Picture yourself as a medical administrative assistant in a medical practice. What would you do in the following situations? The clinic manager wants to hire an additional staff person to help cover the front desk in the office. The labor market is tight, and the manager thinks that a person with no office experience or medical background would be appropriate for the position. Do you agree? Why?
JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.” -What are specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient?
A 60-year-old patient is complaining of substernal chest pain that radiates down the left arm and up the left side of the neck. The patient is rating the pain an 8 on a scale of 1 to 10. An ECG is showing sinus tachycardia at a rate of 120 beats per minute. The health care team evaluating the patient suspects the patient is having an acute myocardial infarction (AMI). What opiate agonist should be considered if the pain is unrelieved?
All of the following statements about chemotaxis are true, except: It describes a process by which cells are repelled away from an area of injury.It can occur in response to factors secreted by mast cells.It includes the binding of factors to receptors on cells such as neutrophils and eosinophils.It results in cells moving toward an area of high concentration of chemotactic factors.Chemotactic factors diminish in concentration as they diffuse away from the area of injury.reference included please
Nursing Assignment Writing ServiceJeremy, age 9, is brought to the mental health clinic by his mother upon the recommendation of his teacher. He has been suspended from school, because he threatened to kick his teacher after she reprimanded him for fighting with another child. Jeremy tells the clinic nurse, Sharon, “It was the other kids’ fault, and the teacher is dumb.”Jeremy appears sullen and disinterested. “I don’t have a problem!” he yells. He is unwilling to answer Sharon’s questions.Jeremy has had a difficult time since preschool. At school he has been reprimanded for teasing and calling the other children names. He is constantly being corrected for failing to follow directions, and he often does not listen to his teachers. He seldom follows his mother’s instructions. On the rare occasions he does obey his teachers or his mother, he does so in a resentful manner. He is often defiant and rude to his mother and teachers. Teachers dread having him enrolled in their classes.His parents are very motivated to seek help for their child. They cannot identify any stressors in Jeremy’s life and have two other children who excel in school. Jeremy’s parents believe that he is actually a “really good kid.”AssessmentObjective Data· 1· 2· 3· 4· 5Subjective Data· 1Nurse’s Personal PerspectiveSharon likes children and enjoys working with them and their parents. However, she realizes that her patience is tried when she works with a child with oppositional defiant disorder, because these children are often not willing to participate in treatment. Involved and motivated parents may make the difference for this child, because therapy is a long-term process; there is no “quick fix” for this disorder. -DiagnosisDefensive coping related to denial of problem, projection of blame as manifested by:· · · 2. Outcomes Identification (appropriate goal for the client.)-3. PlanningSharon plans to apply and enforce appropriate behavioral rules for Jeremy and give him supportive feedback for adherence.ImplementationShort-Term GoalsInterventionsRationaleEvaluation22.214.171.124.126.96.36.199.188.8.131.52.184.108.40.206.
