Category: Nursing

A 62-year-old male, former smoker with a 40-pack-year history, presents to the clinic with
worsening shortness of breath over the past year. He reports a chronic productive cough, fatigue,
and occasional wheezing. He finds it difficult to walk up a flight of stairs without stopping to
catch his breath. The patient also mentions that he gets frequent respiratory infections, and the
last one led to a three-day hospital stay. Physical examination reveals a barrel-shaped chest, use
of accessory muscles for breathing, and decreased breath sounds with wheezes upon
auscultation. A chest X-ray shows hyperinflation of the lungs, and spirometry confirms a
decreased FEV1/FVC ratio, consistent with COPD.
In 1 -2 pages, answer the questions below in detail. You must use current evidence-based
resources to support your answers. Follow APA guidelines. Follow the grading rubric.
1. 2. 3. 4. 5. What factors in the patient’s history and lifestyle could have contributed to the
development of COPD? What about occupational hazards – what would be some
components that could cause COPD in the work environment?
How does smoking lead to the changes seen in the lungs, such as hyperinflation and the
barrel-shaped chest?
What physiological mechanisms are responsible for the patient’s chronic productive
cough?
How does alveolar destruction impact gas exchange and contribute to the patient’s
symptoms of fatigue and breathlessness?
Pathophysiological – why might this patient be more susceptible to frequent respiratory
infections?

I’ve picked 2 types of manakins from different companies and included in chart what there feature ,capability and benefits are. One is premium (Apollo) the other a budget version (Simple Simon). I need assumption and analysis of the 2. Required with 3 peer reviewed journals no more than 5 years old.

I am going to attach the file that you wrote for me before and instructions for the final paper.
Subheadings:
Background
Purpose/aim
Research question
Literature review and theoretical foundation
Proposed Methods:
Design
Setting
Sample
Data collection instrument
Data collection procedure
Proposed analysis.
7) Methods: Qualitative or Quantitative? What kind of design? (See below). What sample? How many? What setting? What time frame?
8) Analysis: This will depend on your methods.
Also, there is another file with the feedback and professor wanted me to do the correction.
For the research method that’s what I was thinking-> The research design will be a cross-sectional, quantitative approach involving pre-surveys and post-surveys and the intervention part of education. It will include purposive sampling consisting of 100 nurses. Purposive sampling refers to intentionally selecting participants based on their characteristics, knowledge, experiences, or some other criteria. The reason for purposive sampling is the better matching of the sample to the aims and objectives of the research, thus improving the rigor of the study and the trustworthiness of the data and results; four aspects of this concept have previously been described: credibility, transferability, dependability, and confirmability (Campbell et al., 2020). The post-survey will reassess the 50 nurses who received additional education on early ambulation and the 50 nurses who weren’t included in the education session. The target population is nurses who work in the med-surg/telemetry unit in the hospital.
You can modify it as needed

you will present Mrs. Snyder’s case to the healthcare team, including all internal and external stakeholders and key family members. The purpose of the presentation is to ensure that everyone connected with Mrs. Snyder’s case is well-informed and that they have a common understanding of her care to date and of plans for providing the best possible patient-centered care.
See the attached documents for additional details. An example of what is required has also been uploaded in addition to prior assignments related to the case

A 62-year-old male, former smoker with a 40-pack-year history, presents to the clinic with
worsening shortness of breath over the past year. He reports a chronic productive cough, fatigue,
and occasional wheezing. He finds it difficult to walk up a flight of stairs without stopping to
catch his breath. The patient also mentions that he gets frequent respiratory infections, and the
last one led to a three-day hospital stay. Physical examination reveals a barrel-shaped chest, use
of accessory muscles for breathing, and decreased breath sounds with wheezes upon
auscultation. A chest X-ray shows hyperinflation of the lungs, and spirometry confirms a
decreased FEV1/FVC ratio, consistent with COPD.
In 1 -2 pages, answer the questions below in detail. You must use current evidence-based
resources to support your answers. Follow APA guidelines. Follow the grading rubric.
1. 2. 3. 4. 5. What factors in the patient’s history and lifestyle could have contributed to the
development of COPD? What about occupational hazards – what would be some
components that could cause COPD in the work environment?
How does smoking lead to the changes seen in the lungs, such as hyperinflation and the
barrel-shaped chest?
What physiological mechanisms are responsible for the patient’s chronic productive
cough?
How does alveolar destruction impact gas exchange and contribute to the patient’s
symptoms of fatigue and breathlessness?
Pathophysiological – why might this patient be more susceptible to frequent respiratory
infections?

I’ve picked 2 types of manakins from different companies and included in chart what there feature ,capability and benefits are. One is premium (Apollo) the other a budget version (Simple Simon). I need assumption and analysis of the 2. Required with 3 peer reviewed journals no more than 5 years old.

