Nurse.Med Surg 3 – 2025 The patient is a 68 year old man who sustained a head injury after falling in the bathroom He arrives

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Nurse.Med Surg 3 – 2025

 

The patient is a 68-year-old man who sustained a head injury after falling in the bathroom. He arrives in the emergency department (ED) cheerful, alert, and oriented to person. On physical examination, he has a large hematoma on his left forehead. He reports a headache in the left temporal area, which he rates as an 8/10. His wife was present during the incident. Admission vital signs are: blood pressure, 170/92 mm Hg; pulse, 92 beats/min; respirations, 14 breaths/min; and temperature, 98.7° F. The physician orders a one-time dose of acetaminophen 650 mg orally for the patient’s headache, which the nurse promptly administers. The patient reports a pain level of 5/10 at 1 hour after the intervention. 

1. Why is it important to determine the circumstances of the fall for this patient? 

2. Discuss the importance of obtaining baseline behavior and information from the wife. 

3. The ED physician orders computed tomography (CT) of the brain for the patient. What is the purpose of this test, and what are the nursing responsibilities in preparing the patient for this procedure? 

4. Because the patient is at risk for increased intracranial pressure, explain how the patient should be positioned and moved in bed.

5. The CT and other diagnostic results are negative and the patient is diagnosed with a minor head injury and contusion to the right extremity. He is discharged to home. Review the patient teaching instructions that should be given to the patient and his wife. 

6. The wife appears unwilling to take her husband home and she states that she doesn’t understand the discharge instructions. What can the nurse do in this situation? 

7. Use the focus charting method (also known as the DAR method—data, action, response) to document the administration of acetaminophen, including appropriate follow-up. 

Ari Shavit By The Sea – 2025 I n thinking on the issues of religion secularity culture and conflict that

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Ari Shavit By The Sea – 2025

 In thinking on the issues of religion, secularity, culture, and conflict that are discussed in this chapter, fully analyze at least two aspects through which Israel can be redefined.  In turn, what are two of the most important ways in which Shavit discusses Israeli and Jewish identity?  Think of this through two manners which you found to be the most new or differen 

Follow Up Discussion – 2025 one paragraph response for this post add comment information with citation and reference One of the opportunities

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Follow Up Discussion – 2025

 one paragraph response for this post , add comment , information with citation and reference 

One of the opportunities that I see in the clinical setting that needs to be improved is staffing. Of course 2020 and COVID hit us hard for the year but some facilities were already in shambles before the pandemic. Staffing is one of those things that can breakdown a facility to its inner most core. You have to hire and provide the unit with appropriate and knowledgeable staff that can handle the unit and the patient acuity. This helps with providing the best care for the patient and it gives the nursing staff time to provide the best care to the patient they are caring for. When staffing levels aren’t met, patient mortality increases. According to Rebecca Paulsen she stresses quality of care to achieve patient outcomes, which, in turn, can lead to higher reimbursement from the insurance company. Nurse-to-patient ratios are substantially important when trying to keep infection rates, potential drug reactions, and medication errors at a minimum (Paulson, 2018). Hospital reimbursement is based on performance. If units don’t adequately staff enough professionals to provide the care that patients need based on their acuity level, reimbursement may significantly be affected (Ashe, 2018). When units have higher turnover rates, including admissions, discharges, and transfers, additional nursing time isn’t recognized in shift variability when considering staffing needs and nurse-to-patient ratios(Ashe, 2018). This is way having the unit or clinical area staffed accordingly makes the unit and the level of stress, burnout, depression among staff decrease.

References:

Ashe, Leah RN The importance of adequate staffing, Nursing Management (Springhouse): December 2018 – Volume 49 – Issue 12 – p 7 doi: 10.1097/01.NUMA.0000549519.47901.4f

Paulsen, Rebecca A. PhD(c), MS, RN, CPN Taking nurse staffing research to the unit level, Nursing Management (Springhouse): July 2018 – Volume 49 – Issue 7 – p 42-48 doi: 10.1097/01.NUMA.0000538915.53159.b5

Ari Shavit By The Sea – 2025 I n thinking on the issues of religion secularity culture and conflict that are discussed in this

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Ari Shavit By The Sea – 2025

 In thinking on the issues of religion, secularity, culture, and conflict that are discussed in this chapter, fully analyze at least two aspects through which Israel can be redefined.  In turn, what are two of the most important ways in which Shavit discusses Israeli and Jewish identity?  Think of this through two manners which you found to be the most new or differen 

Follow Up Discussion – 2025 one paragraph response for this post add comment information with citation and reference One of the opportunities that

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Follow Up Discussion – 2025

 one paragraph response for this post , add comment , information with citation and reference 

