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?

 

 

The use of the Biased Care Model

The Biased Care Model offers different routes to improve clinical care that can be utilized. Provide an example of a biased perception in minority healthcare that may impact patient outcomes and how the use of the Biased Care Model can help to facilitate change and improve clinical care.

Down syndrome and congenital heart disease

Dylan’s mother is only four weeks postpartum, and in addition to her physical and emotional needs, she has to cope with the extraordinary need of a child with Down syndrome and congenital heart disease. She may experience postpartum “blues” or postpartum depression. Discuss and describe postpartum “blues” and depression. How may the nurse identify these conditions? What (if any) referrals should be made? How can the nurse be of the most help to this mother? How will the condition of the mother affect her health care of Dylan? Be spec

Subcostal and intercostal retractions

You are called to the delivery room at 2:00 a.m. for a laboring gravida 1 para 0 mother at 28 weeks gestation. The mother had good antenatal care and had a normal integrated prenatal screening (IPS), normal 20-week ultrasound, and protective serology, including rubella immune, human immunodeficiency virus (HIV) negative, venereal disease research laboratory (VDRL) negative, and hepatitis negative. Group B Streptococcus (GBS) status is unknown as the woman had not yet had swabs done. Social history was negative for tobacco, alcohol, or recreational drug use during the pregnancy. She has gestational diabetes mellitus, which was reasonably controlled by diet and exercise
alone. You arrive to the delivery room moments before the baby is born and prepare equipment for a potential resuscitation, which includes oxygen, bag and mask, suction, towels to dry, and intubation equipment. At birth, the newborn cries spontaneously. She is placed on the warmer to be dried and stimulated; her heart rate is 120 beats per minute and her respiratory rate is 60 breaths per minute. The infant grunts intermittently. At 4 minutes of age, the newborn has both subcostal and intercostal retractions, nasal flaring, and continuous grunting. Her respiratory rate is now 82 breaths per minute and her heart rate is 190 beats per minute. Oxygen saturation by pulse oximetry is 84% with blow-by oxygen. You begin providing CPAP at 6 cm H2O by mask with a t-piece resuscitator. A systolic murmur gr 2/6 is auscultated loudest at the left upper sternal border (LUSB). The infant is transferred to the NICU where she continues to receive nasal CPAP at 6 cm H2O and a FiO2 of 0.45. The chest X-ray shows a diffuse ground-glass appearance with air bronchograms. An arterial umbilical catheter (UAC) is inserted. Arterial blood gas reveals the following: pH 7.23, CO2 60, PaO2 40, HCO3 27, BE +1, and lactate 4.8.
Blood work shows white blood cell count 20.3, neutrophils 12.3, no left shift, hemoglobin 16.5, platelets 260.

 

1. What is the first line of therapy for this premature infant considering her presentation?
2. What are the chemical components that makeup surfactants?
3. How does surfactant work in the lung?

The prevention of adverse treatment and health promotion

Create a plan of care for a client diagnosed with bacterial pneumonia-must list at least two priority diagnoses (one of them physiological and one health promotion).

The care plan must include the following: For each diagnosis provide at least 3 interventions; at least three goals/plans; at least 3 evaluation criteria; at least three interventions for each.

Complete patient education must address the prevention of adverse treatment and health promotion; there should be a minimum of 4 teaching points. The patient education section should be completed in full.

 

Below is the patient information

 

Male, 01/31/1960 (62 years old), 173 cm, 63 kg

 

MRN: 26236

 

Attending: John Mack, MD

Allergies:

Demerol

Code Status: Full

Comments: none

 

  • Patient Summary
  • Patient Information
  • Results
  • Provider
  • Allergies & Home Medications
  • Immunization Record
  • Notes
  • Flowsheets
  • Screenings
  • MAR
  • Orders
  • Patient Education
  • SBAR
  • Care Plan
  • Disch

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Patient Summary

 

 

Primary Concern: Pneumonia

The Patient Summary is read only! To add or edit data you must open another page by clicking the appropriate tab to the left.

Vital Signs

01/31/2022 2122
Heart Rate 106
Blood Pressure 90/60
Respirations 32
Temperature 36.89°C (Tympanic)
SpO2 (%) 90%
Pain 3

Allergies

Allergy Date Noted Reaction
Demerol Hives

Orders

Type of order to view:

All DietImagingLabMedicationNursing/Other OrdersRespiratory

 

 

 

Search:

 

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Start Date Order Details Status All ActivePast End
01/31/2022 1823 Activity-Bedrest with bathroom privileges

Written order
Frequency: Continuous

Start Date: 01/31/2022 1823
End Date: 01/31/2022 1823

Past End
01/30/2022 2223 AMOXICILLIN

Written order
Dose/Frequency: 500 mg 2x Daily
Route: Oral

Start Date: 01/30/2022 2223
End Date:

Schedule: 0800, 2000 Active
01/31/2022 1823 Antiembolism stockings (TED) knee high

Written order
Frequency: Continuous

Start Date: 01/31/2022 1823

Active
01/31/2022 1823 Arterial Blood Gases (ABG)

Written order
Frequency: Once
Duration: 1

Start Date: 01/31/2022 1823

Active
01/30/2022 2223 ATORVASTATIN

Written order
Dose/Frequency: 20 mg Daily
Route: Oral

Start Date: 01/30/2022 2223
End Date:

Schedule: 2200 Active
01/31/2022 1823 Diet – Regular

Written order
Frequency: Continuous

Start Date: 01/31/2022 1823

Active
01/31/2022 1823 Full code

Written order
Frequency: Continuous

Start Date: 01/31/2022 1823

Active
01/31/2022 1823 Insert Intermittent Infusion Device (saline lock, med lock, hep lock)

Written order
Frequency: Continuous

Start Date: 01/31/2022 1823

Active
01/30/2022 2223 MORPHINE SULFATE

Written order
Dose/Frequency: 4 mg Every 8 Hours
Route: Intramuscular

Start Date: 01/30/2022 2223
End Date:

Schedule: 0800, 1600, 0000 Active
01/31/2022 1423 Oxygen-nasal cannula 2L/min

Written order
Frequency: Continuous

Start Date: 01/31/2022 1423

Active

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Labs

Lab Range 01/31/2022 2032
Arterial Blood Gases (ABG)
pH 7.35 – 7.45 7.28
Carbon dioxide partial pressure (PCO2) (mm Hg) 35-45 mm Hg 56
Oxygen partial pressure (PO2) (mm Hg) 80-100 mm Hg 70
Bicarbonate (HCO3) (mEq/L) 22 to 26 mEq/L 25
Carbon Dioxide (CO2) (mEq/L) 23-28 mEq/L
O2 Saturation (%) 95% – 98% 89