2023 Heart Blood Vessels Anterior cross section showing the valves and chambers of the heart

Nursing 2023 Heart, Blood Vessels

Heart Blood Vessels Anterior cross section showing the valves and chambers of the heart 2023 Assignment

 Heart;Blood Vessels

  Anterior cross section showing the valves and chambers of the heart
What blood-tight partition divides the left heart from the right heart?

Which portion of the ECG represents a small deflection sometimes seen just after the T wave, representing the final phase of ventricular repolarization?

Does heart size increase or decrease with age? why?
Make a chart describing the characteristics of the following types of chest pain:

  1. Angina
  2. Esophageal
  3. Pain from a peptic ulcer
  4. Biliary
  5. Arthritis or bursitis
  6. Cervical
  7. Musculoskeletal (chest)
  8. Psychoneurotic

A patient is complaining of prolonged fever, signs of neurologic dysfunctions, and the sudden onset of congestive heart failure. What should be expected?

Name the five traditionally designated auscultatory areas

Is the absence of S3 and S4 an unusual finding?

Splitting of S2 is greatest during which part of respiration? 

Describe a pericardial friction rub.

Not all murmurs are the result of valvular defects. Name four other causes of murmurs

Which four cardiac defects make up the tetralogy of Fallot?

TY is a 67-year-old female patient who presents for follow-up for her hypertension and hyperlipidemia. Her PMH includes a diagnosis of aortic stenosis diagnosed 2 years ago, IBS, and a seizure disorder. Her family history includes her father, who died at age 55 years of a myocardial infarction and her mother, who is deceased, who had hypertension, diabetes, and coronary artery disease. Her social history is positive for smoking 1 PPD for 30 years; she quit 9 years ago. She is negative for alcohol and drug use. She lives in a two-bedroom condominium on one floor.

On examination, describe the murmur that you would hear for aortic stenosis.

Describe the cause of aortic stenosis. What is the cause for TY?

If TY’s past medical history did not include a diagnosis of aortic stenosis as well as cardiac risk factors, what other causes are there for a heart murmur?

If TY’s past medical history did not include a diagnosis of aortic stenosis as well as cardiac risk factors, describe a subaortic stenosis.

  Palpation of arterial pulses: Carotid, Brachial,  Radial, Femoral, Popliteal, Dorsalis pedis,  Posterior tibial.Define arterial blood pressure

Define arterial blood pressure

Which variables contribute to the characteristics of the pulses?

A pregnant patient (32 weeks’ gestation) is having difficulty with dependent edema and painful varicosities. What can you suggest to help this patient’s problem?

What should you do if you have trouble finding the patient’s pulse? 

Describe the scale of 0 to 4 with regard to the amplitude of the pulse

If a patient experiences pain in the calf muscles, which artery is probably obstructed? 

What two values are recorded for the blood pressure? 

What is the mechanism behind cardiac tamponade? 

Where are the most common places for venous ulcers to appear?

TB is a 56-year-old female patient with Raynaud phenomenon. Her past medical history includes spinal stenosis, systemic lupus erythematosus, bipolar disorder, and overactive bladder.

A-Differentiate the primary and secondary types of Raynaud phenomenon.

B-In the patient’s initial presentation what would be the chief complaint if the patient had primary Raynaud phenomenon? Secondary Raynaud phenomenon?

C-Based on TB’s presentation, what assessment results would you expect to find? What if is she had primary Raynaud phenomenon?

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2023 Hi I need help in writing 250 word length and provide the citation for the source of your information

Nursing 2023 The case study of the Tuskegee Syphilis Study, (Berkeley College)

Hi I need help in writing 250 word length and provide the citation for the source of your information 2023 Assignment

Hi, I need help in writing 250 word length and provide the citation for the source of your information. Please type this in your own words, do not copy from any websites.

The case study of the Tuskegee Syphilis Study, (Berkeley College)

What experimental safeguards do we have now to avoid these situations? 

If we applied our 7 steps decision making process to these situations what would have been the outcome?

Was or will the restitution (the compensation) be enough for the injuries suffered?

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2023 Write a brief Conclusion why you made these decisions and what will be the objective of

Nursing 2023 [email protected]

Write a brief Conclusion why you made these decisions and what will be the objective of 2023 Assignment

 Write a brief Conclusion why you made these decisions and what will be the objective of obtaining an improvement in the condition of this patient .

  

Decision 1

The PMHNP will administer 10 mg of zyprexa orally at bed time and initiate 230mg of invega sustenna through intramuscular, in addition to 156 mg via the same route on day four. A similar dose will be administered within one months’ time. In addition the PMHNP will administer 10mg of Abfility orally at bed time. Expected outcome for this decision is a 25% decrease in the PANSS score (Stahl, 2013). This decision is also expected to alleviate the patient’s psychotic symptoms and achieve normalcy within one month. A slight weight gain is also expected as the drugs are known to increase weight in patients. Because I don’t select the other decisions, the patient is expected to have faster and noticeable changes in psychotic behavior within two weeks of treatment commencement. 

