2023 Please use APA Format Use this medication Acupril 40 mg daily capoten 300

2023 Nursing Discussion week 12

Please use APA Format Use this medication Acupril 40 mg daily capoten 300 2023

Please use APA Format. Use this medication 

Acupril 40 mg daily

capoten 300 mg daily

altace 10 mg daily

 

Chief complaint: medication refill ” I ran out of medicines”

HPI: E.D a 65-year-old AA male presents to the clinic for prescription refills. The patient also indicates that she has noticed shortness of breath which started about 4 months ago. The SOB gets worse with exertion, especially when she is walking fast and it is resolved when he is resting. He reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. His symptoms of shortness of breath resolve after sitting upright on 3 pillows. He also has lower leg edema pitting 1+ which started 2 weeks ago. He also indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight stairs, but it resolves after sitting down to rest. He has not tried any over the counter medications at home.

He never filled her prescriptions that he received at her checkup 6 months ago, she did not think it was important.

PMH:

Primary Hypertension

Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History:

He receives an annual flu shot. Last flu shot was this year

Has not had a Td in over 10 years

Has not had the herpes zoster vaccine

Social history:

High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion.

Respiratory: Shortness of breath with exertion. + Orthopnea

Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Pt sated not taking medications for 6 months – “ran out and did not get refills”

Physical examination:

Vital Signs

Height: 5 feet 1 inches Weight: 163 pounds BMI: 31 obesity, BP 157/87 T 98.0 po P 110 R 22, non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: + Mild Crackles on inspiratory phase no clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.

MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis.

PSYCH: Normal affect. Cooperative.

SKIN: No rashes. + Dry skin. Skin intact.

Labs:: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98

A:

Primary Diagnosis:

Congestive Heart Failure (CHF) (150.9)

Secondary Diagnoses:

Primary Hypertension (I10)

Obesity (E66):

Osteoarthritis (OA) (715.90)

Differential Diagnosis:

Peripheral Vascular Disease (PVD) (173.9)

P:

Medications:

Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH.

12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index

Referrals: may refer based on lab results

Follow up: return to office in 2 weeks

Additional lab results:

Echo results 1 week ago: Left ventricular EJ Fraction decreased to 30 %

BNP – no available

Questions: As an NP student, need to determine the medications for CHF/ASCVD

According to the ACC/AHA Guidelines, what medications should this patient be prescribed? Does he need medication given his history of MI? Write her complete prescriptions using the prescription writing format.

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2023 CLC Grand Nursing Theorist Assignment Grand Theorist Repor This is a Collaborative Learning Community assignment In your group

2023 Nursing NUR-502 Week 7 CLC – Grand Nursing Theorist Assignment, Grand Theorist Report

CLC Grand Nursing Theorist Assignment Grand Theorist Repor This is a Collaborative Learning Community assignment In your group 2023

CLC – Grand Nursing Theorist Assignment: Grand Theorist Repor

 

This is a Collaborative Learning Community assignment.

 

In your group, write a report on the chosen theorist/theory that includes the following:

 

  1. Introduction: Identify the theorist and rationale for the selection.
  2. Describe the theorist (short biography and major influences on the theorist).
  3. Indicate the category under which the theorist falls (can use McEwen & Wills classification or other source).
  4. Incorporate assumptions underlying the theory (including how metaparadigm concepts are defined).
  5. Include major concepts of the theory.
  6. Include major propositions of the theory.
  7. Provide examples from the literature of how the theory has been used.
  8. Describe how the theory will be integrated into practice at your institution (or how it will be used as a foundation, framework, etc.). This is an action plan.
  9. Give concrete examples of how theory would be integrated (e.g., assessment guide) and what patient outcomes could be measured as a result of implementing the theory.
  10. Conclusion: Contrast present practice with what would take place if the theory were guiding the practice.

Prepare this assignment according to the guidelines found in the GCU APA Style Guide, located in the Student Success Center. An abstract is not required.

 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

Have one member of the CLC post the Grand Theorist Report in the Module 8 Discussion Forum.

 

You are not required to submit this assignment to Turnitin.

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2023 Present the history of one form of distance learning other than online learning Explain how

2023 Nursing Education

Present the history of one form of distance learning other than online learning Explain how 2023

Present the history of one form of distance learning (other than online learning). Explain how the distance learning format originated. Would you consider using it in your practice? Address the advantages and disadvantages of the selected distance education format in 400-500 words using 2-3 with citations and references within 5yrs old.

