Conversion of The metric and home system

Conversion of the metric and home system (please carry out the calculation procedure

and round one decimal place.

a. 9 teaspoons = _____________ tablespoons

b. 1.9 g to ______________ mcg

C. 95 ml one _______________ teaspoon

d. 0.0075 µl a _____________ul

me. 75 drops to ____________ ml

F. 3.5 ml to _____________ ounces

gram. 45 mg = _____________ micrograms

H. 95 kg = _____________ pounds

Yo. 0.70 ml one ____________ tablespoon

J. 1.5 liters = ____________ ml

K. 3/4 g = ______________ micrograms

I 37.4 CO = ____________ DE

meter. 115oF = ____________oC

north. 65ml = ______________ L

II. Dose calculation (please perform the calculation procedure and round to

one decimal place):

1. A client is prescribed Venlafaxine (Effexor) 75mg po qam and 150mg qhs.

Venlafaxine is supplied as 37.5 mg tablets. How many tablets will the

nurse in one day? _________ tablets.

2. A client is prescribed Lithium 600mg PO in the morning and 1000mg in the

go to bed. Pharmacy supplies 150mg tablets. How many tablets should

administered throughout the day? __________ tablets.

3. A client with major depression is prescribed Paroxetine (Paxil) oral solution

50mg PO daily. Paxil Oral solution comes in 10mg/5ml. What is the amount of

medication to administer?

4. A client is prescribed Clozipine (Clozaril) 12.5mg q 12 hours. Favor of

increase 25mg/day until reaching the dose of 350mg/day. On what day will it reach

maximum dose? _______ day.

5. A client with Bipolar I Disorder is started on Lamictal (Lamitrigine)

25mg PO q day for two weeks. Double the dose every week until reaching the

200mg/day dose. In what week will the maximum dose be reached? ______ week.

6. A customer has ordered Fluphenazine concentrate (Prolixin) 20mg PO bid and

5mg PO PRN every 6 hours. It should not exceed 40 mg PO daily. The Prolixin

concentrate comes in 5mg/ml. Up to how many ml of PRN dose can be

manage the customer?

7. The client has ordered Risperdal (Risperidone) 4mg PO bid and I have available

Risperdal tablets 2mg PO. How many tablets will be administered in a day

to the client? ______ tablets.

8. A client is prescribed Depakote Syrup 2000mg PO at bedtime and I have

hand 250mg/5ml. How many milliliters should be administered?

9. A customer has ordered Lorazepam (Ativan) 2mg PO qid and Ativan 1.5mg PO

PRN every 8 hours. For agitation, do not exceed 10mg/day. I have Ativan available

oral concentration 2mg/ml. Up to how many milliliters PRN will the

male nurse?

10. A client with Generalized Anxiety Disorder is prescribed Paroxetine

(Paxil) 30mg PO at bedtime. I have Paxil 20mg per tablet available. How many

tablets should the nurse administer?

11. A client with Bulimia Nervosa is prescribed Prozac oral solution 80mg PO

daily. The drug comes Prozac 20mg/5ml. How many ml should be administered

daily?

III. Calculate the flow rate for infusions: (You must perform the procedure of the

calculation and round to one decimal place).

1. Order: 100ml of Gentamicin in 3/4 hours, 15gtt/min line.

2. Order: 1500ml NS in 24 hours, 20gtt/min line.

3. The doctor prescribes 1000ml of 5% dextrose in 0.9% sodium chloride to ajar

in 6 hours. Should you calculate the flow rate in mL per hr? (Round to one place

decimal).

4. A client diagnosed with anorexia nervosa is admitted for dehydration. I know

He prescribes an IV of 1000ml D5W to slow down to 75cc/hr. Calculate the flow in drops per

minutes. The line is 15gtt/min.

5. The nurse has prepared Nitroprusside 50mg in 250ml of Dextrose in water at

5%. The client should receive 1.5mg/min. For what reason should the nurse

set the infusion to deliver per minute?

Health-related Topics

Think of a common saying, perhaps something your family used to say to you, that is health-related Topics (like you must not swim for 30 minutes after you eat, or you’ll get a stomach ache, or if you go outside with wet hair, you’ll catch a cold).

What information you would need to have in order to support or refute these claims. For example, what questions would you need to investigate?

2. What do you think could be challenging to apply evidence-based practice in nursing care? How can you overcome these when you become a nurse?

3. What do you think you will do when you encounter a patient care situation in which decisions are made that go against your values and beliefs?

4. Why is it important to have passions or interests other than nursing? What is your plan to avoid burnout as a nurse?

5. How do you think you come across when communicating with other people? What are some areas you may need to work on with communication? 6. In this course, you have learned many strategies for success.

