online activity 6

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1-You have a 46 y/o African American female with diagnosis of myocardial infarction, hyperlipidemia and hypertension.  She was started on simvastatin 40 mg for her hyperlipidemia and metropolol tartrate 25 mg twice daily for cardiac and hypertension.  She remains hypertensive at 152/88.  Which medication class would you consider for her hypertension?2-Answer the following questions for each of the 6 Antihypertensive drug classes (ACE inhibitor, Calcium Channel Blocker, Beta Blocker, Diuretics, Angiotensin receptor blockers, etc.)Drug ClassificationName of one drug in the classificationMechanism of ActionSide effectsContraindicationsDrug Interaction

 
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Unit 9 DQ

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Topic: Helping and Healing RelationshipsConsider the various steps of the nursing process in order to address the following critical thinking questions.As a healthcare provider, discuss ways in which you will establish a helping hand and healing relationship with your patient and their families.How will you develop professional partnerships with health care team members in your clinical practice?What personal behaviors, biases, and attitudes would you have to change to develop these professional relationships?

 
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Competency for ABG

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CompetencyDescribe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.ScenarioTony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.Tony’s ABG results:pH 7.28PaCO2 – 55 mm HgPaO2 – 70 mm HgHCO3 – 30 mEq/LInstructionsIn a 1-2 page Word document:Determine Tony’s acid-base imbalanceDescribe possible causes of the imbalanceIdentify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalanceList the multidimensional care strategies that are appropriate for the care of TonyResourcesFor assistance with citations, refer to theAPA Guide.For assistance with research, refer to theNursing Research Guide.

 
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Moral Distress

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Read the article,Moral Distress and Psychological Empowerment in Critical Care Nurses Caring for Adults at End of Life.Identify common causes of moral distress in critical care nurses who are caring for dying patients.Describe the concept of psychological empowerment and the 4 cognitions it encompasses.Discuss the study findings as related to the relationship between moral distress intensity and frequency, psychological empowerment, and participant demographics.Think about a situation where moral distress would be an issue in the last hours of life in your patient.  Then, describe why it would be an example of moral distress.

 
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english composition

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Watch the following video.https://youtu.be/TBuIGBCF9jcIn this motivational speech, Admiral McRaven gives us ten advices through ten different anecdotes.Write a paragraph of 200 words or more and no less than 10 sentences where you answer the following questions.What is your favorite anecdote/advice?Why? (provide two reasons)How do you put into practice this advice in your personal life? (provide two)What is your advice to your classmates? (related to your favorite anecdote)*Do not use informal language:contractions, informal (slang) words/expressions.**Use transitional words:first, another, also, however, therefore, furthermore, etc.***Discussion 4 is due next Sunday, August 14, at midnight.****Late submissions will be graded with the following penalties:1-2 days late: 10 points will be deducted3 days late: 20 points will be deducted

 
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Grand Rounds Discussion: Complex Case Study Presentation

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APA 7 FORMAT SHOULD ONLY BE USEDNO PLAGIARISM ALLOWEDPLEASE NO INTERNET SOURCES SUCH AS WIKI, COURSE HEROSCNERIOSelect a child/adolescent patient with personality and paraphilic disorder. Some paraphilic disorders include pedophilia, exhibitionism, fetishism, and voyeurism. You can come up with case study of a child/adolescent with pedophilia, exhibitionism, fetishism and voyeurism for this assignment.NOTE: I have the template and exemplar attached. Please make use of DSM-5 to formulate the 3 diagnoses.· Pose three questions or discussion prompts, based on your presentation that your colleagues can respond to.

 
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Discussion Post Nursing

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This is a discussion post for ” Philosophical and Ethical Evidence Based Research” class, please see instructions attached. Assignment subject open for writer to choose, need APA style. Thank you!

 
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Analyzing Group Techniques

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Group therapy can alleviate feelings of isolation and foster a supportive and collaborative environment for sharing difficult feelings in order to facilitate healing. For many people, being part of a group that has a shared understanding of a struggle provides a unique opportunity to gain an understanding of their own experiences.As you examine one of the group therapy demonstrations from this week’s Learning Resources, consider the role and efficacy of the leader and the reasons that specific therapeutic techniques were selected.

 
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discussion

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Reflect on your experiences as a member of a clinical team. What makes a team effective or ineffective in terms of achieving expected outcomes for the patients? (Saunders, 2014)Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)All replies must be constructive and use literature where possible.Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

 
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Allegory of the Orchard

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The Allegory of the Orchard presents barriers and challenges of underserved, vulnerable, or marginalized populations and communities. These barriers and challenges highlight the importance of understanding the impact of political determinants of health on such groups. This allegory encourages an identification, understanding, analysis, and response to these factors as members of the healthcare community.For this Discussion, consider the role of the political determinants of health on underserved, vulnerable, or marginalized populations and communities. How might advocates address the health disparities to promote equity and access to high quality healthcare?To prepare:View and read the Learning Resources regarding The Allegory of the Orchard.Consider the role of political determinants of health on disparities in health for some groups.Consider if advocates should be more concerned with policies that promote equality or equity.Explore your role, as a nurse, in addressing these determinants in our policy advocacy efforts.By Day 3 of Week 1Post a response detailing the following:Use The Allegory of the Orchard to discuss how the political determinants of health negatively impact the health outcomes of a group of patients for whom you care. Why are you, as a nurse, the right person to become politically involved in addressing these determinants?

 
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