Ms. Pfaff is a 34-year-old female who arrived in the ED with a severe headache causing nausea and vomiting. She has a temperature of 102.6° F and states she has had the fever for a couple of days. 1. What assessments should the nurse perform? 2. The provi 2025

Ms. Pfaff is a 34-year-old female who arrived in the ED with a severe headache causing nausea and vomiting. She has a temperature of 102.6° F and states she has had the fever for a couple of days. 1. What assessments should the nurse perform? 2. The provider orders Ms. Pfaff to have a lumbar puncture. What pre-procedure preparations should the nurse complete? 3. The results of Ms. Pfaff’s lumbar puncture are pressure 24 cm H2O, unclear or hazy appearance, 10 lymphocytes/mm3, proteins 650 mg/dL, immune gamma globulin 12%, glucose 40 mg/dL, and lactate dehydrogenase 13%. What action should the nurse take as a result of these lumbar puncture findings

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Homework Help 2025

Introduction Evidence-based practice involves finding the best research evidence to support an intervention, which is integrated with patient preferences and values and professional expertise, and then implemented. Once you have searched and found relevant and timely research studies, the next step is to evaluate the quality of their methods, design, and other elements and to explore the application of the evidence they provide in different scenarios and settings. It is of paramount importance to correctly identify the type of research methods used in the study—quantitative or qualitative, or a mixture of both—and to evaluate the study to ensure those methods are high-quality, valid, reliable, and accurate. Consequently, doctoral professionals must develop a working knowledge of how to identify and critically appraise specific, important elements of both quantitative and qualitative research studies. Rapid critical appraisal tools assist in developing this skill. Preparation Review the media pieces in Weeks 1–3, focusing on the EBP process, the PICO(T) process, and the important step of critically appraising research evidence. Review the following two quantitative and qualitative studies. You will describe the key elements of each study and complete a critical appraisal of each. Dorleijn, D. M. J., Luijsterburg, P. A. J., Reijman, M., Kloppenburg, M., Verhaar, J. A. N., Bindels, P. J. E., . . . Bierma-Zeinstra, S. (2018). Intramuscular glucocorticoid injection versus placebo injection in hip osteoarthritis: A 12-week blinded randomised controlled trial. Annals of the Rheumatic Diseases, 77 (6), 875. Howson, A., Turell, W., & Roc, A. (2018). Perceived self-efficacy in B-cell non-Hodgkin lymphomas: Qualitative outcomes in patient-directed education. Health Education Journal , 77 (4), 430–443. Locate the following tools, found in Appendix B in your Evidence-based practice in nursing and healthcare textbook. You will use these tools to complete the appropriate rapid critical appraisal for each study. Choose the tool that matches the methods and design of each study. Rapid Critical Appraisal Questions for Randomized Controlled Trials (RCTs), page 711. Rapid Critical Appraisal Questions for Qualitative Evidence, pages 715–716. Note: Remember that you can submit all or a portion of your completed executive summary and both general overviews and critical appraisals to Smarthinking for feedback before you submit the final version for this assignment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Instructions Write a paper in which you: Describe the key elements of a research study. Complete a rapid critical appraisal of each study. Write an executive summary that compares the two studies. Document Format and Length Your document should be 4–5 pages in length, including the overviews, rapid critical appraisals, and executive summary. Supporting Evidence Include at least two resources, other than the course textbook, to support your critical appraisals. Provide in-text citations and references in APA format for each study, the critical appraisal tools, and other resources used. Assignment Grading The following requirements correspond to the scoring guide criteria, so be sure to address each point. Read the performance-level descriptions in the scoring guide for each criterion to see how your work will be assessed. Describe the key elements of a research study. Include the study’s purpose, methods, design, results, and any other aspects of the study you think are noteworthy. Consider how the study contributes to the scholarly literature. Evaluate the quality of each study, using the appropriate rapid critical appraisal tool (RCA). Create a table or other organized format for your answers to the questions on the RCA tool for each study. What evidence supports your assertions and conclusions? Compare a qualitative and quantitative study’s quality, significance, and the practical application of results (evidence) in a health care setting. Consider the following questions to guide the comparison of these studies in your executive summary: Which study provides the best overall evidence? What elements in the study led you to this conclusion? Which study provides subjective information that could be integrated to make positive changes to services, processes, systems, or patient care? What is the significance of each study’s results in a hospital setting? How do the results affect patients? How could the evidence found in each study be applied in different health care settings? In the overall health care industry? Support main points, assertions, arguments, or conclusions with relevant and credible evidence.

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public health 2025

Read the scenario below and complete the assignment as instructed. Scenario In Community X (population 20,000), an epidemiologist conducted a prevalence survey in January of 2012 and reported an HIV prevalence of 2.2%. Over the next 12 months, the department of health reported an additional 50 new HIV cases between February 2012 and January 2013. The total population stayed constant at 20,000. Part 1 How many people had HIV in January 2012? Present or describe the formula you used to arrive at your answer. Calculate the incidence rate assuming no HIV-related deaths over the 12-month period. Present or describe the formula you used to arrive at your answer. Be sure to clearly indicate the numerator and denominator used in your calculation and include an appropriate label for the rate. In a summary of 200-250 words, interpret the results and discuss the relationship between incidence and prevalence. Discuss whether or not the epidemiologist should be concerned about these new HIV infections, assuming a previous incidence rate of 0.5 per 1,000 person-years prior to this updated risk assessment. Part 2 A rapid test used for diagnosing HIV has a sensitivity of 99.1% and a specificity of 90%. Based on the population prevalence of 2.2% in 2012, create a 2×2 table showing the number of true positives, false positives, false negatives, and true negatives. Calculate the positive predicative value and negative predictive value for this test. Refer to the “Creating a 2×2 Contingency Table” resource for guidance. In 200-250 words, discuss whether or not the epidemiologist should recommend this test as part of a universal HIV screening program. Provide rationale for your recommendation applying the positive and negative predictive values. Present or describe the formula you used to arrive at your answer. General Requirements APA style is not required, but solid academic writing is expected. 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 not required to submit this assignment to LopesWrite. Attachments PUB-540-RS-Creating2x2ContingencyTable.docx

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Aging Adult Case Study 2025

Aging Adult Case Study Write a 500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment. A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg. Please answer the following: What is the client’s BMI? Identify what screening tools you would use to assess nutritional and exercise knowledge, and why? One Outcome/Intervention/Rationale: Identify one outcome/goal that is reasonable, measurable and realistic. Identify 1 nursing intervention for the outcome and give rationale for the intervention. Identify what weakness in the client’s life may be impacting the client’s activity and diet? What referrals would you make and why? (Use references for your responses, not just opinion.) Assignment Expectations: Length : 500 words in length Structure : Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion. References : Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

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