NR 508 Week 7 Reflection TD & Quiz

NR 508 Week 7 Reflection TD & Quiz Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #3, MSN Essential IX, and NP Core Competencies # 5 Program Outcome #3: Use contemporary communication modalities effectively in advanced nursing roles MSN Essential IX: Master’s-Level Nursing Practice Recognizes that nursing practice, at the master’s level, is broadly defined as any form of nurs healthcare outcomes for individuals, populations, or systems. Master’s-level nursing graduat understanding of nursing and relevant sciences as well as the ability to integrate this knowled interventions include both direct and indirect care components. Nurse Practitioner Core Competencies #5 Technology and Information Literacy Competencies 1. Integrates appropriate technologies for knowledge management to improve health care. 2. Translates technical and scientific health information appropriate for various users’ needs.2a). Assesses the patient’s and caregiver’s educational needs to provide effective, personalize health care. 2b). Coaches the patient and caregiver for positive behavioral change. 3. Demonstrates information literacy skills in complex decision making. 4. Contributes to the design of clinical information systems that promote safe, quality and cocare. 5. Uses technology systems that capture data on variables for the evaluation of nursing care. The essentials of master’s education in nursing was released in 2011 and it outlines what is expected of master’s prepared nurses. There are nine essential outcomes an advanced practice nurse must demonstrate in order to improve healthcare outcomes. The essentials set forth will help provide a better understanding of nursing practice and leadership opportunities so that continual learning can be promoted (AACN, 2011). Program Outcome #3: Use contemporary communication modalities effectively in advanced nursing roles Master’s prepared nurses are expected to provide patients with exceptional care. As clinical nurse leaders, master’s prepared nurses recognize this to include technology and health information. The integration of technology into healthcare has improved communication in many ways and will continue to do so as new advances present themselves. The electronic medical record is one example of how healthcare professionals can effectively communicate with one another and stay abreast of the patient’s situation. MSN Essential IX: Master’s-Level Nursing Practice: Master’s Level Nursing Practice Nursing practice at this level includes direct and indirect patient care. Master’s level nurses are expected to have advanced knowledge and understanding of nursing and the sciences involved and must be able to organize both into their practice (AACN, 2011). Advanced practice nurses will be able to influence the outcomes of individual patients, systems, and populations (AACN, 2011). Master’s prepared nurses have solid backgrounds on to which they continue to learn and build. This course allowed me to build upon my knowledge with the use of research and interactive discussion posts. Nurse Practitioner Core Competencies: #5 Technology and Information Literacy Competencies The use of technology and information is important in almost all areas of practice but especially for the advanced practice nurse. Nurses, along with all other healthcare professionals, are required to keep up on, understand, and implement new technologies into their practice. The use of technology is especially important when it comes to prescribing medications. Technology is constantly updating, which means using it is the most effective and up to date tool providers have for safely prescribing medications. For this course, I utilized UpToDate, Physician’s Desk Reference (PDR), and Epocrates to thoroughly research medications along with their mechanisms of action, dosing guidelines, contraindications, adverse reactions, drug interactions, black box warnings, pharmacology, and safety/monitoring. The use of these tools helped elevate my knowledge so that I could care for patients appropriately, effectively, and most importantly, safely. American Association of Colleges of Nursing (2011). The essentials of master’s education in nursing. Retrieved from QUIZ: Question 10 pts A patient with ulcerative colitis takes 30 mg of methylprednisolone (Medrol) daily. The primary care NP sees this patient for bronchitis and orders azithromycin (Zithromax). The NP should: stop the methylprednisolone while the patient is taking azithromycin. temporarily decrease the dose of methylprednisolone. change the dosing of methylprednisolone to 15 mg twice a day. order intramuscular (IM) methylprednisolone. Flag this QuestionQuestion 20 pts A patient comes to the clinic with a 3-day history of fever and a severe cough that interferes with sleep. The patient asks the NP about using a cough suppressant to help with sleep. The NP should: prescribe an antibiotic to treat the underlying cause of the patient’s cough. obtain a thorough history of the patient’s symptoms. suggest that the patient try a guaifenesin-only over-the counter product. order a narcotic antitussive to suppress cough. Flag this Question Question 30 pts A primary care nurse practitioner (NP) sees a patient who has a 1-week history of watery, painful eyes with copious amounts of clear discharge and a sore throat. The NP observes bilateral erythema of the conjunctivae and palpates enlarged preauricular lymph nodes. The NP should prescribe _____ drops. ganciclovir ophthalmic antibiotic sympathomimetic ophthalmic nonsteroidal antiinflammatory Flag this QuestionQuestion 40 pts A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite). The second application was administered 10 days after the first. The patient returns to the clinic with mild pruritus and erythema. The NP does not observe new burrows on the skin. The NP should: order malathion. order lindane. re-treat with permethrin. prescribe triamcinolone 0.1%. Flag this Question Question 50 pts A primary care NP sees an adolescent patient for a hospitalization followup after an asthma exacerbation. The patient reports having daily symptoms with nighttime awakening 4 or 5 nights per week and misses school several days each month. The patient currently uses a salmeterol/fluticasone LABA twice daily and albuterol as needed. The patient requires a refill of the albuterol prescription once a month. The patient does not have any known allergies. The NP should: continue the current regimen and add omalizumab daily. consider adding theophylline to this patient’s regimen. order a high-dose ICS plus a LABA twice a combination product with ipratropium and albuterol. Flag this Question Question 60 pts A 50-year-old patient who recently quit smoking reports a frequent morning cough productive of yellow sputum. A chest x-ray is clear, and the patient’s FEV1 is 80% of predicted. Pulse oximetry reveals an oxygen saturation of 97%. The primary care NP auscultates clear breath sounds. The NP should: prescribe an albuterol metered-dose-inhaler, 2 puffs every 4 hours as needed . reassure the patient that these symptoms will subside. order a long-acting anticholinergic with albuterol twice daily. prescribe a moderate-dose ICS twice daily. Flag this Question Question 70 pts A primary care NP sees a child who has honey-crusted lesions with areas of erythema around the nose and mouth. The child’s parent has been applying Polysporin ointment for 5 days and reports no improvement in the rash. The NP should prescribe: Polysporin with a corticosteroid.a systemic antibiotic. mupirocin. neomycin. Flag this Question Question 80 pts A primary care NP sees a child with asthma to evaluate the child’s response to the prescribed therapy. The child uses an ICS twice daily and an albuterol metered-dose inhaler as needed. The child’s symptoms are well controlled. The NP notes slowing of the child’s linear growth on a standardized growth chart. The NP should change this child’s medication regimen to a: combination ICS/LABA inhaler twice daily. SABA as needed plus a leukotriene modifier once daily. combination ipratropium/albuterol inhaler twice daily. short-acting β2-agonist (SABA) with oral corticosteroids when symptomatic. Flag this Question Question 90 pts The primary care NP teaches a patient how to instill eye drops for a prescription that requires two drops twice daily. Which statement by the patient indicates understanding of the teaching? “I may continue wearing my soft contact lenses while I am using this medication.” “I should gently massage my eyes for 3 to 5 minutes after instilling the drops