2025 Assignment Details Case Study 2 Date November 12 2016 2 00 pm Location XYZ

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Case Study #2 2025

Assignment Details Case Study #2 Date: November 12, 2016, 2:00 pm Location: XYZ Family Practice You are an NP student in this practice. Your next patient is the following: “I had to come in today because I have been coughing for a long time” Amanda Smith (69 year old, black female) is a retired postal worker. During the visit, she is coughing continually. She states the cough started 5 days ago intermittently but 2 days ago it became constant. Her chart indicates that she has been a patient of the practice for 5 years, gets care regularly and her HTN has been controlled for 4 years. Social History Married – 2 adult children A & W Non-Smoker now. Smoke 1 pack a day for 15 years. Quit x5 years ago No alcohol or drug use Baptist, attends church regularly and is a member of the choir Family History Mother – Deceased at age 27 from traumatic accident Father – Deceased age 78 related to renal failure secondary to diabetes type II Siblings – one brother age 61 A & W Medical/Surgical/Health Maintenance Hx Measles, mumps and chicken pox as a child. Tetanus/Diptheria/Pertussis – Last dose 2 years ago Influenza – Last dose 9 months ago Pneumococcal vaccine at age 65 Zostivax at age 60 Chronic diagnoses – HTN x 5 years Takes HCTZ 25 mg daily ROS General Usual weight has been maintained Fever for 5 days up to 101 Skin Dry skin, uses emollient frequently HEENT Wears reading glasses Dentition fair. Partial upper denture Neck No swelling or stiffness Chest Substernal pain on cough Respiratory Began coughing 4 days ago. Started mild, intermittent and non-productive. Two days ago became constant and productive of frothy sputum. Keeps her awake at night. No relief with OTC cough syrup. She states she is short of breath today. CV No CP at rest or when not coughing PV Some swelling of feet and ankles at end of day, relieved by elevating feet GI Decreased appetite for one week No change in bowel habits GU No frequency, hesitancy, nocturia or change in bladder habits Genitalia No changes MS Stiffness in hands and legs on awakening. Relieved with activity Psych No depression, anxiety, or memory change Neurologic No numbness, weakness, headache, change in mentation, or paralysis Hematologic No past anemia Endocrine No change in weight, thirst, heat/cold intolerance. Your physical exam reveals: Temp 101.4, Resp 30 labored, no retractions, BP 135/92, HR 110, Pulse Ox 90 Wt 130 lbs General appearance – Alert in all spheres, in mild respiratory distress, able to answer questions with short sentences, tripod breathing HEENT – Eyes ,ear, nose, head wnl Mouth -mucosa dry Pharynx – tonsils present not enlarged, normal pink color Lymph – no enlargement Skin – Dry and scaly legs and arms. Tenting of skin noted Heart- regular rhythm at 110 bpm, no murmurs or extra sounds Lungs – normal breath sound without crackles, bronchophony or egophony Abdomen – no mass, tenderness, rigidity Extremities – Hands – no swelling, Feet/legs – +1 edema feet to ankle level Pedal pulses – wnl Differential diagnoses: CAP Acute bronchitis Congestive heart failure Influenza Plan – transfer to acute care setting for further work-up Assignment Details: The “Elevator Consult” In this activity, you will practice giving a synopsis of your patient to your preceptor. In practice, you may often give this type of report if you are sending a patient for a consultation and your phone the specialist to discuss the patient. This report should be concise and clear. The receiver should, within one minute (slightly less for simple cases, slightly more for complex cases) have a picture of the patient in his/her head. You will report on ONLY items pertaining to the acute problem in this case. Do not include extraneous material or material not directly impacting the decision-making regarding this problem. Remember, this is a FOCUSED visit and assessment to evaluate a focused concern. The history and physical exam applies techniques relevant to the specific complaint for the patient at that visit. Your report should be similarly focused, providing only information that relates specifically to the presenting problem. Please review the grading rubric under Course Resources in the Grading Rubric section.

