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Classroom activities and case studies will enable students to explore the complex healthcare system including multiple governmental, social and personal resources available to acutely ill adults across the age continuum. Clinical experiences in hospital settings will provide students with the continued opportunity to develop, implement, and evaluate management plans for adults and older adults with complex acute, critical, and chronic illness. The application of knowledge in the management of patients and the collaboration between the advanced practice nurse and the patient, family, and interprofessional healthcare team are emphasized.Academic Guides Walden Assignment Papers.

Note: In this course, some Discussions will have two parts:

Part I will consist of a specific topic related to the week’s content.

Part II will consist of a pharmacology review of approximately 250 words. Please submit each Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers posting separately but within the same Discussion thread.Academic Guides Walden Assignment Papers.

You will be assessed on your posting and responses to both parts.

As medical care evolves, so does the role and scope of practice of the advanced practice nurse in acute care settings. When providing patient care, however, you, as an advanced practice nurse, must always ensure that you are working within the scope of practice outlined by your state’s laws and institution’s regulations. For this Discussion, you examine these laws and regulations and consider how they might affect your future clinical practice, consider the credentialing process for your area, and discuss negotiation techniques you may use in a job search.Academic Guides Walden Assignment Papers.

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To prepare:

Locate a collaborative practice agreement. Based on this agreement, consider the scope of practice of an advanced practice nurse in your state.

Locate and select at least two hospitals where you would be interested in working at once you obtain your licensure.

Locate the hospitals’ credentialing documents and investigate the scope of practice at each hospital.Academic Guides Walden Assignment Papers.

Note: All hospitals do not have the same scope of practice even if they are located within the same city and state.

Consider how the laws and regulations of the state and hospitals might affect your practice with medical and surgical patients in acute care settings.Academic Guides Walden Assignment Papers.

Think about how you would negotiate your first Advanced Practice role. Consider issues such as salary range, Continueing Medical Education (CME), license and DEA costs, insurance, hours, on call requirements, etc.

Post on or before Day 3 an explanation of the scope of practice of advanced practice nurses, as outlined in the collaborative practice agreement. Then, identify the two hospitals of interest that you selected. Based on the credentialing documents, explain the scope of practice for acute care advanced practice nurses at each hospital. Explain how this might affect your practice in terms of caring for medical and surgical patients in acute care settings (i.e., medical treatments, procedures you can perform, interpreting diagnostics, etc.). Finally, describe job negotiation considerations.Academic Guides Walden Assignment Papers.

Note: To support your Discussion post, you must include references (with URL links) from the state and the hospitals you selected.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to at least two of your colleagues on 2 different days who selected a different state or hospital from yours. Share additional insights or alternative perspectives.Academic Guides Walden Assignment Papers.

Discussion Part II: Pharmacology

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

To prepare:

Read the following articles to enhance your knowledge of commonly prescribed medications:

Chalikonda, S. A. (2009). Alpha2-adrenergic agonists and their role in the prevention of perioperative adverse cardiac events. AANA Journal, 77(2), 103–108.Academic Guides Walden Assignment Papers.

Retrieved from the Walden Library databases.

Frankenstein, L., Katus, H. A., Grundtvig, M., Hole, T., de Blois, J., Schellberg, D., … Agewall, S. (2013). Association between spironolactone added to beta-blockers and ACE inhibition and survival in heart failure patients with reduced ejection fraction: A propensity score-matched cohort study. European Journal of Clinical Pharmacology, 69(10), 1747–1755.

Retrieved from the Walden Library databases.

Hao, G., Wang, Z., Guo, R., Chen, Z., Wang, X., Zhang, L., & Li, W. (2014). Effects of ACEI/ARB in hypertensive patients with type 2 diabetes mellitus: A meta-analysis of randomized controlled studies. BMC Cardiovascular Disorders, 14, 148.

Retrieved from the Walden Library databases.

Levy, P. D., Laribi, S., & Mebazaa, A. (2014). Vasodilators in acute heart failure: Review of the latest studies. Current Emergency and Hospital Medicine Reports, 2(2), 126–132.

Shi, C. (2013). Blood pressure lowering efficacy of alpha blockers for primary hypertension. International Journal of Evidence-Based Healthcare, 11(3), 204–205.

Retrieved from the Walden Library databases.

Tocci, G., Battistoni, A., Passerini, J., Musumeci, M. B., Francia, P., Ferrucci, A., & Volpe, M. (2015). Calcium channel blockers and hypertension. Journal of Cardiovascular Pharmacology and Therapeutics, 20(2), 121–130.

Retrieved from the Walden Library databases.

Toppen, W., Sareh, S., Satou, N., Shemin, R., Hunter, C., Buch, E., & Benharash, P. (2014). Do preoperative ?-blockers improve postoperative outcomes in patients undergoing cardiac surgery? Challenging societal guidelines. American Surgeon, 80(10), 1018–1021.Academic Guides Walden Assignment Papers.

Retrieved from the Walden Library databases.

Wang, A. (2012). Efficacy of class III antiarrhythmics and magnesium combination therapy for atrial fibrillation. Pharmacy Practice, 10(2), 65–71.

Retrieved from the Walden Library databases.

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.Academic Guides Walden Assignment Papers.

Alpha agonists

Alpha blockers

Beta blockers

Antiarrhythmics

Calcium channel

Vasodilators

ACE versus BBlocker with spironolactone in CHF

ACE versus ARB

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.Academic Guides Walden Assignment Papers.

