Nursing Trend And Issue

1. Students will choose from one of the following topics:

a. Nursing during an epidemic, pandemic or natural disaster across the country or around the globe

b. Social media influences on health or health care delivery

c. The effect of the media on nursing image. How can nurses educate the public and help portray the true image of nursing?

d. The prevalence and impact of substance abuse among nurses (impaired nursing)

e. Impact of collective bargaining on the nursing profession

f. Impact of workplace harassment and violence on the nursing profession

g. You may select from ONE of the following technological advances and discuss its impact on patient outcomes:

i. Telehealth technology

ii. Health applications

iii. Health-related/electronic wearables

2. PPT Presentation will have 8-10 slides, NOT including the title and reference slides. You will also need to include graphics to make your slides interesting.

3. You are to create bullet points for each slide, not including the title and reference slides. Include speaker notes for each slide by including 4-5 sentences to address the bulleted items on each slide. Please follow APA style and include citations in your speaker notes.

4. Including a minimum of 4-5 peer research articles as references in the presentation. All research articles needs to be within 5 years from today’s date. No blog, chat, other university or Wikipedia information allowed in presentation.  The PowerPoint presentation must follow APA style.

5. Describe in detail your plan for how you would lobby your legislators or local government for funding and support for your chosen current issue or trend.

6. Include the following elements in your presentation:

a. How will the topic impact your role as a nurse in nursing workforce or clinical setting?

b. Current relevance of the topic

c. How your topic is integrated and used in clinical practice

You will need to follow these steps below for saving your PowerPoint so that your speaker notes are visible:  

1. Open your PPT and go to “file” in top left corner.

2. Click “print” option. Make sure “print all slides” and “print slides with notes” is selected.

3. Go to “Save As” on the left hand side and be sure you save as a PDF.

4. Under your save as selection, click “more options”. Select the “Options” button and click the “Publish What” pull-down and then select “Notes Pages.” (If you click slides it will not show the speaker notes)

5. Click “OK.”

6. Complete your selection process by checking “Open file after publishing” and selecting the “Optimize for: ‘Standard’ and ‘Minimum Size’” choices.

7. Click on “Save” next to the “Tools” button at the bottom of the box.

Identification Of Issue Significant To Nursing Practice

During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

Topic 2 DQ 1

Nurses are advocates and front lines between physician orders and patient care. Physician rely on nurses to notify them on the patient status. Nurses take initiative. And have to be knowledgable to recognize positive and negative changes in the patient. The nursing profession is a leadership role that requires them to be proactive. Many nurses face may obstacles daily.

Shortage of staff:Organization having a poor recruitment process where the adequate number of staffs are not met,this leads to heavy work load,stress, unintentional negligence due to over time to a nurse. Wages:Low wages than the hard work given by a nurse,poor compensation, perks. And incentives by the organization may lead to stress and poor quality of work. Work place violence or harassment are still widely present ,which makes a nurse get detoriated from the respect and autonomy they deserve in the healthcare sector. “Nurses’ understanding of the Knowledge, Attitudes and Practices in the performance of EBP and the barriers they face is essential to enable the effective implementation of this approach in care settings. So that the recognition of the most common competences and barriers among nurses becomes strategic for the strengthening of EBP in the hospital” (Camargo et al., 2018).

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.

History Of Reimbursement Issues


The purpose of this discussion is to explore the DNP-prepared nurse’s role, as a member of the interprofessional team, to design systems that optimize reimbursement with a goal to improve the quality of patient care. We will examine the influence of healthcare reimbursement on nursing practice, clinical outcomes, and cost issues.


Reflect upon your readings and professional experience regarding reimbursement issues and address the following.

  1. Analyze how healthcare reimbursement influences your nursing practice.
  2. Examine how the value-based insurance design (VBID) influences clinical outcomes and cost issues.

Please answer each question separated and use 3 sources no later than 5 years

Describe the nurse educator role?

