Dr. Prince – Page 16 – ✍️ Custom Nursing Assignments

Case Study 1 : Explain the relationship between anemia and angina – Solution

Case Study 1 : Explain the relationship between anemia and angina

Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.

All answers to case studies must have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites) per case Study

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition

Iron-Deficiency Anemia

Case Study

A 72-year-old man developed chest pain whenever he was physically active. The pain ceased on

stopping his activity. He has no history of heart or lung disease. His physical examination was

normal except for notable pallor.

Studies Result

Electrocardiogram (EKG), p. 485 Ischemia noted in anterior leads

Chest x-ray study, p. 956 No active disease

Complete blood count (CBC), p.

156

Red blood cell (RBC) count, p.

396

2.1 million/mm (normal: 4.7–6.1 million/mm)

RBC indices, p. 399

Mean corpuscular volume

(MCV)

72 mm 3 (normal: 80–95 mm

3 )

Mean corpuscular hemoglobin

(MCH)

22 pg (normal: 27–31 pg)

Mean corpuscular hemoglobin

concentration (MCHC)

21 pg (normal: 27–31 pg)

Red blood cell distribution width

(RDW)

9% (normal: 11%–14.5%)

Hemoglobin (Hgb), p. 251 5.4 g/dL (normal: 14–18 g/dL)

Hematocrit (Hct), p. 248 18% (normal: 42%–52%)

White blood cell (WBC) count, p.

466

7800/mm 3 (normal: 4,500–10,000/mcL)

WBC differential count, p. 466 Normal differential

Platelet count (thrombocyte

count), p. 362

Within normal limits (WNL) (normal: 150,000–

400,000/mm 3 )

Half-life of RBC 26–30 days (normal)

Liver/spleen ratio, p. 750 1:1 (normal)

Spleen/pericardium ratio <2:1 (normal)

Reticulocyte count, p. 407 3.0% (normal: 0.5%–2.0%)

Haptoglobin, p. 245 122 mg/dL (normal: 100–150 mg/dL)

Blood typing, p. 114 O+

Iron level studies, p. 287

Iron 42 (normal: 65–175 mcg/dL)

Total iron-binding capacity

(TIBC)

500 (normal: 250–420 mcg/dL)

Transferrin (siderophilin) 200 mg/dL (normal: 215–365 mg/dL)

Transferrin saturation 15% (normal: 20%–50%)

Case Studies

2

Ferritin, p. 211 8 ng/mL (normal: 12–300 ng/mL)

Vitamin B12, p. 460 140 pg/mL (normal: 100–700 pg/mL)

Folic acid, p. 218 12 mg/mL (normal: 5–20 mg/mL or 14–34 mmol/L)

Diagnostic Analysis

The patient was found to be significantly anemic. His angina was related to his anemia. His

normal RBC survival studies and normal haptoglobin eliminated the possibility of hemolysis..

His RBCs were small and hypochromic. His iron studies were compatible with iron deficiency.

His marrow was inadequate for the degree of anemia because his iron level was reduced.

On transfusion of O-positive blood, his angina disappeared. While receiving his third unit of

packed RBCs, he developed an elevated temperature to 38.5°C, muscle aches, and back pain.

The transfusion was stopped, and the following studies were performed:

Studies Results

Hgb, p. 251 7.6 g/dL

Hct, p. 248 24%

Direct Coombs test, p. 157 Positive; agglutination (normal: negative)

Platelet count, p. 362 85,000/mm 3

Platelet antibody, p. 360 Positive (normal: negative)

Haptoglobin, p. 245 78 mg/dL

Diagnostic Analysis

The patient was experiencing a blood transfusion incompatibility reaction. His direct Coombs

test and haptoglobin studies indicated some hemolysis because of the reaction. His platelet count

dropped because of antiplatelet antibodies, probably the same ABO antibodies that caused the

RBC reaction.

He was given iron orally over the next 3 weeks, and his Hgb level improved. A rectal

examination indicated that his stool was positive for occult blood. Colonoscopy indicated a right-

side colon cancer, which was removed 4 weeks after his initial presentation. He tolerated the

surgery well.

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**Explain the relationship between anemia and angina**

Critical Thinking Questions

1. What was the cause of this patient’s iron-deficiency anemia?

2. Explain the relationship between anemia and angina.

3. Would your recommend B12 and Folic Acid to this patient? Explain your rationale for

the answer

4. What other questions would you ask to this patient and what would be your rationale for

them?

