Med Surg

A patient arrives in the ER with a “thumper” piston-driven device providing CPR to an 82 year old client who was found unresponsive on the floor at home-possibly from a sudden  ventricular Cardiac event. The ER just received a DNR from a prior hospitalization for a UTI. The family is insisting the patient wants everything done. How do you think the staff should proceed?

 
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NURSING RESEARCH

To Rewrite for a Zero turnit in score

 
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Innovation

discuss the role of innovation in practice and identify experiences you have had in your clinical practices that illustrate innovation in quality improvement and/or evidence based practice. Provide a summary of your discussion including why innovation is important and how innovation has been seen in your clinical practices.

 
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Nurse

A 35-year-old woman was admitted to the emergency room after cardiac arrest with pulseless electrical activity. Approximately three weeks before admission, she had fractured her ankle after falling down a flight of stairs. A closed reduction was performed, and a cast was applied. According to her husband, on the evening of admission, the woman stood up from the bed, complained of chest and back pain as well as shortness of breath and nausea. She subsequently fell to the floor and followed with what was described as seizure-like activity with vomiting.  Her husband called 911. Upon arrival, the paramedics found the woman on the floor, conscious, complaining of chest pain and nausea. She was oriented to person, place and time, but agitated and somewhat combative.  She rapidly became unresponsive, with agonal respirations. The patient was intubated.  She subsequently became pulseless.  CPR was initiated.List 3 possible DD’s for this woman and include a detailed rationale for each diagnosis that incorporates the patient’s symptoms and the pathophysiology of the disease. Please also include a reference for your rationale (Textbook with specific page numbers, powerpoints name numbers, or any evidence based articles/sources ).

 
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Maslow hierarchy

“Discuss Maslow’s hierachy of needs as it relates to psychology in nursing

 
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Emotional Intelligence

Take the EI assessment and review your appraisal.  In the text submission box, reflect on your highest and lowest skill score and analyze why or why not you agree with it.  Provide examples to support your reasoning.  Next, choose an evidence-based article on emotional intelligence and nursing, healthcare, leadership, or any combination of the three. Using the article, provide additional narrative insight into the importance of EI in nursing.  The narrative reflection should be approximately 350 words.  Provide a one-drive link to the article in the  reference page.

 
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Can someone help me with my homework?

Can someone help me with my homework?Write a 3-4 page letter in which you analyze your leadership skills and how you would use them to lead a project requiring group collaboration.I need quality work, original work, references within 3 years, and teacher is a hard grader.

 
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Home work

Module 05 Mini Case Studies – Pulmonary EdemaModule 05 ContentPurposeTo recognize risk factors for pulmonary edema/fluid overload.CompetencyExplain care for the client with lower respiratory disorders.InstructionsRead the scenarios below and answer the questions. If you use sources, site them using APA format.Case # 1An elderly woman comes into the ER with severe dehydration after spending the day at the beach. The client is weak and feels like she is going to faint. An IV is started, and the RN hangs 0.9% Normal Saline. There are no IV pumps available. The client begins to feel better after 500 mL’s are infused, and the rest of the IV bag is infused. The client begins to have difficulty breathing. Auscultation of the lungs reveals crackles to ½ of the lower lung fields. The provider diagnoses pulmonary edema, and the client is treated with Lasix. She is stabilized but needs to be admitted to the ICU.Question # 1: What nursing action could have prevented the client from having pulmonary edema? (5-10 sentences)Question # 2: What makes this client at risk for pulmonary edema? (5-10 sentences)Case # 2A 22-year-old special-needs client comes to the ER with fever and difficulty breathing. The client weighs 66 LBS. The client is admitted with pneumonia and IV fluids, antibiotics, and respiratory treatments are started. The client is dehydrated, so she receives several bags of IV fluids over three days. On the third day, the client has worsening shortness of breath, and an X-ray is ordered which shows pulmonary edema. An echocardiogram is ordered. It shows normal cardiac function. The client is given Lasix, and the shortness of breath resolves.Question # 3: How did the client’s size (body weight) put her at risk for pulmonary edema? (5-10 sentences)Question # 4: How could pulmonary edema have been prevented in this client? (5-10 sentences)Case # 3A 32-year-old male with a history of cardiomyopathy is admitted to the medical-surgical floor with a diagnosis of flu. The client has a high fever and receives multiple bags of 0.9%NS. One day into the admission the client develops severe shortness of breath. An X-ray shows pulmonary edema.Question # 5: What puts this client at risk for pulmonary edema? (5-10 sentences)FormatStandard American English (correct grammar, punctuation, etc.)Logical, original, and insightfulProfessional organization, style, and mechanics in APA formatSubmit document throughGrammarlyto correct errors before submission.ResourcesAPA Online Guidehttps://guides.rasmussen.edu/apahttps://guides.rasmussen.edu/nursing/prn1409Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:Jstudent_exampleproblem_101504

 
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Q4 day 2

The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid and Medicare Services (CMS), and the Joint Commission (JC) require that health care organizations maintain risk management programs to address infection control. Detail three measures that your health care organization (or any health care organization) could implement, beyond what is currently in practice, to support the delivery of safe health care services and avoid the spread of infection (e.g., placing hand washing devices at all of the public entrances of the health care facility). Support your response with a minimum of two peer-reviewed references.

 
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Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.APA formatMin 3 resources

 
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