NR 439 All Discussion Posts Week 1 _ Week 7

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NR 439 EVIDENCE-BASED PRACTICE  

(Chamberlain)

 

NR 439 Week 1 Discussion 1 Searchable Clinical Questions

NR 439 Week 1 Discussion 2 Role of Research

NR 439 Week 2 Discussion 1 Describe a Significant Nursing Clinical Issue

NR 439 Week 2 Discussion 2 Share a Research Database Description

NR 439 Week 3 Discussion 1 Research Problems and Design

NR 439 Week 3 Discussion 2 Share a Research Design for Your Significant Nursing Clinical Issue

NR 439 Week 4 Discussion 1 Sampling

NR 439 Week 4 Discussion 2 Ethical and Legal Issues

NR 439 Week 5 Discussion 1 Measurement Strategies

NR 439 Week 5 Discussion 2 Data Collection

NR 439 Week 6 Discussion 1 Significance of Results

NR 439 Week 6 Discussion 2 Collection Methods

NR 439 Week 7 Discussion 1 Applying Evidence to Practice  

NR 439 Week 7 Discussion 2 Sharing Evidence

400 word discussion post

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Go to the NINR website: https://www.ninr.nih.gov/ and identify the four current priorities for nursing research under NURSING RESEARCH DEVELOPS KNOWLEDGE TO…. Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? Describe how these research initiatives can be translated into evidence-based practice in your work environment.

Sentence outline for informative speech

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Sentence outline for informative speech

The outline is a crucial component of the speech planning process. Write a full sentence outline for your career path or professional goals informative speech and submit it to the Submissions Area. Use this outline templatefor creating your outline. Give the file the following name: SU_SPC1026_W3_Project_LastName_FirstInitial.

You will not be graded on the visual aid component of the outline; however, you will receive feedback and this can be valuable in maintaining points, as you will be required to use visual aids in your informative and persuasive speeches in Weeks 4 and 5 that relate to your career path or professional goals.

The template contains areas where you must list your speech title, its general purpose, and its specific purpose as it pertains to communication and your career path or professional field. In addition, outline your introduction. Let us know what your attention-getting statement is, why you have credibility to speak on your subject, what the relevancy for your target audience is, and what the central idea of the speech is. The template also contains the area that links to the body of the speech. This will break the speech up into three main points with supporting information and details. In the conclusion of the speech you will summarize your main points for us and close with a memorable statement.

In addition to these outline areas, complete the References section. Your Informative Speech Outline should reference at least three sources that relate to your career field or professional goals, two of which should come from the South University Online Library.

Your assigned readings for this week include more information about good outlining technique.

Name your document SU_SPC1026_W3_Project_LastName_FirstInitial.doc and submit your document to the Submissions Area by the due date assigned.

week5 cul

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Prompt:  Lincoln, Ch. 21, 22, & 23

Ch. 21

A welcoming environment In what way does your institution send the message “you are welcome here”? Do you see any barriers that might send another message? Is the mission statement visible? What languages are spoken and by whom? Are staff, professional and ancillary, reflective of the community? What would you add to make it even more welcoming?

Decision making/Spokesperson How were decisions made in your family of origin? Is that different from your family of today? How is your decision-making mode different from that of your patients? Where do you find common ground?

How do you include family members? In outpatient settings? During procedures or treatments? In the emergency room? In the Intensive Care Unit? In the Pediatric Unit? In the Obstetrical Unit? During end-of-life?

Role of the Sick Person What was the role of the sick person in your family of origin? How is it different from that of your patients and their families? Where do you find common ground? In what ways do you encourage the patient’s family to participate in the patient’s care?

From your perspective… Where is it difficult to provide balance between patient and HCP? Which element would pose the greatest obstacle? How would you incorporate cultural beliefs and practices into a plan of care?

Ch. 22

Creating a vision What is your vision of a culturally competent healthcare organization? How does it address values of cultural diversity? How does it address a welcoming environment? Dignity for all who enter?

Do we reflect our community demographics? Administrators, do they reflect the community demographics? Professional staff, do they reflect the community demographics? Ancillary staff, do they reflect the community demographics? Patient demographics, if not reflective of community demographics, could this lead to health disparities?

Orienting to a new department Does your departmental orientation program address cultural diversity? Is there a policy addressing language spoken in the workplace? Are cultural styles of communication and conflict resolution reviewed and discussed? Is there discussion of the cultural values, beliefs, and health practices of your patient population? Are standards of care and Practice reviewed? What else needs to be added to the program?

