Which of the following statements should the nurse teach a client receiving heparin infusion?

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Pn2

Question 1

A nurse working with clients with sickle cell disease (SCD) teaches about self-management to
prevent exacerbation and sickle cell crises. A client communicates the need for additional
teaching by which of the following statements.

A) “I will avoid extreme stress.”
B) “I will avoid exercise.”
C) “I will drink adequate fluid to avoid dehydration.”
D) I will avoid high altitudes.”

Question 2

A client experiencing a severe asthma attack has the following arterial blood gas results: Ph
7.33; PCO2 48 mm Hg: HCO3 26 mEq/L. Which order should the nurse implement first?

A) Sputum culture
B) Ipratropium inhaler
C) Albuterol nebulizer
D) Chest x-ray

Question 3

A client receiving a heparin infusion demonstrates signs of acute bleeding. Which of the
following should the nurse anticipate the provider to prescribe for to his client?

A) Aspirin
B) Protamine Sulfate
C) Naloxone
D) Vitamin K

Question 4

A nurse is completing the admission assessment of a client who has suspected Pulmonary
edema. Which of the following clinical infestations are expected? (select all that apply.)

A) Thick, yellow sputum
B) Tachypnea
C) Orthopnea
D) Increased urinary output
E) Persistent cough

Question 5

A client is diagnosed with acute peripheral arterial occlusion. The nurse should prepare to
provide which of the following interventions for this client?

A) Apply sequential compression devices (SCDS)
B) Place on a fluid restriction
C) Assist with ambulation
D) Administer heparin as prescribed

Question 6

The post-anesthesia care nurse is caring for a client who just has an aortic valve replacement
surgery. The client’s arterial gases are pH 72..; HCRO3 21 mEQ/L; PCO2 65 mm Hg; and PO2
58 mm Hg. Which is the priority action by the nurse?

A) Increasing the client’s oxygen flow rate
B) Auscultating lung sounds
C) Notifying the provider
D) Documenting the findings

Question 7

A client is receiving spironolactone to treat bilateral lower extremity edema. The nurse should
instruct the client to make which nutritional modification to prevent electrolyte imbalance?

A) Increase intake of milk and milk products
B) Restrict fluid intake to 1,000 ml/day
C) Do not use a salt substitute
D) Increase foods high in sodium

Question 8

A client has a history of heart failure and has been prescribed, digoxin, and potassium chloride.
The client has nausea, blurred vision, headache, and weakness. The nurse notes that the client
is confused, refusing to eat, and complaining of nausea. The nurse should assess the client for
signs of:

A) Pulmonary edema
B) Fluid deficit
C) Hyperkalemia
D) Digoxin toxicity

Question 9

Which action by a client with asthma indicates a good understanding of the nurse’s teaching
about peak flow meter use?

A) The client uses the albuterol metered -dose inhaler for peak flows in the yellow zone
B) The client calls the healthcare provider when the peak flows is in the green zone
C) The client records an average of five peak flow reading every day
D) The client inhales rapidly through the peak flow meter mouthpiece

QUestion 10

A nurse assesses a client in preparation for receiving a blood transfusion. Pre transfusing vitals
are temperature at 98.2 F, heart rate 82 beats/minute, respirations 18 breaths/minute, blood
pressure 1027 mm Hg, and oxygen saturation 96% on room air, fifteen minutes after starting the
transfusion, the nurse measures the following vital signs. Which of the following is the highest
priority of action?

A) Heart rate 112 beats/minute
B) Oxygen saturation 94% on room air
C) Temperature 98.6 F
D) Blood pressure 108/78 mm Hg

Question 11

A client is admitted with an abdominal aortic aneurysm (AAA). For which of the following
complications should the nurse be most concerned?

A) Loss of bowel sounds
B) Cardiac arrhythmias
C) Hypotension
D) ANeurysm rupture

Question 12

Which of the following statements should the nurse teach a client receiving heparin infusion?

