Category: Nursing

Discussion PromptsDescribe a recent clinical scenario where you questioned whether the nursing intervention worked or was the right thing to do/way to act. Include enough detail to apply the model.
Select one of the four EBP models and describe how evidence could be used to solve the problem. Explain why you selected this model for the scenario you provided.
How effective do you believe EBP models will be in your future practice as a nurse? Explain.

Hello Writers, I need a PowerPoint Presentation completed, on a journal article that focuses on evidence-based practice. I’ve attached the journal article that you need to do the
PowerPoint slides on (ENA Gastric Tube Placement Verification), the Rubric/guidelines for 
the PowerPoint slides, and a level of Evidence sheet (in case you don’t understand how to 
find the level of evidence). This needs to be done in APA 7th edition format with at least 2
references. I’ll give a great review and a huge tip!!! I need someone knowledgeable 
in Nursing preferably and can critique journal article writings. Thank you!!

Instructions:
Watch the following video:

Discuss three (3) goals that you have established for this semester that will assist you in your journey toward certification success.
Introduce yourself to the rest of the class. Provide any information you would like to share including your academic and/or personal experiences.
i work for hospice company full time have 1 daughter who is 10 year old and husband.

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.
With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.
In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate. To Prepare:
Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.
The Assignment: (1 page not including the title and reference page)
Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:
Briefly and generally explain the policy or regulation you selected.
Address the impact of the policy or regulation you selected on system implementation.
Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
Use APA format and include a title page, in-text citations, and reference page.
Use the Safe Assign Drafts to check your match percentage before submitting your work

Phase 1 is the planning stage of a research project; students are to prepare a 3-4 page paper identifying a specific topic you would like to investigate and relates to transitional nursing. You will briefly introduce the situation by utilizing published nursing research articles to support your statement. This paper will also include:
Introduction to the Problem
Clearly Identify the Problem
Significance of the problem to Nursing
Purpose of the research
Research questions
Master’s Essentials that aligned with your topic
MY TOPIC IS: How does nurse-to-patient ratio affect patient outcomes in critical care units?
I attach something you can use as a guide if prefered.

please refer to the pic cheat sheet for instructions. I am also attaching paper in progress. please review it and add to it.

develop a solution to specific ethical dilemma faced by a healthcare professional by applying ethical principles. describe the issues and possible solution in a paper of 3-5 pages

Hi! This has two parts.
1st part: Please answer the following questions using APA 7th edition.
1. Patient A:
– Discuss the pharmacological management of nausea, vomiting, and pain in patients
with advanced metastatic non-small cell lung carcinoma, considering the medications
administered to Patient A.
– Explain the mechanism of action and potential side effects of Morphine Sulfate,
Metoclopramide, and Ondansetron in managing the symptoms experienced by Patient
2. Patient B:
– Describe the surgical procedure of transverse colostomy and its indications in patients
with colorectal cancer and colorectal resection. What are the nursing considerations
for postoperative care and stoma management?
– Discuss the rationale for administering medications such as Ondansetron,
Naloxone, Lorazepam, and Morphine in the management of postoperative pain and
nausea in Patient B.
3. Patient C:
– Explain the significance of hip fractures in elderly patients like Patient C and the
potential complications associated with hemiarthroplasty surgery.
– Discuss the nursing interventions for preventing postoperative complications such as
infection and venous thromboembolism in patients undergoing hip fracture repair
Part 2: Case Study: Make sure to make this detailed,well thought out, and organized. Must have detailed answers!!!
1. Mrs. Perez, 32 years of age, is a Hispanic patient who is admitted for early stage cancer of the uterus. The surgeon stated that in order to treat Mrs. Perez’s cancer successfully, the uterus will need to be removed surgically through a procedure called a simple hysterectomy leaving the ovaries, fallopian tubes, and vagina. The surgeon requests that the nurse make arrangements for an interpreter, so they can both use the interpreter’s services. The patient only speaks Spanish, but her mother and one of the patient’s sisters are bilingual. They are currently visiting the patient. Her husband is also visiting and he only speaks Spanish. The patient’s two children are with her sister Maria. The family stated that they are devout Catholics and requested to see a priest while in the hospital. Today is Ash Wednesday.
a. Which interpreter is the most appropriate choice to communicate with Mrs. Perez and why?
b. After critically analyzing the cultural influences, what nursing actions are appropriate for the patient?
2. The nurse manager of an ambulatory care clinic has noted an increased number of visits by patients from different countries and cultures, including patients from Mexico and other Latin American countries. Concerned about meeting the needs of this culturally diverse population, the nurse manager convenes a staff meeting to discuss this change in patient demographics, and to query the staff about any learning needs they have related to the care of these patients.
a. What strategy to avoid stereotyping clients from other cultures should the nurse include in this meeting?
b. Identify culturally sensitive issues to be discussed in the staff meeting.
c. One technician on the staff complains that some patients never make eye contact, and this makes it difficult for him to complete his work. How should the nurse respond?

