Mrs. Casey was expecting her second child. Because she had atyp- during the ninth month of her pregnancy. Shortly after delivery, ical postpartum eclampsia during her first pregnancy, she chose she reported swelling in her hands and face, headaches, and visual to be cared for by a group of obstetricians who specialized in changes she associated with the postpartum symptoms she had complicated obstetrical care.

Responses to classmates must consist of at least 350 words (not including the greeting and the references), do NOT repeat the same thing your classmate is saying, try to add something of value like a resource, educational information to give to patients, possible bad outcomes associated with the medicines discussed in the case, try to include a sample case you’ve seen at work and discuss how you feel about how that case was handled.

• Describe the feelings and intuition that seemed to play a part in the snap judgment.
• Discuss additional outcomes that might have occurred if moral decision-making approaches had been used in the student’s examples.

POST 1 (Jennifer)
As a nurse the nurse to patient trust is an important relationship that must be established.

28 year old female patient that presents to your office she advises that she has
had coughing wheezing she’s had these symptoms for almost a week
you decide to go ahead and send her to the hospital for some outpatient test
and she’s to return back to see you this afternoon so you noticed initially her
blood pressure was 124 was 72 heart rate was 97 respirations were 22 oxygen
saturation on robear’s 91% when you listen to her lungs she had some
scattered expiratory wheezing throughout her ears were clear her nose was
injected with some clear discharge her throat was also injected but there is no
exudate she has a white blood cell count of 7.8 with 74 CEG’s and 26 limps her
plain urinalysis as negative as well as her urine pregnancy test her general
chemistry’s also look okay you look at the chest x-ray and you find a normal
cardiac silhouette you notice that the lungs are all essentially clear and
you’re now trying to figure out you know well what to do i wanted to also point
out i’ve listed over here on the left hand part of the slide ways to assess a
chest x-ray this of course isn’t part of your assignment but again you need to
approach this systematically you need to look at the airways first
the bones Macario mediastinum the diaphragms and everything else including
the lung fields okay so I want to point out a couple quick things if you notice
that the clavicles are straight they’re the same length on each side so this is
probably an appropriate chest x-ray and the patient is not rotated you want to
look through all the bones I don’t see any densities or any fractures cardio
mediastinum appears to be mid mid line without any like you know free air or
nua me just on them in there you notice that the aortic arch appears to be
normal the diaphragm it’s not flat it has the heart-shaped appearance and the lung
sounds may have some increase peribronchial markings but no pneumonia
I wanted to go through that just to give you a refresher but again that is not
part of this assignment so what I do want to know is what is your initial
impression what is your differential diagnosis what is your impression to
plant again I want to know what is your
treatment plan what are you going to do for this patient what does this patient
need I want to know what is the disposition and when you’re gonna have
this patient returned for follow-up I want you to be sure to list specific
medications I don’t want you to be general with them and I want to see what

Responses to classmates must consist of at least 350 words (not including the greeting and the references), do NOT repeat the same thing your classmate is saying, try to add something of value like a resource, educational information to give to patients, possible bad outcomes associated with the medicines discussed in the case, try to include a sample case you’ve seen at work and discuss how you feel about how that case was handled.

Assignment for Construction of Clinical/Practice Question and Literature review.
The issue/problem I chose is about the prevalence of nurse job dissatisfaction, thus increase nurses’ turnover and shortages across inpatient hospital. Nurses’ leaving their position and having vacancies hinders nurses’ retention and satisfaction. When hospitals lose experienced staff, it has potential negative effects on the quality of medical health
care system and replacing and training new hires can have a financial stress and compromised patient care.

Based on the physical examination of the patient in particular a 38-year-old woman named Elaine Goodwin, except her medical history including IBS, migraines, exercise-induced asthma in addition to first degree of cystocele, this patient has fibrocystic breast disease. It could be the main diagnosis but a more in depth assessment along with practitioner asking the patient additional questions and recommend some tests to exclude such differential diagnoses as fibro adenoma,

This patient is interested in birth control but not a permanent option at this time. I would inquire about her periods, are they regular, does she get premenstrual symptoms, what is her flow like? Does she have breakthrough bleeding or spotting in between her periods? There are several birth control options that will lighten the cycle and or completely stop bleeding all together.

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750‐1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
Discuss the direct influence the IOM report has on nursing education and nursing leadership.

Responses to classmates must consist of at least 350 words (not including the greeting and the references), do NOT repeat the same thing your classmate is saying, try to add something of value like a resource, educational information to give to patients, possible bad outcomes associated with the medicines discussed in the case, try to include a sample case you’ve seen at work and discuss how you feel about how that case was handled.