on M120/HSC1531 Section 02 Medical Terminology (5.5 Weeks) – Online Plus – 2021 Spring Quarter Term 1, then click on Module 04 – Lymphatic, Cardiovascular, and Respiratory Systems and then click on Module 04 Dictation Assignment and complete that assignment.

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Topic 4 DQ 2

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Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue?

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Discussion

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“Nursing should not ‘borrow’ theories from other disciplines.” Refute this statement by providing specific examples from your current nursing practice. Describe the importance of increased nursing collaboration with other disciplines.

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CASE STUDY MRS. M

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It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C

2. BP 123/78 HR 93 RR 22 Pox 99%

3. Denies pain

4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)

2. Lymphocytes 6700 (cells/uL)

3. CT Head shows no changes since previous scan

4. Urinalysis positive for moderate amount of leukocytes and cloudy

5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.

1. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.

2. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.

3. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.

4. Discuss what interventions can be put into place to support Mr. M. and his family.

5. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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.

RUBRIC

1. Clinical Manifestations of Mr. M.

Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived signs and symptoms. 10pts

2. Diagnoses and Secondary Diagnosis

A detailed discussion on what primary and secondary medical diagnoses should be considered for Mr. M. is presented. Strong rationale and reliable data are used to explain why the diagnoses are relevant and should be considered.  10pts

3. Explanation of Expected Abnormalities During Nursing Assessment

A thorough discussion of abnormalities a nurse would expect to find during a nursing assessment is presented. Strong rationale and evidence are provided for support. 15pts

4.  Effects of Health Status on Physical, Psychological, and Emotional Aspects of Patient and Family

A thorough discussion of the effects of the health status on the physical, psychological, and emotional aspects of the patient, and the impact the health status has on the family, is presented. Strong support for the discussion is provided. 15pts

5. Intervention for Support

All relevant interventions that can be put into place to support Mr. M. and his family are thoroughly discussed.  15pts

6. Actual and Potential Problems Based on the Condition

Four or more actual or potential problems faced by the patient are thoroughly discussed. The posed problems are clearly related to his condition. Strong rationale is provided and supports the discussion. 15pts

7. Theses Development and Purpose

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.  5pts

8. Argument Logic and Construction

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative  5pts

9. Mechanics of Writing (includes spelling, punctuation, grammar, language use)  5pts

Writer is clearly in command of standard, written, academic English.  5pts

10.  Paper Format (use of appropriate style for the major and assignment)

All format element are correct 2pts

11.  Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error 3pts

TOTAL MARKS 100%

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Week 4 Case Study: Natural Killer Cell Deficiency

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Scenario/Summary

Shanice was a vibrant 16-year-old who was enjoying her high school years. As a good student, she loved attending school and woke every morning eager to start the day. A popular girl, she was surrounded by many friends who all enjoyed each other’s company.

From an early age, Shanice had been susceptible to recurrent viral and bacterial infections. No matter what she tried, she tended to have numerous infections every year which put a damper on some of her social activities.

Recently, she had been experiencing recurrent lung infections, spending a week in the hospital with pneumonia and recurrent herpes viral infections. Concerned over these recurrent infections, Shanice was sent to an immunologist for further consultation.

Tests were performed to evaluate the number and activities of her B-cells, T-cells, and natural killer cells. Results showed that Shanice had low numbers and decreased activity of her natural killer cells.

Keep in mind that natural killer cells are part of the innate immune response.

Deliverables

Answer the following questions and save your responses in a Microsoft Word document. Provide a scholarly resource to support your answers.

  1. Why are natural killer cells considered to be part of the innate immune response?
  2. What types of cells do natural killer cells act against?
  3. Describe the process whereby natural killer cells kill other cells and the role of macrophages in the process.
  4. The Immunologist cautioned Shanice that she may be more susceptible to virally induced cancers. Why did the Immunologist state this?
  5. What treatments or other options does Shanice have to counteract the natural killer cell deficiency?

Submit your case study document.

Required Software

Microsoft Office: Word

Grading

This activity will be graded based on the Case Study grading rubric. You can view the rubric below.

Course Outcomes (CO): 4

Due Date: By 11:59 p.m. MT on Sunday of Week 4

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proportion of women in Congress

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 Research the proportion of women, African Americans, Native Americans, Hispanic Americans, Asian Americans and openly gay or lesbian members of Congress.

  1. Reflect on what these patterns say about the nature of representation.
  2. Why do some groups tend to be underrepresented in Congress?
  3. Why do you see a trend in which more women and minorities are being represented?
  4. Do you think the underrepresentation of women and minorities affect Congress’s business?
  5. How might we as a people address this situation and strive towards equal representation? Make sure to cite sources used.
  • Length: 1.5-2 pages (not including title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 2 scholarly sources in addition to textbook if cited)

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Nursing homework help

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As a new nurse you are assigned to work with a preceptor in the Emergency Department. It is a very busy day and it seems as if every patient, regardless of chief complaint, has an issue with fluid, electrolyte, and/or acid-base balance. The first patient you see is a 37-year-old landscaper who is brought to the ED after collapsing on a job at the local country club. He is slightly confused but is able to tell you he feels dizzy and weak. His skin is flushed, dry, and with poor turgor. He has dry, sticky mucous membranes. The nurse identifies a nursing diagnosis of deficient fluid volume.

