MN553 Unit 3 Quiz Latest 2017

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Question

Question 1 2 / 2 points

Jim presents with complaints of “heartburn” that is minimally relieved with Tums (calcium carbonate) and is diagnosed with gastroesophageal reflux disease (GERD). An appropriate first-step therapy would be:

Question options:

Omeprazole (Prilosec) twice a day

Ranitidine (Zantac) twice a day

Famotidine (Pepcid) once a day

Metoclopramide (Reglan) four times a day

Question 2 2 / 2 points

An elderly person has been prescribed lactulose for treatment of chronic constipation. Monitoring with long-term treatment would include:

Question options:

Electrolytes, including potassium and chloride

Bone mineral density for osteoporosis

Magnesium level

Liver function

Question 3 2 / 2 points

The next step in treatment when a patient has been on proton pump inhibitors twice daily for 12 weeks and not improving is:

Question options:

Add a prokinetic (metoclopramide)

Referral for endoscopy

Switch to another proton pump inhibitor

Add a cytoprotective drug

Question 4 2 / 2 points

If a patient with H. pylori-positive peptic ulcer disease fails first-line therapy, the second-line treatment is:

Question options:

Proton pump inhibitor bid plus metronidazole plus tetracycline plus bismuth subsalicylate for 14 days

Test H. pylori for resistance to common treatment regimens

Proton pump inhibitor plus clarithromycin plus amoxicillin for 14 days

Proton pump inhibitor and levofloxacin for 14 days

Question 5 2 / 2 points

Erika has been prescribed isotretinoin (Accutane) by her dermatologist and is presenting to her primary care provider with symptoms of sadness and depression. A Beck’s Depression Scale indicates she has mild to moderate depression. What would be the best care for her at this point?

Question options:

Prescribe a select serotonin reuptake inhibitor (SSRI) antidepressant

Refer her to a mental health therapist

Contact her dermatologist about discontinuing the isotretinoin

Reassure her that mood swings are normal and schedule follow up in a week

Question 6 2 / 2 points

Jesse is prescribed tazarotene for his psoriasis. Patient education regarding topical tazarotene includes instructing them:

Question options:

That tazarotene is applied in a thin film to the psoriasis plaque lesions

To apply it liberally to all psoriatic lesions

To apply tazarotene to nonaffected areas to prevent breakout

That tazarotene may cause hypercalcemia if it is overused

Question 7 2 / 2 points

Nicolas is a football player who presents to the clinic with athlete’s foot. Patients with tinea pedis may be treated with:

Question options:

OTC miconazole cream for 4 weeks

Oral ketoconazole for 6 weeks

Mupirocin ointment for 2 weeks

Nystatin cream for 2 weeks

Question 8 2 / 2 points

Vanessa has been diagnosed with scabies. Her education would include:

Question options:

She should apply the scabies treatment cream for an hour and wash it off.

Scabies may need to be retreated in a week after initial treatment.

All members of the household and close personal contacts should be treated.

Malathion is flammable and she should take care until the solution dries.

Question 9 2 / 2 points

Ciprofloxacin otic drops are contraindicated in:

Question options:

Children

Patients with acute otitis externa

Patients with a perforated tympanic membrane

Swimmer’s ear

Question 10 2 / 2 points

Janie presents to the clinic with hard ear wax in both ear canals. Instructions regarding home removal of hard cerumen include:

Question options:

Moisten a cotton swab (Q-tip) and swab the ear canal twice daily.

Instill tap water in both ears while bathing.

Squirt hydrogen peroxide into ears with each bath.

Instill carbamide peroxide (Debrox) twice daily until canals are clear.

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HGP

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Bioinformatics is a subfield of medical informatics that deals with molecular biology. It is primarily used in genetics and genomics, specifically in DNA sequencing. Rapid developments in this area of science have led to an enormous amount of information that needs to be entered, organized, and mined for further analysis and sequencing. While the project was technically completed in 2003, analysis of the data is still going on and will continue well into the future.

 

Using the Internet, create a 8 page report in a Microsoft Word document that answers the following questions:

What, in your own words, is human genome project (HGP)? What are its goals? Why is HGP an important part of the evolution of bioinformatics?

 

Which legal and ethical issue will you select from the HGP website for further discussion? Why do you believe that the issue you have selected is of high importance for discussion? What are the criticisms or concerns surrounding this particular issue?

