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Nursing homework help
Blood Transfusion Case Study
Name: _____________________________ Date: _____________________ Class: NUR 438
Brief Patient History
Mr. S is a 75-year-old man who has a long history of chronic atrial fibrillation treated with warfarin, CHF, ESRD, and DM II. Over the past week, Mr. S has experienced intermittent epigastric pain and black stools. He is now dizzy and weak.
Clinical Assessment
Mr. S is admitted to the intensive care unit from the emergency department. He recently began taking ciprofloxacin for a urinary tract infection. He also has been taking an aspirin each day because he heard it was good for you. Also, he recently began taking over-the-counter ibuprofen for his stomach pain and general aches.
Diagnostic Procedures
Mr. S’s admission laboratory work reveals a hemoglobin level of 7 g/dL and an international normalized ratio (INR) of 7. His baseline vital signs include the following: blood pressure of 80/60 mm Hg, heart rate of 150 beats/min (atrial fibrillation), respiratory rate of 30 breaths/min, SPO2 92%, and temperature of 37.3 degrees Celsius.
Medical Diagnosis
Diagnosis is acute gastrointestinal bleeding
Nursing Actions
You have started and finished the FFP, and are currently transfusing the allogenic PRBCs. Ten minutes after starting the PRBC transfusion, Mr. S begins to C/O back pain, chills, and SOB. After taking his oral temperature you note it is now 38.8 degrees Celsius. He appears anxious, and is pulling at his lines and tubes.


1. What is this patient’s mean arterial pressure (MAP)? Is his MAP adequate, and why? Please show your work for the math equation.

2. What signs and symptoms may Mr. S exhibit secondary to his low H&H laboratory values?

3. What is the importance of administering the FFP prior to the PRBC’s in Mr. S’s case?

4. What should the length of time be to transfuse Mr. S’s PRBC’s, and why?

5. Mr. S is O positive blood type. What blood types can he receive, and what blood types can receive his blood type?

6. What is the importance of Rh factor when considered which type of blood to administer to patients?

7. What does allogenic mean? What does autologous mean?

8. What do you think is occurring with Mr. S?

9. What should be your immediate actions/interventions?

10. What nursing diagnoses should you give for this patient?

11. What education can be provided to this patient upon discharge?

Imagine you have been asked to teach a small group of your peers about animal organs.
Create 10 multiple-choice questions to test knowledge of the structure and function of animal organs.
Address the functions of each of the following concepts in your test.

  • Differences between asymmetrical, radial symmetry and bilateral symmetry.
  • Differences between endotherms and exotherms.
  • Definition and examples of epithelial tissue. (provide one example)
  • Definition and examples of connective tissue. (provide one example)
  • Definition and examples of muscle tissue. (provide one example)
  • Definition and examples of nervous tissue. (provide one example)

Use the Physiology Test Template to complete this assignment attached below
Read the Writing Good Multiple Choice questions article on the Berkeley Lab Training website for tips on writing multiple-choice questions: http://training.lbl.gov/Resources/MultipleChoice.html
Cite your sources according to APA guidelines.

NANCY SILBERMANN IS ABOUT TO GET A DEGREE IN NURSING.

