Home>Homework Answsers>Nursing homework helpyesnowAssignment: Assessing and Treating Patients With Impulsivity, Compulsivity, and AddictionImpulsivity, compulsivity, and addiction are challenging disorders for patients across the life span. Impulsivity is the inclination to act upon sudden urges or desires without considering potential consequences; patients often describe impulsivity as living in the present moment without regard to the future (MentalHelp.net, n.d.). Thus, these disorders often manifest as negative behaviors, resulting in adverse outcomes for patients. For example, compulsivity represents a behavior that an individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.). The presence of these behaviors often results in addiction, which represents the process of the transition from impulsive to compulsive behavior.In your role as the psychiatric nurse practitioner (PNP), you have the opportunity to help patients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.Reference: MentalHelp.net. (n.d.).Impaired decision-making, impulsivity, and compulsivity: Addictions’ effect on the cerebral cortex. https://www.mentalhelp.net/addiction/impulsivity-and-compulsivity-addictions-effect-on-the-cerebral-cortex/To prepare for this Assignment:Review this week’s Learning Resources, including the Medication Resources indicated for this week.Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring therapy for impulsivity, compulsivity, and addiction.The Assignment: 5 pagesExamineCase Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.Introduction to the case (1 page)Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.Decision #1 (1 page)Which decision did you select?Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Decision #2 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Decision #3 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Conclusion (1 page)Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.Note:Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.Week 10: Therapy for Patients With Impulsive/Substance Use Disorders (SUD)Impulsivity and compulsivity have a wide range of clinical presentations and often overlap with many other psychiatric disorders. Some individuals act without forethought and have difficulty saying “no” to certain things, such as using illicit drugs or spending money, whereas other individuals engage in compulsive behaviors with undesirable consequences. In some cases, these impulsive and compulsive behaviors also fuel issues with addiction. To effectively assess and treat patients, you must understand how these disorders differ as well as how their symptoms impact patients and their families.This week, as you examine therapies for individuals with impulsivity, compulsivity, and addiction, you explore the assessment and treatment of patients with these disorders. You also consider ethical and legal implications of these therapies.Learning ObjectivesStudents will:Assess patient factors and history to develop personalized therapy plans for patients with impulsivity, compulsivity, and addictionAnalyze factors that influence pharmacokinetic and pharmacodynamic processes in patients requiring therapy for impulsivity, compulsivity, and addictionSynthesize knowledge of providing care to patients presenting for impulsivity, compulsivity, and addictionAnalyze ethical and legal implications related to prescribing therapy for patients with impulsivity, compulsivity, and addictionLearning ResourcesRequired Readings(click to expand/reduce)Kelly, J. E., & Renner, J. A. (2016). Alcohol-Related disorders. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.),Massachusetts General Hospital psychopharmacology and neurotherapeutics(pp. 163–182). Elsevier.Renner, J. A., & Ward, N. (2016). Drug addiction. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.),Massachusetts General Hospital psychopharmacology and neurotherapeutics(pp. 163–182). Elsevier.Substance Abuse and Mental Health Services Administration. (1999).Treatment of adolescents with substance use disorders: Treatment improvement protocol series, no. 32. http://www.ncbi.nlm.nih.gov/books/NBK64350/Chapter 1, “Substance Use Among Adolescents”Chapter 2, “Tailoring Treatment to the Adolescent’s Problem”Chapter 7, “Youths with Distinctive Treatment Needs”University of Michigan Health System. (2016). Childhood trauma linked to worse impulse control.Journal of Psychosocial Nursing & Mental Health Services, 54(4), 15.Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in pathological gambling.British Journal of Clinical Pharmacology, 77(2), 375–381. https://doi.org/10.1111/j.1365-2125.2012.04457.xHulvershorn, L. A., Schroeder, K. M., Wink, L. K., Erickson, C. A., & McDougle, C. J. (2015). Psychopharmacologic treatment of children prenatally exposed to drugs of abuse.Human Psychopharmacology, 30(3), 164–172. https://doi.org/10.1002/hup.2467Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults: Clinical considerations and challenges.Journal of Gerontological Nursing, 42(4), 10–15. https://doi.org/10.3928/00989134-20160314-04Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature.Journal of Dual Diagnosis, 8(1), 74–84. https://doi.org/10.1080/15504263.2012.648439Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J. P., Olvera, R., Swann, A. C., & Soares, J. C. (2014). Impulsivity in children and adolescents with mood disorders and unaffected offspring of bipolar parents.Comprehensive Psychiatry, 55(6), 1337–1341. https://doi.org/10.1016/j.comppsych.2014.04.018Medication Resources(click to expand/reduce)IBM Corporation. (2020).IBM Micromedex. https://www.micromedexsolutions.com/micromedex2/librarian/deeplinkaccess?source=deepLink&institution=SZMC%5ESZMC%5ET43537Note:To access the following medications, use the IBM Micromedex resource. Type the name of each medication in the keyword search bar. Be sure to read all sections on the left navigation bar related to each medication’s result page, as this information will be helpful for your review in preparation for your Assignments.naltrexone (revia/vivitrol)naloxoneacamprosatedisulfiramRequired Media(click to expand/reduce)Case Study: A Puerto Rican Woman with Comorbid AddictionNote:This case study will serve as the foundation for this week’s Assignment.Optional Resources(click to expand/reduce)Lupi, M., Martinotti, G., Acciavatti, T., Pettorruso, M., Brunetti, M., Santacroce, R., Cinose, E., Di Iorio, G., Di Nicola, M., & Di Giannantonio, M. (2014). Pharmacological treatments in gambling disorder: A qualitative review.Biomed Research International,2014. https://doi.org/10.1155/2014/537306Comorbid Addiction (ETOH and Gambling)53-year-old Puerto Rican FemaleBACKGROUNDMrs. Maria Perez is a 53 year old Puerto Rican female who presents today due to a rather “embarrassing problem.”SUBJECTIVEMrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past 2 years, she has been having more and more difficulty maintaining her sobriety since the opening of the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during its grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past 2 years and she is concerned about the negative effects of the cigarette smoking on her health.She states that she attempts to abstain from drinking but she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much,” but she enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much. She currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight.Mrs. Perez is quite concerned today because she borrowed over $50,000 from her retirement account to pay off her gambling debts, and her husband does not know.MENTAL STATUS EXAMThe client is a 53 year old Puerto Rican female who is alert and oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. When you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation and self-reported mood. She denies visual or auditory hallucinations, and no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact; however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.Diagnosis: Gambling disorder, alcohol use disorderDecision Point OneSelect what you should do:Vivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeksAntabuse (disulfiram) 250 mg orally dailyCampral (acamprosate) 666 mg orally three times/dayComorbid Addiction (ETOH and Gambling)53-year-old Puerto Rican FemaleDecision Point OneVivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeksRESULTS OF DECISION POINT ONEClient returns to clinic in four weeksMrs. Perez says she feels “wonderful” as she has not “touched a drop” of alcohol since receiving the injectionClient reports that she has not been going to the casino, as frequently, but when she does go she “drops a bundle” (meaning, spends a lot of money gambling)Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also has her concernedDecision Point TwoAdd on Valium (diazepam) 5 mg orally TID/PRN/anxietyRESULTS OF DECISION POINT TWOClient returns to clinic in four weeksMrs. Perez reports that when she first received the Valium, it helped her tremendously. She states “I was like a new person. This is a miracle drug!” However, she reports that she has trouble “waiting” between drug administration times and sometimes takes her Valium earlyShe is asking today for an increase the Valium dose or frequencyDecision Point ThreeContinue current dose of Vivitrol, increase Valium to 10 mg orally TID/PRN/anxiety. Refer to counseling for her ongoing gambling issueGuidance to StudentAnxiety is a common side effect of Vivitrol. Mrs. Perez reports that she is doing well with this medication, and like other side effects, the anxiety associated with this medication may be transient. The psychiatric mental health nurse practitioner should never initiate benzodiazepines in a client who already has issues with alcohol, or other substance dependencies. Additionally, benzodiazepines are not to be used long-term. Problems associated with long-term benzodiazepine use include the need to increase the dose in order to achieve the same therapeutic effect. This is what we are seeing in Mrs. Perez’s case.The most appropriate course of action in this case would be to continue the current dose of Vivitrol, while decreasing the Valium with the goal of discontinuation of the drug within the next two weeks. At that point, you would need to evaluate whether or not the side effect of anxiety associated with Vivitrol persists.Increasing the dose of Valium would not be appropriate, neither would maintaining her on the current dose of Valium. Additionally, the client should be referred for counseling to help with her gambling addiction, as there are no FDA approved medications gambling disorder.Medication should never be added treat side effect of another medication, unless that side effect is known to be transient (for instance, benzodiazepines are sometimes prescribed to overcome the initial problem of “activation” associated with initiation of SSRI, or SNRI therapy). However, in a client with multiple addictive disorders, benzodiazepines should never be used (unless they are only being used for a limited duration of therapy such as acute alcohol detoxification to prevent seizures).Additionally, it should be noted that Mrs. Perez continues to engage in problematic gambling, at considerable personal financial cost. Mrs. Perez needs to be referred to a counselor who specializes in the treatment of gambling disorder, and should also be encouraged to establish herself with a local chapter of gamblers anonymous.You need to discuss smoking cessation options with Mrs. Perez in order to address the totality of addictions, and to enhance her overall health.4 years ago04.05.202120Report issueAnswer(1)MUSYOKIONES A+5.0(4k+)4.9(488)ChatPurchase the answer to view itNOT RATEDWK10ASSIGNNURS6630.docxwk10.pdf4 years agoplagiarism checkPurchase $25Bids(138)Tutor Cyrus KenEmily ClareProf Double RDr Michelle MayaMARTHA92_PHDQuickly answerCreative GeekDr. Adeline ZoeBethuel BestWIZARD_KIMQuality AssignmentsNightingaleGreat-WritersSweet_SolutionsMUSYOKIONES A+PremiumBrainy BrianAmanda Smithwizard kimDr shamille Claraother Questions(10)ECO 550 Assignment 2 Operations DecisionsAnalyzing Interpersonal Relationships and Conflict StylesAviation Safety Problem and SolutionImplementing the BudgetCreate a term paper (2,000-2,500 words) on any topic related to social psychology that interests you. The assignment must include at least eight sources, four of those with publication dates from the past two years. Prepare this assignment according toBUS 670- Legal Environment SummaryRES 342 Final ExamWhat advantages do franchises gain when they buy their franchises?BUS 661 case studyStocks

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Home>Homework Answsers>Nursing homework helpnursingPower PointassessmentPart 2: **Signature Assignment**Holistic Assessment of the Older AdultThis assignment is a voice over PowerPoint recording of 13-15 minutes.For the PowerPoint and recorded presentation, create a presentation that addresses each of the following points/questions. Be sure to completely answer all the prompts or questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) scholarly sources throughout your presentation, referencing in APA style. Include title and references slides in the presentation. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Ensure that you have permission from your older adult to conduct the health assessment and ensure that they are not identified on the PPT. Review the Signature Assignment rubric criteria for this assignment.Part 1: Assessment: Choose an adult (65 years or older) friend or relative and perform a holistic health assessment. Clearly discuss your discovered holistic health assessment data. Your assessment should include the following parts for the holistic assessment:General Health HistoryPhysiological AssessmentPsychological AssessmentSocial AssessmentCultural AssessmentDevelopmental AssessmentSpiritual AssessmentPart 2: Interpretation (Abnormality and Coping)Choose one abnormality from the data gained in the assessments and discuss possible reasons/causes for the abnormality.How does this abnormality impact the other areas of the patient’s life?Discuss the client’s stress and coping mechanisms.Are they healthy?What recommendations and improvements could be made that are individualized for this person?Part 3: Teaching Plan: Create a teaching plan that addresses the client holistically by applying the assessment data you have analyzed.Describe at least one client goal for each of the six categories (each category should have a goal) (physical, psychological, social, cultural, developmental, and spiritual).Discuss one strategy per goal you would use to teach your client about each individual goalExplain how you will evaluate if your teaching was effectiveTitle Slide (1 slide)Objective Slide (1 slide)AssessmentGeneral Health History (1slide)Physical (1 slide)Psychological (1 slide)Social (1 slide)Cultural (1 slide)Developmental (1 slide)Spiritual (1 slide)Interpretation (Abnormality and Coping)Abnormality, Reasons/Causes, Impact on Life (1 slide)Stress, Coping, Recommendations (1 slide)Teaching PlanPhysical Goal and Teaching Strategy (1 slide)Psychological Goal and Teaching Strategy (1 slide)Social Goal and Teaching Strategy (1 slide)Cultural Goal and Teaching Strategy (1 slide)Developmental Goal and Teaching Strategy (1 slide)Spiritual Goal and Teaching Strategy (1 slide)Evaluation Plan (1 slide)References (1 slide)Assignment Expectations:Length:PPT of 19-21 slides; Recording 13-15 minStructure: Include a title slide, objective slide, content slides, and reference slide in APA format. Recording is of PPT slides, with voice only.References:Use appropriate APA style in-slide citations and references for all resources. A minimum of four (4) scholarly sources are required.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 or share the link to the recordingFile name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment 1.docx)4 years ago08.07.202120Report issueAnswer(1)Wendy Lewis4.5(2k+)4.8(194)ChatPurchase the answer to view itNOT RATEDHolisticassessmentoftheolderadult.pptxH.A.pdf4 years agoplagiarism checkPurchase $40Bids(119)Dr Michelle MayaDr. Adeline ZoeCreative GeekQuickly answerTutor Cyrus KengrA+de plusYoung NyanyaWIZARD_KIMQuality AssignmentsYourStudyGuruNightingaleGreat-WritersDr shamille ClaraMUSYOKIONES A+RihAN_MendozaDr. Ellen SmartDr Michelle EllaBrainy Brianpacesetters2121Brilliant Geekother Questions(10)Historical Eventsmarketing essay question 200 wordsWritten Assignment – Creating “I” Messages/Introduction to Communicationclassic guitar concert …response…questionsCode of conductCMGT/400 Week One Risky SituationsEconSummaryCRM

