Category: Nursing homework help

Directions:
Role in Conflict Management
As a nurse leader or manager, you are responsible for conflict management.
First Post
Describe how you would handle a conflict between two nurses on the unit. Include how you would meet with each nurse and how you will document the situation. Is there anyone else you would ask for assistance and how you would identify if the conflict has been resolved or you need to escalate to your supervisor.

As we have journeyed throughout the semester we have focused our studies on identifying major themes and different teachings of the religions of Christianity, Judaism, Islam, Hinduism, and Buddhism. We have either directly or indirectly focused on developing a deeper understanding of each religions’ theology, sacred scriptures, code of ethics, prayer and worship rituals, and a brief history of the religion. For the most part, we have looked at each of these religions independently, but now as we begin to wrap up our course we will revisit these religions and begin to examine them critically and ask the intriguing question:
What similarities (and differences) do these religions share amongst each other regarding their teachings of a specific topic?
For your final written report, you will select a theme, from the list below, and recapitulate each religion’s teaching on that particular theme. You will then complete a comparative analysis on the significant similarities that each religion has with Catholicism specifically – not just Christianity in light of the topic as well as delineate their distinct differences. Once you have completed the comparative analysis, you will reflect on the following question:
How can (or how has) the knowledge gleaned in this report and in this course change(d) your perspective/outlook on dialogue with people of other faiths? ‘

You can share a personal experience that you have had with someone of a different faith background or how you think having a better understanding of these different teachings will help shape your future interactions with people of different faiths.

Instructions:
Select the theme, from the list below, that you plan on focusing on for the final report
Identify at least 6 different sources (other than the course text) that you plan on utilizing within your final written report.
You will need to identify at least 1 different source for each of the 5 religions
For each of the sources, provide the following:

Name of the Source
Website URL to the source
Which religion the source pertains to

Ex: Christianity, Hinduism

If it pertains to more than one you may list them all.

List of Selected Themes:
Religion’s Understanding of God

The Divine
Metaphysical and Supernatural Beings

Soteriology

How is salvation achieved?

Eschatology – End Times

Death and the Afterlife
Final Judgement

Creation

Of the Universe
Humanity

Pain and Suffering
Freedom and Free Will
Virtues
Sin and Forgiveness
Treatment of Women or the Marginalized in Society
Prayer and Worship Practices
Celebrations of Life Events

Birth
Adulthood
Marriage
Funerals

Initiations into the Religion
Submission Instructions:
Your initial post should be at least 150 words. Incorporate 6 different sources, formatted and cited as the instructor indicated in the announcements. When you working on the report, please remember that this report and all reports for this class must be composed in Chicago-Turabian (CMOS) style. Turabian Style is just a concise version of Chicago Style (CMOS). That’s why we call it Chicago-Turabian style.

Case Study: Jimmy, ten years old, was admitted to the pediatric intensive care unit after a fall from the second-story townhome were sustained a fractured left femur and mild head injury. Currently, Jimmy is two days post open reduction internal fixation of the left femur. Orders were updated to transfer Jimmy out of Intensive Care Unit (ICU) after being cleared by the neurologist. He has a long leg cast, indwelling foley catheter and will require neuro checks every two hours.
What are two priority nursing diagnoses for this child?
What are the priority nursing interventions for this patient after being transferred from the ICU?
What are the risks of foley catheter placement?
Does the patient still require an indwelling foley catheter? Provide a rationale to support your answer.

ANSWER
Priority Nursing Diagnoses

Risk for Impaired Physical Mobility
Jimmy’s fractured left femur and long leg cast significantly restrict his mobility. This immobility can lead to muscle atrophy, decreased strength, and potential complications such as pneumonia and deep vein thrombosis (DVT).

Risk for Urinary Tract Infection (UTI)
Jimmy’s indwelling Foley catheter increases his risk of developing a UTI. Catheters provide a pathway for bacteria to enter the bladder, and prolonged catheter use increases the risk of infection.

