Nursing

Assessing Healthful Environments
Assessing Healthful Environments
Week 7 assignment
Cultivating Healthful Environments
Purpose
Master’s-prepared advanced practice nurses participate in and demonstrate fair and unbiased interactions within all workplace settings. As a member of the nursing profession, and a leader, you are encouraged to implement strategies that promote and cultivate cultures of civility, regardless of practice setting. The purpose of this assessment is to analyze the issue of incivility and apply best practices to cultivate healthful environments.
Course Outcomes
CO 1: Examine roles and competencies of master’s-prepared nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (PO 1-5)
CO 2: Apply concepts of person-centered care to nursing practice situations. (PO 1, 2, 5)
CO 3: Analyze essential skills needed to lead within the context of complex systems (PO 3, 4)
Total Points Possible
This assessment is worth 200 points.
Due Date
Submit your file(s) by 11:59 p.m. MT Sunday at the end of Week 7.
Requirements
Criteria for Content
Reflect on the issue of incivility. Think of an experience in which you were directly involved or witnessed incivility in the workplace. Analyze scholarly literature related to the issue of incivility and strategies for cultivating healthful environments.
In a four- to six-page written paper, address the following.
Define and explain the issue of incivility. Use scholarly nursing literature.
Discuss the importance of this issue to nursing. Address the impact of incivility on individuals, microsystem work environments, and the profession of nursing. In this section, use at least three (3) different scholarly nursing literature in-text citations with matching references.
Provide a scenario (real or fictitious) of incivility in a practice setting. What was the impact on the individuals involved? How was the work environment affected?
Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy.
Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics). Provide two examples of strategies you will implement in your master’s-prepared advanced practice role to cultivate a healthful work environment.
Provide a conclusion. Include a summary on the issue of incivility, strategies to create healthful environments, specialty track, and how you will contribute to cultivating healthful environments in your future professional practice. Include a self-reflection.
Preparing the paper
Submission Requirements
Application: Use Microsoft Word 2013™.
Length: The paper (excluding the title page and reference page) is at minimum four (4) pages and at maximum six (6) pages.
A minimum of four (4) scholarly nursing literature references must be used.
Submission: Submit your files: Last name_First initial_Assessment 5_Cultivating Healthful Environments.
Best Practices in Preparing the Project
The following are best practices in preparing this project.
Review directions thoroughly.
Follow submission requirements.
Make sure all elements on the grading rubric are included.
Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.
Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
Ideas and information that come from scholarly nursing literature must be cited and referenced correctly.
A minimum of four (4) scholarly nursing literature references must be used.
Abide by CCN academic integrity policy.

Discussion: Breast Conditions
Discussion: Breast Conditions
Week 6 discussion
Throughout a woman’s life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for treatment. When examining these patients, you must be able to identify when a breast condition is the result of a safe and normal physiological change and when it is the result of an abnormal change requiring treatment and management. A diagnosis of a breast condition resulting from an abnormal change can be devastating for women, making emotional support as vital to women’s well-being as proper assessment, diagnosis, and management. For this Discussion, consider how you might diagnose, manage, and support the following two patients presenting with breast conditions:
Case Study 1:
You are seeing a 60-year-old Latina female, Gravida 4 Para 3104, who is concerned about a thick greenish discharge from her left breast for the past month. The discharge is spontaneous and associated with dull pain and burning. Upon questioning, she also tells you that she breastfed all her children and is currently not on any medications except for occasional Tylenol for arthritis. Her last mammogram, 14 months ago, was within normal limits. On exam, her left breast around the areola is slightly reddened and edematous. Upon palpation of the right quadrant, a greenish-black discharge exudes from the nipple. You note an ovoid, smooth, very mobile, non-tender 1 cm nodule in the RUIQ at 11:00 5 cm from the nipple. No adenopathy, dimpling, nipple discharge, or other associated findings. Her right breast is unremarkable. The patient expresses her desire to proactively decrease her risk for developing breast cancer.