Ch.23

Trends over time…the benefits and challenges What demographics changes have you seen in the student population? In the faculty population? What are the challenges of teaching in a culturally diverse student population? How does faculty address those challenges? What are the benefits?

Barriers for whom… Which of those themes resonate immediately with your experience? Have you observed or heard these mentioned by your students? From faculty? Do you treat all students the same? Can you see where changes could be made?

Student learning outcomes Who accredits your institution? What are the student learning outcomes specific to your department? How are cultural learning styles addressed in the development of curricula and testing? Do you see any biases?

Self and department cultural assessment Have you ever completed a cultural self-awareness assessment tool? What were the results, were they what you expected? Did you find it helpful? Were you involved in the decision-making process to do this exercise? Did new programs, new teaching strategies, better communication emerge?

Five Teaching patterns Which pattern is most reflective of your teaching style? Which style intrigues you? What resources are available to enrich your cultural teaching strategies?

In the classroom setting What are some of the resources you currently use? What teaching strategies have you used in the classroom? Are they effective? Does faculty work collaboratively to develop these programs? Are they part of your overall mission statement, goals, and objectives of the department?

Summary: The purpose of the weekly reflective journal exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011).  Also a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).

Directions: Complete the Reflective Journal questions presented in your Lincoln (Weeks 1-6) and Dayer-Berenson (Weeks 6-8) text as defined in the course outline.  Post the responses to the questions in the D2L dropbox. The assignment in due on Monday by 11:59 PM PST

Medsurg 6

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Please provide proper citation with page numbers of the material you are referencing in your Main Post.
Please write 1 paragraph for each of the following (total 3 paragraphs) and each paragraph shall be no less than 3 sentences and no more than 6 sentences.
Discuss one of the following: STEMI, Non-STEMI; congestive heart failure; murmurs; ventricular tachycardia; asystole What is a safe treatment plan for a patient with Atrial Fibrillation? What is a safe treatment plan to reduce a patient’s bilateral lower extremities pitting edema?

Crafting Healthcare Policies

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Given your readings and discussions during this module, reflect on who ought to participate in crafting healthcare policies and, perhaps more importantly, should NOT be a significant participant in writing healthcare policies, and explain why or why not. Consider the following questions in formulating your response to the readings, discussion boards, and study notes as well as current events in the healthcare field for this week:How do my personal/professional experiences relate to the course readings?What issues in the module impacted me the most given my professional and/or personal experiences?To what degree have the discussions in the class been helpful in relating to the issues raised by the readings?Are there any issues that arise that have not been addressed in the readings?What other information, if any, would I need to completely address the policy issue or course related topics at hand?

Your reflection papers should address different topics/ materials covered and be no more than 3-4 pages using APA format. (NOTE: these questions are merely offered as suggestions, and you may certainly create a reflection paper in a way that best suits your reaction to the materials we have covered during the week).

NR507 Week 4 Midterm Latest 2017

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Question

Question 1

2 / 2 pts

Examination of the throat in a child demonstrating signs and symptoms of acute epiglottitis may contribute to which life-threatening complication?

Retropharyngeal abscess

Laryngospasms

Rupturing of the tonsils

Gagging induced aspiration

Question 2

2 / 2 pts

Causes of hyperkalemia include:

Hyperparathyroidism and malnutrition

Vomiting and diarrhea

Renal failure and Addison disease

Hyperaldosteronism and Cushing disease

Question 3

2 / 2 pts

What is the life span of an erythrocyte (in days)?

20 to 30

60 to 90

100 to 120

200 to 240

Question 4

2 / 2 pts

Which substance has been shown to increase the risk of cancer when used in combination with tobacco smoking?

Alcohol

Steroids

Antihistamines

Antidepressants

Question 5

0 / 2 pts

Which hepatitis virus is known to be sexually transmitted?

A

B

C

D

Question 6

2 / 2 pts

What is the purpose of the spirometry measurement?

To evaluate the cause of hypoxia

To measure the volume and flow rate during forced expiration

To measures the gas diffusion rate at the alveolocapillary membrane

To determine pH and oxygen and carbon dioxide concentrations

Question 7

2 / 2 pts

What is the direct action of atrial natriuretic hormone?