For this Discussion, address 1 of the following options. Post by Day 3:

Option 1: Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.Academic Guides Walden Assignment Papers.

Option 2: Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3: Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication. Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers.

Week 2 discussion -Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers

Discussion Part I: Limitations and Challenges

From providing ongoing assessments to monitoring for complications and facilitating recovery, advanced practice nurses who care for patients in perioperative environments experience a unique set of limitations and challenges. Reflecting on your experiences in this complex and critical environment will help you develop your professional competency and prepare you for your future role as an advanced practice nurse. In this week’s Discussion, you consider limitations and challenges of clinical practice in perioperative care settings.Academic Guides Walden Assignment Papers.

To prepare:

Reflect on this week’s clinical experiences.

Consider one limitation or challenge you encountered.

Think about how you overcame this limitation or challenge and how this might affect your future practice in pre- and post-operative care settings.

Post on or before Day 3 a description of at least one limitation or challenge you encountered during your clinical experience this week. Explain how you overcame this limitation or challenge and how this might affect your future practice.Academic Guides Walden Assignment Papers.

Note: If you refer to a patient in your Discussions or Assignments, be sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to two colleagues by sharing additional insights or alternative perspectives.

Discussion Part II: Pharmacology

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Academic Guides Walden Assignment Papers.

To prepare:

Read the following articles to enhance your knowledge of commonly prescribed medications:

Ando, S., Yasugi, D., Matsumoto, T., Kanata, S., & Kasai, K. (2014). Serious outcomes associated with overdose of medicines containing barbiturates for treatment of insomnia. Psychiatry Clinical Neuroscience, 68(9), 721.

Dassanayake, T. L., Jones, A. L., Michie, P. T., Carter, G. L., McElduff, P., Stokes, B. J., & Whyte, I. M. (2012). Risk of road traffic accidents in patients discharged following treatment for psychotropic drug overdose: A self-controlled case series study in Australia. CNS Drugs 26(3), 269–276.Academic Guides Walden Assignment Papers.

Retrieved from the Walden Library databases.

Kulick, D., & Deen, D. (2011). Specialized nutrition support. American Family Physician, 83(2), 173–183. Retrieved from http://www.aafp.org/afp/2011/0115/p173.html

Martini, D. I., Nacca, N., Haswell, D., Cobb, T., & Hodgman, M. (2015). Serotonin syndrome following metaxalone overdose and therapeutic use of a selective serotonin reuptake inhibitor. Clinical Toxicology 53(3), 185–187.

Robinson, A., & Wermeling, D. P. (2014). Intranasal naloxone administration for treatment of opioid overdose. American Journal of Health-System Pharmacy, 71(24), 2129–2135.Academic Guides Walden Assignment Papers.

Retrieved from the Walden Library databases.

Thomas, D. R. (2013). Total parenteral nutrition (TPN). In The Merck Manual Professional Edition. Retrieved from http://www.merckmanuals.com/professional/nutritional_disorders/nutritional_support/total_parenteral_nutrition_tpn.html. Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers.

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way for you to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.

KPhos, bicarb, calcium, magnesium

Iron, folic acid, B12

Diamox

Macrolides

Muinolones/mluoroquinolone

Cephalosporins, 4th and 5th generation

Aminoglycosides

Carbapenems

Lipopeptide

Tigecycline

For this Discussion, address 1 of the following options. Post by Day 3:

Option 3: Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Discuss a patient to whom you would prescribe this medication. Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers.

Week 4 discussion – Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers

Discussion Part I: Assessment and Care of Patients With Cardiovascular Conditions

Many cardiac disorders such as myocardial infarctions are a common problem in the acute care setting. Thus it is essential for you, as the advanced practice nurse caring for acute patients, to identify potential signs and symptoms of complications. Although some cardiac disorders require outpatient treatment and management, other procedures such as CABGs or valve replacements are more common and frequently require major interventions. In your role with acute cardiac patients, you must evaluate symptoms and determine how to treat patients. For this Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers Discussion, consider potential diagnoses, treatment, and/or referral options for the patients in the following 3 case studies.Academic Guides Walden Assignment Papers.

Case Study 1: Tom is 56-year-old African American male who presented to the ED with chest pain radiating to his back. The pain has been continuous for 1 hour. The patient complains of shortness of breath. The pain has not been relieved with rest. The patient’s vitals are: 99.1-98-18-198/110. The patient’s cardiac enzymes are negative. Labs results are as follows:Academic Guides Walden Assignment Papers.

Na 134

K 4.1

Cr 1.8

BUN 42

Glucose 248

WBC 13.1

Hbg 14.1

Hct 44.2

Plt 236

EKG sinus rhythm no ekg changes

Case Study 2: Liz is a 79-year-old female with a history of aortic stenosis and hypertension. The patient underwent elective aortic valve replacement yesterday. This AM during rounds, the patient is sitting up in the chair. Vital signs: 99.4-54-20-85/50. Pa 29/13, CVP10. Urine output 20 ml/hr for the last 3 hours. Cardiac output 3.9, cardiac index 1.8. Patient’s preop ef was 50%. Labs are as follows:Academic Guides Walden Assignment Papers.