Case Study 2:
You are seeing a 53-year-old African American female for a lump she found in her right breast two weeks ago in the shower. Her last mammogram was three years ago and she was told it was “benign.” She had two breast biopsies at ages 32 and 34 in her right and left breasts, respectively. At both times she had surgery for removal of fibroadenomas. She does not routinely do breast self-exams. Her mother had a mastectomy for breast cancer at age 63, and she heard that a paternal aunt had a breast removed for cancer when she was in her forties. Both mother and aunt are alive and well today. It was discovered on postmortem exam that her grandfather had prostate cancer. Menarche was at age 15 and she is still having monthly menses. She is Gravida 4 Para 3104 with her first childbirth at age 31. She was on oral contraception for 10 years, has no history of fertility treatments, and had a bilateral tubal ligation after the birth of her last child at age 35. Past medical history is noncontributory. She wants to know how likely it is that she will get breast cancer. Physical exam reveals breasts are symmetrical with no dimpling, retractions, or rash. Her right breast has a 2 cm non-tender, hard, fixed mass at 3:00 6 cm from her nipple. Left breast is non-tender without masses. No nipple discharge bilaterally. No anterior cervical, infra- or supraclavicular, or axillary adenopathy.
To prepare:
Review Chapter 15 of the Schuiling and Likis text.
Review and select one of the two provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.

Assessing: Current Healthcare Settings
Assessing: Current Healthcare Settings
Week 3 assignment
Addressing Bias
Purpose
In today’s current healthcare settings, the increasing diversity, globalization, and expanding technologies produce complex ethical pressures that influence nursing practice and practice outcomes. To be effective in a master’s-prepared advanced nurse practice role it is important to understand personal values, beliefs, strengths, and limitations. The purpose of this assessment is to promote introspective reflection related to implicit and/or explicit personal biases. Students will develop a plan to reduce bias and promote personal and professional growth.
Course Outcomes
CO 1: Examine roles and competencies of master’s-prepared nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (PO 1-5)
CO 2: Apply concepts of person-centered care to nursing practice situations. (PO 1, 2, 5)
Total Points Possible
This assessment is worth 125 points.
Due Date
Submit your file(s) by 11:59 p.m. MT Sunday at the end of Week 3.
Requirements
Criteria for Content
Complete a self-inventory on personal biases you hold. The biases might be implicit or explicit.
In a one to two-page summary, address the following.
Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics).
Discuss how biases can impact outcomes in selected nursing practice settings.
Identify personal biases and attitudes toward people with various cultural, gender, sexual orientation, age, weight, and religions that are different than your own.
Select one bias that you have.
Develop one strategy to reduce this bias.
Preparing the paper
Submission Requirements
Application: Use Microsoft Word 2013™ to create the written assessment.
Length: The paper (excluding the title page and reference page) is at maximum two pages.
A minimum of two (2) scholarly literature references must be used.
Submission: Submit your files: Last name_First initial_Assessment 2_Addressing Bias
Best Practices in Preparing the Project
The following are best practices in preparing this project.
Review directions thoroughly.
Follow submission requirements.
Make sure all elements on the grading rubric are included.
Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.
Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
Ideas and information that come from scholarly literature must be cited and referenced correctly.
A minimum of two (2) scholarly literature references must be used.
Abide by CCN academic integrity policy.

Assignment: Unethical Business Activities
Assignment: Unethical Business Activities
With the easy identification and communication of unethical business activities via electronic media, business ethics and the responsibility of business leaders to conduct business in an ethical manner have become a topic of conversations and legal actions. Nothing is hidden in the modern business world; the ethics surrounding the decision making process are readily visible to the public and directly influence the stability of an organization. In this assignment, you will explore the relationship between ethical governance, transparency, and organizational stability.
General Requirements:
Use the following information to ensure successful completion of the assignment:
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Directions:
Write a paper (1,500-1,750 words) in which you discuss the relationship between ethical governance, transparency, and the stability of organizations.
Include the following in your paper:
A research based discussion of the characteristics of ethical governance. How is ethical governance evident in the operations of an organization?
A research based discussion of the components of organizational stability. How are they are evident in the organization?
A discussion of the ethical responsibility of a business to be transparent in its operations. How much is a business ethically obligated to divulge to the public?
A research based discussion that presents the relationship between ethical governance, transparency, and organizational stability.
With the easy identification and communication of unethical business activities via electronic media, business ethics and the responsibility of business leaders to conduct business in an ethical manner have become a topic of conversations and legal actions. Nothing is hidden in the modern business world; the ethics surrounding the decision making process are readily visible to the public and directly influence the stability of an organization. In this assignment, you will explore the relationship between ethical governance, transparency, and organizational stability.