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Home>Homework Answsers>Nursing homework helpNURSENursa year ago20.06.202410Report issuefiles (2)Assessment3.docxAssessment_3EXAMPLE.pdfAssessment3.docxAssessment 3Evidence-Based Proposal and Annotated Bibliography on Technology in NursingWrite a 4–6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.INTRODUCTIONThis assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.PROFESSIONAL CONTEXTRapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.PREPARATIONbefore you begin to develop the assessment, you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.To successfully complete this assessment, perform the following preparatory activities:·Review the technologies presented in theAssessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]·Assessment 03 – Evidence-Based Proposal and Annotated Bibliography on Technology in NursingFor this assessment, you will write a 4–6 page annotated bibliography where you identify peer- reviewed publications that promote the use of one of the technologies presented below that enhance quality and safety standards in nursing.
Before you complete the detailed instructions in the courseroom, first review the technologies below and select the one you’re most interested in researching.
After selecting one of the following technologies to be the focus of your assessment, return to the courseroom to review the detailed instructions there.
Telestroke: Telestroke services allow neurologists to provide remote consultation to stroke patients in hospitals that might not have neurology specialists. Quick intervention can significantly improve outcomes for stroke patients.
Fall Detection and Prevention Systems: These systems use sensors and algorithms to detect when a patient or elderly individual falls. Early detection can lead to rapid intervention, reducing the risk of serious injury.
Automated Wound Assessment Systems: These systems use imaging and other technologies to assess wounds, measure their size, and monitor healing. This can lead to more accurate treatment plans and better wound care outcomes.·resource and select one of the options to use as the focus for this assessment.·Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies.·Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology.·Conduct a library search using the various electronic databases available through the Capella University Library.·Consult theBSN Program Library Research Guidefor help in identifying scholarly and/or authoritative sources.·Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.·Scan the search results related to your chosen technology.·Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.·Evaluate the impact of patient care technologies on desired outcomes.·Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.·Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.Notes·Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.·Your selections need to be current—within the last five years.INTRODUCTIONFirst, review the technologies presented in theAssessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]resource and select one of the options to use as the focus for this assessment.Next prepare a 4–6 page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:·Introduction to the Selected Technology Topic· What is your rationale for selecting this particular technology topic? What is interesting about it?· What research process did you employ?· Which databases did you use?· Which search terms did you use?·Note:In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.·Annotation Elements· For each resource, include the full reference followed by the annotation.· Explain the focus of the research or review article you chose.· Provide a summary overview of the publication.· According to this source, what is the impact of this technology on patient safety and quality of care?· According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?· Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.·Summary of Recommendation· How would you tie together the key learnings from each of the four publications you examined?· What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.· How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.· Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:Assessment 3 Example [PDF]Download Assessment 3 Example [PDF]ADDIOTIONAL REQUIREMENTS·Written communication:Ensure written communication is free of errors that detract from the overall message.·Length:4–6-typed, double-spaced pages.·Number of resources:Cite aminimumof four peer-reviewed publications, not websites.·Font and font size:Use Times New Roman, 12 point.·APA:Follow APA style and formatting guidelines for all bibliographic entries.Refer toEvidence and APAas needed.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:· Competency 3: Evaluate the impact of patient care technologies on desired outcomes.· Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.· Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.· Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.· Describe organizational factors influencing the selection of a technology in the health care setting.· Justify the implementation and use of a selected technology in a health care setting.· Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.· Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.· Follow APA style and formatting guidelines for all bibliographic entries.·Assessment_3EXAMPLE.pdfThis file is too large to display.View in new windowAssessment_3EXAMPLE.pdfThis file is too large to display.View in new windowAssessment3.docxAssessment 3Evidence-Based Proposal and Annotated Bibliography on Technology in NursingWrite a 4–6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.INTRODUCTIONThis assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.PROFESSIONAL CONTEXTRapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.PREPARATIONbefore you begin to develop the assessment, you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.To successfully complete this assessment, perform the following preparatory activities:·Review the technologies presented in theAssessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]·Assessment 03 – Evidence-Based Proposal and Annotated Bibliography on Technology in NursingFor this assessment, you will write a 4–6 page annotated bibliography where you identify peer- reviewed publications that promote the use of one of the technologies presented below that enhance quality and safety standards in nursing.
Before you complete the detailed instructions in the courseroom, first review the technologies below and select the one you’re most interested in researching.
After selecting one of the following technologies to be the focus of your assessment, return to the courseroom to review the detailed instructions there.
Telestroke: Telestroke services allow neurologists to provide remote consultation to stroke patients in hospitals that might not have neurology specialists. Quick intervention can significantly improve outcomes for stroke patients.
Fall Detection and Prevention Systems: These systems use sensors and algorithms to detect when a patient or elderly individual falls. Early detection can lead to rapid intervention, reducing the risk of serious injury.