K 4.0

Cr 1.5

BUN 42

Hgb 9.8

Hct 29.1

Plt 138

Postoperative chest X-ray normal

Case Study 3: Arvid is a 69-year-old male you are seeing in CCU 1 hour after he had a CABG × 4. The patient is intubated. VS: 97.1-78-14-90/50. PA 30/13, CVP 12. ABG 7.21-49-98-19.6-99%- -6 base deficit. Mixed venous O2 sat 68. Hgb 10.2, Hct 32.1. The patient is sedated. Vent settings FiO2 50%, IMV 12, PEEP 5, tidal volume 550.

To prepare:

Review and select 1 of the 3 case studies provided. Analyze the patient information.

Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.

Consider strategies for educating patients and families on the treatment and management of the cardiac disorder.Academic Guides Walden Assignment Papers.

Post on or before Day 3 an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the cardiac disorder.Academic Guides Walden Assignment Papers.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to at least two of your colleagues on 2 different days in both of the ways listed below. Respond to colleagues who selected different case studies from yours.Academic Guides Walden Assignment Papers.

Describe how a patient factor such as age, gender, ethnicity or culture might affect the diagnosis, management, and follow-up care of patients with the cardiac disorders your colleagues discussed.

Based on your personal and/or professional experiences, expand on your colleagues’ postings by providing additional insights or different perspectives.?

Discussion Part II: Pharmacology

To prepare:

Read the following article to enhance your knowledge of commonly prescribed medications:

Kalil, A., & Bailey, K. L. (2014, October 20). Septic shock medication. Retrieved from http://emedicine.medscape.com/article/168402-medication

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way for you to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers discussion on the hospital or ICU setting and IV usage.Academic Guides Walden Assignment Papers.

All of the following groups of medications are commonly prescribed in the acute care setting. This Discussion will focus on CABG patients. Choose one of the topics below to discuss in terms of management of a post-CABG patient. Focus your discussion on the hospital or ICU setting and IV usage.Academic Guides Walden Assignment Papers.

Amicar

Epinephrine

Vasopressin

Nitroglycerin

Cardene

Insulin drip

Dopamine

Dobutamine

Norepinephrine

Phenylephrine

Note: When sharing your initial post, select a drug that has not yet been discussed. If all drugs have been discussed, then you may select that drug again.Academic Guides Walden Assignment Papers.

For this Discussion, address 1 of the following options. Post by Day 3:

Week 9 discussion – Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers

Discussion Part I: Assessment and Care of Patients With Adrenal and Urogynecologic Conditions

Many genitourinary (GU) disorders such as kidney disease start developing during adolescence (Johns Hopkins Children’s Center, 2010). This early onset of disease makes it essential for you, as the advanced practice nurse caring for adolescent patients, to identify potential signs and symptoms. Although some adolescent GU disorders require long-term treatment and management, other disorders such as urinary tract infections are more common and frequently require only minor interventions. In your role with adolescent patients, you must evaluate symptoms and determine whether to treat patients or refer them for specialized care. For this Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers Discussion, consider potential diagnoses, treatment, and/or referral options for the patients in the following 3 case studies.Academic Guides Walden Assignment Papers.

Case Study 1: Alicia is an 18-year-old female who is brought into urgent care by her mother. She is complaining of dizziness. She recently started to lift weights for softball season. She has been healthy up to this point. Vitals are: temp 101.9°F, HR 120, RR 24, BP 90/54. She has lower extremity edema and decreased skin turgor. She states that her shoulders, thighs, and lower back hurt. She is having trouble moving her arms and legs. She also complains of vague abdominal pain, with nausea and vomiting. Labs came back with CK 10,000, uric acid 40 mg/dl, WBC 14.3, BUN:creatinine ratio 6:1, K 5.8. Urinalysis shows a presence of myoglobin of more than 25.Academic Guides Walden Assignment Papers.

Case Study 2: Mark is a 15-year-old male with a complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and gradually has worsened such that he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam results are negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign.Academic Guides Walden Assignment Papers.

Case Study 3: Maya is a 16-year-old female who presents to the ER for urinary pain. She is a healthy adolescent with complaints of lower abdominal pain, low back pain, and burning with urination. She had a fever of 102°F at home. Physical examination results are normal. Routine urinalysis indicates 2+ proteinuria; specific gravity 1.020; negative for glucose, blood. Leukocytes are moderate and nitrites, moderate. Her blood pressure is normal, and she is at the 60th percentile for height and weight. Vitals are: temp 103.1°F, HR 116, RR 18, BP 100/58. P Ox is 98% (Johns Hopkins Children’s Center, 2010).Academic Guides Walden Assignment Papers.

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To prepare:

Review and select 1 of the 3 provided case studies. Analyze the patient information.

Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.

Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.Academic Guides Walden Assignment Papers.

Post on or before Day 3 an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the genitourinary disorder.Academic Guides Walden Assignment Papers.

Read a selection of your colleagues’ Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers responses.

Respond on or before Day 6 to at least two of your colleagues on 2 different days in both of the ways listed below. Respond to colleagues who selected different case studies from yours.

Describe how culture might affect the diagnosis, management, and follow-up care of patients with the genitourinary disorders your colleagues discussed.Academic Guides Walden Assignment Papers.

Based on your personal and/or professional experiences, expand on your colleagues’ postings by providing additional insights or different perspectives.?

