1. The nurse cares for a toddler diagnosed with immune thrombocytopenia purport. The child’s platelet count is 52,000/mm (52 x 10). The nurse prepares a care plan for the child. Which nursing diagnosis is most appropriate for this child?
  2. Fatigue related to elevated platelet count.
  3. Risk for injury related to low platelet count.
  4. Risk for activity intolerance related to need for rest.
  5. Impaired Physical mobility related to need for physical therapy.

2. The client takes heparin 12, 000 units daily by subcutaneous injection. Today’s aPTT level is  45 seconds. Which action does the nurse take first?

  1. Nothing as this is a normal a PTT level
  2. Notifies the health care provider to decrease the dosage.
  3. Changes the route from subcutaneous to intramuscular.
  4. Notifies the health care provider to increase the dosage.

3. The client is the single parent of the 2 week old baby, the firstborn child. The client had considered terminating the pregnancy but continued the pregnancy. There is little client family support. The client has a history of an editing disorder. The nurse knows which nursing diagnosis is most important for the client?

  1. Risk for impaired attachment related to lack of knowledge of child care.
  2. Situational Low Self-Esteem related to body changes of childbirth.
  3. Risk for ineffective coping related to postpartum depression.
  4. Disturbed sleep Pattern related to care of infant at night.

4.A nurse provides care for the newborn in the delivery area. The baby is breathing and crying well with good color. The nurse knows which priority is next?

  1. Prevent cold stress.
  2. Record Apgar.
  3. Initiate physical assessment.
  4. Begin bonding with parents.

5. The nurse care for the adolescent diagnosed with acquired aplastic anemia. The diagnosis is related to the practice of huffing substances with benzene. Which goal is the most important for this client during immunosuppression?

  1. Will have increased production of red blood cells.
  2. Will manage pain related to growth factor injections.
  3. Will cope with probability of death from disease.
  4. Will verbalize feelings about lack of bone marrow donor.

6. The nurse is preparing to insert an indwelling urinary catheter. Prioritize the order of steps..
From start to finish. All options must be used.
Unordered options

  1. Lubricate tip of the catheter.
  2. Drape the client
  3. Insert the catheter
  4. Put on sterile gloves
  5. Cleanse the meatus

7.The nurse assesses the position of the fetus at the beginning of labor. The nurse feels the fetal occiput toward the left side of the pregnant clients sacrum. How does the nurse interpret thus finding?

  1. Right occiput anterior (ROA); fetus is currently in correct position for birth.
  2. Left sacrum anterior (LSA); fetus will need to flip end to end prior to birth.
  3. Left occiput transverse (LOT); fetus will turn head slightly prior to birth.
  4. Left occiput posterior (LOP); fetus will need to burn head prior to birth.

8. A client diagnosed with infective endocarditis is discharged home on IV antibiotic therapy. The nurse knows the client understands the discharge treatment plan when the client makes which statement?

  1. “when I get home, I can take of these compression stockings when I am walking.”
  2. “I can help care for my grandchildren when they are sick and stay home from school”
  3. “I can go back to my job next week and start back traveling”
  4. “I will tell my dentist about this illness before having my teeth cleaned.”

9. The client sustained a right hip fracture. The client had surgery to repair the hip. The nurse prepares for the client to return from surgery to the surgical unit. Which equipment is out important for the nurse to have available?

  1. Sandbags and pillows
  2. Walker and wheelchair
  3. Elevated toilet seat
  4. Continuous passive motion machine.

10. The nurse care for the 4 year old child. The parents report the child is irritable and has lost weight. The nurse assesses the child and discovers an irregular heart rate at 18- beats per minute and rest at 24 per min. Which does the nurse do first?

  1. Assesses the Childs temperature
  2. Notifies the health care provider
  3. Tells the parent the child has a heart disorder
  4. Asks the child if there is any chest pain

11. The nurse care for a client with as kin rash. The client scratches the rash and the skin starts to bleed. The nurse includes which nursing diagnosis in the clients plan of care?

  1. Ineffective health maintenance.
  2. Impaired skin integrity
  3. Impaired tissue integrity
  4. Risk for bleeding

12. A nurse in the clinic performs a pregnancy test and tells the couple they are pregnant. They are both excited and appear happy. At the next clinic visit, the client tells the nurse the partner is quiet and withdrawn although seeming initially happy at the news. Which is the best response by the nurse?

  1. When the pregnancy is more obvious, the partner will feel better.
  2. The changes in their life may be causing the partner anxiety
  3. The clients should be less enthusiastic around the partner
  4. The partner should seek psychiatric help for depression.

