1. Identify 10 – 20 variables that may affect seed germination. Record the variables in Table 5. 2. From your list of variables, select one to test. Form a hypothesis regarding why this variable affects seed germination. 3. Determine the positive and negative controls for your experiment. 4. To germinate the beans, place one folded paper towel into the 5 x 8 in. plastic bag. The paper towel should be moistened, but not soaking wet. Place ten beans in a horizontal line on each enclosed paper towel. Then, seal the bag completely. 5. Prepare three bags of beans for each condition (positive control, negative control, variable). 6. Use masking tape to hang each bag in the environment you select. 7. Collect data, and then create a table, including title, units, and any other useful information. 8. Select the appropriate type of graph, and report the data you collected. 9. Write a lab report for this experiment. 

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Materials 100 Beans (10) 5 x 8 in. Bags Permanent Marker Masking Tape *Paper Towels *Water Note: You must provide the materials listed in *red. EXPERIMENT 1: DESIGN AN EXPERIMENT The following experiment is to be designed by you with the beans provided in the kit. You will design and execute the experiment to test factors that influence seed germination. Whatever your experimental design, be sure to include controls, both positive and negative, and make sure it is reproducible! NOTES ABOUT BEAN GERMINATION • The time to germinate will decrease if you soak the beans overnight before beginning the experiment. • It may take 7 – 10 days for the beans to “sprout.” • Make sure the paper towels remain moist for the duration of your experiment. PROCEDURE 1. Identify 10 – 20 variables that may affect seed germination. Record the variables in Table 5. 2. From your list of variables, select one to test. Form a hypothesis regarding why this variable affects seed germination. 3. Determine the positive and negative controls for your experiment. 4. To germinate the beans, place one folded paper towel into the 5 x 8 in. plastic bag. The paper towel should be moistened, but not soaking wet. Place ten beans in a horizontal line on each enclosed paper towel. Then, seal the bag completely. 5. Prepare three bags of beans for each condition (positive control, negative control, variable). 6. Use masking tape to hang each bag in the environment you select. 7. Collect data, and then create a table, including title, units, and any other useful information. 8. Select the appropriate type of graph, and report the data you collected. 9. Write a lab report for this experiment.

 

Instructions: Read the following experiment and download the lab report template form supplied below.
Once you have completed your experiment and gathered all required data, upload the completed lab report and save a copy for your own reference and safe-keeping. Also, along side your lab report submission record and submit a brief (1 to 2 minute) video on your experiment/observation experience summary. For example, how did you feel while performing this experiment, what was the difficulty level, any obstacles you may have run into, etc..

Assign CPT code(s) and appropriate modifiers to each statement. 1)      After performing an emergency cesarean section, the physician noticed that the appendix was distended, resulting in medical necessity for an appendectomy performed during the same operative session. 2)      The physician freed intestinal adhesions. 3)      The physician resected two segments of small intestine and performed an anastomosis between the remaining intestinal ends. An open approach was used for this surgery

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Assign CPT code(s) and appropriate modifiers to each statement.

1)      After performing an emergency cesarean section, the physician noticed that the appendix was distended, resulting in medical necessity for an appendectomy performed during the same operative session.

2)      The physician freed intestinal adhesions.

3)      The physician resected two segments of small intestine and performed an anastomosis between the remaining intestinal ends. An open approach was used for this surgery.

4)      The physician repaired a defect in the mesentery with sutures.

5)      The physician performed a laparoscopic partial colectomy with end colostomy and closure of the distal segment.

6)      The physician drained a pelvic abscess through the rectum.

7)      The physician removed a portion of the rectum through combined abdominal and transsacral approaches.

8)      The physician performed rigid proctosigmoidoscopy and obtained brushings.

9)      The physician performed a flexible sigmoidoscopy and removed a polyp. The physician inserted the sigmoidoscope through the anus and advanced the scope into the sigmoid colon. The lumen of the sigmoid colon and rectum were well visualized, and the polyp was identified and removed with hot biopsy forceps. The sigmoidoscope was withdrawn upon completion of the procedure.

10)  The physician inserted a colonscope through the anus and advanced the scope past the splenic flexure. Two polps were identified and removed by hot biopsy forceps.

 

1)      Hepatotomy for open drainage of abscess or cyst, 1 stage.

2)      Surgeon removed segments II, III, and IV (the whole left lobe) of the liver from a living donor.

