A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin

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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 (must be detailed and prioritization explained in depth) , prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three detailed 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.

the nurse’s role in pharmacologic pain management

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the nurse’s role in pharmacologic pain management

Alicia and Mandy are accompanying their 3-year-old daughter, Esther, during her stay at the local children’s hospital for a displaced fracture of the left femur as the result of a pedestrian versus motor vehicle accident. Esther is in traction until such time that she can receive surgery to place orthopedic appliances to stabilize the fractured femur. (Learning Objectives 5 and 6)

What; are some of the pain assessment or rating scales the nurse can utilize with Esther?
What are some nonpharmacologic interventions the nurse can utilize to manage pain in Esther?
What is the nurse’s role in pharmacologic pain management for Esther?

Government Regulations

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Government Regulations And Social Insurance Program

Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 17
  • Lesson
  • Minimum of 1 scholarly source (in addition to the textbook)

Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating Option 1

  • Option 1: The main social insurance programs like Social Security, Medicare, and unemployment compensation are funded by a payroll tax on the earnings of individuals who may receive benefits. Do you think the social insurance programs are effective? How are social insurance programs affected by the socioeconomic and political forces? Explain your answers.

Evolution Of Nursing Theories

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1. Students must post a minimum of  twice (an  initial  posting. And  at least one additional  posting) per Discussion Board. The initial response and additional posting(s), including response to student. Must reflect  students own work-no plagiarism.

2. Students  initial (first) post  ( students original post-not copied or based on another student’s post ) must address all Discussion Board items by  Thursday  at 11:59 pm  Eastern Time  for each module  except  for  Module one  and  Module seven. Exceptions: Module one initial post  may be posted  with response to classmate  by  Sunday at 11:59 pm Eastern Time .  Module seven initial post is due Wednesday at 11:59 pm Eastern Time .

The initial post is one post that includes responses to every weekly discussion board question listed. Questions to peers to deepen the discussion may be included in the initial post. 3. Respond to at least one other classmate’s post by 11:59 pm Eastern time Sunday. The last (final) posting should be completed by 11:59 pm Eastern Time Sunday,  except  for Module seven when last post is due at 5:00 pm Eastern Time on Friday. The response to classmate post may be the final post.

professional sources

4. Students are expected to include,  at minimum , two to five  current (within the last three to five years)  professional sources beyond the assigned readings to extend learning.

5. Students must provide citations and references for the initial posting and the final posting.  Please use APA for references and citations. Students must  apply assigned readings plus other professional readings . Students must also have  citations in the text  of their responses as well as  references at the end of their responses . Citations and references are  required for all postings (initial, final/response to peer, and any additional posts) . References for other professional readings need to be  current, within the last three to five years.

6.  Grading: Discussion Board Grading Rubric reflects 50 points possible per module discussion board. Student assignment will be graded according to Discussion Board Grading Rubric (displayed below), discussion board guidelines/instructions, and MSN 600 syllabus.

MSN 600 Discussion Board Grading Rubric:  MSN 600 Weekly Discussions Grading Rubric-May 2021.docx

Actions

 

American Psychological Association (APA) is required for writing, citing, and referencing. Please post a response specific to each of the questions listed. Students must address each component of each question. Please respond by addressing each question/item individually. For example:

1. State the provided question or statement to be addressed.

Write your response to the stated question or statement using APA format.

2. State the provided question or statement to be addressed.

Write your response to the stated question or statement using APA format.

Please write responses to each of the two questions listed below for Module 1 Discussion Board:

1. Theories seem to be such esoteric notions for a profession of nursing that seemed to function well for decades, without highlighting theories. Can nursing practice history guide nursing practice future with theories? Why/not?

2. Define both rationalism and empiricism. Differentiate between these two scientific approaches.

Clinical Issue And Research Questions Developed Using PICOT

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PICOT is an acronym used to help develop clinical research questions and guide you in your search for evidence:

P = Patient population

I = Intervention or issue of interest

C = Comparison of interventions or comparison of interests

O = Outcome

T = Time frame

For example, you may wish to research the effects of interrupted sleep on cognition of ICU patients 65 or older.