A) Vitamin K is used to reverse the effects of heparin
B) International normalized ratio (INR) is use to assess its effectiveness
C) Heparin with facilitate clotting of the blood
D) Partial thromboplastin time value determine the dosage of heparin

Question 13

The nurse is caring for a group of clients on a pulmonary unit. The nurse can delegate which
task to unlicensed assistive personnel (UAP)?

A) Providing oral care
B) Monitoring client response to ambulation
C) Asserting pain level
D) Teaching the client how to use the incentive spirometer

Question 14

Isoniazid and rifampin have been prescribed for a client with tuberculosis. A nurse reviews the
medical record of the client. Which of the following notes would require the nurse to question the
order for these medications?

A) History of kidney stones
B) Triglyceride level of 142
C) Allergy of penicillin
D) Elevated AST and ALT levels

Question 15

Which of the following conditions is most commonly responsible for left heart failure?

A) Murmur
B) Tricuspid valve regurgitation
C) Hypertension
D) Pulmonary valve stenosis

Question 16

Which laboratory test will be most useful to the nurse in determining whether a client admitted
with acute shortness of breath has heart failure?

A) B-type natriuretic peptide (BNP)
B) Cholesterol
C) Serum creatine kinase (CK)
D) Arterial blood gases (ABGs)

Question 17

Which finding requires immediate intervention when planning care for an adolescent with cystic
fibrosis (CF)?

A) Chest pain with dyspnea
B) Delayed puberty
C) Poor weight gain

D) Large foul-smelling bulky stools

Question 18

A young adult is admitted to the emergency department after an automobile accident. The client
has severe pain in the right chest from contract with the steering wheel. What should the nurse
do first?

A) Perform a focused respiratory assessment
B) Reduce the client’s anxiety
C) Maintain adequate circulating volume
D) Administer pain medication

Question 19

A client who underwent a lobectomy and has a water seal chest drainage system appears to
have an increased work of breathing and a faster respiratory rate than 1 hour ago. The client’s
pulse rate is also increased. The nurse should do which of the following?

A) Check the tubing to ensure that the client is not lying on it or kinking it
B) Ensure that the chest tube has two clamps on it to prevent air leaks
C) Lower the drainage system 2 or 3 feet below the level on the client’s chest
D) Increase the section q

Question 20

The nurse is preparing a teaching plan for a client who is being discharged after being admitted
for atherosclerosis. The client has been taking simvastatin 40 mg for the last two years. The lab
results for the clients lipid panel result are total cholesterol 195 mg/dl; triglycerides 106 mg/dl;
and high-density lipoprotein (HDL) 69 mg/dl. Which action should the nurse take?

A) Tell the client that the cholesterol level are within normal limits
B) Review the chart for lab reports of hemoglobin and hematocrit
C) Instruct the client to lower the saturated fat in their diet
D) Ask if the client is taking the simvastatin regularly

Question 21

A client is experiencing an acute asthmatic attack. The client is noted to have respirations of 40
oxygen saturation 86% on room air, and lungs sounds with audible wheezing. Which arterial
blood response to treatment with albuterol?

A) pH: 7.27, CO2: 41 mm Hg, HCO3: 14 mm Hg
B) pH: 7.6, CO2: 34 mm Hg, HCO3: 24 Hg
C) pH: 7.12, CO2: 47 mm Hg, HCO3: 32 mm Hh
D) pH: 7.39, CO2: 36 mm Hg, HCO3: 23 mm Hg

Question 22

A nurse evaluates the following arterial blood gas and vital sign results for a client with chronic
(COPD):
Arterial Blood Gas REsults
pH=7.32
paO2=46mm Hg
hCO3= 28 mEq/L vital signs
Respiratory rate = 10 breath/min
Blood pressure= 145/65 mm Hg
Heart rate= 110 beats/min
Oxygen saturation= 76% on room air
Which action should the nurse take first

A) Document finding as expected for a client with COP
B) Teach the client diaphragmatic breathing techniques
C) Administer a short-acting beta 2 agonist inhaler
D) Initiate oxygenation therapy and titrate oxygen to achieve a target oxygen saturation of

88-92%

Question 23

The health care provider has just prescribed warfarin sodium for a client with a deep vein
thrombosis (DVT). The nurse knows that his client is still receiving intravenous heparin. Which is
the nurse’s best action?