13. The Hospitalized client is scheduled for a paracentesis because of ascites. The nurse identifies which client goal related to the procedure?

  1. Client will have pain reduced from 10 to 8
  2. Client will ave increased peripheral perfusion
  3. Client will understand reasons for the medication.
  4. Client will have bowel function return to normal.

14. A client reports indigestion that is not relieved with antacids. The client appears pale and ashen and the skin is cool and clammy. Which additional assessment data does the anticipate? (Select all that apply)

  1. Temperature above 102 F (38.9 C)
  2. Dyspnea
  3. Constipation and abdominal pain
  4. Extreme thirst and hunger
  5. Chest tightness
  6. Pain in the left arm and back

15. A client is 30 weeks pregnant. The delivery will be by cessarean birth due to a breech presentation. Which information does the nurse give the client regarding the delivery? (Select all that apply)

  1. Will have an IV started in the preoperative area.
  2. Will plan for epidural anesthesia
  3. Wil be given medication to relax prior to surgery
  4. Will have a full bowel prep
  5. Will be admitted the night before surgery
  6. Will have an indwelling urinary catheter inserted

16. The nurse obtains a specimen for arterial blood gasses from a client. Which principles guides the nurse?

  1. May use peripheral IV site if no IV fluids present
  2. Continuous intra arterial monitoring is required
  3. Air in the syringe will after the blood values
  4. Clotted blood will reserve the blood gas values

17. The client takes rifampin and isoniazid for turberculosis. The nurse knows the client understands the teaching about rifampin when which client statement is made?

  1. My urine may change color and become bluish.”
  2. “Because I have kidney disease, my dose is less than my spouse’s.”
  3. “I will need to have liver test done every week.”
  4. “I will take my medication 1 hour before I eat.”

18. A parent brings an infant client to the emergency department after the infant fell out of the high chair. The nurse assess the infant for a head injury. Which assessment data indicates the infant needs further testing? (select all that apply)

  1. Blurred vision
  2. Difficult to arouse from sleep
  3. Severe headache
  4. Difficulty speaking
  5. Bulging anterior fontanel
  6. Right eye pupil dilated

19. A psychiatrist nurse cares several clients with personally disorders. The nurse recognizes that clients diagnosed with narcissistic personality disorder exhibit which characteristic? (Select all that apply.)

  1. Exploitative habaviors
  2. Self-multilating behaviors
  3. Grandiosity
  4. Preoccupation with orderliness
  5. Hypersensitivity to criticism
  6. Attention seeking behavior.

20. The nurse presents a Program on Lyme disease. The nurse determines teaching is needed when a child makes which statement?

  1. “I will make sure I get the vaccination for lyme disease this spring”
  2. “if I get a tick bite, I will watch for a bullseye rash for up to 30 days”.
  3. “my dog has a new flea and tick collar, and I will check for ticks very day”.
  4. Insect repellent with DEET will help keep ticks from biting me”.

21. A client diagnosed with psoriasis is treated with etanercept. The nurse knows the client understands the disease and treatment when the client makes which statement.

  1. “I will stop the medication when I no longer have any symptoms.”
  2. “I Can apply this medication will cure the psoriasis.”
  3. “I am so glad this medication will cure the psoriasis”.
  4. “I will take this medication until I come to the clinic again”

22. The Nurse cares for the 13 year old child diagnosed with vesicoureteral reflux secondary to strictures caused by repeated bladder infections. The child receives continuous low dose antibiotics. The nurse assesses the compliance of treatment. Which questions does the nurse ask the child?
(Select all that apply)

  1. “How much fluid do you drink each day”
  2. Are you active in any sports?”
  3. “how much sleep do you get at night?”
  4. “When do you take your medications”?
  5. “What foods do you like best and eat often?”
  6. “How often do you void during the day?

