Nursing  After reading chapter 5, 6, 7, and 8, please answer this question. Discuss the topic you are planning to use for the clinical practice experience. Create a PICOT research question that will guide the practice experience.

After reading chapter 5, 6, 7, and 8, please answer this question.Discuss the topic you are planning to use for the clinical practice experience. Create a PICOT research question that will guide the practice experience.See the attachment for a PICOT selection guidelines

 
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Nursing  Soap Note x 4 (36 Hours) 48$

1)  Submit 1 document per partSymptoms or diagnoses such as “normal” or “abnormal” are not allowed, you must address ROS and physical examination comprehensively.Part 1: Complete the file 1  taking into account the following information:Diagnosis:    EndometriosisFemale29 YearsPart 2:  Complete the file 1  taking into account the following information:Diagnosis:    Uterine FibroidsFemale42 YearsPart 3:  Complete the file 1  taking into account the following information:Diagnosis:   CystitisFemale28 yearsPart 4:  Complete the file 1  taking into account the following information:Diagnosis:  Sexually Transmitted DiseasesFemale22 years2)¨******APA norms, please use headersAll Diagnosis and differential diagnosis must be narrative and cited in the text- each paragraphsBulleted responses are not acceptedDont write in the first personDont copy and pase the questions.Submit 1 document per part3) It will NOT be verified by Turnitin or SafeAssign4) Minimum 3 references per part not older than 5 years5) Symptoms or diagnoses such as “normal” or “abnormal” are not allowed, you must address ROS and physical examination comprehensively.

 
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Nursing  Discusion post continuous use of steroids injections such as Kenolog and dexamethasoneor for the management of acute or chronic pain management in the elderly populations

1.Identifying key stakeholders that can affect or will be affected as a result of your evidence-based project recommendations. Please refer to linked Appendix C: (My Evidence Base Project will be about the continuous use of steroids injections such as Kenalog and dexamethasone for the management of acute or chronic pain management in the elderly populations.https://ichs.ethinksites.com/pluginfile.php/43386/mod_forum/intro/2017_Appendix%20C_Stakeholder%20Analysis.docx2.After identifying and completing the stakeholder worksheet, find a database such as Google Scholar or the database of your choice to conduct a preliminary search of evidence-based articles related to your topic. Choose one relevant article and identify the level and quality by using linked Appendix D:https://ichs.ethinksites.com/pluginfile.php/43386/mod_forum/intro/2017_Appendix_D_Evidence%20Level%20and%20Quality%20Guide.docx· Reequipment APA format.· Articles within the last past 5 years.· Plagiarism free· Attached copy of the article being used.

 
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Nursing  answer the question

Please use attachments (PowerPoint) to help answer

 
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Nursing  Conscious Sedation

Who makes the decision to use conscious sedation? What conditions are taken into consideration?

 
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Nursing  Case Study 1 HTN and Case Study 2 TESTICULAR CANCER

Case Study 1 & 2 (10 Points)Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.All answers to case studies must have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites) per case StudyCase Study 1Mr. JS presents today to your office for a follow up appointment after a BP reading at home of166/95 last week. He is a 52 y/o male with a PMH of HTN and Angina secondary to CAD, whichis well controlled, experiencing less than 1 attack per month.On today examination, MR JS’s vital signs are as follows:Temperature: 96.8ºHeart Rate: 68 bpmBlood Pressure: 168/92Respiration: 14Ox Sat: 95% at room airPain: denies pain.Labs:Last LDL on records (6 months ago): 189Current Medications:Atorvastatin 40 mg/dayMetoprolol tartrate 10 mg/twice/dayCASE STUDY QUESTIONS:1) According to the recently released American Heart Association guidelines on hypertension,what should be the BP goal for a patient with chronic stable angina and hypertension?2) In addition to diet and lifestyle modifications, what is the medication of choice to control theBP of a patient with chronic stable angina? Provide rationale3) Provide at least 3 (questions) you would ask your patient RELATED to the case presented andprovide rationale.4) Please explain whether you would request any laboratory or screening tests for this patientand why (if any)5) How would you achieve the B/P goal recommended for this patient according to theguidelines provided above?6) Provide References in APA style……………………………………………………………………………………………………………………………………………………..Case Study 2Testicular CancerCase StudiesA 21-year-old male noted pain in his right testicle while studying hard for his midterm collegeexaminations. On self-examination, he noted a “grape sized” mass in the right testicle. Thisfinding was corroborated by his healthcare provider. This young man had a history of delayeddescent of his right testicle until the age of 1 year old.Studies ResultsRoutine laboratory studies Within normal limits (WNL)Ultrasound the testicle Solid mass, right testicle associated with calcificationsHCG (human chorionic gonadotropin) 550mIU/mL (normal: <5)CT scan of the abdomen Enlarged retroperitoneal lymph nodesCT scan of the chest Multiple pulmonary nodulesDiagnostic AnalysisAt semester break, this young man underwent right orchiectomy. Pathology was compatible withembryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary noduleindicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During aleave of absence from college, and after banking his sperm, this young man underwentaggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed completeresolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.Critical Thinking Questions1. What impact did an undescended testicle have on this young man’s risk for developingtesticular cancer?2. What might be the side effects of cytotoxic chemotherapy?3. What was the purpose of preserving his sperm before chemotherapy?4. Is this young man’s age typical for the development of testicular carcinoma?

