The patient should be ordered the following studies:

CBC in order to determine if the patient has anemia, and inflammation, or infection.

A U/A with culture will help determine any trichinosis in her urine, and if any pathogens that can cause infection are present.

A study of her stools will also be useful to determine if the patient has any abnormal ova or parasites in her stool. This will also reveal any other pathogens or leukocytes in her stool. (Leher, 2019).

Due to the patient having an abnormal PAP smear over 4 years ago, she should have another one in order to check if it is abnormal. Tests for common STI’s such as gonorrhea and chlamydia should also be conducted, as the patient has unprotected sex with her husband, and both are unsure if they had any STI’s.

A pelvic exam is also appropriate for this patient in order to rule out pelvic inflammatory disease (Pelvic Inflammatory Disease, 2018). The patient can also under wet prep to determine if she has any vaginal infection.

BUT, Your patient has no insurance, why does she need all of those tests?

 

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Nursing Discussion: Applying Learning Theories to Nursing Curriculum and Programs
Theorists have always been interested in how people learn. They have created and refined learning theories and provided authentic examples of human motivation and learning preferences. Much research has also been conducted on how educators teach others. Literature suggests that even when educators did not believe that they were using a theory, they were in fact using one or more to drive their instruction. Though nurse educators may naturally incorporate theories into their instruction, great care should be taken to consciously incorporate theories into the design and presentation of the curriculum. Doing so will not only benefit diverse learners but also aid in the curriculum development process.
In this Discussion, you explore how learning theories offer distinct strategies, approaches, and considerations.

Questions to be addressed:
1. Review the learning theories presented in this week’s Learning Resources. How can each theory, or combination of theories, guide the curriculum development process? A brief description of how learning theories guide curriculum development.
2. Identify your Course Project setting (Arizona State University) and provide a brief description of your team’s proposed curriculum or program (Doctor of Nursing Science (DNSc) programs).
3. Reflect on the curriculum or program that your team is developing for your Course Project. In addition, reflect on the learning needs and diverse learning styles of your students/staff/patients.
4. Select one learning theory that you could apply to your team’s curriculum or program. Consider how this learning theory could guide your team’s curriculum development process.
5. Explain how your selected theory applies to your team’s curriculum/program by sharing at least two authentic examples.
6. Access the “VARK: A Guide to Learning Styles” website, also found in this week’s Learning Resources (http://www.vark-learn.com/english/page.asp?p=questionnaire).Complete the learning styles assessment and review your scores and learning preferences. These results will assist you in your response post.

 

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In your estimation: What role should nurses play in global health?
nursing
Instructions:
After reading three or more of the articles/resources referenced in Lesson 3 and others you have researched, post the following in this discussion board:
In your estimation: What role should nurses play in global health?
What is your belief regarding the global migration/recruitment of nurses?
Include your citations in the posting with a reference list at the end. (APA style).
Comment on two of your classmates’ postings
View grading rubric.
if possible try to use these two

 

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 Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page. 

 

E.H. is a 45-year-old African American man who recently moved to the community from another state. He requests renewal of a prescription for a calcium channel blocker, prescribed by a physician in the former state. He is unemployed and lives with a woman, their son, and the womans 2 children. His past medical history is remarkable for asthma and six heart attacks that he claims occurred because of a 25-year history of drug use (primarily cocaine). He states that he used drugs as recently as 2 weeks ago. He does not have any prior medical records with him. He claims that he has been having occasional periods of chest pain. He is unable to report the duration or pattern of the pain. Before proceeding, explore the following questions: What further information would you need to diagnose angina (substantiate your answer)? What is the connection between cocaine use and angina? Identify at least three tests that you would order to diagnose angina.

Diagnosis: Angina

1. List specific goals of treatment for E.H.

2. What dietary and lifestyle changes should be recommended for this patient?

3. What drug therapy would you prescribe for E.H. and why?

4. How would you monitor for success in E.H.?

5. Describe one or two drugdrug or drugfood interactions for the selected agent.

6. List one or two adverse reactions for the selected agent that would cause you to change therapy.

7. What would be the choice for the second-line therapy?

8. Discuss specific patient education based on the prescribed first-line therapy.

9. What over-the-counter and/or alternative medications would be appropriate for E.H.?

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