Sodium retention

Sodium excretion

Water retention

Water excretion

Question 8

2 / 2 pts

What is the most important negative inotropic agent?

Norepinephrine

Epinephrine

Acetylcholine

Dopamine

Question 9

2 / 2 pts

What is the primary cause of respiratory distress syndrome (RDS) of the newborn?

Immature immune system

Small alveoli

Surfactant deficiency

Anemia

Question 10

2 / 2 pts

An individual is more susceptible to infections of mucous membranes when he or she has a seriously low level of which immunoglobulin antibody?

IgG

IgM

IgA

IgE

Question 11

2 / 2 pts

Low plasma albumin causes edema as a result of a reduction in which pressure?

Capillary hydrostatic

Interstitial hydrostatic

Plasma oncotic

Interstitial oncotic

Question 12

2 / 2 pts

Erythrocyte life span of less than 120 days, ineffective bone marrow response to erythropoietin, and altered iron metabolism describe the pathophysiologic characteristics of which type of anemia?

Aplastic

Sideroblastic

Anemia of chronic disease

Iron deficiency

Question 13

2 / 2 pts

An infant’s hemoglobin must fall below ___ g/dl before signs of pallor, tachycardia, and systolic murmurs occur.

11

9

7

5

Question 14

2 / 2 pts

What part of the kidney controls renal blood flow, glomerular filtration, and renin secretion?

Macula densa

Visceral epithelium

Juxtaglomerular apparatus (JGA)

Filtration slits

Question 15

2 / 2 pts

The lung is innervated by the parasympathetic nervous system via which nerve?

Vagus

Phrenic

Brachial

Pectoral

Question 16

2 / 2 pts

Which statement best describes a Schilling test?

Administration of radioactive cobalamin and the measurement of its excretion in the urine to test for vitamin B12 deficiency

Measurement of antigen-antibody immune complexes in the blood to test for hemolytic anemia

Measurement of serum ferritin and total iron-binding capacity in the blood to test for iron deficiency anemia

Administration of folate and measurement in 2 hours of its level in a blood sample to test for folic acid deficiency anemia.

Question 17

2 / 2 pts

Which disorder results in decreased erythrocytes and platelets with changes in leukocytes and has clinical manifestations of pallor, fatigue, petechiae, purpura, bleeding, and fever?

Idiopathic thrombocytopenic purpura (ITP)

Acute lymphocytic leukemia (ALL)

Non-Hodgkin lymphoma (NHL)

Iron deficiency anemia (IDA)

Question 18

2 / 2 pts

Which compensatory mechanism is spontaneously used by children diagnosed with tetralogy of Fallot to relieve hypoxic spells?

Lying on their left side

Performing the Valsalva maneuver

Squatting

Hyperventilating

Question 19

2 / 2 pts

Which hormone is required for water to be reabsorbed in the distal tubule and collecting duct?

Antidiuretic hormone

Aldosterone

Cortisol

Adrenocorticotropin hormone

Question 20

2 / 2 pts

What is the fundamental physiologic manifestation of anemia?

Hypotension

Hyperesthesia

Hypoxia

Ischemia

Question 21

2 / 2 pts

Continuous increases in left ventricular filing pressures result in which disorder?

Mitral regurgitation

Mitral stenosis

Pulmonary edema

Jugular vein distention

Question 22

2 / 2 pts

Which T-lymphocyte phenotype is the key determinant of childhood asthma?

Cluster of differentiation (CD) 4 T-helper Th1 lymphocytes

CD4 T-helper Th2 lymphocytes

CD8 cytotoxic T lymphocytes

Memory T lymphocytes

Question 23

2 / 2 pts

Innervation of the bladder and internal urethral sphincter is supplied by which nerves?

Peripheral nerves

Parasympathetic fibers

Sympathetic nervous system

Tenth thoracic nerve roots

Question 24

2 / 2 pts

Which of the following is classified as a megaloblastic anemia?

Iron deficiency

Pernicious

Sideroblastic

Hemolytic

Question 25

2 / 2 pts

When an individual aspirates food particles, where would the nurse expect to hear decreased or absent breath sounds?

Left lung

Right lung

Trachea

Carina

Question 26

0 / 2 pts

The most common site of metastasis for a patient diagnosed with prostate cancer is which location?

Bones

Brain

Bladder

Kidney

Question 27

2 / 2 pts

Perceived stress elicits an emotional, anticipatory response that begins where?

