Discussion Post On Searching Databases.

  • attachment

    WK3discussionpostEBP.docx

Respond to the two following post make it strait forward and easy.

APA format

3 scholarly References within the last two years for each post

Plagiarism free, Turnitin report

 

Searching Databases

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

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The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

· Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples. Nursing shortage and the impact on health care.

 

 
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Name two different methods for evaluating evidence.

Name two different methods for evaluating evidence.

Name two different methods for evaluating evidence.

Assessment Description

Name two different methods for evaluating evidence. Compare and contrast these two methods.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Neurodegenerative Diseases and Glutamate – nursing homework essays

Neurodegenerative Diseases and Glutamate

Neurodegenerative Diseases and Glutamate

1.Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article.

2.Explain any difficulties you experienced while searching for this article.

3.Would this database(Walden Library and Google Scholar) be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not.

 

Attached is the article needed.

You can use any other research platform just specify which one you used. PLEASE FOLLOW THE INSTRUCTIONS LISTED ABOVE. IF YOU HVE ANY QUESTIONS REACH OUT TO ME. THANK YOU. Neurodegenerative Diseases and Glutamate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title:

Update on Neurodegenerative Diseases and Glutamate: A PMHNP Single Case Study Report of a Diagnostically Complex Adult Patient, Interventions, and Unexpected Outcomes.

Authors:

Kroll SC; Sherri Cofield Kroll, MSN, APRN, FNP-BC, PMHNP-BC, CARN-AP, Outpatient Private Practice PMHNP, Deuser & Associates, PC, Brunswick, GA, USA. Bennett CF; Carole Frances Bennett, PhD, APRN, PMHCS-BC, Georgia Southern University, Statesboro, GA, USA. Klinefelter TW; Tarah Winter Klinefelter, MSN, APRN, PMHNP-BC, Psychiatric Mental Health Nurse Practitioner in Geriatric Psychiatry, El Paso, TX, USA.

Source:

Journal of the American Psychiatric Nurses Association [J Am Psychiatr Nurses Assoc] 2021 Jul 08, pp. 10783903211030343. Date of Electronic Publication: 2021 Jul 08.

Objective: While dysfunction of serotonin and dopamine neurotransmitters has been studied in depth, in regard to the etiology of mental illness, the neurotransmitter glutamate and its dysfunction is now being explored as contributing to neurodegenerative psychiatric diseases, schizophrenia, autism, depression, and Alzheimer’s disease. This article explains its synthesis, neurotransmission, and metabolism within the brain and subsequent dysfunction that is responsible for neurocognitive loss associated with several psychiatric disorders. Method: The case study will report on the screening for pseudobulbar affective (PBA) disorder in a 29-year-old male with bipolar disorder, autism spectrum disorder, and intellectual developmental disability who was experiencing extreme, uncontrolled emotional outbursts requiring continuous family isolation (pre-COVID-19) for safety. With the positive screen for PBA, the patient was subsequently treated with a glutamatergic drug, dextromethorphan/quinidine. Results: The patient’s unexpected response to this treatment including the acquisition of language, increased cognition, and improved executive functioning is presented. At 2 years post the initiation of treatment, his PBA screening score is reduced, uncontrolled outbursts and aggression have subsided, and the family can spend time outside of their home. Conclusions: Neurodegeneration and its impact is being researched and treated with medications affecting glutamate. The addition of a glutamatergic medication to this young man’s medication regimen has improved both his and his family’s quality of life. The psychiatric diagnoses, medications, and treatments associated with glutamate are explained in depth. The importance of nurses’ understanding of glutamate, its synthesis, transmission, and dysfunction causing excitotoxicity and brain cell death and its impact on patients’ behavior and safety is explained.

Contributed Indexing:

Keywords: glutamatergic dysfunction; neurocognitive degeneration; severe chronic psychiatric illness

Entry Date(s):

Date Created: 20210709 Latest Revision: 20210709

Update Code:

20220301

DOI:

10.1177/10783903211030343

PMID:

34238041

Persistent link to this record (Permalink):

https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=34238041&site=eds-live&scope=site&custid=s6527200

Cut and Paste:

<A href=”https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=34238041&site=eds-live&scope=site&custid=s6527200″>Update on Neurodegenerative Diseases and Glutamate: A PMHNP Single Case Study Report of a Diagnostically Complex Adult Patient, Interventions, and Unexpected Outcomes.</A>

Database:

 

 

1.

