Maternal-Child Nursing

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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 250/5ml?
  • 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 per dose?
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.

Format
  • Standard American English (correct grammar, punctuation, etc.)
  • Logical, original and insightful
  • Professional organization, style, and mechanics in APA format
  • Submit document through Grammarly to correct errors before submission

Community Blood Center of the Carolinas

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Community Blood Center of the Carolinas

Continuing with the case: Community Blood Center of the Carolinas: Donations, Donations, Donations, Complete a full case analysis incorporating your work from your SWOT analysis this week. Use the following format to complete this assignment.

An introduction
Definition of the problem.
Identification of the stakeholders.
Identification of alternative solutions.
Evaluation of alternative solutions.
Solution chosen and how to implement it with the stakeholders.
Conclusion and reflection of this process.

Advanced Practice Nursing Model

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Discussion Reflection Response – Advanced Practice Nursing Model

Post your complete response to the discussion questions in the Discussion Area by the due date assigned.

This first week we are going to reflect on who we want to be and why. Why do you want to be an advanced practice nurse?

Please note:

  • Start with why you wanted to be a nurse originally; what does nursing mean to you? Describe the APN role that you are pursuing at South and why you chose this role—add a personal story to illustrate. 
  • This is a reflection and therefore no references are needed nor expected.
  • There is only one (1) post for this discussion board.
  • There is no requirement to respond to any of your peers.
  • Your response should be 200-250 words in length.

Guidelines: In your discussion response, provide a substantive response that illustrates a well-reasoned and thoughtful response. Reflective posts provide you an opportunity to think back on the concepts and materials you reviewed for the week. A reflection is a method for personal growth. A reflection post can help answer questions, such as, “How has my thinking changed this past week?”, “How can I use the concepts or relationships from the course readings and course content in my practice?” Reflection enhances personal and professional growth by making connections to previous course content and/or presenting novel ideas and insights

Food-Bourne Illnesses

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Using the following scenario, complete the case study.

During Spring Break, Angela, Bridgette, and Laura went to a small Mexican town near the Gulf of Mexico. On Friday night, the girls went to a restaurant. Angela and Bridgette shared a pizza with ground beef, refried beans, cheese, and some vegetable toppings. Laura ate a large portion of chicken fajitas. After dinner, Laura brought her leftover chicken fajitas back to the hotel and stored them in the room’s refrigerator. Saturday morning, the girls ate bagels and fresh fruit. For lunch, the girls stopped at a deli. Angela had a spinach salad with fresh strawberries, blueberries, and poppy seed dressing. Bridgette had a shrimp salad sandwich on a toasted multigrain roll. Laura had a bowl of seafood gumbo soup.

The young women were having so much fun that evening, they didn’t have time for a sit-down dinner, so they each ate a hot dog from a street vendor. When they returned to the hotel later that evening, they were a little bit hungry, so they shared Laura’s chicken fajita leftovers after reheating them in a microwave. Between 3:00 and 5:00 a.m. on Sunday morning, Angela and Bridgette each woke up feeling nauseous and bloated. They spent most of Sunday sick with vomiting and diarrhea. Angela also had a very bad headache and chills. Laura felt fine, but she was stuck in the hotel room taking care of her sick friends all day.

Determine what food(s) you think could have potentially been the source of Angela and Bridgette’s food-borne illness.  Explain your reasoning.

Identify potential sources of food-borne illness for each of the meals the girls ate over the weekend.

Based on their symptoms, suspected food source(s), and the time of onset, analyze which microorganism(s) were most likely to have been responsible for their illness. Use references to support your claims.

Discuss any precautions that Bridgette and Angela could have done differently to prevent developing a food-borne illness. Explain your answer.

pediatric populations

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pediatric populations

Week 1 Discussion

For this assignment, you will review the latest evidence-based guidelines in the links provided below. Please make sure you are using scholarly references and they should not be older than 5 years. The posts/references must be in APA format.

https://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr11/minority.html#Introduction

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519320/

After completing your research, answer the following questions: 

1) What are the sources of pediatric primary care in the United States? Are these sources sufficient for providing health-care services to the pediatric population? Why or why not?

