Differences in physical growth and development

Julie, an 11½-year-old girl, and John, a 14-year-old boy, are siblings who had a physical examination for school. Julie grew over 3 inches in height and John grew about half an inch last year. “She’s almost as tall as I am, and I’m older than she is,” John says. That’s not right. I’m the shortest of my group of friends. “Am I destined to be short?”
When the nurse assesses Julie and John, what differences in physical growth and development do you think she’ll find?
What information should the nurse include in her response to John’s concern about his height?

Appropriate abbreviations when documenting in the medical record

Discuss why it is important to spell correctly and use appropriate abbreviations when documenting in the medical record. Be sure to discuss the legal implications in your post. Also, do some research and list the tools you will use to ensure your spelling and grammar will reflect the professional behavior needed as a medical assistant. Provide the class with the tools you found and where to find them

Health Promotion and Perfusion

Tina Jones, a 28-year-old woman, was sent to the hospital for IV antibiotics after accidentally scraping her foot while climbing down a ladder. The patient also has a fever and an increased blood sugar level. Although the patient has a history of asthma and diabetes, she does not regularly test her blood sugar. Tina Jones reported her pain at 9 and was given oxycodone. Ms. Jones was afebrile, she had a low-grade fever of 100.4 F.

1. How would Health Promotion and Perfusion be an important concept in this scenario?

2. What are some abnormal signs and symptoms thoroughly explains how they would prioritize the care of this patient.

3. How would you change your interventions if you had a second chance to care for this patient?

4. How would you apply what you have learned from this scenario to future patients?

Conflict Management Reflection

Conflict Management Reflection. What have you learned about conflict management, how will you incorporate the concepts from this course into your practice, and what information do you still need to learn about conflict management?

Anxiety and depression and has suicidal ideation

A client with colon cancer experiences an increase in feelings of anxiety and depression and has suicidal ideation.  The nurse realizes that these feelings occur during which stage of the disease?

The ANA Standards of Professional Practice

The ANA Scope and Standards of Practice describe how registered nurses use the nursing process as the foundation for decision-making and care delivery. These are the standards of care you will be held accountable to as an RN. They are the basis for evaluating the appropriateness and quality of your nursing care in the event you are involved in a malpractice lawsuit.

Base your response in this discussion post on the ANA Standards of Professional Practice. Nursing: Scope and Standards of Practice (Links to an external site.) (4th ed.)

  • Choose one of the six (6) ANA Standards of Practice (starting on p. 53). Compare and contrast how the practice of an RN is different from your current role in healthcare for that standard. Provide specific examples to supports your explanation.
  • Discuss an experience in your life (as a patient, family member or professional) where an RN demonstrated one of the competencies from the ANA Standard of Practice.

Base your initial post on your readings and research on this topic.

Your initial post is due by Thursday at 11:59 PM ET.  Your responses are due by Sunday at 11:59 PM ET.

This is a “post first” discussion forum. You must submit your initial post before you can view other students’ posts.

Response to Classmates

You are required to make a minimum of two responses. One to the initial post of at least one other student, and then one to another student post. In your responses to your peers’ posts you must provide constructive and insightful comments that go beyond that of agree or disagree.

Your discussion postings may be reviewed for plagiarism. Plagiarism is not acceptable. Evidence of plagiarism will result in a zero (0) grade for the discussion and may also result in academic discipline.

Submission

Your discussion postings must conform to the AD Nursing Discussion Posting Requirements  Download AD Nursing Discussion Posting Requirements; review the requirements prior to submitting your discussion posts.

Be sure to check your work and correct any spelling or grammatical errors before you post it. When you are ready to post, click on the “Reply” button for a new thread or “Reply” beneath an existing post to respond to the post. Then, copy/paste the text from your document into the message field and click “Post Reply.”

Evaluation

This discussion will be graded using the discussion board rubric. Please review this rubric below prior to beginning your work to ensure your participation meets the criteria in place for this discussion. This discussion is worth 4% of your grade; all discussions combined are worth 32% of your final course grade.

Posttraumatic stress disorder

A client diagnosed with posttraumatic stress disorder is readmitted for suicidal thoughts and continued trouble sleeping.  She states that when she closes her eyes, she has vivid memories of being awakened at night.  “My dad would be on top of me trying to have sex with me. I couldn’t breathe.”  Which suggestions would be appropriate for the nurse to make for insomnia?

Types of sensory receptors

list the six types of sensory receptors classified based on the type of stimulus they detect and describe the types of stimuli that each type can detect. Classify the three types of sensory receptors categorized based on their location; identify the origin of stimuli that activate them; and describe the nature of the stimuli that cause their excitation.

Nursing shortage factor

Accurately predicting staffing needs is a crucial part of a manager’s job. Discuss why predicting staffing needs is important and how third-party reimbursement is tied to staffing needs. What is the relationship between nursing hours, staffing mix, and quality of care? How does a nursing shortage factor into predicting these needs? Why is it important to consider diversity when staffing a unit? As staffing becomes more critical to each unit, compare and contrast how centralized and decentralized staffing affects the unit.

Central Nervous System Stimulants and Related Drugs

Case Study

Chapter 13 Central Nervous System Stimulants and Related Drugs

Nancy has been unsuccessful in preventing migraine headaches and has been prescribed a selective serotonin receptor agonist (SSRA), sumatriptan (Imitrex).

Question 1

What patient teaching would be included for Nancy regarding the action and route of administration of sumatriptan?

Question 2

What patient teaching should be included for Nancy regarding adverse effects or contraindications?

Question 3

What medications would Nancy have been prescribed for first- and second-line preventive therapy?

Question 4

Nancy asks the nurse about the effects of caffeine on migraines. What should the nurse’s response be?

Question 5

Nancy also asks the nurse if there are effective nonpharmacologic treatments for migraines. What evidence-based answer can the nurse provide?