Automated Wound Assessment Systems: These systems use imaging and other technologies to assess wounds, measure their size, and monitor healing. This can lead to more accurate treatment plans and better wound care outcomes.·resource and select one of the options to use as the focus for this assessment.·Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies.·Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology.·Conduct a library search using the various electronic databases available through the Capella University Library.·Consult theBSN Program Library Research Guidefor help in identifying scholarly and/or authoritative sources.·Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.·Scan the search results related to your chosen technology.·Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.·Evaluate the impact of patient care technologies on desired outcomes.·Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.·Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.Notes·Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.·Your selections need to be current—within the last five years.INTRODUCTIONFirst, review the technologies presented in theAssessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]resource and select one of the options to use as the focus for this assessment.Next prepare a 4–6 page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:·Introduction to the Selected Technology Topic· What is your rationale for selecting this particular technology topic? What is interesting about it?· What research process did you employ?· Which databases did you use?· Which search terms did you use?·Note:In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.·Annotation Elements· For each resource, include the full reference followed by the annotation.· Explain the focus of the research or review article you chose.· Provide a summary overview of the publication.· According to this source, what is the impact of this technology on patient safety and quality of care?· According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?· Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.·Summary of Recommendation· How would you tie together the key learnings from each of the four publications you examined?· What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.· How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.· Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:Assessment 3 Example [PDF]Download Assessment 3 Example [PDF]ADDIOTIONAL REQUIREMENTS·Written communication:Ensure written communication is free of errors that detract from the overall message.·Length:4–6-typed, double-spaced pages.·Number of resources:Cite aminimumof four peer-reviewed publications, not websites.·Font and font size:Use Times New Roman, 12 point.·APA:Follow APA style and formatting guidelines for all bibliographic entries.Refer toEvidence and APAas needed.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:· Competency 3: Evaluate the impact of patient care technologies on desired outcomes.· Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.· Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.· Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.· Describe organizational factors influencing the selection of a technology in the health care setting.· Justify the implementation and use of a selected technology in a health care setting.· Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.· Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.· Follow APA style and formatting guidelines for all bibliographic entries.·Assessment_3EXAMPLE.pdfThis file is too large to display.View in new windowAssessment3.docxAssessment 3Evidence-Based Proposal and Annotated Bibliography on Technology in NursingWrite a 4–6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.INTRODUCTIONThis assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.PROFESSIONAL CONTEXTRapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.PREPARATIONbefore you begin to develop the assessment, you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.To successfully complete this assessment, perform the following preparatory activities:·Review the technologies presented in theAssessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]·Assessment 03 – Evidence-Based Proposal and Annotated Bibliography on Technology in NursingFor this assessment, you will write a 4–6 page annotated bibliography where you identify peer- reviewed publications that promote the use of one of the technologies presented below that enhance quality and safety standards in nursing.
Before you complete the detailed instructions in the courseroom, first review the technologies below and select the one you’re most interested in researching.
After selecting one of the following technologies to be the focus of your assessment, return to the courseroom to review the detailed instructions there.
Telestroke: Telestroke services allow neurologists to provide remote consultation to stroke patients in hospitals that might not have neurology specialists. Quick intervention can significantly improve outcomes for stroke patients.
Fall Detection and Prevention Systems: These systems use sensors and algorithms to detect when a patient or elderly individual falls. Early detection can lead to rapid intervention, reducing the risk of serious injury.
Automated Wound Assessment Systems: These systems use imaging and other technologies to assess wounds, measure their size, and monitor healing. This can lead to more accurate treatment plans and better wound care outcomes.·resource and select one of the options to use as the focus for this assessment.·Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies.·Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology.·Conduct a library search using the various electronic databases available through the Capella University Library.·Consult theBSN Program Library Research Guidefor help in identifying scholarly and/or authoritative sources.·Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.·Scan the search results related to your chosen technology.·Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.·Evaluate the impact of patient care technologies on desired outcomes.·Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.·Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.Notes·Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.·Your selections need to be current—within the last five years.INTRODUCTIONFirst, review the technologies presented in theAssessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]resource and select one of the options to use as the focus for this assessment.Next prepare a 4–6 page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:·Introduction to the Selected Technology Topic· What is your rationale for selecting this particular technology topic? What is interesting about it?· What research process did you employ?· Which databases did you use?· Which search terms did you use?·Note:In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.·Annotation Elements· For each resource, include the full reference followed by the annotation.· Explain the focus of the research or review article you chose.· Provide a summary overview of the publication.· According to this source, what is the impact of this technology on patient safety and quality of care?· According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?· Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.·Summary of Recommendation· How would you tie together the key learnings from each of the four publications you examined?· What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.· How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.· Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:Assessment 3 Example [PDF]Download Assessment 3 Example [PDF]ADDIOTIONAL REQUIREMENTS·Written communication:Ensure written communication is free of errors that detract from the overall message.