Priority Nursing Interventions

Promoting Physical Mobility
Despite his leg injury, Jimmy’s physical mobility should be encouraged within safe limits. Assist Jimmy with range-of-motion exercises and bed mobility as tolerated. Encourage him to participate in activities that don’t strain his injured leg, such as upper body exercises or using a wheelchair for short distances.

Maintaining Urinary Tract Catheter Care
Proper catheter care is essential to prevent UTIs. Ensure the catheter is secured properly to prevent displacement. Maintain a closed drainage system. Clean the catheter insertion site daily with sterile saline solution. Encourage adequate fluid intake to promote urine flow and prevent catheter blockage.

Monitoring Neurologic Status
Jimmy’s recent head injury warrants ongoing neurologic monitoring. Assess his level of consciousness, orientation, and pupillary response every two hours or as ordered. Monitor for signs of increased intracranial pressure, such as headache, vomiting, and nuchal rigidity.

Pain Management
Jimmy’s fractured femur and head injury may cause significant pain. Administer pain medication as prescribed and assess his pain level regularly. Encourage non-pharmacological pain management techniques such as relaxation exercises and distraction.

Preventing Complications
Implement preventive measures to reduce the risk of complications such as pneumonia and DVT. Encourage Jimmy to deep breathe and cough regularly to promote lung clearance. Elevate his lower extremities to reduce swelling and prevent DVT.

Risks of Foley Catheter Placement

Urinary Tract Infection (UTI)
UTIs are the most common complication associated with indwelling Foley catheters. Bacteria can easily travel up the catheter and into the bladder, causing infection.

Catheter-Related Bladder Spasm (CRBS)
CRBS is a painful bladder spasm caused by irritation from the catheter. Symptoms include frequent urination, urgency, and pain.

Catheter Encrustation
Catheter encrustation occurs when mineral deposits build up on the catheter, increasing the risk of infection and blockages.

Urethral Injury
Catheter insertion and removal can cause urethral irritation, bleeding, and even perforation.

Does the Patient Still Require an Indwelling Foley Catheter?

The decision to continue using an indwelling Foley catheter should be made on a case-by-case basis, considering individual patient factors and clinical status. In Jimmy’s case, the indwelling catheter may still be necessary for accurate urine output monitoring, particularly in the initial post-operative period. However, as his condition stabilizes and he regains bladder control, the catheter should be discontinued to minimize the risk of complications.

Once Jimmy is able to void spontaneously and has demonstrated bladder control, the Foley catheter should be removed. This will reduce the risk of UTIs, catheter-related complications, and promote urinary tract health.

J.C is an 82-year-old white man who was evaluated by a GI specialist due to abdominal discomfort, loss of appetite, weight loss, weakness, and occasional nausea.
Past Medical History (PMH):
Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation is controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.
Labs:
Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.
Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.
Case Study Questions:
Please name the potential most common sites for metastasis on J.C and why?
What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why is this classification important?
Discuss characteristics of malignant tumors regarding their cells, growth, and ability to spread.
Describe the carcinogenesis phase when a tumor metastasizes.
Choose the tissue level that is affected in the patient discussed above: Epithelial, Connective, Muscle, or Neural. Support your answer.
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook.

