Nursing 2 19477567
/in Uncategorized /by developer
Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.
Keeping that in mind, answer the following scenario:
You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:
- RN with 12 years of Trauma ED experience
- New RN with 6 months ED experience
- RN from the Medical Surgical floor with 8 years of experience
The following patients are in the ED, which patient will you give to each of the nurses and why?
- A 76-year-old client who was involved in a motor vehicle accident and has hematuria.
- A 38-year-old client with kidney stones complaining of severe pain.
- A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.
- An 80-year-old client that has not had a bowel movement for 4 days.
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Nursing 19497293
/in Uncategorized /by developer
Nursing Leadership
Consider experienced nurses you know or imagine the qualities required of nurses to be efficient at accomplishing their daily work. How do these nurses plan and organize their daily assignments? How do the more experienced nurses interact with other members of the health care team? Identify and list several management skills that help nurses accomplish their work more efficiently.
Communication Styles
Discuss different communication styles. Include examples of situations that call for different communication styles?
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Nursing 19496755
/in Uncategorized /by developerSelect the state where you plan to practice as a nurse practitioner and/or nurse leader and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors.
As a reminder, all discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.
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Nursing 19496559
/in Uncategorized /by developerRespiratory Case Study
Do not change the format.
Save your name to the document to receive credit and for easier verification.
List at least one reference to support your answers.
Use your own words only.
- Winter is a 4-year-old girl with a history of asthma. Her mother has brought her in an “asthma attack”. Winter is sitting in her mother’s lap and breathing rapidly through an open mouth. She has a cough that sounds congested and wheezy. The physician has already ordered a nebulized treatment containing albuterol (Proventil) and ipratropium bromide (Atrovent).
- Mr. Chung is a 68-year-old man complaining of cough, sore throat, fatigue, and weakness. His BP is 166/82, pulse is 90, respirations are 26, and temperature is 100.4 degrees.
- Jackson is a 19-year-old man who has had a sudden onset of right-sided chest pain and shortness of breath. His chest x-ray film revealed a right pneumothorax, and he is currently receiving 35% oxygen by face mask while waiting for an ambulance to transport him to the hospital for further evaluation.
- Ms. Summers is a 45-year-old homemaker. She says she has been extremely tired, easily becomes short of breath, and is unable to complete her chores without frequent rest breaks. She is pale and seems tired. Her vital signs are as follows: BP 136/78, pulse 86, respirations 24 and unlabored; temp 98.4 and pulse oximetry 98% on room air. She is now waiting for her lab results, which include a complete blood count (CBC).
Answer the following questions that pertain to the above patients.
- Which patients are experiencing problems with ventilation? Explain your answer.
- Which patient appears to be experiencing problems with hypoxia? Does the problem appear to be related to oxygenation or perfusion? Explain your answers.
- Mr. Chung has smoked two packs of cigarettes per day for 50 years. ABGs reveal a low PO2 and a high PCO2 consistent with chronic lung disease. He is diagnosed with an acute exacerbation of chronic bronchitis. He is placed on oral antibiotics and long acting bronchodilators by metered-dose inhaler (MDI). What teaching could you offer to help Mr. Chung mobilize and expectorate secretions?
- Winter receives her nebulizer treatment and markedly improves. The physician has ordered a variety of take-home medications that you must teach her mother about. The treatment plan includes a protocol based on peak expiratory flow monitoring. Discuss how you might involve Mary in her own care.
- Jackson’s chest x-ray film reveals a spontaneous pneumothorax. There is no apparent fluid in the pleural space. What chest tube systems can be used to treat his pneumothorax? Explain your thinking.
- Ms. Summers is diagnosed with severe anemia. She is hospitalized because her hemoglobin is 5.9 g/dL. How will this affect her oxygenation? What interventions would improve her fatigue?
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Nursing 19492431
/in Uncategorized /by developerNursing Aged Care
/in Uncategorized /by developerNursing Advance Practice
/in Uncategorized /by developerHow well do you know your future role in advance practice?
The elevator door opens; you step on and find yourself face to face with a known skeptical colleague, who inquires “what are you doing in your profession”? It’s your chance to share, define and possible persuade this person about your chosen role of nursing in advance practice. You have 10 floors, roughly 90 seconds to make an impression. Draft an “Elevator Speech” (approximately 300 words) reflecting the conversation about your future role in your program of study. In three detailed paragraphs, address why you have chosen this role (your passion) and define steps to ascertain the role including certification criteria and how the role will impact patient outcomes (how you will make a difference).
Support your work with evidence based research. For example, in conversation you tell the person A recent study by Taylor in 2016 showed that NPs were efficient as MDs at treating primary care problems.
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