Prefrontal cortex

Anterior pituitary

Limbic system

Hypothalamus

Question 28

2 / 2 pts

Which manifestations of vasoocclusive crisis are associated with sickle cell disease (SCD) in infants?

Atelectasis and pneumonia

Edema of the hands and feet

Stasis ulcers of the hands, ankles, and feet

Splenomegaly and hepatomegaly

Question 29

2 / 2 pts

Which cytokines initiate the production of corticotropin-releasing hormone (CRH)?

IL–1 and IL-6

IL-2 and TNF-?

IFN and IL-12

TNF-ß and IL-4

Question 30

2 / 2 pts

The generation of clonal diversity occurs primarily during which phase of life?

Fetal

Neonatal

Infancy

Puberty

Question 31

2 / 2 pts

Where in the respiratory tract do the majority of foreign objects aspirated by children finally lodge?

Trachea

Left lung

Bronchus

Bronchioles

Question 32

2 / 2 pts

Which immunoglobulin (Ig) is present in childhood asthma?

IgM

IgG

IgE

IgA

Question 33

2 / 2 pts

Between which months of age does sudden infant death syndrome (SIDS) most often occur?

0 and 1

2 and 4

5 and 6

6 and 7

Question 34

2 / 2 pts

Which complex (wave) represents the sum of all ventricular muscle cell depolarizations?

PRS

QRS

QT interval

P

Question 35

2 / 2 pts

When a patient has small, vesicular lesions that last between 10 and 20 days, which sexually transmitted infection is suspected?

Genital herpes

Chancroid

Syphilis

Chlamydia

Question 36

2 / 2 pts

What is the chief predisposing factor for respiratory distress syndrome (RDS) of the newborn?

Low birth weight

Alcohol consumption during pregnancy

Premature birth

Smoking during pregnancy

Question 37

2 / 2 pts

Which statement concerning exotoxins is true?

Exotoxins are contained in cell walls of gram-negative bacteria.

Exotoxins are released during the lysis of bacteria.

Exotoxins are able to initiate the complement and coagulation cascades.

Exotoxins are released during bacterial growth.

Question 38

2 / 2 pts

Deficiencies in which element can produce depression of both B- and T-cell function?

Iron

Zinc

Iodine

Magnesium

Question 39

0 / 2 pts

The function of the foramen ovale in a fetus allows what to occur?

Right-to-left blood shunting

Left-to-right blood shunting

Blood flow from the umbilical cord

Blood flow to the lungs

Question 40

2 / 2 pts

Decreased lung compliance means that the lungs are demonstrating which characteristic?

Difficult deflation

Easy inflation

Stiffness

Inability to diffuse oxygen

Question 41

2 / 2 pts

If the sinoatrial (SA) node fails, then at what rate (depolarizations per minute) can the atri-oventricular (AV) node depolarize?

60 to 70

40 to 60

30 to 40

10 to 20

Question 42

2 / 2 pts

Which statement concerning benign tumors is true?

The resulting pain is severe.

Benign tumors are not encapsulated.

Benign tumors are fast growing.

The cells are well-differentiated.

Question 43

2 / 2 pts

How much urine accumulates in the bladder before the mechanoreceptors sense bladder fullness?

75 to 100 ml

100 to 150 ml

250 to 300 ml

350 to 400 ml

Question 44

2 / 2 pts

How high does the plasma glucose have to be before the threshold for glucose is achieved?

126 mg/dl

150 mg/dl

180 mg/dl

200 mg/dl

Question 45

0 / 2 pts

Apoptosis is a(an):

Normal mechanism for cells to self-destruct when growth is excessive

Antigrowth signal activated by the tumor-suppressor gene Rb

Mutation of cell growth stimulated by the TP53 gene

Transformation of cells from dysplasia to anaplasia

Question 46

0 / 2 pts

What is the role of collagen in the clotting process?

Initiates the clotting cascade.

Activates platelets.

Stimulates fibrin.

Deactivates fibrinogen.

Question 47

0 / 2 pts

Infants are most susceptible to significant losses in total body water because of an infant’s:

High body surface–to–body size ratio

Slow metabolic rate

Kidneys are not mature enough to counter fluid losses

Inability to communicate adequately when he or she is thirsty

Question 48

0 / 2 pts

What is the action of urodilatin?

Urodilatin causes vasoconstriction of afferent arterioles.

It causes vasodilation of the efferent arterioles.

