Treatment interventions, and their use, appropriate to AOD and scope of role, including: motivational interviewing/counselling cognitive behavioural…

Question Answered step-by-step Treatment interventions, and their use, appropriate to AOD and scope of role, including:motivational interviewing/counsellingcognitive behavioural therapydetoxificationrelapse preventioncrisis interventionbrief interventionprotective interventionExplain the above mentioned AOD treatment interventions, their use and the scope of their role. Health Science Science Nursing CHC 53315 Share QuestionEmailCopy link Comments (0)

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Ordered: Augmentin Suspension 30 mg/kg/day in 2 divided dosages every 12 hours for the next 10 days for OM. Patient weighs 38 lbs.

Question Answered step-by-step Ordered: Augmentin Suspension 30 mg/kg/day in 2 divided dosages every12 hours for the next 10 days for OM. Patient weighs 38 lbs. Available:  Instructions for dry powder; reconstitute with 2/3 total water to yield 250 mg/ 5 mL. Safe dose range for children < 40 kg equals 6.7 to 13.3 mg/kg every 8 hoursCalculate the safe dosage range. How many mL(s) would the nurse administer per dose? Health Science Science Nursing NURS 53 Share QuestionEmailCopy link Comments (0)

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Case Study on Delegation, Decision Making, & Staff Motivation Julio works on a general surgical unit at a large teaching hospital in a major…

Question Answered step-by-step Case Study on Delegation, Decision Making, & Staff Motivation Julio works on a general surgical unit at a large teaching hospital in a major metropolitan area. This institution services the entire geographical region, including indigent and non-English speaking patients, and, because of its fine reputation, administers care to international patients and individuals who reside in other states. Like many health-care institutions, this one has been attempting to manage expenses by using more unlicensed assistive personnel (UAP) to assist with patient care. Lately, the number of patients requiring surgery has increased. The acuity of these clients has been quite high, requiring a great deal of time from the nursing staff. Julio arrived at work at 6:30 a.m., his usual time. He looked at the census board and discovered that the unit was filled, and Bed Control was calling all night to have clients discharged or transferred to make room for several clients who had been in the emergency department since the previous evening. He also discovered that the other RN assigned to his team called in sick. His nurse manager has been unable to get coverage for the sick call therefore his team consists of himself, two UAP, and an LPN who is shared by two teams. He has eight patients on his team: Ms. A:  is pre-op for surgery and needs pre- and post-operative teaching.Ms. B.is a 35-year-old woman scheduled for a modified radical mastectomy for the treatment of breast cancer; Ms.  C and Mr. D are second-day postoperative patients, who require dressing changes, are receiving post-operative IV antibiotics, and need to be ambulated; Mr. E  is a postoperative patient who is required to remain on total bedrest, has a nasogastric tube to suction as well as a chest tube, is on total parenteral nutrition and lipids, needs a central venous catheter line dressing change, has an IV, is taking multiple IV medications, and has a Foley catheter;Mr. F  is ready for discharge and needs discharge instruction; and Ms. G needs to be transferred to a subacute unit and a report must be given to the RN of that unit. Once Ms. G is transferred and Mr. F  are discharged, the emergency department will be sending two patients  to the unit for admission.Questions 8-12 are based on concepts for staff delegation discussed in Marquis & Huston Chapter 20 8) A performance appraisal states that the nurse-manager oftenunder delegates. What is potential cause of this delegation error? a)     A high degree of trust insubordinates            b)    A democratic leadership stylec)     A need forperfectionism        d)    Sufficient time to accomplish unit goals alone. 9. A nurse-manager needs to delegate some tasks. Whatconsideration should the nurse-manager prioritize when identifying theappropriate person to whom to delegate a specific task? a)     Whose turn it is to delegate atask      b)    The qualifications of the person regarding thetask   c)     The fiscal cost of delegating the taskd)    Whether the person has experience with similartasks 10. A nurse-manager’s subordinate is having difficulty carryingout a delegated task. What is the manager’s best initial action? a)     Release the subordinate from the task so he orshe will not become demoralized.   b)    Be available to the employee as a role model andresource for the task.       c)     Assign another more experienced employee tohelp with the task.   d)    Reassign the employee a different, less complextask. 11. What principle should guide the nurse’s delegation of tasksto unlicensed assistive personnel (UAP)? a)     It is safe to assume that the UAP has at leasta high school diploma as a minimum hiringcriterion.           b)    Like all members of the care team, UAP stands tolose their licensure in case of negligentpractice.          c)     No federal or community standards have beenestablished for training the broad classification ofUAP.    d)    The nurse is protected from liability whenallowing the UAP to perform only those tasks the employer includes in their jobdescription. 12. Periodically during the day, the nurse-manager checks withthe team members to determine whether they are having difficulty completingtheir assigned tasks. This describes which manager role? a)     Skills evaluation   b)    Clientsafety          c)     Effectivedelegation          d)    Micromanagement Questions12-17are based on concepts for employee motivation discussed in Marquis &Huston Chapter 18 12. A nurse-manager oversees approximately 12 employees. Whatstrategy should the manager prioritize when trying to motivate the employees? a)     Offer praise for exceptionalperformance.     b)    Advocate for an increase inpay.        c)     Apply motivational strategies that arepersonally meaningful to each employee.     d)    Apply punishments objectively and fairly. 13. A nurse-manager is applying Herzberg’s motivation-hygienetheory. What strategy would the manager most likely use to motivate employees? a)     Advocating for an increase insalary  b)    Approving vacation requests  c)     Protecting employee’s jobsecurity    d)    Praising an employee’s exceptional achievement 14. Which factor is most likely to provide intrinsic motivationto an employee? a)     The employee’s ambitious career aspirationsb)    The employee’s need to elicit approval from theimmediate supervisor.      c)     The employee’s need to avoid punishment forunsafe practice.        d)    The employee’s fear of being passed up for apromotion. 15. A nurse-manager who is operating from the position ofMcGregor’s Theory X will most likely hold what assumption about employees? a)     Putting forth effort comes naturally foremployees.  b)    Workers are inherently diligent, responsible,and helpful.    c)     Workers are fundamentally uncreative andindifferent toward their work.   d)    It is impossible to accurately identify whatmotivates an employee. 16. For several months, a nurse-manager has been rewardingemployees’ performance in an effort to motivate them. The nurse-manager shouldbe aware of what unintended consequence of this practice? a)     Employees may set unrealistically high goalsfor themselves.          b)    Unhealthy competition may develop between coworkers.     c)     Employees’ intrinsic motivation may becomeblunted.         d)    Employees may expect a corresponding increase insalary. 17. A nurse-manager wants to express appreciation to anemployee. What statement is most effective? a)     “You’re doing an excellent job of provided carefor you clients.”    b)    “I really admire everything that you do on theunit.”c)     “You did an exemplary job of handling a veryheavy workload this shift.”  d)    “Your performance demonstrates a strong commitmentto the profession.”ReferenceMarquis, B. L., & Huston, C. J. (2021). Leadership roles and management functions in  nursing. (10th ed.). Philadelphia, PA: Wolters Kluwer. Health Science Science Nursing NURS MISC Share QuestionEmailCopy link Comments (0)

