WK 6 NURSING PHYSICAL ASSESSMENT QUESTION? 2025

1- What are some ways to create a physically and psychologically comfortable environment for both patient and practitioner during breast exams? 2- A 22-year-old female complains of 3 days of watery diarrhea with 7 to 8 stools per day. She is drinking approximately “3 sodas a day” because she is “trying not to get dehydrated.” She has had very little other intake because “eating makes me have to go to the bathroom.” She denies other symptoms or allergies.From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.” 3-A 19-year-old male complains of “burning sometimes, when I pee.” He is sexually active and denies using any contraceptive method. He denies other symptoms, significant history, or allergies.From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.” 4- A 23-year-old female complains of severe left lower abdominal/pelvic pain for 6 hours. She states her last menstrual period was “about 3 or 4 weeks ago.”She is sexually active and denies using any contraceptive method. She denies other symptoms, significant history, or allergies.In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why? Which lab or imaging tests would you order for this patient and give a brief explanation of why? 5- A 28-year-old female presents with a “severe headache” for the past 9 hours. She states the pain is over the left temporal area and is “throbbing” in nature. These symptoms have occurred before but not as bad.What are some clinical assessment tools or techniques that you could use to help diagnose this patient’s condition?In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why? 6- A 58-year-old obese man complains of pain in his left knee. The pain seems to be unrelenting. He says his knee is better when he rests, but it gets stiff when he rests too long. He denies other symptoms, significant history, or allergies.From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.”

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Applying the ANA Code of Ethics 2025

It is important that you see how the ANA and the ICN Code of Ethics code fits into your practice as a professional nurse. Now that you have read the ANA and ICN Code of Ethics for nurses, it is time to apply this code to some cases. Fill out the attach sheet.

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Discusion 2025

Texas Board of Nursing – First Question – What sections of the Nursing Practice Act and the Board rules address documentation? Second Question – The nurse can not make more staff magically appear. What could the nurse have done, under this circumstance, to improve documentation and perhaps avoid being reported to the Board? (note: In the real case upon which this scenario is built, the nurse did testify that she felt that she had allowed herself to get lulled onto the “that’s the way we do it” mentality for that unit) Third Question – What did you feel is the best way to handle narcotic wastage if another nurse is not readily available? Must use the Background Information Letter and Sample Notice Letter attached to respond – and the Texas Board of Nursing’s Rules – Nurse Practice Act etc.

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Module 05 Written Assignment – Concept Map: Respiratory Process 2025

Complete a Concept Map using one of the following templates. Concept Map Template 1 Concept Map Template 2 Requirements Analyze the disease or disorder you posted on your discussion post. Remember to use your resources, include a cover page, and do a reference page. Concept Map Criteria 1. Describe the Respiratory Disease Process (1 pt) 2 . Summarize a complete assessment of a patient with this disorder (4 pts) 3 . Complete collaboration of care, management of client care and potential complications sections (2 pts) 4. Paper must be 250 words using correct grammar, sentence structure and punctuation. (2pts) 5. Appropriate use of APA format; correct citing of sources in essay body and references. (1 pt) Total 10 pts Please pay attention to the criteria and the points require. Don’t want to losses a point.You can you use either of the concept map templates. Thanks