Using proper APA formatting, cite the peer

reviewed article you selected that pertains

to your practice area and is of particular interest to you and identify the database that

you used to search for the article.

 

2. Neurodegenerative Diseases and Glutamate

Explain any difficulties you experienced wh

ile searching for this article.

 

3.

Would this database

(Walden Library and Google Scholar)

 

be useful to your

colleagues? Explain why or why not. Would you recommend this database? Explain why

or why not

.

 

 

A

ttached

is the article needed

.

 

You

can

use any other r

esearch platform just specify which one you used.

PLEASE FOLLOW THE INSTRUCTIONS LISTED ABOVE.

IF YOU HVE ANY

QUESTIONS REACH OUT TO ME. THANK YOU.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

 

 

1.Using proper APA formatting, cite the peer-reviewed article you selected that pertains

to your practice area and is of particular interest to you and identify the database that

you used to search for the article.

2.Explain any difficulties you experienced while searching for this article.

3.Would this database(Walden Library and Google Scholar) be useful to your

colleagues? Explain why or why not. Would you recommend this database? Explain why

or why not.

 

Attached is the article needed.

You can use any other research platform just specify which one you used.

PLEASE FOLLOW THE INSTRUCTIONS LISTED ABOVE. IF YOU HVE ANY

QUESTIONS REACH OUT TO ME. THANK YOU.

Get a 10 % discount on an order above $ 100
Use the following coupon code :
NURSING10

 
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The Stages Of Memory – nursing homework essays

The Stages Of Memory

The Stages Of Memory

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. The Stages Of Memory

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The Stages Of Memory

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Get a 10 % discount on an order above $ 100
Use the following coupon code :
NURSING10

 
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Post your answers to the 5 questions corresponding to this week’s content on primary care medication management.

Post your answers to the 5 questions corresponding to this week’s content on primary care medication management.

Post your answers to the 5 questions corresponding to this week’s content on primary care medication management.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Get a 10 % discount on an order above $ 100
Use the following coupon code :
NURSING10

 
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

SOAP Note- Sexually Transmitted Disease.

SOAP Note- Sexually Transmitted Disease.

SOAP Note- Sexually Transmitted Disease.

1

 

 

 

 

 

 

 

 

 

 

 

Week 3 SOAP Note- Sexually Transmitted Disease

United States University

FNP xxx: Common Illness Across the Lifespan -Clinical Practicum

Dr. xxxxxxxxx

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOAP Note- Sexually Transmitted Disease

 

SUBJECTIVE DATA:

Patient Name: C.K

Age: 41-years old,

Gender: Female,

Date of Birth: 03/15/1981

Chief Complain “I have had some pain and burning sensation, especially during urination. The urination has been accompanied by discharges that have been there for the last ten days.”

HPI: This is a 41-year old female patient who visits the facility with the complaints of experiencing lower abdominal pain and some burning sensation during urination. She reported that the problem started four days ago and has been experiencing occasional urges and urgency to urinate for the last three days. According to her, her visits to the toilet can be approximately ten times daily, and whenever she pees, she sees some brown discharge with a funky smell. The problem began after she had unprotected sex with her previous boyfriend. These problems have interfered with her work routine and messed up her focus while in the office where she is employed as an accountant. She reported to have used some painkillers to help in the reduction of the pain, but the pain never disappeared. She also admits that the pain worsens during urination, and it is neither sharp nor dull. She rates the pain as 8/10 and denies any factors that alleviates or relieves the pain. She reported being sexually active and has slept with more than one partner after the death of her husband. She has a regular menstrual cycle and had it a week ago and reported pain during intercourse. She denies fever, nausea, constipation, and vaginal bleeds.

Past medical history: She reported being diagnosed with sexually transmitted infections such as gonorrhea and chlamydia. She is also reported having had asthma disease.

Surgical: She admits to having undergone medical surgery during childhood and adulthood. At a young age, she had tooth removal, while in adulthood, she had a cesarean procedure.

LMP: her last menstrual cycle was on 28th December, 2021

Medications: She has been on Advil OTC as needed to manage her pain. SOAP Note- Sexually Transmitted Disease.

Allergies: she denies allergic reactions to food, drugs, and the environment in her adulthood. However, she admits experiencing some allergic reactions to dust and changes to the environment during her younger age.

