Nursing

Healing and Autonomy Discussion
Healing and Autonomy Discussion
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In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.
Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.
In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
In 400-450 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
Remember to support your responses with the topic study materials.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. You are required to submit this assignment to LopesWrite.
Rubric:
1. Decisions that need to be made by the physician and the father are analyzed from both perspectives with a deep understanding of the complexity of the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%
2. Decisions that need to be made by the physician and the father are analyzed with deep understanding of the complexity of the Christian perspective, as well as with the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%
3. How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with a deep understanding of the connection between a spiritual needs assessment and providing appropriate interventions. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 30%
4. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%
5. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%
6. Writer is clearly in command of standard, written, academic English. 5%
7. All format elements are correct. 5%
8. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%
There are three different parts to this paper:
· Part one deals with Mike’s decision-making capabilities.
· Part two deals with how to think issues related to sickness and health.
· Part three deals with a spiritual assessment.
Read “Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anandarajah, from AMA Journal of Ethics(2005).
Read “End of Life and Sanctity of Life,” by Reichman, from American Medical Association Journal of Ethics, formerly Virtual Mentor (2005).

Assignment: Pathophysiology and Nursing
Assignment: Pathophysiology and Nursing
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Pathophysiology and Nursing Management of Clients Health – Introduction to
Pathophysiology and Nursing Management …
Grand Canyon University
Assess your knowledge of foundational concepts essential to the nursing management of client health by taking the interactive quiz, located in the media “Arterial Blood Gas Interpretation.”
The quiz is designed as a tool for self-assessment. When you encounter questions that seem vaguely familiar, click on the media’s study materials, which are organized by topic (e.g., anatomy, biology, chemistry, pharmacology). This media will serve as a refresher for the concepts that build upon one another in nursing practice.
Student ADA Version
of the Arterial Blood Gas Interpretation Pre-Assessment
Anatomy
Backward effects of left-sided heart failure include:
A. Pulmonary congestion
B. Jugular vein distention
C. Dependent edema in the legs
D. Bounding pulses
Anatomy
In performing a physical assessment, the nurse notes the patient has a “barrel” configuration to the chest. This is a consequence of:
A. Reduced intrapleural pressures
B. Bronchial airway expansion
C. Increased vital capacity
D. Increased residual lung volume
Anatomy
Ausculation of the chest reveals bilateral fine crackles in the bases bilaterally, indicating:
A. Right-sided heart failure
B. Left-sided heart failure
C. Pneumonia
D. Acute respiratory distress syndrome
Biology
The signs and symptoms of anemia are all related to what common pathophysiologic feature of the condition?
A. Increased oxygen consumption by tissues
B. Decreased blood oxygen content
C. Vasodilation
D. A shift in the oxyhemoglobin dissociation curve
Biology
In addition to hypertension, preeclampsia is characterized by:
A. Nausea and vomiting
B. Fatigue and lower back pain
C. Protein in the urine and edema
D. Retinal changes and rates in the lungs
Biology
Common manifestations of bacterial pneumonia include all of the following except:
A. Fever
B. Productive Cough
C. Tachypnea
D. Hyperinflation
Biology
Closed drainage systems work to re-expand a lung after pneumothorax by:
A. Re-establishing the normal negative intrapleural pressure.
B. Creating a positive pressure in the pleural space
C. Removing excess fluid from the pleural space so that there is room for lung expansion.
D. Pulling oxygen into distal air sacs to re-expand lung tissue
Biology
Patients with chronic renal failure usually exhibit:
A. Bradycardia
B. Hypokalemia
C. Hypocalcemia
D. Hematomas
Biology
The diet of a patient in end-stage kidney disease is restricted in all of the following except:
A. Fluid
B. Potassium
C. Protein

