How does a person’s difference in age, culture, race, gender

Get help with college essays at Smashing EssaysQuestion How does a person’s difference in age, culture, race, gender and living situation impact your comfort as a nurse in communicating with them

Families need much education regarding child growth, development, health and wellness.Please write

Families need much education regarding child growth, development, health and wellness.Please write a plan of care for the following family.Include 2 NURSING DIAGNOSIS each must have ONE OBJECTIVE OR SMART GOAL.With each NURSING DIAGNOSIS , include 10 interventions and 10 rationale. PLEASE FOLLOWS ALL INSTRUCTIONS CAREFULLY.

Health shadow focused interview questions and answers on Danny 8

Question Health shadow focused interview questions and answers on Danny 8 year old with cough

How do I find course materials?

Question How do I find course materials?

Scenario: You are a nurse in the surgical unit of

Question Scenario: You are a nurse in the surgical unit of a large metropolitan hospital. A young woman has been admitted for an ovarian cyst removal later the same day. As you are taking her health history, she reveals that she has recently been diagnosed as HIV positive. In response to a query from you, she acknowledges that she has not yet seen a healthcare provider regarding this diagnosis. She also quickly adds that she hasn’t disclosed this condition to her new boyfriend, who is in the waiting room, or to any other family members or friends.  Respond to the questions below from your perspective as the nurse providing care for this patient. Support your thoughts and ideas with appropriate citation of scholarly references.    Item 1With this patient’s right to privacy and confidentiality in mind, identify those whom you need to inform about her HIV-positive status. Provide support from scholarly references for your responseItem 2During the health assessment, your patient has revealed that her boyfriend does not know about her HIV-positive status. Briefly explain how you might explore the patient’s understanding of how her HIV-positive status may impact her relationship and the health of her partner. Explain why you would take this approach. Support your approach with scholarly references Item 3Identify two actions you would take—or ensure are taken—in this scenario to preserve patient confidentiality. Support your response with a reference to the ANA’s position paper on Privacy and Confidentiality

1. Justin is a 23-year-old male who is being managed

Question 1.      Justin is a 23-year-old male who is being managed for an acute manic episode. Justin was diagnosed with bipolar disorder several years ago, but his home life has been unstable and he has not been very adherent to a medication regimen. Most recently he was started on the SNRI venlafaxine by his primary care provider, which he has been taking as prescribed for about 6 weeks, but he began a manic episode a few days ago which peaked this evening. The AGACNP considers that: A. The manic episode is probably a result of medication instability and he should continue his current regimen with a follow-up in 6-8 weeks B. A mood stabilizing agent should be added to the venlafaxine C. All medication should be held for 6-8 weeks and the then the patient should be reevaluated D. The SNRI should be stopped and a mood stabilizing agent started 1 points  QUESTION 561.      Mr. Livingston is a 79-year-old male who presents from a long term care facility with a change in mental status. His medical history is significant for T2DM, CAD, CHF, hypothyroidism, Alzheimer’s dementia and osteoarthritis. He has been stable, but over the last few days the staff say he has been a bit disconnected. This morning he was found in his bed in a stuporous state. His vital signs include a temperture of 98.9° F, pulse of 103 b.p.m., respiratory rate of 20 b.p.m., and a blood pressure of 92/64 mm Hg. His metabolic panel demonstrates a Na of 129 mEq/L, K of 3.3 mEq/L, Cl- of 100 mEq/L, CO2 of 24 mEq/L, glucose of 644 mg/dL, BUN of 51 mg/dL and creatinine of 1.9 mg/dL. The AGACNP knows that the primary problem is most likely: A. Diabetic ketoacidosis B. Hypertonic hyponatremia C. Myxedema coma D. Hyperosmolar hyperglycemic coma 1 points  QUESTION 571.      The AGACNP is evaluating a patient with systemic lupus erythematosis who complains of fatigue. Based upon his knowledge of the most commonly affected visceral organ, which of the following diagnostic studies should be ordered? A. Echocardiogram B. Chest radiography C. Hepatic function enzymes D. Urinalysis with microscopic 1 points  QUESTION 581.      All of the following are true statements about post-traumatic stress disorders (PTSD) except: A. It is more common in women than men B. It is unlikely to occur in children especially < 10 years old C. It is differentiated from acute stress reaction by time D. It is not likely in persons with no preexisting psychiatric disease 1 points  QUESTION 591.      Ray M., a 49-year-old male, walks into the emergency room complaining of back pain. He has never had this problem before and cannot identify any injury, but he is in such severe pain he is sure something is wrong. He states that his back has been hurting so badly sometimes he has to stop whatever he is doing and bend forward at the waist. The pain also travels along the outer edge of his left thigh to mid-calf, and he reports a small area of numbness on his anterior thigh. His history and physical examination are otherwise negative. He is an insurance attorney and is not especially active at work, but goes to the gym 5 days a week. He is not overweight, and his vital signs are normal. Physical examination reveals no paraspinal tenderness, and his straight leg raise is negative. A few times during the exam he lay back on the table and grabbed his left leg, flexed both hip, and pulled his knee to his chest, because it helped the pain. The AGACNP knows that immediate pain relief measures must include: A. An opiate analgesic B. Systemic steroids C. Physical therapy D. Bedrest for 72 hours