Immunization: Her immunization is up to date, and she was recently vaccinated against flu and covid-19 on April last year. SOAP Note- Sexually Transmitted Disease.

Family History: The paternal father is alive and healthy at the age of 90 years. The paternal mother is deceased at the age of 84 due to some age-associated comorbidities such as diabetes and Alzheimer’s illness. The maternal grandparents are already dead and did not have any health issues, and the daughter is also healthy.

Social History: She is a widow following her husband’s death for five years ago. She is not having husband yet and is living with daughter in the rental apartments. The patient is active in sexually activities with different boyfriends and uses condom even though this does not usually happen. She is working as an accountant in local investment and financial organization. She admits to being drinking three beers and not using any recreational drug. She is a Christian and always attends Sunday masses in the company of her daughter.

Review of System:

General: Denies any changes to body weight. Denies fatigue, nausea, chills, night sweating, and generalized body weakness.

HEENT: Head; denies any headache. Eyes: She is wearing sunglasses due to the light and denies having any eye examination every four months. Ears; denies any hearing loss. Nose; denies congestion of the nose or bleeding. She has a live olfactory delight and denies epistaxis. Throat and Mouth; the patient denies gingivitis, bleeding of the gums, or dental issues. She admits experiencing some challenges in chewing or swallowing and visits the dental clinic every four months.

Skin: she denies the presence of rashes, bruises, bleeds, lesions, and discoloration of the skin.

Respiratory: Denies coughing, wheezes, breathing difficulties, and seasonal allergies.

Cardiovascular: Denies experiencing chest pain, increased heart rate, and edema.

Gastrointestinal: Admits an increase in the lower abdominal pain within her hypogastric area. Denies experiencing changes in appetite, constipation, nausea, and vomiting.

Genitourinary/ Gynaecological: she admits a burning sensation and frequency in urination. Admits to being using contraceptives or condoms and many sexual partners. Admits vaginal discharges after sexual intercourse.

Musculoskeletal: Denies any stiffness of the joints, back pain, and dislocation of the joints.

Neurologic: Denies any seizures, paralysis, changes in the memory, or syncope.

Lymph/Hematology: She denies an increase in thirst or hunger, irregular temperature, and the presence of swollen glands.

Psychiatric: denies any depression, difficulty sleeping, anxiety, and mood changes.

 

 

 

 

OBJECTIVE DATA

Physical Examination Vital Signs: Temperature- 99.2, Pulse- 70 beats/minute, Respiration-16, Oxygen Saturation Rate2- 97 percent RA, Blood pressure- 120/75, wt-140 lb., ht- 6’ 1”, Body Mass Index-23.1.

General Appearance: She is a well-nourished female adult and denies distress. She is well well-groomed, alert, and oriented X 4. She is responding well to the questions asked.

HEENT: Eyes; there is intact PERRLA and EOMS. There is clear conjunctiva clear. Ears; there is grey or pearly TMs. Nose; there is pinkish nasal mucosa and typical turbinates. Neck: there is an absence of bruit or carotids. Mouth and Throat; there is pinkish and moistened oral mucosa with oropharynx that is clear.

Skin: The skin is cleaner, dry, intact, and skin color representing her ethnicity.

Cardiovascular: It is expected, regular, and rhythm S1 and S2. There is an absence of murmur in a heartbeat.

Respiratory: there is a symmetric chest wall with easy and regular respiration. There is clear bilateral lung to auscultation.

Gastrointestinal: There is flat, soft, non-tender, non-distended. There is active bowel sounds in all the four quadrants. There is some tenderness within the hypogastric area upon palpitation.

Genitourinary: Non-distended bladder, suprapubic tenderness, irritation within the labia majora, minora, and vaginal region. There is no ulceration of the lesion. There are non-palpable lymph nodes. There is a pinkish vagina with a funky smell of the vaginal discharge. The bimanual examination reveals a friable cervix and position for the CMT. There is the uterus is regular in terms of size and shape.

Musculoskeletal: The motion in all the extremities are in full range.

Neurological: There is clear and sound speech with an excellent tone. The gait is expected with some stability in balance and erected posture.

Psychiatric: She is alert and oriented ×4 and can maintain eye contact during the conversation. She is appropriately dressed for the occasion and responds to questions.

Lab Tests

· Urinalysis- the test is essential since it assists in determining the possibilities of kidney infections and reflecting on the possibilities of other diseases like diabetes, liver illness, and kidney illness.