A) Discontinue the heparin drip completely before warfarin sodium administration.
B) Turn off the heparin drip for 1 hour before administering the warfarin sodium.
C) Hold the dose of warfarin sodium
D) Administer the medication as prescribed

Question 24

A client with chronic bronchitis who has a new prescription for fluticasone and salmeterol
combination inhaler asks the nurse the purpose of using tw drugs. Which is the best response
by the nurse?

A) The combination of two drugs work more quickly in an acute asthma attack
B) One drug decreases inflammation, and the other is a bronchodilator.
C) The two drugs work together to block the effects of histamine of the bronchioles
D) It is a combination of long-acting and slow-acting bronchodilators

Question 25

Which assessment finding for a client receiving furosemide 40 mg, twice daily to treat stage 2
hypertension is most important to

A) Blood glucose level of 180 mg/dl
B) Early morning blood pressure reading of 164/90 mm Hg
C) Orthostatic systolic blood pressure decrease of 30 mm Hg
D) Blood potassium level of 4.2 mEq/L

Question 26

Which findings are significant data to gather from a client who has been diagnosed with
pneumonia? ( select all that apply.)

A) Color of nail beds
B) Amount of peripheral edema
C) Occurrence of chest pain
D) Quality of breath sounds
E) Presence of bowel sounds

Question 28

The provider ordered normal Saline with 20 mEQ of KcL to infuse at 100 mL/hr. The first liter
bag was hung at 1500. What time does the nurse anticipate needing to hang the second bag of
Iv fluids? (record answer in military time.)

Answer: 0100

Question 29

A client is undergoing diagnostic testing for infective endocarditis. Which of the following
laboratory tests would be most useful in diagnosis?

A) Reticulocyte count
B) Blood cultures
C) Basic Metabolic panel
D) Prothrombin time

Question 30

Which of the following statements indicated a client’s understanding of managing their
obstructive apnea?

A) “It is possible that my sleep apnea can be corrected if I exercise and watch my diet.”
B) “Using modafinil can cure my obstructive sleep apnea.”

C) “I should wait to take my sleep aid until I am ready for bed.”
D) “I will stop using my continuous positive airway pressure machine if it makes too much

noise.”

Question 31

When a client with hypertension with a new prescription for atenolol returns to the health clinic
after two weeks for a follow-up visit, the blood pressure is unchanged from the previous visit.
Which action should the nurse take first?

A) Remind the client that lifestyle changes also are essential in blood pressure control
B) Teach the client about the reason for a possible change in drug therapy
C) Question the client about whether the medication is actually being taken
D) Provide information about the use of multiple drugs to treat hypertension

Question 32

A client with an acute exacerbation of chronic obstructive pulmonary disease (COPD) is
admitted to the hospital. How can the nurse best position the client to improve gas exchange?

A) Resting in bed in a semi-fowler’s position with the knees flexed.
B) Resting in bed with the head elevated 45 to 60 degrees.
C) In the Trendelenburg position with several pillows behind the head.
D) Sitting up at the bedside or in a chair and leaning slightly forward.

Question 33

A nurse is caring for a client who has valvular heart disease and is at risk of developing
left-sided heart failure. Which of the following manifestations should alert the nurse the client is
developing this condition?

A) Anorexia
B) Dependent edema
C) Orthopnea
D) Weight gain

Question 34

A nurse is assessing a male client who has a diagnosis of acute arterial occlusion. Which of the
following findings should the nurse expect to find on the affected extremity? (select all that
apply.)

A) Pallor
B) Paralysis

C) Paresthesia
D) Petechiae
E) Pulselessness
F) Pain

Question 35

Which of the following would the nurse most likely assess in a client diagnosed with right-sided
heart failure?