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2025 The purpose of this assignment is to create an operational budget presentation identifying key components of budgeting

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Assignemnt 1 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. 1)Provide the key components of budgeting, including the cost of staff, activities, services, and supplies. 2)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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2025 Discussion prompts Locate an ad that seeks to influence the acquisition of

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Public Health Week 3 2025

Discussion prompts: Locate an ad that seeks to influence the acquisition of a healthcare offering or service. Identify the specific consumer decision-making unit that might be affected by this ad. How do you think this ad will affect the consumer’s behavior? Should be at least 250 words Should have substance where students explores, explains, expands upon issues being discussed, and applies relevant course materials. Initial responses should be very clear and contain relevant information that is understood and is incorporated into postings. Students should analyzes course concepts, theories or materials correctly, using examples or supporting evidence. Initial responses should be supported by at least two references

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2025 Chief complaint I have recurrent H Pylori infection HPI M C a 46 year old Hispanic female presents

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GI Case Study 2025

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. Clarithromycin 500 mg po BID for 2 weeks Omeprazole 40 mg po BID for 2 weeks and then po daily. Cipro 500 mg po BID for 2 weeks 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. Follow APA guidelines http://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdf

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2025 Assignment Details Case Study 2 Date November 12 2016 2 00 pm Location XYZ Family

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Case Study #2 2025

Assignment Details Case Study #2 Date: November 12, 2016, 2:00 pm Location: XYZ Family Practice You are an NP student in this practice. Your next patient is the following: “I had to come in today because I have been coughing for a long time” Amanda Smith (69 year old, black female) is a retired postal worker. During the visit, she is coughing continually. She states the cough started 5 days ago intermittently but 2 days ago it became constant. Her chart indicates that she has been a patient of the practice for 5 years, gets care regularly and her HTN has been controlled for 4 years. Social History Married – 2 adult children A & W Non-Smoker now. Smoke 1 pack a day for 15 years. Quit x5 years ago No alcohol or drug use Baptist, attends church regularly and is a member of the choir Family History Mother – Deceased at age 27 from traumatic accident Father – Deceased age 78 related to renal failure secondary to diabetes type II Siblings – one brother age 61 A & W Medical/Surgical/Health Maintenance Hx Measles, mumps and chicken pox as a child. Tetanus/Diptheria/Pertussis – Last dose 2 years ago Influenza – Last dose 9 months ago Pneumococcal vaccine at age 65 Zostivax at age 60 Chronic diagnoses – HTN x 5 years Takes HCTZ 25 mg daily ROS General Usual weight has been maintained Fever for 5 days up to 101 Skin Dry skin, uses emollient frequently HEENT Wears reading glasses Dentition fair. Partial upper denture Neck No swelling or stiffness Chest Substernal pain on cough Respiratory Began coughing 4 days ago. Started mild, intermittent and non-productive. Two days ago became constant and productive of frothy sputum. Keeps her awake at night. No relief with OTC cough syrup. She states she is short of breath today. CV No CP at rest or when not coughing PV Some swelling of feet and ankles at end of day, relieved by elevating feet GI Decreased appetite for one week No change in bowel habits GU No frequency, hesitancy, nocturia or change in bladder habits Genitalia No changes MS Stiffness in hands and legs on awakening. Relieved with activity Psych No depression, anxiety, or memory change Neurologic No numbness, weakness, headache, change in mentation, or paralysis Hematologic No past anemia Endocrine No change in weight, thirst, heat/cold intolerance. Your physical exam reveals: Temp 101.4, Resp 30 labored, no retractions, BP 135/92, HR 110, Pulse Ox 90 Wt 130 lbs General appearance – Alert in all spheres, in mild respiratory distress, able to answer questions with short sentences, tripod breathing HEENT – Eyes ,ear, nose, head wnl Mouth -mucosa dry Pharynx – tonsils present not enlarged, normal pink color Lymph – no enlargement Skin – Dry and scaly legs and arms. Tenting of skin noted Heart- regular rhythm at 110 bpm, no murmurs or extra sounds Lungs – normal breath sound without crackles, bronchophony or egophony Abdomen – no mass, tenderness, rigidity Extremities – Hands – no swelling, Feet/legs – +1 edema feet to ankle level Pedal pulses – wnl Differential diagnoses: CAP Acute bronchitis Congestive heart failure Influenza Plan – transfer to acute care setting for further work-up Assignment Details: The “Elevator Consult” In this activity, you will practice giving a synopsis of your patient to your preceptor. In practice, you may often give this type of report if you are sending a patient for a consultation and your phone the specialist to discuss the patient. This report should be concise and clear. The receiver should, within one minute (slightly less for simple cases, slightly more for complex cases) have a picture of the patient in his/her head. You will report on ONLY items pertaining to the acute problem in this case. Do not include extraneous material or material not directly impacting the decision-making regarding this problem. Remember, this is a FOCUSED visit and assessment to evaluate a focused concern. The history and physical exam applies techniques relevant to the specific complaint for the patient at that visit. Your report should be similarly focused, providing only information that relates specifically to the presenting problem. Please review the grading rubric under Course Resources in the Grading Rubric section.

