Tag: Nursing

  • [Solved] Discussion Post

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  • [Solved] Pharm Week 5 Discussion

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    Nicole is a 55-year-old woman who presents with complaint of inability to hold urine. She describes incidents where laughing or coughing results in a small to moderate release of urine. She has started wearing Peri Pads to avoid embarrassment. Past Medical History • Six vaginal deliveries, all to fu…

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    Nicole is a 55-year-old woman who presents with complaint of inability to hold urine. She describes incidents where laughing or coughing results in a small to moderate release of urine. She has started wearing Peri Pads to avoid embarrassment.
    Past Medical History
    • Six vaginal deliveries, all to full term
    • Osteoarthritis
    • Postmenopausal
    Medications
    • Boniva, 150 mg once a month
    • Calcium, 500 mg daily
    • Vitamin D3, one daily
    Family History
    • Mother, alive and well; hypertension, type 2 diabetes
    • Father, deceased; cardiovascular disease, myocardial infarction at age 77
    Social History
    • No alcohol intake
    • Previous smoker
    • Walks 2 miles/day
    Physical Examination
    • Vital signs normal
    • Palpation of uterus suggests enlargement
    Labs
    • Liver function: Normal
    Discussion Questions
    1. What factors in Nicole's history would help support a diagnosis of overactive bladder?
    2. The clinician prescribes oxybutynin 10 mg (extended-release). What does Nicole need to know about this drug?
    3. If oxybutynin is ineffective, the clinician could use mirabegron, a beta-3 agonist. What does Nicole need to know about this new drug?
    Instructions:
    APA 7th edition format
    Use at least 2 evidenced-based, peer-reviewed references no older than 5 years.
    Two paragraph, minimum 250 words.

  • [Solved] aaa

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    NO AI and Plagiarism! Need to follow the instructions! Due day is June, 07,2025

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    NO AI and Plagiarism! Need to follow the instructions! Due day is June, 07,2025

  • [Solved] Help

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  • [Solved] Discussion # 3

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  • [Solved] Introduction and Background and Significance of Proposed Research

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    Statement of the purpose of the synthesis discussing the problem.

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    Statement of the purpose of the synthesis discussing the problem.

  • [Solved] APA format Power point 5-6 slides Explain the concept of a knowledge worker.

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    **To Prepare:** – Review the concepts of informatics as presented in the Resources. – Reflect on the role of a nurse leader as a knowledge worker. – Consider how knowledge may be informed by data that is collected/accessed. **The Assignment:** – Explain the concept of a knowledge worker. – Define an…

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    **To Prepare:**
    – Review the concepts of informatics as presented in the Resources.
    – Reflect on the role of a nurse leader as a knowledge worker.
    – Consider how knowledge may be informed by data that is collected/accessed.
    **The Assignment:**
    – Explain the concept of a knowledge worker.
    – Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
    – Include one slide that visually represents the role of a nurse leader as knowledge worker.
    – Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.
    **My discussion post information : Using Data to Improve Pain Management in Postoperative Patients**
    A useful scenario for applying data in nursing involves improving pain management for postoperative patients. Pain is a common and subjective experience, making it critical to assess accurately and manage effectively. Nurse leaders can use data to identify trends in pain levels, medication effectiveness, and patient satisfaction to guide clinical practice.Data sources may include electronic health records (EHRs) for documentation of pain scores, medication administration records, and patient satisfaction surveys. For example, if data reveal that patients report higher pain scores during the night shift, a nurse leader could investigate staffing patterns, response times, or delays in pain medication administration. By analyzing these data points, nurse leaders can identify gaps in care and implement evidence-based interventions. Clinical reasoning allows them to interpret data in the context of each patient's unique needs. For instance, they may recognize that patients with a history of opioid use require tailored pain protocols, rather than standard regimens (Saba et al., 2021).
    **Example:** A surgical unit found that 60% of patients reported moderate to severe pain within 12 hours post-op. After reviewing pain score data and timing of analgesic administration, the nurse leader implemented a new pain management protocol emphasizing scheduled analgesics rather than PRN. Within a month, patient reports of uncontrolled pain dropped by 30%.
    This example illustrates how data can be used not just for problem-solving, but also to expand knowledge and improve patient-centered care.
    **References**
    McGonigle, D., & Mastrian, K. G. (2022). _Nursing informatics and the foundation of knowledge_ (5th ed.). Jones & Bartlett Learning.
    Saba, V. K., Skiba, D. J., & McCormick, K. A. (2021). _Essentials of nursing informatics_ (7th ed.). McGraw-Hill Education.
    Rubric  Develop a 5- to 6-slide PowerPoint presentation that addresses the following:· Explain the concept of a knowledge worker.· Define and explain nursing informatics
    Develop a graphic visual representation of the role of the nurse leader as a knowledge worker. On the slide, include an explanation of the role.
    Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data. Be sure to incorporate feedback received from your colleagues' replies.
    OutcomePowerPoint presentation:The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

