Hypotheses reported in Wright’s article.

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Hypotheses reported in Wright’s article. Can you assist in helping me critique the hypotheses and findings reported in the Wright and Fallacaro (2011) article?

Appropriate nursing interventions.

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Case Study: Appropriate nursing interventions.

D.G. is a 56-year-old Caucasian woman. She has just returned to the medical-surgical floor following abdominal surgery. She has had a total abdominal hysterectomy with removal of both ovaries and fallopian tubes. D.G. has a history of ovarian cancer, chronic nausea, and an appendectomy. Her vital signs are HR 107 BP 145/83 O2Sat 92% RR 33 Temperature 38.1 Celsius. Pain 8/10.

  • Using the Pain Assessment Method (PQRST) as a guideline, how will you assess D.G.’s pain?
  • Using the nursing process, the above information, and the ADPIE guidelines (see below), what plan of care would you develop for D.G.?
  • Is this patient at risk at all for respiratory system compromise? Why or why not?
  • If this patient required respiratory support in the form of oxygen supplements, what would be the best way to provide this to her?
  • What are the priority interventions for this patient at this point? (List 3-4.)

ADPIE Guidelines:

A = Assess: what will you assess? (List four.)

D = Diagnose: choose one priority nursing diagnosis.

P = Plan: plan two goals and four appropriate nursing interventions (two for each goal).

I = Implement: implement two interventions and describe how.

E = Evaluate: how will you determine if the goal was met?

 

Unintentional drug overdose effects.

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1. What is an overdose? Why is it more common for this to happen unintentionally with children?

2. What are some medications used to combat an overdose once it has been determined? What are some protocols in Ontario or hospitals you have been to? (Look up Ontario Poison Control Centre).

3. What lab values need to be assessed? Does it matter what medication was ingested?

4. What are some priority nursing interventions to do once an overdose has been suspected?

5. What is a nasogastric tube? What can it be used for in terms of an overdose?

6. What methods would you use to insert a nasogastric tube into a two-year-old, refer to the semester three checklist and modify it for the patient’s age.

7. What are some health teachings to give to parents/guardians of an unintentional drug overdose?

 

Making any notations in the patient’s chart.

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Making any notations in the patient’s chart.

Refer to the case study at the beginning of chapter 17 in your Pearson’s Comprehensive Medical Assisting PowerPoint and use the information you have learned to answer the following questions.

How should Samra handle the situation with Ms.  McConnley?. When Ms. McConnley is ready to check out, she informs Samra that she does not have any cash to pay her $25 copayment. How should Samra respond?

When Ms. McConnley is ready to check out, she informs Samra that she does not have any cash to pay her $25 copayment. How should Samra respond?

Is it necessary for Samra to make any notations in the patient’s chart?

 

Inferential statistics analysis.

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Inferential statistics analysis. Which one of these inferential statistics was used to examine the data obtained from the participants?

Group of answer choices

Factor Analysis

 

Paired samples t-test

 

Cox regression analysis

 

Spearman’s Correlation Coefficient

 

independent-samples t test

 

Logistic regression analysis

 

z score

 

None of the above inferential statistics were used in this study.

Difference between hyperglycemia and hypoglycemia.

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What is the difference between hyperglycemia and hypoglycemia? What clinical findings are you expected to see for both? (Signs and symptoms, blood sugars)

2. What is the difference between type one and type two diabetes? How would a patient present?

3. Why might it be difficult for an adolescent to be diagnosed with diabetes? Who is responsible for ensuring medication and nutrition are being adhered to?

4. What are three nursing diagnoses for an adolescent being diagnosed with Type one diabetes. Based on the nursing diagnoses you select, what are three nursing interventions?

5. An adolescent is trying to lose weight and skips taking their insulin as a means of doing so. Explain from a pathophysiological perspective what is occurring in the body and what is the risk of doing this.

6. If An adolescent is resistant to the diagnosis of type one diabetes, what do you do? What are some health teachings that are needed? Who can you involve?

7. How is wound healing for those with diabetes? If poor or well, why? Please explain from a pathological perspective and be able to simply the language to explain to an adolescent and parent.

8. What is sliding scale? How do you explain this to an adolescent as well as parent?

9. What is ondansetron? What is the classification? Why might it be used for a diabetic patient?

10. What is DKA? What type of insulin would be needed for a patient with high blood glucose?

 

Changing culture in a hospital environment.

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Changing culture in a hospital environment. why is difficult to change a culture in an organization like a hospital team environment.

Validity of a Perceived Stress Scale.

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Validity of a Perceived Stress Scale. How do the authors describe the validity of the Perceived Stress Scale (PSS) used in this study?

Group of answer choices

The scale was reviewed by six experts prior to being used in this study.

 

The Perceived Stress Scale (PSS) was examined by face, construct, and discriminant validity methods.

 

The Perceived Stress Scale (PSS) was described as having well-established evidence of validity from previous studies.

 

The readability levels were identified prior to being used in this study.

Health care delivery and population health equity.

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Health care delivery and population health equity. Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal). What impact do these population health policies and initiatives have on advanced nursing practice?

 

Healthcare issues in the local community.

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5. The nurse practitioner is concerned about access to healthcare issues in the local community and wants to help develop health care policy to help patients access care more effectively. The nurse practitioner knows one of the most effective avenues for developing and advocating for policy is:

A. Asking the clinic manager to explore options for access.

B. Organizing a political protest

C. Working with the local chapter of the nurse’s professional association.

D. Writing letters to the editor of the local newspaper.