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Nursing

CASE STUDY: Drug-Facilitated Sexual Assault: Jessica Sexual assault includes a

CASE STUDY:
Drug-Facilitated Sexual Assault: Jessica
Sexual assault includes any type of sexual activity to which an individual does not agree. Because of
the effects of some drugs, commonly called date rape drugs, victims may be physically helpless,
unable to refuse, or even unable to remember what happened. Jessica, a 16-year-old high school
sophomore, expresses concern to the school nurse practitioner that she knows someone who might
have had sex “without knowing it.”
Reflective Questions 1. 2. 3. 4. 5.
How can the nurse practitioner answer these common questions?
What are date rape drugs and how can a person be unaware that such a drug has been
ingested?
What can you do to protect yourself?
What do you do if you think you have been sexually assaulted?
What can you do when someone you care about has been sexually assaulted?
What role does a nurse practitioner play in the care of sexually assaulted patients,
particularly in the adolescent age group?

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Nursing

Answer the following three questions, then design a proposed logo for your prosp

Answer the following three questions, then design a proposed logo for your prospective business:
What is the mission of your proposed company or venture?
What are the features of your product or services?
What qualities do you want prospective customers to associate with your business services or product?
Propose and design a logo for your business that conveys your mission, your product or services and qualities that you want potential customers to associate with your business. Post your proposal and/or logo to the discussion forum for peer and faculty feedback.

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Nursing

Requirements: Description of the Assignment An annotated bibliography is an alph

Requirements:
Description of the Assignment
An annotated bibliography is an alphabetical list of information sources (such as journal articles), formatted like a bibliography or a reference list, accompanied by a commentary, or annotation, for each source.
The purpose of an annotated bibliography is to learn about a topic through a critical review of literature and encourage a deeper engagement with literature to develop analytical skills
This assignment presents a method for examining several theories important and useful to the nurse practitioner role. 
For this assignment, you will use the five theories/models listed below:
Health Belief Model
Transtheoretical Model of Behavioral Change
Social Cognitive Theory
Family Systems Theory
Family Assessment and Intervention Model
Search the library for literature.
Locate one article related to each selected theory or model.
Use only scholarly sources as defined for the NP program: A US-based peer -reviewed journal for clinicians (MD/DO/NP/PA) published in the past five years or the latest clinical practice guideline (CPG).
Prepare an annotated entry for each source.
Begin with the full APA citation of the source, followed by 2-3 paragraphs:
Summarize the article.
Describe how the article relates to the chosen theory/model.
Reflect on how the article could (or could not) be relevant to future Nurse Practitioner practice.
Criteria for Format and Special Instructions
The paper should not include a separate title page. No reference page is necessary as it will incorporate the references into the body of the bibliography.
The template must be used for this assignment: NR501NP Week 5 Assignment Template Links to an external site..
A minimum of 5 (five) scholarly references must be used. Required textbooks for this course and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. Be aware that information from .com websites may be incorrect and should be avoided.
References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them.
In-text citations are not required in the annotated bibliography.
Rules of grammar, spelling, word usage and punctuation are followed and consistent with formal, scientific writing.

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Nursing

Purpose The nursing student should be able to identify seizure activity, how to

Purpose
The nursing student should be able to identify seizure activity, how to educate the family and or caregiver of the pediatric patient on what to do if a seizure occurs and what medications to administer, implement safety to prevent injury and treatment of fracture. Develop education to support discharge based on assessment of data.
Competency
Prioritize nursing interventions when caring for pediatric clients with health disorders.
Scenario
A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the following notes on the patient that read:
He arrived in ER with his mother after falling out of bed after jerking movement activity as witnessed by his older brother while sleeping. Right-upper extremity appears with deformity. Mother and child speak English. Child has no significant medical history. Mother reports incontinent of urine during episode.
Your Assessment
Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA
General Appearance: appears drowsy; face flushed, quiet
Neuro: oriented X3
Cardiovascular: unremarkable
Respiratory: lungs clear
Integumentary: very warm, dry
GI/GU: abdomen normal
Physician Orders
Complete Blood Count (CBC)
Complete Metabolic Panel (CMP)
Urinalysis with culture and sensitivity (U/A C&S)
Blood Cultures x 2
X-rays kidneys,
Influenza screening
Acetaminophen 15 mg/kg PO now
Ibuprofen 10 mg/kg PO now
Pad side rails
Suction at bedside with seizure precautions
Radiographs of right arm
Cast to right arm
Start PO fluids and increase as tolerated
The physician discharges Gabriel from ER to home with a diagnosis of; Right ear infection, Acute Febrile Seizure and fracture of the right ulna.
Discharge orders include:
Follow up with pediatrician in 7 days
Follow up with pediatric orthopedics in 7-10 days
Cefuroxime 30mg/kg PO BID for 10 days not to exceed 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an oral suspension 125mg/5ml or 250mg/5ml?
Acetaminophen 15 mg/kg PO Q4 hours PRN fever or pain and ibuprofen 10 mg/kg PO Q6 hours PRN fever and pain for up to 3 days
Acetaminophen is available as 160 mg/5 mL. Ibuprofen is available as 100 mg/ 5 mL.
What is the amount of acetaminophen in mg and ml per dose? What is the amount of ibuprofen in mg and ml
Instructions
Develop a discharge plan with three goals listed in order of priority, prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each of the goals (you should have nine interventions in total). Last, give the mother the exact dosage she will need to give the child for acetaminophen, ibuprofen, and the cefuroxime when she gets home and explain why the exact dosage is important.