  • [Solved] week 5 DB

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    see attachment – ## Week5DB-.pdf **## Week5DB-.pdf** Case Scenario 2 Table 1 Table 2 Natalie is a 31-year-old G0 P0 female who complains of intermittent breast pain. She thinks she feels lumps in the outer quadrants of her breasts but is unsure of the location today. She has no family or personal hi…

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    see attachment

    – ## Week5DB-.pdf

    **## Week5DB-.pdf**

    Case Scenario 2

    Table 1

    Table 2

    Natalie is a 31-year-old G0 P0 female who complains of intermittent breast pain. She thinks she
    feels lumps in the outer quadrants of her breasts but is unsure of the location today. She has no
    family or personal history of cancers, she menstruates regularly, is not pregnant, and uses condoms
    consistently for BCM and STI protection.

    Write a brief SOAP note regarding this patient. Make sure to include your answers to these
    questions in your SOAP note.

    1. Subjective:
    a. What other relevant questions should you ask regarding the HPI?
    b. What other medical history questions should you ask?

    Definition Presentation/
    Sign and
    Symptoms

    Management

    Mastalgia

    Mastitis

    Nipple Discharge

    Breast Mass

    Nipple Changes

    Diagnostic test How is this test helpful in breast conditions

    Screening
    Mammogram

    Diagnostic
    Mammogram

    Breast
    Ultrasound

    MRI of the Breast

    Biopsy (FNA and
    CNB)

    Surgical Biopsy

    c. What other social history questions should you ask?
    d. What other family history questions should you ask?

    2. Objective:
    a. Write a detailed focused physical assessment on this patient. Include the steps in

    assessment of mastalgia.
    b. Explain what test(s) you will order and perform, and discuss your rationale for

    ordering and performing each test.
    3. Assessment/ Diagnosis:

    a. What is your presumptive diagnosis? Why?
    b. Any other diagnosis or differential diagnosis you would like to add?
    c. What information is most important in determining whether this is a potentially

    serious or benign issue?
    4. Plan:

    a. What are your next steps and plan of care for this patient? Explain your rationale
    b. Explain treatment guidelines and side effects including any possible side effects of

    the medication and treatment(s),
    c. What patient education is important to include for this patient? (Consider including

    pharmacological, supplements, and non pharmacological recommendations and
    education)

    d. What is the follow-up plan of care?
    e. Explain complications that can occur if patient does not comply with treatment

    regimen.

    Please refer to evidence-based guidelines to support your decision-making.

    SOAP NOTE FORMAT

    Subjective

    CC:

    HPI:

    Medications:

    Allergies:

    LMP:

    Gyn/OB history:

    PMH:

    Chronic Illness/ Major trauma:

    Family Hx:

    Social Hx:

    ROS

    – List the body systems and provide answers

    – (Don’t forget to include Gyn ROS)

    – You can include questions here that you’d like to ask the patient

    Objective Data

    General- provide findings

    VS

    List body systems- provide findings

    – (Don’t forget Gyn System)

    – (You can include answers here to questions posed in the prompt)

    Include POCT (Point of Care testing) not labs that you will send to the laboratoryAssessment/

    DiagnosisInclude the ICD10 code

    DDX

    Plan

    Diagnostic tests

    Lab Tests

    Treatment

    Medication

    Referrals

    Education

    Health Maintenance

    Follow up

    Prompt Questions

    (You can include answers here that is asked in the prompt)

    **## Week5DB-.pdf**

    Case Scenario 2

    Table 1

    Table 2

    Natalie is a 31-year-old G0 P0 female who complains of intermittent breast pain. She thinks she
    feels lumps in the outer quadrants of her breasts but is unsure of the location today. She has no
    family or personal history of cancers, she menstruates regularly, is not pregnant, and uses condoms
    consistently for BCM and STI protection.

    Write a brief SOAP note regarding this patient. Make sure to include your answers to these
    questions in your SOAP note.

    1. Subjective:
    a. What other relevant questions should you ask regarding the HPI?
    b. What other medical history questions should you ask?