Discussion Part II: Pharmacology

Read the following articles to enhance your knowledge of commonly prescribed medications:

Daley, B. (2015, February 23). Peritonitis and abdominal sepsis. Retrieved from http://emedicine.medscape.com/article/180234-overview

Shahedi, K., Chudasama, Y. N., Dea, S. K., & Cooperman, A. (2015, January 14). Diverticulitis treatment and management. Retrieved from http://emedicine.medscape.com/article/173388-treatment

Tobias, J. D., & Leder, M. (2011). Procedural sedation: A review of sedative agents, monitoring, and management of complications. Saudi Journal of Anasthesia, 5(4), 395–410. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3227310/

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way for you to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.Academic Guides Walden Assignment Papers.

Sedation

Diazepam

Fentanyl

Ketamine

Lorazepam

Midazolam

Propofol

Nonsedation

Chlorpromazine

Peritonitis—what antibiotics are chosen for peritonitis?

Nerve blocks—what drugs are used with nerve blocks?

Diverticulitis—what drugs are used with diverticulitis?

For this Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers Discussion, address 1 of the following options. Post by Day 3:

Week 10 discussion – Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers

Discussion Part I: Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery

This week, you study neurologic and orthopedic conditions with plastic surgery considerations. Both neurologic and orthopedic conditions are seen in the trauma areas of the hospital. These conditions encompass cardiovascular, pulmonary, and metabolic aspects of care in the ICU. For this Discussion, focus on adolescent patients, and consider potential diagnoses, treatment, and/or referral options for the patients in the following 3 case studies.Academic Guides Walden Assignment Papers.

Case Study 1: A 17-year-old male was celebrating his birthday with friends and alcohol. At one point he jumped into the hotel pool three stories below, hitting the side of the pool with his chest. EMS arrived and packaged him with spinal support. He arrives in the ER with breathing difficulty, chest pain, GCS 10, and O2 sat of 94%. You do initial assessment in the first 10 minutes and find that his chest is asymmetric for breathing and contusions are noted all over his chest. His CXR shows multiple rib fractures on both sides and pulmonary contusions. His cervical spine is stable in a collar. His thoracic and lumbar films are negative for fractures. In the next hours, what are your priorities, and what plan would you have for this patient as he moves to the ICU? At what stage of development is he, and how does that affect his care?Academic Guides Walden Assignment Papers.

Case Study 2: A 13-year-old female restrained passenger of a vehicle was involved in an MVA at 60 mph on the highway. The vehicle experienced a frontal impact. The patient arrived in the ER with closed fractures of the left tibia and fibula with angulation, dislocation of the right ankle, multiple pelvic fractures, and femur fracture on the left side. Her BP is 92/54 with pulse of 130. What is your plan for this patient, and what are the considerations to prevent further morbidity? At what stage of development is she, and how does that impact her care? Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers.Academic Guides Walden Assignment Papers.

Case Study 3: A 19-year-old male private in the U.S. Air Force was driving with friends when they dared him to “surf the car.” He fell off the roof of the car while it was moving at a speed of approximately 40 mph. He landed face first. He is now in the ICU with a closed head injury. His intracranial pressure is elevated, and his pupillary response is slowing. At this time, what medications do you recommend, and what other medical treatments do you recommend? In addition, after the acute situation is controlled and the patient awakens, what medication do you use for his agitation?

To prepare:

Review and select 1 of the 3 provided case studies. Analyze the patient information.

Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.Academic Guides Walden Assignment Papers.

Consider strategies for educating patients and families on the treatment and management of the trauma care.

Post on or before Day 3 an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, in your Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of neurologic and orthopedic conditions.Academic Guides Walden Assignment Papers.

Read a selection of your colleagues’ responses.

Respond Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers on or before Day 6 to at least two of your colleagues on 2 different days in both of the ways listed below. Respond to colleagues who selected different case studies from yours.

Describe how culture might affect the diagnosis, management, and follow-up care of patients with the neurological, orthopedic, or plastics disorders your colleagues discussed.Academic Guides Walden Assignment Papers.

Based on your personal and/or professional experiences, expand on your colleagues’ postings by providing additional insights or different perspectives.?

Discussion Part II: Pharmacology

To prepare:

Read the following articles to enhance your knowledge of commonly prescribed medications:

Family Practice Notebook. (2015). Nonsteroidal anti-inflammatory. Retrieved from http://www.fpnotebook.com/Pharm/Analgesic/NnstrdlAntInflmtry.htm

Press, C. D. (2013, September 10). Infiltrative administration of local anesthetic agents. Retrieved from http://emedicine.medscape.com/article/149178-overview

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers. If it is a medication group, select a specific drug within that group. (This is a good way for you to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.Academic Guides Walden Assignment Papers.

Glycopeptides

Oxazolidinones (Bs)

Monobactams

Ansamycins

Metronidazole

Lincosamides (Bs)

Tinidazole

Lidocaine

Marcaine

NSAIDs

For this Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers Discussion, address 1 of the following options. Post by Day 3:

Option 1: Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.Academic Guides Walden Assignment Papers.

Option 3: Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient you would prescribe this medication to. Walden NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings – Essay Assignments, Exam Questions and Answers.

Students in this course will advance their clinical competence in the care of patients in acute care settings by building on knowledge and skills gained in the NURS 6550. Through clinical practice, students will build confidence as they begin the transition from student to advanced practice nurse. Classroom activities and case studies will enable students to explore the complex healthcare system including multiple governmental, social and personal resources available to acutely ill adults across the age continuum. Clinical experiences in hospital settings will provide students with the continued opportunity to develop, implement, and evaluate management plans for adults and older adults with complex acute, critical, and chronic illness. The application of knowledge in the management of patients and the collaboration between the advanced practice nurse and the patient, family, and interprofessional healthcare team are emphasized.Academic Guides Walden Assignment Papers.