Hi everyone,
Week 3 Discussion Nutrients
Let’s start this week’s discussion with the definition and comparison of glycogenesis, glycogenolysis, gluconeogenesis, and lipogenesis. Which is (are) likely to be occurring (1) shortly after a carbohydrate-rich meal and (2) just before waking up in the morning?
The process of producing and keeping glucose in the form of glycogen is known as glycogenesis. It happens when blood sugar levels are high, usually following a meal high in carbohydrates. When energy is required, glycogen is easily converted back to glucose and is mostly stored in the liver and skeletal muscles.
Glycogenolysis is the breakdown of glycogen into glucose molecules. When blood glucose levels fall and energy needs rise, it is stimulated. In order to maintain blood glucose levels and supply the body with fuel, glycogenolysis largely takes place in the liver and skeletal muscles (Chung et al, 2015).
The process that generates glucose from non-carbohydrate sources, such as amino acids and glycerol, is known as glucoseneogenesis. The liver and kidneys experience it the most, respectively. In order to keep blood glucose levels stable, gluconeogenesis is triggered during periods of fasting, intense activity, or limited carbohydrate availability.
Lipogenesis is the process of producing fatty acids and triglycerides from extra glucose or other foods. It usually occurs in adipose tissue and the liver. When there are too many calories or carbs, lipogenesis is triggered, which causes the body to store fat as a form of energy.
Occurrence shortly after consuming a carboydrate-rich meal and just before waking up in the morning.
Blood glucose levels rise after eating a meal high in carbohydrates. Glycogenesis is expected to take place in reaction to the high blood sugar, with more glucose being processed and stored as glycogen in the muscles and liver for future energy requirements.
Immediately before awakening in the morning: Blood glucose levels fall during the overnight fast as the body uses glycogen reserves for energy. Glycogen reserves may be depleted in the early morning, causing a drop in blood glucose levels. Glycogenolysis would be triggered to convert stored glycogen into glucose for energy in order to maintain blood glucose homeostasis. Additionally, to maintain blood glucose levels, gluconeogenesis may produce glucose from non-carbohydrate sources.
It’s very important to remember that lipogenesis is less likely to happen just after a meal high in carbohydrates or right before waking up in the morning because it’s usually linked to excessive calorie intake and a high level of energy rather than particular meal or fasting times.
References:
Chung, S. T., Chacko, S., Sunehag, A. L., & Haymond, M. W. (2015). Measurements of Gluconeogenesis and Glycogenolysis: A Methodological Review. Diabetes, 64(12), 3996–4010. https://doi.org/10.2337/db15-0640
Saladin, K. S. (2020). Anatomy & Physiology: The Unity of Form and Function (9th ed.). McGraw-Hill Higher Education (US). https://ambassadored.vitalsource.com/books/9781260791563Links to an external site.Links to an external site.

Collaboration to Improve Outcomes
Competency
Collaborate in healthcare delivery systems settings for improved patient outcomes.
Transferable Skill
Diversity, Equity, & Inclusion.
Scenario
You have a final interview for your first registered nurse position.
All candidates must come prepared to discuss a time when they collaborated with others to solve a problem in a healthcare delivery setting. The collaborative solution must have improved patient outcomes and incorporate diversity, equity, and inclusion.
To prepare for the interview, you will create notes.
Directions
Select an example that demonstrates collaboration with others to solve a problem in a healthcare delivery setting to improve patient outcomes. The collaborative solution must incorporate diversity, equity, and inclusion.
Describe the problem, including the healthcare delivery setting and impact on patient outcomes.
Explain the collaborative solution, including the people involved and the improvement in patient outcomes.
Describe how diversity, equity, and inclusion were incorporated into the collaborative solution.
Resources
RasGuide: Transferable Skills: Diversity, Equity, and Inclusion
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:
please I want a unique answer not a duplicated one

Watch this video and answer the following questions
https://www-psychotherapy-net.regiscollege.idm.oclc.org/stream/regis-college/video?vid=092
What is the definition of an adverse childhood event (ACE)? Are there different types of abuse? How many types of abuse did Dr. Harris encounter?
Discuss mental instability, substance use, and generational transmission. How is Dr. Harris coping with patients in these situations, and what skills will you incorporate into your practice? Explain your reasoning.
What physical, psychiatric, and substance use disorders are associated with adverse childhood events? Give three examples from Dr. Harris’s patients.
How is DNA modified by traumatic experiences, and what are the sequelae?
APA FORMAT

