Research question using The Patient population intervention comparison

Answerable research question using the patient population intervention comparison(T) question format//? Apply effective search strategies to identify relevant peer-reviewed and systematically reviewed research Analyze strategies

 

An Exacerbation of asthma

Johnny is 6 years old, admitted late yesterday with an exacerbation of asthma. Johnny has a history of asthma for 2 1/2 years. He has been admitted to the hospital exacerbation x3, no ICU admission. He was admitted due to coughing, expiratory wheezing, runny nose and increasing shortness of breath that began shortly after a low-grade fever.

Presenting signs: Temp 100.4, HR; 112, RR; 28, 02 Sat 91%

Expiratory wheezing, intercostal, and subcostal retractions; unable to complete a sentence without shortness of breath.

Peak flow meter- 60%.

B-2 Agonists (Bronchodilators)

Albuterol sulfate (Ventolin ®) is a short-acting beta2-agonist (bronchodilator) administered by nebulizer or spacer. This medication is used intermittently, as needed, during acute exacerbations of the disease.  Administered by nebulizer or spacer. This medication is used intermittently, as needed, during acute exacerbations of the disease such as the sudden onset of symptoms or an asthma attack.

Corticosteroids act by reducing swelling and mucus production in the airways. As a result, airways are less sensitive and less likely to react to triggers (Potter, 2010). The Expert Panel (2021) recommends that long-term control medications be taken on a long-term basis to achieve and maintain control of persistent asthma, and that inhaled corticosteroids (ICS) are the most potent and consistently effective long-term control medication for asthma.

Questions:

  1. What are the nurse’s priorities for this patient?
  2. What symptoms and signs should alert the nurse to potential problems that might need immediate intervention?
  3. What instructions would you give a patient in using a MDI?
  4. What instructions would you give to perform a peak flow reading?
  5. Johnny is unable to use a MDI, what would you suggest to the doctor to order.
  6. What would you include in an Asthma Action Plan for Johnny?
  7. What are B-2 Agonists and Corticosteroids commonly used in treatment of asthma?

The Five Practices of Exemplary Leadership

In Kouzes & Posner, Chapter 3, please read the Five Practices of Exemplary Leadership and pick one Practice. In two substantive paragraphs and using scholarly articles in addition to Kouzes & Posner, please discuss how you demonstrate leadership.

  • Choose one of your supervisors and explain how they demonstrate leadership. Is it the same kind of leadership?
  • Do you believe there is a leadership shortage in your organization?
  • How can you grow and learn as a leader in your organization?
  • You may get some ideas from the two TED Talks listed in the Resources Section for this week.

Your primary posting is due by: 11:59 pm ET on Wednesday.   Two or more scholarly references are required which are cited in your initial posting from non-textbook sources.

You are required to have two substantive replies to your classmates which are due by: 11:59 pm ET on Sunday.    If your instructor asks any questions, you are also expected to respond.

Mechanisms of neoplastic growth

Neoplasia is the abnormal growth due to a benign or malignant process. Discuss the mechanisms by which a neoplastic growth could happen clarifying the targets of different carcinogens .

Analyzing a Qualitative research report

If you were analyzing a qualitative research report, what would those sections be, and describe your rationale for those three being the most important.

The Dietary Approaches to Stop Hypertension diet

What is the Dietary Approaches to Stop Hypertension diet, and what are the main components of this diet? What other lifestyle factors may help lower blood pressure?

Complaints of Passing Bright red blood

A 54-year-old schoolteacher is seeing your today for complaints of passing bright red blood when she had a bowel movement this morning. She stated the first episode occurred last week. The episode today was accompanied by nausea, sweating, and weakness. She states she has had some LLQ pain for several weeks but described it as “coming and going”. She says she has had a fever and abdominal cramps that have worsened this morning.

Diagnosis is lower GI bleed secondary to diverticulitis.

Question:

1.     What can cause diverticulitis in the lower GI tract? 

Old style Joblessness hypothesis

Steady with old style joblessness hypothesis, frictional joblessness happens when proper work opening exist
for a laborer, however the time span expected to look for and secure the position prompts a time of
unemployment.[36]

Diabetes  treatment options

Diabetes  treatment options much of which the patient’s health behavior plays a significant role. Holistic care for patient with diabetes includes education, medication, diet, and exercise. Understanding the process of changing behaviors will help the HCP with strategies to support difficult health behavior changes (“noncompliant”) for patients. Research and find information on The Transtheoretical Model of Behavior Change.

 

1. Define the preparation stage.

 

2. Discuss the nursing implications and related nursing intervention for the preparation stage as it pertains to the patient with diabetes.

 

3. Explain how understanding the process of changing behavior can help you facilitate a change for the patient with diabetes in order to help them gain better glycemic control. Be specific in your explanations.

 

you are using The Transtheoretical Model of Behavior Change to answer the three questions.

please cite references.

Complaints of Vaginal discharge

Most women at some point in their life will get a vaginal infection. Vaginal infection can be characterized by complaints of vaginal discharge. Three common causes of vaginal discharge are bacterial vaginosis, trichomoniasis, and vulvovaginal candidiasis. Review the following case and answer the questions. Case: A 40-year-old woman comes in complaining of an increased thin whitish vaginal discharge that started about 5 days ago.

She said it is so much that she needs to wear a small sanitary pad. She also noted that she had a funny odor after having sexual intercourse, and she says the odor continues despite her attempts to control it with douching.

Physical examination reveals a thin white discharge around the vaginal wall with no erythema.

Examination of the discharge includes a positive KOH whiff test and a vaginal pH > 4.5. Vaginal microscopy reveals clue cells.

1. What is a likely cause of the vaginal discharge? a. Trichomoniasis b. Bacterial vaginosis c. Vulvovaginal candidiasis

 

2. Which of the clinical manifestations confirms the diagnosis? a. The thin white discharge b. Malodorous discharge c. Presence of clue cells on a saline wet mount slide

 

3. The cause of this vaginal discharge disorder is due to: a. An alteration in the vaginal flora b. Overgrowth of yeast due to antibiotic use c. A sexually transmitted organism, T. pallidum

 

4. Which is the primary treatment of this vaginal discharge disorder? a. Fluconazole b. Metronidazole c. Clindamycin

 

5. Describe the mode of transmission, common organism, clinical manifestations, and treatment of the other two diagnoses not chosen in question 1.