A) Syncope
B) Hepatomegaly
C) Crackles
D) Cough with frothy blood-tinged sputum

Question 36

The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease. Which of
the following interventions require extra care by the nurse?

A) Teaching the client diaphragmatic breathing
B) Encouraging fluids
C) Apply a cardiac monitor
D) Administering pain medications

Question 37

A client is having a laboratory test conducted to confirm a diagnosis of atherosclerosis. Which of
the following laboratory values would support this client’s medical diagnosis? (select all that
apply.)

A) Triglycerides 175 mg/dL
B) Blood glucose 115 mg/dL
C) High-density lipoprotein (HDL) 50 mg/dL
D) Serum-cholesterol 195 mg/dL
E) Low-density lipoprotein (LDL) 145 mg/dL
F) Potassium 5.9 mEq/L

Question 38

Of the following client assignments made by the charge nurse, which would be questioned?

A) The RN with 1 year of experience caring for a post-appendectomy client
B) The LPN with 5 years of experience changing a chronic foley

C) The RN with eight years of experience caring for a client with peripheral vascularisation
disease and total cholesterol of 390 mg/dL

D) The LPN with ten years of experience caring for a client with new complaints of chest
pressure

Question 39

Which arterial blood gas (ABG) values are expected with hyperventilation?

A) pH 7.249; PaCO2 64 mmHg
B) pH 7.56; PaC02 25 mmHg
C) pH 7.50; paC02 50 mmHg
D) pH 7.28; PaCO2 28 mmHg

Question 40

The nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which
requires immediate intervention?

A) Pursed-lip breathing
B) Inability to speak
C) Diminished lung sounds
D) Distant heart sounds

Question 41

A client with a history of aortic valve stenosis tell s the healthcare provider. “I don't have a lot of
energy anymore, and I have to sleep on 3 pillows at night.” Which of these problems does the
healthcare provider conclude is likely the cause of these clinical findings?

A) Left-sided heart failure
B) Right-sided heart failure
C) Peripheral venous disease

Question 42

A client is admitted to the hospital with a diagnosis of chronic venous insufficiency. Which of
these statements by the client is most consistent with the diagnosis?

A) “I can never seem to get my feet warm enough”
B) “I have pain in my legs after I walk three blocks”
C) “I should elevate my legs”
D) “I wake up during the night because my legs hurt”

Question 43

Which of the following medications should be used with caution in clients with asthma or chronic
obstructive pulmonary disease (COPD) due to their potential to cause bronchoconstriction?

A) Calcium channel blockers
B) Thiazide diuretics
C) Beta-blocker
D) ACE Inhibitors

Question 44
Which of the following should the nurse instruct a client newly diagnosed with hypertension on?

A) It can be managed easily
B) It is a short term problem
C) It is a lifelong process
D) It happens only in the very poor, and treatment is expensive

Question 45

The nurse assessing a client diagnosed with an abdominal aortic aneurysm (AAA). WHich of the
following sounds did the nurse likely auscultate during the assessment?

A) Bruit
B) Pleural rub
C) Crackles
D) Hyperactive bowel sounds

Question 46

A client is receiving an intravenous infusion of heparin sodium at 1,770 units/hr. The drug
concentration is heparin sodium 25,000 units/250ml. What is the rate (in mL/hr) the nurse must
infuse the medication at? (round the answer to the nearest whole number. Do not use a trailing
zero.)

Question 47

The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit.
The client, who exercises regularly, reports having pain in the calf during the exercise that
disappears at rest. Which finding requires further evaluation?

