In your discussion post, address the following: . In which state do you live?
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Give protriptyline Hydrochloride 5mg po BID. Round your answer to the nearest whole or half tablet.
Give protriptyline Hydrochloride 5mg po BID. Round your answer to the nearest whole or half tablet.
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How much IV fluid will be delivered to the client when they receive 0.45% NS at a rate of 125 mL/hr for 12 hours? Round to the nearest tenth.
How much IV fluid will be delivered to the client when they receive 0.45% NS at a rate of 125 mL/hr for 12 hours? Round to the nearest tenth.
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What are some alternative ways to improve staffing and retention of full-time nurses within an organization?
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Compose three Nanda nurses diagnosis for a 3 month old patient with hypoplastic left heart syndrome with smart short term goals, smart long-term goals, with 3 nursing interventions and rationale
Compose three Nanda nurses diagnosis for a 3 month old patient with hypoplastic left heart syndrome with smart short term goals, smart long-term goals, with 3 nursing interventions and rationale
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Immediate interventions to treat an active seizure?
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How would you educate the caregiver about long term management of seizures in a child?
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create a nursing dx of psychiatric pt. with depression, avoid the use of at risk of, and use r/d and web. provide reference if possible
create a nursing dx of psychiatric pt. with depression, avoid the use of at risk of, and use r/d and web. provide reference if possible
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Case study has a history of hypertension and osteoarthritis Allergies
Case study has a history of hypertension and osteoarthritis Allergies: No known drug allergies Medications: Celecoxib and hydrochlorothiazide Code Status: Full Code Social/Family History: Lives alone in a small home without air conditioning. Married daughter visits regularly. Daughter at the bedside. Handoff Report Situation: This patient is a 72-year-old male who is being transferred from the ED. A diagnosis of rhabdomyolysis is suspected, precipitated by heat exhaustion. In the ED, an IV was started, an indwelling urinary catheter was inserted and labs were drawn. He was hydrated with a 500 mL 0.9% normal saline (NS) bolus. Due to his low urine output, cola-colored urine, altered level of consciousness and pending labs, he is being admitted to the Medical Unit. Admitting orders have been written and are on the chart. Background: The patient’s daughter found him on the floor of his kitchen this morning dressed in the same clothes he had on yesterday. He was on his back, incontinent of urine, confused and speaking gibberish. It is believed that he was lying on the floor most of yesterday, unable to call for help. There has been an extreme heat wave for the last several weeks. The patient’s home does not have air conditioning. The patient lives alone and has had the flu, along with vomiting and anorexia for the past week. It is unclear why or how he fell. According to his daughter, he is in relatively good health but has hypertension and osteoarthritis. He is alert but disoriented to time and place. He is anxious and asking for his daughter. He complains of dizziness, muscle pain, cramps and fatigue. He has no known allergies. Assessment: Vital Signs: HR 118, BP 80/60, RR 22, Temp 39.80C General Appearance: Anxious, appears older than stated age Cardiovascular: Sinus tachycardia Respiratory: Breath sounds clear bilaterally Program for Nursing Curriculum Integration (PNCI®) Heat Exhaustion (C 2009 MeT.Sarasota. METI Learning Heat Exhaustion PNCI – Learner Gl: Active bowel sounds, complains of nausea, no vomiting GU: A urinary catheter was inserted in the ED and is draining 30 mL/hour, cola-colored urine Extremities: Cool, pale, sluggish turgor. Movement is weak in all four extremities, complains of muscle pain and severe cramps in legs and lower back when extremities are moved. Skin: Cool, ashen gray, sluggish turgor Neurological: Alert, drowsy, oriented to person, disoriented to place and time. Pupils equal, round and reactive to light and accommodation. No neurological deficits noted Is: 20-gauge IV to saline lock in the right forearm. Insertion site non-reddened Labs: Lab values are pending Fall Risk: High-risk Pain: Complains of pain in legs and lower back Recommendations: Implement admission orders and monitor for instability. Orders Initial Healthcare Provider’s Orders: Admit to Medical Unit Vital signs every 2 hours Telemetry monitoring Continue cooling measures until temperature is less than 38.3°C • Icepacks to groin, neck and torso
• Evaporative cooling with a high-speed fan in room Notify healthcare provider if patient starts to shiver Notify healthcare provider if heart rate less than
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Summarize the pending healthcare bill or the lack there of if you chose to recommend a new bill
Pending Bill :H.R.2411 – National Nursing Workforce Center Act of 2023
use the bill and leader identified in Week 2 to compose a letter or email to the leader or change agent using the following sections. Use proper letter or email format including address lines, greeting, subject line, date, salutation, and professional closing. Use this sample letterLinks to an external site.Open this document with ReadSpeaker docReader Links to an external site. as a guide. Use complete sentences with professional language and accurate grammar/sentence structure. Use APA-recommended font.
Paragraph 1 Introduction:
Introduce yourself, your current role, and your relationship to the leader or change agent.
Summarize why this issue is important to your role.
Explain your perspective on this issue.
State your position/request/reason for writing.
Note: If your letter pertains to a specific piece of legislation, identify it accordingly as federal or state, e.g., H.R. 1234 (for a House resolution) or S.B. 234 (for a Senate bill).
Paragraph 2 Summary & History:
Summarize the pending healthcare bill or the lack there of if you chose to recommend a new bill. (Attach existing bill or link to piece of legislation to this letter.)
Outline the history or evolution of this piece of pending legislation.
Outline the policy development process at this level.
Explain your rationale for recommending a new or changed healthcare bill.
Paragraphs 3 & 4 Recommendations:
If you are supporting the recommended changes proposed by the bill, describe its impact on patient care and your nursing role at bedside, higher organizational levels, local, state, national, and global levels.
If you are recommending a new piece of legislation, describe the need for it and the impact(s) of the lack of policy on patient care and your nursing role at bedside, higher organizational levels, local, state, national, and global levels (as applicable). Draft a proposal for the new bill.
If you are recommending an improvement or additions to an existing piece of legislation, propose specific areas within the existing bill that need improvement. Refer to specifics in the existing bill or legislation and draft changes. Describe the areas that you would want to change and how they could benefit patient care, community or population health, or nursing practice at the bedside, higher organizational levels, local, state, national, and global levels (as applicable).
Provide justification and at least 2 pieces of factual evidence to support your recommendations with proper APA in text citations.
Paragraph 5 Closing:
Explain what you want the leader to do or steps you want them to take and request a response from them on the issue.
Explain how you can help facilitate this change or be involved in the policy development process.
Provide additional resources or recommendations as applicable.
Appendix:
On a separate page, include a reflection on this assignment addressing the following prompts:
State if you mailed or emailed the letter and include the date it was sent.
Describe your experience, feelings, and perceptions throughout this assignment.
Do you think this is an effective way to advocate for your changes? Why or why not?
What is your expected response from your legislator or representative?
How will you follow up or what are your next steps or other actions you can take?
What are your views about the nurse’s role in healthcare policy advocacy after completing this assignment?
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