Sou Nsg6005 Week 6 Assignment 2 Quiz Latest 2017
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Question 1. Xi, a fifty-four-year-old female, has a history of migraine that does not respond well to OTC migraine medication. She is asking to try Maxalt (rizatriptan) because it works well for her friend. Which of the following actions would you take for appropriate decision making?
Prescribe Maxalt, but to monitor the use, only give her four tablets with no refills.
Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose.
Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital).
Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan.
Question 2. Chronic pain is a complex problem. Some specific strategies to deal with it include ________.
telling the patient to “let pain be your guide” to using treatment therapies
prescribing pain medication on a pro re nata (PRN) basis to keep down the amount used
scheduling return visits on a regular basis rather than waiting for poor pain control to drive the need for an appointment
All the given options
Question 3. Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes which one of the following instructions?
Gout may worsen with therapy.
Febuxostat may cause severe diarrhea.
The patients should consume a high-calcium diet.
The patients will need frequent CBC monitoring.
Question 4. The Pain Management Contract is most appropriate for:
Patients with a history of chemical dependency or possible inappropriate use of pain medications
All patients with chronic pain who will require long-term use of opiates
Patients who have a complex drug regimen
Patients who see multiple providers for pain control
Question 5. Patients whose total dose of prednisone exceed 1 gram will most likely need a second prescription for _________.
metformin, a biguanide to prevent diabetes
omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
naproxen, an NSAID to treat joint pain
furosemide, a diuretic to treat fluid retention
Question 6. Sallie has been taking 10 mg of prednisone per day for the past six months. She should be assessed for ________.
gout
iron deficiency anemia
osteoporosis
renal dysfunction
Question 7. All NSAIDs have an FDA black box warning regarding __________.
potential for causing life-threatening GI bleeds
increased risk of developing systemic arthritis with prolonged use
risk of life-threatening rashes, including Stevens-Johnson
potential for transient changes in serum glucose
Question 8. Which of the following statements is true about age and pain?
Use of drugs that depend heavily on the renal system for excretion may require dosage adjustments in very young children.
Among the NSAIDs, indomethacin is the preferred drug because of lower adverse effects profiles than other NSAIDs.
Older adults who have dementia probably do not experience much pain due to loss of pain receptors in the brain.
Acetaminophen is especially useful in both children and adults because it has no effect on platelets and has fewer adverse effects than NSAIDs.
Question 9. Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain. The appropriate first-line medication would be __________.
ibuprofen (Advil)
acetaminophen with hydrocodone (Vicodin)
oxycodone (OxyContin)
oral morphine (Roxanol)
Question 10. Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of __________.
serum glucose
stool culture
folate levels
vitamin B12
Question 11. Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes which one of the following instructions?
It is OK to double the dose of Vicodin if the pain is severe.
Vicodin is not habit forming.
He should not take any other acetaminophen-containing medications.
Vicodin may cause diarrhea; therefore, he should increase his fluid intake.
Question 12. Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is _____.
black, tarry stools
vomiting
tremors
tinnitus
Question 13. Henry is eighty-two years old and takes two aspirin every morning to treat the arthritis pain in his back. He states that the aspirin helps him to “get going” each day. Lately, he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry?
Add an H2 blocker such as ranitidine to his therapy.
Discontinue the aspirin and switch him to Vicodin for the pain.
Decrease the aspirin dose to one tablet daily.
Have Henry take an antacid fifteen minutes before taking the aspirin each day.
Question 14. Patients with RA who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects?
A bisphosphonate
Calcium supplementation
Vitamin D
All of the above
Question 15. One of the main drug classes used to treat acute pain is NSAIDs. They are used due to which of the following reasons?
They have less risk for liver damage than acetaminophen.
Inflammation is a common cause of acute pain.
They have minimal GI irritation.
Regulation of blood flow to the kidney is not affected by these drugs.
Question 16. Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of the following raises a “red flag” about potential chemical dependency?
Use of more than one drug to treat the pain
Multiple times when prescriptions are lost with requests to refill
Preferences for treatments that include alternative medicines
Presence of a family member who has abused drugs
Question 17. Jayla is a nine-year-old who has been diagnosed with migraines for almost two years. She is missing up to a week of school each month. Her headache diary confirms she averages four or five migraines per month. Which of the following would be appropriate?
Prescribe amitriptyline (Elavil) daily, start at a low dose and increase the dose slowly every two weeks until effective in eliminating migraines.
Encourage her mother to give her Excedrin Migraine (aspirin, acetaminophen, and caffeine) at the first sign of a headache to abort the headache.
Prescribe propranolol (Inderal) to be taken daily for at least three months.
