Question Scenario As a recent BSN graduate, you sign-up to join a journal… ScenarioAs a recent BSN graduate, you sign-up to join a journal club on your clinical unit. The journal club serves as a collective effort to remain current with the literature. The purpose of the journal club is to provide a strategy for evaluating current research and translating it into nursing practice. The facilitator of the journal club has asked you to select, critically appraise, and present your findings at the next meeting. Since this is your first time presenting, the facilitator provides a worksheet to guide you through the process.WorksheetContentSelect one current nursing research article that can be translated into evidence-based practice. Review the article and complete the worksheet provided. Your analysis will include the required elements of the research process and will begin the evaluation phase of appraising the literature. Identify the steps or elements of the study. Determine the strengths and limitations of the research study. Evaluate the credibility and meaning of the study findings Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step 1. Dr. Rogers was in the emergency department when a woman whowas badly injured in a car accident was admitted. She was bleeding profusely; the health care team would have to act fast to save her life. Dr. Rogers ordered five units of blood. As Dr. Rogers started the intravenous line, a student nurse who had been searching the woman’s wallet for her name and a contact person said, “Dr. Rogers, her name is Berta Granger . . . and here is a Jehovah’s Witness card that says no transfusions for any reason.” Dr. Rogers shrugged. “Is there a next of kin?” “No,” relayed the student nurse, “I don’t see a contact.” “I don’t have time to wait,” said Dr. Rogers. “Hang the first unit . . . and let’s get this lady to the OR.” The woman received 15 units of blood, and the doctors saved her life. She later sued the hospital.Assuming that you were a member of that health care team, what would you have done? Did the doctor have the right to make the decision to give the woman the blood? Consider the client’s rights, the principle of informed consent, the duty of the doctor and the nurses to preserve life, and the fact that the situation was an emergency (i.e., the client was unconscious and critically ill). Health Science Science Nursing MATH 198 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step 1. In a patient with hyperglycemia, the intracellular fluid mayshift into the extracellular compartment, leading to decreased sodium levels. True False1 points QUESTION 21. Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated triglyceride levels equal or greater than 150 mg/dL True False1 points QUESTION 31. Patients with Addison disease have ________________ serum ACTH concentration and ________________ levels of cortisol. suppressed; normal normal; elevated suppressed; elevated elevated; suppressed 1 points QUESTION 41. ___________________ blood glucose levels may be the first sign of an impending illness in a patient with Diabetes Mellitus. Falling Decreasing Unstable Rising 1 points QUESTION 51. Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated blood pressure: systolic 140 mm Hg or higher and diastolic 95 mm Hg or higher, or drug treatment of previously diagnosed hypertension True False1 points QUESTION 61. In patients with Type 1 or Type 2 Diabetes Mellitus and who have low CVD risk, aspirin is recommended. True or False? True False1 points QUESTION 71. Which medication is commonly the first-line oral medication for Type 2 Diabetes Mellitus and in which class of drugs does it belong? glimepiride; which is a Sulfonylurea glipzide ; which is a Sulfonylurea metformin ; which is a biguanide acarbose; which is an alpha glucosidase inhibitor 1 points QUESTION 81. Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is:Reduced HDL cholesterol: below 50 mg/dL in males and below 60 in females, or specific treatment for this lipid abnormality True False1 points QUESTION 91. The NP suspects a patient has hypothyroidism. The NP would expect TSH and T4 level to be: Low TSH with High T4 levels Low TSH and low T4 High TSH and high T4 High TSH and low T4 1 points QUESTION 101. What are cardinal signs of Type 1 Diabetes Mellitus? Weight gain, blurred vision, and increased energy Weight gain, blurred vision, insomnia Decreased urination, decreased thirst, and decreased appetite Increased urination, increased thirst, increased appetite Health Science Science Nursing NRNP 6568 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step A mother, Megan, brings her daughter, Eva, age 2 1/2, to the county… A mother, Megan, brings her daughter, Eva, age 2 1/2, to the county health department. Megan tells the health department nurse, Clara