describe at least two “health care” issues on which parental

Get help with college essays at Smashing EssaysQuestion describe at least two “health care” issues on which parental authority over their childs healthcare decision comes into play

1) Myasthenia Gravis is best described as a) An Imbalance

Question 1)     Myasthenia Gravis is best described as a)     An Imbalance of dopamine and acetylcholine in the basal gangliab)     Demyelination of the peripheral ascending nervesc)      Demyelination of the central nervous systemd)     An autoimmune disorder characterized by decreased neuromuscular activation

1) The AGACNP is beginning medical management of a patient

Question 1)     The AGACNP is beginning medical management of a patient newly diagnosed with Type 2 DM. The patient has a BMI of 39 and has been unsuccessful in making significant diet and lifestyle changes over the last 6 months. Other than her weight, her physical examination is essentially within normal limits. Her HgbA1C is 9.5%. A basic metabolic panel is within normal limits. The medication of choice to begin therapy will bea)     A sulfonylureab)     A meglitinidec)      A bigunaided)     An incretin mimetic

1) Mr. Quigley is a 55 year old male who

Question 1)     Mr. Quigley is a 55 year old male who is admitted for management of an acute hypertensive emergency secondary to alcohol withdrawal. After being treated with IV Benzodiazepines and antihypertensive his condition has stabilized. This morning’ Complete blood count is as follows.Hgb-9.7 g/dl, Hct 29%, MCV-1065 fL, RDW-18%. The AGACNP knows that appropriate treatment will include: a)     Packed Red blood cellsb)     FeSO4c)      Folated)     Vitamin B12

1) Lester is a 48 year old male who is

Question 1)     Lester is a 48 year old male who is brought to the ER by the ambulance. Neighbors found him lethargic and confused after an episode of binge drinking. IV fluid hydration was started. He perked up and was able to be part of some history taking. Physical examination revealed an are of erythema on the upper inner aspect of the left thigh. Lester does not remember any trauma or injury, but the area is extremely painful to palpation and the painful region extends several centimeters proximal to the erythema. One hour later when all diagnostic studies are available- lester says that the pain is markedly worse. Physical exam reveals that the original area of erythema is now almost purple, and there are two erythematous spots proximal to the original site. The AGACNP is suspicious fora)     Brown recluse spider biteb)     Necrotizing fasciitisc)      Staphylococcal cellulitisd)     Coagulopathy

1) Based upon clinical examination and laboratory assessment the AGACNP

Question 1)     Based upon clinical examination and laboratory assessment the AGACNP diagnoses a patient with giant cell arteritis. The next step in the patient management should be to a)     Consult surgery for a temporal artery biopsyb)     Consult rheumatology for medical managementc)      Order 60 mg of prednisone now and q.d.d)     Order ceftriaxone 1 mg IV now

1) Crystal K. is a 13 year old female who

Question 1)     Crystal K. is a 13 year old female who arrives in the emergency room with her mother. Mom says she has not felt well for the last day or two, but today she is very weak and feels sick to her stomach. Serum glucose is 529 mg/dL, serum ketones are present, and the bicarbonate level is 8 mEq/dL. Crystal’s PH is 7.14. crystal was rapidly infused 1L of normal saline solution. The next step in her care is toa)     Begin sliding scale insulinb)     Begin electrolyte replacementc)      Maintain NSS at 1L/hr and insulin gtt at 0.1u/kg/hrd)     Maintain NSS at 1L/hr and add 40 mEq HCO3-

1) Clinically relevant difference between delirium and dementia include all

Question 1)     Clinically relevant difference between delirium and dementia include all of the following excepta)     Time of onsetb)     Symptom presentationc)      Response to managementd)     Age of the patient 

1) K.W. is a 47 year old female patient who

Question 1)     K.W. is a 47 year old female patient who has had a complicated course following a gastrointestinal bypass procedure. She has bedridden and without adequate nutritional support for several days. Her blood pressure has been elevated and difficult to control. She has had 2 units of packed red blood cells and is getting monitored closely for anemia. During a head to toe physical examination a 5 cm are at the base of the patient’s sacrum is appreciated. Is erythematous and non-bleachable. The AGACNP correctly identifies aa)     Tinea versicolorb)     Stage-1 pressure ulcerc)      Candidiasis albicansd)     Grey-Turner sign

1) Optimal pain management requires an accurate understanding of the

Question 1)     Optimal pain management requires an accurate understanding of the physiology of pain. The AGACNP knows that a significant contributor to inflammatory pain is a)     Inductive prostaglandin releaseb)     Neuropathy of nociceptorsc)      Mechanical stimulid)     Thermal stimuli