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She has asked you to develop a step-by-step guide on how to develop an action plan for the community group.

Question A public health colleague has approached you about being a consultantto work with a community group to help guide them through the action planning process. She has asked you to develop a step-by-step guide on how to develop an action plan for the community group. The guiding document you create will be used to provide an overview of the process for developing a community action plan and will be used during an upcoming community meeting with interested consumers, local community members, and public health officials.Develop a guiding document for the development of an action plan that -Details the steps in developing an action plan for the community. -Explains the key components of the action plan, including components needed to address the cultural, socioeconomic, and behavioral factors in the community. -Describes how an action plan could improve the health outcomes of the community. -Discusses your role as a public and community health nurse in the action planning process, including: -Your role in identifying health determinants of the vulnerable populations in the community. -Your role in assessing the potential impact of communicable diseases on the health of the community. -Suggests possible stakeholders to improve collaboration in the community, including policy-influencers, representatives of the different cultural and population groups affected, and social service and healthcare partners. -Designs the implementation process for the action plan with suggested goals for each phase of implementation, including: -Communication and dissemination of information to the community. -Development of multidimensional strategies of care for the community. Health Science Science Nursing NUR 4244 Share QuestionEmailCopy link Comments (0)

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jane has a weakening of her arteria wall that has created an out pouching on one side of the artery. this is best described as a: saccular aneurysm…

Question Answered step-by-step jane has a weakening of her arteria wall that has created an out pouchingon one side of the artery. this is best described as a:a. saccular aneurysmb. fusiform aneurysmc. dissecting aneurysmd. false aneurysm Health Science Science Nursing ADVANCED P 570 Share QuestionEmailCopy link Comments (0)

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What foods and or drugs can interact with diabetic medications? What can we do to maintain a healthy diet for people with diabetes 1 and 2?

Question Answered step-by-step What foods and or drugs can interact with diabetic medications?Please provide references, thank you in advance.What can we do to maintain a healthy diet for people with diabetes 1 and 2? Health Science Science Nursing NURS 225 Share QuestionEmailCopy link Comments (0)

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Give one Australia mental health promotion program to promote…

Question Answered step-by-step Give one Australia mental health promotion program to promote… Give one Australia mental health promotion program to promote social inclusion on new migrants or refugee and what is strategies this promotion program used to promote social inclusion for these group people ? Thanks Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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What legal and ethical factors may you have to consider?

