Medical Dosing Support is one clinical decision support system (CDS). This system allows clinicians to find appropriate doses for medication requests. This tool provides “pick lists” and dose calculations for patient weight, height, renal function, and hepatic function. Please give reference to support your explanation or answer
Examine the issue of affordable care act and demographic change in terms of cultural diversity, health promotion, and communication methods. Discuss in detail how this issue affects healthcare delivery and advanced nursing.
The Affordable Care Act (ACA) is the comprehensive healthcare reform signed into law by President Barack Obama in March 2010. Formally known as the Patient Protection and Affordable Care Act and often called Obamacare, the law includes a list of healthcare policies intended to expand access to Health insurance to millions of uninsured Americans
A 75-year-old female was admitted to the hospital 3 weeks ago with a history of a urinary tract infection at home and was diagnosed with pyelonephritis upon admission. Despite treatment, her kidney infection progressed, and she developed acute kidney injury. After her antibiotic therapy was adjusted she recovered well enough to be discharged to her daughter’s home. The patient and her daughter were given discharge instructions to manage her prescriptions and health maintenance at home. She is now at the urology clinic for a 1-week follow-up appointment. Urine and blood samples were analyzed prior to her appointment. The nurse evaluates the effectiveness of actions.
NGN Item Type: Extended Multiple Response
Which of the following findings indicate effectiveness? Select all that apply.
_____ 1. The patient reports that she wipes front to back after urinating
_____ 2. The urinalysis report shows WBC >5/hpf (high), RBCs >4/hpf (high)
_____ 3. The patient reports that she drinks 4-5 glasses of fluid per day.
_____ 4. The patient voids approximately 3 times a day.
____ 5. The patient reports that she has stopped taking her antibiotic medication since she is now feeling “fine.”
_____ 6. The patient reports no flank pain.
_____ 7. Serum creatinine level is 1.0 mg/dL.
_____ 8. The patient states that she rests frequently.
Evaluate Outcomes
This week we are speaking about long term care quality. How can we ensure consistent quality care be provided to residents? If you were an administrator at a Long Term Facility list 4 different types of training you would do with your healthcare staff to make them better healthcare employees.
250 words and including at least one scholarly source
Adults who have been involved Intimate partner violence in situations where they have suffered physical and or emotional abuse find themselves in difficult circumstances. What legal and ethical principles would you use when providing care to an adult who has been in an abusive situation?
Review Ricci Chapter 9: Violent and abuse (pp. 291-320) for assistance.
Differentiate between Nursing Roles and Leadership, problem solving, decision making, critical thinking, and clinical reasoning. describe how case studies, simulation, and problem-based learning can be used to improve the quality of decision making
3 ● explore strengths and limitations of using intuition and heuristics as adjuncts to problem solving and decision making
4 ● identify characteristics of successful decision makers
reference :
Lippincott CoursePoint for Marquis and Huston: Leadership Roles and Management Functions in Nursing, Tenth Edition
Caring for Clients With Valvular Disorders of the Heart . Daisy Parker, a 72-year-old female client, is admitted on telemetry monitoring with severe aortic stenosis. She has a history of a congenital defect of the aortic valve and a recent anterior wall myocardial infarction 6 weeks ago. Her current medications consist of digoxin 0.125 mg every day; atenolol 50 mg every day; lisinopril 10 mg every day; furosemide (Lasix) 40 mg every day, potassium chloride 10 mEq, one tablet every day; rosuvastatin (Crestor) 20 mg every day. She is on a cardiac diet with a 2-g sodium restriction. The nurse assesses the client, noting the vital signs: T, 98° F; BP, 150/80 mm Hg; HR, 80 beats/minute, RR, 24 breaths/minute. The client has an aortic systolic murmur heard after the S1, and the point of maximal impulse is at the 6th intercostal space (ICP). The lungs are clear anteriorly and posteriorly. She has no chest pain or discomfort at rest but stated with any activity she is extremely short of breath, has chest pain, feels dizzy, and at times passes out. The client is scheduled in the morning for a transcatheter ortic valve implantation (TAVI). The Licensed Practical nurse needs to determine necessary nursing management for the client. (Learning Objective 7)
What nursing management does the client need preoperatively? What nursing management does the client need postoperatively?
what are the strategic to facilitate organizational readiness? who are the stakeholders and team members needed in organizational change? what information as nd communications technologies needed in planning change? show citations.
In order to properly code a bill for medical necessity, it is important to understand different plans and the requirements for billing each. It is true that they all use the ICD-10-CM diagnosis coding system, the CPT procedure coding system, and the CMS-1500 form, but each type of carrier has certain requirements for a clean bill.
Tasks:
An effective nurse educator is able to use student learning needs to create specific and measurable learning outcomes for a lesson or curriculum. Develop a short needs assessment of 10-20 open-ended or closed-ended questions for a learning needs assessment related to your education focus to administer to your practicum audience.
Administer this learning needs assessment in your practicum setting.
This data will be used to guide the development of your lesson plan.
Part 2
To accompany the assessment, a data collection plan is needed with the following information:
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