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition

AIDS (Acquired Immunodeficiency Syndrome)

Case Studies

The patient, a 30-year-old homosexual man, complained of unexplained weight loss, chronic

diarrhea, and respiratory congestion during the past 6 months. Physical examination revealed

right-sided pneumonitis. The following studies were performed:

Studies Results

Complete blood cell count (CBC), p. 156

Hemoglobin (Hgb), p. 251 12 g/dL (normal: 14–18 g/dL)

Hematocrit (Hct), p. 248 36% (normal: 42%–52%)

Chest x-ray, p. 956 Right-sided consolidation affecting the posterior

lower lung

Bronchoscopy, p. 526 No tumor seen

Lung biopsy, p. 688 Pneumocystis jiroveci pneumonia (PCP)

Stool culture, p. 797 Cryptosporidium muris

Acquired immunodeficiency syndrome

(AIDS) serology, p. 265

p24 antigen Positive

Enzyme-linked immunosorbent assay

(ELISA)

Positive

Western blot Positive

Lymphocyte immunophenotyping, p. 274

Total CD4 280 (normal: 600–1500 cells/L)

CD4% 18% (normal: 60%–75%)

CD4/CD8 ratio 0.58 (normal: >1.0)

Human immune deficiency virus (HIV)

viral load, p. 265

75,000 copies/mL

Diagnostic Analysis

The detection of Pneumocystis jiroveci pneumonia (PCP) supports the diagnosis of AIDS. PCP is

an opportunistic infection occurring only in immunocompromised patients and is the most

common infection in persons with AIDS. The patient’s diarrhea was caused by Cryptosporidium

muris, an enteric pathogen, which occurs frequently with AIDS and can be identified on a stool

culture. The AIDS serology tests made the diagnoses. His viral load is significant, and his

prognosis is poor.

The patient was hospitalized for a short time for treatment of PCP. Several months after he was

discharged, he developed Kaposi sarcoma. He developed psychoneurologic problems eventually

and died 18 months after the AIDS diagnosis.

Case Studies

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Critical Thinking Questions

1. What is the relationship between levels of CD4 lymphocytes and the likelihood of

clinical complications from AIDS?

2. Why does the United States Public Health Service recommend monitoring CD4

counts every 3–6 months in patients infected with HIV?

3. This is patient seems to be unaware of his diagnosis of HIV/AIDS. How would you

approach to your patient to inform about his diagnosis?

4. Is this a reportable disease in Florida? If yes. What is your responsibility as a

provider?

Health Care Systems Essay Examples

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In overweight adult patients in a primary care clinic, what is the impact of implementing the American Heart Association Diet and Lifestyle recommendations, compared to standard care, on body weight in 8-10 weeks?

Use this form as a template, do not modify it, and do not change the font or any point in the format. Just add your answers to the questions to this pre-formatted template. Use the points below as headings for your paragraphs; answer each question separately in a complete section or paragraph, as indicated; and do not mix any answers. Include pertinent citations and references to support your answers (as per APA 7). No fewer than three (3) recent scholarly sources should be used.

Week 4 Part II: For Case Study Students template

· Practice Question in PICOT Format

In overweight adult patients in a primary care clinic, what is the impact of implementing the American Heart Association Diet and Lifestyle recommendations, compared to standard care, on body weight in 8-10 weeks?

· You continue to conduct your formative evaluation for intervention fidelity and provide feedback. What are you learning about project implementation?

The project implementation requires organization and constant multidisciplinary provider engagement in the change, which can help the participants to lose weight and improve their health…

· How is the COVID-19 pandemic or other factors affecting the implementation of your practice change project?

With the covid 19, many nurses chose to become travel nurses, which led to a shortage of staff and frequently receiving new personnel everywhere. To face these changes during the project implementation is essential to supervise all the processes and educate the staff constantly…. Another problem affecting the project implementation is the raising in food costs. I provided a list of healthy food and economic supermarket in the patients’ area to increase their opportunity to buy low-calorie nutrients….

· What alternate approaches could be implemented to facilitate the success of your project implementation and evaluation project phases?

Nutritional knowledge, positive patient and provider attitudes, access to healthy food, and eating self-control are significant factors in fighting overweight and obesity, and they can help with project execution…

· What type of correction may be needed? Do you need to modify your project plan? If so, what modifications would you make? (Keep in mind that only minor modifications can be made to the project plan after IRB approval. No changes can be made where the project is being implemented, population, intervention, comparison, outcome, or timeframe).

The project has been implemented as planned. However, I will need to evaluate the ability of all the patients to access healthy food and encourage them to continue choosing

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In overweight adult patients in a primary care clinic, what is the impact of implementing the American Heart Association Diet and Lifestyle recommendations, compared to standard care, on body weight in 8-10 weeks?

· What type of communication and with whom is needed for project success now? How are you engaging the stakeholders and the participants of your project?