1) Karen N. presents with a series of red lesions

Question 1)     Karen N. presents with a series of red lesions on her right arm. The one she indicate as first lesion- appeared several days ago and is now red and painful and fluctuant to palpation. Three smaller ones have erupted and although they don’t hurt. She is afraid they will get bigger. The AGACNP knows that which antibiotic is most appropriate after incision and drainage?a)     Ceftriaxoneb)     Cephalexinc)      Trimethoprim/sulfamethoxazoled)     Mupirocin

1) C.T. is a 39 year old female who presents

Question 1)     C.T. is a 39 year old female who presents for evaluation of what she thinks is her ‘rosacea acting up’. She has a history of acne rosacea and has medicated on and off for years with tetracycline and topical metronidazole. Today however she presents with a pronounced red/purple are on her left cheek extending to the nasal border. It is very warm to touch. The borders of the affected area are very well defined and raised. C.T. also has a temperature of 100.7oF and generalized headache. The AGACNP appreciates tender submandibular and cervical lymphadenopathy. The likely diagnosis isa)     Complex rosaceab)     Cellulitsc)      Erysipelasd)     Allergic reaction

1) MR. Hogle is a 65 year old male patient

Question 1)     MR. Hogle is a 65 year old male patient who presents with a burning type in the epigastrium. He notices It is most at night, but says that sometimes he appreciates it when he is really hungry. It actually seems to get better when he eats. His vital signs are all within normal. A stool for occult blood is negative. His CBC reveals a Hgb of 10.1 g/dL and hematocrit of 30%. The MCV is 74 fL. The AGACNP knows that the next appropriate step is to order a)     Ferritin and TIBC studiesb)     Vitamin B 12 and folatec)      Helicobacter pylori testingd)     A consult with gastroenterology

1) Heather is a 51 year old female who is

Question 1)     Heather is a 51 year old female who is admitted for inpatient support of worsening liver function. she has chronic hepatitis B and has been infected now with hepatitis D. She has significant ascites and when you examine her you appreciate a respiratory rate of 28 b.p.m. heather reports subjective shortness of breath with even minimal exertion such as getting out of bed. Which of the following actions is indicated?a)     An Arterial blood gasb)     Lactulose 30 mg dialy x 4 daysc)      Paracentesisd)     Fluid restriction of 750 ml/24 hour period

1) Marianne is 48 year old female who is hospitalized

Question 1)     Marianne is 48 year old female who is hospitalized for stabilization after having a serious dysrhythmia during an outpatient cosmetic procedure. This evening the AGACNP is called to the bedside because the patient is having a seizure. Upon arrival at the bedside, Marianne is having an tonic-clonic activity and is not responding verbally. The drug of choice in this circumstance is a)     Phenytoin 300 mg IVb)     Ativan 4 mg IVc)      Phenobarbital 20 mg/kg/IVd)     Thiamine 100 mg iv

1) A 53 year old male is being evaluated in

Question 1)     A 53 year old male is being evaluated in clinic for a chief complaint of fever and fatigue. Physical examination is non-specific. The vital signs are T-102,2oF, Pulse 121 bpm, respiratory rate is 28 bpm, and blood pressure of 128/84 mm Hg. He is alert and conversant, not acutely distressed, but clearly does not feel well. Lungs auscultate for generally decreased breath sounds diffusely. The cardiac exam is significant only for tachycardia. There is discrete purpora lesions ranging from 0.5 cm to 1 cm on both lower legs. The AGACNP takes which of the following actions?sa)     Orders a stat chest radiographb)     Orders hospital admission diagnostic evaluationc)      Obtains blood and sputum cultured)     Orders a nebulizer treatment

1) Mr. Kelsy is a 29 year old male how

Question 1)     Mr. Kelsy is a 29 year old male how has 15 year old type 1 DM. he has done pretty well over the years and has been on a stable insulin regimen for the last 3 years. He is being seen today because he has noticed a persistent elevation in his fasting am glucose levels. They have been slowly but steadily rising and for the last 2 weeks have been consistently above 200 mg/dl. He feels well but is concerned because he knows this is too high. To differentiate among the common causes of rising fasting glucose in an otherwise stable patient, the AGACNP orders a)     Serum fructosamineb)     Nocturnal glucose monitoringc)      Hemoglobin A1Cd)     Oral glucose tolerance test

1) A 27 year old female patient is newly diagnosed

Question 1)     A 27 year old female patient is newly diagnosed with herpes simplex virus (HSV) 2 following an initial outbreak. In teaching the patient about her disease process, the AGACNP tells the patient thata)     Future outbreaks will be preceded by a prodromeb)     She should encourage partner to wear a condom to prevent transmissionc)      The disease cannot be transmitted once vesicles have driedd)     She will need maintenance medication to reduce the risk of outbreaks

Deliverable 5 – Statistics and Quality MethodsCompetencyApply statistics to different

