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2023 Select a nursing concept supported by a nursing theory and address the
by adminNursing 2023 Nursing discussion
Select a nursing concept supported by a nursing theory and address the 2023 Assignment
Select a nursing concept, supported by a nursing theory, and address the following components included in a concept analysis:
Definition of concept and discussion of concept in the nurse practitioner role
Identification of three attributes of the concept
Description of one antecedent and one consequence of the concept
Identification of two empirical referents
A brief explanation of theoretical applications of the concept (How is the concept relevant to a nursing theory?)
Use apa format and one of the following references as well as another that you find within the last 5 years.
Parker, M. E., & Smith, M. C. (2015). Nursing theories and nursing practice (4th ed.). Philadelphia, PA: F. A. Davis Company.
Lee, R.C., & Fawcett, J. (2013). The influence of the metaparadigm of nursing on professional identity development among RN-BSN students. Nursing Science Quarterly, 26(1), 96-98. doi:10.1177/0894318412466734
McEwen, M., & Wills, E. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
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2023 Chapter 41 A patient is admitted with renal calculi a What symptoms will the
by adminNursing 2023 Renal calculi
Chapter 41 A patient is admitted with renal calculi a What symptoms will the 2023 Assignment
Chapter 41
A patient is admitted with renal calculi.
a. What symptoms will the patient manifest if he is experiencing renal colic?
b. How will the nurse best manage the renal colic?
c. The nurse is straining the urine for presence of stones that the patient may have passed. What is the importance of this nursing action?
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2023 Share some information about yourself with the class Be sure to include the following Your
by adminNursing 2023 Nutrition Class
Share some information about yourself with the class Be sure to include the following Your 2023 Assignment
Perform the following tasks:
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2023 Gastro instestinal Case Study Chief complaint I have recurrent H Pylori infection HPI M C a 46 year old
by adminNursing 2023 DB week 11 pharma
Gastro instestinal Case Study Chief complaint I have recurrent H Pylori infection HPI M C a 46 year old 2023 Assignment
Gastro instestinal Case Study
Chief complaint: “I have recurrent H. Pylori infection”.
HPI: M.C. a 46-year-old Hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has PMH of dyspepsia, and GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms.
PMH:
H. Pylori infection gastritis
Diabetes Mellitus, type 2
Surgeries: None
Allergies: NKDA
Vaccination History: Up-to-date
Social history:
High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.
Family history:
Both parents are alive. Father has history of DM type 2, Tinea Pedis. Mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis.
ROS:
Constitutional: Negative for fever. Negative for chills.
Respiratory: No Shortness of breath. No Orthopnea.
Cardiovascular: No edema. No palpitations.
Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain.
Physical examination:
Vital Signs
Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored
ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.
Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal
Assessment:
Primary Diagnosis: Recurrent H. Pylori infection gastritis
Secondary Diagnoses: Dyspepsia
Differential Diagnosis: Peptic Ulcer Disease
Previous medication plan: two months ago and failed.
Plan: Tests
Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results.
Urea breath test 8 weeks after treatment with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test.
Labs: No new labs are needed.
Referrals: may refer based on effect of medication therapy given for 2 weeks.
Follow up: return to office in 8 weeks to reevaluate symptoms.
As a future nurse practitioner, it is important that you determine the medications used for recurrent H. Pylori infection.
Please discuss new therapy guidelines for H. Pylori treatment, and provide patient education.
Below is the website for the American Academy of Gastroenterology Clinical Guidelines (ACG) for the updated H. Pylori therapy. Feel free to consult other peer-reviewed articles within 5 years of publication.
http://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdf
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