Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
Describe the clinical manifestations present in Mrs. J.
Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to APA 7th edition. Please see resource links below to assist if needed.
Read “Severe Asthma in Primary Care: Identification and Management,” by Trevor and Chipps, from American Journal of Medicine (2018).
URL:
https://www.amjmed.com/article/S0002-9343(18)30024-X/fulltext

Read “A Nursing Care of Patients After Cardiac Arrest in the Course of Myocardial Infarction,” by Kaminska and Krzeminska, from Journal of Education, Health and Sport (2018).
URL:
https://doaj.org/article/39ac6a139c46478997596aa30cf17811?
Read “Congestive Heart Failure and Congenital Defects,” located on the American Heart Association website.
URL:
https://www.heart.org/en/health-topics/congenital-heart-defects/the-impact-of-congenital-heart-defects/congestive-heart-failure-and-congenital-defects
Explore the Global Initiative for Chronic Obstructive Lung Disease (GOLD) website.
URL:

Global Initiative for Chronic Obstructive Lung Disease

Explain how might an advanced practice professional nurse or those engaged in advanced nursing practice effect change in practice and policy to address disparities (ethnicity, gender, racial, mental health or others)?

Explain how might an advanced practice professional nurse or those engaged in advanced nursing practice effect change in practice and policy to address disparities (ethnicity, gender, racial, mental health or others)? Address this question from the perspective of adult/ Geriatric nurse practitioner lens. What community health issues will you address? Some of you might elect to address disparities in terms of COVID-19.

Explain the decisions of the Supreme Court in these cases in brief.

The Pledge of Allegiance
Religion and politics have traditionally been highly debated topics in our society. Recently, the Pledge of Allegiance has added to this debate.
American citizens have generally recited the Pledge of Allegiance at important ceremonies ranging from presidential inaugurations to the beginning of the school day. The pledge has a great deal of sentimental value to many Americans, but also creates a great deal of controversy for others.
Review The History of Legal Challenges to the Pledge of Allegiance by reading the Supreme Court cases Elk Grove Unified School District v. Newdow and Jane Doe v. Acton-Boxborogh Regional School District, which highlights the debate.
Write a 2–3 page paper in which you:
Summarize the salient points of the Supreme Court case Elk Grove Unified School District v. Newdow and Jane Doe v. Acton-Boxborogh Regional School District.
Explain the decisions of the Supreme Court in these cases in brief.
Discuss whether or not you think public schools should require students to recite the pledge. Why or why not?
Provide three quality sources—the textbook may be used as one reference source

Which of your qualities may interfere with your ability to be a good parent?

