2. 3. 

Choose one of the issues raised by the graduate nurses described in the video. (Your choice is either scope of practice, skill mix or delegation). Justify your choice, by referring to your groups online discussions and selected literature. (Include a screen shot of the relevant discussions to reinforce your choice in an appendix). 

Explain how, if the issue is left unresolved, it could cause conflict in the workplace and impact on positive nursing teamwork. 

Discuss 3 realistic leadership strategies that a beginning registered nurse could use to resolve the identified conflict and enable team cohesion 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Disasters come in many forms. There are natural disasters such as hurricanes, tornados or disease outbreaks such as Ebola. There are man-made disasters such as bombings, bioterrorism, or airplane crashes. We expect that someone will provide us with assistance to keep us safe and recover from these disasters. Have you ever thought about who is responsible for this assistance and how it is coordinated? Agencies at all levels: local, state, and federal have a role to play. Choose a government level and investigate what agencies have a role in disaster prevention and assistance. 

Create a PowerPoint presentation no longer than 10 slides (including title and reference slide in APA format) to discuss these agencies and what their role is in a disaster.

You should include a minimum of 3 references. Include a reference slide in APA format.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5 kg
2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Mandatory staffing ratios in hospitals

A nurse in the ICU comes on to her first of three shifts, and told that she is going to be receiving a transfer from a smaller hospital at some point in her shift. The patient that she is going to be receiving is a 79 year old patient that takes blood thinners and had a fall. Due to fall is believed to have both subdural hematoma and subarachnoid hematoma with a 1 cm x 1 cm midline shift. Currently on unit she is to receive report on a patient that is 66 years old that was extubated 2 hours earlier whom is having labored breathing with respiration rate of 52 breaths per minute. The third patient is a vented 64 year old patient that was admitted for acute respiratory failure related to COPD exacerbation due to lower lobe pneumonia.

RUBRIC

Statement of Issue: Present issue you have chosen in the context of a realistic, hypothetical patient scenario. A healthcare worker should be part of the scenario and is faced with the ethical/legal decision or is assisting someone who is facing the decision.

4.0 pts

This criterion is linked to a Learning OutcomeEthical Analysis: Discuss the ethical issues created by the chosen topic as described in your case scenario. A. Include in your analysis: relevant provisions and interpretative statements from the ANA Code of Ethics for Nurses; B. examine ethical principles, citing your assigned readings; and C. apply one of the ethical theories, citing your assigned readings

9.0 pts

This criterion is linked to a Learning OutcomeLegal Analysis: Explore relevant laws/legal issues, including emerging trends, if applicable, and laws from other jurisdictions and countries as needed, that relate to or impact your scenario. Use proper APA citation to cite legislation

9.0 pts

This criterion is linked to a Learning OutcomeEthical/Legal Decision: Reach a conclusion for the issue you presented which is supported by the ethical and legal analysis above.

4.0 pts

This criterion is linked to a Learning OutcomeScholarly Writing : A. Correct grammar, sentence structure, spelling, etc. B. Correct APA formatting C. A minimum of 5 current (published within the last 5 years), scholarly references. Case references are acceptable beyond 5 years if no cases more recent. D. Minimum of 5 pages of content – not including in the 5 pages: title page, Abstract & References

6.0 pts

Total Points: 32.0

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 Standardized Care Map For A Nanda Nursing Diagnosis of Bilateral Pneumonia 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"