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Nursing homework help

July 4, 2025/in Nursing Questions /by Besttutor

NAME: ___DebbieJennette_______________ Score:______________

NURS 424: FALL 2017

EKG Interpretation

1. You are a nurse working in the Emergency Department of a hospital. You are asked to admit a patient who came in with chest pain. When you arrive to assess the patient you find them unresponsive.

 

a. Please analyze the rhythm (below).

R-R, Regular or Irregular (.1 pt.) Irregular Rate: (.1 pt.) Not discernible
PR interval: (.1 pt.) N/A QRS: (.1 pt.) N/A
QT: (.1 pt.) N/A Rhythm: (.3 pt.) Rapid, unorganized, not discernable

 

b. What is the necessary immediate intervention? (.1 point)

Start CPR/ACLS, call a Code Blue, defibrillate ASAp and start IV and hang NS, Notify MD

c. What are two typical precipitating factors that occur with this rhythm? (.1 pt.)

i. _______AMI______________

ii. _________Myocardial Ischemia____________

 

2. You are a nurse caring for a patient on a telemetry unit. The patient was admitted for hypotension and tachycardia several days ago. The patient has stabilized and needs to achieve therapeutic levels for prophylactic treatment prior to discharge.

 

a. Please analyze their strip (below).

 

 

Regular or Irregular (.1 pt.) Irregular Rate: (.1 pt.) >100 bpm
PR interval: (.1 pt.) interval is indiscernible QRS: (.1 pt.) 0.06 seconds
QT: (.1 pt.) unmeasurable Rhythm: (.3 pt.)

 

 

The patient has been determined to have this dysrhythmia chronically and is considered stable.

a. What prophylactic treatment will most likely be initiated and why? (.2pt.)

 

 

3. Please analyze the rhythm below.

 

Regular or Irregular (.1 pt.) Regular Rate: (.1 pt.) 115 bpm
PR interval: (.1 pt.) 0.28 QRS: (.1 pt.) 0.08
QT: (.1 pt.) 0.76 Rhythm: (.3 pt.)

 

You have received orders to administer a beta blocker metoprolol to your patient. What are appropriate reasons to hold metoprolol? (.2 pt.)

 

4. The doctor has placed orders for your patient to be transfer from the intensive care unit (ICU). As you prepare the patient to move, you assess their rhythm and find them to have the below tracing.

a. Please analyze the rhythm (below).

Image result for 3rd degree heart block

Regular or Irregular (.1 pt.) Regular Rate: (.1 pt.) 35 bpm
PR interval: (.1 pt.) Not measurable QRS: (.1 pt.) Varies – Wide and bizarre >0.12 sec
QT: (.1 pt.) Rhythm: (.3 pt.) depends on underlying rhythm

What interventions are appropriate to treat this rhythm? (.2 pts).

 

 

 

5. You have received an 18 year old anorexic patient in the ER. The patient has been self-inducing vomiting 6 times daily for the last week. As you attempt to triage her; she becomes diaphoretic, pale, and syncopal.

 

a. Please analyze her rhythm (below).

 

https://alivecorcms.s3.amazonaws.com/sites/51b0fa1d9005a1000f00292e/content_entry53039e5b1701ead7620050d4/530cef3347e90ce1cf003684/files/vtach.png?1396469384

Regular or Irregular: (.1 pt.) regular Rate: (.1 pt.) 166 bpm
PR interval: (.1 pt.) Not applicable QRS: (.1 pt.) Present and all shaped the same
QT: (.1 pt.) Not measurable Rhythm: (.3 pt.)

 

Identify two treatments for the dysrhythmia specific to this scenario. (.2 pt.)

 

 

 

6. Please analyze the rhythm (below).

 

Regular or Irregular: (.1 pt.) Regular Rate: (.1 pt.) 78 bpm
PR interval: (.1 pt.) QRS: (.1 pt.)
QT: (.1 pt.) Rhythm: (.3 pt.)

 

a. Name the distinctive pattern associated with this rhythm. (.2 pt.)

 

 

 

7. Please analyze the rhythm (below)

 

https://rabiah65.files.wordpress.com/2010/12/sinus-bradycardia.jpg

Regular or Irregular: (.1 pt.) regular Rate: (.1 pt.) 34
PR interval: (.1 pt.) 0.12 sec QRS: (.1 pt.) 0.08 sec
QT: (.1 pt.) Rhythm: (.3 pt.)