*Directions: Consider the following patient and answer the questions concisely but
completely in appropriate APA format. Please use 1” margins and 12 font, proper
grammar/spelling, write in paragraphs (do not number your responses), and do
NOT present in first person. Cite references correctly within the body of your paper
and provide title and reference pages. Please review the APA guidelines included in
the Canvas course.
*Seek out an appropriate evidence-based article on the web to support your
discussion of DKA. The article must be recent (no older than 5 years) and must be
from a nursing journal with at least one nurse author. Highlight the article in yellow
to indicate the portions applicable to your discussion and submit the highlighted
article with your paper.
Melanie, a 19 year-old female college student, was diagnosed with type 1 DM three
months ago and she describes her HPI as follows:
 Always had a ‘weight problem’ but approximately four months before
diagnosis she began slowly losing weight despite “eating more than I every
have in my life.”
 Also described increasing thirst leading to “too many trips to the bathroom”,
interrupting her ability to remain in class as expected.
 Diagnosed with type 1 DM after she had lost 18 pounds and was started on the
following insulin regimen: insulin glargine (Lantus) 35 units at bedtime;
insulin lispro (Humalog) sliding scale before each meal. Her meal plan
developed by the dietician included 1200 calories and 10 servings of
CHO/day with a suggestion of walking 30 minutes at least 3 days/week.
 Her presenting S&S quickly resolved, she had much more “energy to
exercise”, but she also noted a disturbing trend: not only had she stopped
losing weight but was actually gaining.
(1) Concisely explain the above HPI (start with what is type 1 DM) and beginning
treatment. May explain the above in ‘bullet’ format but write in paragraphs and
provide appropriate references.
Today, three months post-diagnosis, Melanie is brought to the Emergency Department
and DKA is suspected from the outset. The triage nurse learns that she gradually but
significantly decreased her insulin and CHO intake to “stop the weight gain” and for the
past two days “was back in the bathroom again because I was so thirsty.” Appears
somewhat confused when discussing rationale for her actions.
Admitting VS: 86/48, 136 and regular; 28, deep, and smelling ‘fruity’
Current blood glucose: 424 mg/dL and urine + for ketones
(2) Briefly explain the pathophysiology of DKA and why Melanie is demonstrating
such at this time. Also, explain her presenting VS, BG, and the fact that ketones
are present in her urine. Describe her expected fluid status in all 3 spaces.
(3) Presentation confirms the diagnosis of DKA: provide an expected ABG for
Melanie (complete interpretation and actual numbers) with rationale for each
value.
(4) Serum potassium will fluctuate in DKA: describe the rationale for the common
hypokalemia early in the process and then later hyperkalemia followed by a drop
again with treatment. Why must this be monitored closely?
(5) State the priority nursing diagnosis at this time.
(6) What orders do you expect from the physician to manage her BG/insulin and fluid
needs? Be specific and provide rationale to demonstrate your understanding of
initial DKA treatment. Do not simply copy isolated facts from your references.
And, why is it important to control the change in serum osmolality carefully
during initial therapy?
Melanie’s treatment is successful and she is ready for discharge 36 hours later. What
must she be taught prior to discharge to prevent a repeat of a potentially life-threatening
DKA episode in the future? Consider that she is a 19 year-old college student who has
had a life-long weight problem.

This is a discussion post for nursing. Use at least 3 references within current 5 years.  The state to use is Florida where I reside. 
Preparing the Discussion
Using the readings from this week as well as reliable outside resources to: 
Identify and describe practice barriers for all four APNs’ roles in your state and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner, and clinical nurse specialist.
Identify forms of competition on the state and national level that interfere with APNs’ ability to practice independently.
Identify the specific lawmakers by name at the state level (i.e., key members of the state’s legislative branch and executive branch of government)
Discuss interest groups that exist at the state and national levels that influence APN policy.
Discuss methods used to influence change in policy in forms of competition, state legislative and executive branches of government, and interest groups.
A scholarly resource must be used for EACH discussion question each week.
Category Points % Description
DISCUSSION CONTENT
Practice Barriers 15 15% Provides relevant evidence of scholarly inquiry clearly stating how the evidence describes APN barriers to practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Competition 15 15% Provides relevant evidence of scholarly inquiry clearly stating the forms of competition to APN practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Key Law Makers 15 15% Provides relevant evidence of scholarly inquiry in identifying law makers at the state level. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Interest Groups 15 15% Provides relevant evidence of scholarly inquiry at identifying interest groups at the state and national level. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Methods to Influence Change 15 15%
Provides relevant evidence of scholarly inquiry of methods used to influence a change to eliminate barriers.
Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
75 75%
Total CONTENT Points = 75 pts
DISCUSSION FORMAT
Interactive Dialogue 20 20%
4 Required Elements:
Responds a minimum of two other posts to peers and/or faculty in the threaded discussion; 
Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)
Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)
Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
Grammar, Syntax, Spelling, & Punctuation 5 5% Grammar, syntax, spelling, and punctuation are accurate.
25 25%
Total FORMAT Points = 25 pts
100 100%
DISCUSSION TOTAL = 100 pts