Discussion Board 2 – Chapter 5 from the book
In this Discussion Board you will write a letter to a future child and share it with the class.
Letter to A Future Child Assignment
In this assignment, you are to compose a letter to a future child before his/her birth if you do not yet have children, or to your current child If you don’t plan on having a child, that is ok, you can use your imagination. This is a letter that would be given to this child on his/her 13th birthday.
What qualities should a good parent possess, and why?
Which of your qualities do you believe help make you a successful parent?
Which of your qualities may interfere with your ability to be a good parent?
What are your hopes for your child’s future?
What bits of wisdom have you acquired that you wish to pass on to your child? How will you ensure your child has better than you had, or as good as you had? How can you save your child from your mistakes?
For full credit, you must use the information you have learned this semester. You should include a minimum of two text references. They must be bolded and cite the page number.
For example, I learned (here you put in the information you learned from the text and page number in)
Your letter must be between 600-800 words. Please check spelling, grammar, punctuation, and citations.
A minimum of 2 replies 150-300 words each.
EXAMPLE From a previous student.
Dear Baby,
There are still a few months until we meet, but already I’m busy writing you letters. I started writing things down because I honestly couldn’t stop thinking about you, and because even though I’ve only been carrying you for a matter of months, it already feels like there’s so much to share. It’s all in a tiny journal on my nightstand, one I’ll give you someday when you’re a bit older. There’s a letter about how your dad and I met, another about the day you became a reality, plus others about your grandpa and your grandma and some of the special people who already love you. See? I told you: a sentimental writer.
In all these letters, I find myself imagining the mom I hope to be
(Links to an external site.)
when you arrive. That mom I picture, she’s a tall order, but although there’s a whole lot I can’t plan for, there are also some promises I vow to keep . . .
I promise to begin and end your days with the reminder that I adore you. At night, you’ll hear “I love you” loud and clear, and I promise to wake you up each morning with a soft voice and an open smile, just the way my mom did with me. That might seem like a small thing, but trust me: it makes for a pleasant start to the day, and when you’re a teenager, you’ll be really, really grateful that I’m not shoving the curtains open and yelling for you to get up.
When you try new things, I promise not to show you that I’m a tiny bit (or, more likely, very) scared. Deep down I might be worried or anxious or slightly terrified of what might happen if it doesn’t work out for you, but I won’t let my fears slow you down. I’ll tell you to take chances, to go for it, to trust yourself. I promise to trust you.
I promise to make your birthday a big damn deal. Whether you’re turning 1 or 35, I promise balloons and streamers and surprise parties and the cakes of your choice. Some years you might love that, and other years it might feel sort of cheesy, but when you look back on birthdays past, I promise you’ll know that you were celebrated by the people who cared about you most.
If you mess up in a small way, I promise to acknowledge it, help you, then let it go. And whenever you mess up in a big way, I promise to feel the weight of it and push you to do the same. I promise to let you make those tough mistakes, to address them when I need to, and to keep on loving you all the same. I know that (here you put in the information you learned from the text and page number in)
I promise to be active — to set that example and inspire you to keep moving. I know that (here you put in the information you learned from the text and page number in) There will be after-dinner walks and Sunday morning runs and sunny hikes along the beach. Oh, I promise you sports, too. Plenty of them. Your dad will teach you how to throw a football, how to nail free throws, and I’ll show you the ins and outs of soccer. Swimming, too. All of it or none of it, I promise that can be up to you. Golf, basketball, volleyball, dance — I promise to let you try whatever grabs you and to let you quit when you don’t love it anymore.
I promise to surround you with art of all kinds. To share my love for pop culture, for movies and music and Broadway and Hollywood. I’ll show you the good stuff and the cheesy stuff, the Oscar winners and the terrible comedies, the Beatles and the ’90s pop that makes most people cringe. Over the years I promise to bring you to museums and concerts and plays, and I’ll totally get it when you transform into an all-out crazy fan of something, or someone. When you have a bad day, I promise to listen. Or give you room to breathe, whatever seems best at the time. And when you get upset or angry or really, in-your-bones mad at me, I promise that I’ll try to understand. I’ll practice patience; I’ll try, anyway.
Year after year, I promise to carve out all kinds of a special time for just you and your dad. I know that dads have an important role in raising children. I learned (here you put in the information you learned from the text and page number in)
I promise to be honest with you, even when it’s hard, but I also promise to protect you. When there’s something you need to know, I’ll tell it to you straight, and if it might do more harm than good, I’ll keep it to myself. I promise that I’ll try to recognize the difference.
Speaking of difference, I promise to celebrate what makes you different. I promise to let your weirdness shine.
Mostly, sweet baby, I promise to show you love in all its best forms. I’ll love you and your dad and our friends and our families. With words and with actions I’ll say it and I’ll show it, and if just one of my promises can be kept, let it be this: that you’ll feel it. A love so big that it fills you up, that it makes you feel safe.
I can’t wait to meet you.
Love you already,
Mom
Discussion Board 3 – Chapter 9 from the book
This is one of my favorite videos about the teenage years. It highlights what makes teenagers so special. So often we see just the negative ideas our culture has about them.
After watching the video “Teens What Makes Them Tick
” Please discuss
1. The top 3 takeaways from the video (be specific).
2. Briefly explain the 4 types of teens (as discussed in the video). Which can you most or least relate to and why? Do you think those types are accurate in 2020? Explain. Use information from your text to support your answers.
2. According to the video, what are the best ways to parent a teen? Is this consistent with the information from the text (use specific examples)?
3. Relate the information from the video & text (Ch.9 &10) to your own adolescence and/or from parenting a teen.
After you post your response you should reply to at least 2 other student’s posts in the class.
Before completing the Discussion Board assignments, be sure to familiarize yourself with the criteria provided on the grading criteria/rubric. Note that responses should be at least 400-500 words in length. Your replies (minimum of 2 ) to your classmate should be at least 200-300 words.
https://vccs.instructure.com/courses/187103/pages/teens-what-makes-them-tick