 

What response or solution does the HGP provide for the concerns and criticisms of the above issue? Do they identify any of their own concerns?

 

What role do you think medical informatics professionals should play in addressing such ethical, legal, or social issues?

 

What is personalized medicine? What are the different applications?

 

What are the legal and ethical considerations for personalized medicine, including HIPAA? What types of standards and interoperability issues must be addressed before adopting?

 

What are some of the informatics issues that will need to be addressed in the next ten years?

 

Support your responses with examples.

Cite any sources in APA format.

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Nursing homework help

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Purpose: Comment the Discussion (Class 504 Unit 4 Comment 1)

 

Thing to Remember:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

 

To Comment:

1. Describe three unique features of PubMed database that sets this database apart from other evidence-based search engines.

2. Compare and contrast two additional databases and reference your selected topic, by using the Cochrane Collaboration and Medline as your search engines.

3. Determine how you applied the three key questions when deciding which database to use.

 

The PubMed database is a unique tool to help the practitioner search and find reliable and valid results with less effort. Two features of the database are its ability to differentiate the priority of search terms in the results list using MeSH terms, and to manipulate the search algorithms to help the practitioner answer clinical questions (Chapman, 2009). These tasks are accomplished by additional options tabs during navigation of the search functions. Another unique feature of PubMed is the use of a sub database called Entrez, which is a text search and retrieval system that incorporates the database into thirty-eight other databases to increase the ability for precise search results (Entrez Help, 2016). This addition separates PubMed from other databases by allowing for more layers of refinement of searches conducted to increase the likelihood of finding exactly what the researcher is looking for.

In contrast, the Cochrane Collaboration and Medline databases entail two different search processes when conducting research. The Cochrane collaboration is a stand-alone database that is comprised of systematic reviews and meta-analyses conducted by internal researchers. Medline is the National Library of Medicine’s search engine encompassing many different databases, including PubMed.

The three key questions in research are: Are the results valid, what are the results, and will the results help me in caring for my patients (Fineout-Overholt, & Melnyk, 2015). These three questions measure a search results’ validity, reliability, and applicability to practice, respectively. Systematic use of these questions has helped me to evaluate research results from the various databases to determine the quality of material in them.

References

Chapman, D. (2009). Advanced search features of PubMed. Journal of The Canadian

Academy of Child and Adolescent Psychiatry = Journal De L’academie Canadienne De Psychiatrie De L’enfant Et De L’adolescent, 18(1), 58-59.

Entrez Help. (2016). Bethesda (MD): National Center for Biotechnology Information (US);

Available from: https://www.ncbi.nlm.nih.gov/books/NBK3837.pdf

Fineout-Overholt, E., Melnyk, B. (2015). Evidence-Based Practice in Nursing & Healthcare:

A Guide to Best Practice. (3rd Ed.). Wolters Kluwer/ Lippincott Williams & Wilkins

 

 

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class 504 unit 5 dq

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Topic 1: Quantitative Research Design

Using the knowledge and insights gained from the textbook and other reliable sources answer the following.

  1. In your own words, define quantitative research and provide two examples of quantitative designs with a brief explanation of each design.
  2. Identify a potential quantitative research study that is important to nursing and describe which design you would use for this study, why you would use that design, and how the information generated from the study could be applied in nursing practice.
  3. Reflect as to the value of quantitative research adding to the science, knowledge, and practice of nursing.

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Assignment 2: Public Health and Health Care Services

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Using the public health issue that was selected for Week 1 (Drug Abuse), describe how the issue is currently addressed by public health services and by medical practice services to include any collaborations that may exist. Using a general outline, develop a plan for how the issue could be addressed more effectively. Explain how the components of your plan that are different from current interventions would produce more effective outcomes.

Note: The focus of this assignment as it relates to your selected public health issue should be prevention and treatment.

Provide a 3 to 5-page Microsoft Word document that includes the following:

  • Discuss current interventions by public health and medical care professionals for the health issue that you have selected.
  • Develop a general plan for how the health concern could be addressed more effectively using public health and medical care organizations.
  • Explain why the changes that you are proposing would be beneficial to the population and to the organization providing healthcare services, thereby improving health outcomes.

In addition, support your statements with scholarly references and appropriate examples. Cite all sources using the APA format.