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psychiatric nursing 2025

I want this assignment asap -PLAGIARISM MUST BE LESS THAN 10% sychosis and schizophrenia greatly impact the brain’s normal processes, which interferes with the ability to think clearly. When symptoms of these disorders are uncontrolled, clients may struggle to function in daily life. However, clients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with psychosis and schizophrenia. Learning Objectives Students will: Assess client factors and history to develop personalized plans of antipsychotic therapy for clients Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring antipsychotic therapy Evaluate efficacy of treatment plans Analyze ethical and legal implications related to prescribing antipsychotic therapy to clients across the lifespan To prepare for this Assignment: Review this week’s Learning Resources. Consider how to assess and treat clients requiring anxiolytic therapy. The Assignment Examine Case Study: Pakistani Woman with Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: Decision #1 Which decision did you select? Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Decision #2 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Decision #3 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? SAMPLE ONLY NURS 6630 WEEK SEVEN Case 2: Volume 2, Case #11: The figment of a man who looked upon the lady Introduction Briefly, this is a scenario of a 42 year- old woman with a complex psychiatric history extending from depression, posttraumatic stress disorder, insomnia, visual hallucinations (little man)and impaired behavior with aggression. In the course of more than 36 months, the client was treated with Paroxetine (SSRI), Bupropion ( NDRI), Tiagabine, Ramelteon and , but finally a combination of Lexapro, Bupropion and quetiapine was able to decrease her symptoms . The client’s medical history includes diabetes, hypertension, CAD, hyperlipidemia, COPD, OSA, GERD, Glaucoma, overweight and a remote history of substance abuse. Related Professional Questions Certain medications or supplements can cause symptoms of mental illness and also due to her extensive medical history and usage of multiple medications I would ask the following questions: 1. Do you take any over -the – counter, herbal supplements or remedies and I would check for interactions with current medication regimen? 2. When and how often do you use your albuterol inhaler ? Some of the side effects of albuterol include anxiety, nervousness, and insomnia ( Cunha, 2016) Sleep Hygiene: Do you keep regular sleep schedule ? Do you drink caffeine beverages close to bedtime? Patient History The patient may not be a reliable source of information, particularly that she has a significant mental illness that affects her functioning, hence verifying her responses with her direct family members, and mental social workers to get clues to the underlying or precipitating causes of mental crisis. Also checking facility records from previous encounters, or any psychiatric hospitalizations would be useful. Diagnostics Testing 1. Thyroid Stimulating Hormone (TSH). Based on recent evidence, the prevalence of depressive symptoms in hypothyroidism was nearly 50%, and clinical depression occurs in more than 40% of people suffering from hypothyroidism ( Bhagwat, 2017) 2. Electrocardiogram (ECG) The client has cardiovascular diseases ( HTN, CAD), with risks of cardio complications. In the setting of taking antidepressants and antipsychotics, baseline ECG and possibly every three to six months would be appropriate. Several atypical antipsychotics including quetiapine (Seroquel) are known to cause prolongation of the QT interval, hypothesized to occur via direct inhibition of the cardiac delayed potassium rectifier channel, which extends the ventricular repolarization process (Zhai et al., 2017) Differential Diagnoses 1. Posttraumatic Stress Disorder ( PTSD)_ 2. Major Depressive Disorder (MDD) 3. Insomnia Disorder. Pharmacotherapy Options for Sleep/ Wake cycle 1. Zolpidem (Ambien) 5mg oral at bedtime for Seven days. Zolpidem is nonbenzodiazepine hypnotic, it works by enhancing GABA inhibitory actions that provide sedative hypnotic effects more selectively than other actions of GABA (Stahl, 2017). With its side effects of sedation, low dose prescribed as the client has respiratory problems (sleep apnea OSA)). Studies have shown that Zolpidem did not significantly worsen OSA as measured by the numbers and duration of pauses in breathing during sleep, but in one trial, it significantly lowered minimum oxygen levels during the night when compared with placebo ( Mason & Smith, 2015). 2. Trazadone 25 mg oral at bedtime for Thirty days. Trazadone is a serotonin 2 antagonist/reuptake inhibitor, used in management of depression and insomnia. It is absorbed well, metabolized by CYP 450 3A4 with average half life of 6hrs. It has less side sedative effects compared to zolpidem (Stahl, 2017) The best choice for the client would be Trazadone as there is no reliable evidence of dependence or withdraws and it can also work for the client’s depression. Conclusion The case was a perfect example how it is sometimes difficult to find effective pharmacological treatments of psychiatric illnesses. In the course of four years, the client was prescribed 5-6 medications targeting different neurotransmitters to improve the symptoms. Client’s polypharmacy increased risks of drug-drug interactions, and her medical comorbidities increased risks of adverse reactions. Lesson learned from this study was that treatment should be optimally initiated after diagnosis, and augment or switching to a new agent must be carefully done in consideration of possible side effects and better outcomes. References Bhagwat, N., Tayde, P., Sharma, P., Sharma, B., Dalwadi, P., Sonawane, A., … Varthakavi, P. (2017). Hypothyroidism and depression: Are cytokines the link? Indian Journal of Endocrinology and Metabolism , 21 (6), 886. Retrieved from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=7&sid=aeb79c1d-68dc-40a4-bd10-f956796bc9e8%40sessionmgr101 Cunha, J. (2016). Common Side Effects of Ventolin HFA (Albuterol Sulfate Inhalation Aerosol) Drug Center – RxList. Retrieved from https://www.rxlist.com/ventolin-hfa-side-effects-drug-center.htm Mason, M., & Smith, I. (2015). Effects of opioid, hypnotic and sedating medications on obstructive sleep apnoea (OSA) in adults with known OSA | Cochrane. Retrieved from http://www.cochrane.org/CD011090/AIRWAYS_effects-opioid-hypnotic-and-sedating-medications-obstructive-sleep-apnoea-osa-adults-known-osa Zhai, D., Lang, Y., Dong, G., Liu, Y., Wang, X., Zhou, D., … Zhang, R. (2017). QTc interval lengthening in first-episode schizophrenia (FES) patients in the earliest stages of antipsychotic treatment. Schizophrenia Research , 179 , 70-74. Retrieved from https://resolver-ebscohost-com.ezp.waldenulibrary.org/openurl?ID=pmid%3a27727006&genre=article&atitle=QTc+interval+lengthening+in+first-episode+schizophrenia+(FES)+patien

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