in details, please explain what changes you would like to

Question  in details, please explain what changes you would like to make in your current workplace? 

QUESTION 611. Jennifer is a 15-year-old female who attempted suicide

Question QUESTION 611.      Jennifer is a 15-year-old female who attempted suicide by taking a bottle of acetaminophen. She took 30, 500 mg tablets approximately six hours ago, but then became frightened and told her mother what she did. Her mother said that Jennifer seems OK, other than being a little sick to her stomach, she has no complaints. The AGACNP knows that the first step in her care includes: A. N-acetycysteine in tapering doses over the next 24 hours B. Oral administration of activated charcoal C. Psychiatric assessment D. Discharge to home with follow-up LFTs in 4 days 1 points  QUESTION 621.      Mrs. Glassman is a 55-year-old female who presents with a chief complaint of fever. Her vital signs reveal a temperature of 100.0° F, blood pressure of 100/60 mm Hg, pulse of 114 b.p.m. and respirations of 20 b.p.m. Her cardiac auscultation reveals a grade III/VI systolic murmur at the left lower sternal border. Her history is significant for an eyebrow lift 4 months ago. The AGACNP orders which test to confirm the suspected diagnosis? A. Three sets of blood cultures B. A chest radiograph C. A 12-lead ECG D. Induced sputum culture 1 points  QUESTION 631.      John is a 17-year-old male who is in the emergency department with abdominal pain. He is quite uncomfortable and says that it started yesterday and seemed to be “in the middle of his stomach” but today it has moved over to the right lower side. During physical examination the abdomen is not distended, but he is guarded, and right lower quadrant palpation produces significant discomfort, especially upon release of the palpating hand. He has appreciable pain when his right knee and hip are bent to a 90° angle. John admits to some nausea but has not vomited; he has not had a normal bowel movement in two days. His vital signs are as follows: Temperature 100.9° F, pulse 110 b.p.m. respiratory rate 22 b.p.m., and blood pressure 118/77 mm Hg. The AGACNP orders which of the following tests to confirm the suspected diagnosis? A. Complete blood count B. Ultrasound C. CT scan D. Urinalysis 1 points  QUESTION 641.      Which of the following signs is expected in patients with cholecystitis? A. McBurney’s B. Cullen’s C. Spurling’s D. Murphy’s 1 points  QUESTION 651.      According to the World Health Organization’s step-wise approach to pain management, initial approaches to step 2 might include all of the following except: A. A weak opiate B. A strong opiate C. A non-steroidal antiinflammatory agent D. An antidepressant. 1 points  QUESTION 661.      A patient’s Weber test lateralizes to the right ear and the Rinne test in both ears is normal. The patient has a: A. Sensorineural hearing loss in the left ear B. Sensorineural hearing loss in the right ear C. Conductive hearing loss in the left ear D. Conductive hearing loss in the right ear