Decision 2

At this point the PMHNP will decide to continue with use of medications selected in decision 1 (Stahl, 2013). However the PMHNP will instruct the administering nurse to begin intramuscular injections of 300mg of Abfility and continue with 10 mg of the same drug in the morning. At this point, PANSS is expected to decrease by 50 % although the patient will also have noticeable weight gain due to use of invega sustenna (Stahl 2014). Because I don’t select other decisions, the patient is expected to have less cardiovascular drug toxicities and experience reduced risks for adverse drug reactions between Invega sustenna and Haldol Deaconoate. 

Decision 3

The decision at this point is to have the patient continue with Invega Sustenna and provide psychological counseling on the effects of the drugs associated with weight gain. It will be essential to explain to the patient that the weight gain from this drug is minimal in comparison with other drugs (Stahl, 2013). The PMHNP will set an appointment follow up date with the patient after one month duration and refer to the nutritionist and physical activity instructor. The difference between expected outcome in decision 3 and results of the decision is Abfility may not be efficacious for more than a period of 6 months given that it does not bind to D 2 receptors in a similar manner as Invega Sustenna. This will necessitate the PMHNP to change to Abfility Maintena because it is easily tolerated by patients on Abfility. 

Because I don’t select the other decisions, the patent will be able to utilize the same drug for the longest possible duration and optimize on their efficacy prior to switching to other types of medication (Stahl, 2013). Since the patient may not have the mental capacity to participate in the decision making process or make autonomous mental health decisions, it is essential to discuss treatment options with the spouse and explain the importance of adherence to treatment (Stein & Giordano, 2015). In addition, the mental health nurse is required to make those decisions which will benefit the patient and also outweigh the risk for adverse health outcomes. 

References

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

Stahl, S. M. (2014). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

Stein, D. J., & Giordano, J. (2015). Global mental health and neuroethics. BMC Medicine, 13(1), 44.  

Schizophrenia Treatment

Decision 1

The PMHNP will administer 10 mg of zyprexa orally at bed time and initiate 230mg of invega sustenna through intramuscular, in addition to 156 mg via the same route on day four. A similar dose will be administered within one months’ time. In addition the PMHNP will administer 10mg of Abfility orally at bed time. Expected outcome for this decision is a 25% decrease in the PANSS score (Stahl, 2013). This decision is also expected to alleviate the patient’s psychotic symptoms and achieve normalcy within one month. A slight weight gain is also expected as the drugs are known to increase weight in patients. Because I don’t select the other decisions, the patient is expected to have faster and noticeable changes in psychotic behavior within two weeks of treatment commencement. 

Decision 2

At this point the PMHNP will decide to continue with use of medications selected in decision 1 (Stahl, 2013). However the PMHNP will instruct the administering nurse to begin intramuscular injections of 300mg of Abfility and continue with 10 mg of the same drug in the morning. At this point, PANSS is expected to decrease by 50 % although the patient will also have noticeable weight gain due to use of invega sustenna (Stahl 2014). Because I don’t select other decisions, the patient is expected to have less cardiovascular drug toxicities and experience reduced risks for adverse drug reactions between Invega sustenna and Haldol Deaconoate. 

Decision 3

The decision at this point is to have the patient continue with Invega Sustenna and provide psychological counseling on the effects of the drugs associated with weight gain. It will be essential to explain to the patient that the weight gain from this drug is minimal in comparison with other drugs (Stahl, 2013). The PMHNP will set an appointment follow up date with the patient after one month duration and refer to the nutritionist and physical activity instructor. The difference between expected outcome in decision 3 and results of the decision is Abfility may not be efficacious for more than a period of 6 months given that it does not bind to D 2 receptors in a similar manner as Invega Sustenna. This will necessitate the PMHNP to change to Abfility Maintena because it is easily tolerated by patients on Abfility. 

Because I don’t select the other decisions, the patent will be able to utilize the same drug for the longest possible duration and optimize on their efficacy prior to switching to other types of medication (Stahl, 2013). Since the patient may not have the mental capacity to participate in the decision making process or make autonomous mental health decisions, it is essential to discuss treatment options with the spouse and explain the importance of adherence to treatment (Stein & Giordano, 2015). In addition, the mental health nurse is required to make those decisions which will benefit the patient and also outweigh the risk for adverse health outcomes. 

References

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

Stahl, S. M. (2014). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

Stein, D. J., & Giordano, J. (2015). Global mental health and neuroethics. BMC Medicine, 13(1), 44.

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2023 Discussion Factors That Influence Disease In clinical settings some of the most

Nursing 2023 Discussion: Factors That Influence Disease

Discussion Factors That Influence Disease In clinical settings some of the most 2023 Assignment

Discussion: Factors That Influence Disease

In clinical settings, some of the most common questions that patients ask are Why do I have this? What caused this disorder? Will it ever go away? These emotional questions can be difficult to ask and to answer. However, for patients to come to terms with their diagnoses and adhere to treatment plans, they must have an understanding of factors that might have caused, or continue to impact, their disorders. As an advanced practice nurse, it is important that you are able to explain disorders, associated alterations and symptoms, and changes that might occur within your patients’ bodies.

