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Request for a Letter of Recommendation (LO9.1, LO9.2, LO9.3) Find a specific job, internship, or graduate study listing that you would be interested in pursuing. Make sure it requires a letter of recommendation. Your task is to request a letter of recommendation from one of your instructors. Assume that you will write an email making the request. Answer the questions listed below to help you plan your request. Then write the request. Why would your instructor want to write a letter of recommendation for you? What would increase your instructors willingness and delight in writing a … Read more

After completing the following case study, submit 2 NCLEX style questions related to the topics covered in the case study. (Students are expected to write their own questions. Refrain from using outside resources). Please provide a rationale for the correct answers to your questions.
Gout:
A patient arrives at the urgent care clinic complaining of right great toe joint pain. They deny injury but state they are in severe pain. As you complete your assessment you notice there is redness and swelling of just this joint.
What do you suspect the provider will diagnose this patient with?
What medications do you anticipate the provider will order for this patient?
What should this patient be monitored for if the provider orders the medications to treat this disorder?
Pain:
As a nurse in the ED, your patient is dropped off by her friends at the front door. As they dropped her off, they tell you she accidentally took too much morphine.
What do you anticipate will be ordered to reverse the effects of morphine?
About 15 minutes later she becomes less responsive and her vital signs change.
What should you do next? Which vital sign should you monitor for when a patient takes morphine?
How does this reversal drug work?
Mrs. W. is a 76-year-old female client who has been diagnosed with osteoarthritis of the right knee. She also has a history of hypertension and is taking a diuretic and an ACE inhibitor to manage her blood pressure. She is being seen at the medical clinic with complaints of increasing pain in her knee. She states that she has been researching herbal and dietary supplements and has recently started taking glucosamine, chondroitin, ginkgo, and ginseng for her arthritis. She also takes one aspirin a day to keep me from having a heart attack. During this visit, she is given a prescription for ibuprofen.
Discuss the potential interactions that may occur when the ibuprofen is added to the other drugs and supplements that Mrs. W. is currently taking.
What areas should the nurse include when teaching Mrs. W. regarding the ibuprofen?
PCA pump:
Your patient returns from the operating room with an order for a patient-controlled analgesia pump.
What is the priority teaching you should provide to this patient and their family regarding the PCA pump?
You hear the patients wife say she will push the button for him when he is sleeping. What would you do as the nurse when you hear this statement?
On your next shift, this same patient complains that the pump must not be working since they are still in pain.
What would you ask the provider to increase to help better control the pain of this patient?
Severe vs Moderate pain:
A patient put on their call light. When you go to their room to see what they need they state that they have pain. You ask them to rate it on a numeric pain scale and they report it to be a 9/10. You understand this is moderate to severe pain. When you look in their medical administration record, they have a PRN order for both 650 mg acetaminophen and 1mg morphine IV.
Which medication would you decide is more appropriate for this patient?
What will you monitor this patient for after you administer the medication?
Acetaminophen overdose:
A patient comes to the ED after her family found her at home with two empty bottles of acetaminophen and a note stating she no longer wished to live.
What do you anticipate will be ordered to help reverse the effects of acetaminophen? Describe its mechanism of action.
What will you monitor? Include laboratory studies and signs and symptoms of organ failure.
GI disorders/Pain:
You are working your first shift in the post-anesthesia care unit. As you are watching your preceptor you notice he gives ondansetron over thirty seconds and asks you to monitor this patient as he goes to see a different patient. As you monitor this patient you notice a change in this patients heart rhythm on the telemetry monitor.
What is likely the cause of this heart rhythm change?
What is the proper timing to give this medication?
What is the first thing you would do in this situation?
Dopamine antagonist- prochlorperazine:
A patient you are caring for is prescribed a dopamine antagonist- prochlorperazine to help treat their chemotherapy-induced nausea and vomiting.
What are some of the adverse effects of this medication?
Your patient is asking you what they can do to help prevent the adverse effects. What education would you provide to this patient to help overcome the adverse effects?
Laxative:
You hear a nurse aide tell a patient that they can take laxatives as often as needed to treat constipation as a bonus it will help you to drop a few pounds.
What should you as the nurse do?
What are some contradictions to a patient being on laxative?
What are some alternatives to the use of laxatives?
Peptic Ulcer:
Mary is a 70-year-old attorney who has self-treated her heartburn for years by drinking large amounts of antacids. She finally made an appointment with her family practice physician who referred her to a gastroenterologist. Her physician instructed her to stop taking the antacids.
Why did the physician ask her to stop taking the antacids? Include mode of action and side effects
What diagnostic tests would the healthcare provider perform to determine treatment for the patient?
The patient is diagnosed with a peptic ulcer and placed on the following medications: omeprazole, bismuth subsalicylate, tetracycline, and metronidazole. The patient asks the nurse why she is taking so many medications when she is not feeling any pain now. What instructions will the nurse provide to the patient regarding the reason, administration, and adverse effects of each of the medications?

