REPLY 1 HP – 2025 In lateral knee chest position the patient lies on their side torso

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REPLY 1 HP – 2025

In lateral kneechest position, the patient lies on their side, torso lies diagonally across the table, hips and knees are flexed. In prone kneechest position, the patient kneels on the table and lower shoulders on to the table so chest and face rests on the table.

Diamond shape position is when the women lies on her back with her knees bent and positioned with both legs spread flat and her heels meet at the foot of the table. The speculum must be inserted with the handle up and the exam performed from the side or the foot of the bed.  

M-shape position is when you have the woman lie on her back with her knees bent and apart feet resting on the exam table close to her buttocks.  Speculum inserted with the handle up and exam takes place from the foot of the bed.  

V-shape position  the women lies on her back with her straightened legs opened wide with each leg opened to each corner of the table.  Speculum to be inserted with handle up and exam can take place from the side or the foot of the table.  

Women are at a higher risk of developing UTI’s than that of male’s because the urethra is shorter in women than in men.  Bacteria has a shorter distance to travel in women than in men.  Education for women needs to include:

1. Wiping from front to back when cleaning can help reduce risk of infection.

2. Increase fluid intake.  

3. Good hygiene.

4. Education

5. Monitor for signs and symptoms of infection.  

Pro’s and Con’s of circumcision: Mayo Clinic Review is 100:1 benefits outweigh risk.

Pro’s:  Con’s:

Reduced risk of acquiring HIV.   Post surgical pain, bleeding, swelling, 

Reduces amount of UTI’s   or inadequate skin removal.  

Reduces risk of getting STI’s

Decreased risk of Bacterial Vaginosis

  • Goodell-Softening of the cervix and vagina caused by increased vascular congestion with pregnancy. 
  • Hegar’s-Softening of the isthmus of the uterus at about 6-8 weeks of pregnancy.
  • McDonald’s-results from the cervical softening, the ability of the flex the body of the uterus against cervix.  
  • Chadwick-Violet blue mucosa and cervix due to increased vascularity. 
  • Indirect inguinal-Sac herniates through internal inguinal ring: can remain in canal or pass into scrotum.  Pain with straining; soft swelling that increases with increased intra-abdominal pressure; may decrease when lying down.
  • Direct inguinal-Directly behind and through external inguinal ring, above inguinal ligament; rarely enters scrotum.  Usually painless, round swelling, close to the pubis in area of internal inguinal ring easily reduced when supine.
  • Femoral-Through femoral ring and canal, below inguinal ligament, more often in the right side.  Pain may be more severe; may become strangulated. 

REPLY 2

Pelvic examination involves the routine medical screening of a woman’s reproductive organs, both internal and external organs. The routine examination is essential to assess gynecological health and the diagnosis of medical conditions (Bialy & Wray., 2020). The procedure is often uncomfortable for patients. Other than lithotomy, which involves bimanual evaluation processes, the physician may perform urine tests on a patient to check whether they manifest any urinary tract infections in a procedure known as urinalysis.

Women are at a higher risk of developing UTIs due to several reasons. First, based on anatomy, women’s urethras are located closer to their anuses, making it easier for bacteria to infiltrate. Besides, due to their short urethra compared to men, bacterial infections are highly likely to reach the bladder. Lastly, women’s physiological processes involve changes in hormones, such as during the menstrual cycle, increasing the susceptibility to infections (Tan & Chlebicki, 2016). For any disease, it is better to prevent it than to wait for treatment after contracting. To prevent UTI, one can observe their reproductive health by urinating as soon as there is the urge, drinking plenty of fluids, urinating after sexual intercourse and swiping from front to back after bowel movements. These procedures reduce the likelihood of developing UTI. For instance, drinking plenty of fluids such as water dilutes urine and thus keeps it moving through the urinary tract and therefore makes it hard for bacteria to stay at the wall of the urethra or bladder (Anon, 2021).

