Assignment Four
Finding Out What’s Wrong

(This is not a PAPER) These are questions

Instructions/Questions:

Read Finding Out What’s Wrong in the textbook before starting the assignment. The answers for this assignment are in the textbook.

Q 1–3

What are the three goals of identifying what is wrong in the Checking the Victim section?

Q 4-6

The scene size-up determines the ______ of the scene, the _______ or nature of illness and the number of _______.

Q 7-10

What are the four parts of the Initial Check?

Q 11-14

What does each letter in the acronym AVPU represent for assessing responsiveness?

Q 15

If the airway is obstructed abdominal thrusts called, the _______ maneuver can be given to clear and obstructed airway. Please note that the American Red Cross teaches five back blows and five abdominal thrusts. 

Q16

To check breathing – look, listen and feel for five – ___ seconds. 

Q17

If the victim is not breathing, keep the airway open and breathe ____ breaths into the victim. 

Q18

From Breathing Sounds in the textbook, occasional gasping breaths after the heart stops are _____ respirations. 

Q 19 – 20

The victim’s conditions that you can see, feel, hear or smell are termed _____ while the things the victim feels and is able to describe are termed ______.

Q21 – 22

If a victim is conscious, you should do an assessment every ____ minutes while if a victim is unconscious, you should do an assessment every _______ minutes.

Q23

________ is the process of prioritizing victims. 

  

Review the following case study and complete the questions that follow. Submit your completed paper to Blackboard using the assignment link.

As a public health nurse at a free clinic, you are assessing and interviewing a 21-year-old woman who has come to the clinic because she doesn’t have any energy and hasn’t felt good in weeks. During the interview, you learn that she averages one meal per day, smokes up to two packs of cigarettes per day, and rummages through trash to find items she can sell to purchase food, snacks, and cigarettes. She admits to using street drugs every once in a while when she can find someone who will share with her. She admits her life is a mess and she doesn’t know how to make it better.

· What data can you gather based on available client information?

· What questions should you ask yourself while interviewing this client?

· During planning, how can you, as the nurse, best assist this client?

· What are the potential strategies that would assist the client to a “better” life?

Your paper should be 2 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins. If outside sources are used, they must be cited appropriately.

  

Case Study 1

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

____In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

                                                     Initial Post

The Code of Ethics for Nurses Act provides guidance to these professionals on how to conduct themselves and handle various topics in a professional manner when dealing with public matters (Notes, n.d.).  Some of these ethics may be conflicting as well as competing with those of their patients, place of work to their personal ethics. Milstead and Short (2017)  therefore deduce on the importance of nurses being knowledgeable on the area of clinical practice, institutional rules and procedures, the Nurses Code of Ethics and the field of ethics, as well as understanding their personal values. 

In our case, Lena is therefore a nurse who is bound by these regulations as a professional. However, there are various ways of reasoning through this ethical problem to find an ethical solution. The American Nursing Association, 2015 (ANA) endorses patient privacy and confidentiality protection for the purpose of upholding a trusting relationship between healthcare providers and patients (American Nursing Association, 2015). Confidentiality therefore means that the patient’s information and identity is kept private at all times, meaning that the patient retains the right to decide whom to share the information with. Lena’s sister’s boyfriend is therefore protected under this code. 

However, ANA 2015 annuls this protection and confidentiality code in the case that a person’s life is at risk or could endanger the public, meaning that Lena’s sister is protected here.  If I were Lena, I would inform my sister’s boyfriend of his rights as a patient and the importance of sharing the information with his girlfriend to avoid infecting her. . I would stay within my scope of practice and make sure that the patient reports the information to the required entities.

References

American Nursing Association. (June 2015). American Nursing Association Position Statement on Privacy and Confidentiality. Retrieved from https://www.nursingworld.org/~4ad4a8/globalassets/docs/ana/position-statement-privacy-and-confidentiality.pdf

Milstead, J. & Short, N. (2019). Health policy and politics : a nurse’s guide. Burlington, MA: Jones & Bartlett Learning.

Notes on Guide to the Code of Ethics for Nurses: Interpretation and Application

Based in this Post posted above,  answer the following question 

My state is : Florida

In researching for this discussion post, I ran across a law from the state of Maryland that reads, “It is the responsibility of the physician to ensure that partner notification occurs, either by the patient or by the physician.  Assistance can be requested from the health department.” (“Maryland Partner Notification,” n.d.).  The law does not state how and within what time period the partner should be notified.  Are there any laws such as this where you are from?  What regulating agencies certify that physicians are upheld to this standard for reporting?

References

HIV/AIDS reporting and partner notification. (n.d.). Retrieved from http://healthymaryland.org/wp-content/uploads/2013/03/10-HIVAIDS-Reporting-and-Partner-Notification.pdf

 

Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. What do you think are some effective tactics for APN strategic positioning regarding pay equality? Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/

 all discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.