Category: Nursing

Class,
Welcome to week 9! This week we will apply pharmacology concepts to disorders associated with women and men’s health, such as hormone deficiencies, cancers, and other functional and structural abnormalities. Your Learning Resources also include material on eye, ear, and skin disordersand pharmacologic treatment.
When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
ASSIGNMENT
Submit your Assignment by Day 7 of Week 7 (Sunday night, 11:59 pm ET)
Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.
For your week 9 assignment, evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.
To Prepare:
Review assignment rubric and case studies. Be sure to thoroughly answer ALL questions.
Explain the problem and discuss how you would address the problem.
When recommending medications, write out a complete prescription 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.
Answer questions using your required learning resources, clinical practice guidelines, Medscape and JNC 8.
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.
WEEK 9 ASSIGNMENT
SCENARIO 1
Sarah Johnson is a 32-year-old pregnant female at 24 weeks gestation. PMH consists of hypertension x 3 years and acne treated with isotretinoin and spironolactone 50 mg po daily. She denies smoking and alcohol but drinks 3 cups of coffee per day. Lisinopril 10mg daily was discontinued due to pregnancy. She presents for a routine prenatal visit. Labs include Hgb 12.8, HCT 39.9, K 4.7, glucose 78, BUN 12, Cr 0.78. Her blood pressure is 150/95 mmHg, measured twice with a 5-minute interval. What treatment plan would you implement for Sarah? How would you treat her hypertension (include a complete medication order)? How would you monitor drug therapy and what is her goal blood pressure?
SCENARIO 2
Lydia is a 24-year-old single female presenting with vaginal discharge for 1 week. She is sexually active and has had unprotected sex with a new male partner for the last month. Her gonorrhea culture is positive. This patient is allergic to sulfa drugs. What is the first line treatment for this patient? What other organism should you consider covering and why? What medication would you prescribe to cover this organism (include complete medication orders)? How long should Lydia abstain from sexual activity to prevent reinfection? What patient education would you provide?
SCENARIO 3
Edgar is a 6-year-old boy seen in the clinic today. His mother states he woke up this morning with his right eye red and swollen with a crusty yellow discharge. He has been diagnosed with bacterial conjunctivitis of the right eye. The mother asks if this is the same as “pink eye”? Edgar is allergic to sulfa drugs, amoxicillin and penicillin. His current medications include montelukast 10mg chewable tablet qhs. What treatment plan would you implement for Edgar (include complete medication orders)? What education would you provide to the patient’s mother regarding his treatment?
SCENARIO 4
JT is a 3-year-old male that was seen 3 days ago for acute otitis media. He weights 15 kg. Utilizing the dosage calculator in Medscape, write a prescription for liquid amoxicillin. If the patient develops a rash and is presumed to have an allergy, what alternative antibiotic would you prescribe to treat his acute otitis media? What education would you provide his mother during this visit?
This topic is closed for comments.

reflect on the clinical exprience. just 4-5 sentences for each bullet point. I have my feedback from my clinical setting that can be used to reflect. i stated few so pls look and edit too.
thank you

