Home

Pulmonary Function:
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 on 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 Questions
According to the case study information, how would you classify the severity of D.R. asthma attack?
Name the most common triggers for asthma in any given patients and specify in your answer which ones you consider applied to D.R. on 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.
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:
You must complete both case studies
Your initial post should be at least 500 words in total, (250 words per case study),  formatted and cited in current APA style with support from a minimum of  2 academic sources PER CASE STUDY that are no older than 5 years old. 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 such as one intext citation from one scholarly source. 
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates  on separate days, starting on Friday to Sunday  11:59 PM ET.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.

Please limit the answers to 3-4 sentences per question:
1) Based on current events in healthcare, what current or proposed policy is promoting the goals of the Affordable Care Act (ACA) what current or proposed policy is hindering it?
Promoting:
Hindering:
2) As a nurse how will you address the effects of multiculturalism in healthcare. Please give 2 examples:
a)
b)
3)Healthcare has many bias, as a nurse, how will you remedybias in healthcare? Please give 2 examples:
a)
b)
Please use five or fewer sources, including the textbook.

Goal:
Create a SWOT (strengths, weaknesses, opportunities, threats) analysis for the Quality Improvement Project. Faculty approval for your Project Part 1 is required to proceed with SWOT analysis.
Content Requirements:
Identify Strengths, Weakness, Opportunities, and Threats for improvement related to the clinical issue identified.
Analyze the SWOT data to provide the foundation for an action plan for quality improvement.

instructions attached
PICOT worksheet
https://mdc.instructure.com/courses/73374/files/29640777?verifier=thyVJ4jpf2fvWWE6K5dZrzBP0PVqVmIEwJJ75kqM&wrap=1

Paper should be a minimum of 8 pages and must follow APA format (ie: title page, double spaced, 1inch margins, page numbered, header, citations, reference page). Paper should include at least the following, but is not limited to:
Introduction
Epidemiology:
Include current statistics on disease distribution
Risk factors
Definitions & background data
Pathophysiology
Review of normal system anatomy and physiology (brief statement)
Functional changes associated with disease process:
clinical presentation
disease progression
Current Trends in care/treatment: may include research currently being done; what’s new on the horizon to improve patient outcomes.
Cultural Sensitive Care for at least 2 cultural/religious groups.
Nursing Care Plan (see template attached)
Case study including assessment findings
Nursing diagnosis
Minimum of three
One of the three must be teaching related (health promotion)
Nursing goal (must be measurable)
One long term goal (The client will…… by……)
At least one short term goal (The client will….. by…..)
Nursing interventions
Minimum of three per nursing diagnosis
Rationale specific to each intervention