Discussion: Infectious Diseases in Children
Discussion: Infectious Diseases in Children
Week 9 discussion
The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.
For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 23, 2017.
To support your work, use your course and textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to your classmates. Complete your participation for this assignment by Wednesday, September 27, 2017.
Using your course and textbook readings and the South University Online Library, perform research on the following:
Assessment, diagnostic testing, and management of infectious conditions in a pediatric patient
Differential diagnoses for presentation of symptoms involving infectious diseases in pediatric patients
After completing your research, consider this scenario:
An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:
A blood and urine culture
A complete blood count
A comprehensive metabolic panel
The culture reports were found to be negative.
Today, the vitals of the child are the following:
Temperature: 101.5 degrees Fahrenheit
Heart rate: 120 beats/minute
Respiratory rate: 20 breaths/minute
Blood pressure: 90/40
Physical examination of the child indicates the following positive findings:
Injected conjunctiva
Palmar redness
Magenta-colored lips
Red macula
Excoriating rashes in the diaper area
On the basis of the above information, respond to the following:
What will be your differential diagnoses for this patient?
What specific physical exam findings support these differential diagnoses?
Of the differential diagnoses you listed, which would be the most concerning?
What additional diagnostic tests will you recommend? Why?
What would be your focus for caregiver education?

Assignment: Cultural Diversity In Healthcare
Assignment: Cultural Diversity In Healthcare
Week 4 discussion
Discussion Question
With a society that is so diverse in its own nature, issues pertaining to cultural diversity are bound to occur in the process of team management and leadership. Using the South University Online Library or the Internet, research about cultural diversity. Based on your research and understanding, answer the following questions:
How does having members of different cultures on a team affect the team’s performance?
How would you incorporate a person from a culture of your choice into your team, keeping in mind communication differences within your and the chosen culture?
Question 2
Week 2 assignment
Reflective Essay Guidelines
The Reflective Essay Guidelines with Scoring Rubric is due by Sunday, 11:59 p.m. (MT) at the end of Week 2. The guidelines are below and the guidelines and grading rubric for this assignment are also located in Course Resources.
Purpose
Nursing knowledge is classified in a variety of ways, one of which is Carper’s Patterns of Knowing (Carper, 1978). Carper’s framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978). Through intentional reflection using Carper’s Patterns of Knowing, nurses can process experiential learning and knowledge acquired through practice. The purpose of this assignment is to reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience.
Course Outcomes
Through this assessment, the student will meet the following Course Outcomes:
Demonstrate logical and creative thinking in the analysis and application of theory to nursing practice. (CO #1)
Examine broad theoretical concepts as foundational to advanced nursing practice roles. (CO #3)
Total Points Possible
This assignment is worth 100 points.
Due Date
Submit your file by 11:59 p.m. MT Sunday at the end of Week 2.
Requirements
Criteria for Content
Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.
Select an important nursing issue/topic that was inherent to the identified situation.
As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In a two- to three-page paper address the following:
Briefly explain the situation
Identify the nursing issue inherent in the identified situation
What do you think was the underlying reason for the situation? (Esthetics)
What were your thoughts and feeling in the situation? (Personal)
What was one personal belief that impacted your actions? (Ethics)
What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
What new insights did you gain through this reflective practice opportunity?
Preparing the paper
Submission Requirements
Application: Use Microsoft Word 2013™ to create the written component of this assessment.
Length:
The paper (excluding the title page and reference page) should be at least two but no more than three pages.
A minimum of two (2) scholarly literature sources must be used.
Submission: Submit your file to the Canvas course site by the due date/time indicated.
Best Practices in Preparing the Reflective Essay
The following are best practices in preparing this reflective essay.
Review directions thoroughly.
Follow assignment requirements.
Make sure all elements on the grading rubric are included.
Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scholarly writing.
Because the paper is a reflective essay, first person is acceptable for this assignment.
Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
Ideas and information that come from scholarly literature must be cited and referenced correctly.
A minimum of two (2) scholarly literature sources must be used.
Abide by CCN academic integrity policy.

The Process of Positive Change
The Process of Positive Change
Area of Interest PowerPoint Presentation
Purpose
The process for affecting positive change to improve practice outcomes can start with either the identification of an area of interest or the identification of a potential or existing practice problem. Selecting an area of interest helps to define a direction of further inquiry. The purpose of this assessment is for students to identify and discuss an area of interest specific to their selected specialty track. Students will identify a common practice problem related to the selected area of interest and provide a recommendation to affect positive change.