23. A client had a myocardial infarction. The nurse teaches the client to seek immediate treatment for which symptoms? (select all that apply)

  1. Shortness of breath with cough and nasal drainage.
  2. Jaw pain with dyspnea and dizziness.
  3. Heave its photophobia
  4. Chest pain with nausea and vommiting
  5. Abdominal pain with constipation
  6. Chest heaviness with pressure
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    KAPLANRNBSN.docx

Nursing HW

Bullying: It’s Not Okay

Please answer the following questions…

Please confirm the following:

  1. ______ percent of LGBTQ youth had been bullied at school in the past year.
    1. 12 percent.
    2. 27 percent.
    3. 88 percent.
    4. 45 percent.
  2. Being ________ by itself appears to increase the likelihood of being a victim of bullying.
    1. A single child.
    2. The oldest sibling.
    3. Obese.
    4. Creative.
  3. Bullying behavior may cross the line to become “_____________,” which is illegal under Section 504 of the Rehabilitation Act of 1973 and Title II of the Americans with Disabilities Act of 1990.
    1. Disability harassment.
    2. Sexual harassment.
    3. Rehabilitation bullying.
    4. Disability bullying.
  4. __________ is a combination of qualities that make up personality.
    1. Character.
    2. Personal quality.
    3. Temperament.
    4. Personality.
  5. Multiple ____________ that include peer pressure, cultural oppression, academic stress, volatile teachers or parents, and economic worry contribute to unregulated bullying behavior as well.
    1. Situational elements.
    2. Stress indicators.
    3. Stress environments.
    4. Tension environments.
  6. A common myth about children and youth who bully is that they are “_______.”
    1. Loners.
    2. Academically challenged.
    3. Mentally challenged.
    4. Malicious.
  7. Young bullies are more likely to report that they:
    1. Engage in high risk hobbies.
    2. Own guns.
    3. Take psychotropic medications.
    4. Lack friends.
  8. Because __________ are the first line of defense when it pertains to children developing into bullies, nursing professionals can help parents reexamine conventional erroneous thinking or behavior that promotes bullying.
    1. School officials.
    2. Families.
    3. Friends.
    4. Police officers.
  9. The American Nurses Association ANA Position Statement on the Nurse’s Role In Ethics and Human Rights contains the following components related to enhanced practice to intervene and prevent bullying EXCEPT:
    1. Respect for the inherent dignity, worth, unique attributes, and human rights of all individuals
    2. Nurses establish relationships of trust and provide nursing services according to needvv
    3. Setting aside any bias or prejudice
    4. Taking political action to lobby legislators for anti-bullying funds
  10. What are the four domains of the American Academy of Pediatrics (AAP) Guidelines for Healthcare Providers, which apply to nursing practice and leadership?
    1. Clinical practice, ethics, advocacy, and research
    2. Advocacy, clinical practice, interventions and prevention
    3. Clinical practice, advocacy, education, and research
    4. Care planning, clinical practice, advocacy and education.

Q1: Steve Smith is reviewing the results of the review of subsequent cash receipts. There are several receipts listed from customers that were considered doubtful at the end of the year (30 June). Steve is also reviewing evidence that shows that another customer that had a large balance at year-end was unexpectedly declared bankrupt on 10 July.
Required
How should this information be reflected in the financial report?
Q2: Chan and Partners Chartered Accountants is a successful mid-tier accounting firm with a large range of clients across Australia. During the 2017 year, Chan and Partners gained a new client, Medical Services Holdings Group (MSHG), which owns 100 per cent of the following entities: • • Shady Oaks Hospital, a private hospital group • • Gardens Nursing Home Pty Ltd, a private nursing home • • Total Cancer Specialists Limited (TCSL), a private oncology clinic that specialises in the treatment of cancer. Year-end for all MSHG entities is 30 June. You are the audit partner reviewing the audit work papers for MSHG for the year ended 30 June 2017. Today is 13 July 2017 and the audit report is due to be signed in three weeks’ time. During your review you note that the fixed-term borrowings of MSHG totalling $75 million are approaching maturity and MSHG does not seem to have renegotiated any terms of refinancing. You are aware, from your experience with other clients, that banks are reluctant to extend financing on the same terms in the current market. The financing of MSHG was historically managed by the group’s treasurer who left the group six months ago and has not been replaced. MSHG’s financial controller, who has been with the group for nine months, has advised you that he has been busy renegotiating with some of MSHG’s key suppliers who recently requested cash on delivery for all orders rather than extending the normal credit terms. You are also aware that a fire that occurred in the hospital cafeteria last week was not adequately covered by insurance. Fortunately, no one was seriously injured in the fire, but the cafeteria was so badly damaged it had to be closed. While discussing this matter with MSHG’s law firm, they reveal that the hospital is unlikely to have adequate professional indemnity insurance to meet the current demands of several malpractice cases that have been brought against the hospital in the last 12 months.
(a) Explain your responsibilities with respect to the cafeteria fire.
(b) How will this event be handled in the financial report and the audit report?