1. Describe how each of the following would change and the rationale for the change in the presence of

deficient fluid volume:

• Heart rate

• Blood pressure

• Serum hematocrit

• Urinary output

• Urine specific gravity

• Weight

2. What is usually the first indicator that an individual needs more fluids?

3. The ED physician orders IV fluids for this patient. What types of fluids are indicated for a fluid     volume deficit due to dehydration?

4. The fluid order is to start 1000 mL of fluid as ordered at 150 mL/hr. The infusion tubing has a drop factor of 15 gtt/mL. This infusion will run by gravity rather than an infusion pump. How many drops per minute should you time the infusion at to ensure the correct hourly rate?

5. The patient has a “full sleeve” tattoo on both arms. Discuss the implications of this finding and how you will initiate the intravenous site.

6. You have difficulty finding a vein in the presence of the deficient fluid volume.  List 3 strategies that you can use to help make a vein more visible/palpable?

7. Considering the diagnosis, patient presentation, and fluid orders, what size catheter is indicated in this situation? Give a rationale for your choice.

8. After 30 minutes of the infusion, the patient states, “My arm where the needle is feels funny.” What should you do first? What further data do you need from the patient?

Several hours later the patient is feeling better and is now oriented × 3. The ED physician wants the patient to be drinking oral fluids without difficulty prior to being discharged from the ED.

9. List 3 strategies to increase fluid intake that are most appropriate to this setting.

10. The patient is discharged after adequate hydration. Discharge teaching includes ways to prevent this from happening again on the job. What key points should the nurse include in the teaching applicable to the job site?

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Assignment: Short Answer Assessment

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As a psychiatric nurse practitioner, before you can recommend potential pharmacotherapeutics to address a patient’s condition or disorder, you must understand the basic function and structure of the neuron and central nervous system. For this Assignment, you will review and apply your understanding of neuroanatomy by addressing a set of short answer prompts.

To Prepare:

  • Review the Learning Resources for this week in preparation to complete this Assignment.
  • Reflect on the basic function and structure of the neuron in relation to the central nervous system.
  • Reflect on the inter-connectedness between neurons and the central nervous system, including the pathway and distribution of electrical impulses.
  • Reflect on how neurons communicate with each other and review the concept of neuroplasticity.

 

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

  1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.
  2. Answer the following (listing is acceptable for these questions):
    • What are the major components that make up the subcortical structures?
    • Which component plays a role in learning, memory, and addiction?
    • What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?
  3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.
  4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.
  5. In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples.

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Assignment Week 2 – NURS 6053

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Assignment: Analysis of a Pertinent Healthcare Issue

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review.

 

· For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. (Please review attached document with last week discussion for the issue/stressor selected)

 

 

To Prepare:

· Review and reflect on the national healthcare issue/stressor you selected for study. Please see attached document.

· Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. ( See below)

· Identify and review two additional scholarly resources that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

 

Assignment Instructions

Analysis of a Pertinent Healthcare Issue – Same as discussion on Week 1 – Attached document

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

 

1. Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).

 

2. Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.

 

3. Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

 

4. Minimum 5 resources, including the two articles you reviewed from outside resources on the national healthcare issue/stressor.

 

 

Feedback from colleague:

 

Thread:

Discussion – Week 1

Post:

RE: Discussion – Week 1

Author:

 Krystle Roberson

Posted Date:

June 5, 2021 4:25 PM

Status:

Published

Ariel

Communication is so important when it comes to healthcare. When I was a new nurse working for Florida Department of Corrections we had this one doctor that when he gave a telephone order he would actually spell out the medication and what BID or TID or even PRN meant. At first I thought this a little excessive, but the one thing that never happened with him was a miscommunication of his orders. Although it made for a lengthy conversation, you never had to guess what it was he said.

 

Marshall, E. S., & Broome, M. (2017). Transformational leadership in nursing: from expert clinician to influential leader (p. 35). Springer Publishing Company, Llc.

 

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Implementation of New Systems

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Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. PowerPoint allows you to record directly to each slide. Be sure to include a title slide, objective slide, content slides, reference slide in APA format. Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources using APA citations to support your claims. This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox.

You are a project manager assigned to implementing a new computer system in an organization

  • Why is it important to understand usability, configurability, and interoperability? Should these concepts out way the underlining cost of the new system? Which system do you recommend and why?
  • During phase one, you are selecting a team. What characteristics are important to consider when selecting a team?
  • During phase two the following principle was discussed, “lead with culture, determining where the resistance is,” and then, engage all levels of employees (Sipes, 2019, p. 161). What does this principle mean to you and how can you implement this principle?
  • How will you handle physician and other key professional’s resistance to change and using the new system?
  • Discuss possible pitfalls during the implementation phase and how you can avoid them?
  • Describe your personal experience with automation and new information systems.

Assignment Expectations:

Length: Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox.

Structure: Include a title slide, objective slide, content slides, reference slide in APA format.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as an MP4 document (.mp4) or link

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.mp4”)

Presentation: Use a presentation software (ex. PowerPoint, Google Slides) to create a visual presentation. Then use a recording program of your choice to record a 7 and 12 minutes in length presentation. ***Please do not record as voice-over PowerPoint because this cannot be saved in mp4 format or a link.*** If you submit your assignment as a PowerPoint with voice over recording you will not receive credit for your assignment (or partial credit as you did not meet the full requirements of the assignment.)

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