A) Ankle-brachial index of 0.99
B) Oxygen saturation of 94% on room air
C) Diminished right pedal pulse
D) Heart rate 60 beats/minute

Question 48

The nurse is notifying the healthcare provider via telephone of a change in the condition of a
client diagnosed with exacerbation of asthma. Arrange the nursing statements in order as they
would by communicated using the SBAR method.
1.Mr.Smith was admitted yesterday with an exacerbation of asthma. He typically controls his
asthma with oral medication and inhaler at home. He orders albuterol treatments twice daily.
Oxygen is prescribed for a 2L nasal cannula.
2. I am notifying you because Bob Smith has become increasingly short of breath with audible
wheezing this afternoon.
3. I recommend that we increase his oxygen dose and prescribe an extra albuterol treatment.
4. Hello. My name is Nurse Jones from Unit D.
5. Respirations are now 32/minute. The pulse oximeter is 89% on 2 L nasal cannula. Lungs
reveal wheezing in all lung fields.

A) 4,5,1,2,3
B) 4,2,1,5,3
C) 4,1,2,5,3
D) 4,5,2,1,3

Question 49

The nurse is reviewing a medical record for a client with hypertension. Which of the following
medications may be used in the management of hypertension? (select all that apply)

A) Carvedilol
B) Hydrochlorothiazide
C) Ticagrelor
D) Loratadine
E) Verapamil
F) Valsartan

Question 50

Order for dobutamine to infuse at 20 mcg/kg/min. The client weighs 182 Ib. The pharmacy
supplied a bag of dobutamine 250 mg/250ml. What is the rate (in mL/hr) the nurse infuses the
medication at? (Round the answer to the nearest whole number. Do not use a trailing zero.)?

Reflection Scenario

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 1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario. 

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.

Proposed Project Interventions

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Please read the attachment for the instructions

SOAP note rc

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SOAP note renal colic

evidence based

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NUR640 Week 1 Assignment 1.2 Page 1

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Assignment Title: Population, Intervention, Comparison, Outcome (PICO)

Step 1 for your Evidence-Based Practice Mini-Project (Research Proposal)


Assignment Overview:

For your Evidence-Based Practice Mini-Project Step 1, you will submit your PICO question, identify 5 research articles from Levels of Evidence I-V, and write the following for your Mini-Research Proposal: Your introduction, Problem Statement, Purpose Statement, Significance of your Mini-Research Proposal, your Research Question, and which theory supports your Mini-Research Proposal.

Deliverables:

The final copy of your Step1 Mini-Research Proposal assignment is due on or before Sunday at 11:59pm just before Week 2 begins, at the latest. Be sure to use the file naming protocol: NUR640_EBP Step 1_last name_mmddyyyy.

Assignment Details:

For this assignment, you will write part of Section 1 of your Mini-Research Proposal. Use the discernment gained from your Week 1 Discussion of identifying a problem or area of interest and writing a PICO question as a basis for beginning your Section 1. Review Chapter 2 (Manuscript Structure and Content) and Chapter 3 (Writing Clearly and Concisely) from the Publication Manual of the American Psychological Association (6th ed.).

Note, you will submit a 2-3 page paper plus your Title Page and Reference Page that clearly identifies the following areas:

1) PICO Question;

2) 5 Research articles with Levels of Evidence of I-IV;

3) Your introduction, problem statement, purpose statement, and significance of your Mini-Research Proposal, along with the theory undergirding your PICO and Problem statement.

PICO Question: Describe the Problem/Population (P); Your Intervention (I); your Comparison (C), and Outcomes (O).

Research Articles (5) between I-IV Levels of Evidence with APA reference citation. Identify the level of evidence of each article after the reference citation that goes at the end of this Assignment submission.

Introduction, Problem Statement, Purpose Statement, and Significance of your Mini-Research Proposal. Your
problem statement provides an overview of your Mini-Research Proposal topic and a clear statement of the need for this Mini-Research Proposal topic. The 5 articles that you have selected should provide rationale for the need for this Mini-Research Proposal. Your
purpose statement justifies the need for your Mini-Research Proposal and is supported in the literature. The
significance of your Mini-Research Proposal is clearly stated and supported by the literature. The
research question is clearly presented. Your selected
theory may be based on pathophysiology, a nurse theory, or from any health-related discipline.

Note: Your Step 1 of the Mini-Research Proposal should have an introduction and summary of what you have written.

