flovodoh

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answer each (2) discussion in 150-200 words.I’ll message you the questions

 
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homework

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Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.Mr. BMr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. On several visits, Mr. B’s blood pressure was found to be elevated, so the physician started him on hydrochlorothiazide 25 mg by mouth daily. One month later, Mr. B began to have chest pains and shortness of breath, so his primary care provider referred Mr. B to a cardiologist for further evaluation.The cardiologist ordered an echocardiogram and stress test which revealed heart enlargement and a reduced ejection fraction (volume of blood pumped out of the heart per minute). As a result, the cardiologist started Mr. B on a beta-blocker (metoprolol 25 mg by mouth daily).A few days after taking the new medication (in addition to the hydrochlorothiazide ordered by the primary physician), Mr. B suffered a fall at home. Upon arrival at the emergency room, Mr. B’s blood pressure was 80/50. The emergency room physician suspected the cause of Mr. B’s fall was hypotension secondary to the medications he was taking. The ER physician recommended that Mr. B follow up with his primary care physician and cardiologist, but hold the medication until seen by them.As recommended, Mr. B visits his primary care physician for a follow-up. During the visit, Mr. B’s blood pressure is found to be elevated (160/90), so his physician tells Mr. B to restart taking his blood pressure medication.Imagine that you are the nurse attending to Mr. B and that he indicates that he’s afraid to restart the medication because of his recent fall.What considerations/actions should the nurse make regarding the client’s refusal to restart his blood pressure medication?What considerations/actions would have helped the healthcare team to prevent the client’s fall?

 
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Case Study Presentation

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Goal:To conduct an assessment of health promotion while applying the nursing process and evidence based research to disseminate findings to course colleagues.Case:Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours. She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse.She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia.Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen. Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski.Submission Instructions:Complete a comprehensive history and Physical Examination.What physical findings are you looking for to help determine a presumptive nursing diagnosis?Support your findings with peer reviewed articles.Presentation is original work and logically organized in current APA style. Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.Power point presentation with 8 -10 slides, excluding the tile slide and the reference slide.The presentation is clear and concise and students will lose points for improper grammar, punctuation, APA and misspelling.Speaker notes expanded upon and clarified content on the slides.

 
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EBP review 2

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Research review part II

 
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physical Assessment

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You will perform a history of a musculoskeletal problem on the client below. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided. Your subjective portion of the documentation should briefly describe your “client”. In terms of your objective findings, remember to only record what you have assessed. Do not make a diagnosis or state the cause of a finding. You are not coming to any conclusions within your documentation. Your client information is noted below.Client Name: Mackenzie CarlsonDOB: 10-10-1986This client is a 37-year-old white female complaining of apainful, swollen ankle. States that she stepped ‘funny’ off a step two days agoand thinks she heard a ripping sound. She takes no medications and has noallergies. The client reports pain as 5/10 with sharp twinges when trying towalk, a notable limp is noted when the client walks favoring the affectedextremity. She states resting and ice decreases pain to 2/10 aching. Pain isprimarily in the outer aspect of ankle and foot. Has no prior injury to thisarea. No significant past medical history. When you examine the ankle the outeraspect of the malleolus is swollen and reddened with 2+ edema noted to thearea, pedal pulses are palpable and strong.You will submit this documentation as a Word document to thedrop box provided.

 
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Medical records

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purpose of accurate documentation, elements of medical records, documentation of patients encounters, corrections and amendments to the medical records, ownership of medical records and release of information, retention of medical records.

 
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Week 3 Assignment

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A 20 year-old G1P0A0 female presents to your clinic complaining of crampy lower abdominal pain and spotting. She states her last period was 5 weeks ago, she took a home pregnancy test yesterday and it was positive. She states she tried to make an OB appointment but they could not get her in for several weeks.What questions would you ask this patient? Describe how you would assess and treat this patient using evidence-based practice.APA format and should include an introduction/conclusion.Research: Citations requiredLength: A minimum of 250 words, not including referencesCitations: At least one high-level scholarly reference in APA from within the last 5 years

 
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gun violence

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Make a Plan for Priority Diagnosis  which Includes a minimum of 1 short-term1 long-term goal for identified priority.Goals relate to the identified priority diagnosis.Goals should have SMART specific, measurable, attainable,realistic, and timed.Explains how the plan allows for client involvement.Explains how the plan advances the knowledge of members of the community.cite in APA Format

 
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Program Intervention with SMART Objectives

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Please reference Saratoga Springs and the surrounding Albany NY area.Please see attached

 
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Heart disease

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What impact does CVD have on the healthcare system and society? Why is CVD so prevalent when it is largely preventable? Can the issues of CVD even be “fixed” considering all that the healthcare profession has done in the last few decades to prevent CVD?

 
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