·Length:4–6-typed, double-spaced pages.·Number of resources:Cite aminimumof four peer-reviewed publications, not websites.·Font and font size:Use Times New Roman, 12 point.·APA:Follow APA style and formatting guidelines for all bibliographic entries.Refer toEvidence and APAas needed.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:· Competency 3: Evaluate the impact of patient care technologies on desired outcomes.· Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.· Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.· Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.· Describe organizational factors influencing the selection of a technology in the health care setting.· Justify the implementation and use of a selected technology in a health care setting.· Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.· Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.· Follow APA style and formatting guidelines for all bibliographic entries.·Assessment_3EXAMPLE.pdfThis file is too large to display.View in new window12Bids(63)Dr. Ellen RMnicohwilliamDr. Aylin JMSheryl HoganProf Double RProf. TOPGRADEEmily ClareDr. Sarah BlakeProWritingGurufirstclass tutorDr. Freya WalkerPROF_ALISTERFiona DavaMUSYOKIONES A+Dr CloverDiscount AssigngrA+de plusColeen AndersonIsabella HarvardBrilliant GeekShow All Bidsother Questions(10)bus 311 business paper for $15Strategic Change: Case StudyThere 3 parts to this paper.Quick personal summaryCase study on Jetblue AirlinesGEN 499Application of Linear Equations QuizI need this by tomorrowsessay HETHANKYOU

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Home>Homework Answsers>Nursing homework helpFNU Pathophysiology QuizQuestion 1A 70-year-old woman has received a diagnosis of chronic myelogenous leukemia (CML) after a clinical investigation sparked by the presence of leukocytosis in her routine blood work. What clinical course should her care provider tell her to expect?Answers:A. “It’s likely that this will give you chronic fatigue and malaise for the rest of your life, but that will probably be the extent of your symptoms.”B. “Unfortunately, your leukemia will likely enter a crisis mode within a few weeks if we don’t treat it immediately.”C. “You could remain the chronic stage of CML for several years before it accelerates and culminates in a crisis.”D. “You can expect your blood results, fatigue, and susceptibility to infection to gradually worsen over a few years.”Question 2Following an injury resulting in a small cut from a knife, the first cells to go to the area of the cut would be theAnswers:A. erythrocytes.B. basophils.C. neutrophils.D. albumin.Question 3Which of the following diagnostic findings is likely to result in the most serious brain insult?Answers:A. Moderate decrease in brain tissue volume secondary to a brain tumor removalB. High intracellular concentration of glutamateC. Increased ICP accompanied by hyperventilationD. Mean arterial pressure (MAP) that equals intracranial pressure (ICP)Question 4Which of the following patients would be most likely to be experiencing an increase in renal erythropoietin production?Answers:A. A 70-year-old woman admitted with dehydration secondary to an overdose of her potassium-wasting diureticB. A 21-year-old man with acute blood loss secondary to a motor vehicle accident 3 hours priorC. A 68-year-old man with a long-standing diagnosis of polycythemia veraD. A 71-year-old smoker admitted to hospital with exacerbation of his chronic obstructive pulmonary disease (COPD)Question 5A college student has been experiencing frequent headaches that he describes as throbbing and complaining of difficulty concentrating while studying. Upon cerebral angiography, he is found to have an arteriovenous malformation. Which of the following pathophysiological concepts is likely responsible for his symptoms?Answers:A. Localized ischemia with areas of necrosis noted on CT angiographyB. High pressure and local hemorrhage of the venous systemC. Hydrocephalus and protein in the cerebral spinal fluidD. Increased tissue perfusion at the site of the malformationQuestion 6A group of nursing students were studying for their pathophysiology exam by quizzing each other about disorders of WBCs and lymphoid tissue. When asked what the first chromosomal abnormality that identified cancer was, one student correctly answered Answers:A. interleukin cells.B. Philadelphia.C. PSA.D. BRCA-1.Question 7A 47-year-old woman was diagnosed with amyotrophic lateral sclerosis 3 years ago and has experienced a progressive onset and severity of complications. She has been admitted to a palliative care unit due to her poor prognosis? What assessments and interventions should the nursing staff of the unit prioritize in their care?Answers:A. Regular pain assessment and administration of opioid analgesics as neededB. Cardiac monitoring and administration of inotropic medicationsC. Assessment and documentation of cognitive changes, including confusion and restlessnessD. Assessment of swallowing ability and respiratory statusQuestion 8A 53-year-old man presents with inability to concentrate, itching in his fingers and toes, elevated blood pressure, and unexplained weight loss. He is diagnosed with primary polycythemia. What will be the primary goal of his treatment?Answers:A. To increase the amount of oxygen distributed by his red blood cellsB. To reduce the viscosity of his bloodC. To reduce the mean size of his red cellsD. To control his hypertensionQuestion 9During a late night study session, a pathophysiology student reaches out to turn the page of her textbook. Which of the following components of her nervous system contains the highest level of control of her arm and hand action?Answers:A. ThalamusB. CerebellumC. Frontal lobeD. Basal gangliaQuestion 10The family members of an elderly patient are wondering why his “blood counts” are not rising after his last GI bleed. They state, “He has always bounced back after one of these episodes, but this time it isn’t happening. Do you know why?” The nurse will respond based on which of the following pathophysiological principles?Answers:A. “Don’t worry about it. We can always give him more blood.”B. “Due to stress, the red blood cells of older adults are not replaced as promptly as younger people.”C. “Everything slows down when you get older. You just have to wait and see what happens.”D. “The doctor may start looking for another cause of his anemia, maybe cancer of the bone.”Question 11A 44-year-old female patient presents to the emergency department with abnormal bleeding and abdominal pain that is later attributed to gallbladder disease. Which of the following diagnoses would the medical team be most justified in suspecting as a cause of the patient’s bleeding?Answers:A. Hemophilia BB. Vitamin K deficiencyC. Excess calciumD. Idiopathic immune thrombocytopenic purpura (ITP)Question 12Your ESRD patient is receiving 2 units of packed red blood cells for anemia (Hgb of 8.2). Twenty minutes into the first transfusion, the nurse observes the patient has a flushed face, hives over upper body trunk, and is complaining of pain in lower back. His vital signs include pulse rate of 110 and BP drop to 95/56.What is the nurse’s priority action? Answers:A. Recheck the type of blood infusing with the chart documentation of patient’s blood type. B. Discontinue the transfusion and begin an infusion of normal saline.C. Slow the rate of the blood infusion to 50 mL/hour.D. Document the assessment as the only action.Question 13A 5th grade elementary student asks the school nurse how much blood is in an entire body. The nurse should respond that the average grown-up adult hasAnswers:A. 2 to 4 cups of blood in his or her body.B. 5 to 6 L of blood throughout