Caring for a patient with a tracheostomy

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A nurse is caring for a patient with a tracheostomy admitted for pneumonia who requires suctioning of secretions. The patient hits the call button and as the nurse enters the room, the nurse notes the patient is apprehensive, tachypneic, and gesturing for the nurse to come in. Using critical thinking to make a clinical judgment, which action does the nurse take first?

O Calls the code team

O Suctions the patient

O Encourages the patient to cough

O Auscultates the patient’s breath sounds

Discuss the role of health care in creating health equity

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Discuss the role of health care in creating health equity. Explain why health care alone isn’t enough to create health equity.

Description: David R. Williams, Professor of Public Health at the Harvard T.H. Chan School of Public Health, has been researching health inequities in the United States for two decades. In this video, he sits down with Don Berwick, MD, President Emeritus and Senior Fellow at IHI, to discuss the role of both health care and social determinants of health to create health equity.

 

Discussion Questions:

  1. After hearing Williams say that health care is important to health equity, how do you feel about your role in ensuring high-quality care to people who face barriers to good health as a result of social circumstances?
  2. What role do you think health care providers play in addressing the non-clinical determinants of health?
  3. Williams says early childhood development is critical to good health. How do you think health systems can promote early childhood development?

The definition of Salience of the disability

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According to your textbook, what is the definition of Salience of the disability Most noticeable Different from the rest C The disability is the most important, or the only, aspect of the individual D The importance of the race, gender, or sexual orientation when experiencing a disability

Question 7 2 Points The tendency to feel anxiety or panic at the idea of becoming disabled, " disability is a devastating personal tragedy", can be defined as: A Salience of disability Handicapism C Distressed Identification Stereotyping Question 8 2 Points

The inspiratory tidal volume

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You go to the patient’s bedside and assess the patient’s interaction with the ventilator and note that the inspiratory tidal volume is 450 mL but the expiratory tidal volume is only 392 mL.

1) Please assess the tidal volume values and identify the issue causing the discrepancy of values.

2) Please identify how you will fix this problem.

Pathophysiology with connection to common clinical manifestations

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Risk factors and/or causes of the disorder. Pathophysiology with connection to common clinical manifestations. Either a medical treatment or surgical treatment for the disorder

  • Nursing management
    • Health promotion or prevention [if none explain why]
    • For your chosen medical treatment or surgical treatment:
      • Assessment or ongoing monitoring [not diagnostic tests]
      • Interventions – collaborative and independent actions
      • Client and caregiver educational needs

While completing a ventilator check you note that the patient’s resistance has increased

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While completing a ventilator check you note that the patient’s resistance has increased from 7 cmH2O to 18 cmH2O. Please identify one possible cause of the increase in resistance.

 

Uncontrolled hypertension presents with dyspnea

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A client who has a history of uncontrolled hypertension presents with dyspnea, cold moist hands, a rapid weak pulse, and jugular vein distention. The nurse initiates oxygen via a face mask. Which action should the nurse implement next?

A) insert an IV Cather and a saline lock

B) Place the client in a high Fowler’s position

C) Palpate the pedal pulses

D) Call for a portable chest x-ray.

Nurse’s participation in policy-making

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Describe how the educational level achieved by a nurse or the entry point into professional nursing practice affects the quality and competence of a nurse’s participation in policy-making. Why it is important for registered nurses to influence the regulatory process? Does the nurse’s education have an influence on their ability to make an impact?

Suctioning of secretion

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A nurse is caring for a patient with a tracheostomy admitted for pneumonia who requires suctioning of secretions. The patient hits the call button and as the nurse enters the room, the nurse notes the patient is apprehensive, tachypneic, and gesturing for the nurse to come in. Using critical thinking to make a clinical judgment, which action does the nurse take first?

Describe how a Scrum-agile approach to the SDLC

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Describe how a Scrum-agile approach to the SDLC helped each of the user stories come to completion. Describe how a Scrum-agile approach supported project completion when the project was interrupted and changed direction.

  • Demonstrate your ability to communicate effectively with your team by providing samples of your communication.
  • Evaluate the organizational tools and Scrum-agile principles that helped your team be successful.
  • Assess the effectiveness of the Scrum-agile approach for the SNHU Travel project. Be sure to address each of the following:
  • Describe the pros and cons that the Scrum-agile approach presented during the project.
  • Determine whether or not a Scrum-agile approach was the best approach for the SNHU Travel development project.