Bronchoscopy and biopsy

A nurse is caring for a patient after a bronchoscopy and biopsy. Which of the following signs, if noted in the patient, should be reported immediately to the physician.? a. dry cough b. hematuria c. bronchospasm d. blood-streaked sputum

Structural racism and the ethics of care

Scott, Britton, and McLemore (2019) discuss structural racism and the ethics of care related to black mothers.  Explain the concept of “mother blame” narratives and how they can affect nursing care. Explain the strategies to optimize health equity in birth outcomes. What is reproductive justice, and can the concept of ethical care for this population be applied to other vulnerable populations?

 

Economic and budgetary impacts of Telehealth

Using the CDC’s Policy Analytical Framework, answer the questions below: Economic and budgetary impacts of Telehealth policy: Comparison of the costs to enact, implement, and enforce the policy with the value of the

Benefits

Budget

•              What are the costs and benefits associated with the policy, from a budgetary perspective?

•              e.g., for public (federal, state, local) and private entities to enact, implement, and enforce the policy?

Economic

•              How do costs compare to benefits (e.g., cost-savings, costs averted, return on investments, cost-effectiveness, cost-benefit

analysis, etc.)?

•              How are costs and benefits distributed (e.g., for individuals, businesses, government)?

•              What is the timeline for costs and benefits?

•              Where are there gaps in the data/evidence-base

NOTE: Please, answer the above questions with references

Thanks

Health department for oral contraceptives

Laura, a 20-year-old college student, went to the health department for oral contraceptives. Laura asks the nurse how to take the medication and wants to know the adverse effects of oral contraceptives.

  • What should the nurse assess for prior to the physician prescribing oral contraceptives?
  • How would the nurse respond to Laura’s questions?

One month later, she started on oral antibiotics for acute bronchitis. She has taken her antibiotics for one week and she now has a vaginal yeast infection. She continues to take oral contraceptives as scheduled.

  • How did Laura develop a vaginal yeast infection?
  • What medication might be prescribed for a vaginal yeast infection? Discuss the adverse effe

The treatment authority permits

Michael is a 40-year-old mathematician who lives in Brisbane. He has a full-time job, a partner, Kelly, and two daughters. Michael was diagnosed with schizophrenia as a 21-year-old university student, but has, with the care of his loving parents and partner, consistently managed his condition with the assistance of a regular medication regime under the ongoing care of a psychiatrist, Dr John Nash. Michael has not been hospitalised as a result of his condition for 19 years.

Kelly and Michael were at a Laserforce game venue two days ago, playing with their daughters, when Kelly noticed that Michael was acting very anxious and agitated. Michael told Kelly that the employees of the Laserforce venue were foreign intelligence agents who were trying to control his thoughts by playing music in the venue at exceedingly high volume.

Michael had been working on a very politically sensitive coding project for the government and told Kelly that the employees were trying to steal the coding algorithm which Michael had developed and memorised as part of his work.

Michael abruptly exited the venue and ran across a busy highway where he started to flag down cars to help him leave the area urgently. After searching for Michael for a few hours, and alerting Michael’s parents, Kelly returned home with their daughters and checked Michael’s pill organizer.

It appeared that Michael had not taken his medication for the previous three days. Kelly has not seen Michael since he left the Laserforce venue. Earlier today, Michael arrived at his psychiatrist’s office unannounced. Dr Nash had been alerted to Michael’s behaviour by Kelly.

Michael appears very unkempt and is carrying a baseball bat underneath his hoodie. He tells Dr Nash that he is being followed and asks Dr Nash if he too is trying to steal the coding algorithm from Michael’s brain. Dr Nash’s consulting rooms are based at the Royal Brisbane Hospital, and he discreetly asks his receptionist to alert security while he escorts Michael into his office. Dr Nash asks Michael about his medication and Michael explains it is poisoning his mind, so he has stopped it.

Michael pulls the baseball bat from under his hoodie and starts brandishing it at Dr Nash. Security arrives and forcibly restrains Michael. Dr Nash authorises a treatment authority for Michael under Section 12 of the Mental Health Act 2016 (Qld).

The treatment authority permits the chemical restraint of Michael through the prescribing of Clozapine (a strong anti-psychotic medication with sedative effects) and his seclusion in a locked room for four hours until the medication has taken effect.

Michael screams at Dr Nash and the registered nurse in charge of the mental health facility that he does not consent to this treatment. Raj is the registered nurse in charge of the mental health facility.

Michael tells Raj that he is being held against his will. Kelly arrives at the mental health facility 45 minutes later and is distressed to hear that her partner has been locked up and sedated. Kelly demands to see Michael and for his immediate release from the facility into her care at home. Apply the ethical and legal decision-making framework to this scenario

 

 

  1. Identify
    1. Issue: 
    2. Parties: 
  2. Evaluate
    1. Ethical principles

[discuss what each ethical principle is AND your application of them to the facts]

  1. Code of Ethics 

[insert elements from the ICN Code of Ethics AND your application of them to the facts]

  1. Law

[set out the law AND apply it to your facts here]

  1. Action
    1. Code of Conduct

[insert principles from the Code of Conduct AND your application of them to the facts]

  1. Options for Action 
  • [insert dot points OR a paragraph here]
  1. Implementation
  • [insert dot points OR a paragraph here]
  1. Assess Outcomes 
  • [insert dot points OR a sentence here]

Metastatic lung cancer

Describe a scenario involving an individual with metastatic lung cancer. Include the physical, psychosocial, cultural, economic, educational, and environmental factors that influence the health status of the individual in the scenario.
Where is the individual on the health continuum, and why?
How might the MSN-prepared nurse support positive health outcomes through a holistic approach and expanded competency with advanced assessment, pathophysiology, and pharmacology?
Looking ahead, how will competency in advanced health assessment, pathophysiology, and pharmacology be especially useful to your practice?

Nursing interventions and education strategies

Nursing interventions and education strategies for parents experiencing chronic sorrow from a child with a disability? nursing interventions and education strategies for individuals unable to cope with the loss of a partner?

Mental Health Nursing

Journal regarding your learning from topics of Mental Health Nursing. Relate your personal or social experiences to what you have learned from the nursing mental health course.

What role do social determinants of health play in childhood obesity?

What role do social determinants of health play in childhood obesity? Explain the life course perspective on how an overweight childhood can be a risk factor for severe obesity over the life course with references in a peer-review articles

Public health trends and practices

The Administrative Simplification Compliance Act of 2001 requires that all Medicare claims be submitted electronically. Discuss vulnerabilities in the protection of electronic health information. Identify and discuss specific resources or federal agencies that you will utilize to remain informed and current in public health trends and practices.