In your plan, please do the following:

  • Describe the nurse educator role that your plan addresses, as well as any other pertinent details about that role. Be sure to give the role’s title and explain the context in which that role works.
  • Analyze the teaching, service, and scholarship expectations for that role as you understand them, and how those expectations fit with the role.
  • Identify publications, journals, and conferences that could be a fit for the scholarship conducted in this role. Explain the kinds of scholarship that would be a good fit for person in this role and with this expertise.
  • Generate a plan that could be used by a person in this role for meeting each of the expectations you analyzed.
  • Analyze additional qualifications that you believe are needed for this role (additional education, certifications, skills, and so on), explaining why they are necessary.
  • Analyze the qualifications and areas of expertise related to this role that would facilitate serving as a change agent.

medical-surgical unit

Q14) The nurse working on a high-acuity medical-surgical unit is prioritizing care for four clients who were just admitted. Which client should the nurse assess FIRST?

(a) The NPO client with a blood glucose level of 80 mg/Dl who just received 20 units of insulin lispro – correct answer

(b) The client with a pulse of 62 beats/min, about to receive digoxin

(c) The client with a blood pressure of 136/92 mm Hg. Who complains of having a headache

(d) The client with an allergy to penicillin who is receiving an infusion of vancomycin



Q19) What should the nurse include in a client’s discharge teaching when going home with a prescription for digoxin-0.125 mg by mouth once daily? Check the answer again.

(a) Take the digoxin at bedtime

(b) You must be able to check your pulse

(c) Don’t take digoxin if your heart rate exceeds 90 beats per minute

(d) Eat a diet high in bran fiber and calcium


Q23) Which of these findings from a client taking steroids should the nurse report immediately?

(a) Temperature of 100.2 degrees Fahrenheit – correct answer

(b) glucose 128 mg/dL

(c) heart rate of 92 beats per minute

(d) blood pressure of 144/68 mm Hg


Q29) A client will begin taking fexofenadine for hay fever. The nurse teaching this client will tell the client which of the following?

(a) Fexofenadine should be taken with food to prevent gastrointestinal symptoms

(b) The medication may be taken once or twice daily

(c) Tolerance to sedation will occur in a few weeks

(d) With renal impairment, this drug should be taken every other day

administer insulin lispro

Q33) The nurse is schedule to administer insulin lispro per sliding scale before meal. The serum blood glucose reading before lunch is 280 mg/Dl. Given the following sliding scale, how much Humalog insulin should be given before lunch? (select all that apply)

(a) If below 60, notify the provider

(b) If 60 – 124, no coverage

(c) If 125 – 150 give two unit

(d) If 151 -200, give four unit

(e) If 201 -250, give six unit

(f) If 251 -300, give eight unit

(g) If over 300 notify the provider

type one diabetes

Q34) A client with type one diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?

(a) Propranolol increases insulin requirements because of receptors blocking

(b) The beta-blocker can mask the symptoms of hypoglycemia – correct answer

(c) The beta-blocker can cause insulin resistance

(d) Using the two agents together increases the risk of ketoacidosis

systemic fungal infection

Q41) A client is taking oral itraconazole for a systemic fungal infection. The nurse reviews the medication record and notes that the client is also taking cimetidine for reflux disease which action should the nurse take?

(a) Administer the cimetidine one hour before the itraconazole

(b) Administer the cimetidine at least two hours after the itraconazole – correct answer but confirm

(c) Confer with the prescriber about a potentially hazardous interaction

(d) Don’t give the cimetidine to a client receiving itraconazole



Q39) What should a nurse advice a client on spironolactone regarding necessary self-care?

(a) Continue taking this medication even if you feel well

(b) Avoid salt substitutes – correct answer

(c) Add as many fruits and vegetables to your diet as possible

(d) Check your pulse before taking this medication


Q54) Which of these statements best describes the concept of half-life?

(a) It is the time it takes for half of the medication to be metabolized for elimination of the medication.