Identify the unique purpose of nursing that is NOT performed by any other profession. What do nurses do that no other profession or discipline is dedicated to perform? Identify this concept and link it to a concept in any theoretical framework.

For this assignment, you will create an annotated bibliography on a topic related to nursing.
Topic: Cultural Competency in Nursing: The Role of Nurses in Providing Care Across Diverse Cultural Backgrounds
Please conduct a comprehensive search the scholarly literature for at least 4 peer-reviewed articles published within 5 years. This annotated bibliography should provide sufficient background on your topic with current relevance to nursing practice.
Each article in your annotated bibliography should be referenced according to current APA format. After the reference, you will include a summary, assessment, and a reflection.
Summary: Your summary should focus on an analysis of the information within the article. Please avoid simply repeating the article content. Question the main purpose of the article, main arguments, main points, and main focus. Include the type of research was used in the article and the findings or results.
Assessment: The next step after your summary will be your assessment or evaluation. Question the reliability of the information and if the delivery was objective or biased. Question any limitations, strengths, and weaknesses. How was this content relevant to your topic of interest?
Reflection: The last step is your reflection on how this article aligns with your topic interest. How can you use this article to support or show a contrast on your topic? Describe how the information in the article added to your understanding of your topic. Question if the article influenced your perspective on your topic.
Length: 3-4 pages, not including the Title Page. Include 3 scholarly, peer-reviewed resources.
Each annotated bibliography should be no longer than one page. Your submission should include a Title Page. Your response should reflect scholarly writing and current APA standards.

Review the following case studies and answer ALL questions.
When recommending medications, write out a complete prescriiption for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.
Use clinical practice guidelines in developing your answers. Please review all Required Learning Resources. Use the Medscape app or website and JNC 8 to complete assignment.
Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph.

CASE STUDY 1
JG is a 37-year-old male presenting with wheezing and shortness of breath. During his visit today, he reports having to use his albuterol 3 days per week over the past month. He reports being awakened by a cough six nights during the last month. His current medications include: salmeterol 50 mcg inhaler BID, albuterol MDI two puffs q4-6 hr PRN shortness of breath, prednisone 20mg qam, loratadine 10 mg daily, diphenhydramine 50 mg qhs prn. How would you step up asthma therapy for this patient (include complete medication order)? What medication changes would you make? What drug classification is salmeterol? Can it be used as monotherapy? What patient teaching and monitoring would you provide regarding the updated drug therapy plan?

CASE STUDY 2
KH is a 48-year-old male diagnosed with type II diabetes 1 year ago. He has controlled his blood glucose through dietary changes. He has hypertension and is currently on lisinopril 10 mg po daily. He has no known allergies. His lab work today includes: fasting BG is 175 mg/dL; HgA1C = 7.5%. Basic Metabolic Profile (BMP) is normal except for Cr 1.8 and eGRF 28. What treatment plan would you implement for KH (include complete medication order)? What education would you provide regarding his treatment plan? How would you monitor the effectiveness of this plan? What is the goal A1C?

CASE STUDY 3
AT is a 63-year-old female that presents to the clinic today with early-onset Alzheimer’s Disease. What would you prescribe? Consider her labs and provide an updated drug therapy plan. Include complete medication orders. How would you monitor drug therapy? Labs: TSH 3.9 mU/L, vitamin D 24 ng/mL, B12 450 pg/mL, Hb 12.5 g/dL, blood glucose = 100 mg/dL, HgA1C = 5.4% Medications include: insulin glargine 20 units once daily qhs, insulin lispro 6 units before each meal (adjusting based on carbohydrate intake)

CASE STUDY 4
HM is a 42 year-year-old female seeking evaluation for feelings of fullness, bloating and acid reflux with symptoms worse at night. HM eats fast food once a day and consumes 2 cups of coffee a day. She drinks alcohol socially on weekends. PMH includes asthma, diabetes and hypertension. Her blood pressure today is 142/85. Current medications include prn famotidine, prn albuterol, Pulmicort Flexhaler 90 mcg 2 inhalations twice daily, cetirizine 10 mg daily, bisoprolol 5 mg po daily and metformin 1000 mg po daily with food. How would you improve her drug therapy plan? What changes would you make (include complete medication orders)? What information would you provide to the patient at her visit? Can a patient take a H2 blocker and PPI at the same time?
Reference within last 5 years

Discussion Instructions
This area provides you with an opportunity to reflect on what you have learned and what concepts you still need further exploration on.
Include a short summary of what you have learned (2-3 sentences) and 1 or 2 questions related to concepts that are still unclear, and answer 1 of the 3 questions with explanation and details.
Discussion Post
Post your answer to 1 of the 3 questions with explanation and details.
How will information obtained from this class change your clinical care? 
Do you plan on getting an informatics certification? Why or why not? 
What actions can you take to become an ambassador for informatics?