Explain that it is rare for a nine-year-old to get migraines and that she needs an MRI to rule out a brain tumor.
Question 18. Narcotics are exogenous opiates. They act by ______.
inhibiting pain transmission in the spinal cord
attaching to receptors in the afferent neuron to inhibit the release of substance P
blocking neurotransmitters in the midbrain
increasing beta-lipoprotein excretion from the pituitary
Question 19. Pathological similarities and differences between acute pain and chronic pain include which of the following options?
Both have decreased levels of endorphins.
Chronic pain has a predominance of C-neuron stimulation.
Acute pain is most commonly associated with irritation of peripheral nerves.
Acute pain is diffuse and hard to localize.
Question 20. Different areas of the brain are involved in specific aspects of pain. The reticular and limbic systems in the brain influence ______.
the sensory aspects of pain
the discriminative aspects of pain
the motivational aspects of pain
the cognitive aspects of pain
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/in Uncategorized /by developerSolving Delay In Specimenblood Result
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To Prepare:
- Review the concepts of informatics as presented in the Resources.
- Reflect on the role of a nurse leader as a knowledge worker.
- Consider how knowledge may be informed by data that is collected/accessed.
The Assignment:
- Explain the concept of a knowledge worker.
- Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
- Develop a simple infographic to help explain these concepts.
NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.
- Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.
This is the discussion
Nursing informatics is defined as the combination of nursing science, information science, and computer science (McGonigle, D., & Mastrian, K. G.,2 018). “Nursing informatics roles have taken many forms in focus and function over the last decades. Whereby the role of nursing informatics specialists will continue to evolve at an increasingly rapid rate in the and unfolding of new health care paradigms and connectivity between care providers and patients” (Nagle, L. M., Sermeus, W. & Junger, A. (2017). My focus is on how my current and previous experiences in different organizations collect blood samples/specimens from patients. Organizations should utilize existing data such as the patient’s hand band and employee identification card or numbers more efficiently. When drawing a patient’s blood sample, it should require a scan by the staff drawing the blood specimen. All employee already has an identification number, and patients have a medical identification number that is already in use for other purposes, such as when administering medications.
After the employees scan their badge or input, their identification first, then they will proceed to scanning the patient identification band before collecting the blood sample/ specimens. scanning patient’s wrist band and employee badge will assist in determining the accurate time the blood sample was collected, the time it was received in the lab, and when the results are recorded into patients records or nurses is informed of the outcome. In some cases, I personally place multiple calls to the laboratory to get lab results for my patient. The laboratory stating the specimen is processing. When the specimen results are finally ready, the time that the sample was received initially is the time the laboratory documents the specimen results. Furthermore, a nurse leader should collect data from patients scheduled lab orders from the time the order is placed, specimen collections time, time received in laboratory and the time the results is available to other clinicians. By doing this, it will eliminate the delay, discrepancies of specimens among nurses, laboratory staffs, and provide timely efficient treatments from physicians.
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Software Applications In Healthcare Dq1
/in Uncategorized /by developerIn this course you will learn about software applications in healthcare that are used specifically to manage patient encounters and record patient health information in electronic form, commonly referred to as the electronic health record (EHR). You will have the opportunity to practice using an application for several tasks in the healthcare facility. Most healthcare facilities, large and small, have implemented the EHR systems. There are many healthcare professionals who use and manage these systems as well as analyze the collected data to help improve patient care and outcomes.
As you learn about the electronic health record components and systems, it is important to also explore the health information/health informatics professions and network with individuals who are already working in this sector of the healthcare field.
In Unit 5 your assignment will be to provide a review of a specific profession in healthcare that deals with health information/health informatics. In preparation for that assignment, you should begin to review different health information/health informatics professions and make contact, if possible, with someone who already works with electronic health information in a healthcare facility.
For this assignment:
- Identify a position in a healthcare organization that uses the electronic health record (EHR) or other systems for managing health information.
- Discuss the position in regards to how they utilize EHR or other systems.
- Discuss benefits that the use of these systems offer to individuals in these positions.
- Identify any potential negatives of the EHR or system.
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Socratic Problem Solving
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Assignment:
In considering how personality develops, the impact of the child’s environment, as well as the child’s innate characteristics, must be taken into consideration. Assess the nature versus nurture controversy. Assess your views on how each affects a child’s personality and moral development. Provide supporting evidence or reasoning. Which theoretical perspective on personality and moral development most closely represents your view?
Short response required for each question, in text APA citations required for each response (no assigned resource provided)
Did the response apply the following Socratic Approach, using Steps 1 through 4?
