Archive for category: Nursing Assignment Help

65-year old black male client admitted yesterday with hypertensive crisis.  His BP in the ER was 212/100.  It is now 180/95.  He received Nitroglycerin in the ER and is still on a Nitroglycerin IV drip.

65-year old black male client admitted yesterday with hypertensive crisis

Instructions: Use the patient information below to write the Benchmark Paper, and make sure to use the Alternative Benchmark Paper Template.

Patient Information:  65-year old black male client admitted yesterday with hypertensive crisis.  His BP in the ER was 212/100.  It is now 180/95.  He received Nitroglycerin in the ER and is still on a Nitroglycerin IV drip.  He stated that he has trouble affording his medication, and often rations his pills to make them last longer.
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Instructions: Use the patient information below to write the Benchmark Paper, and make sure to use the Alternative Benchmark Paper Template.

Patient Information:  70-year old Native American female client admitted yesterday with a recent diagnosis of chronic renal disease.  She has had 50 mL of dark amber urine via the Foley catheter in the past 12 hours.  She insists that she can improve her condition with traditional herbal remedies.
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Instructions: Use the patient information below to write the Benchmark Paper, and make sure to use the Alternative Benchmark Paper Template.

Patient Information: 40 year old Asian male client was admitted for diabetic ketoacidosis. Also, He has a history of noncompliance with medication. Further, He is obese, with a sedentary lifestyle. Additionally, He states that he eats whatever he wants. Finally, He is currently on an insulin drip at 0.1units/kg/hour.
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Instructions: Use the patient information below to write the Benchmark Paper, and make sure to use the Alternative Benchmark Paper Template.

Patient Information: 72-year old Hispanic male client admitted yesterday with CHF exacerbation and respiratory distress.  He is currently on a 100% non-rebreather mask and low-sodium diet.
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Instructions: Use the patient information below to write the Benchmark Paper, and make sure to use the Alternative Benchmark Paper Template.

Patient Information: 52-year old homeless male client admitted this morning for acute COPD exacerbation.  He has smoked 1 pack of cigarettes per day for the past 30 years, and drinks beer daily – his last drink was 2 days ago.  He appears extremely cachectic.

Your patient C.S is 78 years old. Admitted to the nursing home you work at, with a diagnosis of dehydration. C.S., has been ordered to increase her oral fluid intake to 2500cc per day. When offering her a glass of water, she pushes away your hand and says “I hate water and I don’t drink it much”. You note that after one and a half days she has dry mucous membranes and poor skin turgor.

Your patient C.S is 78 years old – Admitted to the nursing home you work at

 

APPENDIX D
1.       APA Format with References
2.       No single word responses
3.       At least 100+ words for each response
4.       Give questions some thought and answer honestly and sincerely
5.       Students MUST complete questions for BOTH scenarios

Scenario 1:
Your patient C.S is 78 years old. Admitted to the nursing home you work at, with a diagnosis of dehydration. C.S., has been ordered to increase her oral fluid intake to 2500cc per day. When offering her a glass of water, she pushes away your hand and says “I hate water and I don’t drink it much”. You note that after one and a half days she has dry mucous membranes and poor skin turgor.

Questions:
1.            What should your assessment be on this patient? Explain in detail.

2.            After completing your assessment, what should your next step be? Be specific.

3.            Write 3 complete nursing diagnosis from above information. Include all 3 sections (NANDA, Related to (R/T) & Evidence based practice (EBP) & include 2 nursing interventions for each nursing diagnosis.

Scenario 2:

Ms. Cohen is hospitalized for repair of a fractured hip after a fall at home. She requires intravenous (IV) antibiotics after surgery. Shortly after the first dose she became restless and started picking at her IV line and frequently tried to get out of bed. Several restraint alternatives were attempt ed; but, because of her restlessness, she was successful at pulling out her IV line and getting out of bed. It becomes necessary to restrain Ms. Cohen.

Questions:
1. You know that a health care provider’s order is require d for the restraint. What are essential components of the restraint order?
2. Which assessments do you need to perform on Ms. Cohen while she is restrain ed?
3. The physician orders a belt restraint. Your assessment of Ms. Cohen the next day reveals that during the day she is alert and pleasantly confuse d but not attempting to get out of bed. Do you continue use of the restraint? Explain.

Li Chen is a 43-year-old, married, Chinese-American woman who comes for an evaluation for anxiety-related symptoms. She presents with excessive worry that she finds challenging to control and complaints of irritability, muscle tension, and difficulty falling asleep.