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NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings II – Discussion Posts and Exam Questions & Answers

Course Readings
After clicking on a citation below, enter your myWalden user name and password at the prompt.Academic Guides Walden Assignment Papers.

Please Ask a Librarian if you have any questions about the links.

Chalikonda, S. A. (2009). Alpha2-adrenergic agonists and their role in the prevention of perioperative adverse cardiac events. AANA Journal, 77(2), 103–108.

Shi, C. (2013). Blood pressure lowering efficacy of alpha blockers for primary hypertension. International Journal of Evidence-Based Healthcare, 11(3), 204–205.Academic Guides Walden Assignment Papers.

Toppen, W., Sareh, S., Satou, N., Shemin, R., Hunter, C., Buch, E., & Benharash, P. (2014). Do preoperative β-blockers improve postoperative outcomes in patients undergoing cardiac surgery? Challenging societal guidelines. American Surgeon, 80(10), 1018–1021

Trinka, E., Höfler, J., Zerbs, A., & Brigo, F. (2014). Efficacy and safety of intravenous valproate for status epilepticus: A systematic review. CNS Drugs, 28(7), 623–639.Academic Guides Walden Assignment Papers.

Wang, A. (2012). Efficacy of class III antiarrhythmics and magnesium combination therapy for atrial fibrillation. Pharmacy Practice, 10(2), 65–71.

Williams, A. S. (2014). Pharmacology of steroids in the musculoskeletal system. Nurse Prescribing, 12(5), 237–242.

NURS 6560 – Advanced Practice Care of Adults in Acute Care Settings II – Discussion Posts and Exam Questions & Answers

As you review the CRRN Exam Handbook while preparing for the CRRN exam, you are encouraged to use a variety of resources. What is the study method that works best for you? Individual review? Study group? Class? What types of materials are most helpful? Textbooks? Audio or video programs? Outlines? Memory aids like flashcards? You may also want to review the prepared sample questions to get a sense of the question format.Academic Guides Walden Assignment Papers.

Know What is Covered
There are four major domains in the CRRN Exam Content Outline:

1. Rehabilitation nursing models and theories (6%)
2. Functional health patterns (theories, physiology, assessment, standards of care, and interventions in individuals with injury, chronic illness, and disability across the lifespan) (58%)
3. The function of the rehabilitation team and community reintegration (13%)
4. Legislative, economic, ethical, and legal issues (23%).

The CRRN Exam Content Outline lists each domain with related tasks, knowledge, and skill statements. It is the best source of information for exam content.

The RNCB does not sponsor or endorse any review course or other preparation materials.

Use Resources Created for Your Success
ARN has created the very best CRRN exam prep tools to help you while on your path to certification. There are a variety of tools to choose from based on how you prefer to learn! Each of these tools can be purchased in the ARN Bookstore, and at a deep discount to ARN members.Academic Guides Walden Assignment Papers.

Online CRRN Review: A Knowledge Check
The newest prep tool from ARN is in online Q&A format for you to use when you want and at your own pace. Featuring 16 modules, the ARN Online CRRN Review helps you assess your knowledge in each of the exam domains and tasks. You may want to use this program first to assess your exam readiness.Academic Guides Walden Assignment Papers.

The Specialty Practice of Rehabilitation Nursing: A Core Curriculum, 7th ed.
Published by ARN, this comprehensive book is used by many nurses to prepare for the CRRN exam, and is used continuously throughout your career as a rehabilitation nurse.

CRRN Flashcards
Portable and easy to use, the CRRN flashcards help you test your knowledge of individual rehabilitation nursing concepts.

CRRN Review Bundle
Our two most popular study tools have been combined to offer this bundle—The Specialty Practice of Rehabilitation Nursing: a Core Curriculum,7th ed. with the CRRN Flashcards.Academic Guides Walden Assignment Papers.

Online PRN Course
This comprehensive, online course takes you on a deep dive into rehabilitation nursing interventions, chronic and disabling conditions seen in rehab, patient education, and more! Earn 22 CH once you have completed the course, post-tests, and evaluations.

Online CRRN Practice Test
Practice questions are presented in the same format as the CRRN exam.

CRRN Tips & Tricks Webinar
Hosted live in August 2018, this presentation helps you prepare for the exam by building familiarity with the exam content outline and reviewing topics like exam question types, online testing techniques, exam registration procedures, and testing center guidelines.Academic Guides Walden Assignment Papers.

Additional Resources
Additional resources to help you prepare for the exam, include:

Carpenito-Moyet, L. (2016). Nursing diagnosis: Application to clinical practice (16th ed.). Philadelphia: Lippincott Williams and Willkes.

Hickey, J. (2013). Clinical practice of neurological and neurosurgical nursing (7th ed.). Philadelphia: Lippincott-Raven Publishers.

Jarvis, C. (2015). Physical examination and health assessment (7th ed.). St. Louis: Elsevier Health Sciences.

Karch, A. (2017). 2018 Lippincott pocket drug guide for nurses. Philadelphia: Lippincott Williams and Wilkes.

Mauk, K. (2017). Gerontological nursing: competencies for care. (4th ed.). Boston: Jones & Bartlett.

Mauk, K. (2012). Rehabilitation nursing: a contemporary approach to practice. Boston: Jones & Bartlett.