Respiratory Alterations Assignment
Respiratory Alterations Assignment
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In clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders.
Consider the following three scenarios:
Scenario 1:
Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal thing, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, most nights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate, 7-month-old infant with breath sounds that are clear to auscultation. The infant’s medical history is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable history is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection.
Scenario 2:
Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.
Scenario 3:
Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical history. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a “really bad cold.” The cold is characterized by a profound, deep, mucus-producing cough. She denies any rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Maria has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.
To Prepare
– Review the three scenarios, as well as Chapter 27 and Chapter 28 in the Huether and McCance text.
– Select one of the scenarios and consider the respiratory disorder and underlying alteration associated with the type of cough described.
– Identify the pathophysiology of the alteration that you associated with the cough.
– Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the disorder.
Post a description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how the factors you selected might impact the disorder.
LEARNING RESOURCES
Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.
Chapter 26, “Structure and Function of the Pulmonary System”
This chapter provides information relating to the structure and function of the pulmonary system to illustrate normal pulmonary function. It focuses on gas transport to build the foundation for examining alterations of pulmonary function.
Chapter 27, “Alterations of Pulmonary Function”
This chapter examines clinical manifestations of pulmonary alterations and disorders of the chest wall and pleura. It covers the pathophysiology, clinical manifestations, evaluation, and treatment of obstructive lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema.
Chapter 28, “Alterations of Pulmonary Function in Children”
This chapter focuses on alterations of pulmonary function that affect children. These alterations include disorders of the upper and lower airways.
Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.
Chapter 9, “Pulmonary Disease”
This chapter begins with an overview of normal structure and function of the lungs to provide a foundation for examining various lung diseases such as asthma and chronic obstructive pulmonary disease (COPD).
Instructor Requirements
As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up
to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:
1. Up to Date (must use original articles from Up to Date as a resource)
2. Wikipedia
3. Cdc.gov- non healthcare professionals section
4. Webmd.com
5. Mayoclinic.com
– This work should have Introduction and Conclusion
– It should have at least 3 current references

Scholarship of Practice Poster Session
Scholarship of Practice Poster Session
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The Scholarship and Research committee invites you to submit a Scholarship of Practice Poster for the Phi Nu Scholarship and Induction Ceremony to be held during a Walden University Commencement. This is the Honor Society’s open-house celebration of Walden student scholarly activities.
Call for Posters
You will be notified of the deadlines for abstract submissions for the Annual Scholarship of Practice Poster Session by Walden University School of Nursing.
To be eligible to submit, an applicant must be:
A current Walden student or Alumni who is an active Phi Nu Chapter member
Able to present her/his poster at a Walden University Commencement
Project must be completed by date of poster presentation
Applicants should submit abstracts based on their Scholarship of Practice.
Practicum projects are especially encouraged. This is a great opportunity to showcase your practicum work in a mentored environment.
Please follow the direction on the attached form and submit by the due date (to be determined).
One outstanding poster in each of the three categories per program (BSN, MSN and DNP) will be selected for a $100 award.
Blind reviews will be completed by a panel of Walden University faculty.
Names will be removed from the abstracts to ensure anonymity of the applicant.
Persons who have been selected to participate will be notified.
Abstracts must follow the required format to be considered.
Travel will be at the presenter’s expense.
ABSTRACT SUBMISSION FORM
Nursing Scholarship of Practice Poster Session
Poster presentations submitted should describe innovative projects and lessons learned in the practice of nursing.
1. Authors’ names, credentials, and affiliations (primary and co-authors):
2. Corresponding author’s e-mail address and phone number:
3. Nursing Program or practice Specialization that best fits your poster presentation:
____ A. Nursing Education
____ B. Nursing Leadership and Management
____ C. Nursing Informatics
____ D. BSN Student Project
_____ E. DNP Student Project
_____ F Other Nursing Specialty Project
4. Title of presentation:
5. Beginning date of project: __________
6. Ending date of project: __________ (if project is ongoing indicate that here)
Please describe your project by answering items 7–14 below.
Do not exceed 500 words total in your responses.
7. Setting of project:
8. Problem addressed:
9. Objectives of project:
10. Intervention or change implemented, if any:
11. Actions and methods used to solve the problem and meet the objectives:
12. Evaluation Strategies used to determine whether the objectives were met:
13. Outcomes:
14. Lessons learned (conclusions and recommendations for practice):

Assignment: Healthcare policy item
Assignment: Healthcare policy item
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It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.
Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.
As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.
In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.
To Prepare:
Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)
Part 1: Agenda Comparison Grid
Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:
Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
Describe the administrative agenda focus related to the issue you selected.
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
Explain how each of the presidential administrations approached the issue.
(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.)
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?
Part 3: Fact Sheet or Talking Points Brief
Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.
Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:
Summarize why this healthcare issue is important and should be included in the agenda for legislation.
Justify the role of the nurse in agenda setting for healthcare issues

