I’m in New York State, please use APA when answering. Thank you!!

Research health care legislation that is being considered in your state. What impact might this legislation have on your future practice? What impact does it have on the collective practice of nurses in your state? How do you envision yourself potentially becoming involved in political advocacy for the profession in your future practice? REPLY TO DISCUSSION

Marta is a 17 year old female who presents with a 1 month history of depression. she has been sent from school after expressing thoughts of harming herself to a teacher. subjective data = Decreased appetite for 1 month = complains of trouble sleeping for several months = Expresses suicidal thoughts with a plan to harm herself.

1. Opioids, sedatives, osmotic diuretics, hypertonic saline solutions, and barbiturates are drug classes that may be used to normalize ICP and prevent secondary injury. The nurse is caring for a patient with a traumatic brain injury.  Give one example from each class, prioritize three nursing considerations for each and prioritize the order of administration.

Karen is a 40-year-old married mother of a 4 and 10-year-old. She was an unbelted passenger in a single car roll over. She was found outside the car complaining of severe head and neck pain. She is brought to the ED via EMS in C-spine precautions. She has bruising under her eyes and over the left mastoid bone. BP 165/36, HR 51, RR 24, O2sat 92% on 4 L NC. She has an 18 gauge IV in her R AC.

1. Prioritize your specific assessment (do not put “assess respiratory status”). Describe specifically what you will assess; chest symmetry, lung sounds, etc. of this patient in order of priority 1-10.

1. Determine Karen’s GCS using the assessment data below:

__________ .

Karen’s eyes open in response to verbal stimuli
Karen is oriented to person only
Karen pulls her arm away and she moves her arm in response to a needle prick

1. Karen requests something for her headache. Which medication(s) are appropriate for the nurse to administer to Karen for her complaint of headache?

1. Mr. Smith is a 23-year-old male who sustained a traumatic brain injury as an

unrestrained driver in a motor vehicle crash. On admission, his blood

pressure (BP) was 158/32 mm Hg, heart rate (HR) 46 beats per minute,

respiratory rate (RR) 28 breaths per minute, and temperature 96.2° F

(35.6° C). His neurological exam reveals that his right pupil is at 6 mm and

reacts sluggishly; his left pupil is 4 mm and reacts briskly. He is nonverbal,

extends his arms bilaterally to pain, and opens his eyes minimally to pain.

1. What is the clinical significance of Mr. Smith’s blood pressure?

1. Determine Mr. Smith’s GCS using the assessment data above:

____________

1. What does Mr. Smith’s GCS indicate in terms of his probable outcome?

1. Joan Walkeris an 84-year-old female who has had a productivecough of green phlegm that startedfour days ago thatpersists. She wasstarted three daysago on prednisone 40 mg PO daily and azithromycin 250 mg PO x5 days by her clinic physician. She had a fever yesterday of 102.1, so she was admitted to the med-surg unit with a diagnosis of pneumonia. At 0330, the nurse hears a loud crash in Ms. Walker’s room. You rush in and find her lying on the floor. She states she fell trying to use the BSC. The patient is alert and oriented and denies pain anywhere. She says she’s fine and not hurt at all. The nurse assesses the patient and finds no evidence of injury. VS and assessment are unchanged from the earlier shift assessment.  Prioritize how the nurse should handle this situation.

Christian worldview pertains to the way Christians see the world, their relationship to God, and how they interpret interactions with their environment. In what way did you incorporate your Christian worldview into your work with the DPI Project? Support your position with evidence or scripture.

1. What are the appropriate BLS steps to take when you find your patient in the
hospital unresponsive? Refer to BLS Survey by the American Heart
Association (AHA)
2. Describe the CPR quality and cycles described by AHA
3. What are the steps in the ACLS algorithim for Adult Cardiac Arrest?
4. Define and describe the purpose of End-tidal carbon dioxide monitoring.
What type of patient would utilize this?
5. Look up the following medications (Epinephrine 1:10000 IV Push, Atropine
IV Push, Vasopressin IV Push, Heparin IV Push, Cardizem IV Push,
Verapamil IV Push, Amiodarone IV Push, Aspirin po) Describe the type of
medication, mechanism of action, indication, typical dosage seen on crash
carts, typical frequency used in a code blue situation, adverse/side effects).
What is the difference between Epinephrine 1:10000 vs. Epinephrine
1:1000?)
6. What is the indication for defibrillation? What cardiac rhythm(s) would you
need immediate defibrillation in? Discuss the process of defibrillation
7. Discuss each of the team member’s roles in a Code Blue case and expand on
those roles from research found on 1 professional online source.