Vital Signs
1. You are a nurse caring for a 58-year-old ironworker who has been admitted to your unit with acute hypertension. He became extremely symptomatic at work and was brought to your emergency department (ED) via ambulance. After receiving a report from the ED nurse, he is brought to your unit asymptomatic (other than his BP of 178/106) and seems in good spirits. After completing his admission paperwork, he settles in and awaits his health care provider. Four hours later, you answer his call light and he reports headache (rated 6 on a 0-to-10 scale) and dizziness. 
a. Outline the pertinent information within this case study.
b. How often would you expect to measure the patient’s vital signs based on his history?
c. What would be your first intervention upon his reporting increased symptoms? Include rationale.
d. What is the patient’s pulse pressure?
e. Describe risk factors that could be contributing to your patient’s hypertension.
2. As a nurse in a critical care unit, your newest admission is a 24-year-old victim of a motor vehicle accident (MVA). Report from the OR nurse indicates that the patient has several surgically repaired fractures, a closed head injury, and elevated temperature. Additionally, he has IV fluid running postoperatively and dressing changes scheduled every shift. The patient is intermittently alert and disoriented, with his pain adequately controlled by IV analgesics. 
a. Outline the pertinent information within this case study.
b. What factors could be causing the patient’s elevated body temperature?
c. Why is determining the fever’s cause important?
d. Indicate areas that are important to monitor in a patient with elevated body temperature.
e. Describe cause-specific interventions useful in treating the patient’s elevated body temperature.

PLEASE, answer each question in order and separately. PLEASE,  this is the bibliography( Chapter 29-30).
1.Potter, P.A., &Perry, A. G. (2017). Fundamentals of Nursing: Concepts, Process, and Practice (9th ed.). St. Louis: MO:  Mosby. ISBN: 9780323327404

Indeed, today’s nursing environment has exposed nurses to many reasons to be conflicted.  For instance, some patients declare wishes to be permitted to die with dignity and request that their wishes are respected. Others may wish that their life support is terminated. It can also involve actions like nurses taking two tablets of oxycodone as ordered but keeping one for herself. From a biblical point of view, I feel it is wrong to help a patient die with dignity. However, from a professional point of view, nurses must advocate and support the patients’ decision including one to make their own decisions.  Making decisions in such a situation can cause ethical dilemmas. Having not come across such a situation, I can comment that it is essential for nurses to familiarize themselves with legal and moral issues surrounding the issue (Smith et al., 2016).

Also, in these cases, nurses should possess a basic understanding of the scope of practice and standard of care. Also, they should refer to the code of ethics for nurses with interpretive terms like beneficence, justice, and autonomy. For example, the law permits it and a person (an adult) has the right to be assisted to die at his or her request especially they are terminally ailing and in unmanageable pain. Also, sometimes life-sustaining therapies may prolong suffering at the cost of decreasing the patient’s quality of life. Besides, nurses caring for the patient at the end of life have a professional and moral obligation to follow guidelines depicted in ethical and professional standards (Dahlqvist et al., 2016). Most importantly, nurses should advocate ascertaining the goals of their patients are met while following principles.

Please respond to the discussion above

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

1. Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
4. Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Description
Percentage
Unsatisfactory
0.00 %
Less Than Satisfactory
75.00 %
Satisfactory
79.00 %
Good
89.00 %
Excellent
100.00 %