Newborn circumcision is essential to decrease the risk of urinary tract infections, skin conditions such as phimosis and penile cancer. It is also essential for hygiene purposes as it allows for ease when cleaning. However, the procedure is painful and the child may be subjected to excessive bleeding, and at times death. The procedure may also expose the newborn to infections and damage to the penis, which may manifest later in life. Even though this is a procedure done for religious and cultural beliefs, parents and physicians should weigh the pros and cons of each case before performing the procedure.

Pregnancy attaches several signs that are visible through examination. For instance, one might have a blue discoloration of the mucous membranes vagina and cervix (Chadwick’s sign), the softening of the cervix (Goodell’s sign), softening uterus (Hegar’s sign) and the McDonald’s sign, which involves the flexing of the uterus’ body against the cervix (The Brookside Associates Medical Education Division, 2016).

A hernia occurs when an internal organ’s part or tissue bulges through a weak muscle, mostly around the abdomen. An inguinal hernia is the most common and affects the groin. A direct inguinal hernia occurs when the abdomen’s walls become weak, allowing a part of the intestines to push through. The weakening may be a result of daily activities, including lifting things improperly. On the other hand, an indirect inguinal hernia results from the close-up of the inguinal ring. Essentially, this often occurs as a congenital condition in infants (U.S. Department of Health and Human Sciences, 2019). A femoral hernia is less frequent than inguinal hernias and appears in the femoral canal (Goethals, Azmat, & Adams, 2020). It is characterized by a bulge below the inguinal ligaments and can lead to strangulation.

References 

Anon. (2021, January 28). Urinary Tract Infection. Retrieved February 16, 2021, from Labs Tests Online: https://labtestsonline.org/conditions/urinary-tract-infection

Bialy, A., & Wray., A. A. (2020). Gynecologic Examination. Treasure Island: StatPearls Publishing. Retrieved February 16, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK534223/

Goethals, A., Azmat, C. E., & Adams, C. T. (2020). Femoral Hernia. Treasure Island: StatPearls Publishing. Retrieved February 16, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK535449/

Tan, C. W., & Chlebicki, M. P. (2016). Urinary tract infections in adults. Singapore Medical Journal, 57(9), 485-490. Retrieved February 16, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5027397/

The Brookside Associates Medical Education Division. (2016). Operational Obstetrics & Gynecology. Retrieved February 16, 2021, from https://www.operationalmedicine.org/ed2/Enhanced/Pregnancy.htm

U.S. Department of Health and Human Sciences. (2019, September). Inguinal Hernia. Retrieved February 16, 2021, from U.S. Department of Health and Human Sciences: https://www.niddk.nih.gov/health-information/digestive-diseases/inguinal-hernia

250 WORDS FOR EACH

Discussion 350 Words Minimum And 3 References – 2025 Read the Burston and Tuckett and Jameton articles and others on the concept of moral distress How

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Discussion 350 Words Minimum And 3 References – 2025

Read the Burston and Tuckett and Jameton articles and others on the concept of moral distress.  How does the concept apply in the practice of community and public health nursing?  Be specific.  Provide at least 2 different examples of sources of moral distress in community health/ public health nursing practice.  NOTE- this is not about nursing in acute care settings.

What specific actions could you take as an individual and as part of a group of community health nurses to decrease the distress perceived and felt?  Be concrete.  Justify this with research information.  How would you evaluate the effectiveness of these actions to reduce moral distress?

Discussion – 2025 Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of

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Discussion – 2025

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illnesses such as cancer, diabetes, and hypertension.  Share your opinions about holistic and allopathic care.

Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?

Instructions: Post your discussion to the Moodle Discussion Forum.  Word limit 500 words.  Support your answers with the literature and provide citations and references in APA format.   