Urinary Function: Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder. Case Study Questions
1 The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.
2 Create a list of risk factors the patient might have and explain why.
3 Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.
Reproductive Function: Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days. Microscopic Examination of Vaginal Discharge (-) yeast or hyphae (-) flagellated microbes (+) white blood cells (+) gram-negative intracellular diplococci Case Study Questions
1 According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probably diagnosis for Ms. P.C.? Support your answer and explain why you get to that diagnosis.
2 Based on the vaginal discharged described and the microscopic examination of the sample could you suggest which would be the microorganism involved?
3 Name the criteria you would use to recommend hospitalization for this patient

Submission Instructions:
• Include both case studies in your post.
• Your initial post should be at least 250 words per case study, a total of 500 words for both, formatted and cited in current APA style with support from at least 2 academic sources per case study. Your initial post is worth 8 points.
• You should respond to at least two of your peers, by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
• Please post your initial response before 11:59 PM ET Thursday, and comment on the posts of two classmates before 11:59 PM ET Sunday. NB: Responses to peers can be done on the same day, but not on the day the initial post is made.

Compose a written comprehensive psychiatric eval of an adult patient you have seen in the clinic . Please use the template attached. Do not use “within normal limits”. “admits or denies” Is accepted. FOLLOW THE RUBRIC BELOW.
PLEASE FOLLOW REQUIREMENTS:formatted and cited in current APA style 7 ed with support from at least 5 academic sources which need to be journal articles or books from 2019 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%. RUBRIC : Chief Complaint : Reason for seeking health. Includes a direct quote from patient about presenting problem .Demographics : Begins with patient initials, age, race, ethnicity, and gender (5 demographics). History of the Present Illness (HPI) – Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors,Timing, and Severity). Allergies – Includes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy). Review of Systems (ROS) – Includes a minimum of 3 assessments for each body system, assesses at least 9 body systems directed to chief complaint, AND uses the words “admits” and “denies.” Vital Signs – Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain). Labs, Diagnostic, PERFORMED. During the visit: Includes a list of the labs, diagnostic or screening tools reviewed at the visit, values of lab results or screening tools, and highlights abnormal values, OR acknowledges no labs/diagnostic were reviewed. Medications- Includes a list of all of the patient reported psychiatric and medical medications and the diagnosis for the medication (including name, dose, route, frequency). Past Medical History- Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active orcurrent. Past Psychiatric History- Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including ADDICTION treatment and date of the diagnosis) Family Psychiatric History- Includes an assessment of at least 6 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder, and history of suicidal attempts. Social History- Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation. Mental Status – Includes all 10 components of the mental status section (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/perception, cognition, insight and judgement) with detailed descriptions for each area.
PSYCHOTHERAPY NOTE: IT NEEDS TO BE WELL DEVELOPED AND ACCURATE.

LABS (values included) performed to rule out any medical conditionPrimary Diagnoses- Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)using the DSM-5-TR. The correct ICD-10 billing code is used. DSM-5-TR. The correct ICD-10 billing code is used. Differential Diagnoses: Includes at least 2 differential diagnoses that can be supported by the subjective and objective data provided using the DSM-5-TR. The correct ICD-10 billing code is used. Outcome Labs/Screening Tools – After the visit: orders appropriate diagnostic/lab or screening tool 100% of the time OR acknowledges “no diagnostic or screening tool clinically required at this time.” Treatment Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non- pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. The plan is supported by the cufrent US guidelines. Patient/Family Education- Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives. Referral : Provides a detailedlist of medical and interdisciplinary referrals or NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments. APA Formatting : Effectively uses literature and other resource. Exceptional use of citations and extended referencing. High level of precision with APA 7th Edition writing style. References: The references contains at least 5 current scholarly academic reference and in-literature citations reference. Follows APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent.

Create a powerpoint of no more than 20 slides on healthy eating for a healthy weight. Use the resource from only the CDC website for this assignment. Please also put foot notes in it. Provide one reference in APA format.

ANSWER

Slide 1

Healthy Eating for a Healthy Weight

Source: CDC website

Slide 2

What is a healthy weight?