Content
80.0

Robert Wood Foundation Committee Work and IOM Report
10.0
A description of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is omitted.
An incomplete description of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is presented.
A summary of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is presented. There are inaccuracies or misinterpretations.
A description of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is presented. There are slight inaccuracies.
A clear and accurate description of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is presented.
Key Messages Transforming Nursing
15.0
The four key messages are omitted.
Fewer than four key messages are presented, and the messages contain inaccuracies. An incomplete discussion on how they transformed nursing is presented.
The four key messages that structure the IOM report are generally outlined. A summary of how these transformed some aspects of nursing is presented, but there are some inaccuracies.
The four key messages that structure the IOM report are outlined. A description of how these transformed key aspects of nursing is presented.
The four key messages that structure the IOM report are clearly outlined. A description of how these transformed nursing practice, nursing education and training, nursing leadership, and nursing workforce development are thoroughly discussed.
State-Based Action Coalitions and Their Help in Advancing Goals form IOM Report
15.0
The role of state-based action coalitions is omitted.
The role of state-based action coalitions is incomplete. It is unclear how these advance the goals in the IOM report.
The role of state-based action coalitions is summarized. A summary of how they help advance the goals in the IOM report is presented.
The role of state-based action coalitions is discussed. A discussion of how they help advance the goals in the IOM report is presented.
The role of state-based action coalitions is thoroughly discussed. A detailed and accurate discussion of how they help advance the goals in the IOM report is presented.
State Action Coalition Initiatives Advancing Nursing Profession
20.0
Initiatives spearheaded by a state action coalition are omitted.
Only one initiative spearheaded by a state action coalition is presented. The narrative contains omissions and inaccuracies. How these initiatives advance the nursing profession are incomplete.
Two initiatives spearheaded by a state action coalition are summarized. How these initiatives advance the nursing profession are generally discussed. There are some inaccuracies.
Two initiatives spearheaded by a state action coalition and how they advance the nursing profession are discussed.
Two initiatives spearheaded by a state action coalition and how they advance the nursing profession are thoroughly discussed. The discussion demonstrates a clear understanding of the state action committee and the role in advancing the nursing profession.
Barriers to Advancement
20.0
Barriers to advancement that currently exist in the state are omitted. How nursing advocates in the state overcome barriers is omitted.
Barriers to advancement that currently exist in the state are unclear. How nursing advocates in the state overcome barriers is incomplete.
Barriers to advancement that currently exist in the state are presented. How nursing advocates in the state overcome barriers is summarized. There are inaccuracies, or more information is needed.
Barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers are described.
Barriers to advancement that currently exist in the state are thoroughly explored and how nursing advocates in the state overcome barriers are thoroughly described.

Organization, Effectiveness, and Format
20.0

Thesis Development and Purpose
5.0
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction
5.0
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5.0
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
Paper Format (use of appropriate style for the major and assignment)
2.0
Template is not used appropriately, or documentation format is rarely followed correctly.
Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.
Appropriate template is used. Formatting is correct, although some minor errors may be present.
Appropriate template is fully used. There are virtually no errors in formatting style.
All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
3.0
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter 1
• Lesson
• Minimum of 1 scholarly source 

Initial Post Instructions
Choose one of the following psychological views of religion: Freud, James, or Jung. Briefly describe this theory. Defend this theory as an explanation as to the origin of religions.

Follow-Up Post Instructions
Respond to at least two peers or one peer and the instructor. Respond to one peer who chose a view different from the one you chose. Further the dialogue by providing more information and clarification.

Writing Requirements

• Minimum of 3 posts
• Initial Post Length: 200-300 words
• APA format for in-text citations and list of references

The ability to stay focused and prioritize the med pass as distractions continue to occur in the middle of it is critical to safety and also has its set of challenges through all areas of nursing.  The demand for the nurses attention is usually always more than they have to give and this can be compounded by staff that do not possess critical thinking skills and ask questions before processing through information first.  The nurse is responsible to multi task while using EBP and critical thinking skills in a flurry of never ending activity.  I enjoy the end result when all care and tasks are complete for your assignment and the feeling of accomplishment throughout the med pass or other duties that relate to your daily tasks.  I also enjoy the ability to mentor other staff members that may have been the ones asking multiple qustions that were in the realm of their capacity to problem solve.  The amount of work that a nurse can complete when demands continue to barrage you are incomprehensible at times.  These are days that I am proud to be a nurse and possess critical thinking skills.