 

a. What determines if this rhythm requires intervention? (.2 pt.)

 

8. You are a nurse on a telemetry unit and receive a patient from the ER. This patient is being admitted for uncontrolled diabetes. They have a significant cardiac history.

 

Please analyze the rhythm (below).

Regular or Irregular: (.1 pt.) Regular Rate: (.1 pt.) 75 bpm
PR interval: (.1 pt.) 0.24 sec QRS: (.1 pt.) 0.12 sec
QT: (.1 pt.) 0.4 Rhythm: (.3 pt.)

 

a. Does this rhythm require intervention? (.1 pt.) No

 

References Wagner, K., & Hardin-Pierce, M. (2014). HIgh- acuity nursing (6th ed.). Upper Saddle River, NJ: Pearson Education.

 

4

 

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Class 5 Unit 5

July 4, 2025/in Nursing Questions /by Besttutor

Purpose: Comment the Discussion (Class 505 Unit 5 Comment 2) Student: Lisa

 

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:

Evidence is the basis of modern medicine.  Clinical research provides us with this evidence, guiding health professionals to solve the problems that they face in everyday practice. Understanding that research and applying it to medical practice can be challenging and will require careful consideration.  Epidemiology and the application of established approaches help to guide practitioners to diagnosis, prognosis, and treatment of patients (Croft, 2015).

The evidence for evidence-based medicine is all collected via research, which uses a variety of study designs.  Different study designs provide information of different quality. In observational studies, the researcher observes and collects information, but does not try to change the people being observed. By contrast, in an experimental study, the researcher intervenes to change something (e.g. gives the patient a drug) and then observes what happens. In an observational study, there is no intervention (uOttawa, 2017).

The traditional model of clinical practice incorporates diagnosis, prognosis, and treatment. Diagnosis classifies the sick patient as having or not having a disease. Historically, diagnosis was regarded as the primary guide to prognosis and treatment of the patient. Disease diagnosis often occurred without effective treatment leading to a poor outcome for the patient (Fletcher, 2014).

But now, there is a demand for health care to deliver proven quality and better outcomes for the patient. The science of prognosis focuses with improving the precision, accuracy, and usefulness of measures of likely future outcomes. Prognosis offers an alternative starting point looking at all factors that are relevant to patient outcomes other than diagnosis alone (Croft, 2015).

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homework help w2a1

July 4, 2025/in Nursing Questions /by Besttutor

Health Care and Its Related Issues

There are several ways to measure the health  status of a community or an entire population. In order to understand  the implications of legal and regulatory policies in health care  promotion and wellness, it is mandatory to analyze the impact of the  social needs of local populations on their health care issues.

Based on your understanding of the topic, create a report in a Microsoft Word document answering the following questions:

  • What are the benefits measuring the health status of  individuals aged fifteen to sixty four years in a particular community  or an entire population? What effect do these benefits have on the  health status of the community or the entire population?
  • Which one health statistic  has had the most significant impact on the health care profession in  the entire US or your community in the last year? Discuss.
  • Identify one major local  social issue currently being addressed by the local elected officials  (major, governor, or town council).
  • What ramifications does this issue have on the local population?
  • Does this issue have any legal impact on the community? Why or why not?

For a successful health status of a  community, school health is critical to our future. How can we  incorporate a program within the school focusing on the safety and  well-being of students along with the social needs and health care  issues?

  • If you are asked to develop a school health policy for an elementary school, who would be the stakeholders in this process?
  • What types of resources will you need to develop a program?
  • How will the focus of the program target health promotion or wellness?
  • What considerations should be taken into consideration when developing the program, such as the physical and social environment?
  • What factors are taken into consideration when developing a program targeting elementary school age children versus adult?
  • What anticipated or perceived objections would you expect?
  • As we continue to move in the twenty first century, what elementary school health or safety issues are emerging?

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Discussion

July 4, 2025/in Nursing Questions /by Besttutor

1.  In your own words and using the appropriated evidence based references discuss The Purnell Model for Cultural Competence.