 
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Nursing  Capstone Change Project Evaluation Plan

Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources. Develop a process to evaluate the intervention if it were implemented. Write a 150-250 word summary of the evaluation plan that will be used to evaluate your intervention.The assignment will be used to develop a written implementation plan.APA style is not required, but solid academic writing is expected.Am writing on this : For patients and healthcare workers in the hospital (p) does hand washing using soap and water (I) compared to an alcohol hand-based rub (C) reduce hospital acquired infection (O) within a period of stay in the hospital (T).)

 
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Nursing  Bioethics

This section should include at least 1 outside reference and your textbook and should be at least 750 words. Locate an article that discusses a bioethics issue. First, provide a summary of the article and the bioethics issue being presented. Next, discuss what ethical actions the nurse should take in relation to the issue being presented. Also, discuss possible legal issues that the nurse should be aware of.Part 2 – Your response to this case study should be at least 1000 words and include 2 outside references and your textbook. Analyze the following case study and then answer the following questions:You are working on the Operating Room and the trauma alert goes off. You respond to the ER to provide support. Once in the ER, you receive report that an 89 year old male is coming in with a self-inflicted GSW (Gun Shot Wound) to the head. You listen to the radio traffic between the ER and ambulance to get an idea what kind of surgery you need to set up for and what will be needed as far as lines and fluid. Here is the report:HR: 121B/P: 60/45Saturation: 93%Patient is intubated and non-responsive. Right pupil is fixed and dilated. Paramedic also states there is a large extended family headed to the ER. The patient lost his wife of 60 years 1 week ago and left a note stating that he is too heartbroken to go on. The patient and family arrive. The neurosurgeon discusses that their father’s potential outcome, even with surgery, is not good. The family still insists that the neurosurgeon complete the surgery.1. What are the ethical and legal issues in this case study. Be specific and support your response with referencesOnce you have the patient in the room and you are prepped and ready for surgery, the phone rings. You receive word that the patient signed DNR orders two days ago.2. As the OR nurse what are your legal and ethical issues now? Was the patient of sound mind when he signed this order? Do you honor the DNR or the family’s wishes? Explain and support your response.

 
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Nursing  I need this by Sunday

Please see attach

 
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Nursing  100 positive reply ( Dana) due tomorrow 1/20/21 due at 10 am with three references

Pharmacotherapeutics is the application of pharmacological information together with the knowledge of the disease for its prevention, mitigation or cure in which selection of the most appropriate drug, dosage and duration of treatment is taken into account (Khan & Siddiqui, 2016). Patient is a 26 year old female of Korean decent that was recently admitted for a 21 day hospitalization due to onset of acute mania. She was diagnosed with bipolar 1 disorder. Genetic testing was performed, patient is positive for CYP2D6*10 allele. Hospital had described Lithium, but patient stopped two weeks ago since being discharged. For decision point 1, I chose to restart the patients lithium at a dose of 300 mg PO BID. Patient reports non compliance stating she “takes it when she feels like she needs it”. For decision point 2, I chose to educate the patient and continue treatment of lithium at original ordered dose. Patient then states she is having nausea and diarrhea. Decision point 3, I decided to change patients lithium to sustained release and if symptoms worsen can then change to depakote. As mentioned pharmacotherapeutics is the study of beneficial and adverse effects of drugs. Given these are common side effects of lithium if the patient is able to take as directed with tolerable symptoms than the benefits of lithium far outweigh the risk and is an appropriate plan of treatment for the patient.Though the mechanism of action of lithium in preventing recurrences of bipolar disorder remains only partially understood the common theme emerging from pharmacological and genetic studies is that lithium affects multiple steps in cellular signaling, usually enhancing basal and inhibiting stimulated activities (Alda, 2015). It is apparent by the patients manic behavior, conversation, and inappropriate attire that she would benefit from this medication. Additionally, side effect concerns assuredly play some role in lithium nonadherence (Gitlin, 2016). Education would need to be thorough and reinforced for this patient.

 
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