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2023 NUR 267 Spring 2017 Staffing Charge Nurse Discussion Board INSTRUCTIONS In the discussion board on D2L you

2023 Nursing Any help available for the assignment below?

NUR 267 Spring 2017 Staffing Charge Nurse Discussion Board INSTRUCTIONS In the discussion board on D2L you 2023

NUR 267

Spring 2017

 

Staffing/Charge Nurse Discussion Board

 

 

INSTRUCTIONS:

In the discussion board on D2L, you will discuss the staffing pattern on the unit where you are completing your preceptorship.  You will also discuss the role of the charge nurse, and how the charge nurse functions on this unit.

 

For you initial post, you should identify the staffing patterns on the unit where you are completing your preceptorship, including staff to patient ratio – consider licensed & unlicensed personnel.  What are the responsibilities of each of these staff members in regards to patient care?  Do you feel like this staffing pattern allows for safe, quality care – use at least one source to back-up your opinion.  

Describe the role of charge nurse.  How effective was the nurse in completing charge responsibilities?  Does the charge nurse on your unit also have patient assignments?  Do you think this factor influenced the ability of the nurse to effectively perform charge nurse associated duties – Why?  Why not?  How?  

 

You will also be required to respond to the initial post of at least 2 members of your group.  You should consider similarities/differences between what you experienced & what your group members report, and any other thoughts you might have on the subject.  Responses should be appropriate & respectful.  Responses must contain substance.  “I agree with you” is not a complete response – you may agree, but you must elaborate.  Responses should be thoughtful & reflective.

 

IMPORTANT INFORMATION:

Your initial posting is due by Monday, April 10th at midnight.

Both responses should be posted by Friday, April 14th at midnight.

 

You will not be able to see anyone else’s initial response until you first post your own.

NUR 267

Staffing/Charge Nurse Discussion Board Rubric

 

 

3

2

1

0

Timeliness of Post

Initial posting & both responses posted by the assigned deadlines

Either initial posting or one of the responses posted after assigned deadline

2 postings done after assigned deadline

All posts after assigned deadlines

Initial Post – Identifying Staff Patterns & Responsibilities

Identifies staffing pattern on unit, including staff:patient ratio & licensed & unlicensed personnel.  Identifies responsibilities of all staff members in regards to patient care.

Identifies staffing pattern on unit, but does not include all staff members.

Identifies staffing pattern on unit, including all staff members, but does not provide responsibilities of all staff members. 

Does not identify staffing pattern

Initial Post – Safe, Quality Care

Provides discussion of whether the staffing pattern on the unit allows for safe quality care.  Uses at least one source (scholarly, within 5 years – not our textbook) to support the discussion.

Provides discussion of whether the staffing pattern allows for safe quality care,& uses a source to support, but source is not appropriate (not scholarly – not within 5 years) or uses only required textbooks.

Provides discussion of whether the staffing pattern allows for safe, quality care, but does not use external source to support discussion.

Provides minimal or no discussion of whether staffing pattern allows for safe quality care.  

Initial Post – Role of Charge Nurse

Correctly identifies the role & responsibilities of charge nurse.

Identifies roles & responsibilities of charge nurse, but some important information is missing.

Identifies roles & responsibilities, but information is incorrect or major parts are missing.

Does not identify roles/responsibilities of charge nurse.

Initial Post – Charge Nurse Effectiveness

Identifies whether the charge nurse of the unit has patient assignments & thoroughly discusses if & how this influences the ability to effectively perform charge nurse duties.

Identifies whether the charge nurse has patient assignments & if this influences the ability to effectively perform charge nurse duties, but provides minimal or no discussion as to how it does so.

Identifies whether the charge nurse has patient assignments, but does not provide further discussion.

Does not provide any information regarding charge nurse effectiveness.

Response #1 – Quality of Post

Provides comparison and/or contrast; Appropriate comments; thoughtful & reflective; respectful of other’s postings

Appropriate comments; respectful of other’s postings

Responds, but with minimal effort (“I agree”)

No posting

Response #2 – Quality of Post

Provides comparison and/or contrast; Appropriate comments; thoughtful & reflective; respectful of other’s postings

Appropriate comments; respectful of other’s postings

Responds, but with minimal effort (“I agree”)

No posting

Grammar

All posts are grammatically correct without spelling errors

One grammatical or spelling error

Two or three grammatical or spelling errors

Posts are grossly grammatically incorrect; significant number of spelling errors

 

 

24/24 = 100

23/24 = 95.83

22/24 = 91.67

21/24 = 87.50

20/24 = 83.33

19/24 = 79.17

etc

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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