A healthy weight is a weight that helps you maintain good health and reduces your risk of chronic diseases.

Slide 3

How to find your healthy weight

You can find your healthy weight by calculating your Body Mass Index (BMI). BMI is a measure of body fat based on height and weight.

To calculate your BMI:

Go to the CDC BMI calculator: https://www.cdc.gov/healthyweight/bmi/calculator.html
Enter your height and weight
Click “Calculate”
A BMI of 18.5 to 24.9 is considered a healthy weight.

Slide 4

Why is healthy eating important for a healthy weight?

Healthy eating is important for a healthy weight because it helps you control your calorie intake and get the nutrients you need.

When you eat more calories than you burn, you gain weight. When you eat fewer calories than you burn, you lose weight.

Healthy eating also helps you get the nutrients you need to be healthy and active. These nutrients include vitamins, minerals, protein, carbohydrates, and healthy fats.

Slide 5

How to eat healthy for a healthy weight

To eat healthy for a healthy weight, you should:

Eat a variety of foods from all food groups
Make most of your choices fruits, vegetables, and whole grains
Choose lean protein sources
Limit unhealthy fats, added sugars, and sodium
Slide 6

Fruits and vegetables

Fruits and vegetables are low in calories and high in nutrients. They are also a good source of fiber, which can help you feel full and satisfied after eating.

Aim to fill half of your plate with fruits and vegetables at every meal.

Slide 7

Whole grains

Whole grains are a good source of fiber, complex carbohydrates, and other nutrients. They are also low in calories.

Choose whole grains over refined grains whenever possible. Examples of whole grains include brown rice, quinoa, oats, and whole-wheat bread and pasta.

Slide 8

Lean protein

Lean protein sources are low in saturated fat and calories. They are also a good source of essential amino acids, which are needed for building and repairing muscle tissue.

Choose lean protein sources such as chicken, fish, beans, and tofu.

Slide 9

Unhealthy fats

Unhealthy fats, such as saturated and trans fats, can raise your cholesterol levels and increase your risk of heart disease.

Limit your intake of unhealthy fats by avoiding processed foods, fried foods, and fatty meats.

Slide 10

Added sugars

Added sugars are sugars that are not naturally present in foods. They are often found in processed foods, sugary drinks, and desserts.

Added sugars can contribute to weight gain and other health problems.

Limit your intake of added sugars by avoiding sugary drinks, processed foods, and desserts.

Slide 11

Sodium

Sodium is a mineral that is essential for good health. However, too much sodium can raise your blood pressure and increase your risk of heart disease.

Limit your intake of sodium by avoiding processed foods, canned foods, and restaurant meals.

Slide 12

Tips for healthy eating

Here are some tips for healthy eating:

Plan your meals and snacks ahead of time. This will help you avoid making unhealthy choices when you are hungry.
Make healthy substitutions. For example, instead of frying food, bake it or grill it. Instead of using sugary drinks, drink water or unsweetened tea.
Eat slowly and savor your food. This will help you feel full and satisfied.
Be mindful of your portion sizes. It is easy to overeat when you are not paying attention.
Slide 13

How to lose weight safely

If you are overweight or obese, losing even a small amount of weight can have health benefits.

To lose weight safely, you should aim to lose 1 to 2 pounds per week. You can do this by eating a healthy diet and exercising regularly.

Slide 14

How to maintain a healthy weight

Once you have reached a healthy weight, it is important to maintain it. You can do this by continuing to eat a healthy diet and exercise regularly.

It is also important to monitor your weight and make adjustments to your diet and exercise routine as needed.

Slide 15

Tips for maintaining a healthy weight

Here are some tips for maintaining a healthy weight:

Weigh yourself regularly. This will help you catch any weight gain early and make adjustments to your diet and exercise routine as needed.
Continue to eat a healthy diet. Make sure to
Sources
dermatologistskindoctordubaiuae.com/what-you-should-know-about-psoriasis/