· A urine culture test helps reveal the microorganism responsible for the urinary tract infection of the patient.

· A dipstick urinalysis test reveals a positive outcome for the nitrates and leukocyte esterase.

· Vaginal discharge culture- the test is pending so that the presence of the Gram-negative diplococci and Neisseria gonorrhoeae can be confirmed. The sensitivity test is also pending. There is a positive test outcome for the monoclonal AB for Chlamydia.

· A Pap smear- the test was used to determine the problem with lower abdominal pain. The test outcome was negative.

· Further laboratory tests for the STDs are ordered to confirm the presence of gonorrhea, syphilis, hepatitis B and C, HIV/AIDs, and chlamydia.

 

 

 

 

 

ASSESSMENT

Differential Diagnoses

Chlamydia ICD-10-CM-A56.8: It is a disease that is caused by the presence of the bacteria known as Chlamydia trachomatis (Witkin et al., 2017). The condition is detected in the latest stages since it tends to manifest in the advanced stages. It is caused by having unsafe sex practice with the partner who is already affected (Witkin et al., 2017). The symptoms presented by the patients point to the possibilities of chlamydia. It occurs as a result of having more than one partner, previous diagnosis with the disease, engaging in unsafe sex practices, and having other STDs. The client was confirmed to be having dysuria and pain in her lower abdomen, which are the main signs of the disease. The condition is also further confirmed by the positive outcomes for chlamydia based on the monoclonal AB test.

Acute vaginitis ICD-10-CM- N76.0: This condition leads to inflammation or infection of the vagina. Its etiology is linked to several microorganisms such as yeast or irritations caused by the chemicals or sprays. It is associated with the inflammation of the external female sexual organs, i.e., the vulva and vagina (Mann et al., 2019). It is also caused by the organism that is passed between the partners. It manifests in the form of a slight foul-smell of the urine, irregular menses that occur with heavy flow, burning sensation, itches, and symptoms that worsen after engaging in sexual activities (Mann et al., 2019). Nevertheless, the condition is ruled out since the patient never reported pain symptoms during intercourse.

Gonorrhea ICD-10-CM-A54.9: This is a STI condition caused by Neisseria gonorrhoeae, and it mainly interferes with warm and moist body regions for example urethra and eyes among others (Kirkcaldy et al., 2019). The commonly affected regions are the vagina and the anu. It is spread from one person to another through sexual intercourse, either orally, anal, or vaginal. The symptoms presented by the male patient tend to differ from those represented by the female patient. The manifestation of the disease involves discharges, fever, heavy abdominal pain, production of heavy menses, pain and burning sensation during urination, and pain at copulation (Kirkcaldy et al., 2019). The condition is ruled out because the patient never reported the history of the condition and did not have a sore throat.

 

TREATMENT PLAN AND EDUCATION

Based on the symptoms presented by the patient, the potential medication that can be described is Azithromycin 1g, which is taken through the oral route as a single dose. The patient can also be given Doxycycline 100mg twice each day. The patient uses the medicines for a period of two weeks (Phillips et al., 2019). The Food and Drug Administration has confirmed Azithromycin as an excellent antibiotic to help in treating genital chlamydia (Phillips et al., 2019). The drug is helping in preventing the multiplication of bacteria. The patient also requires health education, and, in this case, the patient is informed about the importance of balancing the sexual life through engaging in safe sex practices by having not more than one partner. The patient also undergoes a counseling process to ensure that she is protected through effective contraceptives like condoms. Abstinence is another approach to ensure that the patient completes the prescribed medication before sex.

 

 

 

Follow Up

The patient must be monitored throughout the treatment duration. Therefore, the follow-up process will be maintained for the next three months while the patient’s situation is monitored and she adheres to the prescribed medication and instructions.

 

 

 

 

 

 

 

 

 

 

 

 

 

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References

 

Kirkcaldy, R. D., Weston, E., Segurado, A. C., & Hughes, G. (2019). Epidemiology of gonorrhoea: A global perspective. Sexual Health16(5), 401.  https://doi.org/10.1071/sh19061

Mann, A., Mehta, S., & Grover, A. (2019). Acute vaginitis: A rare cause of labial adhesions. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH.  https://doi.org/10.7860/jcdr/2019/42259.13271

Phillips, S., Quigley, B. L., Aziz, A., Bergen, W., Booth, R., Pyne, M., & Timms, P. (2019). Antibiotic treatment of chlamydia-induced cystitis in the koala is linked to expression of key inflammatory genes in reactive oxygen pathways. PLOS ONE14(8), e0221109.  https://doi.org/10.1371/journal.pone.0221109

Witkin, S. S., Minis, E., Athanasiou, A., Leizer, J., & Linhares, I. M. (2017). Chlamydia trachomatis: The persistent pathogen. Clinical and Vaccine Immunology24(10).  https://doi.org/10.1128/cvi.00203-17

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The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020.