Urodilatin inhibits antidiuretic hormone secretion.

It inhibits salt and water reabsorption.

Question 49

0 / 2 pts

Which cardiac chamber has the thinnest wall and why?

The right and left atria; they are low-pressure chambers that serve as storage units and conduits for blood.

The right and left atria; they are not directly involved in the preload, contractility, or afterload of the heart.

The left ventricle; the mean pressure of blood coming into this ventricle is from the lung, which has a low pressure.

The right ventricle; it pumps blood into the pulmonary capillaries, which have a lower pressure compared with the systemic circulation.

Question 50

0 / 2 pts

Research supports the premise that exercise has a probable impact on reducing the risk of which cancer?

Liver

Endometrial

Stomach

Colon

Question 51

0 / 2 pts

What is the trigone?

A smooth muscle that comprises the orifice of the ureter

The inner mucosal lining of the kidneys

A smooth triangular area between the openings of the two ureters and the urethra

One of the three divisions of the loop of Henle

Question 52

2 / 2 pts

What is the most abundant class of plasma protein?

Globulin

Albumin

Clotting factors

Complement proteins

Question 53

2 / 2 pts

The glomerular filtration rate is directly related to which factor?

Perfusion pressure in the glomerular capillaries

Diffusion rate in the renal cortex

Diffusion rate in the renal medulla

Glomerular active transport

Question 54

0 / 2 pts

Which cells have phagocytic properties similar to monocytes and contract like smooth muscles cells, thereby influencing the glomerular filtration rate?

Principle cells

Podocin cells

Mesangial cells

Intercalated cells

Question 55

0 / 2 pts

Why is nasal congestion a serious threat to young infants?

Infants are obligatory nose breathers.

Their noses are small in diameter.

Infants become dehydrated when mouth breathing.

Their epiglottis is proportionally greater than the epiglottis of an adult’s.

Question 56

2 / 2 pts

The risk for respiratory distress syndrome (RDS) decreases for premature infants when they are born between how many weeks of gestation?

16 and 20

20 and 24

24 and 30

30 and 36

Question 57

2 / 2 pts

What is the ratio of coronary capillaries to cardiac muscle cells?

1:1 (one capillary per one muscle cell)

1:2 (one capillary per two muscle cells)

1:4 (one capillary per four muscle cells)

1:10 (one capillary per ten muscle cells)

Question 58

2 / 2 pts

A person with type O blood is considered to be the universal blood donor because type O blood contains which of the following?

No antigens

No antibodies

Both A and B antigens

Both A and B antibodies

Question 59

2 / 2 pts

The drug heparin acts in hemostasis by which processes?

Inhibiting thrombin and antithrombin III (AT-III)

Preventing the conversion of prothrombin to thrombin

Shortening the fibrin strands to retract the blood clot

Degrading the fibrin within blood clots

Question 60

2 / 2 pts

What effects do exercise and body position have on renal blood flow?

Exercise and body position activate renal parasympathetic neurons and cause mild vasoconstriction.

They activate renal sympathetic neurons and cause mild vasoconstriction.

Both activate renal parasympathetic neurons and cause mild vasodilation.

They activate renal sympathetic neurons and cause mild vasodilation.

   e

36232 – 8- pages within 3days

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36232 Topic: Laboratory Review Worksheet

Number of Pages: 8 (Double Spaced)

Number of sources: 4

Writing Style: APA

Type of document: Research Paper

Academic Level:Master

Category:   Nursing

Language Style: English (U.S.)

Order Instructions: Attach

please submit a 250-300 word summary describing your preferred experience. my preferred experience is to shadowing a charge nurse in IMCU

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 f a volunteer experience has yet to be confirmed, please submit a 250-300 word summary describing your preferred experience. As a part of your summary, include the duties or skills that you seek to develop. Also, include what you hope to attain from the experience. 

crisis intervention week 4

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Week 4: Question for Discussion  

(Wk # 4: 

Chapter 7 – Posttraumatic Stress

Question(s): be prepared to discuss 2 questions

There are different treatments used for the diagnosis of PTSD. The textbook mentions several. Please, select one of them and discuss it. Also, explain why you selected that particular treatment.

Guidelines: The selection needs to be from the textbook. Student mentions one of the treatments for PTSD (30 points). Student discusses the treatment (35 points). Student explains why she / he selected that particular treatment (35 points).APA FORMAT