Question 1 of 4
Step 1: Identify the elements of the problem, issue, or question. Did the response adequately include this step? Yes or No? If no, what was missing?
Question 2 of 4
Step 2: Analyze/ define/ frame the problem, issue, or question. Did the response adequately include this step? Yes or No? If no, what was missing?
Question 3 of 4
Step 3: Consider solutions, responses, or answers. Did the response adequately include this step? Yes or No? If no, what was missing?
Question 4 of 4
Step 4: Choose a solution, response, or answer. Did the response adequately include this step? Yes or No? If no, what was missing?
Sample Response:
In the context of the nature versus nurture controversy, nature means one’s genetic inheritance of traits such as intelligence, physical characteristics, and personality tendencies (Vander Zanden, Crandell, & Crandell, 2009). Nurture means the influence of environment, including parenting, schooling, physical environment, culture, and other factors (Vander Zanden et al., 2009). In the past, social scientists and others argued which factor—nature or nurture —was responsible in a given situation, but it is more common today to ask either how much is due to nature versus nurture, or how they interact (Vander Zanden et al., 2009). Vander Zanden et al. (2009) therefore characterize the current nature versus nurture controversy as asking either how or how much, rather than which.
While there are many theories that address the nature-nurture controversy, behaviorism most closely represents my view. Most of the behaviors needed to succeed in life are within the capabilities of most people, but some people’s environments make success unlikely for them. If a person is raised in an environment that does not support educational activities, that person is unlikely to become a physicist, even if he or she was born with the intelligence traits of an Einstein. Similarly, those raised in a violent environment are more likely to be violent, such as those who were abused as children may subsequently abuse their own children.
Reference: Vander Zanden, J. W., Crandell, T. L., & Crandell, C. H. (2009). Human development (9th ed.). Boston: McGraw-Hill Higher Education.
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Sociology 19044437
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For your first application assignment, you will utilize the readings and a scholarly journal from the South University Online Library to write a two- to five-page paper that adheres to APA standards and answers all the questions below. Because you will incorporate information on sociological investigation and research methods in this assignment, please be sure to read Chapters 1 and 2 from your textbook and the Week 1 online lectures before you start.
Begin by selecting one of the four articles below from the South University Online Library:
- Gil de Zúñiga, H., Correa, T., & Valenzuela, S. (2012). Selective exposure to cable news and immigration in the U.S.: The relationship between FOX News, CNN, and attitudes toward Mexican immigrants. Journal of Broadcasting & Electronic Media, 56(4), 597–615.
- Isom, D. (2012). Fluid and shifting: Racialized, gendered, and sexual identity in African American children. International Journal Of Interdisciplinary Social Sciences, 6(11), 127–137.
- Li, K., Simons-Morton, B. G., & Hingson, R. (2013). Impaired-driving prevalence among US high school students: Associations with substance use and risky driving behaviors. American Journal Of Public Health, 103(11), e71–e77. doi:10.2105/AJPH.2013.301296
- Pager, D., & Western, B. (2012). Identifying discrimination at work: the use of field experiments.” Journal Of Social Issues, 68(2), 221–237.
Once you select an article you will write a short, two- to five-page essay using APA format. Please review the grading rubric before embarking on your paper. Your paper should fulfill all requirements of the grading rubric and answer the following questions:
- What is the social problem the researchers are investigating?
- What is the research method (survey, participant observation, experiment, secondary sources, or interviews) used by the researchers?
- What were the results or findings of the research?
- What do you think would be a good solution to the social problem?
As always, remember to use APA format for the essay style, in-text citations, and in the listing of your sources on the reference page. Please refer to the Academic Resources page in the Course Home for resources on writing in APA style.
Submit your essay (written in 12-point font) describing your application project and your findings to the Submissions area.
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Sociocultural Group Is The Amish And People Of Egyptian Heritage Is The Heritage Group
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Population Presentation.
Prepare a PowerPoint presentation. Preparation for the presentation will include synthesizing the information from assigned readings, the scientific literature, Internet resources, and other sources.
This presentation should address the following: History, values and worldview, language and communication patterns, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, degree of assimilation or marginalization from mainstream society, and health behaviors and practices. In addition to describing the these characteristics, the presentation must include (a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups,(and (b) a discussion of differential approaches needed by health care professionals. Grades will also be based on overall quality of the professional presentation including handouts and references. 10 slides
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Societal Violence 2
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1- Collect newspaper reports of societal violence and determine the extent of the focus on different types of violence in the news media.
2-Summarize your findings
3- PLAN OF ACTION (PREVENTION)
4- APA FORMAT WITH 2 CITATIONS AND 2 REFERANCES
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