Jones, that Eva just doesn’t seem to be doing things that other children her age in her apartment complex are doing and never seems to gain any weight. Clara asks for an example of what Eva can’t do as well as other children her age. Megan states that Eva can’t stack blocks and speaks limited words. Questions for students:1. What are four specific growth and development milestones that Eva should be demonstrating at her age? Use the following site (or your pediatric textbook) as a reference: http://www.cdc.gov/ncbddd/actearly/milestones/milestones-2yr.html 2. What nursing assessments and risk factors are important to identify in a home environment? Health Science Science Nursing CHEALTHSCI 101 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step .Demonstrate an underpinning knowledge of what teamwork, leadershipis and the impact in enhancing inter-professional practice in the care setting Health Science Science Nursing Health NS205 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Use the script below to answer questions 1. Do you feel red is the… Use the script below to answer questions 1. Do you feel red is the victim of abuse? If so, what should you do? 2) What is Red experiencing? 3) Which assessment tools will you use? 4) Who will you collaborate withRed Yoder: Script for Introductory MonologueI understand you want to hear my story; well I’m not much for talking, but I can give you the highlights. There’s a lot that’s happened over my 80 years.From the top. My name is Sherman Yoder, but I answer to “Red.” No one around here even remembers my real name. I was born in this house in the downstairs bedroom. Mom had already delivered six kids and there was no way I was waiting for Dad to finish feeding the hogs and get Mom to town before I come out. Mom used to love to tell that story.Dad bought this farmhouse and the first hundred acres right before he went off to WWI. The folks saw good times and bad in this ol’ place and so have I. All my brothers and sisters left the land as soon as they could. I was the only one of the lot to care about this place and want to carry on what Dad started. I really haven’t gone far from this spot in my entire life. The one time I got it in my head to try something different; I wound up in Korea with an Army uniform on. I was glad to get back to this place after that stint and here I’ve been ever since.Married the neighbor girl Bessie when I got back. Her dad wasn’t so sure that it would work out since she was 8 years younger than me and she intended to go off to the state college. We sure did prove him wrong; we celebrated our 50th anniversary the week before Bessie died. The ladies at the church had the hall all decorated up and we brought Bessie home from the hospital for the afternoon. She was bound and determined to live for that day; no way did she want her friends to go to that much work for her to not show up. I couldn’t believe it when the ladies had to prepare for the reception after we buried Bessie in that same hall one week later. We had such a good life together. That was 10 years ago.I don’t do much of the farm work anymore. Our son Jon takes care of the crops and the few animals we have. I still go out to the hen house every morning to collect the eggs. I’m a little stiff in the morning, but I get loosened up enough to walk out to gather some fresh eggs to go with my bacon for breakfast. I get in to town at least once a week; on Monday morning me and my buddies meet at the VFW for our coffee and donut break. I get caught up on all the town gossip and we laugh and bellyache about what’s going on in the world.Three weeks ago I celebrated my 80th birthday. My daughter in law, Judy, organized a big “to do” at the church after the Sunday service with cake and ice cream and all the fixins’ for my party. I had a big piece of cake but skipped the ice cream. Doc Baker was there and I knew he would scold me about too much sugar. Six months ago he told me I had diabetes and I started taking a pill for it, but a few weeks ago he put me on insulin. I figure I should be able to eat what I want; come on, I’m not going to live forever, and it was my favorite cake, German chocolate. I ate it in the kitchen so the Doc wouldn’t see me; wouldn’t you know, his office nurse Helen came in the kitchen with a load of dishes just as I was putting the last bite in my mouth. She just winked at me and smiled.After the party I went out to the mall with Jon and the grandkids. I’m not one for shopping much, but I needed a new ink cartridge for my printer and the computer store is the one place I like to look around in. Too bad we parked clear on the other end of the mall so the kids could go by their favorite stores for Grandpa to buy them a little something. Jon got real mad at me when I asked if I could sit and rest