Grading: Each part of your Mini-Research Proposal has a grading rubric. All submissions should have a title page and reference page. Each Section of the Mini-Research Proposal will then be added together the Week 5 assignment, which will be graded again with a new rubric that includes your best revision based on detailed weekly instructor feedback. Points will be lost if suggestions are not incorporated into the final Week 5 Submission of your Mini-Research Proposal. (See Week 5 Assignment rubric).

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nur681 week1 case study

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Case 1: A 42-year-old female complains of progressive weight gain of 20 pounds over the last year, fatigue, postural dizziness, loss of memory, slow speech, deepening of her voice, dry skin, constipation, and cold intolerance. She claims her menses have been irregular x 1 year. She has an 18-year-old daughter, and has been attempting to have another child with her new partner. She has been unsuccessful. 

Video WK 4 (scene 2)

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Provide a response 3 discussions prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.

Responses exhibit synthesis, critical thinking, and application to practice settings…. Responses provide clear, concise opinions and ideas that are supported by at least two scholarly sources…. Responses demonstrate synthesis and understanding of Learning Objectives…. Communication is professional and respectful to colleagues…. Presenters’ prompts/questions posed in the case presentations are thoroughly addressed…. Responses are effectively written in standard, edited English.

So here are my questions:

1. what would be your primary diagnosis is

2. would Wellbutrin be your first choice of antidepressant? If not, why?

3. would you give a prn Vistaril that the pt can take up to 3 times as needed or once daily minimum dose is enough?

Assessment-2-4040

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Assessment 2

Protected Health Information (PHI): Privacy, Security, and Confidentiality Best Practices

Instructions- Prepare a 2-page interprofessional staff update on HIPAA and appropriate social media use in health care.

Introduction- Health care providers today must develop their skills in mitigating risks to their patients and themselves related to patient information. At the same time, they need to be able distinguish between effective and ineffective uses of social media in health care.

This assessment will require you to develop a staff update for the interprofessional team to encourage team members to protect the privacy, confidentiality, and security of patient information.

Preparation- As you begin to consider the assessment, it would be an excellent choice to complete the Breach of Protected Health Information (PHI) activity. The activity will support your success with the assessment by creating the opportunity for you to test your knowledge of potential privacy, security, and confidentiality violations of protected health information. The activity is not graded and counts towards course engagement.

To successfully prepare to complete this assessment, complete the following:

· Review the infographics on protecting PHI provided in the resources for this assessment, or find other infographics to review. These infographics serve as examples of how to succinctly summarize evidence-based information.

· Analyze these infographics and distill them into five or six principles of what makes them effective. As you design your interprofessional staff update, apply these principles. 
Note: In a staff update, you will not have all the images and graphics that an infographic might contain. Instead, focus your analysis on what makes the messaging effective.

· Select from any of the following options, or a combination of options, the focus of your interprofessional staff update:

· Social media best practices.

· What not to do: social media.

· Social media risks to patient information.

· Steps to take if a breach occurs.

· Conduct independent research on the topic you have selected in addition to reviewing the suggested resources for this assessment. This information will serve as the source(s) of the information contained in your interprofessional staff update. Consult the 

BSN Program Library Research Guide
 for help in identifying scholarly and/or authoritative sources.

Instruction- In this assessment, assume you are a nurse in an acute care, community, school, nursing home, or other health care setting. Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and a patient on Facebook. The post states, “I am so happy Jane is feeling better. She is just the best patient I’ve ever had, and I am excited that she is on the road to recovery.”

You have recently completed your annual continuing education requirements at work and realize this is a breach of your organization's social media policy. Your organization requires employees to immediately report such breaches to the privacy officer to ensure the post is removed immediately and that the nurse responsible receives appropriate corrective action.

You follow appropriate organizational protocols and report the breach to the privacy officer. The privacy officer takes swift action to remove the post. Due to the severity of the breach, the organization terminates the nurse.

Based on this incident's severity, your organization has established a task force with two main goals:

· Educate staff on HIPAA and appropriate social media use in health care.

· Prevent confidentiality, security, and privacy breaches.