QUESTION 681. Based upon clinical examination and laboratory assessment the

Question QUESTION 681.      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 biopsy B. Consult rheumatology for medical management C. Order 60 mg of prednisone now and q.d. D. Order ceftriaxone 1 mg IV now 1 points  QUESTION 691.      According to the JNC VIII criteria, a patient with a new diagnosis of hypertension who has comorbid chronic kidney disease should be started on which of the following classes of medications? A. A thiazide diuretic B. A calcium channel blocker C. An ACE inhibitor D. A beta adrenergic antagonist QUESTION 701.      Denise is a 45-year-old female who presents with significant lower abdominal pain. It started a few days ago and has just gotten steadily worse. She denies any hematuria or dysuria, but when she voids she feels like “everything is coming out. A physical examination reveals an abdomen that is tender to palpation but there is no guarding or rebound. Her vital signs are stable excepting a temperature of 100.9° F. The next step in the evaluation must include: A. A complete blood count B. An abdominal flat plate C. A pelvic examination D. A CT scan of the abdomen QUESTION 721.      L.W. is a 41-year-old woman with a history of systemic lupus erythematosus which has been managed primarily with symptom control. Today she presents for evaluation of fatigue which has been slowly progressive over the last few months. She has a history of gastric bypass surgery 10 years ago and has maintained a 100 lb weight loss, but she maintains that she has been very adherent to her vitamin and mineral replacement regimen. Other than chronically heavy menses, for which she takes hormonal contraception, she is without complaint. A complete blood count is as follows:  Hgb 10.3 g/dL  Hct 31%  MCV 88 fL  RDW 15%  The AGACNP suspects that the patient’s fatigue is most likely due to: A. Iron deficiency anemia B. Anemia of chronic disease C. Pernicious anemia D. Folic acid deficiency 1 points  QUESTION 731.      A patient presents for follow up after being started on an ACE inhibitor for hypertension. Her blood pressure has improved, but her pulse is 56 b.p.m down from 76 b.p.m. at her last visit. The AGACNP knows that the patient should assessed for: A. Hypercalcemia B. Hypernatremia C. Hyperkalemia D. Hyperchloremia 1 points  QUESTION 741.      A young-adult male patient was dropped off outside of the emergency department and some staff members brought him inside. The patient is restless, irritable, and either unwilling or unable to participate in her own care. No history is available. His vital signs are essentially stable, finger stick blood sugar is 111 mg/dL, there are no signs of trauma, and no physical findings consistent with common drug or alcohol use. A toxicology screen is pending. The AGACNP orders acute psychiatric stabilization with a combination of haloperidol and lorazepam and considers which of the following mediations to decrease the risk of adverse effects? A. Risperidone B. Olanzapine C. Benztropine D. Zolpidem 1 points  QUESTION 751.      Amy is a 21-year-old female who presents with acute nephrolithiasis. CT scan reveals a 2 mm stone in the left ureter. The AGACNP knows that the appropriate course of action is: A. Pain control and IV fluid B. Consultation for stent placement C. Lithotripsy stone destruction D. Transurethral stone destruction 1 points  QUESTION 761.      B.T. is a 49-year-old male being admitted for lung volume reduction surgery. His preoperative pulmonary function tests are as follows:FVC 66% predictedFEV1 60% predictedPEFR 69% predictedTLC 104% predictedRV 90% predictedThe AGACNP knows that the pulmonary function studies are consistent with: A. Mild restrictive disease B. Moderate restrictive disease C. Mild obstructive disease D. Moderate obstructive disease

Hi tutor, can you please answer this question style=”color:rgb(0,0,0);background-color:transparent;”>Explain how

Question Hi tutor, can you please answer this question style=”color:rgb(0,0,0);background-color:transparent;”>Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift. In replies to peers, provide an example of wellness and prevention initiatives your organization or specialty area has in place.