McCance, K., Huether, S. (2014). Pathophysiology: the biologic basis for disease in adults and children (7th ed.). St. Louis: Mosby.

Potter, P., Perry, A., (2016). Fundamentals of nursing (9th ed.). St. Louis: Mosby.

Powell, S., Tahan, H. (2016). CMSA core curriculum for case management (3rd ed.). Philadelphia: Lippincott Williams and Wilkes.

Thibodeau, G. (2012). Anthony’s textbook of anatomy & physiology (20th ed.). St. Louis: Mosby-Year Book.

Distance Learning involves studying a course without having to attend classes in person at a school, college or university.Academic Guides Walden Assignment Papers.

Once strongly associated with mature students, in recent years Distance Learning has become an extremely popular learning method among all age groups above secondary level.

The ability to learn remotely, as offered by Arden University, gives hundreds of thousands of people across the UK and worldwide the opportunity to continue their education where they may not otherwise get the chance.Academic Guides Walden Assignment Papers.

Flexibility is one of the key advantages of Distance Learning; the ability to choose the hours and location of study is a bonus for most people, allowing them to fit their education around work or family life, or any other commitments they may have.Academic Guides Walden Assignment Papers.

The internet is largely to thank for the increase in people enrolling onto Distance Learning Programmes. With the huge amount of written resources available at the touch of a button, as well as the ability to access video content and virtually connect with tutors, mentors and fellow students, Distance Learning needn’t be so different from attending lectures on these days – what’s more, the qualification you receive at the end is exactly the same!Academic Guides Walden Assignment Papers.

There are more benefits to Distance Learning than just flexible hours and location. Here are a few:

You can gain a Degree from anywhere in the world, not just the country in which you reside
Studying at a pace that suits you will allow you to revisit anything you feel you haven’t fully understood
You may save money if you opt for a Distance Learning course rather than an on-site one, as fees are usually lower
Having to manage your own schedule will help you acquire vital life skills such as time management and organisation.
Arden University student studying on tablet at home
Arden University student studying at home
Why is it so popular?
In today’s busy world you cannot always adjust your schedule to pursue a full-time education. Online learning enables you to study for an internationally recognised qualification without putting your life on hold.Academic Guides Walden Assignment Papers.

Whether you are a busy professional looking for the next career step or a school leaver wanting to start your career without sacrificing your education, online study may be the solution you need. Over 50,000 people worldwide have studied and achieved their qualifications through online and distance learning with us.

The only difference between a qualification from Arden University and a traditional campus uni is the flexible way we deliver the course. With 24/7, multi-device, multi-media learning materials and a leading edge ‘virtual classroom’ study portal, you can study from any place in the world at any time, as long as you can access the internet.Academic Guides Walden Assignment Papers.

Find out more about our learning experience here or browse our FAQs and available courses below.

This lesson plan focuses on Thoreau’s use of imagery in the chapter “The Ponds” in Walden. Students will identify examples of imagery and figurative language in passages from the text and will interpret the ideas they express. In studying Thoreau’s imagery, often created through figurative language, students will be better able to identify and explain themes of transcendentalism in “The Ponds.”

Learning Objectives:
By the end of this lesson, students will be able to

explain the principles and attitudes of transcendentalism as a philosophical movement in 19th-century American thought;
define and explain imagery as a literary device;
locate examples of imagery in the text and identify their types;
explain how imagery in the text is created through figurative language, including simile and metaphor;
interpret ideas communicated through imagery and explain how they illustrate themes of transcendentalism.
Skills: close reading, interpreting figurative language, drawing inferences from the text

Common Core Standards: RL.9-10.1, RL.9-10.2, RL.9-10.4, SL.9-10.1

Introductory Lecture:

In an 1837 address at Harvard University, Ralph Waldo Emerson famously declared that the United States had too long imitated the ideas and outlook of the old world. The time had come for American poets and intellectuals to speak and act more like themselves and less like Europeans.Academic Guides Walden Assignment Papers.

Emerson’s speech, now called “The American Scholar,” forcefully argued that authentic American expression would appear when writers turned away from the past for inspiration and looked instead at the wonder and beauty of the natural world around them.

With his 1850 book Walden, Emerson’s protégé Henry David Thoreau appears to take on Emerson’s challenge wholeheartedly. It is a detailed exploration of Emerson’s idea that the United States would find its own cultural and literary identity and escape the burden of European influence through an intimate and unfiltered study of nature.Academic Guides Walden Assignment Papers. The book chronicles the two years Thoreau spent living in a simple one-room cabin next to Walden Pond in Concord, Massachusetts. At Walden Pond, Thoreau endeavored to remove from his life all but the bare essentials, foregoing luxuries, eating mostly vegetables, and generally pinching pennies. Free to spend most of his hours observing and contemplating the natural world, he found he was rewarded with deep self-knowledge and spiritual riches that could not be found in books or the religions of the past.Academic Guides Walden Assignment Papers.

In Walden, Thoreau uses elaborate imagery to show how he immersed himself in the seasons, sounds, moods, and colors of Walden Pond. At times he explains the spiritual lessons he takes from his observations, but much of the time he leaves it to readers to glean deeper truths in his detailed natural imagery. The imagery in “The Ponds,” one section of the book, is rich in the optical effects and mysterious sounds of the pond, revealing Thoreau’s love of the reflections, echoes, shifting colors, and delicate surface patterns that transport him to spiritual realms and invite mystical interpretations. While drifting in his boat on a still day, for instance, the glassy surface of the pond reflecting the sky and clouds, he experiences a disorienting and elating sensation of floating in the sky.Academic Guides Walden Assignment Papers.