The task force has been charged with creating a series of interprofessional staff updates on the following topics:

· Social media best practices.

· What not to do: Social media.

· Social media risks to patient information.

· Steps to take if a breach occurs.

You are asked to select one or more of the topics and create the content for a staff update containing a 
maximum of two content pages. 
This assessment is not a traditional essay.
 It is a staff educational update about PHI. Consider creating a flyer, pamphlet, or one PowerPoint slide (not an entire presentation). Remember it should not be more than two pages (excluding a title and a reference page).

The task force has asked team members assigned to the topics to include the following content in their updates in addition to content on their selected topics:

· What is protected health information (PHI)?

· Be sure to include essential HIPAA information.

· What are privacy, security, and confidentiality?

· Define and provide examples of privacy, security, and confidentiality concerns related to the use of technology in health care.

· Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.

· What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example:

· What are some examples of nurses being terminated for inappropriate social media use in the United States?

· What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies?

· What have been the financial penalties assessed against health care organizations for inappropriate social media use?

· What evidence-based strategies have health care organizations employed to prevent or reduce confidentiality, privacy, and security breaches, particularly related to social media usage?

Notes

· Your staff update is limited to two double-spaced content pages. Be selective about the content you choose to include in your update so you can meet the page length requirement. Include 
need-to-know information. Omit 
nice-to-know information.

· Many times people do not read staff updates, do not read them carefully, or do not read them to the end. Ensure your staff update piques staff members' interest, highlights key points, and is easy to read. Avoid overcrowding the update with too much content.

· Also, supply a separate reference page that includes two or three peer-reviewed and one or two non-peer-reviewed resources (for a total of 3–5 resources) to support the staff update content.

·
Additional Requirements-
Written communication: Ensure the staff update is free from errors that detract from the overall message.

·
Submission length: Maximum of two double-spaced content pages.

·
Font and font size: Use Times New Roman, 12-point.

·
Citations and references: Provide a separate reference page that includes 2–3 current, peer-reviewed and 1–2 current, non-peer-reviewed in-text citations and references (total of 3–5 resources) that support the staff update's content. Current 
means no older than 5 years.

·
APA format: Be sure your citations and references adhere to APA format. Consult the 

Evidence and APA
 page for an APA refresher.

Context- Health professionals today are increasingly accountable for the use of protected health information (PHI). Various government and regulatory agencies promote and support privacy and security through a variety of activities. Examples include:

· Meaningful use of electronic health records (EHR).

· Provision of EHR incentive programs through Medicare and Medicaid.

· Enforcement of the Health Insurance Portability and Accountability Act (HIPAA) rules.

· Release of educational resources and tools to help providers and hospitals address privacy, security, and confidentiality risks in their practices.

Technological advances, such as the use of social media platforms and applications for patient progress tracking and communication, have provided more access to health information and improved communication between care providers and patients.

At the same time, advances such as these have resulted in more risk for protecting PHI. Nurses typically receive annual training on protecting patient information in their everyday practice. This training usually emphasizes privacy, security, and confidentiality best practices such as:

· Keeping passwords secure.

· Logging out of public computers.

· Sharing patient information only with those directly providing care or who have been granted permission to receive this information.

Today, one of the major risks associated with privacy and confidentiality of patient identity and data relates to social media. Many nurses and other health care providers place themselves at risk when they use social media or other electronic communication systems inappropriately. For example, a Texas nurse was recently terminated for posting patient vaccination information on Facebook. In another case, a New York nurse was terminated for posting an insensitive emergency department photo on her Instagram account.

Competencies Measured- By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 1: Describe nurses' and the interdisciplinary team's role in informatics with a focus on electronic health information and patient care technology to support decision making.

· Describe the security, privacy, and confidentially laws related to protecting sensitive electronic health information that govern the interdisciplinary team.

· Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.

· Competency 2: Implement evidence-based strategies to effectively manage protected health information.

· Identify evidence-based approaches to mitigate risks to patients and health care staff related to sensitive electronic health information.