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Post#2

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Re:Topic 2 DQ 1

 

The health social determinants refer to the immediate environment surrounding human population that is critical to the health of the people. The social determinant includes the place where an individual is born, grow, learn, work, worship and develop including the conditions that either favor a healthy living or the vice versa. The social determinants of health include; language literacy, access to efficient health facilities, access to quality education, culture, the social norms surrounding g the community, for example, the racism, and distrust of government, public safety (Raphael, 2009). Additionally, residential segregation, availability of resources to meet social needs, access to mass media and emerging technologies, transportation options, and Availability of community-based resources in support of community living and opportunities for recreational and leisure-time activities

 

In the process of determination of a healthy community, the social environments play an important role both directly and indirectly. First, the access to education is a detrimental factor. According to statistics, most of the educated communities, experience minimal health issues as compared to the uneducated. In a case where there is no access to education, the population is therefore not aware of the effects of some practices which are harmful to their health (Raphael, 2009). Secondly, the employment environment which enables the employees to manipulate their environment to reduce stress and strain is important in ensuring a healthy environment which enhances the human health. The access to health services is important in prevention and treatment of the diseases which would otherwise affect health. The income and social status are also related to the healthiness of the community. High income is directly related to good health. The greater the gap between the high-income earners and the poor, then the more the health issues will arise.

 

The communicable disease chain is the process of passing an infection from one individual to another, for example if a child is infected with the common cold on Monday in school, and then the probability that the rest of the class will be infected by the end of the week is high. The communicable diseases are passed from one individual to another through direct contact or exchange of the body fluids. The chain is made up of six different links that play unique roles in the process. The links include pathogen (infectious agent), reservoir, portal of entry, portal of exit, means of transmission, and the new host (Lang, 2015).

 

Nurses play a key role in the breaking of the chain of a communicable infection. For an infection to be transmitted from on individual to another, it is essential that all the links are available. Therefore, the nurses are mandated to breaking the chain by removal of one of the links in the chain. For example, in the process that the nurses have been handling a patient with a communicable infection, the chances are high that they are carrying the pathogens on their hands which act as the means of transmission (Lang, 2015). It is thus important that they clean the hands using water and an antiseptic soap for fifteen minutes before handing the patient. The washing process is important in ensuring that the pathogens are destroyed and thus the removal of the transmission means. It is recorded that some of the pathogens like methicillin-resistant Staph aureus (MRSA) are resistant to non-medicated soaps and thus it is recommended that medicated are used.

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Article

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Ultimate_Writer. This is a 3 page reaction article,  it must have an introduction, discussion, and conclusion. The grading rubric is the guideline to go by thanks. APA format.

Grading Rubric

 

Content

 Possible Points Your Points
  1. Introduction of issue(s)
 5  
  1. Discussion: Summary & Opinions/Ideas/Critique
 10  
  1. Conclusion
 5  
  1. Citations and References
 5  
   
 

Mechanics

    
  1. APA Format (title page, pagination, headings, form)
 5  
  1. Grammar/form/spelling/punctuation
 5  
  1. Logical flow/readability
 5  
  1. Proper format (minus 10% if not in correct format)
 —  
  1. CREDIT FOR QUALITY OF PEER EDITING OF OTHER’S PAPER (state names of persons whose papers you edited, e.g., your writing partners)

 

 5  
  1. WRITING CONSULTATION REQUIRED
 5  
  1. Grading sheets included (minus 5 pts each if not included)
    
  1. Writing Feedback Form, filled out completely and thoroughly, minus points if not completed (no partial credit)
 -10  
Total Points 50  

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Assignment 5 A2

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Topic: Primary Prevention of Sexually Transmitted Diseases

Rationale behind choosing the topic: A focus on epidemiological statistics

Sexually transmitted disease is common infection amongst people of ages between 15 years to 50 years. Sadly, it is also common infants born from a mother who is also infected. Most of the people affected are the young adults in the ages of 15 years to 24 years who consists of 25% of the total population. Additionally, the youths are sexually active and according to the latest statistics 50% of infected people are youths. It is important to control the disease since it is highly continuous. Furthermore, STDs increases the high incidences of acute infections that have a socioeconomic impact in the transmission of HIV (Human Immunodeficiency Virus). Recent reports suggest that, there are 80% of reported cases of STDs reflecting on limited screening of these infection in the company. Despite high campaigns on safe sex, STDs still continues to be menace especially amongst youths who does not use contraceprectives like condoms. According to recent report about 60% of new HIV infection reported in the country are young people. Therefore, it is important to control the disease especially amongst the young generation who are the future of the country. The prevention of the disease can be done through education, identification of asymptomatic and symptomatic people as well as effective treatment and early diagnosis of the patient.

