2025 will be a time of change in our health care and payer s…
2025 will be a time of change in our health care and payer systems. COVID brought necessary policy changes health care delivery such as telehealth and remote care. The new administration can be expected to enact new Executive Orders while the Supreme Court takes on new cases that may upend historical precedent. Recent legislative decisions as well as anticipated changes to health care programs, policies and capabilities will reshape our future health care system. In less than 200 words for each and drawing from your extra reading assignments and own research, answer the following questions related to that future: How do you think the Supreme Court’s decision in Loper Bright will affect future cases involving administrative actions and enforcement of laws that have historically deferred to federal agencies? What do you see as the future for Artificial Intelligence in health care? How do you think it should be regulated?
Read DetailsA 44-year-old male patient is admitted for a GI bleed second…
A 44-year-old male patient is admitted for a GI bleed secondary to peptic ulcer disease. The patient has been stooling bright red blood for the past 6 hours. Vital Signs: HR 114; BP 90/64 (MAP 72); RR 22; SpO2 94% on 2L nasal cannula Lab Values: Hgb 6.8g/dL (normal 14-18 g/dL) Hct 20% (normal 42-52%) INR 1.4 (normal < 1.0) What intervention does the nurse anticipate?
Read DetailsA 68-year-old patient is admitted to the medical unit with w…
A 68-year-old patient is admitted to the medical unit with weakness, dizziness, mild confusion and shallow breaths. The patient is noted to have a history of heart failure with a recent increase in oral furosemide dosage. Vital signs: BP 98/60 mm Hg, HR 112/min, RR 10/min Laboratory results: ABG: pH 7.52, PaCO₂ 48 mm Hg, HCO₃⁻ 34 mEq/L Serum potassium: 3.1 mEq/L (normal 3.5 – 5.0 mEq/L) Which nursing action is the priority?
Read DetailsThe nurse is precepting a new graduate nurse and observes as…
The nurse is precepting a new graduate nurse and observes as the graduate nurse hangs a prescribed bag of magnesium sulfate 2 grams/50mL at a rate of 200mL/hr for a patient who was admitted from the heart failure clinic with hypomagnesemia. 15 minutes later, the patient’s wife hits the call light reporting the patient was feeling nauseated and “didn’t look good.” Upon assessment the nurse notes the patient to look ashen, diaphoretic, and fatigued. Baseline Vitals: Vitals Now: T 99.9F; RR 22; HR 89; BP 110/87; SpO2 95% RR 14; HR 52; BP 74/42; SpO2 88% What are the priority actions at this time?
Read DetailsA 24-year-old male patient is admitted with a large stab wou…
A 24-year-old male patient is admitted with a large stab wound to the abdomen and exploratory laparotomy. Two days post-op, the patient has the following vital signs: Vital Signs: T 98.8F; HR 114; BP 90/72; RR 24; SpO2 94% on 2L Lab Values: WBC 18,500 (normal 4,500-11,000). Upon notifying the provider, what should the nurse anticipate next?
Read DetailsA 56-year-old patient is admitted for acute alcohol withdraw…
A 56-year-old patient is admitted for acute alcohol withdrawal. The nurse notes hyperreflexia, tremors, palpitations and nausea. The 12 lead EKG performed upon admission demonstrated an irregular rhythm with numerous premature ventricular contractions (PVCs), a sign of cardiac excitability. Vital signs: BP 154/92 mm Hg, HR 112/min Laboratory results: Magnesium: 1.1 mg/dL (normal 1.3 – 2.1 mg/dL) Potassium: 3.2 mEq/L (normal 3.5 – 5.0 mEq/L) Which nursing interventions are appropriate? (Select all that apply.)
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