· Develop a professional, effective staff update that educates interprofessional team members about protecting the security, privacy, and confidentiality of patient data, particularly as it pertains to social media usage.

· Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

· Follow APA style and formatting guidelines for citations and references.

· Create a clear, concise, well-organized, and professional staff update that is generally free from errors in grammar, punctuation, and spelling.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

Protected Health Information (PHI): Privacy, Security, and Confidentiality Best Practices Scoring Guide

CRITERIA

Describe the security, privacy, and confidentially laws related to protecting sensitive electronic health information that govern the interdisciplinary team.

Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.

Identify evidence-based approaches to mitigate risks to patients and health care staff related to sensitive electronic health information.

Develop a professional, effective staff update that educates interprofessional team members about protecting the security, privacy, and confidentiality of patient data, particularly as it pertains to social media usage.

Follow APA style and formatting guidelines for citations and references.

Create a clear, concise, well-organized, and professional staff update that is generally free from errors in grammar, punctuation, and spelling.

Case study 1

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Conc of Pathophys Case Study 1

***This assignment utilizes TurnItIn.  When you submit this assignment to the assignment drop box, it will automatically be submitted to TurnItIn.  You will receive an Originality Score along with an Originality Report that should be carefully reviewed.  If revisions need to be made to your assignment, you will be able to make additional submissions, and you will quickly receive updated Originally feedback. 

Assignment Instructions: 

· Review the case study scenario below and the client's family history and medical profile information from unit 1.  

· Next, write a 6-8-page paper analysis of the client (including title and reference page) according to the assignment specifications, outline, and grading rubric. 

Case Study 1 Scenario:

Client, Sarah Collins, has chronic kidney disease. She receives dialysis twice a week. Today when Mrs. Collins arrives at the dialysis clinic, the nurse assesses Mrs. Collins and notes her blood pressure is 145/90 mm Hg and she has gained three pounds since her last visit. Mrs. Collins tells the nurse she was trying earlier to walk to her mailbox at the end of the driveway and couldn’t because she was out of breath. Mrs. Collins' husband and 16-year-old grandson are at the clinic with her. 

Case Study Analysis Assignment Outline: 

 The case study analysis paper should include the following sections with responses and rationales for all the prompts.

Introduction (3-5 paragraphs) 

Provide an overview of the pathophysiology of the disease exhibited by the client. Include: 

· What additional assessment findings would you look for? 

· What lab abnormalities would you expect to see? 

· What diagnostics would you anticipate the healthcare team ordering? 

· Provide a rationale for your answers. 

Implications for Self-Care (2 paragraphs) 

· Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing.  

· How does this disease process impact the client’s and/or their care provider’s ability to care for themselves? 

Patient Education Strategy (2-3 paragraphs) 

· Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings. 

· Describe the educational strategies that should be incorporated when building a plan of care for your client. 

· Support with rationale. 

Interdisciplinary Collaboration (2-3 paragraphs) 

· Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale. 

· Consider the care the client will need while inpatient and upon discharge.  

· Consider nutrition, community services, and financial implications. 

Conclusion 

· Summarize the key concepts of this disease process and client case study scenario.  

References 

· A minimum of three references should be used in this paper.  

· References should be no more than five years old. 
Exceptions include seminal works, such as original publications by nurse theorists.  

· One reference must be your textbook, 

· One reference must be from a peer-reviewed journal,  

· One reference must be from an authoritative website such as the CDC, NIH or Healthy People 2030.

Assignment Specifications: 

· Name the paper with a File Naming Protocol: When you save the paper, name it: LastName_NSG 3300_CaseStudyAnalysis_1.docx 

· Paper reflects clinical and professional client/cases, and no references to personal or family issues.

APA Formatting 

· All papers should be written in APA formatting. This paper should include: 

· Formal components, such as a title page, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts 

· APA-formatted 
level headings 

· APA margin, font, and paragraph spacing 

· Include page numbers 

· Appropriate in-text reference citations 

· A reference page, in correct APA format