3)      The physician performed radiofrequency ablation of a liver tumor via open laparotomy.

4)      The physician removed the gallbladder and performed a common bile duct exploration through the laparoscope.

5)      The physician performed a cholecystostomy with removal of calculus.

6)      Subsequent to previous peritoneocentesis (performed at a different operative session), the physician withdrew fluid and performed infusion and drainage of fluid from the abdominal cavity (peritoneal lavage).

7)      The physician reopened a recent laparotomy incision, before the incision had fully healed, to drain a postoperative infection.

8)      The physician performed laparoscopic repair of an initial inguinal hernia.

9)      The physician performed a reducible ventral hernia (initial) repair and inserted mesh implantation.

10)  The physician repaired an initial reducible, inguinal hernia with hydrocelectomy in a 5 month old infant.

 

1)      Physician made an open incision and inserted multiple drain tubes to drain an infection (abscess) from the kidney.

2)      The physician pulverized a kidney stone (renal calculus) by directing shock waves through a water cushion that was placed against the left side of the patient’s body at the location of the kidney stone.

3)      The physician removed a kidney stone (calculus) by making an incision in the right kidney.

4)      The interventional radiologist inserted a percutaneous nephrostomy catheter into the right renal pelvis for drainage. Fluoroscopic guidance was provided.

5)      The physician performed a laparoscopic ablation of a solid mass from the posterior hilum of the left kidney.

6)      The physician made an incision in the left ureter through the abdominal wall for examination of the ureter and insertion of a catheter for drainage.

7)      The physician examined the patient’s right and left renal and ureteral structures with an endoscope, which passed through an established opening between the skin and the ureter (ureterostomy). He also inserted a catheter into the ureter.

8)      The physician revised a surgical opening between the skin and the right ureter.

9)      The physician injected contrast agent through an opening between the skin and the left ureter (ureterostomy) for ureterography (study of renal collecting system).

10)  The physician made an incision in the left ureter (ureterotomy) to insert a catheter (stent) into the ureter.

11)   The physician performed a transurethral resection of a postoperative bladder neck contracture using a resectoscope.

12)  The physician inserted a special instrument through the cystourethroscope to fragment a calculus in the ureter using electrohydraulics.

13)   The physician inserted a cystourethroscope through the urethra to drain an abscess on the prostate.

14)  The physician made an incision through the abdominal wall into the urinary bladder and inserted a suprapubic catheter to withdraw urine.

15)  The physician performed a cystourethroscopy with fulguration of the bladder neck and then removed a calculus from the ureter.

16)  The physician performed a sling procedure using synthetic material to treat a male patient’s urinary incontinence.

17)  The physician made an initial attempt to treat a male patient’s urethral stricture using a dilator.

18)  The physician, in the first two stages to reconstruct the urethra identified the area of stricture by urethrography and marked it with ink.

19)  The physician performed a transurethral destruction of the prostate using microwave therapy.

The physician excised a specimen of tis

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations: Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020. Recommendation 5: Double the number of nurses with a doctorate by 2020. Recommendation 6: Ensure that nurses engage in lifelong learning.

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In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

  1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
  2. Recommendation 5: Double the number of nurses with a doctorate by 2020.
  3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

  1. How will increasing your level of education affect how you compete in the current job market?
  2. How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to Turnitin

Create a 4- to 5-slide PowerPoint presentation in which you do the following: · Identify and briefly describe your chosen clinical issue of interest. · Describe how you used keywords to search on your chosen clinical issue of interest. · Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

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Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

· Identify and briefly describe your chosen clinical issue of interest.

· Describe how you used keywords to search on your chosen clinical issue of interest.

· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

· Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

· The full citation of each peer-reviewed article in APA format.

· A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

· A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

· A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

· A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following: Briefly and generally explain the policy or regulation you selected. Address the impact of the policy or regulation you selected on system implementation. Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow. Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

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To Prepare:

  • Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
  • Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
  • Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

  • Briefly and generally explain the policy or regulation you selected.
  • Address the impact of the policy or regulation you selected on system implementation.
  • Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
  • Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

Present a 800 words essay discussing the Haitian and Iranian Heritages.  The essay must contained the following; -Geographical localization and topography

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Present a 800 words essay discussing the Haitian and Iranian Heritages.  The essay must contained the following;

-Geographical localization and topography

-Politic and economy

-Health care beliefs and the relationship with their religious beliefs

-How they view the health, illness and death concepts

You must used at least two evidence-based references (excluding) the class textbook. APA Format, no plagiarism please…

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care? In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

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In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment 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.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Write a letter using professional business format to one of your Federal legislators outlining what the issue is and why it is important.  The letter will address: 1. The current policy structure. 2. The need for the change. 3. The suggested change. 4. Cost implications if the change is implemented. 5. The role the nurse as a change agent will take at the policy table. 