(answer)…

· What additional support might you need from nursing, organizational leadership, course faculty, and your preceptor to successfully implement the evidence-based intervention? What does that support look like to you?

The initiative will be implemented using the facility’s offices for patient and staff education on the intervention. In addition, office supplies, participation, and time from the clinical personnel will be required…

References

Health Care Systems Essay Examples

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Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues	Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems
Drivers Of High Performance Healthcare Systems	NR 506 Week 5: Drivers of High Performance Healthcare Systems Select two drivers (for example quality, cost, and access) of high performance healthcare systems and apply it to your current work situation.
Ethics, Policy, And Health Care Delivery Systems	Describe current federal health care policies and standards that are designed to offer guidance to health organizations to ensure quality of care among vulnerable populations
A Comparison of Healthcare Systems	Comparison of Healthcare Systems in US

Using The Theory Of Unpleasant Symptoms As A Guide, What Would You Look For In An Assessment Tool For Patient Symptoms? – Assignment 1 Solution

Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms?

I have added the topic of the class, the weekly objectives and the student learning outcomes, please, choose 1 outcome and develop the question.

The discussion must address the topic, at least 400 words in your initial post. Minimum of 2 scholarly references in APA format within the last 5 years published. No plagiarism please.

Topic

Historical Background
The Theory of Unpleasant Symptoms
Description of the Theory of Unpleasant Symptoms
Models That Expand or Modify the Theory of Unpleasant Symptoms
Assessment of Symptoms
Instruments Used in Empirical Testing

Weekly Objectives

By the end of this lesson, the learner will:

Analyze the historical background of unpleasant symptoms
Evaluate the use the theory of unpleasant symptoms in nursing research
Evaluate the use of the unpleasant symptoms theory in nursing practice

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**Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms?**

Student Learning Outcomes (Outcomes 1, 2, 4)

After completing this course, the student should be able to:

Critically analyze the philosophical underpinnings of nursing theories.
Critique nursing’s conceptual models, grand theories, and mid-range theories.
Construct a nursing theory that represent current professional nursing practice

Health Care Systems Essay Examples

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Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues	Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems
Drivers Of High Performance Healthcare Systems	NR 506 Week 5: Drivers of High Performance Healthcare Systems Select two drivers (for example quality, cost, and access) of high performance healthcare systems and apply it to your current work situation.
Ethics, Policy, And Health Care Delivery Systems	Describe current federal health care policies and standards that are designed to offer guidance to health organizations to ensure quality of care among vulnerable populations
A Comparison of Healthcare Systems	Comparison of Healthcare Systems in US

Nursing Ethic and Code of Conduct Essays Examples

Part 2: The Patient Protection and Affordable Care Act- brief overview of PPACA.	The Patient Protection and Affordable Care Act, brief overview of PPACA, implications of the PPACA for public health.
Why Code of Ethics is Important in Nursing Profession	This paper will discuss the code of ethics in details including the purpose and the implications of the code of ethics.
Summarize what the ACA Code of Ethics says about the following: report writing, record keeping, and service reimbursement.	What special precautions or practices should a private practitioner adopt in order to minimize professional liability and ensure that their treatment of clients remains soundly within the boundaries of professional practice standards?
code of ethics for nurses	code of ethics for nurses

Focused SOAP Note For Schizophrenia Spectrum – Assignment 1

Focused SOAP Note For Schizophrenia Spectrum

Assignment: Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders

For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder.

To Prepare

Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating schizophrenia spectrum, other psychotic, and medication-induced movement disorders.
Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.

The Assignment

Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment? 
Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

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**Focused SOAP Note For Schizophrenia Spectrum**

Medication Review

Review the FDA-approved use of the following medicines related to treating schizophrenia-spectrum and other psychotic disorders:

Psychosis

Schizoaffective disorder

alprazolam (adjunct)
  amisulpride
  aripiprazole
  asenapine
  blonanserin
  carbamazepine (adjunct)
  chlorpromazine
  clonazepam (adjunct)
  clozapine
  cyamemazine
  flupenthixol
  fluphenazine
  haloperidol
  iloperidone
  lamotrigine (adjunct)
  lorazepam (adjunct)
  loxapine
  lurasidone

mesoridazine
  molindone
  olanzapine
  paliperidone
  perospirone
  perphenazine
  pimozide
  pipothiazine
  quetiapine
  risperidone
  sertindole
  sulpiride
  thioridazine
  thiothixene
  trifluoperazine
  valproate (divalproex) (adjunct)
  ziprasidone
  zotepine
  zuclopenthixol

amisulpride
  aripiprazole
  asenapine
  carbamazepine (adjunct)
  chlorpromazine
  clozapine
  cyamemazine
  flupenthixol
  haloperidol
  iloperidone
  lamotrigine (adjunct)
  l-methylfolate (adjunct)
  loxapine
  lurasidone
  mesoridazine
  molindone
  olanzapine
  paliperidone

perospirone
  perphenazine
  pipothiazine
  quetiapine
  risperidone
  sertindole
  sulpiride
  thioridazine
  thiothixene
  trifluoperazine
  valproate (divalproex) (adjunct)
  ziprasidone
  zotepine
  zuclopenthixol

