Category: Health Care and Life Sciences : Nursing

. Which has been more significant in shaping American history: race or class? [Note: It is acceptable to argue that the significance of race or class has varied in different eras, but make sure you give concrete evidence.

You are part of a surgical team and your role is postoperative management of thoracic surgery. In your role, you are required to determine the course of action for the patient before you call the surgeon. A right lower-lobe resection occurred due to adenocarcinoma. The nurse has called at the 12-hour interval from surgery concerned with the amount of drainage within the chest tube. Respond to the following and support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Describe the role of an AGACNP at each of the steps in postoperative care for a surgical patient.
Describe the assessment steps you would take.
Explain the drainage and decompression devices and how you manage these as an AGACNP.
Discuss potential differential diagnoses you could expect from the assessment.
Discuss the hemodynamic findings one might see with your provided diagnosis.
Propose potential treatment plans that would be appropriate.

You have been called to the medical-surgical floor to assist in rapid intubation of a patient with a combination of exacerbated heart failure and advanced COPD. Initial oxygen saturation was 75% according to the nursing staff. After intubation, you continue the care of the patient in the ICU. What would be the difference between respiratory acidosis and alkalosis? Provide an example of each arterial blood gas reading. Differentiate the initial treatment plan for respiratory acidosis and alkalosis using the ventilator as well as pharmacotherapeutic agents. What environmental and nutritional interventions would you recommend for this patient?
Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

Mrs. P. has been in the ICU for several days, has made gradual progression, and appears to be doing well with laboratory findings and arterial blood gases indicating normal readings. The enteral feeds were held overnight for anticipation of extubation. Describe the process for weaning the patient from the ventilator and discuss when it is appropriate to remove ventilator support as the patient has improved. What are the risks to monitor for as this process is implemented for the patient?
Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

You are the NP on the neurosurgical team. You are rounding on a 58-year-old patient who has undergone a TPH (trans sphenoidal hypophysectomy) for pituitary removal.
you have concerns for diabetes insipidus (DI). Discuss DI in relation to a postoperative neurosurgical patient. What are the signs and symptoms leading to your concerns? How would you manage the patient? What further complications could be caused from DI?  cite two APA reference within the text.

Please explain how this leadership portfolio has assisted you in examining your strengths and opportunities as a leader?  Did anything surprise you? Did you find this activity helpful? Submit this document this week for an extra 5 points on your leadership portfolio presentation grade. 
It helped by identifying my weaknesses and building  on them, learning my biggest assets , and how to over come challenges when taking the lead.

Read the follow case studies and answer the questions.
Case #1:
History: A 65 year old housewife complains of progressive weight gain of 40 pounds in 1 year, fatigue, dizziness, sluggish memory, slow speech, deepening of her voice, dry skin, constipation, and cold intolerance.
Physical examination: Vital signs: temperature 96.4oF, pulse 68/minute and regular, BP 108/60, weight 170 lbs, height 5 feet, puffy face, pale, cool, dry skin. The thyroid gland is not palpable, deep tendon reflex time is delayed.
Laboratory studies: CBC and differential WBC are normal. The serum T4 concentration is 3.4 ug/dl (N=4.5-12.5), the serum TSH is 0.9 uU/ml (N=0.2-3.5), and the serum cholesterol is 275 mg/dl (N<200). 1.)What is the likely diagnosis and what symptoms made you consider that diagnosis? 2.)Which lab data supported the diagnosis? 3.)Explain-Hypothalamic-Pituitary-Thyroid axis and interrelationship. Case #2: J.R. is a 58-year old man who presented with a 6-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision. A random glucose test performed on day of his visit and was 359 mg/dl. The patient denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough or fevers. He had no prior history of diabetes and no family history of diabetes. Admission non-fasting serum glucose 268 mg/dl (N=<180 mg/dl), HbA1c 9.6% (N=4-6.1%). Electrolytes, BUN and creatinine were normal. Physical examination revealed weight of 190 pounds, height 5'6.5" . The rest of the examination was unremarkable, i.e., no signs of retinopathy or neuropathy. 1.)What are the mechanisms of blurred vision which was part of his initial symptoms? 2.)Are there correlations between his abnormal blood chemistries and his other symptoms? 3.)Identify the cardiovascular and microvascular risk factors in the history, physical examination, and laboratory data in this patient. Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position. Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position. Please be sure to validate your opinions and ideas with citations and references in APA format.

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a paper of 3-5 pages.
Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.
For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:
Select one of the case studies presented in the Assessment 03 Supplement: Applying Ethical Principles [PDF] Download Assessment 03 Supplement: Applying Ethical Principles [PDF] resource.
Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
Identify who is involved or affected by the ethical problem or issue.
Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
Apply the three components outlined in the Ethical Decision-Making Model media.
Analyze the factors that contributed to the ethical problem or issue identified in the case study.
Describe the factors that contributed to the problem or issue and explain how they contributed.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
Review the Think Critically About Source Quality resource.
Assess the credibility of the information source.
Assess the relevance of the information source.
Discuss the effectiveness of the communication approaches present in a case study.
Describe how the health care professional in the case study communicated with others.
Assess instances where the professional communicated effectively or ineffectively.
Explain which communication approaches should be used and which ones should be avoided.
Describe the consequences of using effective and non-effective communication approaches.
Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
Discuss the key lessons this case provides for health care professionals.
Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
Describe the proposed solution.
Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
Discuss how likely it is the proposed solution will foster professional collaboration.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Apply the principles of effective composition.
Determine the proper application of the rules of grammar and mechanics.
Write using APA style for in-text citations, quotes, and references.
Determine the proper application of APA formatting requirements and scholarly writing standards.
Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
An example of an essay is attached please.
Additional Requirements
Your assessment should also meet the following requirements:
Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Use correct spelling, grammar, and punctuation.
References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
Competency 3: Apply ethical principles and academic standards to the study of health care.
Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
Discuss the effectiveness of the communication approaches present in a case study.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Write following APA style for in-text citations, quotes, and references.
And this is the Library link where one of the sources must come from. Thanks so much!!!!!
https://capellauniversity.libguides.com/NHSFPX4000

Create a narrative (a story line of how communication will go between the patient in this case study, explaining how you would respond in an ethical way)
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A 15-year-old boy has come in for a sports physical after testing postive for Covid two months ago. He is coughing and has asthma but is not on maintenance medications. He has indicated that he doesn’t want to take medication everyday.
Write a detailed 1-page narrative (not a formal paper) addressing the following:·  Explain the health assessment information required for a diagnosis of your selected patient (include the scenario number).  —- The response clearly, accurately, and thoroughly explains detailed health assessment information required to diagnose the selected patient, with correct scenario number included.
____________________________________
·  Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature. ___________________The response clearly, accurately, and thoroughly explains detailed evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with clear, accurate, and thorough justification using three or more different references from current evidence-based literature.

Locate a current scholarly article (≤ 5 years) of your choice on the role of “nursing faculty as a leader in higher education.”
Share highlights of the article.
Discuss ‘how’ your article relates to the role of the academic nurse educator as a leader in higher education.