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1) Minimum 8 full pages  

                 Part 1: minimum 1 page

                 Part 2: minimum 1 pages 

                 Part 3: minimum 3 page

                 Part 4: minimum 3 pages

                 Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraphs

            Bulleted responses are not accepted

            Dont write in the first person 

Dont copy and pase the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3) It will be verified by Turnitin and SafeAssign

4) Minimum 12 references not older than 5 years

3 references per part

5) ******************* Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX+

6) You must name the files according to the part you are answering: 

Part 1.doc 

Part 2.doc 

_______________________________________________________________

Part 1:

Select a dilemma to the ethics committee of your institution (Family nurse practitioner role)

1. Present your dilemma to the ethics committee of your institution.

2. Outline an ethical theory or model you wish the committee to consider when reviewing this case.

3. What arguments do you have to support the use of this model?

4. Discuss the role of the ethics committee in this particular ethical dilemma.

Part 2

The incidence of PolyPharmacy, or the use of five or more medications on a daily basis, is common in the US particularly among the elderly population. It occurs for a variety of reasons, including the need to treat multiple conditions, the patient obtaining treatment from numerous physicians, and a lack of communication among those physicians about medications prescribed. PolyPharmacy increases the risk of adverse drug effects and increased costs to patients.

1. Formulate a policy to reduce the practice of multiple drug prescriptions.

2. What tools might be included in the design phase of the policy process to increase the probability of success?

3. What research from other countries could be helpful in addressing this issue? Support your reasoning.

Part 3

Purpose: Examine U.S. healthcare policy structures and the role of the nursing leader as a change agent at the public policy table.

Policy issue: Cost of end of life care.

Write a letter using professional business format to one of your Federal legislators outlining what the issue is and why it is important.

The letter will address:

1. The current policy structure.

2. The need for the change.

3. The suggested change.

4. Cost implications if the change is implemented.

5. The role the nurse as a change agent will take at the policy table.

Part 4

Case Scenario:

Identify the ethical dilemma, legal violation, and moral issue in the scenario from an APN perspective as an educator, administrator, or a practitioner

Assignment Guidelines:

Create an ethical and legal decision-making dilemma involving an advanced practice nurse in the field of administration, education, or a nurse practitioner:

Administration Dilemma – Healthcare Needs versus Resource Allocation

Education Dilemma – Nursing Student’s Religious Beliefs versus Provision of Care

Practice Dilemma – Honesty versus Withholding Information

Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.

1 )Describe one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.

2) Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.

3) List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented.

Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.  Discuss opportunities for continuing education and professional development.

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1) Minimum 6 full pages  

                 Part 1: minimum 3 pages

                 Part 2: minimum 3 pages 

                  

                 Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraphs

            Bulleted responses are not accepted

            Dont write in the first person 

Dont copy and pase the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3) It will be verified by Turnitin and SafeAssign

4) Minimum 8 references not older than 5 years

4 references per part

5) ******************* Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX+

6) You must name the files according to the part you are answering: 

Part 1.doc 

Part 2.doc 

_______________________________________________________________

Part 1

 

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

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

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5kg.
  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
  3. 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.
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
  5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)
  5. Inhaled short-acting bronchodilator (ProAir HFA)
  6. Inhaled corticosteroid (Flovent HFA)
  7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In minimum 3 pages, critically evaluate Mrs. J.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mrs. J.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
  7. 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.

Part 2

 

Purpose: Examine the importance of professional associations in nursing.

Choose a professional nursing organization that relates to Home Health.

In minimum 3 pages, provide a detailed overview the organization and its advantages for members. Include the following:

  1. Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
  2. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
  3. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
  4.  Discuss opportunities for continuing education and professional development.

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following: 1.  Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice. 2.  Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.

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Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

1.  Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.

2.  Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.

3.  Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.

4.  Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.

5.  Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Book: Dynamic in Nursing: Art and Science of professional practice.

Due Date: Friday June 26.