2.  Discuss at least 3 assumptions and variant cultural characteristics of The Purnell Model for Cultural Competence.  Give at least 1 example.

assignment must be presented in an APA format using the required Arial 12 font.  A minimum of 2 evidence-based references, 2 posting/replies to any of your peers with the appropriate references to sustained your point of view and a minimum of 500 words are required (excluding the first and last page)

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Nursing homework help

July 4, 2025/in Nursing Questions /by Besttutor

Offering a safe and healthy environment through enhancing the quality the patient care. Providing preventive and clinical services for example Diabetes screening, Cancer screening, all these will assist in early recognition of the diseases and early management. Empowering people. In order for people to be healthy they require to be offered easy and reasonable options to uphold their health. These consist of accessing healthy food, facilities to exercise, proper nutrition information, and positive social relations. Doing away with health disparities. There should be no people who should carry an unequal burden of disease and illness.

How nursing fit into this shift?

Nursing can fit to this shift via evidence-based suggestions while encouraging people to receive preventive services like counseling, screenings and preventive medications (Benjamin, 2011). Through public health education, the nurses can also inspire bigger groups of people to take part in healthy lifestyles and eventually live longer lives.

References

Benjamin, R. M. (2011). The National Prevention Strategy: Shifting The Nation’s Health-Care System. Public Health Reports, 126(6), 774–776.

Graffigna, G. (2016). Promoting patient engagement and participation for effective healthcare reform. Hershey, Pennsylvania (701 E. Chocolate Avenue, Hershey, PA 17033, USA: IGI Global.

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Class 5 Unit 6

July 4, 2025/in Nursing Questions /by Besttutor

Purpose: Comment the Discussion (Class 505 Unit 6 Comment 1) Kelsey

 

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:

There are six core functions in epidemiology: public health surveillance, field investigation, analytic studies, evaluation, linkages, and policy development. All six of these relate to each other and are necessary in the study of epidemiology. I am going to focus on the evaluation step. This is an important step in the process of determining the relevance, effectiveness, efficiency, and impact of activities with respect to established goals. Evaluation of an immunization program, for example, might assess the efficiency of the operations, the proportion of the target population immunized, and the apparent impact of the program on the incidence of vaccine-preventable diseases (CDC, 2012). Evaluation of outcomes based on evidence in an essential step in the process (Melnyk & Fineout-Overholt, 2015).

An example of how an advanced practice nurse (APN) might involve the evaluation step in the epidemiology process is through weighing benefits against harms of prevention. When educating patients about the importance of annual mammograms, an APN would review the guidelines with the patient, evaluate the patient’s current circumstances, and offer recommendations. Such an approach would help clinicians and patients understand what is involved in the evaluation process when making the decision to screen. (Fletcher, Fletcher, Fletcher, 2014).

References

Centers for Disease Control and Prevention (CDC). (2012). Principles of epidemiology in public

health practice. Retrieved from https://www.cdc.gov/ophss/csels/dsepd/ss1978/lesson1/section4.html

Fletcher, R. H., Fletcher, S. W., & Fletcher, G. S. (2014). Clinical epidemiology: The essentials

(5th ed.). Baltimore, MD: Lippincott Williams & Wilkins.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice n nursing and 

healthcare: A guide to best practice (3rd ed.). Philadelphia, PA: Wolters Kluwer.

 

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Role of the APRN in increasing adult vaccinations

July 4, 2025/in Nursing Questions /by Besttutor

After reading the Wright and Anderson articles – discuss the role of the APRN in increasing adult vaccination rates.  Given the culture of the United States , which tools discussed in the articles or that you reviewed on the CDC website do you think might be most useful in increasing the vaccination rates of adults? and Why?

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Class 6 Unit 3 Topic 2

July 4, 2025/in Nursing Questions /by Besttutor

Purpose: Comment the Discussion (Class 506 Unit 3 Topic 2 Comment 1 L) Brooke

 

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:

Topic 2: Clinical Criteria for Determining Danger to Self

The two physicians that are also the husband’s friends should not be the ones allowed to sign off on her being admitted to the psychiatric unit. Although the law in New York State allows two physicians to sign off on the paperwork to admit someone, they should be two physicians that are not already related to the client and the case in some way. Currently, the wife is not in danger to herself or anyone else, she is only intoxicated and being loud. Which does not meet the requirement for involuntary admission to the psychiatric ward. It is the nurse’s responsibility to be the patient’s advocate in situations such as these. Due to the patient being intoxicated she is unable to make sound decisions herself so the nurse must follow her code of ethics to protect this patient. Beneficence is the expectation of a nurse to do good and prevent harm to all patients (Westrick, 2013). Nursing codes for professional practice and ethics were developed to protect both the nurse and the patients (Ingham-Broomfield, 2017).