QUESTION 771. A 30-year-old male patient presents for evaluation of

Question QUESTION 771.      A 30-year-old male patient presents for evaluation of a lump on his neck. He denies pain, itch, erythema, edema, or any other symptoms. He is concerned because it won’t go away. He says, “I noticed it a few months ago, then it seemed to disappear, and now it is back.” The AGACNP proceeds with a history and physical exam and concludes which of the following as the leading differential diagnosis? A. Subclinical infection B. Non-Hodgkin’s lymphoma C. Catscratch disease D. Syphilis 1 points  QUESTION 781.      Ms. Teller presents with a chief complaint of weight loss. She reports an unplanned 10 lb weight loss over the last 5-6 months. She has no significant medical history, but review of systems reveals bilateral shoulder discomfort and some impaired range of motion—she has trouble pulling clothing over her head. Over the last few months she has generalized upper body stiffness, but seems to get better after an hour or so of activity. When considering a diagnosis of polymyalgia rheumatica, laboratory assessment may be expected to reveal: A. An erythrocyte sedimentation rate (ESR) of 75 mm/hr B. A microcytic, hypochromic anemia C. Elevated liver function enzymes D. Positive antinuclear antibodies 1 points  QUESTION 791.      When a patient has lower abdominal discomfort, cervical wall motion tenderness, and adnexal tenderness, the AGACNP knows that this will likely be treated with: A. Ceftriaxone and azithromycin B. Metronidazole and ciprofloxacin C. Trimethoprim/sulfamethoxazole D. IV fluid and pain control 1 points  QUESTION 801.      J.L. is an 81-year-old female who is admitted from home after her daughter found her confused and unkempt. She is not a good historian, and her daughter cannot provide any information—when she saw her mother a week ago, she was fine. J.L.’s vital signs are as follows: Temperature 101.4° F, pulse 99 b.p.m., respirations 22 b.p.m., and blood pressure 90/58 mm Hg. Her urinalysis is shows leukocytes, RBC, and nitrites. Her metabolic panel reveals a BUN of 39 mg/dL and creatinine of 1.5 mg/dL. The AGACNP knows that J.L has findings consistent with: A. Pre-renal failure B. Intra-renal failure C. Post-renal failure D. Chronic renal failure 1 points  QUESTION 811.      Patients with giant cell arteritis are at increased risk of: A. Cerebrovascular accident B. Rheumatoid arthritis C. Polymyalgia rheumatica D. Osteoarthritis 1 points  QUESTION 821.      The AGACNP is called to the bedside for a patient who is in cardiopulmonary arrest. The monitor demonstrates ventricular fibrillation which will not convert despite several attempts to defibrillate at maximal voltage. While being briefed by the staff nurse on the patient medical history, he learns that the patient has a history of Cushing’s syndrome. The AGACNP recognizes that the patient is probably failing to convert due to: A. Advanced atherosclerotic disease B. Hypokalemia C. Hypocalcemia D. Catecholamine excess 1 points  QUESTION 831.      When performing an evaluation of a patient following seizure activity, the AGACNP knows that the most important component of that evaluation is: A. A CT scan of the head B. Eyewitness description C. An EEG D. Administering a benzodiazepine 1 points  QUESTION 841.      Which of the following etiologic organisms is most likely to appear as lobar consolidation on chest radiography? A. Legionella pneumophilia B. Streptococcus pneumoniae C. Pneumocystis carinii D. Mycoplasma pneumoniae 1 points  QUESTION 851.      A patient with chronic kidney disease presents with an eGFR of 30 mL/min/1.73m2. The AGACNP knows that the most compelling implication of this value is: A. Control of risk factors for renal deterioration B. Careful attention to renal dosing of medications C. Referring the patient for shunt placement D. Preventing occurrence of renal ischemia 1 points  QUESTION 861.      Differential diagnosis of hematuria include all of the following except: A. Bladder cancer B. Nephrolithiasis in the renal parenchyma C. Urinary tract infection D. Prerenal azotemia 1 points  QUESTION 871.      A 29-year-old male patient presents with acute scrotal pain and dysuria. He has a temperature of 101.8° F and a pulse of 115 b.p.m. but otherwise vital signs are within normal limits. He gets some relief of the scrotal discomfort when his scrotum is elevated on a rolled towel. This is known as: A. Varicocele B. Prehn’s sign C. Cremasteric sign D. Testicular torsion 1 points  QUESTION 881.      The AGACNP knows that patients with psoriasis are at greater risk for: A. Arthritis B. Eczema C. Cellulitis D. Melanoma 1 points  QUESTION 891.      Mr. McCarran is a 68-year-old male with a long history of poorly controlled T2DM. He has had progressive burning pain in both feet for the last year or so, but in the last few months it has become increasingly worse. He has tried taking ibuprofen and naproxyn over-the-counter with no improvement. Now, he is presenting for more effective pain management. The AGACNP knows that the medication of choice will be from which drug class? A. NSAIDs B. Opiates C. Antiepileptics D. Anesthetics