Discussion: Decision-making
Discussion: Decision-making
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Please Answer
How has technology influenced ethical decision-making in healthcare?
After your answer, In a separate page Give your opinion on two different paragraph to Tiah Denton and Tiffany Laubach
Tiah Denton
Technology has influenced ethical decision-making in healthcare by the rapidly changing medical technology and availability of high tech and changing practices of doctors over the course of time has evolved the way healthcare is being produced today. Today’s medical technology is more advanced, more effective, and also more costly than ever before. This makes the healthcare industry have an increasing demand for high technology diagnostic facilities to have conflict with medical necessity and social justice which all ties into ethics. Current trends in health care decision making support a transition from a rationale based primarily on resources and opinion to a rationale derived from research.
It is important to recognize the impact of developing a new health care technology within the healthcare system. Demands for increased productivity despite small financial resources brings up cost effectiveness in healthcare. Most issues within decision making are cost versus benefit analysis. It is very difficult to place a dollar value on a person’s life especially when it comes to decisions made within healthcare.
The ethical issues on medical technology and availability are broad. Before any technological changes were made ethics and medicine were not often in conflict. The providing physician would attempt to save lives when he or she could, but technology was limited so this made practicing more along the lines of ethics. Now since technology is available and constantly changing, physicians have the options to keep life going for an unknown periods, undermining distinctions between life and death.
Resources
Kent DL, Larson EB. Disease, level of impact, and quality of research methods. 2012 p. 245-248
Soza H. Reducing medical errors through technology. Cost Qual 2000; p. 24-25
Tiffany Laubach
Interpersonal relationships and data are entwined as fundamental foundations of health care. In spite of the fact that information technology (IT) has done a great deal to advance medicine, we are way off the mark to understanding its maximum capacity. To be sure, issues identified with mismanaging health information undermine relationship-focused consideration. Data innovation must be actualized in ways that save and elevate connections in consideration, while pleasing real inadequacies in overseeing data and settling on therapeutic choices. Increased coordinated efforts between specialists in IT and relationship-centered care consideration is required, alongside incorporation of relationship-based measures in informatics research.
Information technology is starting to encourage numerous connections in medicinal services. Clinicians and patients have uncommon access to health-related information data, including the nation’s bibliographic database of in excess of 12 million references to journal articles in the life sciences. Discovering health-information data is a standout among the most widely recognized employments of the web, and the present patients have turned out to be more dynamic members in the basic leadership process, frequently teaching themselves about accessible interventions identified with their therapeutic conditions preceding seeing their specialists (Ethical Analysis, 2014).
The significance of considering technology’s impact on “social, ethical, legal and other systems” was perceived early and has therefore been for the most part acknowledged. The significance of ethics in HTA depends on three bits of knowledge. To begin with, executing well-being innovations may have ethical outcomes, which legitimizes adding a moral investigation to a “customary” evaluation of expense and viability. Second, innovation additionally conveys values and may challenge common good standards or tenets of society that ought to be tended to by HTA. Third, a more principal knowledge, is that the entire HTA endeavor is esteem loaded. The objective of HTA is to enhance medicinal services, and as social insurance is esteem loaded (in endeavoring to enhance the prosperity of individuals), at that point HTA is esteem loaded as well (Weiner & Biondich, 2006).
References
Ethical analysis to improve decision-making on health technologies. (2011, March 04). Retrieved from
Weiner, M., & Biondich, P. (2006, January). Retrieved from