Course Outcomes
Through this assessment, the student will meet the following Course Outcomes.
CO 1: Examine roles and competencies of master’s-prepared nurses essential to performing as leaders and advocates of holistic, safe, and quality care.
CO 3: Analyze essential skills needed to lead within the context of complex systems.
CO 4: Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings.
Total Points Possible
This assessment is worth 175 points.
Due Date
Submit your file(s) by 11:59 p.m. MT Sunday at the end of Week 5.
Requirements
Criteria for Content
Review literature or reflect on an experience that is related to common concepts and topics specific to your identified specialty track. Information on common topics for specific specialty tracks is located in Course Resources. Reflect on an area of passion that facilitated your specialty track selection. Identify a common issue/concern related to your identified area of interest.
In a PowerPoint Presentation, address the following:
Introduction to presentation
Explain the importance of master’s-prepared nurses conducting evidence-based projects related to nursing practice and profession.
Discuss a model for developing an evidence-based project
Include illustration (diagram) of model
Identify specialty track and reasons for selecting this area of study
Introduce area of interest
Discuss what is known about the concept or topic
Provide common themes, ideas, or facts found in literature
Identify a common issue/concern related to your identified area of interest. Provide a recommendation for positive change related to the identified issue/concern.
Consider factors that might influence the recommended change
Identify at least two (2) internal factors that have the potential to influence the change.
Identify at least two (2) external factors that have the potential to influence the change.
Identify two (2) AACN Master’s Essentials that address or support an evidence-based project related to your area of interest.
Conclusion to presentation
Provide references
Preparing the paper
Submission Requirements
Application: Use Microsoft Word 2013™ to create the PowerPoint presentation.
Length: The PowerPoint presentation must be 12 total slides (excluding title and reference slides).
Speaker notes are used and include in-text citations when applicable.
A minimum of four (4) scholarly literature references must be used.
Submission: Submit your file: Last name_First initial_Wk5Assessment_Area of Interest.
Best Practices in Preparing the Project
The following are best practices in preparing this project:
Review directions thoroughly.
Follow submission requirements.
Make sure all elements on the grading rubric are included.
Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.
Review the Creating a Professional Presentation located in Course Resources.
Ideas and information that come from scholarly literature must be cited and referenced correctly.
A minimum of four (4) scholarly literature references must be used.
Abide by CCN academic integrity policy.

Discuss: Breast Conditions Assessment
Discuss: Breast Conditions Assessment
Week 6 discussion
Discussion: Breast Conditions
Throughout a woman’s life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for treatment. When examining these patients, you must be able to identify when a breast condition is the result of a safe and normal physiological change and when it is the result of an abnormal change requiring treatment and management. A diagnosis of a breast condition resulting from an abnormal change can be devastating for women, making emotional support as vital to women’s well-being as proper assessment, diagnosis, and management. For this Discussion, consider how you might diagnose, manage, and support the following two patients presenting with breast conditions:
Case Study 1:
You are seeing a 60-year-old Latina female, Gravida 4 Para 3104, who is concerned about a thick greenish discharge from her left breast for the past month. The discharge is spontaneous and associated with dull pain and burning. Upon questioning, she also tells you that she breastfed all her children and is currently not on any medications except for occasional Tylenol for arthritis. Her last mammogram, 14 months ago, was within normal limits. On exam, her left breast around the areola is slightly reddened and edematous. Upon palpation of the right quadrant, a greenish-black discharge exudes from the nipple. You note an ovoid, smooth, very mobile, non-tender 1 cm nodule in the RUIQ at 11:00 5 cm from the nipple. No adenopathy, dimpling, nipple discharge, or other associated findings. Her right breast is unremarkable. The patient expresses her desire to proactively decrease her risk for developing breast cancer.
