Nursing Timeline Of Historical Events Essay
How Does Knowledge Of The Foundations And History Of Nursing Provide A Context In Which To Understand Current Practice? Identify At Least Three Trends In Nursing Practice From The “Nursing Timeline Of Historical Events” Media Piece. How Have These Trends
Pulmonary Embolism and Obesity Question and Answer
A client with obesity is diagnosed with pulmonary embolism (PE). Which assessment data would the nurse expect to find?
Select all that apply.
Bradycardia
Chest pain
Chills and fever
Hypoxemia
Tachypnea
Tracheal deviation
Pulmonary Embolism and Obesity Question and Answer
Answer
Correct answer
2,4,5
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Explanation
A pulmonary embolus is a
blood clot
that usually originates from the deep veins of the legs (>90%), travels to the pulmonary circulation, and
obstructs a pulmonary artery
or one of its branches, resulting in decreased perfusion in relation to ventilation and
impaired gas exchange
(hypoxemia).
Clients are at risk for formation of venous thromboembolism (VTE) when the conditions detailed in Virchow’s Triad are present. Clients at risk for PE include those with
prolonged immobilization
(eg, during hospitalization if not ambulatory), obesity, recent surgery, varicose veins, smoking, heart failure, advanced age, or history of VTE.
The assessment data most characteristic of PE include:
Dyspnea
(85%)
Pleuritic chest pain
(60%)
Tachycardia
Tachypnea
Hypoxemia
(impaired gas exchange, decreased perfusion with normal alveolar ventilation, shunting)
Apprehension and anxiety
A more atypical presentation can be associated with a larger sized PE, and may include manifestations of cardiopulmonary compromise and
hemodynamic instability
(eg, right ventricular dysfunction, pulmonary hypertension, systemic hypotension, syncope, loss of consciousness, distended neck veins).
(Option 1)
A classic manifestation of PE is tachycardia to compensate for hypoxemia (not bradycardia).
(Option 3)
Chills and fever can indicate the presence of an infection and are not characteristic of PE. However, a low-grade fever without chills can occur 1-2 weeks after PE due to inflammation.
(Option 6)
Tracheal deviation is a symptom of tension pneumothorax. The trachea deviates from midline toward the unaffected side, away from the collapsed lung.
Pulmonary Embolism and Obesity Question and Answer Educational objective:
Classic clinical manifestations of PE include dyspnea, pleuritic chest pain, tachycardia, tachypnea, hypoxemia, and feelings of apprehension and anxiety. Risk factors for PE include those detailed in Virchow’s Triad (eg, hypercoagulability, venous stasis, and endothelial damage). Massive PE can cause syncope and hemodynamic instability.
Clostridium Difficile Colitis Question and Answer
Question
A client is being admitted to the health care facility with a new diagnosis of
Clostridium difficile
colitis. Which elements of infectious disease precautions are necessary when providing routine care for this client?
Select all that apply.
Alcohol-based sanitizers for hand cleaning
Client in single-room (private) isolation
Nurse using N95 respirator
Nurse using sterile gloves
Nurse using surgical mask
Nurse wearing disposable gown
Clostridium Difficile Colitis Question and Answer
Answer
Correct answer
2,6
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Explanation
Clostridium difficile
requires
contact precautions
under the guidelines published by the Centers for Disease Control and Prevention.
Place the client in
single-room
isolation (preferred) or cohort with other
C difficile
-infected clients
All surfaces within 3 feet of the bed are considered contaminated
Personal protective equipment (
gown and gloves
) must be discarded before leaving the room
Hand hygiene must be performed with
soap and water
Alcohol-based hand sanitizers do not kill
C difficile
spores
(Option 1)
Dedicated medical equipment (stethoscope, blood pressure cuff) should remain in the room
(Option 3)
For client care involving airborne precautions, a class N95 or higher grade respirator must be used in lieu of a surgical mask to avoid potential exposure to aerosolized particles. Surgical masks are rated for barrier protection for droplet splashing and filtration of large respiratory particles only.
(Option 4)
Regular clean gloves (not sterile) are needed.