Assignment: Wound care management
Assignment: Wound care management
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The PICO (T) format is a way to develop a clinical question that lends itself to searching for evidence. Select a common nursing practice (e.g., wound care management) in your clinical setting and formulate a PICO question. Once you have formulated your question, conduct a library search and locate one scholarly article that addresses the topic you have selected. Post your clinical question in the TD, explain the PICO(T) elements, and provide a full reference of the article you selected.
The PICO (T) format is a way to develop a clinical question that lends itself to searching for evidence. Select a common nursing practice (e.g., wound care management) in your clinical setting and formulate a PICO question. Once you have formulated your question, conduct a library search and locate one scholarly article that addresses the topic you have selected. Post your clinical question in the TD, explain the PICO(T) elements, and provide a full reference of the article you selected.
The skills involved in formulating and analyzing clinical questions form the foundation for effectively accessing the evidence related to nursing practice in any setting. Being able to find the relevant evidence related to a clinical question is a second crucial skill in evidence-based practice. The PICO (T) format is a way to develop a clinical question that lends itself to searching for evidence. In this discussion question will focus on the following course outcome:
CO # 4: Analyze data from relevant sources to inform the delivery of care will help guide the discussion.
Remember to use all parts of the PICO(T) P = population, I = intervention, C = comparison, O = outcome. The last component, time, is not always used in the PICO format.
our classmates and I will give you feedback on the clinical question and PICO(T) terms. You can then use the clinical question and PICO for the assignment that is due in Week 5. Remember to include both the clinical question and each part of the PICO(T). Here is an example:
Your classmates and I will give you feedback on the clinical question and PICO(T) terms. You can then use the clinical question and PICO for the assignment that is due in Week 5. Remember to include both the clinical question and each part of the PICO(T). Here is an example:
Clinical question: In newly diagnosed persons with type 2 diabetes, is individual dietary teaching more effective than group dietary teaching for HgA1C control?
P = Newly diagnosed persons with type 2 diabetes
I = Individual dietary teaching
C = Group dietary teaching
O = HgA1C control
CO # 4: Analyze data from relevant sources to inform the delivery of care will help guide the discussion.
Remember to use all parts of the PICO(T) P = population, I = intervention, C = comparison, O = outcome. The last component, time, is not always used in the PICO format.
Your classmates and I will give you feedback on the clinical question and PICO(T) terms. You can then use the clinical question and PICO for the assignment that is due in Week 5. Remember to include both the clinical question and each part of the PICO(T). Here is an example:
Clinical question: In newly diagnosed persons with type 2 diabetes, is individual dietary teaching more effective than group dietary teaching for HgA1C control?
P = Newly diagnosed persons with type 2 diabetes
I = Individual dietary teaching
C = Group dietary teaching
O = HgA1C control