Video Application 1 – Chapters 3 and 4 from the book
To complete this assignment, you should:
Choose a video or podcast below.
Concisely summarize the video/podcast.
Discuss how the video specifically applies to one or two specific concepts covered in these chapters in this section of the course.
This is one of the three “Video Application” assignment you are required to complete. This assignment requires you to watch a video and apply the concepts covered in this section of the course. The purpose is to engage you in seeing how psychology and the textbook material can be applied to the world around you.
1. Image-maker Alexander Tsiaras shares a powerful medical visualization, showing human development from conception to birth and beyond https://www.ted.com/talks/alexander_tsiaras_conception_to_birth_visualized
Or 2. Steven Pinker’s book The Blank Slate argues that all humans are born with some innate traits. Here, Pinker talks about his thesis, and why some people found it incredibly upsetting. https://www.ted.com/talks/steven_pinker_human_nature_and_the_blank_slate
Other important notes
The goal of this assignment is for you to make connections between the video and the textbook material, so you must read the corresponding chapter before viewing the video.
It is your responsibility to make sure connections between the textbook and video are direct and clear. The most effective way to do this is to directly reference and cite the textbook.
Half the points for this assignment come from the application of the textbook material. Only summarizing the video is not enough.
Your work should be between 500-750 words (no more and no less).
Video Application 2 – Chapters 7 and 8 from the book

Video Application 1 – Chapters 3 and 4 from the book
To complete this assignment, you should:
Choose a video or podcast below.
Concisely summarize the video/podcast.
Discuss how the video specifically applies to one or two specific concepts covered in these chapters in this section of the course.
This is one of the three “Video Application” assignment you are required to complete. This assignment requires you to watch a video and apply the concepts covered in this section of the course. The purpose is to engage you in seeing how psychology and the textbook material can be applied to the world around you.
1. Justin Baldoni wants to start a dialogue with men about redefining masculinity — to figure out ways to be not just good men but good humans. In a warm, personal talk, he shares his effort to reconcile who he is with who the world tells him a man should be.

Or 2.What keeps us happy and healthy as we go through life? If you think it’s fame and money, you’re not alone – but, according to psychiatrist Robert Waldinger, you’re mistaken. As the director of a 75-year-old study on adult development, Waldinger has unprecedented access to data on true happiness and satisfaction

Other important notes
The goal of this assignment is for you to make connections between the video and the textbook material, so you must read the corresponding chapter before viewing the video.
It is your responsibility to make sure connections between the textbook and video are direct and clear. The most effective way to do this is to directly reference and cite the textbook.
Half the points for this assignment come from the application of the textbook material. Only summarizing the video is not enough.
Your work should be between 500-750 words (no more and no less).
THIS WILL BE THE TEXTBOOK THAT WILL BE NEEDED TO COMPLETE THE ASSIGNMENTS. CLICK ON THE URL BELOW AND ON THE TOP CLICK “GET”
http://library.lol/main/FE9CBF68917C82AC02933A018DAC1448

What factors prompted its legalization?

Topic: Legalizing Marijuana

Discussion:
Research the recent legalization of marijuana in several states within the USA. What factors prompted its legalization? What have been the negative consequences (if any) to individuals, families, and communities since the legalization? What have been the positive consequences (if any) to individuals, families, and communities since the legalization? What is your personal position about legalizing marijuana?

***includes 2 parts: your thread of at least 300 words, which answers the
discussion prompt
***includes ESV BIBLE Scripture/biblical references, experience, and 2
outside scholarly resources (references may include your text, a professional
journal, or a professional or government website, such as CDC),

Identify the research questions posed by the applicable studies.

The purpose of this assignment is to draft a literature review.
The literature review is an integral component of the DPI Project, as it serves to summarize and synthesize research done in the selected area of study. The body of the literature review that you draft in this assignment will be edited and revised over the course of the program to eventually become Chapter 2 of your DPI Project. Incorporate instructor feedback from the Introduction to the Literature Review – Empirical Research assignment to enhance your literature review.
General Requirements:
Use the following information to ensure successful completion of the assignment:
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Directions:
Based upon your review of your 30 selected empirical research articles, identify three to five major themes that relate to your project topic and three to five subthemes related to each major theme.
Using those themes and subthemes in conjunction with your completed “Research Article Chart,” write a 20-25-page paper that synthesizes the content of your 30 selected empirical research studies.
Summarize each major theme and provide a detailed synthesis of its identified subthemes by addressing the following:
Introduce the identified subtheme.
Identify the research questions posed by the applicable studies.
Identify the sample populations used.
Identify the methodology.
Identify the limitations of the studies.
Summarize the conclusion and recommendations for further research.
Synthesize or connect the articles related to the subtheme back to the major theme and overall project.
Portfolio Practice Immersion Hours:
Practice immersion assignments are based on your current course objectives and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours and are indicated in the assignment by a Portfolio Practice Immersion Hours statement which reminds you, the learner, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.
You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting