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

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Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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The Hard Life Of A Nurse

IDS 402 Milestone Two Guidelines and Rubric Analyzing an Issue or Ev ent in Wellness Through the L enses of History and the H umanities

Overview: For the first part of your final project, the critical analysis portfolio, you will select an issue or event in wellness and critically analyze it through the four general education lenses: history, humanities, natural and applied sciences, and social sciences. By viewing the issue/event through these lenses, you will gain insight into how the interconnected nature of wellness affects society, as well as both your own individual framework of perception and the choices, attitudes, and behaviors of others in the world around you. The Hard Life Of A Nurse

For this second milestone, due in Module Four, you will analyze your issue/event from Milestone One through the history and humanities lenses. This will provide you with a chance to practice analyzing your issue/event through these lenses and receive feedback on this practice attempt.

Prompt: First, review the overviews and resources in Modules One through Three, as well as the IDS Four General Education Lenses document in the Reading and Resources section of Module One.

Next, analyze your issue/event through the lens of history, and address the following:

 How does this issue/event interact with the history lens and impact social issues?  In what ways does the history lens help articulate a deeper understanding of the social issue(s) that inform your issue/event?

Next, analyze your issue/event through the lens of the humanities by exploring the following questions:

 How is this issue/event portrayed creatively in society? What is the message or commentary of this representation?  How does this representation interact with you in your personal and professional lives?

Note: You are completing two separate analyses: one from history and one from the humanities. You must submit two papers in a single Word document.

Be sure to use evidence from research to support your analysis. Refer to course resources, the IDS 402 Research LibGuide (linked in the Start Here section of your course), and any other pertinent resources to support your responses. Relevant current news sources may be used with instructor approval. Incorporate instructor feedback into your final project.

Specifically, the following critical elements must be addressed:

I. Lens Analysis: In this section of your assignment, you will analyze your issue/event through two of the four general education lenses. A. Analyze your issue/event through the lens of history for determining its impact on various institutions. Utilize evidence from research to

support your analysis. B. Analyze your issue/event through the lens of the humanities for determining its impact on various institutions. Utilize evidence from research

to support your analysis.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rubric Guidelines for Submission: Milestone Two should be submitted as two papers in a single Word document. The entire submission should be 2 to 4 pages in length. Use double-spacing, 12-point Times New Roman font, and one-inch margins. Support your responses with at least two sources for each lens from the assigned course resources or other scholarly sources located independently via the Shapiro Library. Cite your supporting sources in APA style.

Please note that the grading rubric for this milestone submission is not identical to that of the final project. The Final Project Part One Rubric will include an additional “Exemplary” category that provides guidance as to how you can go above and beyond “Proficient” in your final submission, as well as additional elements to address.

Critical Elements Proficient (100%) Needs Improvement (75%) Not Evident (0%) Value

Lens Analysis: History Analyzes chosen issue/event through the lens of history for determining its impact on various institutions, using evidence and research to support analysis

Analyzes chosen issue/event through the lens of history, but analysis is cursory or illogical, or supporting evidence is inappropriate or nonexistent

Does not analyze chosen issue/event through the lens of history

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40

Lens Analysis: Humanities Analyzes chosen issue/event through the lens of the humanities for determining its impact on various institutions, using evidence and research to support analysis

Analyzes chosen issue/event through the lens of the humanities, but analysis is cursory or illogical, or supporting evidence is inappropriate or nonexistent

Does not analyze chosen issue/event through the lens of the humanities

40

Articulation of Response Submission has no major errors related to citations, grammar, spelling, syntax, or organization

Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas

Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas

20

Total 100%

 

 
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Multicultural Experiential Activity direction – nursing homework essays

Multicultural Experiential Activity direction

Multicultural Experiential Activity direction

Part A: Reflection Write up Directions

Respond to the following questions in essay form and submit to the corresponding assignment link on D2L. This part is a reflection assignment so you can use “personal pronouns” (ex: I learned, I felt etc).