To Prepare

  • Review this week’s media presentation with Dr. Terry Buttaro. Reflect on the importance of developing an in-depth understanding of pathophysiology.
  • Select a disorder from the following list:
    • Adrenal insufficiency (Addison’s disease)
    • Atherosclerosis
    • Cholelithiasis (gallstones)
    • Colon cancer
    • Cystic fibrosis
    • Hemophilia
    • Nephrolithiasis (kidney stones)
    • Osteoporosis
    • Parkinson’s disease
    • Tuberculosis
  • Select one of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how that factor might impact your selected disorder, as well as potential associated alterations and symptoms.
  • Identify the pathophysiology of the associated alterations, including the normal and altered cellular function. Consider both intra- and extra-cellular changes that occur.
  • I will select osterporosis or Tuberculosis

Post a brief description of a patient scenario involving the disorder and the factor you selected. Explain how the factor might impact your selected disorder, as well as potential associated alterations and symptoms. Finally, explain the pathophysiology of the associated alterations, including changes in cellular function.

Reference:

Huether, S. E., & McCance, K. L. (2017). Understanding  pathophysiology (6th ed.). St. Louis, MO: Mosby.

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th  ed.). New York, NY: McGraw-Hill Education.

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2023 The purpose of this assignment is to demonstrate your ability to critique one quantitative or qualitative nursing research article of

Nursing 2023 Research nursing critique

The purpose of this assignment is to demonstrate your ability to critique one quantitative or qualitative nursing research article of 2023 Assignment

The purpose of this  assignment is to demonstrate your ability to critique one quantitative  or qualitative nursing research article of interest from any refereed  nursing journal.

Instructions:

  1. Choose a nursing research article of interest from a refereed nursing journal.
  2. Utilize at least 5 cite sources to substantiate your findings or critique.
  3. Visit the following website for suggested guidelines:’ 
  4. Create a 3-4 page critique 
  5. Follow APA style rules.

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2023 Guidelines Support your responses with scholarly academic references using APA style format Assigned course readings and

Nursing 2023 ATP WEEK 4 DISCUSSION

Guidelines Support your responses with scholarly academic references using APA style format Assigned course readings and 2023 Assignment

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations,references, and examples that demonstrates a clear connection to the readings. 

In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extends meaningful discussion by building on previous postings.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, and Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

Tasks:

  1. Choose a middle-range theory or grand theory that, in your opinion, can be applied to research. What are the assumptions underpinning this theory? Discuss how this theory finds application in research.
  2. Choose a middle-range theory or grand theory that, in your opinion, can be applied to practice. What are the assumptions underpinning this theory? Discuss how this theory finds application in your area of practice.

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2023 The first step of in completing your course project is to choose two compliance

Nursing 2023 Module 01 Course Project – Compliance Plan

The first step of in completing your course project is to choose two compliance 2023 Assignment

The first step of in completing your course project is to choose two compliance plans from the list of compliance violation areas below.

  1.Clinical staff members are not washing their hands between patients.

2.Employee attacks patients while under the influences of narcotics.

After you choose two areas (only two!), write a paragraph about each one to present to your faculty member. In each paragraph, explain why you believe the chosen area represents key issues in compliance and why you want to develop a compliance plan for this area. (1 page total)

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2023 ou will write and submit a 2 3 page essay in APA format with a proper cover page well organized with source citations

Nursing 2023 7

ou will write and submit a 2 3 page essay in APA format with a proper cover page well organized with source citations 2023 Assignment

 

ou will write and submit a 2-3-page essay in APA format (with a proper cover page, well-organized with source citations, and an APA reference list—which do not count towards the page count requirement) that addresses the following:

How can a health care leader best mobilize the power of professionalism as a force for quality? How can such strategies align with other incentive systems such as public reporting and payment? Elaborate on and support your assertions with credible sources.

Your responses must be supplemented with research from the text, CDC, NIH, and other quality sources to determine answers and solutions

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2023 n a paper 750 1 000 words summarize your analysis of this exercise and discuss the

Nursing 2023 Nursing

n a paper 750 1 000 words summarize your analysis of this exercise and discuss the 2023 Assignment

 

n a paper (750‐1,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:

  1. Provide a summary of your learning style according the VARK questionnaire.
  2. Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
  3. Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners.
  4. Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion?

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2023 This week you will be writing an APA paper to include a title page level headings and a reference

Nursing 2023 Kings Conceptual Theory

This week you will be writing an APA paper to include a title page level headings and a reference 2023 Assignment

 

This week you will be writing an APA paper to include a title page, level headings, and a reference page

  1. Discuss and explain King’s Conceptual System Theory. 
    1. First explain the 3 systems and provide examples of each system
    2. Explain how the systems influence goal attainment
    3. How could King’s theory help define a clinical quality problem? 
    4. Apply this theory to a potential practice quality improvement initiative within your clinical practice.
    5. How could a quality committee align outcomes with King’s Conceptual System Theory? 
    6. What additional nursing theory from our readings could also align with an improved quality of practice initiative?

This paper should include 2 outside references and the textbook. This paper should be 1250 to 1500 words in length.

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