Note: It is recommended that you save your response as you complete each question.

  

Question 1 (1 point)

An older male patient reports urinary frequency, back pain, and nocturia. A dipstick urinalysis reveals hematuria. What will the provider do next to evaluate this condition?

Question 1 options:

  

   

a) 

Order     a PSA and perform a digital rectal exam

 

   

b) 

Refer     for a biopsy

 

   

c) 

Refer     the patient to a urologist

 

   

d) 

Schedule     a transurethral ultrasound

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Question 2 (1 point)

A 30-year-old male patient has a positive leukocyte esterase and nitrites on a random urine dipstick during a well patient exam. What type of urinary tract infection does this represent?

Question 2 options:

  

   

a) 

Complicated

 

   

b) 

Isolation

 

   

c) 

Uncomplicated

 

   

d) 

Unresolved

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Question 3 (1 point)

A high school athlete is brought to the emergency department after collapsing during outdoor practice on a hot day. The patient is weak, irritable, and confused. Serum sodium is 152 mEq/L and has dry mucous membranes and tachycardia. What is the initial approach to rehydration in this patient?

Question 3 options:

  

   

a) 

Hypotonic     intravenous fluid replacement

 

   

b) 

Intravenous     fluid resuscitation with an isotonic solution

 

   

c) 

Loop     diuretics and hypotonic intravenous fluids

 

   

d) 

Oral     water replacement

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Question 4 (1 point)

What is an important purpose of conducting an interview prior to beginning neuropsychological testing on an older adult suspected of having dementia?

Question 4 options:

  

   

a) 

To     assess the patient’s ability to cooperate with the testing

 

   

b) 

To     determine the patient’s degree of dementia

 

   

c) 

To     evaluate the patient’s feelings about family members’ concerns

 

   

d) 

To     find out whether a referral to a specialist is needed

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Question 5 (1 point)

A patient reports recurrent headaches occurring 1 or 2 times per month that generally occur with weather changes or when sleep patterns are disrupted and describes them as severe, with throbbing on one side of the head and sometimes accompanied by nausea. What is the recommended treatment for this type of headache?

Question 5 options:

  

   

a) 

Gabapentin

 

   

b) 

Propranolol

 

   

c) 

Rizatriptan

 

   

d) 

Topiramate

..heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today. 

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare

• Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
• Review the case study assigned by your Instructor for this Assignment.
• Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
• Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
• Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
• Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

case study:

CASE STUDY 2: Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease.

Drugs currently prescribed include the following:

• Warfarin 5 mg po daily MWF and 2.5 mg daily T, TH, Sat, Sun 

• Aspirin 81 mg po daily 

• Metformin 1000 mg po bid 

• Glyburide 10 mg po bid 

• Atenolol 100 mg po daily 

• Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

Write a 2- to 3-page paper that addresses the following:

• Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
• Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
• Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

Rubrics:

Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.–

Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.–

Explain how you might improve the patient’s drug therapy plan, and explain why you would make these recommended improvements.

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

References:

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

• Chapter 34, “Review of Hemodynamics” (pp. 335–340)
• Chapter 35, “Diuretics” (pp. 341–349)
• Chapter 36, “Drugs Acting on the Renin-Angiotensin-Aldosterone System” (pp. 351–362)
• Chapter 37, “Calcium Channel Blockers” (pp. 363–369)
• Chapter 38, “Vasodilators” (pp. 371–373)
• Chapter 39, “Drugs for Hypertension” (pp. 375–388)
• Chapter 40, “Drugs for Heart Failure” (pp. 389–402)
• Chapter 41, “Antidysrhythmic Drugs” (pp. 403–418)
• Chapter 42, “Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels” (pp. 419–439)
• Chapter 43, “Drugs for Angina Pectoris” (pp. 441–450)
• Chapter 44, “Anticoagulant and Antiplatelet Drugs” (pp. 451–472)

15% turnitin pls

 150 words per question 

* no plagerism please as my school is very strict* 

1- Class,

Chapter 6 addresses the issue of fraud and abuse by medical and health care providers. But, what about the older health care consumer? What is his or her responsibility to help reduce and defer fraudulent billing? 

The Social Security Act includes provisions to reduce the incidence of fraud in government funded health care programs provided to older adults.

Medicare Fraud is a multi million dollar problem. 

What measures can the older consumer (or caregiver, POA, etc)  take to help reduce the incidence of Medicare Fraud in billing? List 2 examples

2-  Class,

The VHA has a responsibility to provide LTC for qualifying veterans. 

Review the text and additional reading material and  learn about options a Veteran may have for care under VHA. 

Peruse the link below: 

List and describe in detail 2  specific examples of long-term care services and support available to veterans through the VA 

**If you are currently working in a LTC setting – does your facility have VA contracted beds?  
https://www.va.gov/geriatrics/guide/longtermcare/ 

3- 

Class,

Attached is a link on a video addressing 8 tips to help prevent  Elder Abuse.   After viewing the video answer the following:

• ***    Select 1 example of a tip offered to help prevent Elder Abuse
• ***    Beyond what the video indicates how the tip will help; elaborate on the benefit to the older client if someone suspects elder abuse is occurring in a private residence or a LTC setting

 https://www.youtube.com/watch?v=t9MkDfs8MQE 

  

Nursing theories are tested and systematic ways to implement nursing practice. Using Nightingale’s Environmental Theory and its conceptual model. Prepare a minimum of 15 slide PowerPoint in which you describe the Nightingale’s Environmental Theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

1. Present      an overview of the nursing theory. Provide evidence that demonstrates      support for the model’s efficacy in nursing practice. Explain how the      theory proves the conceptual model. (5 slides)
2. Explain      how the nursing theory incorporates the four metaparadigm concepts. (5      slides)
3. Provide      three evidence-based examples that demonstrate how the nursing theory      supports nursing practice. Provide support and rationale for each. (5      slides)

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

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. 

You are required to submit this assignment to Lopeswrite for plagiarism

The benchmark assesses the following competencies:

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population. (Chosen topic is Substance Misuse/Abuse)

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
2. Create a problem statement.
3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

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.