Nursing research and pathopysiology (due 24 hours)

 

1) Stint 7 bountiful pages (Follow the 3 x 3 rule: stint three paragraphs per multiply-among)

Parts 1,  2 are the similar, HOWEVER, your exculpation and references must be 100% unanalogous. That is, you must exculpation from 2 unanalogous perspectives, frequently approaching the interrogation objectively.

             Part 1: Stint 1 page

             Part 2: stint 1 page

             Part 3: Stint 1 page

             Part 4: Stint 1 page

Submit 1 instrument per multiply-among

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont transcribe in the original person 

          Dont vision and pase the interrogations.

          Answer the interrogation objectively, do not create introductions to your exculpations, exculpation it when you set-on-foot the paragraph

Submit 1 instrument per multiply-among

3)****************************** It conquer be attested by Turnitin (Identify the percentage of proper competition of congeniality thriveing a while any other productions on the internet and academic sources, including universities and axioms banks) 

********************************It conquer be attested by SafeAssign (Identify the percentage of identity of congeniality thriveing a while any other productions on the internet and academic sources, including universities and axioms banks)

4) Stint 3 references per multiply-among-among not older than 5 years

5) Identify your exculpation thriveing a while the bulk, according to the interrogation. Set-on-foot your exculpation on the similar method, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must call the files according to the multiply-among-among you are exculpationing: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Parts 1, and 2 are the similar, HOWEVER, your exculpation and references must be 100% unanalogous. That is, you must exculpation from 2 unanalogous perspectives, frequently approaching the interrogation objectively.

Part 1: Pharmacology 1

Chief remonstrance:  “ My upupequitable bulky toe has been hurting for encircling 2 months and now it’s itchy, pompous and yellow. I can’t hollow settled shoes and I was minute until I set-on-footed going to the gym”.

HPI: E.D a 38 -year-old Caucasian womanish presents to the clinic thriveing a while remonstrance of abstinence, craving, inflammation, and “yellow” upupequitable bulky toe. She noticed that the toe was moderately craving thriveing she took a wash at the gym. She did not pay considerable regard. Encircling two weeks thriveing the craving became fervent and she applied Benadryl marrow thriveing a while singly some extrication. She continued going to the gym and noticed that the craving got worse and her toe nail set-on-footed to transmute hue. She as-well involved that the toe got pompous, abstinenceful and bitter perfectly yellow 2 weeks ago. She applied lotrimin  AF marrow and it did not acceleration extrication her symptoms. She has not healed other remedies.

Denies associated symptoms of fervor and chills. 

PMH: Diabetes Mellitus, expression 2.

Surgeries: None

Allergies: Augmentin

Medication: Metformin 500mg PO BID.

Vaccination History:  Immunization is up to end and she current her flu shot this year.

Social truth: College disequalize married and no progeny. She drinks 1 glass of red wine integral extinction thriveing a while dinner. She is a antecedent smoker and leave 6 years ago.

Family truth:Both parents are existent. Father has truth of DM expression 2, Tinea Pedis. dame existent and has truth of atopic dermatitis, HTN.

ROS:

Constitutional: Negative for fervor. Negative for chills.

Respiratory: No Shortness of exhalation. No Orthopnea

Cardiovascular: Regular rhythm.

Skin: Right bulky toe pompous, itchy, abstinenceful and discolored.

Psychiatric: No solicitude. No dip.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 corpulence, BP 130/70 T 98.0, P 88 R 22, non-labored

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

NECK: Neck elastic, no evident masses, no lymphadenopathy, no thyroid expansion.

LUNGS: No Crackles. Lungs unclouded bilaterally. Equal exhalation sounds. Symmetrical respiration. No respiratory afflict.

HEART: Normal S1 thriveing a while S2 during dolefulness. Pulses are 2+ in remarkable extremities. 1+ pitting edema ankle bilaterally.

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

GENITOURINARY: No CVA softness bilaterally. GU exam protracted.

MUSCULOSKELETAL: Slow degree but consistent. No Kyphosis.

SKIN: Right bulky toe thriveing a while yellow-brown blot in the proximal nail concoction. Marked periungual inflammation. + aridity. No pus. No neuro deficit.

PSYCH: Normal seek. Cooperative.

Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

Assessment:

Primary Diagnosis: Proximal subungual onychomycosis

Differential Diagnosis:  Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis

Special Lab:

Fungal refinement confirms fungal poison.

 

1. According to the AAFP/CDC Guidelines, what antifungal medication(s) should this enduring be prescribed, and for how hanker? Transcribe her total classifys using the classify congeniality format in your textbook.

Provider

Patient

DOB

Date

Medication

Amount dispensed

Refill

2.  What labs for basemethod and thrive up of therapy would you classify for this enduring? Give rationale.

Part 2: Pharmacology 2

 

Chief remonstrance:  “ My upupequitable bulky toe has been hurting for encircling 2 months and now it’s itchy, pompous and yellow. I can’t hollow settled shoes and I was minute until I set-on-footed going to the gym”.