Schizophrenia

Cataplexy syndrome

Catatonia

Extrapyramidal side effects

amisulpride
  aripiprazole
  asenapine
  carbamazepine (adjunct)
  chlorpromazine
  clozapine
  cyamemazine
  flupenthixol
  haloperidol
  iloperidone
  lamotrigine (adjunct)
  l-methylfolate (adjunct)
  loxapine
  lurasidone
  mesoridazine
  molindone
  olanzapine
  paliperidone
  perospirone

perphenazine
  pipothiazine
  quetiapine
  risperidone
  sertindole
  sulpiride
  thioridazine
  thiothixene
  trifluoperazine
  valproate (divalproex) (adjunct)
  ziprasidone
  zotepine
  zuclopenthixol
  Seasonal affective disorder
  bupropion
  Sedation-induction
  hydroxyzine
  midazolam

clomipramine
imipramine
sodiu

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. (For review as needed)

Chapter 7, “Schizophrenia Spectrum and Other Psychotic Disorders”
Chapter 29.2, “Medication-Induced Movement Disorders”
Chapter 29.3, “α2-Adrenergic Receptor Agonists, α1-Adrenergic Receptor Antagonists: Clonidine, Guanfacine, Prazosin, and Yohimbine”

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.

· Chapter 43, “Pharmacological, Medically-Led and Related Disorders”

· Chapter 57, “Schizophrenia and Psychosis”

Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.

· Chapter 9, “Psychotic Disorders and Delusions”

REQUIRED MEDIA

Are you looking for answers to a similar assignment? customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us. (Focused SOAP Note For Schizophrenia Spectrum)

Nursing Ethic and Code of Conduct Essays Examples

Part 2: The Patient Protection and Affordable Care Act- brief overview of PPACA.	The Patient Protection and Affordable Care Act, brief overview of PPACA, implications of the PPACA for public health.
Why Code of Ethics is Important in Nursing Profession	This paper will discuss the code of ethics in details including the purpose and the implications of the code of ethics.
Summarize what the ACA Code of Ethics says about the following: report writing, record keeping, and service reimbursement.	What special precautions or practices should a private practitioner adopt in order to minimize professional liability and ensure that their treatment of clients remains soundly within the boundaries of professional practice standards?
code of ethics for nurses	code of ethics for nurses

Annotated Bibliography Assignment

I would like my PICO question to be related to diversity if possible.

Assignment: PICO Question

Population

Intervention

Comparison

Outcome

Find 4 articles related to the PICO question that you will create and cite them in APA style

Write a concise annotation for each article that summarizes the central theme of that article.

Include one or more sentences that evaluate the authority or background of the author

Comment on the intended audience

Compare and contrast this work with another you have already cited, or explain how this work illuminates the topic.

Each paragraph needs to be at least 150 words

It needs to be in APA format. Thanks

September 18, 2022

Author: Dr. Prince

Case Study 1 : Explain the relationship between anemia and angina – Solution

Case Study 1 : Explain the relationship between anemia and angina

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition

Critical Thinking Questions

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition

Critical Thinking Questions

Health Care Systems Essay Examples

Read More:

In overweight adult patients in a primary care clinic, what is the impact of implementing the American Heart Association Diet and Lifestyle recommendations, compared to standard care, on body weight in 8-10 weeks?

In overweight adult patients in a primary care clinic, what is the impact of implementing the American Heart Association Diet and Lifestyle recommendations, compared to standard care, on body weight in 8-10 weeks?

Week 4 Part II: For Case Study Students template

Health Care Systems Essay Examples

Read More:

Using The Theory Of Unpleasant Symptoms As A Guide, What Would You Look For In An Assessment Tool For Patient Symptoms? – Assignment 1 Solution

Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms?

Health Care Systems Essay Examples

Nursing Ethic and Code of Conduct Essays Examples

Read More:

Focused SOAP Note For Schizophrenia Spectrum – Assignment 1

Focused SOAP Note For Schizophrenia Spectrum

To Prepare

The Assignment

Nursing Ethic and Code of Conduct Essays Examples

Read More:

Annotated Bibliography Assignment