LAB ANALYSIS

lab analysis - Nursing
PLACE ORDER
please use the attachment for the questionPAGE 1 Nursing 235: Adult Health II Laboratory Analysis Case Scenario Patient Initials: KH Age: 60 Height: 65 in Weight: 67.13 kg HPI KH presented to the ED with c/o bug bite on L thigh that occurred about 10 days ago that has turned into an abscess “as big as a personal sized watermelon.” Patient also reported urinary burning, frequency, and urgency. The ED, WBC 37,000, glucose 317, bicarbonate 13, anion gap 25, large amount of acetone, HgbA1C 10.3. Patient was admitted to the hospital for evaluation and management of DKA, DVT, abscess, and UTI. Past Medical/Surgical History: · Type 2 Diabetes Mellitus · Previous tobacco use (1/2 pack per day) · MVA 7/13/20: pain in pelvis and knees since accident Significant Clinical Events: 8/23/20 · Wound culture: staph aureus, methicillin sensitive · Blood culture: no growth after 5 days (determined on 8/28/10) · Urine analysis indicates infection and DKA · Insulin drip for DKA · IV antibiotics for UTI, multiple abscesses · IV antifungals for multiple abscesses & topical antifungal for yeast infection 8/24/20 · Deep muscle abscess extends to femur (visualized via CT) · I&D done in OR discovered diffuse myositis & muscle necrosis · S/p insulin drip for DKA treatment · Wound nurse consult · Infectious disease consult 8/26/20 · I&D done in OR on L thigh, R groin abscess · Patient experience bleeding post-op · SCD and TED hose prescribed for DVT 8/28/20 · d/c Coumadin due to post procedure bleeding, switched to Lovenox 8/29/20 · bleeding from wound, changed lovenox to heparin · anemia due to blood loss s/p I&D, received 2 units packed RBC · Constipation for 1 wk, senna, colace, lactulose 8/30/20 · blood glucose 340-360 mg/dL all day · patient complains of recent onset visual disturbances (since hospitalization on 8/23/10) · notify MD, increase levemir to 32 units daily · MD d/c IV antibiotic and heparin, change to PO antibiotics and coumadin Test/Result Admit 8/23/20 Sun 8/29/20 Mon 8/30/20 Hemoglobin (g/dL) 13.8 7.4L 9.1L Hematocrit (\%) 42.2 21.1L 25.8L RBC (M/uL) 4.35 2.28L 2.82L WBC (K/Ul) 37.2H 11.4H 14.2H MCV (FL) 97.1H 92.5 91.7 MCH (PG) 31.7 32.3 32.3 MCHC (g/dL) 32.7 35 35.2 RDW (\%) 15.1H 15.8H 15.5H PLT (K/uL) 461H 408 428H MPV (FL) 7.5 6.6 6.3 PT (Sec.) n/a 9.7 10.0 INR n/a 0.93 0.96 PTT (Sec.) n/a 29.4 @ 0600 30.3 @ 1400 24.6 @ 0600 48.1 @ 1400 guaiac negative BUN (mg/dL) 15 7L 6L Creatinine–mg/dl 0.96 0.29L 0.36L GFR AF 54 n/a >60 BNP 277H AGAP 25.0H 8.0 9.0 Chlroide (mmol/L) 92L 102 98 CO2 (mmol/L) 13Lab Analysis: Grading Rubric TOTAL 50 Points Content Points Analysis of data All of these criteria apply: · Explanation unclear · Interpretation inaccurate · Some labs not addressed = 0 points 2 of these criteria apply: · Explanation partially clear · Interpretation partially inaccurate · Some labs not addressed = 7.5 points Explanation clear as to how altered lab values fit or don’t fit with patient’s current clinical status; all labs addressed; interpretation accurate = 15 points Diagnostic Statement All of these criteria apply: · PCs/NANDAs are not based on lab results. · Diagnostic statements are not in correct format = 0 point 1 of these criteria apply: · PCs/NANDAs are not based on lab results. · Diagnostic statements are not in correct format = 5 points · Identification of PCs/ NANDAs based on lab results. Diagnostic statements are in correct format. = 10 points Desired Outcome All of these criteria apply: · Desired outcomes are not measurable and achievable. · Outcomes are not relevant to PCs/ NANDAs = 0 point 1 of these criteria apply: · Desired outcomes are not measurable and achievable. · Outcomes are not relevant to PCs/ NANDAs = 2.5 points · Desired outcomes are measurable and achievable and are relevant to the PCs/ NANDAs = 5 points Interventions All of these criteria apply: · No specific intervention identified · Interventions not relevant to NANDAs or PCs · Rrationale do not support selected interventions. = 0 points 2 of these criteria apply: · Nursing/collaborative interventions are not consistent with NANDAs and PCs; · Are not relevant to address/correct