Nursing – 2025 In this Assignment you will examine a global health issue and consider the approach to this issue by the United

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Nursing – 2025

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:
Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
Select at least one additional country to compare to the U.S. for this Assignment.
Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
Review and download the Global Health Comparison Matrix provided in the Resources.
The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)
Part 1: Global Health Comparison Matrix
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:
Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
Explain the strengths and weaknesses of each policy.
Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
Explain how the health policy you selected might impact the role of the nurse in each country.
Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.
Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.
In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.
Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Discussion/ Nutrition – 2025 Discussion Topic What are some ways to detect malnutrition of a patient who has just

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Discussion/ Nutrition – 2025

Discussion Topic: What are some ways to detect malnutrition of a patient who has just been admitted to a hospital? Discuss the unique effects of the following on malnutrition or nutrition status from the perspective of the whole-body condition:

1. Prolonged hunger and food insecurity

2. Acute-care hospitalization

3. Bed rest

Post your answers with at least 300 words

Discussion/ Nutrition – 2025 Discussion Topic What are some ways to detect malnutrition of a patient who has just been admitted to a

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Discussion/ Nutrition – 2025

Discussion Topic: What are some ways to detect malnutrition of a patient who has just been admitted to a hospital? Discuss the unique effects of the following on malnutrition or nutrition status from the perspective of the whole-body condition:

1. Prolonged hunger and food insecurity

2. Acute-care hospitalization

3. Bed rest

Post your answers with at least 300 words

Nursing – 2025 You conduct a Critical Analysis when you reflect on analyze and evaluate a work it is

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Nursing – 2025

  

You conduct a Critical Analysis when you reflect on, analyze and evaluate a work; it is a piece of writing that is subjective while also providing substantive analysis. 

For this assignment, view the TED Talk that is attached and addresses the issues of social justice and systemic racism. 

Think thoroughly, critically, and deeply about the talk; there is no correct interpretation or response. Feel free to write about what most interested you. focus on one or two points and go into depth. 

The Critical Analysis is a formal writing assignment. It will be used to assess  Writing Objective Nine: frame arguments for a general academic audience with the purpose of improving, deepening, or clarifying an understanding of the issue at hand. 

It must be word-processed and double-spaced using 12 point font. It should be three pages in length. Please use (https://owl.purdue.edu/index.html) for APA citation criteria and style guidance. Be sure to include, the name of the TED Talk speaker, the Title of the Talk and the URL of the talk.

Cinema Modeoff

Social Justice Belongs In Our Schools | Sydney Chaffee | TEDxBeaconStreet

Discussion Week One Theory Nursing – 2025 Theories are derived from conceptual models and are comprised of concepts and propositions The only concepts that are common to

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Discussion Week One Theory Nursing – 2025

Theories are derived from conceptual models and are comprised of concepts and propositions. The only concepts that are common to all nursing theories, in some shape or form, are patient, nurse, health, and environment. These are sometimes referred to as the basic metaparadigms of the nursing domain.

  • Describe the four metaparadigms: patient, nurse, health and environment. Cite the sources you use.
  • Choose a theory that finds practical application to your current area of clinical nursing practice, briefly describe the theory, and explain why you find this theory appropriate for your area of clinical practice.

Guidelines: To support your work, use the textbooks from your course and also use the South University Online Library, citing your sources in your work and providing references for the citations in APA format. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

Case Study – 2025 Mohamed is a nursing student who works in the community clinic associated with a large military hospital Mohamed enjoys

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Case Study – 2025

Mohamed is a nursing student who works in the community clinic associated with a large military hospital. Mohamed enjoys working with the veterans and hearing their reminiscences of war. He recognizes that this is a special client population that suffers not only from physiological conditions but also from psychological trauma that affects all aspects of the clients’ lives. Mohamed also realizes the important role that the clients’ families play in the clients’ care.

1.      Mohamed knows that family structure does not remain exactly the same, but a certain continuity of structure is maintained. How is structure defined in relation to the family unit? Discuss.

2.      Mohamed works with many clients and their families who are in crisis. Mohamed knows that a family’s resilience strongly affects its adjustment to the event. What other factors affect a family’s resilience? Discuss.

Minimum 250 words. Reply to at least one student with no less than 100 words. Due Friday by 2359.

Use Of PICOT Question – 2025 how important it is to be as clear as possible about your own planned inclusion and exclusion

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Use Of PICOT Question – 2025

 

 how important it is to be as clear as possible about your own planned inclusion and exclusion criteria for your upcoming DNP Project.  

Why is important to be able to apply the PICOT questions to practice as a nurse practice expert?  

Instructions:

Use an APA 7 style and a minimum of 200 words. Provide support from scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA 7 style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.