QUESTION 901. Mr. Starwood is a 61-year-old male who was

Question QUESTION 901.      Mr. Starwood is a 61-year-old male who was admitted last night for the management of acute pancreatitis. He was admitted n.p.o and started on intravenous fluid and opiate pain management. This morning he reports feeling significantly better. His C-reactive protein this a.m. is 5 mg/dL, amylase and lipase are both just over 2 x upper limits of normal, and his Ransom score is 2. The AGACNP knows that the next step in his care is to: A. Begin clear liquids as tolerated B. Order an abdominal CT C. Order an ERCP D. Continue the current management for 24 hours 1 points  QUESTION 911.      When beginning pharmacotherapy for depression, the AGACNP discusses with the patient that a primary safety consideration includes the: A. Increased risk of suicide when patients begin antidepressant therapy B. Potential for sexual adverse effects C. Better likelihood of success when medications and therapy are used together D. High incidence of serotonin syndrome 1 points  QUESTION 921.      When ruling out meningitis in a patient, the AGACP appreciates that the spinal fluid is cloudy and the glucose content is 20 cells/microliter. This is most consistent with: A. Aseptic meningitis B. Septic meningitis C. Chemical meningitis D. Chronic meningitis 1 points  QUESTION 931.      A 44-year-old male patient presents in a hypertensive crisis. The blood pressure is 240/136 mm Hg, pulse is 128 b.p.m. and the patient is complaining of a severe, pounding headache. His skin is diaphoretic and he is visibly tremulous. The first diagnostic study to evaluate the suspected diagnosis should be a: A. 24 hour urine for catecholamine metabolites B. Serum epinephrine and metanephrines C. T scan of the abdomen D. MRI of the abdomen 1 points  QUESTION 941.      An unidentified patient is brought to the emergency department by ambulance after being hit by a motor vehicle. She has multiple injuries and an estimated blood loss of 2 liters. The hematocrit is 19%. The AGACNP expects that the mean cell volume (MCV) would most likely be: A. 70 fL B. 80 fL C. 90 fL D. 110 fL 1 points  QUESTION 951.      Mrs. Oliver is a 71-year-old petite Caucasian female. During a routine dexa screening she was found to have a T-score of -3.0. The AGACNP knows that the first intervention should include: A. Calcium B. Vitamin D C. Bisphosphonates D. Estrogen 1 points  QUESTION 961.      When evaluating a family with suspected carbon monoxide exposure, the AGACNP knows that assessment should include all of the following except: A. Vital signs B. Pulse oximetry C. Cardiac rhythm strip D. Carboxyhemoglobin level 1 points  QUESTION 971.      Mr. Riley is a 61-year-old male who just had bilateral knee replacements. There was more fluid loss than intended during the procedure. The AGACNP knows that metabolic alkalosis is the most common postoperative acid-base imbalance and is best treated with: A. Normal saline infusion B. An insulin drip C. Low volume hydrochloric acid D. Albumin 1 points  QUESTION 981.      Patients in advanced stages of chronic kidney disease are at greatest risk for which of the following conditions? A. Polycythemia B. Hypokalemia C. Metabolic alkalosis D. Anemia 1 points  QUESTION 991.      The diagnostic study of choice in mesenteric ischemia is: A. Ultrasound B. CT angiography C. MR angiography D. Diagnostic peritoneal lavage 1 points  QUESTION 1001.      Mr. Maxwell is a 58-year-old male who presents with left foot pain. Physical examination reveals a foot that is normal in appearance with DP and PT pulses that are barely audible by Doppler. The AGACNP has the patient cross the leg with the left foot resting on the right knee; after 30 seconds that left foot is briskly lowered to the floor. Instantly the left foot turns bright red. This is known as: A. Venous insufficiency B. Brawny hyperpigmentation C. Homan’s sign D. Dependent rubor

ShadowHealth Focused exam and interview on virtual patient Danny 8-year

Question ShadowHealth Focused exam and interview on virtual patient Danny 8-year old with a cough

Is there a NURS 6660 final or study guide available?

Question Is there a NURS 6660 final or study guide available?

Given the shortage of primary physicians, will this pose a

Question Given the shortage of primary physicians, will this pose a challenge to UCCs in the future? Going forward, as the number of physicians continue to shrink, how can UCCs compete against prestigious, well established medical facilities for a limited pool of qualified physicians? Explain.

Question:The diagnostic study of choice in mesenteric ischemia isa) ultrasoundb)

Question Question:The diagnostic study of choice in mesenteric ischemia isa) ultrasoundb) CT angiographyc) MR angiographyd) Diagnostic peritoneal lavage

What is the purpose of medical terminology? What are the

Question  What is the purpose of medical terminology? What are the benefits of understanding medical terminology? How will you use medical terminology in your career field?

What are 3 approaches/alternatives to help promote hand hygiene in

Question What are 3 approaches/alternatives to help promote hand hygiene in a healthcare facility?

What are consequences for each of these approaches pertaining to

Question What are consequences for each of these approaches pertaining to hand hygiene? style=”background-color:transparent;color:rgb(67,67,67);”>Approaches/alternatives 

What is the pathophysiology behind each abnormal vital sign with

Question What is the pathophysiology behind each abnormal vital sign with a patient having pneumonia. />●      Productive cough●      Pain with inspiration●      Difficulty breathing for the last 3 days●      Bilateral crackles at bases●      No edema ●      Diminished gag reflex with no other residual dysfunction ●      Temperature 100.1 ⁰F●      HR 98/min●      BP 119/63 mmHg●      RR 23/min●      O2 saturation 94% on room air●      WBC 14,500 cells/mcL

Telehealth and BeyondCreate a PowerPoint presentation that addresses each of

Question Telehealth and BeyondCreate a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know 

The post How does a person’s difference in age, culture, race, gender appeared first on Smashing Essays.

Looking for a Similar Assignment? Order now and Get 10% Discount! Use Coupon Code "Newclient"