As the neighbor you are aware that the individuals are currently going through a divorce, so you cannot rule out that he is putting her at greater risk of losing her children. The involuntary commitment of a possible psychiatric client requires two types of evaluations. First, ethically a clinical evaluation of the patient’s condition must be made in assessing their medical needs (Rotvold, & Wynn, 2015). Second, an assessment of the legal basis is essential as it relates to confidentiality and legal rights of individuals (Rotvold, & Wynn, 2015). It seems that the husband is strongly using his personal affairs to influence the physicians to commit his wife. To be sure that this situation was handled accordingly for the patient I would discuss my concerns with the charge nurse/supervisor on the floor that night as well to further advocate for my patient.

References:

Ingham-Broomfield, R. (2017). A nurses’ guide to ethical considerations and the process for ethical approval of nursing research. Australian Journal of Advanced Nursing, 35(1), 40-47.

Rotvold, K., & Wynn, R. (2015). Involuntary psychiatric admission: Characteristics of the referring doctors and the doctors’ experiences of being pressured. Nordic Journal of Psychiatry, 69(5), 373-379.

Westrick, S. J. (2013). Essentials of nursing law and ethics (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

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nutrition

July 4, 2025/in Nursing Questions /by Besttutor

Project Assignment – Outline of the Project (comments from instructor)

You have a start to your outline. You need to provide details/specifics.

(Please review the assignment and links, and see the Course Announcement on outlines, and resubmit this. Please go over the assignment in detail. Please follow the link to what a “good” outline looks like. (below). While I am not looking for all of the details of your final project, I AM looking for basic information. For instance, don’t just have: 5. Treatment options

  A. Surgery

  B. Medication

Or (worse yet)

5. Treatment Options

  A. One treatment option

  B. Another treatment option

I want you to provide more details, such as listing out the types of surgeries, or the medication classifications.

i. The more information like this that your provide, the better your final project will be. Ignore the ?one page? limit if you need to! I am more concerned about quality and sufficient information, and less about length!

ii. You are also welcome to change aspects of your outline if, as you do more research, you discover a treatment option that is in the experimental phase, or is newer, and that you didn’t know about. Your plans for your paper may change as you research!

Below is the example of how the right outline should be.

The most common type of outline is an alphanumeric outline, or an outline that uses letters and numbers in the following order:

I.     Roman Numerals

A.    I, II, III, IV, V, VI, VII, VIII, IX, X, etc.

B.    Represent main ideas to be covered in the paper in the order they will be presented

II.    Uppercase Letters

A.   A, B, C, D, E, F, G, H, I, J, K, L, etc.

B.    Represent subtopics within each main idea

III.      Arabic Numbers

A.    1, 2, 3, 4, 5, 6, 7, 8, 9, 10, etc.

B.    Represent details or subdivisions within subtopics

IV.    Lowercase Letters

A.    a, b, c, d, e, f, g, h, i, j, l, m, etc.

B.    Represent details within subdivisions

Outline with main ideas, subtopics, subdivisions and details:

Thesis: Drugs should be legalized.
I. Legalization of drugs would reduce crime rates

A. Prohibition

1. Before Prohibition, crime rate related to alcohol were low-to-medium

2. During Prohibition, crime rates related to alcohol were high

a. Arrests for drunkenness and disorderly conduct increase 41%

b. Federal prison population increased 366%

3. After Prohibition, crime rates related to alcohol were very low

B. Amsterdam/Netherlands

1. Before Amsterdam had legalized marijuana, drug-related crime rates were high

2. After Amsterdam had legalized marijuana, drug-related crime rates dropped

II. Legalization of drugs would benefit the economy

A. Taxes

1. Local taxes

2. State taxes

3. Federal taxes

B. Business Owners

1. Drug production

2. Drug quality testing

3. Drug sales

III. Legalization of drugs would benefit public health

A. Quality of drugs would increase

1. Fake/dangerous drugs eliminated

2. Fake/placebo drugs eliminated

3. Amount of active ingredient standardized and stabilized

B. Drug users with addiction issues would get more help

1. Hospitals

2. Clinics

3. Public health clinics

C. Your people would be less likely to start drugs

Full-sentence outline:

  • Each roman numeral (I, II, III, IV…) indicates the      start of a new paragraph. So I. is the first sentence of the introduction,      II. is the first sentence of the first paragraph of the body, III. is the      first sentence of the second paragraph of the body, and so on.
  • Each capital letter (A, B, C, D…) indicates a      main point within the structure of the paragraph. So in our introduction,      A. is the attention getter, B. is another attention getter, C. describes a      point that makes the topic personal, and D. is the thesis statement.
  • Each Arabic numeral (1, 2, 3, 4…) indicates a sentence      or piece of supporting evidence for each main point. So in the first body      paragraph (II.), point A. is a general statement that needs some      additional support, so 1. provides a supporting statement of fact and the      citation of where that information came from. 2. provides another sentence      with supporting evidence, as does 3.

Example of a full-sentence outline:

Warming Our World and Chilling Our Future

Thesis Statement: Today I want to share what I have learned about global warming and its causes.

I. Global warming is alive and well and thriving in Antarctica.

A. In winter 1995, an iceberg the size of Rhode Island broke off.

B. In October 1998, an iceberg the size of Delaware broke off.

C. All of us have a lot at stake.

1. Now, I am what you call a “country mouse.”

2. I love the outdoors.

3. You can be a “city mouse,” and like clean air, good water, and not having to worry about sun.

D. Today I want to share what I have learned about global warming and its causes.

II. Global warming is a gradual warming of the Earth from human activities (citation).

A. It is characterized by a high concentration of carbon dioxide in the atmosphere.

1. Each year five tons of CO2 are pumped into the atmosphere (citation).

2. The carbon dioxide traps heat.

3. 1998 set temperature records (citation).

B. Carbon pollutants also eat a hole in the ozone layer (citation).

1. In 1998 this hole set a size record.

2. This allows more ultraviolet radiation to reach Earth.

C. If this problem is not corrected; we may see disastrous results (citation).

1. There could be dramatic climate changes.

a. There could be drought in the middle of continents.

b. There could be many severe storms.

c. There could be rising sea levels that would destroy coastal areas.

2. There could be serious health problems.

a. There could be an increase in skin cancer.

b. There could be an increase in cataracts.

c. There could be damaged immune systems.

D. Now that you understand what global warming is and why it is important, let’s examine its major causes.

III. The loss of woodlands adds to global warming (citation).
…..

IV. Industrial emissions accelerate global warming (citation).
…..

V. Personal energy consumption magnifies global warming (citation).
…..

VI. In conclusion, if you want to know why we have global warming, listen for the falling trees, watch the industrial smokestacks darkening the sky, and smell the exhaust fumes we are pumping into the air.

A. Gore told a story on how global warming can sneak up on us.

B. Addressing the National Academy of Sciences, the vice president said, “If dropped into a pot of boiling water….”

C. The more we know about global warming, the more likely we are to jump and the less likely we are to be cooked.



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Nursing

July 4, 2025/in Nursing Questions /by Besttutor

Assignment 2: Community Health Promotion Project  For this assignment, you will compose a scholarly paper focused on health promotion for a population of your choosing. Your paper should be 6 to 7 pages in length and formatted in APA style.  Be sure to address the following:

•Identify the population you choose and analyze relevant information (demographics, socioeconomics, environmental hazards, and access to healthcare) pertaining to your chosen population.

•Analyze and discuss the mortality and morbidity risk factors for your selected population. Discuss four health risk factors.

•Suggest a health promotion activity for each health issue identified from your analysis.

•Use course lectures, textbook readings, and three scholarly journal articles to support your findings and recommendations in relation to your chosen population.  On a separate page, cite all sources using APA format. You can use this APA Citation Helper as a convenient reference for properly citing resources. You may create your essay in this APA-formatted template.

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