The proper Use of parentheses?

Which of the following is incorrect about the proper use of parentheses? Parentheses are used to set off structurally independent elements.

b.

Parentheses are used to enclose text within other parentheses.

c.

Parentheses are used introduce an abbreviation in the text.

d.

Parentheses are used to set off in-text citations

 

Hypertension treated with a Thiazide diuretic

Past medical history. Hypertension treated with a thiazide diuretic and calcium-channel blocker. Stable angina pectoris: treated with nitroglycerine sublingual as needed, recent electrocardiogram and stress test results unremarkable

  • Annual influenza vaccine received and COVID-19 vaccines received within the past year
  • No known allergies or intolerances
  • No recent hospitalization or antibiotic use.

 

A 64-year-old man presents to the emergency department. His wife reports that he seemed “out of sorts” yesterday and had slight numbness in the left leg throughout the day, which was attributed to “arthritis”. This morning he woke with left-sided weakness, slurred speech, and was unable to get out of bed without assistance.

Vital signs

  • Heart rate = 74 beats/min, sinus rhythm
  • Respiratory rate = 16 breaths/min, regular and unlabored
  • Blood pressure = 140/85 mm Hg
  • Oral temperature = 98.2 degrees Fahrenheit
  • Oxygen saturation = 92% on room air
  • Pain = 0/10

Physical examination results

  • Neurologic – eyes open spontaneously, speech garbled, moves on command, left extremities with decreased sensation and weak 3/5, left facial droop present, gag reflex diminished, gaze midline, extraocular movements present without deviation
  • Cardiopulmonary = S1 and S2 to auscultation, right carotid artery with bruit, peripheral pulses 3+, and no jugular venous distention. Extremities warm, edema absent, pulses 3+, capillary refill brisk. Lung sounds clear.

Diagnostic test results

  • Computed tomography of the head without contrast = findings unremarkable
  • Chest x-ray = findings unremarkable
  • Swallow study = dysphagia with thin liquids
  • Carotid ultrasound = right carotid artery 30%-40% occlusion
  • Arterial blood gases = results within normal limits

Hospital course

He was diagnosed with an ischemic stroke. The stroke team determined no emergent thrombolytic or invasive intervention was indicated, and the patient was admitted to the stroke unit. The left-sided weakness and expressive aphasia persisted.

On the 4th hospital day, he became febrile with a temperature of 102.8°F with frequent coughing, productive of purulent sputum. He also had slight tachycardia, tachypnea, and a decreased oxygen saturation on room air. Rhonchi and crackles were heard throughout right lung.

New diagnostic results revealed

  • Chest x-ray = right lobe infiltrate without an associated pleural effusion
  • White blood cell count = 20,000 cells/mcL (normal = 4.0-10.0 1000 cells/mcL), with a predominance of neutrophils
  • Arterial blood gases on room air: pH = 7.45 (normal 7.35-7.45), partial pressure of oxygen in arterial blood = 70 mmHg (normal 75-110 mmHg), partial pressure of carbon dioxide in the blood = 38 mmHg (normal = 35-45 mmHg)
  • Sputum culture – early results positive for Pseudomonas aeruginosa

Questions:

  1. Read the scenario below and identify the likely acute pulmonary complication the patient is experiencing.
  2. Explain the underlying pathophysiology (aka. cellular/tissue changes) and relate it to abnormal examination and diagnostic findings.
  3. Identify bundled prevention care strategies that should have been initiated upon admission to prevent this specific healthcare-associated pulmonary complication. Hint: See supplemental materials in weekly module.
  4. Explain additional diagnostic testing, medical treatment, and nursing care to treat the patient and/or prevent future complications.

Scholarly article or an industry newsletter

Find a current newspaper or scholarly article or an industry newsletter where a health care organization or a provider was found guilty of malpractice, criminal negligence, false credentials, failure to treat, or patient abandonment.

  1. Which critical health care error does the article address?
  2. Draw from your readings and experience to date. Assess what factors lead up to the error for both the HCO and the professional. Touch on Duties, Scope of Practice (state boards), and standard of care.
  3. Provide specific details of the case as to which law and whether it was tried in criminal or civil court.
  4. Sort out the legal system violation from the penalty. What penalties did occur and what penalties may have occurred but were not written in the article.
  5. give references

 

Plan of care

Suzanne, a 25-year-old G1 P1 patient arrives with her husband for her office visit. What is your plan of care for this patient?.

She states that she delivered her daughter 3 months ago and since then she, the patient, cries all day, cannot sleep, and has no energy. Her husband has taken over most of the care of the baby, but he must return to work. She stopped nursing. Her physical exam is negative.

  • What treatments, referrals, consults, and patient education will you provide?

Gynecological Disease process in your Practicum experience

Consider a case study related to a patient that demonstrates a gynecological disease process in your practicum experience or professional practice that would be your biggest challenge as a clinician. Note: Possibly use your “FNP or AGPCNP Skills and Procedures Self-Assessment” in your practicum experience to guide your case study selection.

Use Focused SOAP note and critically analyze this and focus your attention on the diagnostic tests

The resilience of Aboriginal People

Watch Bullyman, with music and lyrics inspired by the resilience of Aboriginal People during the time of the Missions and the Stolen Generations.

Reference:  Jacob Ridgeway. (2020, May 27). Jacob Ridgeway Bullyman (Lyrics video).

. YouTube.  (Long- URL- https://youtu.be/pyFuwyB5c0M).

After listening to the song, write  thoughts and feelings down in a reflective journal entry.

Some suggested questions to lead your reflection:

  • Evaluating key points from the video and song.
  • Reflect and discuss who Bullyman is.

(You do not have to answer each question, they are a guide only)

General leading question

Group Two Discussion Prompt: You ask Phil a general leading question such as how he and Lois are getting along lately. Phil responds: "Well, we don’t argue, but it’s hard having no one to discuss things with, like we used to.

Not only that, but I must help her get cleaned up and dressed lately.

I worry about her getting around. I got rid of the rugs so Lois can use her walker safely." Assess Lois’s ability to perform her ADL’s using The Katz Index of Independence in Daily Living &

; use the link to see the tool. Then answer the questions in your initial post.

1. Although Lois is not present in front of you, consider which areas of the Katz screening tool would you expect finding some difficulties, as if you were assessing her in person?

What nursing interventions would be appropriate for her?

2. What would be three main psychosocial tasks that Phil would be embracing at this point in his life? 3. How would you determine if Phil is reaching these developmental milestones?

What information would prove or disprove this to you? 4. What might be three physiological changes that Phil has noticed in his own health at this point in his life?

A Gynecological disease process

Develop a case study that demonstrates a gynecological disease process from your practicum experience or your professional practice that would be quite challenging for you as a clinician.

Then explore this case study to determine the diagnosis, diagnostic tests, and treatment options for the patient.

The Reimbursement mechanisms

Describe the reimbursement mechanisms (Medicare, Medicaid, private insurers, and HMOs) for APRNs and compare and contrast with those for physicians. Are there any differences in the fee schedules? Please describe. Can APRNs own their own practices in your state? Why or why not?

Blood Disease

Assignment: Post a short summary about the assigned video posted below Discuss a Blood Disease of your choice incorporating what you have learned from the Video in your own thinking. Discuss what you have learned from the Hematopoiesis map Video “Hematopoiesis Map” : https://www.youtube.com/watch?v=5-bN7qB_kck