Knowledge Check W7

ONE PARAGRAPH FOR EACH QUESTION WITH 2 SUPPORTING PEER REVIEWED REFERENCES!Be sure to provide 2 APA citations of the supporting evidence- based peer reviewed articles you selected to support your thinking.Make sure to ANSWER EACH QUESTION ACCURATELY.(Please review attachments)Please do not plagiarize nor reword another persons assignment that has been previously submitted.Look at the attachment for the assignment and SOURCES to NOT USE!!!DO NOT turn in late, please pay attention to the DUE DATE.

 
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Nutrition discussion

In this assignment you will review a case that deals with a client who has GERD.Clinical Case:Mrs. G. is a 45-year-old female arrives at the emergency department where you are working with complaints of burning pain in her chest and throat and a sour taste in her mouth. She states this pain has been going on for years after she eats certain foods. She has a large, extended family and does all of the cooking. She is Hispanic and likes to cook her special recipes because she believes that “these foods are good for herself and her family.” She is very proud of her cooking and believes that is one of her main contributions to her family. She has never been sick and does not like to take pills.She is examined by the emergency room doctor and diagnosed with Gastroesophageal Reflux Disease (GERD). The doctor has ordered medication for you to administer. These medications include a proton pump inhibitor (Prilosec), and a Histamine 2 blocker (Pepcid). He also prescribes the proton pump inhibitor to be taken at home for the next two weeks. Mrs. G. starts to feel better and is ready for discharge. You will be providing the client teaching and discharge instructions about GERD.In your discussion about GERD include:Dietary suggestions you would makeWhat foods and liquids she should avoidWhat changes she should makeBarriers she will face in making these changes and how they can be overcomeInclude APA formatted references if used.

 
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week 2 soap note

I have attached the instructions to this post. please make the soap note on a 70 year old male patient with diagnosis of Pneumonia. the template attached shows what the teacher wants for each section. thanks

 
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APA , Nursing

Please respond to the discussion post.250 words, 1-2 references, APA formatThank you.The Nurse Practice Act gives authority to regulate the practice of nursing and the enforcement of the law to the Board of Nursing, which is responsible for maintaining the balance between the rights of the nurse to practice nursing and the responsibility to protect public health, safety, and welfare of its citizens (Brous, 2012, p. 508 as cited in Russell, 2017). Being asked to perform a duty that is beyond the scope of the state’s nursing practice can be threatening to a patient and the nurse. The appropriate response depends on the circumstances. On the state board of nursing website, there is a Scope of Practice Decision-Making Tool that is intended to provide direction in the decision-making process (“Arizona State Board,” 2019). If unsure, it is important to review the Nurse Practice Act and Advisory Opinions found on the state board of nursing website, and the facility’s policies and procedures, then if it is within the scope of practice, continue and if not, stop (“Arizona State Board,” 2019). If it is not within the scope of practice, it is recommended to suspend the duty to staff qualified to do the duty or to the State Board of Nursing for a decision (“Arizona State Board,” 2019). It is possible to be subjected to board disciplinary action if choosing to perform the duty with a lack of education, competency, or outside of the scope of practice (“Arizona State Board,” 2019). Refusing the duty, the nurse will need to document concerns for patient safety as well as the process used to inform the employer of decisions, keep a copy of the documentation and send a copy to the nurse executive, nurse manager, offer options or a change in work assigned tasks with your colleagues, and one may face disciplinary action as well, it is important to be familiar with an employer’s grievance procedure(“Arizona State Board,” 2019). If the duty is within the scope of practice but there is a lack of experience or training, it is crucial to speak up. The nurse should make sure the employer/supervisor is aware that he/she is willing to help provide care for patients but, has never worked with the equipment needed and/or has very limited experience caring for the type of patient and should not be left in charge.ReferencesArizona State Board of Nursing. AZBN. (2019). Retrieved August 17, 2022, from https://www.azbn.gov/Russell, K. A. (2017). Nurse practice acts guide and govern: Update 2017. Journal of Nursing Regulation, 8(3), 18-25.

 
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homework

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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nursing

Discuss the purpose of strategic planning in a health care environment. Explain what factors affect future planning in an organization and what tools can be used for future planning.

 
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Altered states

500 word opinion on Altered States

 
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unit 1 discussion

Your instructor will assign one of the three stages of development listed below, along with the phases and tasks associated with each stage of adolescent development. See Chapter 3 in your Neinstein’s text for reference. After reading your textbook, please include the following in your discussion:Provide an evidence-based anticipatory guideline for the topic you are assigned.Include the types of questions you will ask the adolescent and the parent to elicit information and identify at least two potential risk factors of development.For potential risk factors identified, discuss how you will approach and manage the situation.*****Neinstein’s adolescent and young adult health care: a practical guide(THIS IS THE TEXT FOR THIS CLASS)****Stages of Development:Early Adolescence● Cognitive Development● Movement Toward Independence● Body Image● Peer Group● Identity DevelopmentMiddle Adolescence● Cognitive Development● Movement Toward Independence● Body Image● Peer Group● Identity Development******my topic ****** middle adolescent identity developmentLate Adolescence● Cognitive Development● Movement Toward Independence● Body Image● Peer Group● Identity Development

 
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Human Anatomy and Physiology2

Nutrition is a large component of maternal and fetal health, and some nutrition choices can have impacts that last a lifespan. With your studies in healthcare, patients, friends, and family members are likely to ask for your informed opinion regarding maternal nutrition choices.Initial PostView Eating Disorders During Gestation: Implications for Mother’s Health, Fetal Outcomes, and Epigenetic Changes.Read the introduction, and at least one section of your own selection in the remainder of the article. Then, answer the following question: “How does maternal nutrition affect maternal and/or fetal health?” Provide specific examples.Be sure to support your positions with APA formatted in-text citations an

 
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Discussion reply 2

Levels of PreventionWhat are two questions you would ask this patient?The first question I would ask this patient is how long the lump has been there. It is important in my opinion to establish a time lime. I would also be interested in the patient’s family history. The patient is 32 y/o which is young for breast cancer so I would like to know if there is family history of the disease and if so at what age it occurred.What are two risk factors would you want to assess for?Two risk factors for this patient are family history of breast cancer or other cancers as well as the use of hormonal medications which could be contraception.What are the levels of prevention for this patient?Primary prevention includes health promotion and risk reduction. Health reduction includes healthy behaviors that may reduce breast cancer risk which can include physical activity, consuming diets high in fruits and vegetables, smoking cessation, and limiting alcohol. Secondary prevention is the identification and treatment of premalignant or subclinical cancers. Screening by means of mammography is a typical example of secondary prevention. The U.S. Preventive Services Task Force (USPSTF) issued a grade B recommendation for using a risk tool to screen women for BRCA gene mutations if they have a family history of breast, ovarian, tubal, or peritoneal cancers.27 BRCA gene mutations account for up to 10% of all breast cancers (Bickley, 2020, p. 606).  A level B recommendation means that The USPSTF recommends the service. There is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial. The recommendation for practice is to offer this service. Tertiary prevention is defined as symptoms control and rehabilitation. These definitions may become less useful in the future as they do not account for the new incoming data such as molecular data

 
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