1. Give a 1-2 paragraph summary of your experiential activity (what was it about? What was involved? What was the take-away?)

2. What cultural, ethnic, value or identity issue did this activity relate to? Reflect on how this identity can impact the health of individuals that represent this population.

3. What is a major challenge that this population faces and how can you as a social justice advocate work to reduce it or raise awareness of that issue?

4. What are two major lessons or takeaways from this activity and how they will help you personally and professionally?

5. How did the activity impact you? What were your thoughts/feelings during the event?

6. If you had the opportunity to do this assignment again, would your activity selection be different? Why or why not?

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Part B: Discussion Board Entry Directions

Use formal writing (avoid personal pronouns)

· Initial Post (30 points)

1. Provide your peers with a short summary of your experiential activity (event title? what was it about? What was involved? What population is involved? What was the take-away?)

2. Briefly discuss a major challenge this population faces and how that impacts their health and wellbeing? (be sure to connect this to our readings to date and support with one credible source)

3. Share one lesson/take-away you had from this experiential activity? And how those in your profession can benefit from also learning this lesson/take-away? (ex: if a nursing major – specifically talk about how nurses can do this) HERE my major is public health, so please write about the public health professional

4. How can this event be used to raise awareness of the lived experience and/or the issues this population faces? include who should attend and why

5. Provide a discussion prompt for your peers to respond to

 

 

 

 

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NR 328 ATI Nursing Care Of Children 2

NR 328 ATI Nursing Care Of Children 2

NR 328 ATI Nursing Care Of Children 2

PEDS: Nursing Care of Children 2

1. A nurse in an emergency department is caring for a 4-year-old child who has burns to the neck and face following a house fire. Which of the following actions should the nurse take first? NR 328 ATI Nursing Care Of Children 2

A.       Cover the child’s wounds with a clean, dry cloth.

B.       Establish IV access for the child with a large-bore catheter.

C.       Provide reassurance to the child’s parents.

D.        Determine the child’s breathing pattern.

2. A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of the following statements by the parent indicates an understanding of the teaching?

A.       “My child should consume 1,000 calories per day.”

B.       “My child should have 4 ounces of protein per day.”

C.        “I should give my child 32 ounces (4 cups) of milk per day.”

D.       “I should feed my child 4 ounces (1/2 cup) of vegetables per day.”

3. A nurse is providing discharge teaching to the parent of a school-age child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching?

A.       “I will take my child’s rectal temperature daily.”

B.       “I will make sure my child gets his MMR vaccine this week.”

C.       “I will inspect my child’s mouth every day for sores.”

D.       “I will allow my child to ride his bicycle tomorrow.”  NR 328 ATI Nursing Care Of Children 2

4. A nurse is preparing to obtain an antistreptolysin O (ASO) titer from a child who has acute glomerulonephritis. The child’s parent asks the nurse to explain the purpose of the test. Which of the following responses should the nurse make?

A.       “The test determines the level of antibiotics in your child’s blood.”

B.       “The test tells us if your child ever had the measles.”

C.        “The test verifies the amount of albumin in your child’s blood.”

D.         “The test shows us if your child had a recent strep infection.”

5. A nurse is providing nutritional teaching to an adolescent client who has celiac disease. Which of the following breakfast foods should the nurse recommend?

A.       Plain flour pastry

B.        Wheat cereal

C.        Scrambled eggs

D.        Rye toast

6. A nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. Which of the following responses by the adolescent indicates an understanding of the teaching?

A.       “I can take my brace off to sleep every night at bedtime.”

B.       “I can take my brace off for about an hour daily to shower.”

C.       “I should loosen the straps on my brace if it is rubbing my skin.”

D.       “I should place the pads of brace against my skin with a t-shirt over them.”

7. A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the nurse expect?

A.       Koplik spots

B.       Parotitis

C.       Strawberry tongue

D.       Paroxysmal cough

8. A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should the nurse make?

A.       Increase the child’s protein intake.

B.       Decrease the child’s calorie intake.

C.       Increase the child’s fiber intake.

D.       Decrease the child’s salt intake.

9. A nurse is admitting a child who has Wilms’ tumor. Which of the following actions should the nurse take?

A.        Initiate contact precautions for the child.

B.        Explain to the parents that chemotherapy will start 3 months following surgery.

C.        Put a “no abdominal palpation” sign over the child’s bed.

D.        Prepare the child for a spinal tap.

10. A nurse is caring for an infant following surgical repair of a cleft lip and palate. Which of the following actions should the nurse take?

