Heart failure and edema of the lower extremities

A nurse is collecting data from a client who has heart failure and edema of the lower extremities. Which of the following actions should take the nurse?

a. Observe the skin color of the edematous area.

b. Press firmly with the fingertip on the edematous area.

c. Compress the nail beds of the client’s toes.

d. Lightly pinch the skin over the client’s calf.

The Annenberg Sensation and Perception video

In the Annenberg Sensation and Perception video, in an illusion, such as the AIMS room, your visual _____, adds up all of the visual information it had about Zimbardo’s size and the size and shape of the room, then it added it together to make a judgment. 1. sensation 2. intake 3. perception 4. all of the above

Risk for colorectal cancer in the diagnostic center

A nurse is collecting data from a client who is at risk for colorectal cancer in the diagnostic center and is scheduled to undergo a colonoscopy. Based on the information provided in the client’s chart, which of the following pieces of data places this client at risk for colorectal cancer? (Click on the " Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Types of healthcare system

Mariana is a nurse who is finding it difficult to communicate information as it relates to transferring patients between floors. Which types of healthcare system could Mariana consider suggesting to the NI of the hospital?

A

Order entry system.

B

Radiology information.

system

C

Core business system.

D

Laboratory information

system

The COVID-19 outbreak and response

Comment on what you learned about the HIV outbreak. Comment on what you learned about the COVID-19 outbreak and response. In your reflection, include how this current pandemic has or will potentially impact your practice as an advanced practice nurse

Demonstrate competencies in advanced nursing practice

How can the practice immersion experience allow the student to demonstrate competencies in advanced nursing practice?

List the expected progress status of a DNP quality improvement project.

Exploring Factors Influencing Retention of Nurses

This is the name of the Article: Exploring Factors Influencing Retention of Nurses in a Religious Hospital in Taiwan: A Cross-Sectional Quantitative Study.

 

Critique the article attached by responding to the following prompts. You must provide evidence from the article to support your answer. Include the page number of the article where you found the information.

  1. What was the purpose of the study?
  2. Identify the independent and dependent variables in the article.
  3. Identify at least one operational definition used in the article.
  4. Specify the data collection instruments used in the study. Were they appropriate? Why?
  5. What steps did the researchers take to ensure fidelity in data collection?
  6. Did the researcher discuss the validity of the instrument used? If no, as a researcher, how would you have discussed the validity of the instrument?
  7. From your knowledge gained in research, how does the strength and quality of evidence related to the reliability and validity of a study influence the applicability of findings to clinical practice?

Can you please answer these questions thanks!

Bilateral erythema and edema of turbinates

A 25-year-old Hispanic female, computer programmer presents to your clinic complaining of a 12-day history of a runny nose Subjective Data: States that her symptoms began about 12 days ago. She suffers from allergies; she gets a runny nose during the springtime, pollen season. However, in the winter, her allergies are not a problem.

Objective Data:

(BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air

No signs of acute distress. The patient appears mildly fatigued. She is breathing through her mouth. Breathing easily. Voice has a nasal quality to it.

Ear canals: normal;
EYES: normal;
NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Nares: Obstructed air passages

CTA AP&L

Posterior pharynx: mildly injected, scant postnasal drainage (PND), no exudate, tonsils 1+, no
cobblestoning

Regular rate and rhythm, no murmur, S3, or S4

 

  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.

Can you include your references please

 

Abdomen and Musculoskeletal Documentation

Abdomen and Musculoskeletal Documentation Obtain the following information on an adult volunteer. For the history, ask about the items indicated. For the physical exam items; read the assigned chapters, review the course presentations/videos, and gather needed equipment before performing the exam. Use this guide when documenting the findings.

Be sure to address all items in your documentation. Gender, age, birthplace, race/ethnicity Abdomen, musculoskeletal 0

Past medical history – Personal history of acute/chronic disease, surgery, injury, infection, pain a Review of systems 0 Abdomen – Appetite, intolerance to any food, heartburn, nausea, vomiting, constipation, diarrhea, change in stool, incontinence, bleeding, hemorrhoids, laxatives, endoscopic tests and results

0 Musculoskeletal – Pain, stiffness, swelling of joints, limited movement, cramps, weakness, problem with gait, deformities, assistive devices 0 Family history of illnesses in these systems Abdomen Inspect – skin, umbilicus, peristalsis, symmetry, aortic impulse, etc. Auscultate — bowel sounds Percuss – general Palpate — light, aortic pulse, deep, liver, kidneys Costovertebral angle (CVA) tenderness – can do here if not already done with posterior chest Musculoskeletal 0 Inspect— muscularity, symmetry, alignment, deformities, edema, redness, etc. 0 Neck 0 ROM – flexion, hyperextension, rotation, lateral bending 0 Strength

Evaluate the nurse’s role in facilitating safe, quality outcomes for patient-centered care

The student will evaluate the nurse’s role in facilitating safe, quality outcomes for patient-centered care. The student will select a patient care assignment from the clinical practicum (not the same patient used for the case presentation) to complete the case analysis using the criteria stated below. The student must use at least 2 professional journal articles to supplement content from other recent nursing textbooks to provide evidence for the care provided. Unless classic research, all references must be within 5 years of publication.

 

CriteriaPossible PointsComments/Earned Points
  1. Introduce the background of the patient
  • Health history
  • Economic and social history
  • Spiritual and cultural considerations
  • Family members and relationships
  • Community of residence
10/10

Comments:

  1. Medical diagnoses
  • Discuss pathophysiology of disease or symptoms with focus on current health problem(s)
  • Analyze the risk factors and patient’s assessment findings that relate to the pathophysiology or disease conditions
30/30

Comments:

  1. Patient assessment
  • Discuss physical assessment findings including vital signs and allergies
  • Evaluate the medications including the reasons for patient taking each one.
  • Evaluate laboratory and diagnostic tests relevant to care of the patient
  • Emphasis should be on the analysis of assessment data to care for patient
30/30

Comments:

  1. Analyze the case and progress toward outcomes using the nursing process framework
  • Identify one priority diagnosis and two other nursing diagnoses and provide brief plan of care with rationales and interventions that are realistic and individualized to patient.
  • Evaluate the care provided to the patient and the patient’s achievement of care outcomes
40/40

Comments:

  1. Examine how a systems approach to collaboration with other members of the interdisciplinary team contributed to safe patient care.
10/10

Comments:

  1. Evaluate discharge planning goals or other long term planning goals for the patient.
15/15

Comments:

  1. Discuss how the nurse provided or could have provided for the spiritual and cultural needs of the patient.
10/10

Comments:

  1. Evaluate one or more of the agency specific policies and the impact on the provision of care for this patient.
  • Was policy a barrier or facilitator for care?
  • How does nursing leadership advocate for safe, quality care?
10/10

Comments:

  1. Analyze ethical and legal standards that impacted the care of the patient and family. Possible discussion topics include: ethical standards for professional nursing practice, end-of-life decisions and advanced directives, respect for ethical rights of patients (autonomy, beneficence, etc.)
15/15

Comments:

  1. Analyze ethical and legal standards that impacted the care of the patient and family. Possible discussion topics include: ethical standards for professional nursing practice, end-of-life decisions and advanced directives, respect for ethical rights of patients (autonomy, beneficence, etc.)Reflect on additional learning that you need to enhance your care of a similar patient care situation in the future.
10/10

Comments:

  1. Scholarly presentation of work
  • Uses textbooks and recent journal articles to support discussion points
  • APA format for style, grammar, in-text citations, and references
  • Absence of spelling errors
20/20

Comments:

Total200/200

 

this is one a CHF patient