Nursing Diagnosis: Risk factors for infection R/T

· Injection of drugs

· Lack or insufficient of information

· Abusing alcohol drugs

· Unprotected sex

Readiness for learning

It is the seeking of indication that the audience are showing eagerness to learn. It would ensure that the eagerness is both experiential and emotional for the studies. They would include:

· Presentation of unity to the class when discussing sensitive topic.

· Engagement of learners by giving them information about symptoms of STDs and any mode of prevention.

· Allowance of the time for learners to discuss and present issues related to the topic.

Theory to be applied: Explanation of the theory’s applications

It is important to give hand-outs and pamphlets to the learners that gives detailed discussions on the STDs. these resources should also explain measures taken to prevention the disease.

Goal/objectives: Reduction of STDs infection by taking necessary and appropriate preventive measures

By using the objectives that is supported by CDC’s DASH (Division of Adolescent and School Health), it would give the basis of the class on the prevention of STD and HIV infection. It would support the classes using content for the class. The goal of the program would be to make teen healthy and become healthy adults by focusing on the promotions of health knowledge and skills. The education would focus on the healthy behaviours and control of STDs that cannot be found on clinical interventions. Therefore, the resources provided would focus on the objectives of the class.

Creativity: Application of creativity or creative idea in the teaching methods

Creativity would be applied when making pamphlets and hand-outs with visual aid that displays preventive methods of STDs and HIV infection. Other creative ideas of teaching methods would include use of PowerPoint and video for teach.

Content of the class

· Prevention of STDs

· Each person’s personal opinion of HIV and life skills methods

· Different types of STDs and how they are transmitted.

· Connection between HIV and other STDs

· Prevention of STDs

Evaluation of Objectives:

The evaluation of the objectives would the description of the parameters that is used to measure the attainment of the objectives.

1. The teacher/instructor would conduct an evaluation on what learners have grasped by asking them primary prevention from STDs.

2. Monitoring of the student’s conservation to determine if they have understood prevention strategies of STD.

Planned Evaluation of Goal

It is a description of how and when to evaluation the effectiveness of the teaching plan. It would be a follow up meeting with the sole purpose of observing the learners and asking questions about the STDs/HIV and striving to answer these questions. Learners should focus on problem solving related to STD prevention.

Barriers:

It is important to identify potential barriers that could impede the learners from understanding various concepts. Sometimes it is difficult to identify unprotected sex since it leads to poor understanding. Therefore, barriers of understanding.

Communication barriers: To the learners whose view English as their second language might find it hard to understand some verbal and non-verbal cues used in the class or during the class.

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Nursing Discussion Question 1

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Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics. Provide a summary of your example and a statement describing your reasoning either in support of the example you select, or in opposition to it.

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Nursing homework help

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The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

  1. Use a library database such as CINAHL Complete for your search.
  2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
  3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

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 not required to submit this assignment to Turnitin.

 

PICOT Statement and Literature Search 
1
Unsatisfactory
0.00%
2
Less than Satisfactory
75.00%
3
Satisfactory
83.00%
4
Good
94.00%
5
Excellent
100.00%
80.0 %Content
20.0 %Nursing Practice Problem and PICOT Statement
A nursing practice problem is not clearly described and/or a PICOT statement is not included.
PICOT statement describes a nursing practice problem but lacks reliable sources.
PICOT statement describes a nursing practice problem and includes a few reliable sources.
PICOT statement articulates a nursing practice problem using supporting information from reliable sources.
PICOT statement clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.
60.0 %Qualitative and Quantitative Research Requirements: At least six references with the abstracts of research studies focus on a selected nursing practice problem.
Research articles that address the selected nursing practice problem are not identified.
Fewer than six articles that address a selected nursing practice problem are listed in the literature search, but two or more are not research studies. Abstracts are incomplete.
Six articles that address a selected nursing practice problem are listed in the literature search, but two are not research studies. Abstracts are partially complete.
Six articles that address a selected nursing practice problem are listed in the literature search, but one is not a research study. Abstracts are mostly complete.
Six articles that address a selected nursing practice problem are listed in the literature search and include abstracts.
10.0 %Organization and Effectiveness
10.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
10.0 %Format
10.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage

100-500 words

 

 

PICOT Statement and Literature Search

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