Question What legal and ethical factors may you have to consider? Health Science Science Nursing CNN CHCMGT005 Share QuestionEmailCopy link Comments (0)

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patient is a truck driver with a history of smoking 1 PPD…

Question Answered step-by-step patient is a truck driver with a history of smoking 1 PPD… patient is a truck driver with a history of smoking 1 PPD cigarettes for 5 years is complaining of a dry cough x 1 month. He has a history of hypertension and takes lisinopril 10 mg daily. denies drug allergies. current vitals are t -97.6, p – 88, rr – 18, bp 140/86, O2 – 95%. worse with activity, rest helps, based on the history and complaint, what is the diagnosis, differential diagnosis, treatment , test to be ordered Health Science Science Nursing FNP-MSN 596 Share QuestionEmailCopy link Comments (0)

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C.B is a single , self-employed 54 year-old man. Three weeks ago,…

Question Answered step-by-step C.B is a single , self-employed 54 year-old man. Three weeks ago,… C.B is a single , self-employed 54 year-old man. Three weeks ago, he saw his primary care provider because of symptoms of fever, myalgia,and chills. which were accompanied by a hacking cough. He was diagnosed with viral influenza. Today he has weakness,numbness,and tingling of both lower extremities, which is progressing into his upper body. HIs brother brought him to the emergncy department after recognizing the seriousness of his illness. The attending physician immediately suspects Guillain-Barre Syndrome(GBS).Shortly after arrival, C.B becomes completely paralyzed and requires endotracheal intubation and mechanical ventilation. He is transferred to the neurologic ICU for further support.a. Describe the cause of GBS:GBS is an autoimmune process that occurs a few days or weeks after a viral or bacterial infection. The cause exact cause is unknown but the mechanism of action depends on the types of GBS. b. What factors in C.B.’s history support a diagnosis of GBS.C.B. has a recent history of a viral infection of the flu. Now he is having neuropathic symptoms of GBS.c. Describe the clinical manifestations of GBS.CM include: pain, paresthesia, & paralysis beginning in the lower extremities traveling upward w/ hypotonia & areflexiaANS dysfunction: orthostatic hypotension, HTN, abnormal vagal responses [bradycardia, heart block, asystole, bowel & bladder dysfunction, diaphoresis & facial flushing.D. How is GBS diagnosed, and what tests would you expect to be performed? Mainly based on patient’s history and clinical signs. Electrolyte levels, liver function, creatinine phosphokinase, erythrocyte sediment and CSF analysis are evaluated to rule out other causes. Results of EMG and NCS are used after 2 weeks to confirm the diagnosis.1.    What are the goals of medical management in GBS?2.    Describe the collaborative care patients generally receive in the ICU for GBS.3.    What are the overall goals of nursing care for C.B. at this time?4.    The attending physician states C.B. will begin either IV immune globulin or plasmapheresis. What is plasmapheresis?5.    You are concerned about the possibility of disuse syndrome related to C.B.’s paralysis. Describe an outcome of nursing care for C.B., and 4 independent nursing interventions you would implement to meet that outcome.6.    How would performing passive ROM exercises benefit C.B. from a cardiovascular perspective?a.    ROM will help prevent C.B. from developing contractures.b.    Keeping his muscles active will assist in maintaining muscle tone.c.    ROM is an effective way to help prevent VTE.d.    The stretching motion accompanying ROM will decrease C.B.’s pain.7.    Name 5 interventions you would implement to meet the expected outcome of maintaining skin integrity.8.    What is foot drop? How can it be prevented?9.    How would C.B.’s nutritional needs be met?10. What evaluative parameters would you use to determine whether C.B.’s nutritional needs were being met?     11. What interventions can you implement to help decrease C.B.’s fear and anxiety? Select all that apply.a.    Speak calmly to him when providing care.b.    Administer continuous intravenous sedation.c.    Limit visitors only to immediate family members.d.    Continually reassure him that his needs are being met.e.    Use a communication system that allows C.B. to let his needs be known.12. C.B.’s brother asks how long C.B. will be paralyzed. How should you respond? Case study Outcome After staying in the ICU for 8 days, C.B. is transferred to a special ventilator unit of an extended care facility because he shows no signs of improvement in the respiratory muscle strength. After several weeks he progressively regains neurologic function and is weaned from the ventilator. He is able to go home with his brother 5 months after the initial admission. Health Science Science Nursing NURSING 560 Share QuestionEmailCopy link Comments (0)

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