Developing An Evidence-Based Practice (EBP) Project Question 
Write my research paperDeveloping an Evidence-Based Practice (EBP) Project QuestionConsider issues related to your nursing practice. What stands out to you about your specialty area? What questions or concerns do you think are especially in need of attention? Why? How would you most like to contribute to the knowledge base of your profession?The EBP Project provides a significant opportunity for furthering the nursing profession. Formulating a specific, applicable question is a necessary first step for developing your project. The question defines the focus of the EBP Project and guides your selection of research methods and tools. Think about aspects of your specialty area and begin to formulate a question that relates to your nursing practice.The primary purpose of this Discussion is to provide a forum in which you and your colleagues can support each other in cultivating a practice-related question.To prepare:By tomorrow 08/28/18 10pm write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Answer the questions as numbered below:Post a cohesive scholarly response that addresses the following:1) Share your project question, as you have developed it thus far (Write the questions exactly as the PIICOT Template provided in the attached file area).2) Discuss salient elements that inform your project question: theory, current research, nursing practice, and specialty knowledge.3) Pose any questions or concerns you may have related to developing your project question or literature review. You may also include any other issues related to expanding your expertise within your specialty area.Required ReadingsTerry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.Chapter 2, “Developing the Researchable Problem”American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/dnp/Essentials.pdfJeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109. McCurry, M. K., Revell, S. M. H., & Roy, C. (2009). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51-53.Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61.Tschannen, D., Aebersold, M., Kocan, M., Lundy, F., & Potempa, K. (2015). Improving patient care through student leadership in team quality improvement projects. Journal Nursing Care Quality, 30(2), 181-186. Vanderbilt University Center for Teaching. (2017) Bloom’s Taxonomy Retrieved from https://cft.vanderbilt.edu/guides-sub-pages/blooms-taxonomy/Yensen, J. (2013). PICO Search Strategies. Online Journal of Nursing Informatics (OJNI), 17 (3). Available athttp://ojni.org/issues/?p=2860Purchase the answer to view itPurchase the answer to view itPurchase the answer to view itThis is property of academicpaperguru.com. Tap into our custom essay writing service that has existed for the last decade and allow us to help you with your assignment. We are always at your service. Log in today and enjoy our affordable writing service

Assignment: Policy/Regulation Fact Sheet
As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.
With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.
In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.
To Prepare:
· Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
· Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
· Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.
The Assignment: (1 page)
Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:
· Briefly and generally explain the policy or regulation you selected.
· Address the impact of the policy or regulation you selected on system implementation.
· Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
· Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

Topic : Nightingale’s Environmental Theory

1. Describe the background of the theorist, description of the theory, assumptions of the theory, the application of the theory to nursing practice, and the compatibility of the theory to your personal philosophy of nursing.

The student will select a nurse theorist and prepare a PowerPoint presentation describing the background of the theorist, description of the theory, assumptions of the theory, the application of the theory to nursing practice, and the compatibility of the theory to your personal philosophy of nursing. Below you will see the criteria for each slide:

The Grading Criteria for the Nurses Theorist Presentation:

Background of the theorist                                               20%

Description of the theory                                                  20%

Assumptions of the theorist                                              20%

Comparison to your personal philosophy of nursing           10%

Application to a clinical situation                                       20%

Presentation style and creativity 10%

Total                100%

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Q2

NANDA-I accepted nursing diagnoses – SCENARIO BASED NURSING  CARE PLAN – Nursing Assignment

Nursing Case Study Assignment :

Mr Peter Jones is a 62 year old man admitted to ED with abdominal pain and constipation. Initial abdominal x-ray and a CT scan revealed a tumour obstruction in the recto sigmoid region of the colon. Mr Jones was taken in for an emergency laparotomy for the resection of the recto-sigmoid tumour.

Group significant data into logical clusters

Identify data gaps

Identify conflicting or inconsistent data

Determine the patient’s perception of normal health

Determine how the patient coping with his/her health problem

Analysing data (what does the data mean?

Identifying the person’s real or potential health problems.

Identifying the person’s strengths

Music History & Lit I: Composer Paper Choose a composer from any of the time periods we have discussed in class this semester (Ancient to Baroque) in order to write a 3-5 page research paper. Your research should include the following information on your composer:
 Basic biographical information
 Personal life (spouse, children, etc.)
 Educational background
 Employment history
 Important works of music
 Influence on music/contributions to the development of music
 How the composer was affected by the world around them o Consider social structure, political climate, etc.
Your paper should be written in Turabian (aka Chicago) style, and should include a title page and a list of works cited and/or biography. You should use 4 or more scholastic resources to complete your paper. Turabian writing resources can be found here: https://www.liberty.edu/casas/academic-success-center/turabian/quick-guide/ Writing for music should be in a research style – succinct, direct, and factual. For research writing tips, see the “Writing Tips” document under ‘Resources’ in Discovery.
 

