Respiratory Case Study

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Respiratory Case Study

For this question, please read the following case study and then respond to the questions noted below

Johnathan, age 7, presents to the office with symptoms of worsening cough and wheezing for the past 24 hours. He is accompanied by his mother, who is a good historian. She reports that her son started having symptoms of a viral upper respiratory infection 2 to 3 days ago, beginning with a runny nose, low-grade fever of 101.0 degrees F orally, and loose cough. Wheezing started on the day before the visit, so Johnathan ‘s mother started administering albuterol metered-dose inhaler (MDI) two puffs before bed and then two puffs at around 2 AM. The cough and wheezing appear worse today, according to the mother. He had difficulty taking deep-enough breaths to inhale this morning’s dose of albuterol, even using the spacer.

Johnathan has been a patient at the clinic since birth and is up to date on his immunizations. His growth and development have been normal, and he is generally healthy except for mild intermittent asthma. This is his first asthma exacerbation of the school year, and his mother expresses a concern about sending him to school with an inhaler.

respiratory rate

Johnathan is afebrile with a respiratory rate of 36 and a tight cough every 1 or 2 minutes. He weighs 45 pounds (20.5 kgs.). The examination is all within normal limits except for his breath sounds. He has diffused expiratory wheezes and mild retractions. Pulse oximetry readings have been 93% of oxygen saturation.

What;

  1.  are the appropriate pharmacological therapies to be prescribed for Johnathan?
  2. information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?
  3.  is an appropriate clinical assessment tool to be use with Johnathan?
  4.  are the classification of asthma?
  5. How would you as the NP address his mother’s concern regarding providing an inhaler at school?
  6.  is an appropriate plan of care for Johnathan?

family health assessment

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Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

Values/Health Perception
Nutrition
Sleep/Rest
Elimination
Activity/Exercise
Cognitive
Sensory-Perception
Self-Perception
Role Relationship
Sexuality
Coping
Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the inter

 

Public Health Responsibility

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Public Health Responsibility

Step 1: In your initial post to this discussion forum, respond to the following prompts. Include personal and practice-related experiences or observations as examples that support your response.

  1. Choose a disaster that has occurred in the United States within the last 20 years
  2. Describe at least 2 actions that were taken in one of the following stages of the disaster response. What stage of disaster response? What was done, and which agency, organization or individuals completed these actions?
  • Pre-disaster Stage
  • Impact Stage
  • Emergency Stage
  • Recovery Stage
  • Evaluation Stage

3. Analyze the impact of these actions on the disaster recovery

Leadership Journal: Power

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 Assessment Description

Journaling provides a valuable tool for recording, reflecting on. And reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between. And among activities, interactions, and outcomes.

Unlike a personal journal of thoughts and feelings. This leadership journal is a record of your activities, assessments, and learning related to this academic experience.

Journal entries should include a record of the number of hours spent with your nurse leader each week.

Write a journal entry of 750-1,500 words on the subject of power, including the following:

  1. Practicum Activities Reflection: Provide observations and thoughts on the activities in your practicum setting during Topics 1 and 2.
  2. Application of Leadership: Identify your given “power” at your workplace or in your professional life. What is your greatest contribution in the lives of others?
  3. Practicum Project Preparation: What are your ideas for you practicum project? How does this project refine and build skills related to your career goals?
  4. Leadership Video Reflection: Reflect on at least two things you learned from the “Servant Leadership – Issue of Power” video.

Use the “Leadership Journal Template” to complete this assignment.

APA format is not required, but solid academic writing is expected. Please use the provided Leadership Journal template.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

 

history of leg pains

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A 7-year-old boy has a one-week history of leg pains. He wakes up at night and cries because his legs hurt; however, during the day, he feels fine with no pain and no movement limitations. He has no history of trauma, fever, or joint swelling. The family history is negative for rheumatic or collagen vascular disease. The boy’s height and weight are at the 50th percentile for age, he is afebrile, and the physical examination is unremarkable.

  1. What are 3 differential diagnoses of leg pains in school-age children? Include the pathophysiology of the 3 differentials.
  2. What laboratory or radiographic studies are appropriate for children with leg pains? Explain
  3. How do musculoskeletal injuries in children differ from those in adults? In terms of injury type and location.
  4. How does the nurse practitioner decide the extent of the diagnostic work-up in a child with extremity pain?
  5. What fractures are common in pediatric patients, and what are the ages associated with them?
  6. Choosing one of the diagnoses you’ve come with; how would you treat the condition?

Diabetes

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  • Length: A minimum of 250 words per number, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years
  • Deadline: 9/8/21 11:59pm PST

1. A ten-year-old patient presents in the clinic with soft-tissue swelling around the left eye. The parent reports that the child has had a cold with copious amounts of nasal drainage for approximately a week. The parent thought the child was getting better, but this morning the child awoke with a red eye and a fever of 102.1°F. The child has no complaint of headache, vomiting or visual disturbances.

Describe how the FNP would clinically manage and follow up this patient. List the pharmacological and non-pharmacological interventions. Describe how the treatment plan might be different for a 35-year-old patient as well as a 65+ year old patient.

2. Diabetes is a common illness seen in primary care.  Using evidence-based practice, what screening would you need to make to ensure these patients are getting adequate care and health promotion.

Model and Security Policy

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Model and Security Policy

Increasingly patients are creating and maintaining personal health records (PHRs). With data from a variety of healthcare providers as well as data they have generated about their health. What provisions should be included in a model privacy. And security policy that patients might use in making decisions related to their privacy and the security of their PHRs?

Nursing Leadership

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1) Minimum 6 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.

           Part 1, 2, 3: minimum 1 page

           

   Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted

         Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

Part 3: minimum 5 references not older than 5 years

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1, 2.doc 

__________________________________________________________________________________

Part 1: Nursing Leadership

1. Discuss how nurse managers and nurse leaders contribute to the reengineering of health care.

Part 2: Nursing Leadership

Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry.

1. Provide an example of how you would apply CQI in your current or past position.

Part 3: Nursing Leadership

Organization: United Healthcare

Purpose: Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a paper  that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

1. Describe the health care organization or network.

2. Describe the organization’s overall readiness based on your findings.

3. Desing and describe a strategic plan to address issues pertaining to network growth

a.  Nurse staffing

b. Resource management

c. Patient satisfaction.

4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.

5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization.

a. Explain why this theory or model is best.

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Prenatal Education

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Prenatal Education

Explore several websites related to prenatal health education and complete the following:

1. Provide the web address of one website that would be useful to you if you were preparing an educational program for expectant couples. Please be certain that it is a reputable site such as March of Dimes, CDC, NIH/other federal government site, or academic medical center.

2. Describe the main focus or purpose of the information that is provided on this website.

3. Explain why you believe the information provided on this website is based on science and not just on “opinion”.

4. Give three reasons why you believe the information provided would be helpful in preparing an educational program for expectant parents.

Assignment points will be based on covering all of the above information. Your assignment may not exceed one page and must be uploaded into the iCollege Dropbox feature in a Word file. Answers may NOT be typed into the blank box on the screen. Follow the rubric for the assignment.

understanding of cells and cell behavior

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An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

Photo Credit: Getty Images/Hero Images

An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

Examine a case study and analyze the symptoms presented.

Identify cell, gene, and/or process elements that may be factored in the diagnosis.

Explain the implications to patient health.