Please read the following discussion (CCM protocol) and provide Response (75-100 words). Cited per APA (7th ed) to the comment that was made to the discussion post using scholarly references from the last five years only. I also attached the rubric for your reference.
Discussion Post (CCM Protocol): The nursing protocol I have recently worked with is Chronic Care Management (CCM). It is a Medicare-sponsored virtual care program for patients with chronic conditions. Implemented in a primary care office, the program promises continuous, remote care and lets patients monitor and manage their home health. The main aim of the CCM is to ensure that patients acquire regular care and supervision to help prevent their condition from worsening (Tandan et al., 2024). A dedicated virtual care team allows patients to access CCM anytime, anywhere, without appointments or office visits (Dufour et al., 2023). The team coordinates cross-provider care to achieve the patient’s health goals. CCM helps patients avoid serious health events like emergency department visits or falls by engaging patients via regular, coordinated check-ins and communication. It also intends to lower long-term healthcare bill costs by addressing such issues before they become problematic. Medicare guidelines and evidence-based practices in chronic disease management underline the development of the CCM protocol (Gibbs et al., 2021). The informed consent form explains the personalization of care and coordinated support. CCM builds on focusing on patients’ health and quality of life and helps people manage their condition effectively. The program’s structure provides an opportunity to continue interacting with healthcare providers, resulting in improved health outcomes and increased effectiveness in chronic care.
Question need to be answered about the post:
Thank you for your post about Chronic care management. You’ve highlighted essential aspects of the program, such as the focus on long-term care coordination and its benefits for patients with chronic health conditions. According to Boeykens et al., 2022 primary care providers, especially nurses, play crucial roles in the lives of people with chronic conditions. As you mentioned, the program’s main aim is to make sure that patients with these conditions get regular care and supervision needed to prevent their conditions from worsening. The providers can see the improved patient outcomes from this program by noting fewer hospitalizations or emergency visits.
Some of the downsides I see with this program are the initial implementation, educating staff on the new technology, and ensuring that the patients have the same access to the program. The start-up costs of getting the technology needed to meet virtually with patients would be quite a sum. What strategies can be implemented to overcome the barriers to adopting this program with healthcare providers?
Boeykens, D., Sirimsi, M. M., Timmermans, L., Hartmann, M. L., Anthierens, S., De Loof, H., De Vliegher, K., Foulon, V., Huybrechts, I., Lahousse, L., Pype, P., Schoenmakers, B., Van Bogaert, P., Van den Broeck, K., Van Hecke, A., Verhaeghe, N., Vermandere, M., Verté, E., Van de Velde, D., & De Vriendt, P. (2022). How do people living with chronic conditions and their informal caregivers experience primary care? A phenomenological‐hermeneutical study. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.16243

This Writer’s Future Goals and Scholarship- (this is the title)
In a 3–5-page paper, describe your journey in the RN-BSN Program
Give a synopsis in the introduction, then define goal and scholarship, a purpose statement is required as the last statement in the introduction -i.e., the purpose of this paper is to describe this writer’s journey in the RN-BSN program at Broward College in South Florida describing the New Knowledge gained, Evidence-base practice, the influences to performance and critical thinking, the impact of ASL, the writer’s professional or scholarly plans for the future and highlight any influences or revelations on the journey. The bold content are the headings that are required.
Keep in mind scholarly paper are written for the could read and understand, therefore paper requires references for all definitive content: Required at least one from the course text, use peer-reviewed nursing journals (less than five years old) and
Additional peer-reviewed journal articles, textbooks, and professional, governmental, or educational organizations websites (.org, .gov, or. Edu) may be used as supplemental references.
APA format including headings and references are required. a heading is required for each area including the conclusion. Insert a page break for both the Title and Reference pages. These pages are not counted as part of the 3–5 pages requirement. See grading rubric for written assignments prior to submission.

What are some best practices for presenting best practices of managing hypertension simultaneously with diabetes in the context of the interprofessional team?

After studying Module 3: Lecture Materials & Resources, discuss the following:
List factors that predispose Eskimos to risk as a result of the consumption of large quantities of sugar.
Analyze different strategies useful in communicating with the Japanese American family.
When caring for a Russian American client, for the most part, at what distance would a Russian patient feel at most ease?

Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
NO AI GENERATED WORK AND TURNITIN MUST BE LESS THAN 20%.
Read
Giger, J. N., & Haddad, L. (2021). Transcultural Nursing: Assessment and Intervention (8th ed.). St. Louis, MO: Elsevier.
Chapters 12, 13, and 15