HPI: E.D a 38 -year-old Caucasian womanish presents to the clinic thriveing a while remonstrance of abstinence, craving, inflammation, and “yellow” upupequitable bulky toe. She noticed that the toe was moderately craving thriveing she took a wash at the gym. She did not pay considerable regard. Encircling two weeks thriveing the craving became fervent and she applied Benadryl marrow thriveing a while singly some extrication. She continued going to the gym and noticed that the craving got worse and her toe nail set-on-footed to transmute hue. She as-well involved that the toe got pompous, abstinenceful and bitter perfectly yellow 2 weeks ago. She applied lotrimin  AF marrow and it did not acceleration extrication her symptoms. She has not healed other remedies.

Denies associated symptoms of fervor and chills. 

PMH: Diabetes Mellitus, expression 2.

Surgeries: None

Allergies: Augmentin

Medication: Metformin 500mg PO BID.

Vaccination History:  Immunization is up to end and she current her flu shot this year.

Social truth: College disequalize married and no progeny. She drinks 1 glass of red wine integral extinction thriveing a while dinner. She is a antecedent smoker and leave 6 years ago.

Family truth:Both parents are existent. Father has truth of DM expression 2, Tinea Pedis. dame existent and has truth of atopic dermatitis, HTN.

ROS:

Constitutional: Negative for fervor. Negative for chills.

Respiratory: No Shortness of exhalation. No Orthopnea

Cardiovascular: Regular rhythm.

Skin: Right bulky toe pompous, itchy, abstinenceful and discolored.

Psychiatric: No solicitude. No dip.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 corpulence, BP 130/70 T 98.0, P 88 R 22, non-labored

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

NECK: Neck elastic, no evident masses, no lymphadenopathy, no thyroid expansion.

LUNGS: No Crackles. Lungs unclouded bilaterally. Equal exhalation sounds. Symmetrical respiration. No respiratory afflict.

HEART: Normal S1 thriveing a while S2 during dolefulness. Pulses are 2+ in remarkable extremities. 1+ pitting edema ankle bilaterally.

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

GENITOURINARY: No CVA softness bilaterally. GU exam protracted.

MUSCULOSKELETAL: Slow degree but consistent. No Kyphosis.

SKIN: Right bulky toe thriveing a while yellow-brown blot in the proximal nail concoction. Marked periungual inflammation. + aridity. No pus. No neuro deficit.

PSYCH: Normal seek. Cooperative.

Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

Assessment:

Primary Diagnosis: Proximal subungual onychomycosis

Differential Diagnosis:  Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis

Special Lab:

Fungal refinement confirms fungal poison.

 

1. According to the AAFP/CDC Guidelines, what antifungal medication(s) should this enduring be prescribed, and for how hanker? Transcribe her total classifys using the classify congeniality format in your textbook.

Provider

Patient

DOB

Date

Medication

Amount dispensed

Refill

2.  What labs for basemethod and thrive up of therapy would you classify for this enduring? Give rationale.

Part 3: Nursing Lore 1

 Suppose you were planning to persuade a saywide con-over of the result plans and intentions of nonassiduous registered comforts in your say (florida). 

1. Would you ask chiefly open-ended interrogations or settled-ended interrogations? 

2. Defend your exculpation, expound why.

Part 4: Nursing Lore 2

1. Which equalize of extent would you promote to localize for regulative lore? 

2. Defend your exculpation.

Part 5: Pathopysiology 1

Eleven-month-old Bianca is being assessed in the chest clinic today by the respiratory comfort. Bianca requires true movable oxygen via nasal prongs at 0.5 L/min. Her dame has healed to abalienate Bianca from oxygen during the extinction, but Bianca’s O2 saturation repeatedly conquer percolate to 92% and her respiratory blame conquer extension. Bianca was born at 30 weeks gestation and was ventilated for the original 2 weeks of vitality. She has been on true oxygen since race. There is a novice comfort observing today. Outside the exam extent, she says to the respiratory comfort that Bianca must own asthma.

1. How would the respiratory comfort meet?

2. What things would you be solicitous encircling as Bianca gets older?

Part 6: Pathopysiology 2

A enduring on a medical pavement has an implicit catheter that has been in for 2 weeks.

1.  Why are endurings thriveing a while implicit urinary catheters at an extensiond induce for urinary credit poisons?

In caring for a enduring thriveing a while an implicit urinary catheter

2. What nursing actions can be assiduous to diminish the enduring’s induce for the outgrowth of a urinary credit poison?

Part 7: Nursing Lore Master 

´Project:  Prevalence of Overweight and Patterns of Physical Activity in a Population of Progeny Aged 7 To 11 in a Say of Schooling.

Topic: Childhood Obesity

Study: Quantitative

 Based on your career balbutiation assignments and your pending lore problem

1. What expression of con-over do you respect you are persuadeing, and fascinate expound why? 

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