Scenario

One week ago, you started your dream job as an orthopedic nurse at a Level 1 Trauma Center in a metropolitan city of 3.7 million people. The hospital has ranked as the #5 Trauma Orthopedic Specialty Unit in the United States for eight years. At this point during orientation, you are permitted to care for one stable client per 12-hour shift. Today you start your shift with Ryan; a 25-year-old admitted through the Emergency Room after a motor vehicle accident with rollover resulting in a fractured right femur, multiple rib fractures, sternal bruises, and multiple abrasions. He is two hours post-op from an open reduction internal fixation of the right femur and appears alert and oriented. When you enter the room his first statement is, “Can someone please get me a cigarette or a patch; I have not had a smoke since yesterday morning!”

Assessment Data:

• The client is sitting up in bed with thigh-high anti-embolism stockings on the left leg only.
• Dressings to multiple abrasions appear dry.
• Urine in Foley Bag amber colored and urinary output in the past 2 hours 40cc
• Pain reported as 8 on a scale of 10 with a goal of 5

Vital signs:

• BP 130/80
• Heart Rate 92
• O2 Sats 94% on 4L Nasal Cannula

Blood Gases:

• pH 7.32
• PaCO2 53 mmHg
• HCO3 22mmol/L
• Pao2 84mm Hg

Physician’s Orders:

• Bed Rest Only
• Clear Liquid Diet
• Oxygen to maintain Spo2 of 92% or greater
• ABGs repeated every 4 hours
• Discontinue PCA and consult pain management
• Administer tetanus and flu immunizations before discharge
• Administer 1-2mg Morphine IV every 4-6 hours as needed for breakthrough pain

As you review the assessment data and physician orders, you plan client care and determine six nursing interventions you believe are appropriate and should be completed in this order within the next hour:

1. Administer 2mg Morphine IV now for breakthrough pain
2. Apply anti-emoblism stockings bilaterally
3. Call the physician to get an order for Nicotine Patch and report decreased urinary output with amber urine
4. Input consult for pain management into the electronic order system
5. Decrease O2 to 2L Nasal Cannula and continue Sp02 monitoring
6. Administer tetanus immunization

Instructions

As you write down the proposed interventions, the nurse manager stops by to check on your progress and asks you a few questions regarding your decisions. The nurse manager is disappointed and states, “One of these actions is not correct I want you to write down what you believe is the best choice from your list to do immediately and the action you believe is incorrect and should not be done. I will be back in 10 minutes to discuss your thoughts.”

On a document provide detailed responses to these questions:

• What is the best action to perform first from the six actions identified as part of planned client care for this particular client?
• What is the best action to perform second from the six actions identified as part of planned client care for this particular client?
• What is the best action to perform third from the six actions identified as part of planned client care for this particular client?
• What is the best action to perform fourth from the six actions identified as part of planned client care for this particular client?
• What is the incorrect action?

Resources

• APA Guide

please follow the direction

attach Unit Plan Assignment and Rubric

the subject

B.DI.3: Loss of Diversity • Climate change • Anthropocene effects • Extinction • Invasive species

see the attach ohio standerd

and the link

https://www.nextgenscience.org/

i will attach a sample but please see the sample to know how you writing but dont writing like the sample

please see the assignment and rubric to see how will teatcher put the grade

the unit plan should contain 10 days like the template

Write a 1500 word report that discusses how the topics you chose are portrayed in the film using the information from the research you identified. This report should be your own analysis of how, or if, the writers and directors portrayed the science accurately (for their their understanding of the facts at the time of the film’s production, or by today’s understanding) or if they embellished with creative and narrative license. MLA style. No plagiarism.

This is based on two other assignments that have been done already and are attached.

Film Summary: A brief summary, 300-500 words. Should include a brief overview of the plot and main characters. Also, outline two (2) topics that the film addresses that relate to biological anthropology. These topics will be explored further in the remaining portions of the assignment.

Annotated bibliography: Identify ten (10) primary sources from biological anthropological research that discuss your two topics from your summary. You will annotate, or provide a brief critical summary, of three (3) of the sources on your bibliography.

Explain why the answer choice is either A B C or D. Try to explain how you got the answer you did.

Paper about:

• External Analysis
• Strategy Analysis
• Structure and Control Systems
• SWOT Analysis

Papers should be double-spaced, 10 font

Instructions

• Sound application of appropriate tools to analyze the external environment.
• Comprehensive and in-depth use of appropriate quantitative and qualitative case data to support analyses; sound and persuasive logic. In-depth financial and statistical analysis.
• No errors in word usage, sentence structure (run-ons, fragments), spelling, punctuation, and capitalization. Strong mechanics help to establish credibility.