Family Nurse Practitioners: A Case Study

Thursday, June 9, 2022 1:37:15 AM

Family Nurse Practitioners: A Case Study



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Hansen-Turton opines that the nurse practitioners see their patients twice as often as physicians, and are able to considerably reduce emergency room use, hospital patient days, prescription costs, and medication noncompliance. Though these retail clinics could be used for positive purposes, there are a large number of issues for the government to address, including safety, quality, treatment of the uninsured, and time to time evaluation of nursing practitioner performances. Despite these uncertainties. Nurse Practitioners NPs are registered nurses who receive advanced education and clinical training, in a wide variety of areas that range from preventive and acute health care services to individuals in all age groups. Nurse practitioner is usually involved in the direct practice of nursing, care, and medicine.

At the same time, majority of nurse practitioners practice their skills in several different areas but most are in an. South Florida as a pre-nursing student in the hopes of making in to the nursing program. I plan to apply to nursing school this spring and hope to continue my education to become a Certified Registered Nurse Anesthetist, Pediatric Registered Nurse, or a Family Nurse Practitioner. Certified Registered Nurse Anesthetist My previous experience in the hospital setting showed me many different career options within the field, and one that always stuck out was CRNAs. They were always the ones to make me feel. It will provide a better understanding of how moral and ethical situations can be approached by the practitioner, and giving examples and theories that can be put into practice in difficult decisions.

Ethical Theory The importance of ethical theory plays a large role in nursing practices. It is often difficult to understand. Do minors need parental consent to receive contraceptive care and counseling in New York state? These symptoms lead the nurse practitioner to suspect which of the following? The most common presentation is hemolytic anemia, leading to symptoms of jaundice, pallor, fatigue, dark urine, tachycardia, and dyspnea. G6PD is on the X chromosome and tends to affect more men than women. The hemolytic anemia is most often triggered by an oxidative stressor such as bacterial or viral infections and certain medications sulfonamides, analgesics, antimalarials, antihelminths.

Hemolytic anemia can also occur after eating fava beans or inhaling pollen from fava plants a reaction called favism , or exposure to mothballs. Find Flashcards. Brainscape's Knowledge Genome TM. Browse over 1 million classes created by top students, professors, publishers, and experts. Loading flashcards Iron deficiency typically manifests as: Macrocytic, normochromic anemia. Microcytic, hypochromic anemia. Microcytic, normochromic anemia.

Normochromic, normocytic anemia. A deficiency in vitamin B12 intake or absorption Chronic blood loss Concurrent chronic illness i. Ferrous sulfate supplementation. Folic acid supplementation. Vitamin B12 supplementation. The FNP recognizes that it is important to rule out: Abnormal uterine bleeding. Gastrointestinal bleeding. Inadequate intake of folic acid. Low carbohydrate diet fads. Abnormal uterine bleeding. When interpreting findings in an individual with leukocytosis, the FNP recognizes that a "left shift" is represented by an increase in the proportion of: Eosoniphils.

Bone Marrow Kidneys Liver Spleen. Anisocytosis Microcytosis Poikilocytosis Reticulocytosis. Anisocytosis Anisocytosis describes variance in RBC sizes that is common in anemia as new cells formed are larger macrocytic or smaller microcytic than the healthy cells which were formed prior to the underlying processes that resulted in anemia. Folic acid Folic acid deficiency in early pregnancy has been linked to the teratogenic effect of neural tube defects. Hemoglobin electrophoresis. Serum haptoglobin. Bone marrow biopsy. The presence of schistocytes on the peripheral smear of a patient with decreased platelets should raise the suspicion of: Autoimmune hemolytic anemia. Thalassemia major. Thrombotic thrombocytopenic purpura.

The practitioner recognizes that a Schilling test involves: An early morning, fasting lab draw. Collecting urine for 24 hours. Endoscopic sampling of the gastric mucosa. Serial collections of serum vitamin B12 levels. Anemia of chronic disease Folate deficiency anemia Iron deficiency anemia Vitamin B12 deficiency anemia. Anemia of chronic disease The MCV of this patient with anemia reveals a normocytic anemia. Iron deficiency anemia The MCV of this patient with anemia reveals a microcytic anemia. Bone marrow aspiration Direct antiglobulin test Hemoglobin electrophoresis Serum haptoglobin. Serum haptoglobin Standard blood tests for the workup of suspected hemolytic anemia include a CBC with peripheral smear, serum LDH, serum haptoglobin, and indirect bilirubin.

The lab index that has demonstrated reliability as an early marker of microcytic and macrocytic anemias is the: MCH. Autoimmune Drug-induced Hereditary Mechanical. Mechanical Patients undergoing hemodialysis are at risk for physical damage to the RBC membranes because it causes them to break down faster than normal. Bacterial infection Heart failure Kidney failure Stroke.

Bacterial infection Although the risk of bacterial infections does decrease in the individual with sickle cell anemia after the age of three years, bacterial infections are still the most common cause of death at any age. When evaluating the patient with megaloblastic anemia who does not have neurological symptoms, the FNP recognizes that the most likely diagnosis is: An underlying hemolytic process.

Folic acid deficiency. Iron deficiency. Suppression of the bone marrow. Potassium level Vitamin B12 replacement is accompanied by a shift of potassium from the serum to within the cells during reticulocytosis; the risk for hypokalemia is more common in the individual with severe anemia and can be compounded by coexisting conditions or medications that place the individual at risk for hypokalemia or the negative consequences associated with this electrolyte imbalance e. The gold standard for diagnosing sickle cell disease is a n : Bone marrow aspiration. Direct antiglobin test. A diagnosis rarely provides complete certainty, and especially in primary care, making a diagnosis and determining variables that can be treated is difficult. During the course of the first consultation the physiotherapist will develop one hypothesis, or several, about possible diagnoses.

Subsequently, this hypothesis or hypotheses will be tested. During such a first consultation, a patient will usually provide a history, indicating the symptoms they are experiencing and a request for help. The nurse must keep the information and update throughout the patients stay, as to what medications he may be prescribed and the dosage of that medication. A nurse must also be able to effectively communicate the information that has been obtained to the doctor when required so the doctor can keep overlooking their patient as well as if the patient is required to undergo a surgical procedure.

Each role in health professions has an important part in giving patients the best treatment they can receive when effective communication is used. Effective communication is necessary for the patients to receive the best care they can and to ensure all patients receive the same amount of. Interview Appraisal The patient interview video that was provided was a health history of new information as well a review of old information.

Patient interviews and history taking is a way of obtaining comprehensive information about the patient and applying that information to provide the best care possible for them. Without the interview process we would not be able to have the full health history and would not be able to provide patient-centered care. Nurses definitely need to perform the health history interview with a purpose. Family-Centered care is a philosophy that strives for optimal health care of the patient as well as the family as a whole Kuo, Houtrow, Arango, Kuhithau, Simmons and Neff, There was a time when parents were not allowed in the hospital wards with their children.

We must then look back on the historical background of children in the hospital setting and the gradual changes that occurred over time. Through this course I have learned that history taking and performing a physical assessment and being able to differentiate normal from abnormal findings is one of the most important roles of a health care provider. Family Nurse Practitioners are expected to safely provide and meet the healthcare needs of people across the lifespan and diverse cultures through evidence-based care.

Assessment is the first step in the process of individualizing care. Show More.