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NURS 190 Physical Assessment Study Guide Quiz 1 PA SG 1 ABD assessment: Inspect Auscultate Percuss Palpate Light Palpation: skin texture, pulse, tenderness inflamed area (finger pads 1cm) Moderate Palpation: depth, size, shape, consistency, mobility of organs, pain, tenderness, pulsations (palmar surface of fingers 1-cm) Deep Palpation: Body cavities, musculature thick, tense, rigid, or obese (palmar of dominant over non-dominant 24cm) • Access temperature w/ dorsal part of hand (most sensi...

NURS 190 Physical Assessment Study Guide Quiz 2 Circumoral Cyanosis: EARLY sign for hypoxia / respiratory distress Late Hypoxia Sign • Barrel Chest & Clubbing Tachypnea: Rapid, shallow respirations >24 Hyperventilation: Rapid, deep respirations >24 Bradypnea: slow, regular <10 Hypoventilation: Irregular, shallow <10 Cheyne Stokes Periods of deep breathing & apnea alternating, regular pattern Asthma • Wheezing, Increased RR • Bronchiole Inflammation, mucus, phlegm, bronch...

NR603 Week 2 Part 1 Week 2: Case Discussion: Pulmonary Part One Setting: A free medical clinic that provides health care for the under-insured. Your next patient, Michelle G., age 40, is a regular of the clinic and the last patient of the day. The chart states she is here for recent episodes of shortness of breath. You enter the room and Michelle G is dressed in work clothes, standing up looking at a health poster on the wall. You introduce yourself and ask her what brings her to the clinic to...

NR603 Delirium vs Dementia Assignment Hello Professor and Classmates, Delirium and Dementia Delirium is consider an acute disorder of attention, patients with this disorder will have the inability or disruption, which causes mental confusion making it difficult to think, remember, sleep and pay attention. This is seen relatively commonly in elderly people (Kukreja, Günther, & Popp, 2015). Delirium is a syndrome manifesting as an acute change in mental status that is characterized by inattentio...

NR603 Week 5 Part 1 Predictor.Week 5 predictor ass Dr Martin and Class, Chief Complaint – upper abdominal pain and feeling sick Demographics - 40 yo Caucasian female PMHx – Hypothyroidism, seasonal allergies (worse in fall) PSHx – appendicitis as a teen, C-section x 2, Home Meds Levothyroxine 100mcg PO daily - compliant Loratadine 10 mg PO prn Tylenol 1000mg PO prn (taking BID x 7 days) Allergies - PCN (unknown reaction, as a child), bees, strawberries Immunizations – received all chi...

Program Outcome #4: Integrate professional values through scholarship and service in health care In week number 3 we met the PO#4 by creating a treatment plan that would not only address the acute medical needs of “Lorene” but also address the chronic medical conditions that were present and additive risk factors to her cardiovascular disease. Understanding the responsibility of the NP as a provider to comprehend how each symptom/result/finding is relevant to and has effects on whole health...

NR603 Week 2 Part 2 (Total Points Possible: 40) Requirements: Michelle continues to work in the bakery and her asthma has been well controlled on a low-dose inhaled corticosteroid inhaler, Singular 10mg daily, and Albuterol prn which she uses 1-2 times per week. Michelle presents to the clinic with an acute illness that developed 2 days ago and has a respiratory rate of 24, mild SOB with exertion, O2 saturation of 94%, and complaint of inspiratory and expiratory wheezing. She is able to speak a...

Cardiac Case Discussion Week 3 Discussion Questions: 1. What Leads Demonstrate the ST Depression? ST depression is indicative of acute myocardial ischema and hypoxia. Heart failure may cause ST depression and this is seen in leads V2, V3, V4, V5, and V6 (Klabunde, 2016; Harhash et al 2017). These depressions are horizontal or downsloping. 2. Is Lorene Hypertensive per ACA 2017 Guidelines? Compare the ACA guidelines to JNC 8 guidelines and discuss what treatment you recommend for her BP and wh...

NR603 Tension Headache vs Migraine Assignment Compare and Contrast Assignment: Migraine and Tension Headaches In this submission, I will compare and contrast migraine and tension headaches highlighting the similarities and differences in their onset of symptoms, associated risk factors, pathophysiology, assessment, diagnosis, and treatment. The term headache widely refers to a variety of conditions that affect the nervous system and cause pain in the head. Migraine headache is an episodic di...

NR599 Sample Mid Term Questions {UPDATED} - Graded A+ . The nurse understands that nursing informatics as a specialty area of practiced by which statement? Research priorities for nursing informatics includes the development of a standard nursing language and the development of databases for clinical information 2. Which statement by the nurse verifies that nurse is “information literate”? I understand how to research for a website and evaluate its usefulness for health care needs 3. Wha...

