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case study – 2025 A 32 year old female presents to the ED with a chief complaint of fever chills nausea vomiting
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case study – 2025
A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.
Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP wnl
Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2
99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci.
Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section).
The sections that you are to omit are for the above case study are: 1. Explain why prostatitis and infection happen. Also explain the causes of systemic reaction, 2. Explain why a patient would need a splenectomy after a diagnosis of ITP, and 3. Explain anemia and the different kinds of anemia (i.e., micro and macrocytic).
In your Case Study Analysis related to the scenario provided, explain the following:
PLEASE ANSWER IN DETAIL ALL OF THE ABOVE
DNP- Direct Practice Improvement (DPI) Project Proposal Chapter 2- Literature Review – 2025 This is NOT a Research Project but a Quality Improvement Project Please do not
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DNP- Direct Practice Improvement (DPI) Project Proposal Chapter 2- Literature Review – 2025
This is NOT a Research Project but a Quality Improvement Project
Please do not refer to this project as a study but refer to it as a DPI project
PLEASE FOLLOW THE SAMPLE OF DPI PROJECT ATTACHED
TOPIC: Impact of Medication Administration Errors on 3-4-Year-old Leukemia Patients
Chapter 2 of the Direct Practice Improvement (DPI) Project Proposal is titled “Literature Review” and expands upon work you completed in DNP-820 in the Develop a Literature Review assignment. Synthesis of the literature in the Literature Review (Chapter 2) defines the key aspects of the learner’s scholarly project, such as the problem statement, population and location, clinical questions, variables or phenomena (if relevant to the project), methodology and design, purpose statement, data collection, and data analysis approaches. The literature selected must illustrate strong support for the learner’s practice change proposal.
General Requirements:
Use the following information to ensure successful completion of the assignment:
· Locate the “DPI Proposal Template” in the PI Workspace of the DC Network.
· Locate the Develop a Literature Review assignment you completed in DNP-820.
· Locate the “Research Article Chart” resource in the DC network Course Materials.
· Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is 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.
· You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Directions:
Use the “DPI Proposal Template” and the “Develop a Literature Review” assignment from DNP-820 to develop a draft of a literature review (Chapter 2) for your DPI Project Proposal. The literature review (Chapter 2) is required to be a minimum of 20-25 pages including a minimum of 50 scholarly citations. You have already completed some of this review in previous courses. No less than 85% of the articles must have been published in the past 5 years. Articles selected must provide strong, reliable support for the proposal.
Use the following DPI proposal template’s criteria to create your draft Literature Review (Chapter 2):
1. Access and review the DPI Project Template for Chapter 2 criteria
o Sections of this Chapter include:
§ Introduction to the Chapter and Background to the Problem
§ Theoretical Foundations
§ Review of Literature including Themes and Sub-themes
§ Summary
2. Using the Clinical Question/PICOT question components, identify at least two themes which will organize the literature review .
3. Identify at least three subthemes that relate to each theme (six subthemes total).
4. Identify at least three empirical or scholarly articles related to each subtheme (18 articles total). At least one article must demonstrate a quantitative methodology.
5. Use the “Research Article Chart” resource as a guide to: (a) analyze and synthesize the literature into your paper, (b) state the article title, (c) identify the author, (d) state the research question(s), (e) identify the research sample, (f) explain the research methodology, (g) identify the limitations in the study, (h) provide the research findings of the study, and (i) identify the opportunities for practice implementation. For scholarly, nonempirical articles, state the article title and author, and provide a brief contextual summary of the article
Write a 750- to 1,000-word summary of recommendations to your manager – 2025 Write a 750 to 1 000 word summary of recommendations to your manager Complete the following
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Write a 750- to 1,000-word summary of recommendations to your manager – 2025
Write a 750- to 1,000-word summary of recommendations to your manager. Complete the following in your summary:
Cite a minimum of one reference to support your assignment.
Format your assignment according to APA guidelines.
Assessment – 2025 Discussion question A 33 year old Hispanic male is admitted and complains of a tingling sensation
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Assessment – 2025
Discussion question
A 33-year-old Hispanic male is admitted and complains of a tingling sensation in his left leg, vertigo, and loss of balance. When you begin to perform intake history, you notice that his speech is slurred, his teeth are in need of repair, and he seems to be very drowsy.