for a while, so I just kept walking. I guess my new shoes were a little tight; I didn’t feel anything but when I got home there was some blood on my sock, and then I saw a sore on my big toe. It must not be too bad since it’s not hurting except when I try to put my shoes on.I showed the sore to Jon and Judy the other day and Judy said she would call the doctor to see what she should put on it. Jon gets so irritated when I need extra help; I hope I can just continue to soak my foot in hot water to clean it out. Judy was a nursing assistant out at the old folk’s home for many years; I’m hoping she will be able to help me with this. I like the idea of the home nurses coming out here as long as my VA benefits pay for it. That way they can see that I’m doing just fine living here on my own.I was searching on the Internet for the best way to treat this sore; there are so many sites that talk about foot sores if you’re a diabetic. Some of those pictures are pretty scary; I can’t sleep at night thinking about what could happen if this doesn’t heal. Of course I haven’t slept through the night for years. Even the couple of beers I have at night when I’m on the computer don’t seem to be helping anymore. Judy sometimes gives the kids Benadryl to help them sleep so I’ve been taking a couple when I go to bed; they seem to help me sleep a little better.As a matter of fact, I need to wrap this up now. I promised Jack, my grandson in college, that I’d Skype him in a few minutes. He just started the agronomy program at the university. I love to hear about what he’s learning and give him encouragement to come back to the farm. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Jeff is a male who presents with shortness of breath and fatigue.He also complains of frequent dyspepsia with nausea and occasional epigastric pain. He admits to a history of alcohol abuse.Based on the above symptoms and history (albeit brief), choose 2 possible diagnoses and describe the pathophysiologic process behind the diagnoses and briefly describe basic treatment for that disorder. Feel free to add information (such as age, more symptoms, etc) if that helps you to describe a diagnosis and treatment. For example, you can choose a pediatric age or an older adult age when choosing possible diagnoses. Health Science Science Nursing NURU 605 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Write a comprehensive history, utilizing the form linked below, on… Write a comprehensive history, utilizing the form linked below, on either someone over the age of 65 or someone you know has many medical problems. Write the results in narrative format and include the family history as a genogram. Health Science Science Nursing NUR 2180 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step help.please Image transcription textQuestion 3 (1 point) Listen Why would a nurse apply a bag valve mask instead of a non-rebreather in an acuteemergency situation? O To assist with ventilating a patient O To allow the patient to move freely To provide upto 90% oxygen concentration To provide humidity during oxygen treatment… Show more Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Hemoglobin A1C is the average glucose level of what length of time?… Hemoglobin A1C is the average glucose level of what length of time?1 month2 months3 months4 months1 points QUESTION 2Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. The most likely diagnosis is:HalitosisPeptic ulcer diseaseGastroesophageal reflux disease (GERD)A or B only1 points QUESTION 3Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABAs and LABAs. True False1 points QUESTION 4Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. This presentation is most typical of:Pelvic inflammatory disease (PID)VulvovaginitisDysmenorrheaAmenorrhea1 points QUESTION 5In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope. True False1 points QUESTION 6Once cervical cancer screening is initiated in women, the screening interval should be:Every 2 yearsEvery 3 yearsEvery 4 yearsEvery 5 years1 points QUESTION 7The CDC recommends that after a child receives a vaccine (s)he should be monitored for:15 minutes20 minutes30 minutes60 minutes1 points QUESTION 8Continuous antibiotic prophylaxis with which antibiotic is the most effective mode of treating UTIs are all of the following EXCEPT:TMP-SMXNitrofurantoinCephalexinCiprofloxacin1 points QUESTION 9Amanda was out hiking with her boyfriend in the woods. When she gets home, she notices that she has an inflammatory skin reaction caused by something she picked up in the woods. The next day she sees bright red pruritic lesions on her lower extremities that are moist and painful. The NPs diagnosis is:Poison ivy reactionAtopic dermatitisActinic keratosisPsoriasis1 points QUESTION 10Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation of the abdomen she feels a palpable mass that is greater than 3 cm in width. To confirm Kyle’s diagnosis the NP would immediately order which test(s)?X-rayMRIAbdominal ultrasoundCT scanC & D only1 points QUESTION 11Wen is a 48 y/o female who comes to the clinic with fatigue, weight gain, cold intolerance, constipation, and menstrual abnormalities. The NP orders a TSH and free serum T4 and thyroid peroxidase antibody (TPO). The TSH is 6.0 mU/L, the T4 is low, and the TPO is high. Her most likely diagnosis is:HyperthyroidismHyperparathyroidismHashimoto’s thyroiditisNone of the above1 points QUESTION 12John is a 26 y/o Caucasian male who works as a landscaper for his father’s business. During the past couple of months, he has noticed a small dark popular lesion on his neck. He states that it sometimes bleeds and is a “sore that never heals.” The NP notes that he has a circumscribed 2mm lesion at the base of his neck just below the hairline. The most appropriate treatment for John’s lesion would be:Apply Aldara CreamElectrocauteryMohs surgery”Watch and wait”1 points QUESTION 13Mickey is a 23 y/o male who comes to the clinic with the following complaints: abdominal pain, chest pain, and seizures. In reviewing his record, the NP notices that this is his 20th visit this year. Furthermore, he has had six exploratory surgeries that have discovered nothing of consequence. His most likely diagnosis is: Munchausen syndrome Schizophrenia Posttraumatic syndrome Anorexia nervosa1 points QUESTION 14Oral contraceptives can be started anytime in the menstrual cycle. True False1 points QUESTION 15Diagnostic studies for Type II diabetes mellitus would include which of the following:HbA1C (>6.5%)Fasting plasma glucose (= to or >126 mg/dL)Random plasma glucose (>200 mg/dL)All of the aboveNone of the above1 points QUESTION 16Deep palpation of the left lower quadrant of the abdomen causes referred pain to the RLQ. This is a positive for:Rovsing’s signPsoas signMcBurney’s pointMurphy’s maneuver1 points QUESTION 17Pneumococcal vaccine is recommended for which of the following groups of patients?Persons > 65 y/oImpaired immunityBlood disordersHeart and lung diseaseAll of the aboveA, B & D only1 points QUESTION 18Marty is an 18 y/o outdoorsman who loves hiking in the woods. Marty notes that he was hiking about 10 days ago, and now he has a red rash with a central clearing that looks like a target. The rash is rough and hot to the touch. He now has flu-like symptoms. The NP diagnoses this rash as:EczemaBrown recluse spider biteLyme diseaseActinic keratosis1 points QUESTION 19Antipsychotics lead to an increased risk of metabolic syndrome. True False1 points QUESTION 20Mike is a 56 y/o male who lives in an abandoned building with about 40 other people who are homeless. He comes to the clinic with a social worker who describes his symptoms as: a cough, dyspnea, pleuritic chest pain, fever and tachypnea. In your physical exam, you learn that he has some consolidation in the lower lobes with an audible friction rub. To treat Mike’s problem, the most appropriate pharmacological agent would be:LevofloxacinMacrolideCefoxitinMoxifloxacin1 points QUESTION 21Melanoma is the most common type of skin cancer. True False1 points QUESTION 22Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:MeaslesHand, foot, and mouth diseaseScarlet feverVaricella1 points QUESTION 23Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s condition include which of the following:Mycoplasma pneumoniaeChlamydia pneumoniaeLegionella pneumoniaAll of the aboveNone of the above1 points QUESTION 24Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. Some lifestyle changes to treat Zina’s condition would include which of the following?Stop smokingAvoid ASAAvoid alcoholAvoid caffeineAll of the aboveA, C, and D only1 points QUESTION 25Osteoporosis is defined as having a T-score of _____ or less than the standard deviation of a healthy individual.1-1.5-2.5-3.51 points QUESTION 26All of the following are considered macular lesions except:FrecklesAcneLentigoPsoriatic lesionsA & C onlyB & D only1 points QUESTION 27Lactation mastitis typically occurs in which time frame:At 3 months after birthAt 6 months after birthWithin the first 2 months after birthNone of the above1 points QUESTION 28The most common side effects of giving SSRIs to depressed patients include:DiarrheaNausea and vomitingSexual dysfunctionAll of the above1 points QUESTION 29Which of the following insulins is a “rapid acting” insulin?LantisHumulin NHumulin RHumalog1 points QUESTION 30Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is:Irritable bowel syndromePeptic ulcer diseaseGERDPancreatitis Health Science Science Nursing NRNP 6568 Share QuestionEmailCopy link Comments (0)
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