    Definition Presentation/
    Sign and
    Symptoms

    Management

    Mastalgia

    Mastitis

    Nipple Discharge

    Breast Mass

    Nipple Changes

    Diagnostic test How is this test helpful in breast conditions

    Screening
    Mammogram

    Diagnostic
    Mammogram

    Breast
    Ultrasound

    MRI of the Breast

    Biopsy (FNA and
    CNB)

    Surgical Biopsy

    c. What other social history questions should you ask?
    d. What other family history questions should you ask?

    2. Objective:
    a. Write a detailed focused physical assessment on this patient. Include the steps in

    assessment of mastalgia.
    b. Explain what test(s) you will order and perform, and discuss your rationale for

    ordering and performing each test.
    3. Assessment/ Diagnosis:

    a. What is your presumptive diagnosis? Why?
    b. Any other diagnosis or differential diagnosis you would like to add?
    c. What information is most important in determining whether this is a potentially

    serious or benign issue?
    4. Plan:

    a. What are your next steps and plan of care for this patient? Explain your rationale
    b. Explain treatment guidelines and side effects including any possible side effects of

    the medication and treatment(s),
    c. What patient education is important to include for this patient? (Consider including

    pharmacological, supplements, and non pharmacological recommendations and
    education)

    d. What is the follow-up plan of care?
    e. Explain complications that can occur if patient does not comply with treatment

    regimen.

    Please refer to evidence-based guidelines to support your decision-making.

    SOAP NOTE FORMAT

    Subjective

    CC:

    HPI:

    Medications:

    Allergies:

    LMP:

    Gyn/OB history:

    PMH:

    Chronic Illness/ Major trauma:

    Family Hx:

    Social Hx:

    ROS

    – List the body systems and provide answers

    – (Don’t forget to include Gyn ROS)

    – You can include questions here that you’d like to ask the patient

    Objective Data

    General- provide findings

    VS

    List body systems- provide findings

    – (Don’t forget Gyn System)

    – (You can include answers here to questions posed in the prompt)

    Include POCT (Point of Care testing) not labs that you will send to the laboratoryAssessment/

    DiagnosisInclude the ICD10 code

    DDX

    Plan

    Diagnostic tests

    Lab Tests

    Treatment

    Medication

    Referrals

    Education

    Health Maintenance

    Follow up

    Prompt Questions

    (You can include answers here that is asked in the prompt)

  • [Solved] Case 3

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    Mrs. Deer is a 72-year-old female who presents to your office complaining of right upper quadrant pain that has been increasing in intensity over the past 2 days. She would have come sooner, but she lacked transportation and waited until her son could drive her. She states that she has not been slee…

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    Assignment Prompt & Instructions

    Mrs. Deer is a 72-year-old female who presents to your office complaining of right upper quadrant pain that has been increasing in intensity over the past 2 days. She would have come sooner, but she lacked transportation and waited until her son could drive her. She states that she has not been sleeping very much because of the pain. She has been nauseous and vomited a couple of times two days ago but has only been drinking fluids. She states that she has not been around anyone else that had an upset stomach. She recalls prior to the onset of pain she had been at a church supper that included meats, refried beans, and many desserts which she sampled. She described the fried pies that she brought to the supper and ate the extras that afternoon.
    **Vital Signs:** BP 130/80, HR 85, RR 20, Temp 99.0°F.
    **From the perspective of a nurse practitioner, discuss the following:**
    1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
    2) What additional objective data will you be assessing for?
    3) What are the differential diagnoses that you are considering?
    4) What laboratory tests will help you rule out some of the differential diagnoses?
    5) What radiological examinations or additional diagnostic studies would you order?
    6) What treatment and specific information about the prescription that you will give this patient?
    7) What are the potential complications from the treatment ordered?
    8) What additional laboratory tests might you consider ordering?
    9) What additional patient teaching may be needed?
    10) Will you be looking for a consult?
    **Submission Instructions:**
    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources published within the last five years.
    – in paragraph form, no bullet points or numbering.

  • [Solved] Weekly Clinical Experience 3

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    From the perspective of a nurse practitioner student doing their third week of clinical rotation at a gerontology primary care office: Describe your clinical experience for this week. – Did you face any challenges, any success? If so, what were they? – Describe the assessment of a patient, detailing…

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    Assignment Prompt & Instructions

    From the perspective of a nurse practitioner student doing their third week of clinical rotation at a gerontology primary care office: Describe your clinical experience for this week.
    – Did you face any challenges, any success? If so, what were they?
    – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
    – Mention the health promotion intervention for this patient.
    – What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
    – Support your plan of care with the current peer-reviewed research guideline.
    **Submission Instructions:**
    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
    – in paragraph form, no bullet points or numbering