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Nursing

I do not need any sources, just nursing examples. 1. Using a topic that entails

I do not need any sources, just nursing examples.
1. Using a topic that entails diversity in healthcare (could be anything covering Stereotyping vs. Generalizing, Health, Disease, & Illness in Cultural Perspective, Mental Health and Illness in Cultural Perspective, Holistic Health-Complementary and Alternative Medicine, Communication & Time Orientation, or Healthcare Providers and Staff Issues) give a nursing example of Culture care re-patterning and restructuring (from Leininger’s Sunrise Model)
2. Using a topic that entails diversity in family, staff or across the life cycle (could be anything covering the Family, Childbearing and Childrearing, Alternative Lifestyles, Religious Beliefs and Spirituality, Death and Dying) give a nursing example of Culture care accommodation and negotiation (from Leininger’s Sunrise Model)
3. Using a topic that entails diversity in family, staff or across the life cycle (could be anything covering the Family, Childbearing and Childrearing, Alternative Lifestyles, Religious Beliefs and Spirituality, Death and Dying) give a nursing example of Culture care preservation and maintenance (from Leininger’s Sunrise Model)
DO NOT include/describe what the leininger model or mode is, or what cultural competence in general is. This will already be covered. The example must focus only on the issue, what was done, and what was the outcome.

Categories
Nursing

Describe one of the current issues identified by State Boards of Nursing in Flor

Describe one of the current issues identified by State Boards of Nursing in Florida. Discuss how the nurse leaders and managers would educate the unit within the organization on that issue.

Categories
Nursing

A 55 year-old male patient presents to your clinic for his initial visit request

A 55 year-old male patient presents to your clinic for his initial visit requesting refills of his blood pressure and blood sugar medication. He states he has been out of his medications for about 3 months and can’t remember the name of either of them. He is also complaining of shortness of breath and chest discomfort over the past week that is gradually worsening. He mentions that he thinks the scale in the clinic may be wrong because he when he weighed himself last week he was 10 pounds lighter than he is today. VS: Temp- 98.6, HR – 112, Resp – 26, BP- 176/100, pulse ox 94%, ℅ 4/10 chest pain. What other questions would you ask this patient? What are your top 3 differential diagnoses? What is your plan for this patient?

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Nursing

Please response to one classmate Details of the homework Debriefing is an activi

Please response to one classmate
Details of the homework
Debriefing is an activity that involves thinking critically about your own experiences related to the virtual simulation you completed. In debriefings students:
Demonstrate understanding of concepts for the week
Engage in meaningful dialogue with classmates and/or instructor
Express opinions clearly and logically, in a professional manner
Use the rubric on this page as you compose your answers.
Scholarly sources are NOT required for this debriefing
Best Practices include:
Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
Enter the debriefing often during the week to read and learn from posts.
Select different classmates for your reply each week.
Details
Debreifing
Use the following format to reflect on the Week 4 iHuman Neurovascular Assessment. This was the Athena Washington case.
Paragraph One: What went well for you in the simulation? Provide examples of when you felt knowledgeable and confident in your skills. Do you feel the scenario was realistic? Why or why not?
Paragraph Two: What would you do differently next time if you were caring for a patient similar to Ms. Washington? Describe at least one area you identified where improvements could be made, specific to Ms. Washington’s assessment. Were you surprised by any of the feedback you were provided by iHuman? If yes, please explain.
Paragraph Three: What did you learn from this simulation that you could apply to nursing practice? Or, what did this simulation reinforce that you found valuable? Do you have any questions related to the scenario?
Discussion 1
Athena Washington is a 48 year-old African American woman who is diagnosed with neurological deficit. I conducted her comprehensive head-to-toe assessment. I performed well on the first round of the assessment and fortunately did not have to repeat her assessment. The performance areas that went particularly well were the review of the EHR and health history. I am feeling more confident locating important information in the EHR such as imaging results, vitals, progress notes and orders. I am also feeling more confident asking the health history questions and being able to understand the patient from a holistic perspective.
The performance area that did not go as well as I would have liked is the physical assessment. I correctly identified all of the patient’s problems, but I fell short on conducting the cranial nerve assessments, and I guess I forgot to get the patient’s height and weight. I only conducted the cranial nerve assessments that I thought were most relevant. I think I reached a point with the patient’s assessment where I felt doing each individual cranial nerve was redundant to the prior focused assessments I had conducted, including the NIH scale. I was confused about the NIH scale portion of the simulation. I thought it was strange that the system told me that my assessment was wrong. I felt that I based my scores on what I observed in the patient, and to be told that my assessment score was wrong was surprising, a bit jarring frankly. Were I to conduct a comprehensive health assessment on a patient like AW again, I will be sure to assess all cranial nerves individually.
This simulation reinforced the importance of the cranial nerves and the NIH scale. The NIH scale is something that I will definitely carry over into my nursing practice. The assessment is very important with patients who are having symptoms of a possible stroke. At my hospital the requirement was to perform an NIH assessment once each shift followed by frequent neuro checks every four hours and as needed. I am also going to review each of the cranial nerve assessments and refresh my memory on each of these assessments. I have a few questions related to this simulation. First, Why was the SpO2 assessment deemed inappropriate for this patient? Second, did others feel that the assessment requirements on this case were very redundant? Third, how did others feel about the NIH portion of the simulation?

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Nursing

Leadership: From this list, pick one that you think is most important, and expan

Leadership:
From this list, pick one that you think is most important, and expand on it.
How would you assure that this factor is utilized fully in the implementation of the project?
Why is it so important?
Please be sure to validate your opinions and ideas with citations and references in APA format.
The post and responses are valued at 40 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Categories
Nursing

1-Discuss examples of internal and external factors that impact an organization

1-Discuss examples of internal and external factors that impact an organization and its ability to change
2- Describe the characteristics of S.M.A.R.T. goals