(b) It is the time it takes for half of the medicinal effect effects to be achieved

(c) It is the time it takes for half of the medication to be distributed to receptors

(d) The term refers to the shelf life of the drug

Q58) A client who has had abdominal surgery has been receiving morphine sulfate via client-controlled- analgesia. The nurse assesses the client and notes that the client’s pupils are constricted and the client is drowsy and lethargic. Th client’s heart rate is 84 beats/min, their respiratory rate is 10 beats per minute, and their blood pressure is 90/50 mm Hg. What is the nurse’s best action?

Interaction Between Nurse Informaticists And Other Specialists

APA format with intext citation

300 minimal word count

2 scholarly references with in the last 5 years

Plagiarism free

Turnitin received


Interaction Between Nurse Informaticists and Other Specialists


Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.


To Prepare:

· Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

· Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

(In my facility where I work, we do not have and EHR system we are a still a paper facility which can delay sending and receiving patient information from facilities)


Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

(In my facility where I work, we do not have and EMR system we are a still a paper facility which can delay sending and receiving patient information from facilities) because of this antiquated system at my for-profit hospital patient care can suffer, secondary to not being able to retrieve, received or send information instantly. We usually must send email, scan document and make phone calls in order to best communicated patient care.


Consider talking about getting my facility getting a EMR system.

Advanced Primary Care Of Family Practicum

Reflective Communication with Faculty: Reflective communication will depict the student’s experience in the clinical. Posts must be at least a minimum of 150 words. No scholarly references required.

In the reflective communication, consider the Florida National University NGR 6619L 15 objectives that you and your preceptor set up during the clinical placement plan. The student must answer the following questions in each reflective communication post.

  1. Did you meet the clinical objectives?
  2. Describe your accomplishments.
  3. Analyze or critique your clinical experience.
  4. What would you do differently? What did you learn?
  5. Did any ethical issues/principles or legal issues surface during this clinical experience?
  6. What did you notice regarding the use of evidence based practice?

Applying Ethical Principles

Case study

Jenna and Chris Smith are the proud parents of Ana, a 5–day–old baby girl born without complications at Community Hospital. Since delivery, the parents have bonded well with Ana. And express their desire to raise her as naturally as possible. For the Smiths, this means breastfeeding exclusively for the first six months, making their own baby food using pureed organic foods. And not allowing Ana to be vaccinated.

The Smiths are college educated and explain they have researched vaccines. And decided the potential harms caused by them far outweigh any benefits. They point to the rise in autism rates as proof of the unforeseen risk of vaccines. Their new pediatrician, Dr. Angela Kerr, listens intently to the Smiths’ description of their research. Including online mommy–blogs that detail how vaccines may have caused autism in many children. The Smiths conclude by resolutely stating they’ve decided not to vaccinate Ana. Despite the recommendations of the medical community.


Dr. Kerr begins by stating that while vaccines have certainly sparked controversy in recent years, she strongly recommends that Ana become fully vaccinated. Dr. Kerr explains that vaccines have saved the lives of millions of children worldwide and have been largely responsible for decreases in child mortality over the past century. For example, the decreased incidence of infection with the potentially fatal Haemophilus influenzae type b, has resulted from routine immunization against that bacterium. Similarly, epidemics such as the recent outbreak of measles are usually associated with individuals who have not been vaccinated against that pathogen.

the general safety of vaccines

Dr. Kerr goes on to endorse the general safety of vaccines by informing Ana’s parents that safety profiles of vaccines are updated regularly through data sources. Such as the federal government’s Vaccine Adverse Event Reporting System (VAERS). The VAERS, a nationwide vaccine safety surveillance program sponsored by the Food and Drug Administration and the Centers for Disease Control and Prevention, is accessible to the public at This system allows transparency for vaccine safety by encouraging the public. And healthcare providers to report adverse reactions to vaccines and enables the federal government to monitor their safety. No vaccine has been proven casual for autism spectrum disorder (ASD). Or any developmental disorder. On the contrary, many studies have shown that vaccines containing thimerasol, an ingredient once thought to cause autism, do not increase the risk of ASD.