Such is the power of nature, Thoreau suggests—to transform our reality, once we learn to truly see and hear its splendor. Through imagery and figurative language in the text, Thoreau communicates other principles of transcendentalism as well, making Walden both a comprehensive study of the philosophy and an examination of Thoreau’s personal experiences.Academic Guides Walden Assignment Papers.

About this Document
Our eNotes Essential Lesson Plans have been developed to meet the demanding needs of today’s educational environment. Each lesson incorporates collaborative activities with textual analysis, targeting on discrete learning objectives. The main components of each plan include the following:

An introduction to the text
A step-by-step guide to lesson procedure
A previous and following lesson synopsis for preparation and extension ideas
A collection of handouts and worksheets complete with answer keys
Each of these comprehensive plans focuses on promoting meaningful interaction, analytical skills, and student-centered activities, drawing from the Common Core Standards for English Language Arts and the expertise of classroom teachers.Academic Guides Walden Assignment Papers.

Manhattan Christian College has made a commitment to global ministry leadership training. MCC’s distance education courses are designed to provide busy adults the opportunity and flexibility to pursue the same regionally accredited biblical education that our on-campus students experience. The program is designed to enhance your current ministries and careers and put you on the road toward completion of a bachelor degree in Biblical Leadership or our popular Management and Ethics degree. Each course meets for eight weeks and earns three semester hours of credit.Academic Guides Walden Assignment Papers.

Distance education students may take any two of the online courses during each 8-week term, and there are two 8-week terms per semester. Generally, students spend an average of 12-15 hours per week on each class. This may vary depending on how quickly you read and complete your assignments.Academic Guides Walden Assignment Papers.

Mission
The Distance Learning Department exists to educate, equip, and enrich Christian leaders in any location, at any time to become more effective leaders in their churches and communities.

Objectives
Upon completing the course of study in biblical leadership, a student will:

Demonstrate a general knowledge and understanding of the Christian canon and theological concepts
Demonstrate an integration of their studies into leadership ministry
Understand the basic principles of leadership in a healthy, growing church
Perform the basic exegesis necessary for preaching, teaching, and Bible study
Demonstrate a basic level of expertise in the skills necessary to perform practical ministry in the local church
Have a basic understanding of the history of the church and the Stone-Campbell movement

The methods section is designed to describe, in detail, how you conducted your study. Different study designs will require different methodologies, which means the specific details within this section vary widely. However, despite such variations, all effectively written methodology sections should include the following:Academic Guides Walden Assignment Papers.

A clear introduction of the methodological design and approach for conducting your research
A rationale of why such a design and approach are appropriate for your given topic
An indication of the specific methods for information gathering and/or data collection
A rationale of why the methods are appropriate for your given topic
An explanation of how you intend to analyze results
Subsections, if necessary, that include the following: (a) participant descriptions, (b) procedures used, (c) sampling procedures and sample size, (d) measurement approaches, (e) detailed information about research design
For more on each of these possible subsections, review section 2.06 (pp. 29-32) of your 6th edition APA manual.Academic Guides Walden Assignment Papers.
*Box content adapted from:

University of Southern California (n.d.). Organizing your social sciences research paper: 6. the methodology. Retrieved from http://libguides.usc.edu/writingguide/methodology

Methods Section Basics
In examining a research question, social scientists may present a hypothesis and they may choose to use either qualitative or quantitative methods of inquiry or both. The methods most often used include interviews, case studies, observations, surveys, and so on. The nature of the study should dictate the chosen method. (Do keep in mind that not all your papers will require that you employ the various methods of social science research; many will simply require that you analyze an issue and present a well reasoned argument.) When you write your capstones, however, you will be required to come to terms with the reliability of the methods you choose, the validity of your research questions, and ethical considerations. You will also be required to defend each one of these components. The research process as a whole may include the following: formulation of research question, sampling and measurement, research design, and analysis and recommendations (Trochim, 2006). Keep in mind that your method will have an impact on the credibility of your work, so it is important that your methods are rigorous. Walden offers a series of research methods courses to help students become familiar with research methods in the social sciences.Academic Guides Walden Assignment Papers.

Just because it has the word ‘Lib’ in it, doesn’t mean that only the Library can use it!”
…says Heather Westerlund the IT Manager at Walden University Libraries.

Walden University is a 100% virtual University servicing over 50,000 students all over the world. And with a staff of only 20 librarians, Heather has to make sure her tools are not only easy-to-use but also intuitive.Academic Guides Walden Assignment Papers.

The Library came on board with a LibGuides CMS system in 2010 – using it to house their library website and over 4,000 LibGuides they’ve created over the last 7 years.Academic Guides Walden Assignment Papers.

Pretty soon, other Academic Departments took notice…and wanted a piece of the Lib’action.
Heather Westerlund
Heather Westerlund

Currently, their LibGuides CMS system is the home for 14 separate academic departments.

Each department uses a LibGuides CMS group to house their website.

According to Heather, harmoniously sharing LibApps with so many other departments has been very very successful.

LibGuides CMS is very easy to use and it’s very attractive. Previously, many Academic Departments were on dated CMS that was difficult to update and some Departments didn’t even have a web presence at all. When they saw what the library was doing, they took notice and got very excited.Academic Guides Walden Assignment Papers.