(Option 5)
Surgical masks are rated for barrier protection from droplet-based disease transmission and provide only filtration for large respiratory particles. Masks are required during any activity with the possibility of fluids splashing (suctioning, wound care).
Clostridium Difficile Colitis Question and Answer Educational objective:
Clostridium difficile
requires contact-based precautions – private isolation room preferred, disposable gown, and nitrile gloves.
C difficile
requires the use of
soap and water
, not alcohol-based hand sanitizers, to prevent transmission.
Bacterial Meningitis Nursing Care Question.
A 6-month-old is admitted with bacterial meningitis. Which action is the
priority
of care? (choose one of the following bacterial meningitis nursing care options, the answer and the explanation is given below)
1.
Administering antibiotics
2.
Avoiding environmental stimuli
3.
Initiating seizure precautions
4.
Measuring head circumference
Bacterial Meningitis Nursing Care Question Answer and Explanation:
Bacterial meningitis
occurs when infection causes inflammation in the meninges of the brain and spinal cord. This inflammation may lead to hydrocephalus and increased intracranial pressure (ICP). Due to the risk for severe complications from meningitis and increased ICP (eg, hearing loss, permanent brain damage, death), the
priority
of care is
immediate antibiotic therapy
.
Lumbar puncture
(LP) with cerebrospinal fluid culture is performed to determine the causative organism. Antibiotic choice may be adjusted later based on LP results. The client should remain on
isolation precautions
for a minimum of 24 hours following initiation of antibiotic therapy.
(Option 2)
Clients with meningitis are often very
sensitive to stimuli
(eg, bright lights, noise). Although environmental stimuli should be reduced as much as possible, the priority of care is initiating antibiotic therapy.
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(Option 3)
Seizures may occur in infants with bacterial meningitis and are often accompanied by a
shrill, high-pitched cry
. There is no indication that this client has experienced a seizure. The nurse should carefully monitor for seizure activity and place the client on seizure precautions if necessary. However, antibiotic therapy is the most critical intervention in treating bacterial meningitis.
(Option 4)
Although obtaining an initial
head circumference
is necessary to monitor for changes related to increasing ICP, the priority is obtaining blood cultures and administering antibiotics as soon as they are prescribed.
Educational objective:
Due to the risk for severe complications (eg, hearing loss, permanent brain damage) associated with bacterial meningitis, the most critical intervention is initiation of antibiotic therapy. The causative organism is confirmed through LP and blood cultures.
Contemporary moral issue in our society and ethical principle of Utilitarianism
Choose a contemporary moral issue in our society and apply the ethical principle of Utilitarianism to approve and be in favor of this moral issue. You must pick a moral issue that you strongly agree with and apply the utilitarian claims to back up your arguments. In addition, you must apply Bentham’s Felicific Calculus. The paper must be done in MLA format with a minimum of 500 words (quotes are not included in the word count). You must read Chapter 2 and watch the Week 3 Lectures before you do this paper.
How can graphics and/or statistics be used to misrepresent data? Where have you seen this done?
Based on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale.
Statistical Analysis on a Selected Data Set Assignment
Conduct
a Statistical analysis on one of the data sets provided or use your own data set. The sample data sets are for the following areas:
A hospital administrator is attempting reduce the length of stay in the inpatient setting at four of the systems hospitals. Each hospital leadership team has attempted to implement strategies to decrease the length of stay over the past year. Conduct an analysis on the data provided to identify the hospital closest to achieving the lowest LOS. What are your results of your descriptive statistical analysis? What other data elements would be helpful for a researcher to collect?
Perform
some descriptive statistical analysis on the data you selected. Include the following standard tests:
Mean
Median
Mode
Percentages
Trends in data over time
This assignment will be broken up as the following:
Introduction
Mean with short explanation and summary of the results and with a graph.
Median with short explanation and summary of the results and with a graph
Mode with short explanation and summary of the results and with a graph
Percentages with short explanation and summary of the results and with a graph
Trends with short explanation and summary of the results and with a graph
What other data elements would be helpful for a researcher to collect?
