Discussion: Using the Walden Library 2025

Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library. To Prepare: Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources. Begin searching for a peer-reviewed article that pertains to your practice area and interests you. By Day 3 of Week 6 Post the following: Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not. By Day 6 of Week 6 Respond to at least two of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources. Discussion for reply one The article I selected that pertains to my practice area and is of great interest to me is: Men, Depression, and Coping: are we on the Right Patch? The citation of the article is as followed: Whittle, E. L., Fogarty, A. S., Tugendrajch, S., Player, M. J., Christensen, H., Wilhelm, K., . . . Proudfoot, J. (2015). Men, depression, and coping: Are we on the right path? Psychology of Men & Masculinity, 16 (4), 426-438. doi:10.1037/a0039024 I use the Walden University Library database for the article search using CINAHL Plus with Full Text, peer-reviewed article, evidence-based, full text within five years. I did not find any difficulties searching for this article. The database I believe would be useful to all my colleagues. It would be useful to my colleagues because it is trusted and well organized. The database is user friendly giving multiple options and resources for help. I would recommend this database, because of the integrity of the information sources. As a professional, and new to scholar writing, finding unbiased information for research is important to provide evidence-based research to my academic audience. This database is not open to everyone, it is private to Walden University students and faculty members. So, this database is secure with credible information. That is why I would recommend it. References JavaScript required. (n.d.). Retrieved October 06, 2020, from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/detail/detail?vid=15 Laureate Education (Producer). (2018). Introduction to Scholarly Writing: Purpose, Audience, and Evidence [Video file]. Baltimore, MD: Author. Discussion for reply two Initial Discussion Post Suarez, L., Dunlay, S. M., Schettle, S. D., Stulak, J. M., & Staab, J. P. (2020). Associations of depressive symptoms of outcomes in patients implanted with left ventricular assist devices. General Hospital Psychiatry, 64 , 93-98. https://doi.org/.ezp.waldenulibrary.org/10.1016/j.genhosppsych.2019.12.005 As a left ventricular assist device (LVAD) coordinator, I am always interested in providing my patients with the best options for holistic care, specifically focused on their perception of health. Implantation of these devices is to alleviate symptoms of end stage heart failure and improve patients’ quality of life (Lee, 2018). Therefore, this article really stood out to me as a beneficial study that could be used to shape my practice. I was able to access the Walden University Library Fundamentals of Library Research page and I watched the online tutorial of accessing databases ( Instructional media: Fundamentals of library research, 2020). After that, I followed the link to the Nursing Databases page in the Library and saw the list of databases offered. I opted for one that included full text articles from the list of ‘Best Bets’ ( Databases: A-Z, 2020). I chose CINAHL and typed in my subject, left ventricular assist device and quality of life, in the search bars ( Databases: A-Z , 2020). I was easily brought to a results page of articles to choose from. I didn’t have much issue accessing these articles and finding one that met my intended need. I would definitely recommend the use of CINAHL as it was easy to use, filtered results appropriately, and provided full text articles with citation. My only hesitation is that I’m not sure how easy it would have been to find the list of nursing databases if I hadn’t followed the exact link that was provided in the recommended reading. I will need to do some navigation myself from the main Walden University webpage to find the best way to navigate to the databases home page. Once I am able to find the way there, I think I will be using this database a lot for future referencing. It is really great that Walden gives us access to all these articles at our fingertips. It is so much easier than having to go to the library and thumb through text. I will most definitely recommend this way to everyone that needs to do research going forward! References Databases A-Z: Nursing . (2020). Walden University Library. Retrieved September 27, 2020, from https://academicguides.waldenu.edu/az.php?s=19981 Instructional Media: Fundamentals of library research . (2020). Walden University Library. Retrieved September 27, 2020, from https://academicguides.waldenu.edu/library/instructionalmedia/researchfundamentals Lee, C. S., Gelow, J. M., Chien, C. V., Hiatt, S. O., Bidwell, J. T., Denfeld, Q. E., Grady, K. L., & Mudd, J. O. (2018). Implant Strategy-Specific Changes in Symptoms in Response to Left Ventricular Assist Devices. Journal of Cardiovascular Nursing , 33 (2), 144–151. https://doi-org.ezp.waldenulibrary.org/10.1097/JCN.0000000000000430 Suarez, L., Dunlay, S. M., Schettle, S. D., Stulak, J. M., & Staab, J. P. (2020). Associations of depressive symptoms of outcomes in patients implanted with left ventricular assist devices. General Hospital Psychiatry , 64 , 93–98. https://doi.org/.ezp.waldenulibrary.org/10.1016/j.genhosppsych.2019.12.005 Please label the replies and use the rubric

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Module 1 Assignment: Case Study Analysis for NURS 6501 and Assignment: Analysis of a Pertinent Healthcare Issue for NURS 6053 2025

Please attached are my 2 assignments for 2 different courses, NURS 6501 and NURS 6053. Please pay attention to these and read well to understand both. All tasks are required to have 7th edition APA format and at least 3 references to get the required grade. Let me know if you have any questions.

