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Nutrition week four discussion 2

July 1, 2025/in Nursing Questions /by Besttutor

Why are nutritional recommendations required for patients with ulcer disease on top of pharmaceutical interventions?

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Economics and the Health Care Delivery System.

July 1, 2025/in Nursing Questions /by Besttutor

1. With all the money that is spent on health care in the United States, why is it that U.S. health care is not the best? What can nurses do to change this?

2. In your opinion, will the Affordable Care Act improve healthcare delivery system in the US?

~2 Paragraphs, APA format with citations as applicable.

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Clinical Practice

July 1, 2025/in Nursing Questions /by Besttutor

Preparing for Clinical Practice

Critical Thinking in Nursing Practice

Medical treatment stabilized Mr. Lawson’s condition. He had a pulmonary embolus, but he is now on anticoagulants, medications that will reduce likelihood of more clot formation. Knowing that Mr. Lawson is on anticoagulants and has had recent surgery and the processes of normal wound healing (see  Chapter 48 (Links to an external site.)Links to an external site. ), Tonya believes that the patient is at risk for bleeding from his surgical wound. She acts by increasing assessments of the wound and teaching Mr. Lawson how to avoid placing stress on the wound

1. Describe the critical thinking skill that Tonya is demonstrating.After Tonya assesses the wound, she enters a note in the medical record. She describes the appearance of the incision in detail, reports on the length of the incision, and notes that one suture is loose but there is no drainage.

2. Identify the three intellectual standards that Tonya uses in making a note in the record.

3. Mr. Lawson complains of more discomfort after lying on his right side for 30 minutes. Tonya asks him to describe the pain; it is focused more on his right shoulder and ribs. Tonya sees that the drainage tubing exiting the surgical wound is caught underneath the patient. She moves it, questions the patient further to find out that he has a history of arthritis in the shoulder, and then repositions and aligns him. This is an example of which critical thinking competencies?

Nursing Assessment

Tonya is planning to return to Mr. Lawson’s room and spend more time discussing his concerns about going home and what to expect. She knows that Mrs. Lawson usually comes to visit around 11 AM, just before lunchtime. Tonya believes that Mrs. Lawson will be an important source of support in providing Mr. Lawson’s ongoing home care. The surgeon has ordered directions for wound care and standard activity restrictions.

1. Tonya goes to Mr. Lawson’s room and asks the patient, “What concerns do you and your wife have about cleaning the wound?” Which type of assessment question is this and why has Tonya asked it?

2. Tonya and Mr. Lawson have the following interaction:

Tonya: Mr. Lawson, What do you understand about the reason for the activity restrictions your doctor ordered?

Mr. Lawson: I think it will prevent me from not hurting myself.Tonya: Uh huh … go on

Mr. Lawson: I think the doctor said I could pull my stitches.

Tonya’s phrase “uh huh … go on” is an example of which interviewing technique? Explain why it is useful.

3. Tonya returns to Mr. Lawson’s room to discuss his discharge instructions, but she notes as she enters the room that the patient is grimacing. She asks him, “Tell me where the pain is.” Mr. Lawson is asked to rate the pain on a scale of 0 to 10 and rates it a 6. Tonya looks at the patient’s surgical wound and notes that the area of separation is still inflamed. Match the assessment technique on the left with the type of measurement on the right.

1. Patient rates pain 6 on a 0 to 10 scale. ___ A. Determining location of a symptom
2. Tell me where the pain is. ___ B. Observation
3. Patient is seen grimacing. ___ C. Inspection
4. Nurse looks at condition of wound. ___ D. Determining severity of a symptom

Managing Patient Care

You are a staff nurse on a 32-bed cardiac step-down unit. You are assigned as the preceptor for Tony, RN, a new graduate nurse, who just started his nursing career on your floor.

1. You and Tony just received morning shift report on your patients. You are assigned the following patients. Which patient do you and Tony need to see first? Explain your answer.

1. Mr. Dodson, a 52-year-old patient who was admitted yesterday with a diagnosis of angina pectoris. He is scheduled for a cardiac stress test at 0900.

2. Mrs. Wallace, a 60-year-old patient who was transferred out of intensive care at 0630 today. She had uncomplicated coronary artery bypass surgery yesterday.

3. Mr. Workman, a 45-year-old patient who experienced a myocardial infarction 2 days ago. He is complaining of chest pain rated as 6 on a scale of 0 to 10.

4. Mrs. Harris, a 76-year-old patient who had a permanent pacemaker inserted yesterday. She is complaining of incision pain rated as a 5 on a scale of 0 to 10.

2. As you work with Tony on your unit, you notice that he has trouble with time-management skills when providing patient care. Which strategies will you suggest to Tony to help him improve organization of his delivery of patient care?

3. Sonya, a nursing assistive personnel (NAP), is paired to work with you and Tony. You overhear Tony giving Sonya directions for what she needs to do. Tony says, “Sonya, assist Mrs. Harris in room 418 with her afternoon walk. Take her pulse before and after she walks and record it in her chart. I’ll check with you when you’re finished to see how she did.” On the basis of what you know about delegation, did Tony give appropriate or inappropriate directions to Sonya? Provide rationale for your answer.