Finally, Dr. Kerr reminds the Smiths that some children in the general population have weakened immune systems because of genetic diseases or cancer treatment, for example. It may not be medically feasible to vaccinate such children. Other children are too young to receive certain immunizations. Instead, these children are protected because almost all other children (and adults) have been vaccinated and this decreases their exposure to vaccine–preventable illnesses (VPIs). This epidemiological concept is known as “herd immunity.” As more parents refuse immunization for their healthy children, however, the rate of VPIs will increase.

childhood immunization

This puts vulnerable children at significant risk of morbidity and mortality. Routine childhood immunization contributes significantly to the health of the general public, both by providing a direct benefit to those who are vaccinated and by protecting others via herd immunity. Dr. Kerr concludes by stating that after considering the risks versus the benefits of immunization, most states require vaccinations before children can attend school. Parents may decide not to vaccinate under specific circumstances, however, which vary by state.

Jenna and Chris Smith confirm their understanding of what Dr. Kerr has explained, but restate that they do not want Ana vaccinated at this time. Dr. Kerr is perplexed as to what to do.


Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

  1. Access the Ethical Case Studies media piece to review the case studies you will be using for this assessment.
    • Select the case most closely related to your area of interest and use it to complete the assessment.
      • Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
    • Include the selected case study in your reference list, using proper APA style and format. Refer to the Evidence and APA section of the Writing Center for guidance
    • . components of an ethical decision-making model

  2. Summarize the facts in a case study and use the three components of an ethical decision-making model. To analyze an ethical problem or issue and the factors that contributed to it.
    • Identify;
    • which case study you selected and briefly summarize the facts surrounding it.  the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
    • who is involved or affected by the ethical problem or issue.
    • Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
      • Apply the three components outlined in the Ethical Decision-Making Model media.
    • Analyze the factors that contributed to the ethical problem or issue identified in the case study.
      • Describe the factors that contributed to the problem or issue and explain how they contributed.
      • academic peer-reviewed journal articles

  3. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
    • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
      • Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
      • Review the Think Critically About Source Quality resource.
        • Assess the credibility of the information source.
        • Assess the relevance of the information source.
  4. Discuss the effectiveness of the communication approaches present in a case study.

    • Describe how the health care professional in the case study communicated with others.
    • Assess instances where the professional communicated effectively or ineffectively.
    • Explain which communication approaches should be used and which ones should be avoided.
    • Describe the consequences of using effective and non-effective communication approaches.

  5. Discuss the effectiveness of the approach used by a professional to deal with problems. Or issues involving ethical practice in a case study.
    • Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
    • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
    • Discuss the key lessons this case provides for health care professionals.
  6. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
    • Describe the proposed solution.

    • Discuss how the approach makes this professional more effective. Or less effective in building relationships across disciplines within his or her organization.
    • Discuss how likely it is the proposed solution will foster professional collaboration.
  7. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
    • Apply the principles of effective composition.

    • Determine the proper application of the rules of grammar and mechanics.
  8. Write using APA style for in-text citations, quotes, and references.
    • Determine the proper application of APA formatting requirements and scholarly writing standards.
    • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Essential Of Pathophysiology

Heart disease remains one of the top causes of mortality in the Unites States. Consider the various types of heart disease covered in class this week. For your discussion, complete these items:

· The etiology of the selected heart disease

· Modifiable factors

· Non-modifiable factors


Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.


You can find useful reference materials for this assignment in the School of Nursing guide:


Have questions about APA? Visit the online APA guide:


Heart Failure

Congenital heart failure

Heart Valve disorder


Coronary Artery disease

healthcare personnel

healthcare personnel

You must write 250 words (one page double-spaced) and use in-text citation. Cite the ATI video along with at least one other resource.

Writing prompt: What are the key principles that a registered nurse should consider when delegating tasks to other healthcare personnel? What are three tasks that a registered nurse may assign to a licensed practical nurse and three tasks that a registered nurse may assign other assistive personnel? What are the hazards of a nurse not using delegation? What happens when a nurse over-delegates?