Structure level of nursing knowledge

Name 15 nursing theorists with their corresponding theory and structural level. Classify each theory according
to its structure level of nursing knowledge: Philosophy, conceptual models, Theories/Grand theory, Middle
range theory. Example: Name: Florence Nightingale Theory: Environmental Theory Structure level: Philosophy

Hormone replacement therapy

A 55-year-old woman is complaining of right upper quadrant pain for the past 5 hours. She said she has had two or three similar episodes in the past; however, they only lasted 1 hour, and the pain was not as severe as with this episode. She thought the prior episodes were due to heartburn, and she has taken over-the-counter antacids with some relief but this time she has not had relief. This episode is rated as an 8 out of 10 scale (0 no pain, 10 severe pain).
The pain is constant and does not radiate.
She says the pain started a few hours after she had lunch (states she ate a fast-food burger). She feels nauseous but has not vomited. She has been getting chills but also feels sweaty. She feels warm but does not know if she has a fever as she has not checked her temperature. Past medical history: type 2 diabetes mellitus and dyslipidemia. Medications: metformin 1,000-mg 1 tablet twice a day; atorvastatin 10-mg 1 tablet a day; and estrogen/progestin hormone replacement therapy 0.3-mg/1.5-mg 1 tablet a day. Social history: does not smoke or drink alcohol; works as a cashier in a grocery store, is married, and has no children. Vital signs: temperature 101.0° F, heart rate 110 beats per minute, respiratory rate 20 breaths per minute, blood pressure 140/80 mmHg, body mass index 31 kg/m2. Answer the following questions pertaining to this case.

1. What is the most likely diagnosis based on this history, vital signs, and body mass index?

2. What are the data to support the diagnosis chosen in 1?

3. What are the expected physical examination findings?

4. What are the expected findings on a complete blood count and abdominal ultrasound that would support the most likely diagnosis?

Discuss the difference between race and ethnicity in healthcare

Discuss the difference between race and ethnicity in healthcare. Further, explain why the distinction made by scholars between race and ethnicity matters when considering efforts to promote inclusivity. Also, describe how racism and ethnicity has affected the health sector.

Factors that can affect the action of drugs

There are five major factors that can affect the action of drugs. They include age, disease, processes, nutrition, and hydration. Briefly describe the likely effect of these factors and list at least six other factors that might also impact drug action. Conduct independent research if necessary.

Explain the purpose of reports and data visualization in health care

Explain the purpose of reports and data visualization in health care and the benefits of generating reports from gathered data. Provide an example of how to report data used in a healthcare setting.

Describe how incomplete clinical documentation, disparate electronic records, and inconsistent policy affects data acquisition and factors that can influence how often data should be collected.  Assess the information needed to perform a workflow study tied to wait times in an emergency department. Include the relevant data that would need to be acquired in order to evaluate wait times.

Cultural competence for health care systems

Conduct an internet search for hospitals or other healthcare institutions and determine whether they incorporate cultural competence in their operations.

Write an essay incorporating the lesson’s material assessing cultural competence for health care systems and any other relevant material from the lesson, articles, or outside reading.

You can compare, at a minimum, two organizations.

Make sure to incorporate the lesson’s content.

Other guiding questions.

As you search, do you think (generally) more institutions/organizations are embracing this concept of providing culturally and appropriate care to patients or not?

What are the challenges and barriers these organizations face as they implement CLAS?

For the organizations that have had success in implementing CLAS, what are some of the reasons for the success?

Submit your one page essay, including citations

The sympathetic and parasympathetic nervous systems

What are the other names used to denote the sympathetic and parasympathetic nervous systems and why? What neurotransmitter is synthesized in the preganglionic fibers of the sympathetic neurons? What neurotransmitter is synthesized in the preganglionic fibers of the parasympathetic neurons? What neurotransmitter is synthesized in the postganglionic fibers of the sympathetic neurons? What neurotransmitter is synthesized in the postganglionic fibers of the parasympathetic neurons? What are the exceptions that I emphasized in the class with regard to ANS? Would you consider somatic nerve as part of the ANS? If not, why?

Hydrochlorothiazide and kidney stones

A 52-year-old obese Caucasian male presents to the clinic with a 2-day history of fever, chills, and right great toe pain that has gotten worse. The patient states this is the first time that this has happened, and nothing has made it better, and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. Past medical history positive or hypertension treated with hydrochlorothiazide and kidney stones. Social history negative for tobacco use but admits to drinking “a fair amount of red wine” every week. General appearance: Ill-appearing male who sits with his right foot elevated. A physical exam is remarkable for a temp of 101.2, the pulse of 108, respiration of 18, and BP of 160/88. The right great toe (first metatarsal phalangeal [MTP]) is noticeably swollen and red. Unable to palpate to assess a range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 14,000 mm3 and uric acid 8.9 mg/dl. The APRN diagnoses the patient with acute gout.

Question 1 of 2:

Describe the pathophysiology of gout.

Explain why a patient with gout is more likely to develop renal calculi. 

Factors influencing effective performance appraisals

Below are factors influencing effective performance appraisals. Out of the six recommendations select two and tell me your personal experience as it relates to the chosen recommendation. I would like detailed experiences as I would like to hear different views, thank you.

Factors Influencing Effective Performance Appraisal

The appraisal should be based on a standard.

The appraisal tool must adequately and accurately assess job performance.

The employee should have input into the development of the standard.

The employee must know the standard in advance.

The employee must know the sources of data gathered for the appraisal.

The appraiser should be someone who has observed the employee’s work.

The appraiser should be someone who the employee trusts and respects.

Employer support and clarity of expectations are critical to the employee perceiving the appraisal as fair.

 

Culturally safe nursing intervention for a consumer

Hallucinations are a common perceptual disturbance for someone living with a psychotic illness, and they can have a significant impact on how they experience psychosis. Give one culturally safe nursing intervention for a consumer with a psychotic illness. Give one evidence-based psycho-education strategy which can be adopted when working with someone who has a psychotic illness.