NR599 WEEK 21. How is informatics used? Nursing informatics is such a multifaceted specialty. One of the responsibilities of the informatics nurse-specialist is to interpret or decode clinical and technical languages into standardized terminology. The main focus is to “promote meaningful, user-friendly, and patient-centered innovation while driving improved outcomes for the patients and enhance- clinical workflows for healthcare staff” (HIMSS, 2020, p.1). The informatics nurse specialist al...

Week 5 Discussion- Clinical Decision Support System 1) This week we learned about the potential benefits and drawbacks to clinical decision support systems (CDSSs). Create a “Pros” versus “Cons” table with a column for “Pro” and a separate column for “Con”. Include at least 3 items for each column. Next to each item, provide a brief rationale as to why you included it on the respective list 2) The primary goal of a CDSS is to leverage data and the scientific evidence to help gu...

NR603 Week 5 Part 2 APEA Predictor. Part 2 APEA Predictor Part Two – First line treatment plan for Benign Prostate Hyperplasia (40.1) Chief Complaint: Urinary frequency, dribbling, dysuria and occasional low back pain HPI: A.C. is a 69-year-old Hispanic male that comes into the clinic complaining of urinary frequency worse at night with frequent dribbling accompanied by dysuria. Pt also complains of occasional low back pain. Pt states pain is a 6/10 at worse and doesn’t take anything for ...

NR599 Week 8 Final Exam study Guide.Ethical decision making This refers to the process of making informed choices about ethical dilemmas based on a set of standards differentiating right from wrong. Bioethical standards 1) autonomy-the right to choose for himself or herself 2) freedom3) veracity-right to truth 4) privacy-the right of privacy avoids conflict and promotes harmony 5) beneficence-actions performed that contribute to the welfare of others 6) fidelity-right to what has been promise...

NR599 Week 6 Outline Medscape {UPDATED} - Graded A+.1. Name: Medscape 2. Author: who created Medscape? Peter Frishauf in 1995. his primary goal was to disseminate as much medical information as possible to the broadest and biggest professional audience possible, and to do it at no cost to the reader. Who maintains the APP? Medscape has utilized the service of experts on its Advisory Panels, usually specialty-specific, for years and will continue to rely on these dedicated and productive indivi...

NR599 Week 1 Introduction to Nursing Informatics.Week 1: Introduction to Nursing Informatics (NI) Due Date: This assignment is due no later than the Sunday of Week 1 by 11:59 PM MT. Total Points Possible: 50 points Requirements: Post a written response in the forum to EACH question. Each response should be substantive and provide enough detail to answer the question comprehensively. This assignment DOES NOT require citation or references. 1 1. During what month were you born? 2. What does inf...

NR599 week 3.Pro’s Rationale Real-time/ patient centered EHR gives the provider the capability to retrieve the patient current and past medical history, medications and or treatment plans, immunization records, allergies, diagnostic imaging, and laboratory results. (Office of the National Coordinator for Health Information Technology, 2017) Allow access to evidence-based tools that providers can use to make decisions about patient care. (Office of the National Coordinator for Health Informa...

NR599 Final Exam Study Guide {UPDATED} - Graded A+.Everything in red and yellow is on the final exam! You’re welcome! ● Ethical decision making ○ When making choices about ethical issues based on the standards of right vs wrong. ○ It requires a systematic framework for addressing the complex and often controversial moral questions. ● Bioethical standards ○ Know the definition of fidelity (keeping promises) ● Telehealth ○ wide range of health services that are delivered by tel...

NR599 Critical Appraisal (Medical Application Critical Appraisal Guidelines) Bailee Hinds Name Medscap Author Peter Frishauf led the founders' team that created Medscape in 1995 (Medscape, n.d.). Medscape Education within the WebMD network developed and maintains this app since 2001 (Medscape, n.d.) Endorsement Medscape has a Memorandum of Understanding (MOU) with the FDA, and they collaborate with each other. This Memorandum of Understanding (MOU) defines the framework in which the Food and Dr...

NR599 Critical Appraisal (Medical Application Critical Appraisal) Dr. Flore Jesuca {UPDATED} MediCalc Application Critical Appraisal Stephanie Moore Chamberlain University NR: Nursing Informatics for Advanced Practice Dr. Flore Jesuca June 14th , 2020 1Name The name of the application that I will critically appraise is MediCalc. Author ScyMed Inc. is the company that created the application with the help of Board-certified physicians in the United States. A. Arturo Rodriguez is the Editor-...