Case Study 2:
You are seeing a 53-year-old African American female for a lump she found in her right breast two weeks ago in the shower. Her last mammogram was three years ago and she was told it was “benign.” She had two breast biopsies at ages 32 and 34 in her right and left breasts, respectively. At both times she had surgery for removal of fibroadenomas. She does not routinely do breast self-exams. Her mother had a mastectomy for breast cancer at age 63, and she heard that a paternal aunt had a breast removed for cancer when she was in her forties. Both mother and aunt are alive and well today. It was discovered on postmortem exam that her grandfather had prostate cancer. Menarche was at age 15 and she is still having monthly menses. She is Gravida 4 Para 3104 with her first childbirth at age 31. She was on oral contraception for 10 years, has no history of fertility treatments, and had a bilateral tubal ligation after the birth of her last child at age 35. Past medical history is noncontributory. She wants to know how likely it is that she will get breast cancer. Physical exam reveals breasts are symmetrical with no dimpling, retractions, or rash. Her right breast has a 2 cm non-tender, hard, fixed mass at 3:00 6 cm from her nipple. Left breast is non-tender without masses. No nipple discharge bilaterally. No anterior cervical, infra- or supraclavicular, or axillary adenopathy.
To prepare:
Review Chapter 15 of the Schuiling and Likis text.
Review and select one of the two provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.
Week 7 discussion
Discussion: Care Plans for Pregnancy
After confirming and dating a pregnancy, you must collaborate with patients to develop a personalized care plan. These pregnancy care plans are integral to prenatal care as they help to ensure the mother and child’s well-being throughout the entire pregnancy. Pregnancy can be a wonderful, yet difficult time for women as a woman’s body goes through many physical, mental, and emotional changes that might be challenging or even overwhelming for some. Whether or not these women share their concerns, as the advanced practice nurse, you must routinely watch for signs and symptoms of any developing physical or mental health issues. By collaborating with patients and discussing concerns, you can modify care plans and often address potential issues before they become a significant health problem. For this Discussion, consider pregnancy care plans for the women in the following case studies:
Case Study 1:
On 1-15-13, you are seeing a 25-year-old Caucasian female in the clinic because she believes she’s pregnant. Her LMP was 12-1-12. Her home pregnancy test was positive, and she has been having nausea and breast tenderness.
Case Study 2:
You are seeing a 28-year-old African American female, G6 P 3115, who is currently on oral combined hormonal contraception. She’s here because she and her partner would like to have another child. She heard “it takes a while to become pregnant after being on the Pill,” so she discontinued them three months ago. They haven’t been using any contraception since then. Upon questioning, she states that on the Pill, sometimes her menstrual periods are very light and once she didn’t have one at all. Her urine pregnancy test in the clinic is positive. Her LMP was 7-14-12. You are seeing her on 12-3-12.
To prepare:
Review Chapter 30 of the Schuiling and Likis text and Chapter 2 of the Tharpe et al. text.
Review and select one of the two provided case studies. Analyze the patient information.
Consider how to date the pregnancy and estimate the date of delivery for the patient in the case study you selected.
Based on the dating of the pregnancy, reflect on the appropriate clinical guidelines for procedures and screenings. Think about the implications of any missed procedures or screenings.
Determine a plan of care for the patient. Identify procedures, screenings, diagnostic testing, pharmacologic and nonpharmacologic treatments (if appropriate), management strategies, and patient education.

Case: Extended Living Facility
Case: Extended Living Facility
Week 2 discussion
DQ1 You work in an Extended Living Facility with 122 residents which is experiencing a recent illness within the complex. Several of the residents have been experiencing the following symptoms over the past 3 to 5 days: fever, chills, diaphoresis, muscle aches and pains, cough, and loss of appetite. The Public Health Nurse visited the facility and suspects influenza A and recommends only those health care workers who have received the influenza vaccine to continue to work shifts with the residents.
Callie works as a personal care attendant and has had her “flu shot” but she does not understand how this will help protect her from getting the flu. What type of immunity does the flu shot provide physiologically at the cellular level? How can you help Callie understand how her immune system is at work in this case.
As the nurse, you must also consider the older adult population that is affected in this situation. Why is this important?
DQ2 First, Please Watch This Video. Then Read the Case Study Below and Answer the Questions.
Understanding Acid-Base Balance
A woman brings her 77 year-old father into the clinic. She explains her father has been sleepy and has not wanted to eat because he has been feeling nauseated. She also tells you he has not been urinating very much. Upon assessment you find the patient is lethargic but arousable. The following are his laboratory results:
Lab findings:
Na 146
Cl 112
K 3.9
Arterial Blood Gases:
pH 7.32
PCO2 33
HCO3 20
PO2 97
Urinalysis:
Urine Specific Gravity 1.038
Based on these results, what specific electrolyte disturbance does the patient have?