One of the opportunities that I see in the clinical setting that needs to be improved is staffing. Of course 2020 and COVID hit us hard for the year but some facilities were already in shambles before the pandemic. Staffing is one of those things that can breakdown a facility to its inner most core. You have to hire and provide the unit with appropriate and knowledgeable staff that can handle the unit and the patient acuity. This helps with providing the best care for the patient and it gives the nursing staff time to provide the best care to the patient they are caring for. When staffing levels aren’t met, patient mortality increases. According to Rebecca Paulsen she stresses quality of care to achieve patient outcomes, which, in turn, can lead to higher reimbursement from the insurance company. Nurse-to-patient ratios are substantially important when trying to keep infection rates, potential drug reactions, and medication errors at a minimum (Paulson, 2018). Hospital reimbursement is based on performance. If units don’t adequately staff enough professionals to provide the care that patients need based on their acuity level, reimbursement may significantly be affected (Ashe, 2018). When units have higher turnover rates, including admissions, discharges, and transfers, additional nursing time isn’t recognized in shift variability when considering staffing needs and nurse-to-patient ratios(Ashe, 2018). This is way having the unit or clinical area staffed accordingly makes the unit and the level of stress, burnout, depression among staff decrease.

References:

Ashe, Leah RN The importance of adequate staffing, Nursing Management (Springhouse): December 2018 – Volume 49 – Issue 12 – p 7 doi: 10.1097/01.NUMA.0000549519.47901.4f

Paulsen, Rebecca A. PhD(c), MS, RN, CPN Taking nurse staffing research to the unit level, Nursing Management (Springhouse): July 2018 – Volume 49 – Issue 7 – p 42-48 doi: 10.1097/01.NUMA.0000538915.53159.b5

The Concept Of Professional Accountability As It Pertains To Nursing. – 2025 e Topic 4 DQ 2 In their report of code of ethics 2015 the American Nurses Association defines accountability

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The Concept Of Professional Accountability As It Pertains To Nursing. – 2025

 e: Topic 4 DQ 2

In their report of code of ethics (2015), the American Nurses Association defines accountability as taking self-responsibility for our actions. As nurses, we have a great responsibility to patients, peers, and ourselves all the time. Nurses that hold an RN licensed are accountable and obligated to maintain the highest ethics, transparency, and morals when caring for patients. The Nursing Practice Act and the law mandate and outlines nursing practice responsibilities. The scope of regulations in the California Nursing Practice Act clarifies nursing practice (NPA sec. 2527-2542). Nursing practice is a privilege that needs honesty, dignity, and appreciation. Nurses must be knowledgeable of updated policies and protocols of patient care, empathetic to patients and their families, flexible, and most importantly, truthful. Patients trust nurses with their lives.

We are humans and make mistakes, no doubt about that. But not taking the responsibility and correct or improve our practice is not only unethical but criminal. The one example in my nursing practice that I will never forget was a new grad. I dropped a pill on the floor and quickly picked it up; no one saw it, only me; I was in a hurry since I had more things to do. I could have given that medication, no one knew I dropped it, but for a second, I thought that if I could be dishonest with myself, how can I expect to be honest with others. I have never forgotten that experience. I threw it away and went to get a new one. Honesty, respect, and accountability define us not only as nurses but as human beings.

Working at the bedside can become overwhelming, and the more we do it, the better we develop a way of improving time management. Therefore, w a new policy is not welcomed since nurses must get used to a new practice. However, these changes are not to make us nurses angry or make us work harder. New Evidenced-based practice policies are created to help the patient heal or prevent them from getting sicker, so being flexible and understanding new guidelines and how they benefit the patient is another way of taking self-accountability. Healthcare facilities have the responsibility to educate and promote accountability. According to (Sherman, 2019), nurses develop a practice and mindset that prevents them from following new EBP; her article explains how nurses may refuse to follow new policies when they feel their approach is appropriate and can be, that does not mean it is a professional way of practicing and that is why EBP policies and procedures are in place. Flexibility to adapt and understand changes is part of the nursing practice and an obligation; not following the facility of practice’s policies and procedures is a crime.

                                                                       References

American Nurses Association (2015) Code of ethics for nurses with interpretive statements (second ed) ANA, page41. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics-code-of-ethics-for-nurses/

Sherman, R. O., & Cohn, T. M. (2019). Promoting professional accountability and ownership: Nursing leaders set the tone for a culture of professional responsibility. American Nurse Today, 14(2), 24–26.

California Nursing Practice Act (n.d.) regulations of nursing practice. https://leginfo.legislature.ca.gov

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Simply respond to the writer(student) post above supporting positively using 200-300 words APA format with references.  