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NURS6501 Week 9 Quiz latest 2017 2025

NURS6501 Week 9 Quiz latest 2017 Question 1 A patient wants to know what can cause ACTH to be released.How should the nurse respond? a. High serum levels of cortisol b. Hypotension c. Hypoglycemia d. Stress Question 2 A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond? a. Aldosterone b. Testosterone c. Cortisol d. Prolactin Question 3 A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by: a. Diffusion b. Osmosis c. Active transport d. Endocytosis Question 4 A 45-year-old female has elevated thyroxine production.Which of the following would accompany this condition? a. Increased thyroid-releasing hormone (TRH) b. Increased anterior pituitary stimulation c. Decreased T4 d. Decreased thyroid-stimulating hormone (TSH) Question 5 A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed. Which of the following would the nurse expect following surgery? a. Increased serum calcium b. Decreased bone formation c. Decreased calcium reabsorption in the kidney d. Increased calcitonin Question 6 A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find? a. High levels of circulating thyroid-stimulating antibodies b. Ectopic secretion of thyroid-stimulating hormone (TSH) c. Low circulating levels of thyroid hormones d. Increased circulation of iodine Question 7 A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis? a. Fasting plasma glucose levels b. Random serum glucose levels c. Genetic testing d. Glycosylated hemoglobin measurements Question 8 A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is a dysfunction in the: a. Anterior pituitary b. Posterior pituitary c. Pars intermedia d. Pituitary stalk Question 9 While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is _____ diabetes insipidus. a. Neurogenic b. Nephrogenic c. Psychogenic d. Allogenic Question 10 When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a _____ effect by a hormone. a. Pharmacologic b. Permissive c. Biphasic d. Direct Question 11 Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations? a. Polyuria b. Edema c. Vomiting d. Thirst Question 12 An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone? a. Growth hormone (GH) b. Luteinizing hormone (LH) c. Antidiuretic hormone (ADH) d. Epinephrine Question 13 A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH).Which of the following electrolyte imbalances would be expected in this patient? a. Hyponatremia b. Hyperkalemia c. Hypernatremia d. Hypokalemia Question 14 A patient wants to know why ADH is important in the body.What is the nurse’s best response? ADH is important in: a. The body’s water balance and urine concentration b. Maintaining electrolyte levels and concentrations c. Follicular maturation d. Regulation of metabolic processes Question 15 A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find? a. Renal toxicity b. Episodes of hypoglycemia c. Hypotension d. Type 2 DM Question 16 If the patient has a problem with the pineal gland, which substance would the nurse monitor? a. Melatonin b. Epinephrine c. Cortisol d. Somatostatin Question 17 A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective? a. Neurogenic diabetes insipidus b. Psychogenic diabetes insipidus c. Nephrogenic diabetes insipidus d. SIADH Question 18 While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism. a. High b. Low c. Steady d. Variable Question 19 If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease? a. PRF b. ADH c. ACTH d. GH Question 20 An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond? a. Autoimmune disease b. Cancer c. Pregnancy d. Heart failure Question 21 What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma? a. Coma b. Visual disturbances c. Confused states d. Breathing abnormalities Question 22 A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect? a. Hypovolemia b. Hypotension c. Hypokalemia d. Hyponatremia Question 23 A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state? a. Increased insulin levels promote protein breakdown and ketone formation. b. Her uncontrolled diabetes has led to renal failure. c. Low serum insulin promotes lipid storage and a corresponding release of ketones. d. Insulin deficiency promotes lipid metabolism and ketone formation. Question 24 A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find? a. Decreased IGF-1 b. Hypotension c. Sexual dysfunction d. Height increases Question 25 A nurse recalls insulin has an effect on which of the following groups of electrolytes? a. Sodium, chloride, phosphate b. Calcium, magnesium, potassium c. Hydrogen, bicarbonate, chloride d. Potassium, magnesium, phosphate Question 26 A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the nurse’s best response? a. A familial, autosomal dominant gene defect b. Obesity and lack of exercise c. Immune destruction of the pancreas d. Hyperglycemia from eating too many sweets Question 27 When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by: a. Pituitary hyposecretion b. Parathyroid adenoma c. Parathyroid gland injury d. Hypothalamic inactivity Question 28 A 50-year-old male patient is deficient in ADH production.Which of the following assessment findings would the nurse expect to find? a. Increased blood volume b. Increased urine osmolality c. Increased urine volume d. Increased arterial vasoconstriction Question 29 A 30-year-old male was diagnosed with hypothyroidism.Synthesis of which of the following would decrease in this patient? a. Corticosteroid B globulin b. Sex hormone-binding globulin c. Thyroid-binding globulin d. Albumin Question 30 A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate? a. Dilutional hyponatremia b. Dehydration from polyuria c. Cardiac arrest from hyperkalemia d. Metabolic acidosis Question 31 A patient has high levels of hormones. To adapt to the high hormone concentrations, the patient’s target cells have the capacity for: a. Negative feedback b. Positive feedback c. Down-regulation d. Up-regulation Question 32 A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal: a. A normal-sized thyroid b. A small discrete thyroid nodule c. Multiple discrete thyroid nodules d. Diffuse thyroid enlargement Question 33 A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolactinoma. Which of the following treatments would the nurse help implement? a. Dopaminergic agonists b. Calcium c. Insulin d. Radiation Question 34 A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left untreated what will happen.What is the nurse’s best response? If left untreated, the child would have: a. Mental retardation and stunted growth b. Increased risk of childhood thyroid cancer c. Hyperactivity and attention deficit disorder d. Liver, kidney, and pancreas failure Question 35 Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is: a. Decreased blood flow to the eye b. Orbital edema and protrusion of the eyeball c. TSH neurotoxicity to retinal cells d. Local lactic acidosis

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NUR-621E1 2025

The purpose of this assignment is to create an operational budget presentation identifying key components of budgeting and possible capital purchases that may be required. Scenario: You have been asked to create an operational budget for a 20-bed nursing unit and present it to the senior leaders of your organization. Create a presentation of 10-12 slides, including comprehensive speaker notes that detail the budget. Provide the key components of budgeting, including the cost of staff, activities, services, and supplies. Identify and describe a relevant capital purchase this unit may require, including the need, the return on investment, benefits, etc. Use at least three references, including your textbook. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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