Conclusion
Data set:
Hospital
Oct
Nov
Dec
Jan
Feb
March
April
May
June
July
Aug
Sept
Year To Date
Hospital A
4.48
4.77
4.51
4.72
4.73
4.84
4.87
4.73
4.67
4.7
4.29
4.45
4.65
Hospital B
4.53
4.23
4.37
4.48
4.58
4.92
4.79
4.97
4.61
4.91
4.58
4.43
4.62
Hospital C
3.63
3.53
3.96
3.51
3.79
3.39
3.91
3.59
3.23
3.77
3.32
3.42
3.59
Hospital D
4.33
4.32
4.34
4.42
4.46
4.59
4.64
4.6
4.39
4.63
4.25
4.3
4.5
Provide
a 350- to 700-word summary of your results, including graphical representations of your findings. Plot the information on your graph. Interpret your findings.
Unionization and the Nursing Profession Essay Assignment
Unionization is a highly charged topic. No matter what your beliefs or thoughts are on the subject, one thing is clear—nurse managers have a significant responsibility to promote the goals of their organizations while appreciating the labor concerns that may prompt employees to join unions. Beyond that, it is helpful to reflect on the core values of nursing and consider the extent to which they align with unionization.
To prepare:
Review the information in the Learning Resources. Conduct additional research on unionization in health care.
Consider the professional basis of nursing and the presence of unions in health care. Does unionization conflict with a professional nursing orientation?
Reflect on the experiences you have had working in unionized settings, or consider what would be required of you in such a setting if you do not have that experience.
Consider how you would address transitioning from being a member of a collective bargaining unit to being a manager who cannot be a member of a collective bargaining unit. How you might prepare to make this sort of transition?
ORDER A CUSTOM-WRITTEN PAPER
Post
your position on whether unionization aligns with or conflicts with a professional nursing orientation and what this may mean for the role as a nurse manager. Share your experiences working in a unionized setting or describe what might be required of you when transitioning from one circumstance to another.
Required Readings
Marquis, B. L., & Huston, C. J. (2015).
Leadership roles and management functions in nursing: Theory and application
(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 22, “Collective Bargaining, Unionization, and Employment Laws”
Chapter 22 discusses several key topics surrounding unions and collective bargaining in nursing and health care organizations. Unionization and the Nursing Profession Essay Assignment.
Manthous, C. A. (2014). Labor unions in medicine: The intersection of patient advocacy and self–advocacy.
Medical care
,
52
(5), 387–392.
Copyright 2014 by Llippincott Williams & Wilkins – Journals. Reprinted by permission of Llippincott Williams & Wilkins – Journals via the Copyright Clearance Center.
Ash, M., Seago, J. A., & Spetz, J. (2014). What do Health Care Unions do?: A Response to Manthous.
Medical care
,
52
(5), 393–397. DOI: 10.1097/MLR.0000000000000124.
Copyright 2014 by Llippincott Williams & Wilkins – Journals. Reprinted by permission of Llippincott Williams & Wilkins – Journals via the Copyright Clearance Center.
Assessment of the neurological system essay
CASE STUDY
Randy Adams is a 38-year-old male patient of Dr. Joseph Reynolds who was admitted yesterday morning for 24-hour observation for mild concussion following a motor vehicle accident. Randy lost consciousness during the accident and was very confused when he arrived in the ER after EMS transport. He is an Iraq war veteran and he seemed to think after the accident that this all happened in Iraq. Dr. Reynolds is concerned that Randy has some residual problems from a couple of explosive incidents that occurred while he was in Iraq. The physician is unsure whether Randy’s current symptoms are from the car accident or from prior injuries, so he has referred him for consultations to both a neurologist and to a behavioral health specialist.
Write a minimum of 550 words essay in APA format with at least 2 references. Apply the level one headings as numbered below:
Based on the above case study, please discuss the following:
1) Pathophysiology of concussive injuries and treatment
2) Neurological assessment tools used in your current practice setting (if not presently working, please describe one used during prior employment or schooling)
3) Current best practices associated with post-traumatic stress disorder (PTSD)
4) Nursing interventions you would include in this patient’s plan of care