his or her body.C. 3 pints of blood in total.D. 3 to 4 quarts of blood in his or her body.Question 14The geriatrician providing care for a 74-year-old man with diagnosis of Parkinson disease has recently changed the client’s medication regimen. What is the most likely focus of the pharmacologic treatment of the man’s health problem?Answers:A. Preventing demyelination of the efferent cerebellar pathwaysB. Preventing axonal degradation of motor neuronsC. Maximizing acetylcholine release from synaptic vesicles at neuromuscular junctionsD. Increasing the functional ability of the underactive dopaminergic systemQuestion 15A student makes the statement to a colleague, “Blood plasma is essentially just a carrier for the formed elements like red blood cells and white blood cells.”What would be the most accurate response to this statement?Answers:A. “Not really. Plasma also contributes to the processes of protein synthesis and hematopoiesis.”B. “Actually, plasma plays a significant role in nutrient and waste transport.”C. “Actually, plasma is integral to the proper function of the liver and maintenance of acid–base balance.”D. “That’s not really true. Plasma is crucial in the immune and inflammatory responses.”Question 16Several months ago, a 20-year-old male suffered a spinal cord injury brought about by a snowboard trick gone wrong. The lasting effects of his injury include a flaccid bowel and bladder and the inability to obtain an erection. While sensation has been completely preserved in his legs and feet, his motor function is significantly impaired. What type of incomplete spinal cord injury has the man most likely experienced?Answers:A. Central cord syndromeB. Conus medullaris syndromeC. Brown-Séquard syndromeD. Anterior cord syndromeQuestion 17A client with a gastrointestinal bleed secondary to alcohol abuse and a hemoglobin level of 5.8 g/dL has been ordered a transfusion of packed red blood cells. The client possesses type B antibodies but lacks type D antigens on his red cells. Transfusion of which of the following blood types would be least likely to produce a transfusion reaction?Answers:A. A–B. AC. B–D. BQuestion 18Which of the following clients’ signs and symptoms would allow a clinician to be most justified in ruling out stroke as a cause? An adultAnswers:A. has vomited and complained of a severe headache.B. states that his left arm and leg are numb, and gait is consequently unsteady.C. has experienced a sudden loss of balance and slurred speech.D. has had a gradual onset of weakness, headache, and visual disturbances over the last 2 days.Question 19Amniocentesis has suggested that a couple’s first child will be born with sickle cell disease. The parents are unfamiliar with the health problem, and their caregiver is explaining the complexities. Which of the following statements by the parents would suggest a need for further teaching or clarification?Answers:A. “Our baby’s red cells are prone to early destruction because of his or her weak membranes.”B. “Our son or daughter likely won’t show the effects of sickling until he or she is school-aged because of the different hemoglobin in babies.”C. “Not all of his or her red cells will be sickled, but low oxygen levels can cause them to become so.”D. “Sickled cells can block his or her blood vessels, especially in the abdomen, chest, and bones.”Question 20During science class, a student asks, “What’s the difference between plasma and serum in the blood?” The nurse responds that the primary difference between plasma and serum is that plasma containsAnswers:A. hydrogen ions.B. heparin.C. white blood cells.D. fibrinogen.Question 21During a flu shot clinic, one of the questions the student nurse asks relates to whether the patient has had Guillain-Barré syndrome in his medical history. The patient asks, “What is that?” How should the nursing student reply?Answers:A. “A type of paralysis that affects movement on both sides of the body that may even involve the respiratory muscles”B. “Influenza-like illness where you had fever and chills for 2 to 3 days after your last flu shot”C. “A degenerative disease where you have trouble walking without the help of a cane or walker”D. “Swelling of your arm where you got your flu shot, and maybe your eyes and lips had some swelling as well”Question 22A 22-year-old female college student is shocked to receive a diagnosis of myasthenia gravis. What are the etiology and most likely treatment for her health problem?Answers:A. Excess acetylcholinesterase production; treatment with thymectomyB. A decline in functioning acetylcholine receptors; treatment with corticosteroids and intravenous immunoglobulinsC. Cerebellar lesions; surgical and immunosuppressive treatmentD. Autoimmune destruction of skeletal muscle cells; treatment with intensive physical therapy and anabolic steroidsQuestion 23A baseball player was hit in the head with a bat during practice. In the emergency department, the physician tells the family that he has a “coup”injury. How will the nurse explain this to the family so they can understand?Answers:A. “It’s like squeezing an orange so tight that the juice runs out of the top.”B. “When the bat hit his head, his neck jerked backward causing injury to the spine.”C. “Your son has a contusion of the brain at the site where the bat hit his head.”D. “Your son has a huge laceration inside his brain where the bat hit his skull.”Question 24Which of the following glycoproteins is responsible for treating such diseases as bone marrow failure following chemotherapy and hematopoietic neoplasms such as leukemia? Answers:A. Growth factors and cytokinesB. T lymphocytes and natural killer cellsC. Neutrophils and eosinophilsD. Natural killer cells and granulocytesQuestion 25While being on subcutaneous heparin injections for deep vein thrombosis during her latter pregnancy, a patient begins to experience major side effects. Her OB-GYN physician has called in a specialist who thinks that the patient is experiencing heparin-induced thrombocytopenia. The nurse should anticipate which of the following orders?Answers:A. Immediately discontinue the heparin therapyB. Switch to Coumadin 2.5 mg once/dayC. Decrease the dose of heparin from 5000 units b.i.d to 3000 units b.i.dD. Infuse FFP statQuestion 26Which of the following individuals would most likely experience global ischemia to his or her brain?Answers:A. A woman who is being brought to hospital by ambulance following suspected carbon monoxide poisoning related to a faulty portable heaterB. A male client who has just had an ischemic stroke confirmed by CT of his headC. A woman who has been admitted to the emergency department with a suspected intracranial bleedD. A man who has entered cardiogenic shock following a severe myocardial infarctionQuestion 27A new mother and father are upset that their 2-day-old infant is requiring phototherapy for hyperbilirubinemia. The pediatrician who has followed the infant since birth is explaining the multiplicity of factors that can contribute to high serum bilirubin levels in neonates. Which of the following factors would the physician be most likely to rule out as a contributor?Answers:A. Transitioning of hemoglobin F (HbF) to hemoglobin A (HbA)B. Hepatic immaturity of the infantC. HypoxiaD. The fact that the infant is being breast-fedQuestion 28A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the following pathophysiological phenomena is most responsible for his symptoms?Answers:A. Viruses are killing some of his B cells and becoming incorporated into the genome of others.B. The Epstein-Barr virus (EBV) is lysing many of the boy’s neutrophils.C. The virus responsible for mononucleosis inhibits the maturation of myeloblasts into promyelocytes.D. The EBV inhibits the maturation of white cells within his peripheral lymph nodes.Question 29A 16-year-old female has been