Advanced Nursing Roles

Hello I need the grading rubric for Purdue Global MN501 Advanced Nursing Roles for Unit 6 Assignment.  The full details pleased with all prompts.

The U.S HealthCare System

Now that you have some insight into the current state of the U.S HealthCare System and you have suggested a few areas for healthcare reform, I would like each of you to review a few online resources that outline the Patient Protection and Affordable Care Act and describe a few key elements, discuss their application to the nursing profession. How will this reform affect your current or future positions? Why is reform so imperative in an ever changing health care system?

An Order for morphine

The hospice nurse is caring for a patient who has an order for morphine as needed for comfort. The patient’s respiratory rate is eight breaths per minute, and the patient is wincing and moaning. The nurse administers the morphine even though the nurse would not administer it to a non-hospice patient because it depresses respiratory effort. Which characteristics of critical thinking is this nurse displaying? Select all that apply.

Maturity

Analyticity

Open-mindedness

Intellectual autonomy

Intellectual perseverance

History of RUQ pain

DC is a 46-year-old female who presents with a 24-hour history of RUQ pain.  She states the pain started about 1 hour after a large dinner she had with her family.  She has had nausea and on an instance of vomiting before presentation.

PMH:                                                              Vitals: 

HTN                                                                Temp:              98.8oF

Type II DM                                                     Wt:                  202 lbs

Gout                                                                Ht:                   5’8″

DVT – Caused by oral BCPs                          BP:                  136/82

HR:                 82 bpm

Current Medications:                                Notable Labs:

Lisinopril 10 mg daily                                   WBC:                          13,000/mm3

HCTZ 25 mg daily                                        Total bilirubin:           0.8 mg/dL

Allopurinol 100 mg daily                               Direct bilirubin:          0.6 mg/dL

Multivitamin daily                                          Alk Phos:                    100 U/L

                                                                     AST:                           45 U/L

                                                                      ALT:                           30 U/L

Allergies:

  • Latex
  • Codeine
  • Amoxicillin

PE:

  • Eyes: EOMI
  • HENT: Normal
  • GI:bNondistended, minimal tenderness
  • Skin:bWarm and dry
  • Neuro: Alert and Oriented
  • Psych:bAppropriate mood

 

Question

  • Explain your diagnosis for the patient, including your rationale for the diagnosis.
  • Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
  • Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples

PLEASE ADD REFERENCES TO CASE STUDY

 

The Nurse as Advocate

The Nurse as Advocate. Whether nurses are advocating for their patients, health care, and/or policies that improve people’s lives, the advocacy processes have commonalities that transcend the subject of their advocacy. There are also differences, although these differences may be more nuanced than obvious.

 

Tasks:

answer the following questions. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Read the following chapters from your course textbook:

  • Taking Action: Nurse, Educator, and Legislator: My Journey to the Delaware Senate
  • Taking Action: A Nurse in the Board Room

Answer the below questions:

  • Describe what you believe to be the drivers for each of the individuals? What factors led them to become advocates?
  • Discuss the challenges that each of them identified in their writings.
  • Analyze these drivers and challenges and compare them with your own experience to date as an advocate. In what

Recognizing a Scholarly database

Class, Recognizing a scholarly database is essential to providing scholarly writing at the graduate level. What
are the differences between the use of a search engine and the use of a scholarly database? Also, could
everyone please give specific examples of some databases? Thanks! Dr. M

Delivery of Care for an adult patient

During  delivery of care for an adult patient with hypoglycaemia, identify what considerations were required to reflect their needs related to and religious diversity,Age and gender differences,Physical, psychological and social needs

The neurocircuitry of Impulsive-compulsive disorders

Discuss the neurocircuitry of impulsive-compulsive disorders. For this discussion, address how an impulsive act can become a compulsive act.

  1. Compare and contrast obesity as an impulsive-compulsive disorder and impulsive-compulsive disorders of behavior.
  2. Compare and contrast nicotine and alcohol addictions. For this discussion, emphasize the mechanism of action, receptors and any pathways involved.
  3. provide reference from 2019 to 2022

Severe Pulsatile diffuse headache

A 64-year-old African American female who reports having a severe pulsatile diffuse headache yesterday with sudden difficulty to talk with last for about two hours. She did not seek medical attention. This morning she woke up with no problems but is here today due her husband advise.

 

PMH:

Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory drugs Aspirin

 

Drug Hx:

Losartan 50 mg
Xarelto 15 mg BID

 

Subjective Data:

Feels Palpitations, joint pain with yesterday’s episode

 

Objective Data:

B/P 131/80; temperature 98.2°F;  (RR) 18;  (HR) 84, irregular; oxygen saturation (PO2) 96%;

well-developed female, no acute distress

Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition.

CTA AP&L

Irregular heart beat with normal rate

No tenderness normoactive bowel sounds x 4;

Non contributory

intact without lesions masses or rashes.

No obvious deficits and CN grossly intact II-XII

 

  1. What other subjective data would you obtain?
  2. What other objective findings would you look for?
  3. What diagnostic exams do you want to order?
  4. Name 3 differential diagnoses based on this patient presenting symptoms?
  5. Give rationales for your each differential diagnosis.
  6. What teachings will you provide?

Types of violence negatively impact victims’ health

In health care organizations, several types of violence negatively impact victims’ health. What type of violence is defined as a violent act, including physical assaults and threats of assault, directed at an individual on duty?

Bullying

Aggression

Horizontal violence

Workplace violence