Li Chen is a 43-year-old married Chinese-American woman

Li Chen is a 43-year-old, married, Chinese-American woman who comes for an evaluation for anxiety-related symptoms. She presents with excessive worry that she finds challenging to control and complaints of irritability, muscle tension, and difficulty falling asleep.

She reports the anxiety symptoms are causing her difficulty caring for her two children. Also, she reports she has developed a fear of driving her car, which has limited her ability to shop, take her children to school, and her ability to see her family who live 20 minutes away. Additionallly, She tells you that every time she tries to drive, she experiences a feeling of extreme dread.

Her last menstrual period was three weeks ago. She reports a history of high blood pressure for which she takes Lisinopril 20 mg daily. She is 5’ 4” and 110 pounds.

Questions
From your perspective as Li’s psychiatric nurse practitioner, answer the following questions in a double-spaced paper (not including the reference page) and in APA format. Include at least three peer-reviewed, evidence-based references.

1-Identify one screening tool you could use when evaluating Li.
2-Articulate one DSM-5 diagnosis and at least one differential diagnosis for Li. Please match her symptoms with the corresponding DSM-5 criteria.
3-What interviewing techniques would be best used for Li?
4-Identify what lab work you would order for Li. Provide evidence to support your rationale.
5-What coping skills would you give Li? Would you refer her to therapy? If so, what type? Provide evidence to support your rationale.
6- Finally, Is Li in need of hospital stabilization? If so, what steps would you take to seek hospitalization? Would you involve her family? Why?

In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature.

A current semi-direct or indirect nursing situation that is in need of change

In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession NUR204: Week 9 Assignment Page 1 `

Assignment: Change Paper
Assignment Overview In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession.

Assignment Details:

Perform the following tasks:
Complete the reading assignment and the interactive lesson before attempting this assignment.
Assess a current semi-direct or indirect nursing situation that is in need of change. Observe your healthcare environment, focusing on areas of nursing process that are inefficient, unsafe, or problematic in nature.
Diagnose the problem and choose a nursing change theory that suits the change you want to make.

Propose a detailed plan based on your chosen change theory, explaining how to implement change.

Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal.

Reflect on how your change affects the nursing profession.

Write a 3-5 page paper following the criteria below:  your paper should include primary sources and include at least two peer-reviewed nursing journal articles.

Citations should be in your own words and not direct quotes.  Include a title page, running head, appropriate headings, and reference page. The paper should be double spaced, written in Times New Roman, 12-point font, follow APA style format, and cite all sources correctly.

Include the proper file naming convention: NUR204_wk9_assn_jsmith_mmddyyy. Grading:

Criteria Excellent (3pts) Good (2pts) Needs Improvement (1pt)
Research – Cited 4 or more reliable sources. – Sufficient information provided to support topic. – Research in-depth, revealing new insight.

– Cited 4 or more reliable sources. – Adequate information provided to support topic. – Research is superficial.

– Missing citations or unreliable sources used. – Information does not support research topic. – Research is not relevant to paper.

NUR204: Week 9 Assignment Page 2

Content – Appropriate topic is chosen that relates directly to the nursing process. – Proposed plan contains specific ideas for change. – Change theory is included and proposal follows theory. – Timeline is included for change proposal. – Reflection is provided.

– Appropriate topic is chosen that relates directly to the nursing process. – Proposed plan is included but missing specifics. – Change theory is included and proposal follows theory. – Timeline is incomplete – Reflection is not relevant to nursing process.

– Inappropriate topic is chosen that is unrelated to nursing process. – Proposed plan is inconsistent and missing specifics. – Change theory is missing or inappropriate. Plan does not follow theory. – Timeline is missing. – Reflection is missing.

Grammar/Spelling – Consistent and appropriate writing style. – No spelling/grammar errors. – Length is 3-5 pages using Times New Roman, 12-point font

– Writing is consistent and appropriate. – Grammar/spelling errors are minor. – Length is less than 3 pages or Times New Roman, 12-point font not used.

– Writing is inconsistent and inappropriate. – Significant grammar/spelling errors. – Length less than 3 pages or Times New Roman, 12-point font not used.

References/APA – All sources properly cited using APA format. – Includes title page, running head, page numbers, proper paragraphs, and reference page.

– All sources properly cited using APA format with minor errors (punctuation). – Includes title page, running head, page numbers, and reference page with minor errors in paragraph format.

– Sources not cited correctly. – Missing elements such as title page, running head, and reference page.