Walden University Homepage
Walden University LibGuides Homepage

LibGuides CMS System Does So Much
Their LibGuides CMS system is not only the web presence for 14 Academic departments but also two University-wide Intranets, a Library Archive, and a Library Staff Intranet with 232+ published internal guides. The Library’s restricted Intranet is a LibGuides CMS group ‘walled off’ from the other Academic Departments and acts as a portal to internal documentation.Academic Guides Walden Assignment Papers.

Our LibGuides CMS group Intranet has made how we onboard new staff in the Library much more efficient and has facilitated knowledge sharing and training for all staff.

And to really make use of their LibApps tools, Heather has created LibWizard surveys embedded inside their restricted Intranet to allow staff to give feedback on pages.

Plus, the Library maintains a Tip Of The Week LibGuides Blog – pushing out research tips to students on regular basis.

All of this is accomplished inside one LibGuides CMS system.

Library Intranet Feedback Form
LibWizard Intranet Feedback Form

LibAnswers for Institution-Wide Helpdesk and Live Chat Help
The library shares a LibAnswers system with 13 Academic departments.

With over 1,171 FAQs, the LibAnswers system has grown to become a University-wide knowledgebase. Garnering over 1,822,794 views since 2012.

Students come to one place to search for financial aid help, library skill FAQs, or Writing Center assistance. Students really seem to love the FAQ system.Academic Guides Walden Assignment Papers.

But it doesn’t end there, the library plus four other Academic departments use LibAnswers LibChat to provide live virtual reference assistance to students.

Since January 1, 2017 – they’ve answered a total of 2,666 chats with the Library representing 600 of those chats.

Walden University LibAnswers
University-Wide LibAnswers Knowledgebase

Multi-Departmental Calendaring Tool – Hello LibCal
Their LibCal system is also shared with 5 other Academic departments. Seventeen calendars had a total of 993 events in 2016.

The Center for Student Success and the Library share a public calendar and use LibCal for event management. They then use the LibCal widgets to promote the events on the library website. Easy peasy!

The Library makes extensive use of their My Scheduler to schedule Doctoral appointments with Subject Liaison experts. But, they’re not the only ones! The other Academic departments are also making use of the My Scheduler. Since January 1, 2017, they’ve have a collective 1,392 bookings.

The Library doesn’t really own the LibApps systems anymore. Each Academic department has control over their own LibGuides CMS groups, LibAnswers FAQ groups, and LibCal Calendars. We did form a working group for creating best practices for styling but otherwise, we all live very harmoniously inside these shared systems. Academic Guides Walden Assignment Papers.

Walden University LibCal Widget
LibCal Widget Embedded in a LibGuide

Seamless Integration Makes Everything Easier
Utilizing the entire platform of Springshare tools makes it easy for the Walden Library to make use of cross-tool integrations.

“When we can just do something once internally and it gets pushed out to everywhere its embedded is a TOTAL WIN.”

Here are just a few examples of the cool integrations they’re doing:

Library Homepage – The Tabbed Box ‘All’ makes use of the LibApps Unified Search which simultaneously searches their LibGuides Library Website, their LibGuides A-Z List, LibAnswers FAQs, and they’ve added in their EDS search tool.
Showcasing Upcoming Webinars & One-on-One Consultations – Embedding LibCal Calendars and My Scheduler widgets allow students to view all upcoming events and book one-on-one consultations right at point-of-need.Academic Guides Walden Assignment Papers.
When is Chat Reference Available? – Using the LibCal Hours Module, the Library displays their hours of availability right on the Ask-a-Librarian LibGuide.
Walden University Unified Search
Unified Search Searches Across Multiple Springshare Tools

Why Are You All In With Springshare Tools?

The Springshare platform is one of the easiest application suites we’ve ever used. It is so intuitive meaning very little training is required for our users so it saves a lot of time. Staff really enjoy working in LibApps, which you can’t say about a lot of software. Staff are excited to go in and edit and play around with content. Springshare has been extremely responsive to improvement and feature requests. I personally rate good tech support highly and we really appreciate that.Academic Guides Walden Assignment Papers.

Learning Objectives:
By the end of this lesson, students will be able to

explain the principles and attitudes of transcendentalism as a philosophical movement in 19th-century American thought;
define and explain imagery as a literary device;
locate examples of imagery in the text and identify their types;
explain how imagery in the text is created through figurative language, including simile and metaphor;
interpret ideas communicated through imagery and explain how they illustrate themes of transcendentalism.Academic Guides Walden Assignment Papers.
Skills: close reading, interpreting figurative language, drawing inferences from the text

Common Core Standards: RL.9-10.1, RL.9-10.2, RL.9-10.4, SL.9-10.1

Introductory Lecture:

With his 1850 book Walden, Emerson’s protégé Henry David Thoreau appears to take on Emerson’s challenge wholeheartedly. It is a detailed exploration of Emerson’s idea that the United States would find its own cultural and literary identity and escape the burden of European influence through an intimate and unfiltered study of nature. The book chronicles the two years Thoreau spent living in a simple one-room cabin next to Walden Pond in Concord, Massachusetts. At Walden Pond, Thoreau endeavored to remove from his life all but the bare essentials, foregoing luxuries, eating mostly vegetables, and generally pinching pennies. Free to spend most of his hours observing and contemplating the natural world, he found he was rewarded with deep self-knowledge and spiritual riches that could not be found in books or the religions of the past.

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Academic Guides Walden Assignment Papers.

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