2) Are there certain pediatric populations that lack access to healthcare services? Why?

3) What are the barriers to children in accessing healthcare services in the United States? Why do these barriers exist? 

Pharmacolgy And Therapeutics

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1. What is selective toxicity?

2. How does antibiotic use promote resistant organisms? What are ways that nurses can help to reduce the spread of resistant organisms in hospitals?

3. What is broad spectrum vs. narrow spectrum antibiotics? Name an example of each.

4. How is clostridium difficile treated initially? How about for a severe infection?

5. What medication can cause “red mans syndrome?” How is this treated?

6. What organs can be affected by aminoglycosides?

7. What are some nursing teaching points for the patient being prescribed Tetracycline?

8. Who is at the highest risk for tuberculosis (name some populations of people).

Electronic Health Record Implementation

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Emerging Technology Brief

 

New health care innovations offer the advanced registered nurse an opportunity. To apply emerging technologies in practice to improve quality and patient outcomes. For this assignment, research an emerging health care technology. That you think has the potential to overcome current or emerging barriers to care.

 

Write a 500-750 word brief. Include the following:

 

Provide an overview of the emerging technology. And its role/function in health care. Consider its potential for improving access to care and promoting patient safety and quality.

Describe ethical or legal issues that would accompany the incorporation of the technology.

Explain the nurse’s informatics role in regard to the technology. Provide examples of the roles and job functions.

Outline the role of workflow analysis, human factors. And user-centered design concepts for your chosen technology example.

Refer to the study materials for samples and resources to help you construct your brief.

 

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years. And appropriate for the assignment criteria and nursing content.

 

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

signs of benzodiazepine toxicity

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What are the signs of benzodiazepine toxicity? How is it treated?

How do local anesthetics work? Why are vasoconstrictors often used with local anesthetics?

Why are local anesthetics with epinephrine not used near toes, fingers, noses, ears, or penis? Describe balanced anesthesia.

What is the mechanism of action of inhaled anesthetics?

Describe minimum alveolar concentration.

Name 3 adverse effects of general anesthetics and the nursing care appropriate to help with these effects.

4. Name two classes of medications used to treat ADHD.

5. What is the difference between drug abuse and drug addiction.

6. What is the difference between opioid tolerance and physical dependence?

7. What class of medications is first line treatment for alcohol withdrawal?

8. Name two non-nicotine drugs used to aid in smoking cessation

9. What are the signs of opioid withdrawal?

What are some medical uses of marijuana or cannabinoids

communication technologies

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You have just walked into your first steering committee meeting. And quickly see this committee is ready to move forward with levering technology specific to communication. As the nursing delegate, you have been tasked with creating a comparative analysis of two communication technologies. And how they can be used to improve communication between healthcare teams. As well as how it can influence patient outcomes. Before the next monthly committee meeting, they want you to send them a comparative analysis using a format of your choice (i.e. table) of two communication technologies that you feel best improve safety and quality healthcare. Write a comparative analysis including the following:

  • Discuss the two selected communication technologies you have chosen with support from scholarly research
  • Describe the function of each technology
  • Analyze how it is used in the healthcare setting
  • Examine how the two selected technologies can be used to improve communication among the healthcare team.
  • Provide a specific practice example from the literature to support how each technology has been shown. To improve communication among the healthcare team.
  • Discuss how each communication technology has been shown to improve patient outcomes.
  • Identify evidence from the literature to support how each technology has been shown to impact patient outcomes.

Roles And Responsibilities Of International Organizations

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As the number of international migrants grows globally, the need for access to public health services continues to rise. This dilemma is causing a complex humanitarian issue to become a reality for many countries. Review the World Health Organization’s draft global action plan “Promoting the Health of Refugees and Migrants.” Discuss the roles and responsibilities of international organizations in providing health support for refugees and migrants. Compare these to the roles and responsibilities of governmental agencies. Why would a country benefit from being a member of an international organization when dealing with humanitarian crises? What role should the faith-based community fulfill when supporting the needs of the migrant community?

 

Please provide references