Fundamentals Of Nursing Clinical

1.  Explain the characteristics of fecal matter from a colonoscopy and an ileostomy.

2.  When performing ostomy care the nurse knows that the device should be changed based on what factor?

3.  When giving a large volume enema the nurse knows that instilling the solution is done through gravity.  Explain the procedure.

4.  Changing a wound dressing the main goal is to prevent what?

5.  Collecting a wound culture requires that the nurse does what?

6.  Your patient is discharged home with a Jackson-Pratt drain.  The drain is emptied when and how often and what is noted about the characteristics of the drainage?

7.  What are the steps in wound irrigation?

8.  What are the signs of proper tube placement and appropriate absorption of tube feeding?

9.  After bolus tube feeding the nurse should follow with how much water and what position should the patient be in when he/she is done, and why?

10.  When doing tube feedings the nurse knows that the feeding tube is in the abdomen, when he/she hears what sound or aspirates content. What range is the PH in for gastric content?

11.  The nurse needs to prepare a diet that will promote wound healing and tissue repair. What types of food would be on it?

12.  When calculating urinary output the nurse knows that the intake should equal the output and that he/she should provide what items for urine collection?

13.  If a patient is on 24 hour urine collection, when does it start and when does it stop? How is the urine stored? When does urine go to the lab?

14.  If a patient is on 24 hour urine collection, when does it start and when does it stop? How is the urine stored? When does urine go to the lab?

15.  When inserting an indwelling Foley catheter, the nurse uses strict sterile technique. Under what conditions would a nurse stop the procedure and start
over?

16.  What safety measures should the nurse employ prior to moving, transferring, or assisting a patient from the bed?

17.  A patient that is confined to bed should be turned. How often and what other measures should you use to prevent pressure injuries?

18.  To move a patient up in bed what is it that the nurse does to prevent injuries to her and others?

19.  To shave a patient you should check this chart for the use of what medications and why?

20.  Oral care for a dependent person is not the same as for an independent person. What are the deferences and similarities?

21.  When would you give a full bed bath to your patient?

22.  How would you identify the stages of pressure injuries?

23.  What are observable signs and symptoms of infection?

24.  Conduct a physical assessment in a systematic manner.

25.  What is the order in which you would auscultate a patients abdomen?

26.  What is the order for abdominal assessment?

27.  Hair, skin, and nails are observed by the nurse to assist in determining a persons overall health status. What signs and symptoms would you observe if these things were not healthy?

28.  Describe the sequence and give the rationale for putting on and taking off PPE.

29.  State the conditions when a sterile field will no longer be sterile.

30.  Compare and contrast factors that increase or decrease body temperature, pulse, respiration, and blood pressure.

31.  Before a patient can go to surgery the nursery is responsible for patient teaching. What things will you teach your patient prior to surgery?

32.  When applying a mummy restraint who does it best serve and why?

33.  What are the advantages or disadvantages of using a safety waist restraints?

34.  When should you place a patient in restraints and what are the rules for use of physical restraints (i.e. documentation, time, and site for tying).

35.  What things appear on a fall prevention list?

36.  When a patient is confined to bed what type of aids can help with circulation?

37.  When suctioning a tracheostomy tube, the patient is observed or assessed for what signs and symptoms?

38.  A patient needs to be taught how to use an incentive spirometer.  What information would you provide?

39.  When is a nasal gastric tube used?

40.  Conduct a physical assessment in a systematic manner. (Head-to-toe)

Note: The questions must be completed no less than 75 words each.

Infectious Disease And Cancer

1. How is the Gram stain used to classify bacteria? How do antibiotics inhibit the growth of bacteria? Explain how carriers play an important role in the transmission of pathogens. Jan acquired a MRSA infection during a stay at a rehabilitation facility. Jan’s physician tells her that her MRSA was caused by S. aureus. How would you explain to Jan what S. aureus is and how it can cause diseases?

2. Lou had abdominal surgery. During his stay at the hospital a catheter was inserted into his bladder. After returning home Lou was diagnosed with a nosocomial infection. What are the principle routes of transmission of nosocomial infections? What can be done to prevent nosocomial infections? What are three reasons why rates of nosocomial infections are markedly higher in developing countries? What are five things that increase the risk of nosocomial infection?

3. What is the difference between a neoplasm, benign tumor, and malignant tumor? Identify four chronic infections that may cause cancer, and what cancer the infection might cause. Mr. Brown age 63 and Mrs. Brown age 61, are being seen in for a routine check-up. What cancer screenings should Mr. and Mrs. Brown receive (name at least 3 and why)?

4. In Western societies, why is colorectal cancer the most common cancer, but yet there has been a decline in the incidence and mortality of cervical cancer over the last 40 years? Identify and discuss four nonspecific warning signs of cancer and which cancer the warning sign is linked to. Aaron is a 28-year-old who had an EBV infection during high school. He noticed one of his lymph nodes in his neck is swollen but is not painful. He is also experiencing night sweats. What is a possible diagnosis? Give some possible treatments for this diagnosis?

6 Concepts Of Health

APA FORMAT 2 PAGES & 3-4 REFERENCES

In this assignment, you will explore the six concepts of health (physical, intellectual, emotional, professional, social, and spiritual) in a formal APA-formatted assignment. First-person is acceptable for this assignment.

For each of the six concepts, you are asked to include:

1. A description of the concept (DESCRIBE EACH ONE!)
2. How important you consider the component to be in your daily life (i.e., percentage totaling 100 for all six concepts) (NOTE: There is no right or wrong answer here; this is your opinion.)
3. Describe a minimum of two ways you currently use to maintain (or plan to use to improve) this type of health. (Describe a minimum of two ways you currently use to maintain or plan to use to improve your top rated aspect of health. Two or more methods for maintaining or improving the top rated health concept were fully described. )
4. As a leader, how do you plan to instill the importance of self-care in those you lead? Explain.  (A thoughtful and well developed discussion of prospective plans with specific examples are provided.)
5. What are the signs that a nurse isn’t properly caring for themself? (Five or more signs are described including the concept(s) of health they relate to.)
6. How would you approach that person and assist?  (Clear and well developed description of at least one plan of action for addressing a person exhibiting at least one of the signs previously addressed with specific examples or action steps. )
7. How can you make health (including all concepts) a part of the organizational culture? (At least two ways to incorporate the six concepts of health into the organizational culture within an institution are addressed from a management perspective. )

Capstone Project Change Proposal Plan

Topic 9 DQ 1

One of my strengths regarding professional presentations is organization and thourough research. One way that I can continue to build this strength is to prepare ahead of time and avoid procrastination. This will allow plenty of time to edit and re-edit in order to be even more organized. One of my weaknesses regarding professional presentations is being able to get my entire thought presented in a way that is not confusing. One way that I can work on this includes preparation and running through the presentation before hand and either recording it and watching it back or in front of colleagues to obtain construtive criticism that I can apply to the presentation to make changes that will enhance the delivery (Swathi, 2015). Being able to present professionally is essential for projects such as our capstone project for this class.

The focus of my change proposal focuses on improving nursing work satisfaction to improve patient outcomes. There is much to be said on this topic, however, a challenge will be elaborating on key points without losing focus. “Communication gaps and dissatisfaction often described in terms of contradictory instructions, lack of clarity on self-care expectations, uncertainty” (Wheatley et al., 2017) are one of the problems I need to avoid.

Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.

 

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.