A year after declaring bankruptcy and moving with her daughter back into her parents’ home Nancy Silbermann is about to get a degree in nursing. As she starts out in a new career she also wants to begin a new life. One built on a solid financial base. Nancy will be starting out as a full-time nurse at a salary of $52 000 a year and she plans to continue working at a second (part-time) nursing job with an annual income of $10 500. SheII be paying back $24 000 in bankruptcy debts and wants to be able to move into an apartment within a year and then buy a condo or house in five years. Nancy won’t have to pay rent for the time that she lives with her parents. She also will have child care at no cost which will continue after she and her daughter are able to move out on their own. While the Jiving arrangement with her parents is great financially the accommodations are tight and Nancy’s work hours interfere with her parents’ routines. Everyone agrees that one more year of this is about all the family can take. However before Nancy is able to make a move-even into a rented apartment she will have to re-establish credit over and above paying off her bankruptcy debts. To rent the kind of place she’d like she needs to have a good credit record for a year; to buy a home she must sustain that credit standing for at least three to five years. 1. In addition to opening checking and savings accounts what else might Nancy do to begin establishing credit with a bank? 2. Although Nancy is unlikely to be able to obtain a major bank credit card for at least a year how might she begin establishing credit with local merchants? 3. What’s one way she might be able to obtain a bank credit card?  Explain. 4. How often should Nancy monitor her credit standing with credit reporting services
DNP Project – Final Phase – Weekly discussion
Week 2 – Data Analysis (graded)
The discussion for this week is focused on data analysis. Describe your plans for data analysis. How will descriptive statistics assist you in evaluating your outcome? Does your question require looking at the difference between two (or more) groups? What statistical test will you use which is consistent with your question and the type of data produced by your evaluation method/tool?
Week 4 – Dissemination (graded)
The discussion for this week is focused on your final plans for dissemination. You have considered this issue when you developed your project proposal but your plans have likely changed. Describe your plan for sharing the results of your project with the stakeholders at your practicum/project setting. Also, describe plans for conference poster or podium presentation and publication. Do you have a specific regional or national conference in mind? Which journal are you considering for submission of your manuscript? Which of these will be most crucial for you to focus on to assure dissemination of your DNP Project results?
Week 5 – Sustainability (graded)
The discussion for this week is focused on sustainability. Will the change that you initiated for your DNP Project be sustained, modified, or discontinued? How is that being determined? What plans have you made for your exit? Will you continue work related to your practice problem? What are your next steps?
Week 6 – Portfolio (graded)
The discussion for this week is focused on the experience of developing a professional portfolio. How do you anticipate using your professional portfolio? As you reflected on your career while developing your professional portfolio, you likely reviewed your strengths and opportunities for growth. Please share anything you are comfortable with as a result of that self-evaluation. Also, share your long-term career goals and your plan for achieving those goals.
Week 7 – Transformation (Required, not graded)
The discussion for this week is focused on your transformation. As you complete your DNP Project final paper and presentation, and your portfolio, share with your instructor and your peers how you have been transformed through your entire DNP program experience.
Annotated Bibliography Assignment
Choose a paper topic of YOUR choice as long as it is within the confines of this class. Want to discuss any topic we’ve discussed in class from ethnic groups, to individual histories, to systemic racism, to Manifest Destiny, or even modern topics that are relatable? Go for it. Make sure the topic interests you and that your question will be interesting to both research and write. Remember, this is going to eventually become your argumentative paper…meaning that you will argue a certain point and convince the reader of your stance.
Example Thesis/Argumentative Point –> Although the Western Allies were instrumental in winning WWII against the Axis Powers, the Soviet Union played an enormous role toward ultimate victory by turning the tide of battle on the Eastern Front, strategizing in the Big Three meetings, and fighting ideological warfare between communism and fascism.
Requirements:
Requirements for Assignment:

  1. Present a completed and working thesis statement regarding your specific topic.
  2. You should have a minimum of two primary sources.
  3. You should have a minimum of two secondary sources.
  4. Proper MLA formatting with upper left-hand corner information, title, and the work.

Citation Help:
Citation generators for books/articles/websites/etc. may be found on sites like EasyBib and others.
The rest of the detailed instructions will be located in the document uploaded in the same module.
Grading Rubric:
50 points for thesis, 50 points for sources, and 50 points for description of each source.

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This is a Collaborative Learning Community assignment.
You are  a member of a special awards committee at Grand Canyon University. A  special trust fund has been established by an anonymous donor to award  one full-tuition scholarship to a person who has a demonstrated need for  financial assistance, has a reasonable expectation of success as a  student, and is unlikely to attend college if not granted some form of  aid.
Use the file titled Selecting a Scholarship Recipient to complete the following:

  1. In  the CLC Discussion Forum, present how you individually ranked the  applicants in order from 1-4, with 1 being the lowest and 4 the highest.
  2. Provide a two-to-three-sentence justification for why you ranked the applicants this way.
  3. Again, using your CLC group discussion forum, discuss the reasons for each applicant’s ranking.
  4. Come to a group consensus as to the ranking of the applicants.
  5. Select one member of your CLC to submit your groups ranking to the instructor with a three to four sentence justification.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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    COM-222_SelectingaScholarshipRecipient.docx
Directions: Answer each of the following questions. Each answer must be at least 1 page in length. Remember to use proper APA citations in all of your responses.