altered lab values · Rationale do not support the selected interventions. = 7.5 points · Nursing/collaborative interventions are consistent with NANDAs and PCs; relevant to address/ correct altered lab values. Rationale support selection of interventions. = 15 points Evaluation Inaccurate or no identification of effects of nursing interventions on patient’s status = 0 points Partial identification of effects of nursing interventions on patient’s status = 2.5 points Identification of effects of nursing interventions on patient’s status = 5 points Format Many spelling or grammar errors; or, no citing of references = deduct 4 points Some spelling or grammar errors; or, incorrect citing of references; or, references page not in APA format = deduct 2 point Free of spelling and grammar errors; correct citation of references; reference page contains references in APA format = 0 point TOTAL POINTSPAGE 1 LABORATORY ANALYSIS ASSIGNMENT GUIDELINES PURPOSE OF ASSIGNMENT Integration of health alterations (medical and nursing diagnoses), presenting signs and symptoms, treatments, medications, and their effects on diagnostic laboratory results for a specific client. DATA COLLECTION The case scenario used for this Laboratory Analysis Assignment is similar to clients that you would have been assigned to in clinical. FORMAT · Introduction · Description of health alterations · Define medical diagnoses · Explain the pathophysiology for each diagnosis · Discuss how diagnoses are interrelated · Signs and Symptoms · Provide rationale for the client’s S&S in relation to the pathophysiology of his/her health alterations · Complete Laboratory Analysis Table · Analyze lab data for abnormal, pertinent normal, and therapeutic results, in relation to health alterations, client’s presenting S&S, and treatments (including medications). Explain how the lab results are a reflection of the pathologic process, client responsive or unresponsive to treatment, sign of a side effect or complication of treatment, and what S&S the client might exhibit from the lab results. · Identify client problem—nursing diagnosis (NANDA) and/or collaborative problem based on the lab data. · Identify NOC and write desired outcome for the client problem. Must be achievable and measurable. · List NIC and nursing/collaborative interventions that address/correct the altered lab results. Include rationale for the interventions, with citations for the reference used (use APA format). · Evaluate the expected effects of the interventions on the client’s status. Include evaluation of the effectiveness of the interventions, degree that desired outcomes have been achieved, and if the client problem was resolved. · Use a separate Diagnostic Analysis table for each client problem. Related laboratory data can be included on the same table. For example: · Health alteration: Glomerulonephritis · Nursing diagnosis: Excess fluid volume related to inflammation of the glomeruli, decreasing filtration, as evidenced by weight gain, edema, I>O, hypertension, decreased total protein/ablumin, increased BUN/Cr, proteinuria. · Lab Data: BUN, Creatinine, albumin, total protein, urinalysis · Conclusion · References (Use APA format)
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Your assignment may be more than 5 paragraphs but not less. INSTRUCTIONS:  To access the FNU Online Library for journals and articles you can go the FNU library link here:  https://www.fnu.edu/library/ In order to n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.  Key outcomes: The approach that you take must be clear Mechanical Engineering Organic chemistry Geometry nment Topic You will need to pick one topic for your project (5 pts) Literature search You will need to perform a literature search for your topic Geophysics you been involved with a company doing a redesign of business processes Communication on Customer Relations. 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Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. 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The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. 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