What clinical manifestations      correspond to the abnormal values?

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Renal Case Study

Tea-Colored Urine

Case Scenario:

Carmelita Gomez, age 8, is brought to the Children’s Clinic by her mother because she is nauseated and has vomited three times in the past 24 hours. Her urine has turned “tea colored”. Carmelita is lethargic and she is complaining of diffuse abdominal pain. Ten days ago she had a sore throat and fever and stayed home from school for two days. She was not seen by a health care provider at that time. Upon questioning, Carmelita cannot remember needing to urinate in the past 12 hours. On exam, Carmelita is irritable and listless. She has slight periorbital edema. Carmelita has active bowel sounds with no palpable abdominal masses, but she is tender in all four quadrants. Carmelita is given a presumptive diagnosis of poststreptococcal glomerulonephritis (PSGN), pending laboratory tests.

Her laboratory values are:

Serum creatinine: 2.3 mg/dL

BUN 26.1 mg/dL

Serum sodium: 142 mEq/L

Potassium 4.2mEq

Specific gravity 1.025

Phosphorous: 6.3 mEq/dL

Calcium: 7 mEq/dL

UA: hematuria 4+, red cell casts

Antistreptococcal antibody titre: 800U

POINTS TO PONDER:

  1. Which lab values are abnormal?
  2. What clinical manifestations      correspond to the abnormal values?
  3. Describe the changes      (pathophysiology) in the body causing each abnormal value and link the      value to a clinical manifestation present in the patient?
  4. Which values are within normal      limits?
  5. What nursing care needs to be      implemented?
  6. Provide one nursing      diagnosis appropriate to this patient.

Reading

  1. Urinalysis p.1146 (Leeuwen, pg.      546-552)
  2. Culture p.230
  3. Kidney      stone analysis p.696 (Leeuwen, pg. 61,265,426,444)

Case    Study Rubric

Criteria

Abnormal Values

What do the labs indicate specific to   this patient

values and signs and   symptoms

The relationship between the abnormal   Signs & Symptoms and lab values is clearly demonstrated. **Must be   specific**

Pathophysiology used to demonstrate connections between lab results, manifestations and disease process.

Expected care to be given for exhibited   s/s and lab values. Expected correction of lab values based on care given.   Patient education to prevent recurrence of abnormal lab values.

In a 1,000–1,250 word essay, summarize two qualitative 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.

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Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content within 5 years from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. References must be no more than 5 years old.

In a 1,000–1,250 word essay, summarize two qualitative 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.

Write a five to seven (5-7) page paper in which you:

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Due Week 3 and worth 130 points

You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, LPNs, and CMAs, the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area, the community has been growing and now includes promising opportunities in employment, education, and comfortable living spaces for young families. However, there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations.

The central city includes two (2) large acute care facilities, and one (1) tertiary care facility that is known for its excellent pulmonary care. Both acute care hospitals provide the usual services such as labor and delivery, outpatient surgery, chronic diseases care, etc. and have fully equipped ancillary departments, such as lab and radiology. Up until this point, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.

 

Write a five to seven (5-7) page paper in which you:

  1. Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years.
  2. Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services.
  3. Analyze and discuss one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions.
  4. Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services. Begin by naming a goal, and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal.
  5. Determine how you would then address whatever opportunities for improvement seem to exist and what processes you would put in place.
  6. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
  7. Format your assignment according to the following formatting requirements:
    1. This course requires use of Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
    2. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length

I need a substantive post regarding Role Development of the Advanced Practice Nurs

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I need a substantive post regarding Role Development of the Advanced Practice Nurse. I attached part of chapter 4 for the writing with references. Please follow instructions carefully. Include references. thank you.

Professor instructions to follow:  

Is it at least 150 words in length?

Is it directly related to this week’s topics?

Are your observations supported by the ideas of outside experts (like the lectures, text, supplemental readings, or other published resources) ?

Are the ideas of outside experts properly cited in APA format?

Does it include a question to the class?

When you use the ideas of others, you must give credit through an in-text citation and a reference. Finally, any references must conform to the APA version 6 standard as described in the APA Sample Paper in CWE.

Prepare a 1,000-1,250-word paper that focuses on the organization or network you have selected.

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Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.).

Harvard Business Review Online and Hoover’s Company Records, found in the GCU Library, are useful sources. You may also find pertinent information on your organization’s webpage.

Review “Singapore Airlines Case Study.”

Prepare a 1,000-1,250-word paper that focuses on the organization or network you have selected.

Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

What are the various methods of drug administration? Explain why one method may be chosen over another.

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  1. Explain the process and purpose of the Five Rights.
  2. What are the various methods of drug administration? Explain why one method may be chosen over another.
  3. Assess the conditions under which a chest tube is placed and the maintenance and precautions needed.
  4. What purpose do arterial venous lines serve and which vessels are they placed in.
  5. Why is a pulmonary arterial line not an arterial line in the strictest sense of the word?
  6. Organize a plan for your participation in a code.
  7. What are the general requirements for a code cart setup?

APA format is not required, but solid academic writing is expected.

First explain the 3 systems and provide examples of each system

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  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?

Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

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Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

  1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
  2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
  3. How does the theory determine or influence each of their recommendations for action?
  4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

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.

Complete an essay on the topic chosen from the Theories & Aging link during module 1:(Elder (physical) & Orem’s Self-care Deficit Theory)

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I need an essay between 4-5 pages( not exceed 5 pages) with proper references. The use of direct quotations is limited to one direct quote per paper.

Complete an essay on the topic chosen from the Theories & Aging link during module 1:(Elder (physical) & Orem’s Self-care Deficit Theory)

Include the Dimensions of Wellness in relation to a specific health condition.  Provide a brief description of each and summarize how the three components (Disease, Theory, & Dimensions of Wellness) fit together with an example for nursing practice.

The Dimensions of Wellness are located on pages 6 & 7 of your textbook.( text book is:(Touhy, T.A., & Jett, K. (2016). Ebersole & Hess’ toward healthy aging: Human needs & nursing response. (9th ed.). St. Louis, MO: Elsevier/Mosby. ISBN: 978-0-323-32138-9)

The use of your nursing theory textbook as well as outside sources is encouraged.
Suggested headings:

Introduction

Health condition

Nursing theory

Dimensions of Wellness

Summary

Statistics play an important role in the management of health care organizations and in decision making and strategic planning. Collecting, analyzing, and utilizing data appropriately impacts financial management of the organization and the quality of patient care delivered. Decisions in clinical medicine are driven by evidence-based practice, as are those in health care management. A health care manager must understand and use evidence in making informed decisions that improve the operations and financial status of the organization as well as deliver quality of care accessible to those who need it and with consideration of the costs involved. In this assignment, you will choose a utilization review statistic from the following list and review a research paper or government publication, as outlined below. Choose a health care statistic that health care managers would use, such as one of the following: Hospital-acquired condition (HAC) Emergency department visits Labor and delivery suite usage Ambulatory surgery procedures Hospital death rates Cesarean-section rate Wait time Adverse drug events Research your chosen statistic, and provide information from an outside source—such as a journal article, accreditation agency report, government site, and so forth—that discusses the health care statistic in a real-life setting or situation. Write a paper of 4–6 pages, not including the title page and reference page, in APA format that discusses the following: What was the reason for the research that was performed or for the data being collected? What was the source of the data presented? What types of descriptive statistics and graphical representations of data were used? What were the research question(s) and the significant findings of the article? How could the information presented be used to inform decisions or improvements?

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Statistics play an important role in the management of health care organizations and in decision making and strategic planning. Collecting, analyzing, and utilizing data appropriately impacts financial management of the organization and the quality of patient care delivered. Decisions in clinical medicine are driven by evidence-based practice, as are those in health care management. A health care manager must understand and use evidence in making informed decisions that improve the operations and financial status of the organization as well as deliver quality of care accessible to those who need it and with consideration of the costs involved.

In this assignment, you will choose a utilization review statistic from the following list and review a research paper or government publication, as outlined below.

Choose a health care statistic that health care managers would use, such as one of the following:

  • Hospital-acquired condition (HAC)
  • Emergency department visits
  • Labor and delivery suite usage
  • Ambulatory surgery procedures
  • Hospital death rates
  • Cesarean-section rate
  • Wait time
  • Adverse drug events

Research your chosen statistic, and provide information from an outside source—such as a journal article, accreditation agency report, government site, and so forth—that discusses the health care statistic in a real-life setting or situation.

Write a paper of 4–6 pages, not including the title page and reference page, in APA format that discusses the following:

  • What was the reason for the research that was performed or for the data being collected?
  • What was the source of the data presented?
  • What types of descriptive statistics and graphical representations of data were used?
  • What were the research question(s) and the significant findings of the article?
  • How could the information presented be used to inform decisions or improvements?