Students have to write an 1,800 word paper analyzing one of the books from the list provided below. Students must develop their own thesis based on the chosen book and either critically evaluate the authors argument or use the work as a primary source to better understand a specific time period or event.
For example, if you are reading Paine’s Common Sense, you might be writing a paper on the American Revolution that uses quotes from Common Sense to support your argument
The book I choose is “Common Senses” by Thomas Paine.
https://www.law.gmu.edu/assets/files/academics/founders/Paine_CommonSense.pdf

Introduction
Healthcare employees should create a workplace culture that promotes genuine discussion and openness. A climate of bullying and intimidation has been shown to contribute to safety errors. Managers should engage in counseling with employees to teach them how to deal with this behavior. The Joint Commission (JCAHO) has strict criteria regarding intimidation in the workplace and reviews healthcare organizations adherence to related rules and regulations.
Aligned to ULO(s)
ULO1: Examine the issues of hostile environment, such as incivility and violence, in the healthcare workplace (CLO1, CLO2)
ULO2: Articulate strategies to address horizontal bullying in nursing (CLO4, CLO5)
ULO3: Discuss the importance of Due Process in addressing personnel issues (CLO4)
Directions
Initial Post
Peer Responses
Initial Post
Read the article noted below and review the case of nurse-to-nurse workplace incivility. Assume that this intimidating and disruptive behavior led to a medication error (new nurse didnt ask the experienced nurse a clarifying question about the medication because of her bullying, intimidating behavior), which caused a preventable adverse outcome.
Khadjehturian, R. E. (2012). Stopping the culture of workplace incivility in nursing. Clinical Journal of Oncology Nursing, 16(6), 638-639.
Prepare a memorandum addressing the issue of workplace incivility and discussing procedures how workplace incivility incidents will be addressed, reflecting the requirements of Due Process. The memorandum should have heading Memorandum and formal memo structure. Memoranda (N.B.! this is plural for memorandum, a Latin word) or memos sometimes come to some colleagues who are not aware of the issue, so typically a memo has a subject at the top. It should be direct and concise. As a rule of thumb, memoranda should be brief.

The Fourth Amendment provides protection against unreasonable searches and seizures. What would constitute a reasonable search? Why? What would be unreasonable and why? Support your comments
Describe at least two major technology tools used by the police. Discuss whether you think these tools are effective. Why or why not? Discuss the different viewpoints with your learning colleagues.

The
papers must be your in own words on a Refinery Hydrocracker unit.
Paper
requirements 4pg minimum, single spaced, 12pt font ,pictures, drawings
or graphs are not part of the 4pg minimum.
The
papers must include but not limited to:
A
list of all reference material (sources) used (not just the class text books).
A
detailed description of the process (how the process operates).
A
simplified drawing of the process (not part of the 4pg min. description).
How
the products are used and what can be made from the products.
How
the process is controlled, (temps, pressures, flows etc.)
Troubleshooting
the process, (when the catalyst is spent, too high temperature, off spec.
process etc.)
A
list and detailed description of the major equipment in the process (pictures
if available, not part of the 4pg min).
Safety
and environmental concerns of the process.

We’re creating a product that will service the business traveler as well as families. This machine will sort, wash, fold, and put clothes away.
Per our call today, we have determined our target market in Hong Kong to be adults age 35-60 who are business professionals and/or family oriented people who will purchase this machine for use in their home as a time/energy/life saver. It should be roughly 1.25 pages double spaced, but just let us know if you need more space. Please also send your citations in APA format so I can add to the group works cited page.

Subsequent elements and assignments of this course require that the course manager have more information about instruments planned to use for data collection. In this inbox, please upload these items:
1. Copy of instrument(s) that you have found in the literature, and would like to use for your DNP project. A PDF copy of the instrument is acceptable, but please ensure that the entire version of the instrument you wish to use is included.
2. Copy/copies of investigator-designed instruments that you will use in the proposed DNP Project (such as demographic instruments).
3. Rough draft of codebook that you will use for analysis of data captured from use of the instruments. You may send this to me as an SPSS file. I will need to see the variable names and levels of measurement for each of the data points.

U.S. Constitution, available online at https://www.constituteproject.org/constitution/United_States_of_America_1992
(Links to an external site.)
How is the concept of federalism implemented in the text of the original Constitution (prior to the amendments)?
Based on the text of the Constitution, where does political power reside in the government created by the Constitution?
The Federalist Papers 10, 51, 78, available online at http://www.let.rug.nl/usa/documents/1786-1800/the-federalist-papers/
(Links to an external site.)
Federalist 10
What is the evil Madison wants to address?
What is his proposed solution?
How does the proposed Constitution address this problem?
Federalist 51
What is the evil against which Hamilton/Madison argues?
What is the proposed solution?
Hamilton/Madison makes the statement: Ambition must be made to counteract ambition. What did he mean?
Federalist 78
What is the difference between will and judgment?
What is the role that Hamilton envisions for the Court?

How does culture influence our ideas about the elderly? How might we change these ideas?