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Reflect

July 1, 2025/in Nursing Questions /by Besttutor

The purpose of this assignment is to consider factors that impact efficient staffing models and work practices within health care organizations. Select one of the two scenarios at the end of Chapter 5 in Leadership in Nursing Practice: Changing the Landscape of Health Care. In 500-750 words, address the questions in the scenario is specific detail. Additionally, comment on how lean staffing models could positively contribute to more efficient staffing and work practices.

Integrate 2-3 resources into your response.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

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tiroiditis case

July 1, 2025/in Nursing Questions /by Besttutor

Please answers the two questions in regards of the  case scenario

400 words minimum

follow APA format

uses medical references and recognized journals supporting the question

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Pharmacology week 7 assignment

July 1, 2025/in Nursing Questions /by Besttutor

 You are a nurse working in a cardiologist’s office. Design teaching points brochure that can be given to older adult patients starting on an antiarrhythmic medication. Focus on the prototype medications lidocaine, propranolol, amiodarone, and diltiazem. Conduct an Internet search to help develop the brochure.

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Research Design

July 1, 2025/in Nursing Questions /by Besttutor

Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

500 words, 2APA reference, plagiarism

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sugar

July 1, 2025/in Nursing Questions /by Besttutor

Assignment 3.1: Sugars

Step 1: Read about sugars

  • Write a one page paper explaining the differences between natural sugars and added sugars

Step 2: Choose 5 foods items with food labels

  • List the ingredients
  • Find ALL of the added sugars hidden in the ingredient list and highlight them

You may include pictures of the food labels

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Barriers to Collecting a Health History

July 1, 2025/in Nursing Questions /by Besttutor

Barriers to Collecting a Health History

What are the barriers you face to collecting a comprehensive health history so that you can give culturally-competentcare?

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EThics 8

July 1, 2025/in Nursing Questions /by Besttutor

Students will complete an APA paper about the following case study.  The provided case study represents ethical issues of historical interest.

Case Study

A nurse has sued Memorial Hospital, charging that she was demoted after complaining about a heart surgeon tossing bloody tissue at her during an operation. The eight-page complaint filed Friday in U.S. District Court by Sonja Morris alleges that Dr. Bryan Mahan tossed the 4-by-6-inch piece of tissue at her, hitting her on the leg during an open-heart surgery in August 2008. She contends Mahan made a joke about it to the other surgeons, saying, “Oh (expletive), I hit her. Can we get cultures on that?” Morris said she felt humiliated as the other surgeons chuckled. Mahan could not be reached for comment Friday afternoon.

Morris claims that the incident was part of a pattern of harassing behavior by Mahan toward her. She also alleged that in June 2008, Mahan came up behind her and hit her in the head. She told him to stop, but two weeks later, he did it again, the suit alleged. Again she asked him to stop.

Chris Valentine, a spokesman for the hospital, declined to comment on the lawsuit. “Obviously, because it’s in legal hands, we’re not in a position to comment,” he said. Mahan is the chairman of cardiac and thoracic medicine at Memorial. He is not named as a defendant in the lawsuit. Morris has worked at the hospital as a nurse since June 1999. She has been a member of the heart surgery team since October 2007.

The incident with the bloody tissue occurred on Aug. 28, 2008, after normal working hours during an operation in which doctors were doing a procedure known as a pericardiectomy. The surgery involved removing a protective layer of tissue from the heart. Morris contends that was the bloody tissue that Mahan tossed at her. She said she was standing at a work station about 15 feet away from the operating table. Because the operation was still in progress, she was unable to immediately clean the part of her leg that the tissue hit. She filed a complaint about the incident but said that resulted in no disciplinary action.

On Dec. 10, she filed a notice of claim against Mahan and the hospital. Her complaint to the U.S. Equal Employment Opportunity Commission alleged that she was subjected to a hostile work environment because of her gender. Seven days later, she said hospital administrators removed her from the heart surgery team, considered a prestigious position, and transferred her to the main operating room. The suit alleged that this action violated her First Amendment rights to petition the hospital to correct something she considered wrong.

Ensslin, J.C. (2009, June 6). Nurse sues Memorial, claims surgeon threw human tissue at her. The Gazette. Retrieved from http://gazette.com/nurse-sues-memorial-claims-surgeon-threw-human-tissue-at-her/article/57418

Morris v. City of Colorado Springs, 666 F.3d 654 (2012)  LINK

Answer the following questions:

  1. What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur?
  2. What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice?
  3. Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people.
  4. Is there legal ground for this case, if so what? Who is at fault? What legal action should be taken?
  5. Are there alternative to the actions completed in this case by both the nurse, physician, and healthcare facility? Do you feel the physician and nurse were following hospital protocol?
  6. If you were a member of the ethics committee at this facility, what actions or changes would you recommend changing? Why?

For the case study, an APA formatted paper should be used, and needs to include a title page, level headings, references and citations. This assignment should include at least 2 references and should be at least four pages in length. Students should address the proposed questions providing ample detail, examples, and additional support.

Assignment Expectations:

  • Length:
    • At least four pages in length; answers must thoroughly address each question in a clear, concise manner;
  • Structure:
    • Reference page required
    • address each question in a numbered list
  • References:
    • At least 2 references required
  • Format:
    • save your assignment as a Microsoft Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file type

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