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2025 Chief complaint I have recurrent H Pylori infection HPI M C a 46 year old Hispanic

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GI Case Study 2025

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. Clarithromycin 500 mg po BID for 2 weeks Omeprazole 40 mg po BID for 2 weeks and then po daily. Cipro 500 mg po BID for 2 weeks 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. APA guidelines http://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdf

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2025 Critical Evaluation of Qualitative or Quantitative Research Study Read Stevens K 2013 The

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Critical Evaluation Of Qualitative Or Quantitative Research Study 2025

Critical Evaluation of Qualitative or Quantitative Research Study Read: Stevens, K., (2013) The impact of evidence-based practice in nursing and the next big ideas . OJIN: The Online Journal of Issues in Nursing , 18 ,(2), Manuscript 4. doi: 10.3912/OJIN.Vol18No02Man04 Critically evaluate either Study 3 or Study 4. Evaluate the credibility of professional citation, research design, and procedures in a research article. Include a discussion on how this study contributes to evidence-based practice. Study 3 – Patients’ and partners’ health-related quality of life before and 4 months after coronary artery bypass grafting surgery Study 4 – Striving for independence: a qualitative study of women living with vertebral fracture Suggested Reading Schreiber, M. L. (2016). Evidence-Based Practice. Negative Pressure Wound Therapy . MEDSURG Nursing, 25 (6), 425-428. Stevens, K., (2013) The impact of evidence-based practice in nursing and the next big ideas . OJIN: The Online Journal of Issues in Nursing , 18 ,(2), Manuscript 4. doi: 10.3912/OJIN.Vol18No02Man04 Wakefield, A. (2014). Searching and critiquing the research literature. Nursing Standard , 28 (39), 49-57. doi:10.7748/ns.28.39.49.e8867 Chapter 6 (pp. 131-153), Chapter 7 (pp. 157-185), Chapter 8 (pp. 189-226) Chapter 12 (pp.323-350)& Chapter 13 (pp. 351-380) In Houser, J. (2018). Nursing research: Readings, using & creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning Qualitative Specific Resources Houser, J. (2018). Nursing research: Readings, using & creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 9, p. 229-252 Chapter 14, p. 385-416 Chapter 15, p. 419-442 Additional Instructions: All submissions should have a title page and reference page. Utilize a minimum of two scholarly resources. Adhere to grammar, spelling and punctuation criteria. Adhere to APA compliance guidelines. Adhere to the chosen Submission Option for Delivery of Activity guidelines. Submission Options: Choose One: Instructions: Paper 4 to 6-page paper. Include title and reference pages.

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2025 Describe three political actions nurses could take to strengthen their role in policymaking as it

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Stat 2025

Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health. Correlate your discussion to the AACN MSN Essentials, identify one that most pertains to this topic and elaborate on your selection. -Attached below is additional information regarding providing adequate care for the LGBTQ community as outlined by Joint Commission and the CDC: Joint Commission & LGBTQ Community.pdf ( you can use it for any additional information) -No plagiarized please everything need to be paraphrased. -I need a minimum of 300 words. -APA style -2References

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2025 2 well written paragraph Each posting requires one reference from an English titled peer reviewed nursing journal less than five years

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Q3. Discuss The General Guidelines For History Taking Regarding Age And Condition Variations In The Following Areas: (1) Pregnancy, (2) Child, (3) Adolescent, (4) Elderly Client, And (5) Disabled Client. 2025

2 well written paragraph Each posting requires one reference from an English titled, peer-reviewed nursing journal less than five years old . The article for the initial posting must be different than the article for the response to peer posting. The initial posting also requires a reference from the course textbook . Students must justify the need and obtain approval from the professor prior to submitting any discussion postings or written assignments that use non-nursing journals or textbooks, or use references more than five-years old. Work submitted without prior approval will be graded as zero (0)

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2025 Rough Draft Quantitative Research Critique and Ethical Considerations Write a critical appraisal that demonstrates comprehension

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Rough Draft Quantitative Research Critique And Ethical Considerations 2025

Rough Draft Quantitative Research Critique and Ethical Considerations Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses. Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment. In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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.

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