brought to her primary care physician by her mother due to the girl’s persistent sore throat and malaise. Which of the following facts revealed in the girl’s history and examination would lead the physician to rule out infectious mononucleosis?Answers:A. Chest auscultation reveals crackles in her lower lung fields bilaterally.B. Her liver and spleen are both enlarged.C. Blood work reveals an increased white blood cell count.D. The girl has a temperature of 38.1°C (100.6°F) and has enlarged lymph nodes.Question 30A 30-year-old woman who has given birth 12 hours prior is displaying signs and symptoms of disseminated intravascular coagulation (DIC). The client’s husband is confused as to why a disease of coagulation can result in bleeding. Which of the nurse’s following statements best characterizes DIC?Answers:A. “The same hormones and bacteria that cause clotting also cause bleeding.”B. “Massive clotting causes irritation, friction, and bleeding in the small blood vessels.”C. “So much clotting takes place that there are no available clotting components left, and bleeding ensues.”D. “Excessive activation of clotting causes an overload of vital organs, resulting in bleeding.”Question 31A 20-year-old has been diagnosed with an astrocytic brain tumor located in the brain stem. Which of the following statements by the oncologist treating the client is most accurate?Answers:A. “Our treatment plan will depend on whether your tumor is malignant or benign.”B. “This is likely a result of a combination of heredity and lifestyle.”C. “The major risk that you face is metastases to your lungs, liver, or bones.”D. “Your prognosis will depend on whether we can surgically resect your tumor.”Question 32A patient diagnosed with low-risk chronic lymphocytic leukemia (CLL) has recently developed thrombocytopenia. One of the medications utilized to treat this would be Answers:A. cisplatin, a chemotherapeutic.B. vincristine, a Vinca alkaloid.C. dexamethasone, a corticosteroid.D. doxorubicin, a cytotoxic antibiotic.Question 33Two nursing students are attempting to differentiate between the presentations of immune thrombocytopenic purpura (ITP) and thrombotic thrombocytopenic purpura (TTP). Which of the students’ following statements best captures an aspect of the two health problems? Answers:A. “ITP can be either inherited or acquired, and if it’s acquired, it involves an enzyme deficiency.”B. “Both of them involve low platelet counts, but in TTP, there can be more, not less, hemostasis.C. “TTP can be treated with plasmapheresis, but ITP is best addressed with transfusion of fresh frozen plasma.”D. “Both diseases can result from inadequate production of thrombopoietin by megakaryocytes.”Question 34A physician is explaining to a 40-year-old male patient the importance of completing his course of antibiotics for the treatment of tuberculosis. The physician explains the damage that could occur to lung tissue by Mycobacterium tuberculosis. Which of the following phenomena would underlie the physician’s explanation?Answers:A. Tissue destruction results from neutrophil deactivation.B. Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.C. Macrophages form a capsule around the Mycobacterium tuberculosis bacteria, resulting in immune granulomas.D. Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.Question 35A teenager, exposed to West Nile virus a few weeks ago while camping with friends, is admitted with headache, fever, and nuchal rigidity. The teenager is also displaying some lethargy and disorientation. The nurse knows which of the following medical diagnoses listed below may be associated with these clinical manifestations?Answers:A. EncephalitisB. Lyme diseaseC. Rocky Mountain spotted feverD. Spinal infectionQuestion 36A patient has been diagnosed with anemia. The physician suspects an immune hemolytic anemia and orders a Coombs test. The patient asks the nurse what this test will tell the doctor. The nurse replies,Answers:A. “They are looking for the presence of antibody or complement on the surface of the RBC.”B. “They will look at your RBCs under a microscope to see if they have an irregular shape (poikilocytosis).”C. “They will wash your RBCs and then mix the cells with a reagent to see if they clump together.”D. “They will be looking to see if you have enough ferritin in your blood.”Question 37A 29-year-old construction worker got a sliver under his fingernail 4 days ago. The affected finger is now reddened, painful, swollen, and warm to touch. Which of the following hematological processes is most likely occurring in the bone marrow in response to the infection?Answers:A. Phagocytosis by myelocytesB. Increased segmented neutrophil productionC. High circulatory levels of myeloblastsD. Proliferation of immature neutrophilsQuestion 38A surgeon is explaining to the parents of a 6-year-old boy the rationale for the suggestion of removing the boy’s spleen. Which of the following teaching points would be most accurate?Answers:A.“We think that his spleen is inhibiting the production of platelets by his bone marrow.”B.“We believe that your son’s spleen is causing the destruction of many of his blood platelets, putting him at a bleeding risk.”C.“Your son’s spleen is holding on to too many of his platelets, so they’re not available for clotting.”D.“Your son’s spleen is inappropriately filtering out the platelets from his blood and keeping them from normal circulation.”Question 39 A nurse practitioner is providing care for a client with low levels of the plasma protein gamma globulin. The nurse would recognize that the client is at risk of developing which of the following health problems?Answers:A. AnemiaB. Blood clotsC. JaundiceD. InfectionsQuestion 40A 32-year-old woman presents at her neighborhood health clinic complaining of weakness and a feeling of abdominal fullness. She reports that 6 months earlier she noticed that she had difficulty in maintaining the high level of energy she has relied on during her aerobic workouts over the past few years. Because she felt that she was in overall good health, but knew that women often need additional iron, she added a multiple vitamin with iron and some meat and leafy greens to her diet. She followed her plan carefully but had no increase in energy. Upon examination, her spleen is noted to be enlarged. Which of the following is most likely to be the cause?Answers:A. CLLB. Accelerated CMLC. Infectious mononucleosisD. Stage A Hodgkin diseaseQuestion 41A nurse is providing care for several patients on an acute medical unit of a hospital.Which of the following patients would be most likely to benefit from hematopoietic growth factors?Answers:A. A 61-year-old female patient with end-stage renal cancerB. A 55-year-old obese male patient with peripheral neuropathy secondary to diabetesC. A 51-year-old female patient with liver failure secondary to hepatitisD. A 44-year-old man with a newly diagnosed brain tumorQuestion 42Misinterpreting her physician’s instructions, a 69-year-old woman with a history of peripheral artery disease has been taking two 325 mg tablets of aspirin daily. How has this most likely affected her hemostatic status?Answers:A. The binding of an antibody to platelet factor IV produces immune complexes.B. The patient’s prostaglandin (TXA2) levels are abnormally high.C. Irreversible acetylation of platelet cyclooxygenase activity has occurred.D. She is at risk of developing secondary immune thrombocytopenic purpura (ITP).Question 43 Which of the following teaching points would be most appropriate with a client who has a recent diagnosis of von Willebrand disease?Answers:A. “Make sure that you avoid taking aspirin.”B. “Your disease affects your platelet function rather than clot formation.”C. “Clotting factor VIII can help your body compensate for the difficulty in clotting.”D. “It’s important that you