Explain your personal position on how the Department of Homeland Security should address vulnerability using mitigation, prevention, and preparedness techniques.

Your paper must
Identify the DHS goal and issue that you will address in the Final Research Paper.
Summarize the various points of view that frame the homeland security issue, threat, or hazard that leads to a vulnerability.
Describe the various roles and responsibilities of the various levels of government with respect to the issue under review.
Explain your personal position on how the Department of Homeland Security should address vulnerability using mitigation, prevention, and preparedness techniques.

Write an argumentative essay on whether technology promote loneliness.

Write an argumentative essay on one of the following options:
Option #1: Does Technology Promote Loneliness?
Develop a thesis statement built upon whether or not technology promotes loneliness. You should focus on either one form of hardware or one type of software. For example, you could target cell phones or laptops. If you want to look more into software, you could narrow your discussions to one type of social media or one gaming app. These are just a handful of a vast array of options you could choose.
Develop at least three strong arguments in addition to a counterargument and refutation (this resource can assist you in developing the counterargument and refutation). This organization should yield four body paragraphs. Using argumentative topic sentences that include your opinion for each section can help ensure the majority of your essay is argumentative. The beginning of a sample topic sentence might be, “First, Facebook does not promote loneliness because….” Then, be sure to support that claim with a point or two of researched data, followed by mostly original material that helps to explain how your research supports your claims as well as provides new insights and perspectives. Conclude each paragraph with a sentence that synthesizes the paragraph’s main ideas.

Sample Thesis Statement: Social media, particularly Facebook, does not promote loneliness because (add argument 1), (add argument 2), and (add argument 3), even though (add counterargument focus). *Note that a thorough thesis statement will include the counterargument in addition to your own arguments, but be sure to frame your counterargument as the opposition’s opinion so that readers do not think that you are changing your stance.

See The Top Ten Tips for College-Level Writing (Presentation) for more thesis statement assistance.

Use at least three credible sources (the author should be considered an expert on the topic in which he or she writes; try Google Scholar to search), such as books, articles, and websites, to support your thesis. Include a mix of cited paraphrases, summaries, and quotes in your argumentative research paper. Use MLA format (Tip: You will find useful MLA resources within the course topics, particularly in Topic 9) to create proper parenthetical citations as well as a Works Cited page at the end of your essay. For additional Works Cited assistance visit http://owl.english.purdue.edu/owl/resource/747/08/ and use the left navigation menu to locate the type of reference you need.

More Tips
Visit https://owl.purdue.edu/owl/general_writing/academic_writing/establishing_arguments/index.html for more argumentative thesis statement assistance and to learn if your thesis is both arguable and narrowed.
A counter-argument section for this paper should explain what the opposition believes, and it is the opposite of the opinion you are arguing in your paper. For example, if you are arguing that anti-plagiarism software should not be used in college classes, then the counterargument would be that anti-plagiarism software should be used. Then in your refutation, try to prove the counterargument false, insignificant, or unimportant with researched information that is new to the essay (avoid recycling facts from a previous argument in the essay).
This resource will help you craft your counter argument and refutation.
Format Requirements:
Header: Include a header in the upper left-hand corner of your writing assignment with the following information:
Your first and last name
Course Title (Composition I)
Assignment name (Argumentative Essay)
Current Date
Page Layout:
MLA style documentation (please see the tutorial in the course topic)
Last name and page number in upper-right corner of each page as a header
Double-spacing throughout
Title, centered after heading (Title should be more creative than “Argumentative Essay.”)
Standard font (Times New Roman or Calibri)
1″ margins on all sides
Save the file as .docx or .doc format
Length: This assignment should be at least 750 words.
Underline your thesis statement in the introductory paragraph.