Using this PICOT model,

In _________(P), how does __________ (I) compared to _________ (C) influence _________ (O) over ________ (T)?

In ICU patients who are 65 or older, how does interrupted sleep (awakened one time or more in four hours) as compared to uninterrupted sleep influence the patient’s cognitive ability over 5 days?

 

Assignment Directions

Begin by selecting a  topic in nursing  that is of interest to you. Next, use PICOT to format possible research questions about that topic. Provide 3 possible PICOT research questions.

Include the following:

· Title page

· Provide a brief description of the topic and background information.

· Explain the significance of the topic to nursing practice.

· Provide 3 clearly stated PICOT questions.

Your paper should:

· Be 2–3 pages (not including the title page and reference page)

· Use current APA format to style your paper and to cite your sources.

The LGBT Communities.

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Health Issues Relevant To The LGBT Communities.

develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:

  • What is the health problem?
  • Which group(s) are most likely to be at risk?
  • What social/behavioral/health system determinants affect this?
  • Identify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issue
  • What resistance might be met in implementing the intervention/activity?

Nursing Practice Regulation

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To Prepare:
  • Review practice agreements in your state.
  • Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.
  • Research the following:
    • How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?
    • What is the application process for certification in your state?
    • What is your state’s board of nursing website?
    • How does your state define the scope of practice of a nurse practitioner?
    • What is included in your state practice agreement?
    • How do you get a DEA license?
    • Does your state have a prescription monitoring program (PMP)?
    • How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
By Day 3 of Week 1

Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

Healthcare spending in the United States

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400-600 words APA 6 format, in-text citation, Use at least two (2) scholarly references to substantiate your work.  Please use the article as a reference. Please provide a copy of all references used.

**The links to the mentioned articles are provided below. **

Assignment Details:

Healthcare spending in the United States has continued to increase over the past several decades at a rate that far exceeds that of other nations. People have seen these increases on everything, from the cost of insurance premiums going up, to the costs of drug prices and office visits increasing. To familiarize yourself with some of the many areas and ways costs and spending are increasing, please review the NHE fact sheet.

  • Discuss 1 area that you or someone close to you have seen these increases in costs.
  • Examine these increased costs from the perspective of the leader of a healthcare organization. Consider the following:
    • Why do you feel there was an increase in the cost?
    • What, if anything, could have been done to react to the rise in costs and decrease their impact on the organization?
    • What can the organization do to help avoid these increases in the future?

    **NHE Article**

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NHE-Fact-Sheet#:~:text=Historical%20NHE%2C%202019%3A&text=Private%20health%20insurance%20spending%20grew,the%204.2%25%20growth%20in%202018

Health Disparity Statistics

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Health Disparity Statistics

Using the various statistical and data websites, discuss your population of interest using data. What statistics define the population? Provide background data that allow readers to understand your population of interest. What health disparity statistics can you share with the group? This would allow readers to understand the critical disparities among your population of interest

care of the patient in the clinical case

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Instructions

SOAP Note Assignment

Click here to download and analyze the case study for this week. Create a SOAP note for disease prevention, health promotion. And acute care of the patient in the clinical case. Your care plan should be based on current evidence. And nursing standards of care.

Visit the online library and research for current scholarly evidence. (No older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States. To classify and assign codes to health conditions and related information.

Click here to access the codes.

Download the SOAP template to help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note. And building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis. And advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions. And incorporate the knowledge that you have gained into your patient’s care plan.  If the information is not in the provided scenario please consider it normal for SOAP note purposes. If it is abnormal please utilize what you know about the disease process. And write what you would expect in the subjective. And objective areas of your note.

Format

· Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be no longer than 3-4 pages excluding the title. And the references and in 12pt font.