Marcia Stapleton    4 posts   Re: Topic 7 DQ 1  The OB Committee at the hospital will be an internal method for the dissemination of my EBP project.This committee is comprised of 10 people which include OB providers, nursing administration, medical administration, anesthesia, clinic staff and nursing staff. Their monthly meetings are focused on OB issues, policies, education and process changes.The project has already been presented to them and the providers are in the process of reviewing the order set with the other OB providers and adding their recommendations for changes.Before implementation, the order set must be approved by this committee.Communication with this committee happens by getting on the agenda for the meeting and presenting the process change.Results will be communicated as the process is implemented with feedback requested from the providers and nursing that are involved in the implementation.This group of OB hospital leaders are key for the implementation and dissemination of the EBP project.The successful implementation and maintenance of EBP in an organization is complex and multifaceted.Communication with these leaders needs to be over time and at multiple levels (Stetler, Ritchie, Rycroft-Malone, & Charns, 2014).  An external method for the dissemination of my EBP project is Allina’s Excellian electronic healthrecord, which is a branch of Epic.The final version of the order set needs to be submitted for change to Excellian.This is important because we as a hospital cannot change our own order sets, it must be change through our EMR.Communication with this group will all be done electronically.Once the final revision is made, there is an electronic process to go through to revise the order set.This electronic process is important as each order is dependent on the patient presentation, so there needs to be much detailed work in lining up the orders with the presentation, so when you click on the patient presentation, the orders needed for that presentation are also selected.Results need to be communicated with Excellian for any adjustments needing to be made as the process is implemented.  Reference  Stetler, C. B., Ritchie, J. A., Rycroft-Malone, J., & Charns, M. P. (2014). Leadership for evidence-based practice:  Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4),  219–226. https://doi-org.lopes.idm.oclc.org/10.1111/wvn.12044

Reference must include doi or retrieval URL 

Personal Class Design Project – Part 1    

Details: Complete this assignment according to the following: 

1.Design a class that you would like to teach someday. The class must be at least 4 hours in length and must be multiple sessions. It can be four sessions of 1 hour each, or two sessions of 2 hours each, depending on your topic and target audience. 

2.Begin by describing the institution that is sponsoring the class (e.g., academic, hospital, or community agency). Include the philosophy of the sponsoring organization and how that will affect the course you are developing. 

3.Explain how you determined a need for this class (needs assessment). 

4.Write a one-paragraph description of the class.

 5.Identify the target audience. 

6.Identify the learning resources you will use for the class (textbooks or other resources). 

7.Write the program outcomes for the course and the learner objectives for each class session. Indicate which domains of learning are represented by each learner objective.  

There is no predetermined length criterion for this assignment. It is intended that each student will develop a class that they can use in their selected area of education. 

 

nurse is advising a patient is who receiving codeine sulfate for pain about potential side effects. Which findings is a side effect of this medication?

Hyperemesis

Rhinorrhea

Insomnia

Constipation

Excessive amounts of ascorbic acid (vitamin C) act as an osmotic agent in small children and may result in which adverse reaction?

Gum hyperplasia

Diarrhea

Cerebral Edema

Hemolysis

patient who is experiencing a heart attach is being prepared for alteplase recombinant (t-PA) therapy. Which observation, if identified in the patient. show contraindication fort-PA therapy?

Lethargy

Hematuria

Dehydration

Angina

After performing an otoscopic exam of a child, a nurse practitioner prescribes 6.5% carbamide peroxide in propylene glycol drops for the child in which purpose?

To treat infection

As a disinfectant

As a topical anesthetic

To dissolve cerumen

patient who is receiving glucocorticoid therapy is being monitored for side effects, which include

Frequent tremors

Buffalo hump

Loss of all body hair

Skin pallor

patient is taking an insulin injection at 7:00 AM each day. Which instruction should a nurse include in the patient care plan?

Watch for symptoms of hypoglycemia about one hour after lunch

Test your blood glucose one hour after breakfast

Have breakfast within thirty minutes after injection

Have a snack in the mid-afternoon

6-A 5-months-old infant who weights 6.4 kg is to receive digoxin (Lanoxin) 15 mcg/kg/day as a maintenance dose. The health care professional orders the Lanoxin to be given q 12h. Based on this information, how many micrograms should a nurse administer to the child with each dose?

mcg

When caring for a child who is receiving prolonged high-dose ibuprofen therapy, which body system should a nurse monitor carefully

Renal

Endocrine

Integumentary

Respiratory

When a patient is on oral contraceptive agent, a nurse should instruct the patient to avoid takin which medication

Theophylline

Vancomycin

Tetracycline

Trimethoprim

client has a diagnosis of depression is being treated with sertraline hydrochloride. The teaching plan for this patient

Adapt to impaired thermoregulation

Identify recurrence of symptoms

Monitor for signs of hypothyroidism

Comply with a sodium-restricted diet

The administration of a dose of syrup of ipecac should be withheld is a child is experiencing which manifestation?

Urticaria

Drowsiness

Low-grade temperature

Dryness of the oral mucosa

health care provider prescribes atropine sulfate for each of these patients. A nurse should

A 30-year-old patient who is experiencing dry mouth

A 45-year-old patient who has urinary frequency

A 75-year-old patient who has narrow-angle glaucoma

A 60-year-old patient who has cardiac-bradycardia

 

This is an individual assignment. Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of your community.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issues

Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.
2. Request feedback (strengths and opportunities for improvement) from the provider.
3. Complete the “Community Teaching Experience” form.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Please complete the 13 questions in APA style. references and less than 20 % of similarity.

Week 11

Chapter 22.

Neurologic System

Lobes and principal fissures of the cerebral cortex, cerebellum, and brainstem (left hemisphere, lateral view).

1-Make a chart differentiating between descending and ascending spinal tracts.

2-What occurs if the spinal cord is incompletely severed?

3-Describe the nervous system.

4-Name the three major units of the brain.

5- Differentiate between the descending spinal tracts and the ascending spinal tracts of the spinal cord.

6- What is the function of the pituitary gland?

7-Name the fourth cranial nerve and state its function.

8-List the risk factors for cerebrovascular accidents.

9-Why is the 5.07 monofilament test used?

10-Explain the 0 to 4+ scale for scoring deep tendon reflexes. Scoring deep tendon reflexes

11-You are observing the neurologic examination of a 75-year-old man. You notice that before beginning the physical examination, the examiner asks the patient whether he is currently taking any medication. Why is it important to assess medications used by older adults? 

12-What is the potential long-range effect on a child if meningitis occurs during the first year of life?

13-EI, a 44-year-old patient, comes in for a follow-up visit regarding his diabetes. Today he is complaining of numbness, tingling, and burning in his feet. His recent laboratory studies demonstrate an elevated hemoglobin A1c and hyperlipidemia. You diagnose him with peripheral neuropathy.

a)- What are the possible etiologies of the peripheral neuropathy? What is the most likely cause?

b)- Describe the patient’s objective findings with peripheral neuropathy.

C- What is the best physical assessment technique to determine peripheral neuropathy.