Category: Nursing homework help

1. Using the theory of unpleasant symptoms as a guide. What would you look for in an assessment tool for patient symptoms?
Please include 400 words with two scholarly articles no older than 5 years.
No plagiarism more than 10%
2. As an Advanced Nurse Practitioner, you will need to be assessing for pain with every patient you see in consult. Discuss a situation that a patient is experiencing pain, either acute or chronic and how you will be able to measure their pain as it relates to their age, condition and treatment. Please include an evidence based approach for the condition, or the pain scale used.
It must be 250 words in APA style, with one reference no older than 5 years
No plagiarism more than 10%
DUE DATE 1/23/2024

D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights in the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually, his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.
Case Study 1 Questions:
According to the case study information, how would you classify the severity of D.R.’s asthma attack?
Name the most common triggers for asthma in any given patient and specify in your answer which ones you consider applied to D.R. in the case study.
Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.
500 words, at least 2 references APA style

ASSIGNMENT # 1
1) How is the principle of justice, both in ethics and law, applied in clinical decision-making? 
2) How do the Harm principle and the Best Interest principle differ? 
3) The patient bill of rights specifies that the patient is entitled to the services of an interpreter if requested. How have you seen this operationalized in your institution? What are the risks? 
 
REQUIREMENTS: – 3  PAGES
– REFERENCES NO OLDER THAN.5 YEARS
-APA STYLE
-PROPER GRAMMAR
-NO PLAGIO MORE THAN 10%
-Submission should be at the graduate level and answer the questions thoroughly and scholarly.
ATTENTION:::: EACH ASSIGNMENT MUST BE IN SEPARATE DOCUMENT, THEY ARE IN THE SAME ORDER BUT ARE INDIVIDUAL ASSIGNMENTS.
ASSIGNMENT # 2
Case Study 14.1: Inpatient Psychiatric Admission
Victoria (pronouns she/her/hers), 17 years old, was admitted to an inpatient psychiatric unit after an overdose. After a recent sexual assault and beating, Victoria moved in with her grandmother and lived there for 3 months prior to admission. Her grandmother is tolerant of her desire to transition, but does not approve of her “lifestyle choice,” praying that “Jesus will forgive her.” Victoria began gender-affirming hormone therapy 6 months ago, but after her mother lost her job due to the COVID-19 pandemic, she also lost her health insurance. With no insurance, she was no longer able to afford gender-affirming therapy and overdosed on amitriptyline (prescribed for anxiety and depression), but survived. When admitted, Victoria surrendered her estradiol supply, per facility policy, and later asked the charge nurse for her daily dose. First, the staff ignored her. Then, when they responded, they used her dead name, Derek, and refused to call the physician to obtain an order for the medication. The physician, who met with Victoria the following day, told her that the therapy was not safe for adolescents and encouraged her to follow up with her primary care provider after discharge.
1) What could you do immediately to advocate for Victoria?
2) What intervention would you recommend for the health professional staff to increase awareness and reduce personal biases?
3) What organizational policies would help to prevent or reduce future discrimination or inequitable treatment of transgender patients admitted to the unit?
4) What health-related concerns are essential to consider for Victoria as a transgender adolescent?
5) Script a statement to advocate for Victoria’s ongoing gender-affirming therapy based on clinical practice guidelines (Deutsch, 2016).
REQUIREMENTS: – 2 PAGES
– REFERENCES NO OLDER THAN.5 YEARS
-APA STYLE
-PROPER GRAMMAR
-NO PLAGIO MORE THAN 10%
-Submission should be at the graduate level and answer the questions thoroughly and scholarly.
ATTENTION:::: EACH ASSIGNMENT MUST BE IN SEPARATE DOCUMENT, THEY ARE IN THE SAME ORDER BUT ARE INDIVIDUAL ASSIGNMENTS.
DUE DATE 1/24/2024

 
Fluid, Electrolyte and Acid-Base Homeostasis:
Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:
Serum glucose 412 mg/dL
Serum sodium (Na+) 156 mEq/L
Serum potassium (K+) 5.6 mEq/L
Serum chloride (Cl–) 115 mEq/L
Arterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/L
Case Study Questions
Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she has?
Describe the signs and symptoms to the different types of water imbalance and described clinical manifestation she might exhibit with the potassium level she has.
In the specific case presented which would be the most appropriate treatment for Ms. Brown and why?
What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?
Based on your readings and your research define and describe Anion Gaps and its clinical significance.
Submission Instructions:
APA style writing
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources (within the last 5 years). Your initial post is worth 8 points.

 
Author: YOU
Date: Anticipated Year of Graduation
Journal: Excellence in Nursing 
Volume: Use Volume 1, Issue 2, pages 1-5; Following this format: 1(2), 1-5.

Using the format build a SOAP note for an women 29 years old female  who comes to women health consultation to discuss results of pap smear positive for hpv intraepithelial lession stage 1 (NIC 1) elaborate treatment plan. Use scholarly references no old than 5 years old. 

Choose a legislator on the state or federal level who is also a nurse and discuss the importance of the legislator/nurse’s role as advocate for improving health care delivery. What specific bills has the legislator/nurse sponsored or supported that have influenced health care?

 
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
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.
Create a list of risk factors the patient might have and explain why.
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
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.
Based on the vaginal discharged described and the microscopic examination of the sample could you suggest which would be the microorganism involved?
Name the criteria you would use to recommend hospitalization for this patient
Submission Instructions:
You must complete both case studies.
Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. 

Describe dermatitis, diagnostic criteria, and treatment modalities
Describe the drug therapy for Conjunctivitis and Otitis Media 
Discuss Herpes Virus infections, patient presentation, and treatment
Describe the most common primary bacterial skin infections and the treatment of choice. 

List factors that predispose Eskimos to risk as a result of the consumption of large quantities of sugar.
Analyze different strategies useful in communicating with the Japanese American family.
When caring for a Russian American client, for the most part, at what distance would a Russian patient feel at most ease? 
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.