  • Describe what civil service is and how it effects employment in the public sector. Additionally, explain what due process is in relation to civil service and how it can affect a civil service protected employee.
  • Summarize McGregor’s Theory X and Theory Y as well as Maslow’s Hierarchy of Needs. Describe which model you most agree with and why.
  • Describe how people are protected from discrimination in hiring and employment practices by Title VII of the Civil Rights Act of 1964, and subsequent anti-discrimination laws. Next, explain the difference between disparate treatment and disparate impact. Last, do you feel that these laws provide enough protection against discrimination in the workplace? If not, what should be added or removed?

Psychosocial Theories in Nursing essay assignment
For this Discussion, you will explore how social and behavioral theories apply in a clinical setting by analyzing a case study.
To prepare:
With information from this week’s Learning Resources in mind, reflect on the influence of sociological and behavioral factors on health.
Read the case study of the woman admitted for a mastectomy presented on page 328, #3 of the course text Theoretical Basis for Nursing. Consider which concepts from sociological and/or behavioral theories could be used in nursing practice for addressing the patient’s health care needs. Conduct additional research as necessary using credible websites and the Walden library. Also consider how these theories are used in your own clinical practice.
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Write 2 pages Psychosocial Theories in Nursing essay assignment on the following:
1) What concepts from the various theories could be used in planning the 65-year-old woman’s care?
2) How might her care be changed if the woman were 25 years old or 45 years old?
3) How have social psychology theories been used in promoting breast cancer awareness? Provide at least one example to support your response.
4) How have social psychology theories been used in your clinical practice area? Provide at least one example to support your response.
Psychosocial Theories in Nursing essay assignment References
Required Readings
McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.
Chapter 13, “Theories From the Sociologic Sciences”
Chapter 14, “Theories From the Behavioral Sciences”
Carnegie, E., & Kiger, A. (2009). Being and doing politics: An outdated model or 21st century reality? Journal of Advanced Nursing, 65(9), 1976–1984. doi: 10.1111/j.1365-2648.2009.05084.x
Conrad, P., & Barker, K. (2010). The social construction of illness: Key Insights and policy implications. Journal of Health and Social Behavior: Special Issue, 51, S67–S79. doi: 10.1177/0022146510383495
Ford, C. L., & Airhihenbuwa, C. O. (2010). Critical race theory, race equity, and public health: Toward antiracism praxis. American Journal of Public Health, 100(S1), S30–S35. doi: 10.2105/AJPH.2009.171058

In this assignment, you will be creating a PowerPoint presentation based on the application of the functional health assessment of a movie character. To complete this assignment, choose a movie from the following list and identify a character from the movie on whom you would like to do a health assessment. If you wish to use a character from a movie not included on the following list, get the approval of your instructor.

Films:

Away From Her, Lorenzo’s Oil, Mask, My Sister’s Keeper, Philadelphia, Rain Man, Steel Magnolias, Stepmom, The Elephant Man, The Mighty, The Tic Code (Choose one film from list)

Directions: Create a PowerPoint presentation of 10-12 slides using the template “Movie Character Presentation.” Provide an introduction and background overview of the movie character (client). Assess the client using the “Functional Health Pattern Assessment.” Based on your “observations” and thoughts, document your assessment, providing examples from the movie. Describe any observed or potential cultural, geographic, religious, ethnic, or spiritual considerations of this client. Describe two normal health patterns of the client as well as two abnormal health patterns that you observe, and provide examples. Develop an appropriate nursing diagnosis for the client based on your assessment. Identify and describe three interventions for the client: health promotion, health prevention, and maintenance. Identify at least two possible resources or community services to which you would refer this client and provide rationale for your choices. In addition to submitting the presentation to the instructor, post your assignment to the Movie Character Health Assessment Presentation Main Forum as directed by instructor. Respond to other students’ posts in a manner that initiates or contributes to discussion. Each person should make at least three substantive comments.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

NRS-434VN-R-MovieCharacterPresentationSamplePPT-Student.pptx