NR324/NR329 Keola Akana simulation questions

Describe the assessment cues and anticipated nursing actions a nurse would anticipate for a client
experiencing digoxin toxicity.

Compare and contrast key information and nursing considerations for the following medications utilized
for heart failure

fill a chart

cap 4

Please see attachment for instructions

PHARMACOTHERAPY FOR GASTROINTESTINAL AND HEPATOBILIARY DISORDERS

Week 4
Nathan Scott Wende

All Sec�ons

Hi everyone-

I hope everything is going well. This week we will be working on the GI system. There is an
assignment this week as you will be writing a paper on a scenario. I will say that there could be a
few different diagnoses that this could be, however, I am looking more for signs that you choose a
diagnosis and can support that based on your research. And as always, I will be looking for solid
medication recommendations.

Please use the following case for your paper:

DC is a 46-year-old female who presents with a 24-hour history of RUQ pain. She states the pain
started about 1 hour after a large dinner she had with her family. She has had nausea and on
instance of vomiting before presentation.

PMH: Vitals:

HTN Temp: 98.8oF

Type II DM Wt: 202 lbs

Gout Ht: 5’8”

DVT – Caused by oral BCPs BP: 136/82

HR: 82 bpm

Current Medications: Notable Labs:

Lisinopril 10 mg daily WBC: 13,000/mm3

HCTZ 25 mg daily Total bilirubin: 0.8 mg/dL

Allopurinol 100 mg daily Direct bilirubin: 0.6 mg/dL

Multivitamin daily Alk Phos: 100 U/L

AST: 45 U/L

ALT: 30 U/L

Allergies:

This announcement is closed for comments

Search entries or author

Latex

Codeine

Amoxicillin

PE:

Eyes: EOMI

HENT: Normal

GI:bNondistended, minimal tenderness

Skin:bWarm and dry

Neuro: Alert and Oriented

Psych:bAppropriate mood

Talk to you all soon!

Nathan

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Discussion 7

 

Although nurses take active leadership roles in hospitals throughout the U.S., they are underrepresented on hospital boards. Since a 2011 survey found that only 6%Links to an external site. of board members in 1000 hospitals were nurses (meanwhile 20% were physicians) there has been a push toward including nurses in the boardroom. As part of this push, a national coalition of organizations, including the American Nurses Association (ANA), the American Academy of Nursing (AAN), and the American Nurses Foundation (ANF) among 18 other nationally-recognized organizations, has been formed to create the Nurses on Boards CoalitionLinks to an external site., which seeks to implement a comprehensive strategy that will “bring nurses’ valuable perspective to governing boards, as well as state-level and national commissions.” With big players like AARP and the Robert Wood Johnson Foundation backing this initiative, it is likely their recommendation that nurses play bigger roles in “improving the health of all Americans” will see mores nurses becoming movers and shakers not only in their field but also in hospitals as a whole.

After completing the required readings identified above, please respond to the following prompt:

Choose one of the ten barriers identified in Addressing Barriers in Leadership for Nurses and search the library databases for at least one quality/scholarly article that pertains to the barrier and discuss/share the findings in the article.  Does the article support or refute the concept of the barrier?  What questions are left unanswered in the article?

Intercultural Communication

APA FORMAT. 

THEY CHECK FOR PLAGERISM.

INSTRUCTIONS IN THE ATTACHMENT 

150-200 WORDS 

week 1

 

This discussion forum will focus on the first step in program planning: assembling the change team.

1,Review the Process of Program Planning document posted in the Week 1 module. The objective of step 1 in the program planning process is to assemble a team of leaders, staff members and possibly healthcare consumers with the authority, expertise, credibility and motivation necessary to drive a successful change program.

2.Consider your workplace, or the workplace where you will complete your capstone project. Answer the following questions in your initial post:

a. Provide a brief description of the workplace, at the level where change will be instituted (ie. unit versus hospital)

b. Which individuals would you want on a team to investigate the need for change? It is not necessary to name individuals, but rather to list their job titles. What is your rationale for selecting these individuals? Do they fulfill any of the following team roles?

Executive Sponsor –a senior leader with enough clout to implement new approaches

Clinical or Technical Support-has expert knowledge of the relevant clinical subject matter or of the technology used

Champion– Staff who are supportive of a change, and willing to mentor others to make change happen

Front-line leader– Understands the impacts of making changes on processes used in the delivery of nursing and healthcare

c. Discuss the use of interdisciplinary change teams. Are they more or less impactful than those of one discipline? Please provide a rationale explaining your answer.

In addition to your original post, be sure to provide a meaningful response to at least two of your peer’s posts. The discussion closure for each week’s discussion topic is Sunday night at 11:59pm Mountain Time. (It is the expectation of this course that each student respond to any questions asked of them in the discussion forum by Sunday at 11:59pm Mountain Time.). cite all resources per APA

discussion week 2

As a psychiatric and mental health nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat patients, you must not only understand the pathophysiology of psychiatric disorders but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is designed to encourage you to think through these concepts, develop a rationale for your thinking, and deepen your understanding by interacting with your colleagues.

For this Discussion, review the Learning Resources and reflect on the concepts of foundational neuroscience as they might apply to your role as the psychiatric mental health nurse practitioner in prescribing medications for patients. 

Post a response to each of the following:

  1. Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments.
  2. Compare and contrast the actions of g couple proteins and ion gated channels.
  3. Explain how the role of epigenetics may contribute to pharmacologic action.
  4. Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action.

Chapter 3

one-page abstract on chapter 3 from the Kaakinen et al. textbook. The abstract shall highlight the salient points in the chapter, not to exceed one page double-spaced, including a brief critique, and comply with APA 7th Edition format and style with 3 references.