Assignment: Administration of Drugs
Assignment: Administration of Drugs
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Question 23 A nurse is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a 39-year-old woman who is being treated for chemotherapy-induced anemia. Which of the following will the nurse do with the unused portion of the drug?
A) Refrigerate the medication for a future use.
B) Discard the unused portion of the drug.
C) Store the medication in the drug cart for the next dose.
D) Put the medication in the freezer compartment of the refrigerator.
Question 24 nurse is discussing oprelvekin therapy with a male patient. Which of the following will the nurse tell the patient is the most common adverse effect of the drug?
A) Medullary bone pain
B) Papilledema
C) Fluid retention/weight gain
D) Atrial arrhythmia
Question 25 A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in
A) iron-rich foods such as beans and leafy green vegetables.
B) complex carbohydrates and vegetable-source proteins.
C) calcium, such as dairy products, fish and vegetables.
D) protein and low in carbohydrates.
Question 26 A nurse is administering rituximab to a patient via the IV route. The nurse will set the IV pump at 50 mg/hour for the first half hour of the initial infusion. If there are not apparent reactions after 30 minutes of the infusion, the nurse will increase the dosage every 30 minutes by 50 mg/hour until the maximum infusion rate reaches which of the following?
A) 250 mg/hour
B) 300 mg/hour
C) 400 mg/hour
D) 500 mg/hour
Question 27 A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following?
A) A hypersensitivity reaction
B) The tumor responding to treatment
C) Nephrotoxic effects of tamoxifen
D) Cardiomyopathy
Question 28 A male patient is receiving rituximab therapy for non-Hodgkin’s lymphoma. Which of the following would be a priority nursing intervention to reduce the risk for cytotoxicity and tumor lysis syndrome?
A) Ensure that the patient maintains a normal breathing pattern.
B) Ensure that the patient maintains a normal fluid and electrolyte balance.
C) Protect the patient from exposure to infections.
D) Monitor the patient for deterioration in renal function.
Question 29 A patient with a diagnosis of chronic myeloid leukemia has met with her oncologist, who has recommended treatment with the kinase inhibitor imatinib. What route of administration should the nurse explain to the patient?
A) Daily intramuscular injections throughout the course of treatment
B) Peripheral IV administration three times a day for 7 to 10 days
C) Weekly IV infusions over 6 to 8 hours through a central line
D) Oral administration of imatinib in a home setting
Question 30 A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect?
A) By promoting the rapid excretion of vitamin K by the gastrointestinal mucosa
B) By inhibiting the action of vitamin K at its sites of action
C) By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis
D) By inactivating clotting factors and thus stopping the coagulation cascade
Question 31 A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following?
A) Visual function
B) Blood counts
C) Pap test results
D) Liver function
Question 32 Intravenous carmustine has been prescribed for a patient with cancer. The nurse should help relieve the discomfort of pain and burning during the infusion by
A) slowing the infusion.
B) decreasing the volume used for dilution.
C) decreasing the total volume of the primary IV infusion.
D) administering a dose of 2 units of bleomycin before carmustine.
Question 33 A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive diagnostic workup. Imatinib has been recommended as a component of the patient’s drug regimen. What patient education should the nurse provide to this patient?
A) “It’s important that you let us know if you develop any significant swelling or puffiness.”
B) “Try to keep your PICC line dressing as dry as possible at all times.”
C) “You’ll likely experience a lot of dry mouth while you’re taking this drug, so it’s helpful to chew ice chips.”
D) “If you experience significant nausea after taking a dose, stop taking the drug and schedule an appointment at the clinic.”
Question 34 A nurse has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases?
A) Non-Hodgkin’s lymphoma
B) Malignant melanoma
C) Nonsmall cell lung cancer
D) Renal cell carcinoma
Question 35 Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy.He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the following facts should underlie the nurse’s response to Mr. Lepp?
A) Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy or chemotherapy.
B) Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp’s first round of chemotherapy and continue indefinitely.
C) The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients.
D) Mr. Lepp’s oncologist should have begun treatment with epoetin alfa immediately after he was diagnosed.

Assignment: Work Family Conflicts
Assignment: Work Family Conflicts
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Create 3 fictional scenarios in which an employer would have to deal with any of the following situations of employee poor behavior on the job, Substance Abuse, Sexual Harassment, Fighting, Work Family Conflicts, or Email (or Internet) abuse.
For each case, provide details of the type of employer, the history or the worker at that company, the incident which arose, why it was a clear violation of employer policy, what would be the likely result of arbitration of this issue if the employee acknowledged his wrong doing but asked to keep his job.
Explain the reasoning for your considered outcome. Remember, this is fictional. Create a believable situation, but know that you can have whatever outcome you choose! You may not work in conjunction with any other student to complete this paper.
Submission Instructions: ()
Any papers/assignments should at a minimum contain 3-5 pages of content (double spaced), include a properly formatted cover page, and a reference listing page with at least three (3) NEW references properly listed at the end of your work. Providing additional references to your assignments demonstrate your desire to conduct additional research on the topic area and can improve your research skills.
With all assignments, include properly formatted in-text citations within the body of your work for each of your listed references so the reader can ascertain what is your original thought or ideas and what portion of your work is taken from credible sources to support your work. It is really important to identify work from other sources to ensure that proper credit is provided to researchers in the field. Assignment: Work Family Conflicts
Submit the weekly written assignment as an MS WORD attachment in .doc, .docx, or .rtf format. A recommended font is Times New Roman (12). DO NOT include discussion board answers with your formally written assignment submission.
Rubric link is below:

Assignment: Identifying a Researchable Problem
Assignment: Identifying a Researchable Problem
One of the most challenging aspects of EBP is to actually identify the answerable question.
—Karen Sue Davies
Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.
In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.
To prepare:
Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.
Review the section beginning on page 75 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.
Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.
Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.
Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?
Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.
Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.
To complete:
Write a 3- to 4-page paper that includes the following:
A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
The 5 questions you have generated and a description of how you analyzed them for feasibility
Your preliminary PICOT question and a description of each PICOT variable relevant to your question
At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections
By Day 7
Submit your Project. It will also be a component of your Portfolio Assignment for this course, which is due by Day 7 of Week 10.