Question  Deliverable 5 – Statistics and Quality MethodsCompetencyApply statistics to different quality methods in healthcare.Course ScenarioChaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:Emergency room servicesIntensive careSurgical careObstetricsDiagnostic servicesSome rehabilitation therapiesInpatient pharmacy servicesGeriatric services andConsumer physician referral servicesRecently, the CEO has been hearing complaints from both patients and staff. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and satisfactorily resolve them.Scenario ContinuedYour CEO has requested that you provide employee training on Quality Improvement. You have done an initial survey of patient satisfaction, and the CEO has asked you to explain how the data will be analyzed, using this initial data.Given the variety of complaints coming from both employees and patients, it is critical for everyone to understand the importance of conducting the survey and obtaining solid data.QuestionGreat5Good4OK3Fair2Poor1No ResponseTotalFacility and Convenience       Hours of Operations10173010040Convenience of location1015533440Cleanliness1114843040Waiting time in reception area9160411040Comfort while waiting2010550040Staff       Explained procedure179806040Questions answered1115723240Friendly and helpful215572040Knowledgeable and professional621433040Modesty respected1214806040Confidentiality respected (HIPAA)10101451040Overall Satisfaction       Overall impression of visit300532040Willingness to return310900040Likelihood of referring to others320431040Respondents Knowledgeable and professional621433040Modesty respected1214806040Confidentiality respected (HIPAA)10101451040Overall Satisfaction       Overall impression of visit300532040Willingness to return310900040Likelihood of referring to others320431040Respondents were also asked about their wait times. Here is the data on wait times:Number responding Wait time before being checked in at Reception4 10 minutes16 15 minutes8 20 minutes12 25 minutesNumber respondingWait time before being seen by a healthcare professional210 minutes615 minutes1020 minutes2225 minutesInstructionsYou are to create an agenda for the training and a memo with bullet points to present the statistical analysis of the initial data. The memo should include an explanation of each of the statistical results. In particular, you should be able to explain what the results mean to the facility.Determine the percentages of the following:Percent who responded with a 5 (Great) on “Overall impression of the visit”Percent who responded with a 2 (Fair) or 1 (Poor) on “Overall impression of the visit”Percent who responded with a 5 (Great) on “Willingness to return”Percent who responded with less than 5 on “Willingness to return”In the area of “Facility and Convenience,” which indicator had the highest percentage of 5 (Great) responses? Which had the lowest?In the area of “Staff,” which indicator had the highest percentage of 5 (Great) responses? Which had the lowest?What is the mean waiting time in the reception area?What is the mean waiting time to see a healthcare professional?Microsoft Word has many memo templates. In your memo, be sure to address each statistical analysis and what it means to the facility. Why ask these questions? How could the data be used for quality improvement?NOTE – APA formatting, and proper grammar, punctuation, and form required.An agenda can set the tone for a meeting. It is an important tool to ensure meetings are staying on track and meeting all of the objectives. Create an detailed meeting agenda for a meeting you will hold with your supervisor and fellow department heads discussing your findings (Hint: Microsoft Word has many agenda templates).Make sure to include the following in the agenda:Explain each statistical exampleHow that data would be usedThe majority of the agenda should be focused on data analysis and its use in QI plansGrading RubricFFCBA01234No PassNo PassCompetenceProficiencyMasteryNot SubmittedDoes not demonstrate comprehensive knowledge or skillDemonstrates comprehensive knowledge or skillsDemonstrated mastery exceeds level of comprehensive knowledge or skillsUses mastery of competency to devise alternate solutions and create new valueNot SubmittedNo format is provided for the training memo presentation.Provides a formatted memo containing bullet points for training.Provides a formatted memo containing bullet points for training and supporting structure.Executes an appropriate format for a memo containing bullet points for training and a supporting structure.Not SubmittedNo noticeable attempt was made to create an organized agenda.Creates an agenda addressing the key topics.Creates an agenda addressing the key topics with supporting details and questions.Executes an agenda that includes supporting topics and related questions.Not SubmittedNo noticeable attempt to identify the appraisal of validity factors when measuring quality.Identifies how validity factors are used when measuring quality.Identifies how validity factors are used when measuring quality and provides supporting details.Correctly identifies how validity is related to measuring quality and thoroughly discusses supporting details.Not SubmittedNo noticeable attempt to identify the appraisal of reliability factors when measuring quality.Identifies how reliability factors are used when measuring quality.Identifies how reliability factors are used when measuring quality and provides supporting details.Correctly identifies how reliability is related to measuring quality and thoroughly discusses supporting details.Not SubmittedNo noticeable attempt to provide sample questions for a QI survey.Provides questions that would be asked during a QI survey.Correctly identifies questions that would be asked during a QI survey.Executes supporting questions that would be asked on a QI survey.

explain the concept and principle of autonomy and how it

Question explain the concept and principle of autonomy and how it figures into healthcare issues

describe an argument in favor of active euthanasia and PAS,

Question describe an argument in favor of active euthanasia and PAS, and describe an argument against active euthanasia and PAS

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