avoid trauma.”Question 44A nurse at a long-term care facility provides care for an 85-year-old man who has had recent transient ischemic attacks (TIAs). Which of the following statements best identifies future complications associated with TIAs? TIAsAnswers:A. are caused by small bleeds that can be a warning sign of an impending stroke.B. are a relatively benign sign that necessitates monitoring but not treatment.C. are an accumulation of small deficits that may eventually equal the effects of a full CVA. D. resolve rapidly but may place the client at an increased risk for stroke.Question 45Following a motor vehicle accident 3 months prior, a 20-year-old female who has been in a coma since her accident has now had her condition declared a persistent vegetative state. How can her care providers most accurately explain an aspect of her situation to her parents?Answers:A. “If you or the care team notices any spontaneous eye opening, then we will change our treatment plan.”B. “Your daughter has lost all her cognitive functions as well as all her basic reflexes.”C. “Though she still goes through a cycle of sleeping and waking, her condition is unlikely to change.”D. “Your daughter’s condition is an unfortunate combination with total loss of consciousness but continuation of all other normal brain functions.”Question 46A couple who is expecting their first child has been advised by friends to consider harvesting umbilical cord blood in order to have a future source of stem cells. The couple has approached their caregiver with this request and is seeking clarification of exactly why stem cells are valuable and what they might expect to gain from harvesting it. How can their caregiver best respond to the couple’s enquiry? Stem cells canAnswers:A. “be used as source of reserve cells for the entire blood production system.”B. “help treat some cancers and anemias, but they must come from your child himself or herself.”C. “be used to regenerate damaged organs should the need ever arise.”D. “help correct autoimmune diseases and some congenital defects.”Question 47 A surgeon is explaining to the parents of a 6-year-old boy the rationale for the suggestion of removing the boy’s spleen. Which of the following teaching points would be most accurate?Answers:A. “Ferritin is a protein–iron complex that allows your red blood cells to make use of the iron that you consume in your diet.”B. “Ferritin is the activated and usable form of iron that your red blood cells can use to transport oxygen.”C. “Ferritin is the form of iron that is transported in your blood plasma to red blood cells that need it.”D. “Ferritin is a stored form of iron that indirectly shows me whether you would benefit from iron pills.”Question 48A 13-year-old African American boy comes to the ER complaining of fatigue and a rapid heartbeat. In conversation with the father, it becomes apparent to you that the boy has grown 2 inches in the previous 5 months. What is the first problem the health care team would attempt to rule out?Answers:A. Aplastic anemiaB. Sickle cell anemiaC. ThalassemiaD. Iron deficiency anemiaQuestion 49In which of the following patients, would diagnostic investigations least likely reveal increased thrombopoietin production?Answers:A. A 55-year-old man with dehydration secondary to Crohn diseaseB. An 81-year-old woman with diagnoses of rheumatoid arthritis and failure to thriveC. A 66-year-old woman with a diagnosis of lung cancer with bone metastasesD. A 21-year-old woman awaiting bone marrow transplant for myelogenous leukemiaQuestion 50A hospital laboratory technologist is analyzing the complete blood count (CBC) of a patient. Which of the following statements best reflects an aspect of the platelets that would constitute part of the CBC?Answers:A. New platelets are released from the bone marrow into circulation.B. The half-life of a platelet is typically around 8 to 12 days.C. Platelets originate with granulocyte colony–forming units (CFU).D. The α-granules of platelets contribute primarily to vasoconstriction.7 years agoReport issueAlready graded A+NOT RATEDPurchase the answer to view itAnswer.docxplagiarism checkPurchase $25

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Home>Homework Answsers>Nursing homework helpMusculoskeletal and neurologic disorders can present complications for pediatric patients from infancy to adolescence. These disorders affect patients physically and emotionally and often impact a patient’s ability to participate in or carry out everyday activities. Patients with these disorders frequently need long-term treatment and care requiring extensive patient management and education plans. Musculoskeletal and neurologic disorders present various symptoms because they affect multiple parts of a patient’s body. Consider treatment, management, and education plans for the patients in the following three case studies.Case Study 1:Clay is a 7-year-old male who presents in your office with complaints of right thigh pain and a limp. The pain began approximately 1 week ago and has progressively worsened. There is no history of trauma. Physical examination is negative except for pain with flexion and internal rotation of the right hip and limited abduction of the right hip. Limb lengths are equal.Case Study 2:Trevon is an 18-month-old with a 3-day history of upper-respiratory-type symptoms that have progressively worsened over the last 8 hours. His immunizations are up to date. Mom states he spiked a fever to 103.2°F this morning and he has become increasingly fussy. He vomited after drinking a cup of juice this afternoon and has refused PO fluids since then. Pertinent physical exam findings include negative abdominal exam, marked irritability with inconsolable crying, and he cries louder with pupil examination and fights head and neck assessment. You are unable to elicit Kernig’s or Brudzinski’s signs due to patient noncompliance.Case Study 3:Molly is a 12-year-old who comes to your office after hitting her head on the ground during a soccer game. Her mother reports that she did not lose consciousness, but that she seems “loopy” and doesn’t remember what happened immediately following her fall. She was injured when she collided with another player and fell backward, striking her head on the ground. She has no vomiting and denies diplopia but complains of significant headache. Physical examination is negative except for the presence of slight nystagmus. All other neurologic findings including fundoscopic examination are normal.To prepare:Review “Neurologic Disorders” and “Musculoskeletal Disorders” in the Burns et al. text.Review and select one of the three provided case studies. Analyze the patient information.Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.Consider strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder.By Day 3Postan explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder.7 years ago09.05.201820Report issueAnswer(1)Dr. Eric_PhD4.5(102)4.7(21)ChatPurchase the answer to view itNOT RATEDNeurologicaldisorders….edited….docx7 years agoplagiarism checkPurchase $20Bids(28)PROF. KATELYNMichelle KProNaomi01Miss ProfessorPaula Hogkim woodsphyllis youngWendy LewisCatherine OwensKarim AsadRey writerfun learningANN HARRISbrilliant answersKATHERINE BECKSMathStat GeniusMichelle Lewis PhdProf. GoodwillGenuine GeniusAngelina Mayother Questions(10)Project Deliverable 4: Analytics, Interfaces, and Cloud Technologyunit2Ds1IMPROVEMENTS TO THE CORRECTIONAL SYSTEMcomputer scienceMacroEconomics Variables for Nancy Carol onlyMarketing case analysis based on guidelines below. should be 5-6 pagesMGT 330 Week 3 Individual Assignment Management Planning PaperMGT 350 multiple choice questions use it as a guide only2Comparison of pricing Strategiesintermediate accounting questions 31095

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