Please Check the Competencies:
Overview 
  
Write 3–5 pages in which you describe a nursing informatics best practices policy for effective and safe data use in a nursing practice setting or organization.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 2: Identify strategies and best practices for using informatics in nursing and health care.       

Describe the best practices needed to promote and support data security.
Describe the ethical standards needed to promote patient confidentiality.
Describe regulatory requirements that promote and support positive patient outcomes related to a specific population.
Describe the types of behaviors and skills nurse leaders need to guide the use of information technology and research for improved patient-care outcomes.

Competency 4: Communicate in a manner that is consistent with expectations of a nursing professional.       

Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

How do nurses develop best practice?
How does research support best practice?
What are best practices in your organization that you think are exemplars for improving patient care?
What nursing roles should be in place to support the use of evidenced-based practice?
How would you describe the concept of meaningful use and technology adoption stages: electronic health records (EHR) incentive programs, and how does this fit within the context of best practice?
What are the main points to consider as you review The Health Insurance Portability and Accountability Act (HIPAA), and why is this best practice?
How does the Patient Safety and Quality Improvement Act (PSQIA) support patient safety and improved patient outcomes?

Assessment Instructions 
  
Imagine an organization asks you to contribute to the development of an information system best-practices policy to help maintain patient safety and patient confidentiality in their practice setting. The organization wants you to create a document to help the group better understand why an informatics policy is needed and the practices that should be included in the policy.
A nursing informatics best-practices document can serve multiple purposes, such as a handout for new-hire orientation or as a background report given to a committee tasked with creating or updating a nursing informatics best-practices policy.
Preparation
To expand your understanding of nursing informatics best practices within the industry, research the most current information about the topics of nursing best-practices documents and nursing informatics best practices.
Using different methods (Web search, for example), locate 4–6 scholarly articles related to best practices designed to support positive patient outcomes related to the following areas:

The meaning of secure data practices.
Ethical standards needed to promote and support data security.
Patient confidentiality.
Regulatory requirements.
Behaviors and skills nurse leaders need to guide the use of information technology and research for improved patient-care outcomes.

Directions
Create a description of a nursing informatics best-practices policy document designed to define and encourage effective and safe data use in a practice setting or organization.

Purpose Statement: Statement of why an organization would create the policy. Include any reasons and intent that supports the creation of an informatics best-practices policy.
Best Practices Definitions and Descriptions: 

Definitions of secure practices, data security, and patient confidentiality.
Ethical standards.
Regulatory requirements.

Implementation: 

Behaviors – describe the behaviors nurse leaders will need to demonstrate that will guide implementation of the policy.
Skills required – describe the skills needed to ensure policy adherence.

Format your document using the professional format and style (corporate identity) used in your organization or practice setting. Note: If you are not currently working in an organizational setting, follow the formatting instructions below.
Additional Requirements

Written communication: Ensure written communication is free of errors that detract from the overall message.
APA formatting: Format resources and citations according to current APA style and formatting guidelines.
Number of resources: Cite a minimum of four peer-reviewed resources.
Length: Submit 3–5 typed, double-spaced pages.
Font and font size: Use Times New Roman, 12 point.

I will be attaching resources from the links in instructions if you should need them to help complete this assignment.

QUESTION

Nursing

Choose two long-term care facilities—one from nursing facilities, assisted living, or subacute care and another from adult day care, home health care, or hospice care—on which you would want to base your research work. Research Internet to read about your chosen long-term care facilities.

Assume you are responsible for the management and administration of the two facilities. You have to orient the newly appointed manager by providing an overview on managing long-term care. You also need to discuss the programs of the two facilities. From this perspective and based on your research about the facilities, prepare a Microsoft PowerPoint presentation of 10–15 slides including the following:

What are the various multidisciplinary departments (teams) included in your facilities?

Who comprise the target population being served by the various programs provided by your chosen facilities?

What are the major staffing and human resource issues faced by your chosen facilities?

What are the significant trends in long-term care likely to impact the operation of the various programs provided by your chosen facilities, and what is your plan of action to overcome them?

What are the various forms of cooperation and integration existing in your chosen facilities? Discuss the nature of management, financing, and quality issues related to integration and cooperation in the facilities?

Support your responses with examples.

Use the Notes section of the slides to provide additional information.

Cite any sources in APA format.