A.     Keep the infant’s mouth open by using a tongue blade for 4 hr following surgery.

B.     Suction the infant gently with a bulb syringe PRN.

C.     Place the infant in prone position.

D.     Clean the infant’s incision with chlorhexidine.

11. A clinic nurse is providing teaching to the parent of a 1-month-old infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

A.       “I will give the lansoprazole 30 min after my baby’s feedings.”

B.       “I will lay my baby on her side after feedings.”

C.       “I will give my baby a bottle just before bedtime.”

D.        “I will add rice cereal to my baby’s feedings.”

12. A nurse is teaching about clinical manifestations of tracheomalacia to a parent of an infant who had tracheoesophageal fistula repair as a newborn. Which of the following findings should the nurse include in the teaching?

A.       Absence of bowel sounds

B.       Neck contortions

C.        Barking cough

D.       Projectile vomiting

13. A nurse in an emergency department is assessing a school-age child who is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider?

A.       Excessively prolonged expiration

B.       Increased diaphoresis

C.        Increased production of frothy sputum

D.        Sudden decrease in wheezing

14. A nurse is caring for a 12-month-old infant following surgical repair of a cleft palate. The nurse should plan to feed the infant using which of the following instruments?

A.       Spoon

B.       Straw

C.        Firm nipple

D.        Cup

15. A nurse in an emergency department is caring for a toddler who is in acute respiratory distress. Which of the following findings should alert the nurse to the possibility of epiglottitis?

A.       Lethargy

B.       Spontaneous coughing

C.       Drooling

D.       Hoarseness

16. A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory values should the nurse report to the provider?

A.   Platelets 150,000/mm3

B.   Hgb 6 g/dL

C.   WBC 6,000/mm3

D.    Potassium 4.5 mEq/L

17. A nurse is assessing pain in a 3-year-old child following a tonsillectomy. Which of the following rating scales should the nurse use to determine the child’s pain level?

A.       Word-Graphic Rating Scale

B.       Color Tool

C.       Poker Chip Tool

D.       FACES Rating Scale

18. A nurse is teaching a newly hired nurse about the care of an infant who is postoperative following myelomeningocele repair. The nurse should teach the newly hired nurse to monitor the infant for which of the following complications?

A.       Hydrocephalus

B.       Congenital hypotonia

C.        Otitis media

D.       Osteomyelitis

19. A nurse is caring for a 6-week-old infant following a pyloromyotomy. Which of the following forms of feeding should the nurse anticipate for the infant 6 hr after the procedure?

A.       Bottle formula with added protein

B.       Small, frequent bottle feedings of electrolyte solution

C.       Continuous nasoduodenal tube feedings

D.       Bolus feedings via gastrostomy tube

20. A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following findings is the nurse’s priority?

A.       Nausea

B.       Hoarse voice

C.       Frequent swallowing

D.       Sore throat

21. A nurse is providing teaching to an adolescent who has a fiberglass arm cast. Which of the following instructions should the nurse include in the teaching?

A.       Place a plastic bag over the cast when showering.

B.       Insert a dull knitting needle into the cast to rub itchy skin.

C.       Exercise fingers every 8 hr for the first 24 hr.

D.       Draw on the cast using magic markers.

22. A nurse is teaching the parent of a preschool-age child about the treatment for pinworms. Which of the following statements by the parent indicates an understanding of the teaching?

A.       “I will give my child a dose of albendazole today and again in 2 weeks.”

B.       “I will collect specimens immediately after my child has a bowel movement.”

C.        “I will give my child a tub bath twice each day.”

D.       “I will place my child’s bed linens in a sealed plastic bag for 7 days.”

23. A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration?

A.       Bulging anterior fontanel

B.       Bradycardia

C.       Tachypnea

D.       Polyuria

24. A nurse is caring for a child who is in skeletal traction. Which of the following actions is the nurse’s priority?

A.       Perform passive range of motion for unaffected joints.

B.       Massage the child’s pressure areas.

C.        Increase the child’s fluid intake.

D.       Encourage the child to use an incentive spirometer.

25. A nurse is reviewing the laboratory report of a 2-year-old child who has diarrhea and has been vomiting for 24 hr. Which of the following findings should the nurse report to the provider?