107. The nurse supervises care of client who is receiving enteral feeding via a nasogastric tube. The nurse determines that care is appropriate if which of the following is observed? Select all that apply: 1. The nursing assistant aspirates and measures the amount of the gastric aspirate The nursing assistant elevates the head of the client’s bed 30 degrees 3. The nursing assistant warms the formula to room temperature 4. The nursing assistant measures the pH of the gastric aspirate 5. The nursing assistant infuses the intermittent feeding in 20 minutes The nursing assistant clamps the proximal end of the feeding tube at the end of the feeding 108. The nurse performs a physical assessment of a newborn. It is MOST important for the nurse to report which of the following findings? Head circumference of 40 cm 2. Chest circumference of cm 3. Acrocyanosis and edema of the scalp 4. Heart rate of 160 bpm and respirations of 40 / m * i * n
Jessie, who is 12 years old, is referred to the mental health clinic by her pediatrician. She is accompanied by her worried parents. Jessie has lost 15 pounds over the past year, which has placed her 15% below the expected weight for her age and height group. The pediatrician has not determined any medical cause. Jessie tells the nurse, Eleanor, that she is not “sick” and is not “thin,” as her parents say she is. She adds that, “I need to lose more weight, because I’m still fat.” Her parents state that Jessie began to severely restrict her diet after a classmate told her that she should lose some pounds, although Jessie’s weight was normal. She began to weigh herself excessively, count calories, and exercise more often. Her parents have removed the scales from the house and have limited her exercise time, without success. They have tried pleading and demanding that she eat, but these, too, have been unsuccessful. They are scared and desperate for help.Jessie is an excellent student; she earns high grades in all her courses, is popular in school, and successful on the gymnastics team. She has never been diagnosed with or demonstrated any mental health issues or medical problems.AssessmentObjective Data· 1· 2· 3· 4· 5Subjective Data· 1· 2· 3Nurse’s Personal PerspectiveEleanor has 10 years of experience working with clients with eating disorders, but she is always dismayed to see a child diagnosed with anorexia. Anorexia can progress to a chronic illness, and Eleanor does not want to see Jessie continue into adulthood with the disorder. She determines to use every evidenced-based intervention in her treatment of Jessie. She also realizes that this treatment will involve the whole family and that all members must be committed for the treatment to be successful. She believes that Jessie’s parents will participate fully.DiagnosisImbalanced nutrition: less than body requirements related to refusal to eat as evidenced by:· 1· 2· 3· 4· 5Outcomes Identification (Write an appropriate goal for the client.)1PlanningEleanor first plans to assess Jessie’s physical status for physiological safety. She also plans to integrate Jessie’s family into the treatment plan.Implementation1.Short-Term Goals3 Interventions 3 Rationales1 Evaluation2 Short-Term Goals3 Interventions 3 Rationales1 EvaluationEvaluationJessie continues to improve and to work toward a healthy, appropriate weight. Her feelings of sadness and depression related to her inaccurate perception of “not being perfect at gymnastics and schoolwork” are addressed. Jessie continues to receive help to correct the cognitive distortions.1.Short-Term Goals3 Interventions 3 Rationales1 Evaluation2 Short-Term Goals3 Interventions 3 Rationales1 Evaluation
1. What are the three general approaches recommended by the American Nurses Association (2017) to maintain sufficient staffing in healthcare facilities?2. Summarize the findings that are often cited as the seminal work in support of establishing minimum staffing ratio legislation at the federal or state level.3. Analyze what proponents and critics say about whether mandatory minimum staffing ratios are needed.
Assignment: Pharmacotherapy for Cardiovascular Disorders …heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today. As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.To PrepareReview the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.Review the case study assigned by your Instructor for this Assignment.Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.Write a that addresses the following:Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.Week 2 Case AssignmentPosted on: Sunday, September 6, 2020 12:02:00 AM EDTPatient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:Atenolol 12.5 mg dailyDoxazosin 8 mg dailyHydralazine 10 mg qidSertraline 25 mg dailySimvastatin 80 mg daily
Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia, and ischemic heart disease. Drugs currently prescribed include the following:· Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun· Aspirin 81 mg daily· Metformin 1000 mg po bid· Glyburide 10 mg bid· Atenolol 100 mg po daily· Motrin 200 mg 1-3 tablets every 6 hours as needed for pain addresses the following:· Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.· Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned. Stick to ONE factor! Describe the effect of the factor on PK/PD in general· Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples. Describe the pharmacokinetics/pharmacodynamics of EACH drug in the patient’s list. Research the effect of the factor you selected on EACH drug in the drug list provided as part of the patient case. You can use primary research articles and a drug reference for information· Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements. Use bullet points for your recommendations. Include one bullet point for each drug. Be specific. For example:o decrease atenonol to 50mg daily because bioavailibilty…o stop metformin. Start….at XXmg because bioavailibilty…
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