Discussion Rubric
Discussion Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIdentification of Main Issues, Problems, and Concepts
5 to >4.0 pts
Distinguished
Identifies and demonstrates a sophisticated understanding of the issues, problems, and concepts.
4 to >3.0 pts
Excellent
Identifies and demonstrates an accomplished understanding of most issues, problems, and concepts.
3 to >0.0 pts
Fair
Identifies and demonstrates an acceptable understanding of most issues, problems, and concepts.
0 pts
Poor
Identifies and demonstrates an unacceptable understanding of most issues, problems, and concepts. Or nothing was posted.
5 pts
This criterion is linked to a Learning OutcomeUse of Citations, Writing Mechanics and APA Formatting Guidelines
3 pts
Distinguished
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
2 pts
Excellent
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
1 pts
Fair
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
0 pts
Poor
Ineffectively uses the literature and other resources to inform their work. Unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention. Or nothing was posted.
3 pts
This criterion is linked to a Learning OutcomePeer Responses
2 pts
Distinguished
Constructively responded to two other posts and either extended, expanded, or provided a rebuttal to each.
1 pts
Fair
Constructively responded to one other post and either extended, expanded, or provided a rebuttal.
0 pts
Poor
Provided no response to a peer’s post.
2 pts
Total Points: 10

What components of the ACA do you think will have a positive effect on improving health care outcomes and decreasing costs?

Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
NO AI GENERATED WORK, TURNITIN MUST BE LESS THAN 20%.
Read
Mason, D. J., Gardner, B. D., Outlaw, H. F., & O’Grady, T. E. (2016).
Chapters 16, 17, and 18
Assignment Rubric Details
Close
Rubric
Discussion Rubric
Discussion Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIdentification of Main Issues, Problems, and Concepts
5 pts
Distinguished
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.
4 pts
Excellent
Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.
2 pts
Fair
Identifies and demonstrate an an acceptable understanding of most of issues, problems, and concepts.
1 pts
Poor
Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.
5 pts
This criterion is linked to a Learning OutcomeUse of Citations, Writing Mechanics and APA Formatting Guidelines
3 pts
Distinguished
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
2 pts
Excellent
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
1 pts
Fair
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
0 pts
Poor
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.
3 pts
This criterion is linked to a Learning OutcomeResponse to Posts of Peers
2 pts
Distinguished
Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.
1 pts
Fair
Student constructively responded to one other post and either extended, expanded or provided a rebuttal.
0 pts
Poor
Student provided no response to a peer’s post.
2 pts
Total Points: 10

This assignment is mostly completed. I just need the last two pages completed by putting Information in the boxes relating to my evidence based project. I’ve attached my paper so you can understand what my topic is. I will need the rest of appendix I filled out by entering the correct information in the boxes titled resources or strengths, barriers, and plan to overcome barriers on page 3 of appendix I as well as page 4 and 5 of appendix I.

Article critique of attached article. Make sure critique is clear, accurate, relevant, & concise. Include a few sentences at the end on how it (sleep) can be applied to nursing practice

The objective of this assignment is to explore and critically analyze the legal and ethical dilemmas that registered nurses may encounter when administering medications in a healthcare setting. This assignment aims to promote an understanding of the complexities surrounding medication administration by registered nurses and to encourage students to think critically about the ethical and legal implications of their actions in their professional practice.
1. Read about the case of RaDonda Vaught on the internet and describe the safety mechanisms that failed or were bypassed that resulted in patient harm.
2. Do a web search and find a legal or ethical issue in the news recently (last 5 years) surrounding registered nurses and medication administration that does not involve the case in #1. This could be about a medication error, ethical dilemma, or legal case involving nurses and medication administration.
3. Complete the body of your paper including the following sections:
Introduction: Begin your assignment with a concise introduction that provides an overview of the importance of medication administration and the role of registered nurses in this process. Explain the significance of understanding the legal and ethical aspects of this responsibility.
Legal & Ethical Connection: Describe the legal or ethical connections in the example you find and where there may be room for improvement in nursing practice and safety.
Future Practice: Explain how reading about the article you find and the case of RaDonda Vaught, has an impact on your future nursing practice.
Conclusion: Summarize the key legal and ethical challenges related to medication administration by registered nurses. Discuss the importance of nurses’ awareness of these issues and the potential consequences of not adhering to legal and ethical standards, incorporating information from the news articles into your paper.