A.       Hct 40%

B.       Potassium 2.5 mEq/L

C.       Serum creatinine 0.4 mg/dL

D.       BUN 6 mg/dL

26. A nurse is assessing a child who has a ventricular septal defect. Which of the following findings should the nurse expect?

A.       Diastolic murmur

B.        Murmur at the left sternal border

C.        Cyanosis that increases with crying

D.        Widened pulse pressure

27. A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia. Which of the following instructions should the nurse include in the plan?

A.       Administer low-dose aspirin for pain.

B.       Inspect the toddler’s toys for sharp edges.

C.       Perform passive range-of-motion to the affected joint during a bleeding episode.

D.       Avoid contact with people who have respiratory infections.

28. A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of the following findings should the nurse report to the provider?

A.       Temperature of 37.5° C (99.5° F)

B.       Apical pulse rate 140/min

C.       BP 86/40 mm Hg

D.       Respiratory rate of 32/min

29. A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?

A.       Restrict the child’s potassium intake.

B.       Administer acetaminophen to the child twice daily.

C.        Weigh the child once each week.

D.       Keep the child away from people who have an infection.

30. A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter (PEFM). Which of the following responses by the adolescent indicates an understanding of the teaching?

A.       “I will breathe in through the mouthpiece, hold my breath for 5 seconds, and then exhale.”

B.       “If I get a reading in the green zone, I will tell my parents immediately so they can call the doctor.”

C.       “I will slowly exhale through the mouthpiece over a 10 second interval.”

D.       “I will record the highest reading of three attempts.”

31. A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include in the plan?

A.       Maintain the child on bed rest.

B.       Monitor the child for increased temperature.

C.        Administer oxygen to the child.

D.       Monitor the child for bleeding.

32. A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

A.       Hypotension

B.       Stomatitis

C.        Bloody diarrhea

D.        Periorbital edema

33. A nurse is providing teaching to the parents of a school-age child who has type 1 diabetes mellitus about management of hypoglycemia. Which of the following responses by the parents indicates an understanding of the teaching?

A.        “I will make sure my child drinks 240 mL (8 oz) of milk as soon as possible.”

B.        “I will give my child 2 units of regular insulin.”

C.        “I will insist that my child lies down to rest for 30 minutes.”

D.        “I will check my child’s urine for glucose twice daily.”

\34. A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has human immunodeficiency virus (HIV). Which of the following statements should the nurse include in the teaching?

A.       “Your child’s immunizations today will be half-doses.”

B.       “The pneumococcal and influenza vaccines are recommended for your child.”

C.        “Immunizations will be delayed until your child tests HIV negative.”

D.       “Your child will need to start the immunization schedule over once his laboratory values are within reference range.”

35. A nurse is reviewing the laboratory results of a child who has experienced diarrhea for the past 24 hr. Which of the following values for urine specific gravity should the nurse expect?

A.     1.010

B.     1.035

C.     1.020

D.     1.005

36. A nurse is providing teaching to the parents of an infant who has acute otitis media about how to administer antibiotic eardrops. Which of the following instructions should the nurse include?

A.       Chill the medication prior to administration.

B.       Massage the anterior area of the infant’s ear following administration.

C.        Hyperextend the infant’s neck during administration.

D.       Pull the auricle up and back during medication administration.

37. A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider?

A.       Weight gain of 1.8 kg (4 lb)

B.       Heart rate 125/min

C.       Soft, flat fontanel

D.       Systemic murmur

38. A nurse is caring for a child who has a possible intussusception. The parents of the child ask the nurse how the diagnosis is made. Which of the following responses should the nurse make?

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A.       “An abdominal ultrasound will confirm the pocket in the intestine.”

B.       “Genotyping will be done to identify this condition.”

C.       “A biopsy will be done on a small amount of tissue from the colon.”

D.       “An upper GI series should identify the area involved.”

39. A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?

A.       Apply cold compresses to the child’s extremities.

B.       Administer meperidine every 4 hr until the crisis has resolved.

C.        Maintain the child on bed rest.

D.       Decrease the child’s fluid intake for 8 hr.

40. A nurse is teaching a school-age child and his parents how to self-administer insulin. Which of the following actions should the nurse take first?

A.       Allow a parent to administer an injection to the nurse.

B.       Have the child teach the injection technique to the parents.

C.       Have a parent administer the insulin injection to the child.

D.       Demonstrate the injection technique on an orange.

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