Which one was the most useful and why? How will you apply this to your life (currently, or in your future nursing school)? Which concept do you want to make sure and take with you moving forward?

7. Looking back over the last three weeks of the course, what is the biggest change in your understanding of the nursing profession since the beginning of the course? How will you apply this to your life (currently, or in your future nursing practice)?

The basis of a Clinical inquiry

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

 

Various Theories on globalization

Various theories on globalization exist. Choose two from the readings and describe each—one you agree with and one you disagree with—briefly describe each theory, and explain your reasons for agreement and disagreement.  CONSTRUCTIVISM THEORY AND FEMINISM.

Nursing career Professional development plans

Now that each one of you is very close to completing this major accomplishment in your nursing career, please share your nursing career professional development plans to keep up to date in your chosen specialty and nursing in general.

  • In what professional nursing organizations do you currently participate?
  • What organizations might you think about participating in for the future?
  • What nursing certifications are you considering?
  • How might consideration of continuing your education to pursue a graduate degree fit into your future plans?

The Importance of Reflection

An important part of being a professional is self-assessment. The Importance of Reflection Nurses regularly reflect on their practice and ask themselves where they’re performing well and what they’d like to improve.  You will be doing this every year as part of your annual BCCNM Registration Renewal.

 

This reflection can be as simple as analyzing a situation with a challenging client earlier in the day or thinking about how to apply a new communication strategy they learned.

Take some time to think carefully about the questions below.  This is your opportunity to dig deep and reflect on how this course and its topics influence your way of being as a nurse and the impact(s) the skills and techniques will have on your future practice.

This is not a research assignment; this reflection must be personal and come from within with evidence that you have sat with these questions and demonstrate careful consideration.

 

Reflect on the following questions:

  1. Recall the Metaparadigms of Nursing concepts “Person” and “Nurse”.  Reflect briefly on how the core skills of therapeutic communication you have practiced this semester will help develop these for you in your practice.
  2. How did I personalize the evidenced-based theory into an evidence-based practice?
  3. Provide constructive feedback on your learning and practice experiences in the course.
  4. Comment on what went well and experiences that did not go well.
  5. Comment on what you will do to ensure that you keep developing the skills and techniques you have learned in this course?

Why do the patients have Alkaline urine?

A 23- year old male has been admitted for vomiting over the last 2 days, with minimal fluid intake. Why do the patients have alkaline urine? He went to the emergency room of a nearby hospital and the following data was obtained upon examination and testing.
Hematology:
Hematocrit: 60%
plasma pH: 7.49 (normal is 7.35 to 7.45)
pCO2: 47 mmHg (normal is 35 to 45 mmHg)
HCO3 – : 31 (normal is 22 to 26 mEq/L)
Urinalysis Appearance: dark yellow to brown
Specific gravity: 1.025 (normal is 1.015 to 1.030)
Blood: negative
Protein: mild
pH 8.5

The Relationship between Decreased urine output and Elevation of serum BUN

A 20-year-old woman was admitted to the hospital following a car-train collision. Discuss the relationship between decreased urine output and elevation of serum BUN, creatinine and potassium levels.•

She appeared to have internal injuries and was thought to be hemorrhaging.  She remained hypotensive throughout emergency surgery for the removal of a ruptured spleen.

Following surgery and blood transfusions, her condition remained stable for 4 days.  Urine output then began decreasing, and BUN, creatinine and serum potassium levels showed elevation.

•. The urinary output continued to decrease and the patient became oliguric.  It was determined that she had developed acute renal failure and should be placed on hemodialysis  for 6-hour periods.

This procedure was tolerated well, but the elevation of serum potassium levels continued to be a major problem between dialysis.  What other options are available for the treatment of hyperkalemia
3.•The physician ordered 250 ml D5W with 10 units of insulin to be given IV immediately.  What is the action of this medication?

 

The Emergency room cyanotic

A 24-year old student on the 6- year undergraduate plan is brought to the emergency room cyanotic and profoundly weak. His roommate has just returned from a semester in Africa. The patient had been observed admiring his roommate’s authentic African blowgun and had scraped his finger on the tip of one of the poison darts (curare).
•Electrolytes and ABG results:
•Na = 138
•Cl = 100
•pH = 7.08
•HCO3– = 26
•CO2 = 80
•pO2 = 37.

The introduction of Fall safety and prevention program

In nursing staff in a skilled nursing facility (Population), what is the effect of the introduction of a fall safety and prevention program (Intervention), in comparison to before the introduction of the program (Comparison) on the nursing staff’s awareness about fall (Outcome) over 4 weeks (Time frame)?

For the QI to be conducted,

1. Make a plan for population, eligibility, and recruitment of participants

2. Make a Discussion such as Nursing Implications and Recommendations for future practice