What clinical manifestations would the nurse expect to see with this electrolyte abnormality?
What abnormalites of blood gas is/are seen in this patient? Provide a rationale for each result.
What is your interpretation of this arterial blood gas?
What is the patient’s anion gap? Please explain if it is decreased, increased, or normal. Provide a rationale for your response.

Case: Average Adolescent Male
Case: Average Adolescent Male
Question 13. Question :
The average adolescent male usually experiences his biggest growth spurt at approximately __________ of age.
10.5 years
11.5 years
12.5 years
13.5 years
Question 14. Question :
___________ adolescents should be screened for hypertension.
All
Obese
High risk
No
Question 15. Question :
___________ is a natural part of our cultural and ethnic background.
Food
Race
Language
Religion
Question 16. Question :
Physical health is not the only important consideration in providing health care to children. As a nurse practitioner, you will also need to take into account the following:
The presence of psychosocial issues
A child’s social development
A child’s neurodevelopment
All of the above
Question 17. Question :
Allergic symptoms may cause increased nasal congestion, sneezing, watery eyes, and difficulty in sleeping. What are some of the potential problems that may be present in addition to these symptoms?
Gastrointestinal disturbances
Difficulty in concentrating
Auditory and visual disturbances
Decrease in asthma exacerbations
Question 18. Question :
The most common clinical presentations of pneumonia include _____________.
cough, fever, and tachypnea
hemoptysis and putrid breath
sudden chest pain and cyanosis
retractions and stridor
Question 19. Question :
The average adolescent female usually experiences her biggest growth spurt at approximately ____________ of age:
10.5 years
11.5 years
12.5 years
13.5 years
Question 20. Question :
An infant should no longer have a head lag when pulled from the supine to sitting position at what age?
Two months
Three months
Six months
Nine months
Week 5 Assignment 4 Midterm Exam (limited questions)
5. Question :
The incidence of congenital heart defects is estimated to be ________ of all live births.
20%
10%
5%
1%
Question 9. Question :
Breastmilk can be safely stored in a freezer below 0 degrees Fahrenheit for how long?
Three months
Six months
One year
Two years
Question 10. Question :
Which foreign body needs immediate removal from a five-year-old boy’s nose?
Bean
Bead
Stone
Battery
Question 11. Question :
The most useful diagnostic test in delayed puberty is _____________________.
complete thyroid panel
X-Ray of the left wrist and hand
X-Ray of the right wrist and hand
X-Ray of the spinal column
Question 16. Question :
An average vision of a two-year-old child is approximately:
20/150
20/400
20/70
20/30
Question 17. Question :
A five-year-old female presents for a follow-up emergency room visit with a diagnosis of bronchitis. You would expect which treatment to have been prescribed?
Oral steroids
Azithromycin
Increase rest and fluid
Albuterol
Question 18. Question :
An adolescent with a chronic asthma cough notes that symptoms are usually worse _____________.
only with exertion
only during the daytime
only at night
at night and with exertion
Question 20. Question :
An average adolescent female usually experiences her biggest growth spurt at approximately what age?
Ten and half years
Eleven and half years
Twelve and half years
Thirteen and half years
Question 21. Question :
If an adolescent has a bone age of 10 but is actually 13 years of age, this patient has ______.
an increased risk of fracture in the next three years
an increased risk of osteoporosis as an adult
a higher potential for bone growth
a lower potential for bone growth
Question 24. Question :
Gardasil results in greater antibody responses for females who are administered the three-dose series between what ages?
Six to twenty-six years of age
Prior to eleven years of age
Nine to fifteen years of age
Nine to twenty-six years of age
Question 30. Question :
An eight-year old has chronic intermittent nasal congestion. All but which of the following would support allergic rhinitis?
Red swollen turbinates
Darkened areas below eyes
Increased basophils on complete blood count (CBC)
Itchy, watery eyes
Question 33. Question :
A fifteen-month old failed treatment with amoxicillin for an otitis media. At his two-week recheck, his tympanic membrane remained red with distorted landmarks and he persisted with nasal discharge that is thick and yellowish. The best action for the nursing practitioner should be to prescribe:
A ten-day-course of augmentin
A three-week-course of a cephalexin
A higher dose amoxicillin
Ceftriaxone and an antihistamine