Question Answered step-by-step discuss a leadership communication strategy to gain support for changePlease explain.Thanks Health Science Science Nursing NSG 557 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step The ACNP is assessing a 54 year old male complaining of chest pain… The ACNP is assessing a 54 year old male complaining of chest pain and L shoulder pain that began about 4 hours ago. He thought it was indigestion so took some tums and laid down for awhile. BP 100/60 HR 68 R 22 T 99 12 lead EKG shows some ST segment depression in V1 and V2 Hg 14 WBC 6.8 K 4.4 Troponin T 4.6 Troponon I 3 CK-MB 12 What is the likely diagnosis for this patient? STEMIUnstable anginaNSTEMINoncardiac chest pain Health Science Science Nursing NURS MISC Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Case Study 5: Agnes Bass, a 68-year-old woman, presents to the… Case Study 5:Agnes Bass, a 68-year-old woman, presents to the emergency department in acute heart failure complaining of an inability to “catch my breath.” Her initial vital signs are temperature 99F, pulse 108 beats per minute, respirations 28 per minute, and blood pressure 172/90 mm Hg. Her O2 saturation is 88% on room air. Mrs. Bass has a history of uncontrolled hypertension, and her husband reports that for the past 2 months, they did not have sufficient money to buy her medications.After receiving Oxygen at 2 L/min on nasal cannula, placement in a high Fowler’s position, and administration of 40 mg of IV furosemide, Mrs. Bass’s vital signs are temperature 99 F, pulse 102 beats/min, respirations 26 beats per minute, blood pressure 172/90 mm Hg, and O2 saturation 89%. Physical assessment findings include crackles on auscultation, productive cough, and bilateral 2+ peripheral edema to the knees. A cardiologist makes a diagnosis of biventricular heart failure.What is the rationale for the use of IV furosemide to treat heart failure?What is the pathophysiology of fluid overload reflected in the assessment findings?Mrs. Bass has improved, and her vital signs are temperature 98.6F, pulse 84 beats per minute, respirations 18 per minute, blood pressure 132/80 mm Hg, and O2 saturation 94% on room air. Her physician orders an extra dose of 20 mg of IV furosemide to be given now.What administration guidelines should the nurse consider?Mrs. Bass says that she enjoys snacks such as potato chips and pretzels.What response should the nurse make? Health Science Science Nursing NUR 3420 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step 1.) Alarm fatigue is characterized by: Yes, of the options, this… 1.) Alarm fatigue is characterized by:Yes, of the options, this alarm may be considered nonactionablea. the inability of nurses to switch an alarm to the “off” positionb. an increase in patient safety outcomesc. nurses becoming desensitized to the sound and failing to respond when the alarm finally signals a true, clinically significant eventd. the alarm failing to activate due to lack of power2.) Nonactionable alarms are a type of nuisance alarm triggered by intentional actions on behalf of the patient, and they do not inform staff of an unknown condition. An example of a nonactionable alarm might occur:a. a pulse oximeter sounds to notify staff that the blood oxygen saturation has dropped below the limit thresholdb. an alarm sounds in the intensive care unit to indicate an irregular heart rhythmc. a ventilator alarm briefly sounds while the nurse is suctioning a patientd. a device sounds an alarm to indicate its battery is low3.) In her research, Kinghorn found that customizing alarms and changing the default settings were successful interventions in decreasing the total number of cardiac alarms. a. Trueb. False4.) As reported in The Joint Commission’s report, many sentinel incidents were the result of alarm mismanagement, such as absent or inadequate alarms systems, improper alarm settings, alarms that were inaudible to staff, and alarms that had been inactivated. a. Trueb. False5.) Within entire hospitals, the number of daily alarms can easily reach into the thousands, even tens of thousands.a. Trueb. False6.) Which of the following are common root factors contributing to alarm fatigue?a. Overstaffing, resulting in confusion as to who is responsible for managing the alarmsb. Alarm settings not customized to the individual patient or patient populationc. Inadequate staff training on the proper use of medical device alarmsd. Equipment malfunction and failures7.) The nurse’s response in alarm management includes which of the following? (Select all that apply.) Select one or more:a. Prioritizingb. Distinguishing the actionable from the nonactionablec. Ascertaining the alarms’ meaningd. Responding Health Science Science Nursing NURS MISC Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step write a PICO question based on this scenario, then Identify the PICO elements for the question. Reducing medication errors: A medical surgical unit manager has had a significant increase in medication administration errors over the last two months. The errors involve many staff members and are occurring on all shifts. The budget does not allow for the purchase of new administration system. Your task is to research an intervention to decrease medication administration errors from the nursing staff within these parameters. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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Question Discuss the importance of selecting testing partners (when doing a… Discuss the importance of selecting testing partners (when doing a project in general) Health Science Science Nursing NUR 690 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Medical Surgical chapter 13 study guide Image transcription textSIGNS AND SYMPTOMS OF SHOCK STAGES Fill in the blank lines to complete the table. Stages IrreversibleSigns/Symptoms Slowing Progressive Compensated Heart rate Tachycardia Pulses Weak, thready Systolicblood pressure Below 90 mm Hg Normal In hypertensive person, Decreasing to 0 25% below bas… Show more… Show more Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Let’s imagine you are working in an urgent care clinic as a staffmedical assistant. It’s a full moon and there is a major flu outbreak in your area. Your clinic has already seen more than 150% of its normal volume, and it’s still two hours from closing time. Ellie James (DOB 06/26/2014) was just seen by the nurse practitioner and was prescribed a Tylenol suppository for her fever. The nurse practitioner orders a suppository to be administered in the office. As you are selecting the medication, you accidentally select the aspirin suppository because the two have similar packaging. You administer the suppository and notice as you are documenting the medication that there is an error. Describe your next steps and takeaways from the event. Beyond legal aspects of reporting, what moral aspects should be a factor in reporting culture? For your citation, you might use articles that show examples of how healthcare facilities report medication errors. You can also find articles from experts that suggest the legal and ethical implications of reporting, especially reporting med errors from coworkers, superiors, or providers. Health Science Science Nursing PHR 155 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step A 74-year old male who had a pelvic abscess drainage five days ago… A 74-year old male who had a pelvic abscess drainage five days ago is complaining of chest pain and shortness of breath. His current vital signs are as follows: BP 90/56 mm Hg; heart rate 118 bpm; resp 28 bpm. He is afebrile with a pulse oximeter reading of 73% on 4L O2 via nasal cannula. The patient is 83 kg (IBW), is emergently intubated for respiratory failure. The most appropriate initial ventilator settings are: VT 650 mL; FiO2 60%; RR 16: PEEP 5 cm H2OVT 700 mL; FiO2 80%; RR 18: PEEP 5 cm H2O VT 600 mL; FiO2 100%; RR 12: PEEP 5 cm H20VT 800 mL; FiO2 100%; RR 12: PEEP 5 cm H2O Health Science Science Nursing ECON MISC Share QuestionEmailCopy link Comments (0)
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