Study Plan – 2025 To Prepare Reflect on your practice exam question results from Week 2 Identify content area strengths and opportunities

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Study Plan – 2025

 

To Prepare

  • Reflect on your practice exam question results from Week 2. Identify content-area strengths and opportunities for improvement.
  • Also reflect on your overall test taking. Was the length of time  allotted comfortable, or did you run out of time? Did a particular  question format prove difficult?

The Assignment

  • Based on your practice test question results, and considering the  national certification exam, summarize your strengths and opportunities  for improvement. Note: Your grade for this Assignment will not be derived from your test results but from your self-reflection and study plan.
  • Create a study plan for this quarter to prepare for the  certification exam, including three or four SMART goals and the tasks  you need to complete to accomplish each goal. Include a timetable for  accomplishing them and a description of how you will measure your  progress.
  • Describe resources you would use to accomplish your goals and tasks,  such as ways to participate in a study group or review course,  mnemonics and other mental strategies, and print or online resources you  could use to study.

Week 5 Project – 2025 Compilation Summarize in 3 4 pages this assignment that provides information from Weeks 1 to 4 In addition to the

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Week 5 Project – 2025

 

Compilation

Summarize, in 3-4 pages, this assignment that provides information from Weeks 1 to 4.

In addition to the work you completed in the last four weeks, your assignment should also:

  • Include an introduction and a conclusion.
  • Implement the recommendations from the instructor.
  • Describe the role of nursing informatics.
  • Explain how nursing informatics or technology in health care will help or hinder your leadership.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

Community Nursing Research Paper #2 – 2025 Research Paper 2 Choose any of the recent emerging reemerging infectious disease discussed in

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Community Nursing Research Paper #2 – 2025

  

Research Paper #2 

Choose any of the recent emerging / reemerging infectious disease discussed in your textbook (for example: Severe Acute Respiratory Syndrome (SARS – 2002-2003), Middle East Respiratory Syndrome Coronavirus (MERS-CoV)- 2015-2018), Avian influenza, H1N1 Influenza (Swine Flu) Pandemic – 2009-2010, Novel Avian influenza A (H7N9) Virus 2013-2017, West Nile Virus, Lyme Disease, Escherichia Coli, Tuberculosis, Ebola virus disease, Zika virus disease).

1. Introduce the disease 

2. Mention signs, symptoms and diagnosis of the disease.

3. Outline the factors that may have contributed to the emergence or reemergence of this infectious diseases.

4. How would you prevent similar occurrence? Mention the goals of Health People 2020 to reduce this infection / Prevention and control of the disease / Infection Control Guidelines.

5. Is there a CDC priority for public health response to this specific infectious disease?

6. What is your thought about emerging antibiotic -resistant microorganisms?

7. What is your role as a community health nurse? 

8. Mention research studies related with the topics discussed in your paper (mention at least 3 research studies in paper).

Research Assignment # 2

Purpose

The student will choose (1) of the recent emerging / reemerging infectious disease (some examples were provided) to develop the research project. Also, the student will use given questions to guide the paper. 

General directions

1. You will submit one (1) paper as part of this assignment (individual assignment).

2. Your research paper must follow APA format according to Publication Manual American Psychological Association (APA) (6th ed.). Include a cover page and headings per 6th edition APA guidelines. 

3. The research paper should be minimum of 3 pages (not including the title or reference pages) – single spaced, Times New Roman, Size 12, and 5 references about the topic (3 must be peer-reviewed journal articles).

Research Paper

Include the following components:

1. Introduction of the disease

2. Mention signs and symptoms of the disease. How do you diagnose this infectious disease? 

3. Outline the factors that may have contributed to the emergence or reemergence of this infectious diseases.

4. How would you prevent similar occurrence? Mention the goals of Health People 2020 to reduce this infection / Prevention and control of the disease / Infection Control Guidelines.

5. Is there a CDC priority for public health response to this specific infectious disease?

6. What is your thought about emerging antibiotic -resistant microorganisms?

7. What is your role as a community health nurse?

8. Mention research studies related with the topics discussed in your paper (mention at least 3 research studies in paper).

9. Conclusion

10. References Page

Statistic/Homework-chi-square – 2025 A convenience sample of 133 Intensive Care Unit ICU patients were asked whether or not they had an advance directive

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Statistic/Homework-chi-square – 2025

  A convenience sample of 133 Intensive Care Unit (ICU) patients were asked whether or not they had an advance directive upon being admitted to the ICU (yes/no). We were interested in comparing results for Caucasian patients and African American respondents. Our main question of interest was: is there an association between advance directive and ethnicity? For all questions below, assume 2-tailed test and alpha= .05. 

  1. Interpret the X2. Report in APA format, include the effect size if appropriate (Phi), and write a brief interpretation statement.
  2. Compute the CI around the difference in proportion using the  website 

http://vassarstats.net/