Esther Jackson is a 56-year-old black female who is 1-day post-op following a left radical mastectomy. During morning rounds, the off-going nurse shares with you during bedside report that the patient has been experiencing increased discomfort in her back throughout the night and has required frequent help with repositioning. She states that the patient was medicated for pain approximately 2 hours ago but is voicing little relief and states that you might want to mention that to the doctor when he rounds later this morning. With the patient appearing to be in no visible distress, you proceed on to the next patient’s room for report.
Approximately 1 hour later, you return to Ms. Jackson’s room with her morning pills and find her slumped over the bedside stand in tears. The patient states, “I don’t know what is wrong, I don’t feel right. My back hurts and I’m just so tired. What is wrong with me?” The patient refuses to take her medications at this time stating that she is starting to feel sick to her stomach.
Just then the nursing assistant comes into the patient’s room to record Ms. Jackson’s vital signs, you take this opportunity to quickly research the patient’s medication record to determine if she has a medication ordered for nausea. Upon return, the nursing assistant hands you the following vital signs: T 37, R 18, and BP 132/54, but states she couldn’t get the patient’s pulse because “it is all over the place.”
Please address the following questions related to the scenario.
What do you suspect is the cause of the patient’s symptoms?
Describe the course of action that you will take to confirm this suspicion and prevent further decline.
What further assessments, lab values, and tests will likely be ordered for this patient and how often? If testing is to be completed more than once, please explain the rationale for doing so.
While you are caring for this patient, how will you ensure that the needs of your other patients are being met?
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Nursing 18923225
/in Uncategorized /by developerReport Issue
I need a 250 word message about those 2 questions down below. This is a team project, so my part will be the 2 question given. I will attach the other part of the paper so you can have a guide. Please needs to be original. APA format, I need references. The rural area chosen is Montana. Thank you.
1. What professional boundaries might you encounter practicing in this area and how will you ensure to not cross those boundaries?
2. Identify solutions to any obstacles that might discourage an NP from practicing in this rural area.
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Nursing 18923721
/in Uncategorized /by developerFamily Genetic History Form please see attached
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Nursing 18924931
/in Uncategorized /by developer11 page paper on transformational
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Nursing 18925301
/in Uncategorized /by developerBriefly describe the practice agreements for PMHNPs in Texas State.
Explain the two physician collaboration issues that you identified.
Explain what you think are the barriers to PMHNPs practicing independently in Texas State.
Outline a plan for how you might address PMHNP practice issues in Texas State
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Nursing 18925427
/in Uncategorized /by developerRandy Adams is a 38-year-old male patient of Dr. Joseph Reynolds who was admitted yesterday morning for 24-hour observation for mild concussion following a motor vehicle accident. Randy lost consciousness during the accident and was very confused when he arrived in the ER after EMS transport. He is an Iraq war veteran and he seemed to think after the accident that this all happened in Iraq. Dr. Reynolds is concerned that Randy has some residual problems from a couple of explosive incidents that occurred while he was in Iraq. The physician is unsure whether Randy’s current symptoms are from the car accident or from prior injuries so he has referred him for consultations to both a neurologist and to a behavioral health specialist.
Based on the above please discuss the following.
Pathophysiology of concussive injuries and treatment
Neurological assessment tools used in your current practice setting (if not presently working, please describe one used during prior employment or schooling)
Current best practices associated with post-traumatic stress disorder (PTSD)
Nursing interventions you would include in this patient’s plan of care
How can changes in nervous system functioning affect an individual’s psychosocial health status?
What resources are available at the local, state, and federal levels to assist those suffering from PTSD?
While reviewing Randy’s discharge instructions with him, you notice that he is having difficulty holding the pen in his hand and appears to be unable to sign his name. You ask him if he is okay. He looks at you and attempts to smile but only the right side of his face appears to move—the left side is fixed. You fear he may be having a stroke. What would your next steps be?
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Nursing 18932813
/in Uncategorized /by developerEsther Jackson is a 56-year-old black female who is 1-day post-op following a left radical mastectomy. During morning rounds, the off-going nurse shares with you during bedside report that the patient has been experiencing increased discomfort in her back throughout the night and has required frequent help with repositioning. She states that the patient was medicated for pain approximately 2 hours ago but is voicing little relief and states that you might want to mention that to the doctor when he rounds later this morning. With the patient appearing to be in no visible distress, you proceed on to the next patient’s room for report.
Approximately 1 hour later, you return to Ms. Jackson’s room with her morning pills and find her slumped over the bedside stand in tears. The patient states, “I don’t know what is wrong, I don’t feel right. My back hurts and I’m just so tired. What is wrong with me?” The patient refuses to take her medications at this time stating that she is starting to feel sick to her stomach.
Just then the nursing assistant comes into the patient’s room to record Ms. Jackson’s vital signs, you take this opportunity to quickly research the patient’s medication record to determine if she has a medication ordered for nausea. Upon return, the nursing assistant hands you the following vital signs: T 37, R 18, and BP 132/54, but states she couldn’t get the patient’s pulse because “it is all over the place.”
Please address the following questions related to the scenario.
What do you suspect is the cause of the patient’s symptoms?
Describe the course of action that you will take to confirm this suspicion and prevent further decline.
What further assessments, lab values, and tests will likely be ordered for this patient and how often? If testing is to be completed more than once, please explain the rationale for doing so.
While you are caring for this patient, how will you ensure that the needs of your other patients are being met?
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Nursing 18936617
/in Uncategorized /by developerHealth History Form and Family assessment
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Nursing 18936991
/in Uncategorized /by developerWhy would a change in mental status in an older adult be significant in assessing cardiac status?
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Nursing 18937451
/in Uncategorized /by developer2 assingments
#1
3-4 page narrative not including cover page or reference page and a concept map.
# 2
5 page paper not including cover page or reference page
Both need to be in correct APA formatting to all in-text citations and references
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Nursing 18938045
/in Uncategorized /by developerUse the practice problem and a quantitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.
In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.
Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
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