Discussion Week 7

Complete Required Content listed in the content area & Read: Blais & Hayes Chapters 4/5:Ethical/Legal Foundations of Professional Nursing & 12 The Nurse’s Role as Political AdvocateThen Discuss:analysis of how the following guide moral, ethical and legal conduct in nursing practice: professional standards, and state/national statutes/rules/regulationsanalysis of how your own personal biases might impact difficult healthcare decisions and your ability to provide careresources you have identified that are available to nurses including how they might be applied to help resolve ethical practice dilemmasanalysis of the risks of being a nurse and some actions self can apply to enhance quality of care and reduce risksDiscuss and analyze ways in which political factors influence healthcare delivery and practiceOptional:  Share your spiritual and cultural assessment assignments with your group if you wish.

 
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Response to Arevena

This week I learn about the security features that available in window 10. Including back up options, firewall, encrypting files. As well as  the proceeding to use internet browser, mail app and Skype app. It offers the opportunity to back up files history in addition of  many of my data files and makes it easy to retrieve the latest version and multiple earlier versions.To use file history, windows demands that we have an external hard drive, a second hard drive, or a network connection that leads to a hard drive. Additionally, we can backup to restore the system itself.We can use firewall as well as a security system, where we can modify the firewall settings for each type of network that we use. There is a window defender firewall on private network settings and another one on public network setting. The private one is different than the public, for example, when using a laptop, we will be able to connect and provide different files.Another thing  we talk about is Advanced setting, it’s allowing us to block internet access completely in the inbound rules and outbound rules in the application. And bit locker allows us to encrypt the system.We discuss as well options that available on android devices including G mail(mail), internet browser(chrome), file management and cloud options. Mobile apps such as Chamberlain University, virtual assistant and phone information.The most used features in my mobile device are google where can I access my email account. I am also use chrome for other options.What is your favorite app  are google assistant and google search . Google search allow me to reach unknown location and provides me important  information about it including phone number, website and directions as well.I use google Drive, in my email account to store pictures and some documents. i use a flash drive to access my document in google drive whenever I utilize a public networkGoogle is provides great network service. In my  experience, it’s highly recommended for virtual assistant.I use a password to open my device. and I use my private WiFi to protect my mobile device?References:Baig, E. & LeVitus, B.(2017). Iphone for dummies(11th ed, For dummies)

 
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Reply to Leetal Pharmacology

1- Comments and reply to this post.Disorders such as peptic ulcer disease (PUD), gastroesophageal reflux disease (GERD), and irritable bowel syndrome (IBS) can be painful and often interferes with daily life. PUD occurs when excessive gastric acid secretion eats away at the inner surface of the stomach or small intestine (Kavitt et al., 2019). Conversely, GERD involves mucosal damage to the esophagus due to lower esophageal dysfunction resulting in abnormal reflux of gastric contents (Chen & Brady, 2019). The exact pathophysiology of IBS is unclear; however, some theorize it to be a result of altered gastrointestinal motility, visceral hypersensitivity, brain-gut reactions, bacterial overgrowth, and intestinal inflammation (Camilleri, 2021).Pantoprazole (Protonix) is a medication in the class of proton pump inhibitors (PPIs) that are most commonly used to treat PUD. One systematic review and meta-analysis determined that daily oral administration of pantoprazole is just as effective as when given intravenously. Researchers included several randomized controlled trials (RCTs) involving over 2,000 participants. They concluded that long-term relief was obtained with a PPI in addition to a decrease in the risks of bleeding (Csiki et al., 2021). Although rare, patients with previously diagnosed systemic lupus erythematosus (SLE) and/or a family history of SLE may be at risk of PPI-induced cutaneous lupus erythematosus. Severity is usually associated with the type of drug the individual is exposed to and clinically presents with “non-scarring, erythematous, annular polycyclic or papulosquamous cutaneous eruption so sun-exposed areas” (Aggarwal, 2016). This medication can be used short and long-term; however, patients who are prescribed pantoprazole long-term for more than one year should be monitored for bone loss, fractures, and Clostridium difficile-associated diarrhea (Lexicomp, n.d.). Magnesium levels should also be checked periodically for concomitant use with digoxin or diuretics (Lexicomp, n.d.). Side effects may include diarrhea, constipation, abdominal pain, and headache (Archangelo et al., 2022).Treatment for GERD can also be accomplished with PPIs, yet histamine-2 receptor antagonists (H2RAs) are also frequently used. Cimetidine (Tagamet) has been effective in treating patients with this condition. Unlike PPIs, H2RAs provide relief much faster than their counterparts but do not last as long (Song et al., 2021). Prior to prescribing this medication, I would confirm that the patient does not have renal insufficiency, as dosing would need to be tailored according to their creatinine clearance. Cimetidine is commonly used for short-term relief, especially in older adults, due to its adverse effects of confusion, dizziness, drowsiness, and headache (Lexicomp, n.d.). Monitoring parameters should include a complete blood cell count, gastric pH, any signs of occult bleeding, and kidney function for patients with renal disease (Lexicomp, n.d.).Understanding the different types of IBS and the patient’s predominant stool pattern is vital before prescribing medication for this disorder. Depending on the severity of the patient’s symptoms can help on whether or not dietary and lifestyle changes are needed or pharmacological therapy is warranted. When a patient exhibits signs of constipation, magnesium citrate (Citroma) can be used to aid in colonic distension, further promoting an increase in peristalsis (Archangelo et al., 2022). Magnesium citrate is highly contraindicated in patients with end-stage renal disease as it can alter serum electrolytes (Lexicomp, n.d.). With this being said, as a practitioner, it is essential also to know that this medication should be used with caution with certain neuromuscular diseases such as myasthenia gravis (Lexicomp, n.d.). Citroma should only be used short-term due to a high incidence of laxative dependence (Archangelo, 2022). Adverse effects that may be associated with magnesium citrate are abdominal pain, cramping, and nausea (Archangelo, 2022).

 
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New

Due 4pm tomorrow (09/04/2022)Pls follow the prompt

 
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PICOT QUESTION

Anemia is my topic

 
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Colon

You are about to perform a rectal examination of an older adult.What are the steps to examine this patient?Explain your rationale.What are some findings you can have while assessing the rectal sphincter?Describe the differences during the rectal examination of acute prostatitis and benign prostatic hypertrophy.What findings would expect on physical examination of acute prostatitis and benign prostatic hypertrophy?Submission Instructions:Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources.

 
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week 5- epidemiology

This week discussion review and discuss:What are the three basic questions in the Model for Improvement?What are we trying to accomplish?How do we know that a change is an improvement?What change can we make that will result in an improvement?Please remember to include references.

 
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TO-DO

Open the document attacked.

 
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Case Study 1 and 2

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 documentThe answers must be in your own words with reference to the journal or book where you found the evidence to your answer.Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.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 Study

 
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PICOT

In this assignment, you will write a critical appraisal that demonstrates comprehension of two qualitative research studies.

 
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