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  • [Solved] Nursing Week 6 Discussion assignment Reply KY

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    **Respond** to your colleagues who were assigned your same medication but an **opposite** stance. For example, if you were assigned the con stance for amphetamine, you should respond to two students who were assigned the pro stance for amphetamine. Support or expand on your original argument to refu…

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    Assignment Prompt & Instructions

    **Respond** to your colleagues  who were assigned your same medication but an **opposite** stance. For example, if you were assigned the con stance for amphetamine, you should respond to two students who were assigned the pro stance for amphetamine.  Support or expand on your original argument to refute their claims. Work to share additional perspectives on the issue described by your colleague.

    **Discussion post week 6**

    **Patient 1 – Malcolm**

          Malcolm's behaviors are typical of ADHD, combined presentation, and can be treated using an amphetamine medication, which is a stimulant medication used first-line for ADHD in children (Goldin, 2023). The mechanism of action of amphetamines involves increasing central levels of dopamine and norepinephrine, which enhances attention, focus, and impulse control (Faraone, 2018). They work by increasing the release of these neurotransmitters and preventing their reuptake into the neuron.

          The advantages of this class of medications for Malcolm are that amphetamines are highly effective in treating ADHD in children and help normalize neurotransmitter activity in the prefrontal cortex (Stahl, 2021). This supports improved regulation of impulsiveness and hyperactivity in the school setting, as well as enhanced attention and focus, allowing him to complete schoolwork more effectively. There are short-acting amphetamines that can be administered twice daily, but this would require a dose given at school, which may not be the most reliable, and long-acting amphetamines that would be the most effective to get Malcom through school and homework time.

          Disadvantages of this medication for Malcolm include appetite suppression, which can affect growth, insomnia if a dose is given too late, and rebound behavior when the medication wears off (Medscape, n.d). Amphetamines are also a controlled substance and can be addictive, which is more of a concern in Malcolm's teenage years (Drugs.com, 2023). Other medication options for Malcolm would be to use an Alpha-2 agonist, which would include guanfacine or clonidine. The advantages of this class of medication are that it can help with impulsiveness and aggression Malcolm is displaying and can improve sleep without having the side effects of a stimulant medication. However, the disadvantages include hypotension, bradycardia, and syncope as well as hallucinations (Medscape, n.d).

          Side effects and monitoring considerations include Malcolm's weight/growth, sleep patterns, and any other complaints, including headaches or stomach upsets. Monitoring vital signs for any changes in heart rate and blood pressure will also be important. Lastly, it will be important to monitor any irritability, especially in the late afternoon, as there can be a rebound behavior when the stimulant wears off.

          Legally, amphetamines are a schedule II-controlled substance, so medications cannot have refills. It is important to schedule follow-up visits, so Malcolm does not miss doses. Ethically, Malcolm must receive services and support for his behavior and not just medication. Lastly, there is a stigma around being labeled as "troublemakers" or "bad kids" in school due to their ADHD symptoms, and this impacts the children and their families too (Schoeman & Voges, 2021). It is therefore important to make Malcolm feel that this is helping him, rather than making him feel different from other children.

    **Patient 2 – Jessica**

          An appropriate medication for Jessica is to start methylphenidate, a stimulant medication. The mechanism of action of methylphenidate is a central nervous system stimulant that blocks the reuptake of dopamine and norepinephrine at the presynaptic neuron, increasing their availability in the prefrontal cortex, which is responsible for executive function and impulsivity (Medscape, n.d.). This is an appropriate medication for Jessica due to her classic ADHD symptoms, including not completing tasks, being easily distracted, and excessive talking. Stimulants like methylphenidate are FDA-approved and first-line treatment for ADHD in adults due to the strong efficacy (Verghese et al., 2024).

          The advantages of using methylphenidate for Jessica are the high efficacy and a very effective class of medication to target ADHD. It can be prescribed as an immediate-release form, which works within 30-60 minutes but only lasts 3-5 hours, or as an extended-release form, which lasts 8-12 hours and can be helpful for covering the full workday (Verghese et al., 2024). The disadvantages of methylphenidate are that there is potential for habit forming, leading to misuse and addiction, and due to its being a controlled substance, it is monitored by medical providers closely (Drugs.com, 2023). If Jessica were on the immediate-release form of methylphenidate, she would more than likely need a further dose during the day to maintain her executive functioning at work. Like any other stimulant medication, another disadvantage is appetite suppression, insomnia, and anxiety, with a possibility of increased irritability as the medication wears off (Drugs.com, 2023).

          Another medication option for Jessica would be to use a non-stimulant medication such as atomoxetine, which is a selective norepinephrine reuptake inhibitor (SNRI). The advantages of using this medication in adults with ADHD are that it is not addictive, so there is no potential for abuse, and it can be used if an individual has a history of dependency (Fedder et al., 2023). Another advantage is that you can stop atomoxetine without tapering. The disadvantage of non-stimulant medication is that it can take several weeks to have a full therapeutic effect, it is not as effective as a stimulant to treat ADHD, and it can cause GI upset (Fedder et al., 2023).

          Side effects that need to be considered when using methylphenidate are decreased appetite, cardiovascular issues, including increased heart rate and blood pressure, and possible headaches (Drugs.com, 2023). Evaluating Jessica for potential abuse, misuse, and addiction risk prior to prescribing, and educating her on these risks, as well as proper storage and disposal (Medscape, n.d.). It is important to continuously reassess risk and monitor for signs of addiction throughout treatment. It will also be important to monitor the effectiveness of this medication at work and how it is affecting her with her issues arising at work.

          Legally, methylphenidate is a Schedule II controlled substance, so the prescriber has to follow strict protocols and cannot prescribe refills. Follow-ups with the provider will be essential to continue the medication. Ethically, it will be important to ensure Jessica is using the medication appropriately and not sharing it with coworkers. Lastly, Jessica may worry about being labeled or judged for taking ADHD medication, or disclosure at work could affect relationships with colleagues

    **References**

    Drugs.com. (2023). _Drugs.com_. [https://www.drugs.com/Links to an external site.](https://www.drugs.com/)

    Faraone, S. V. (2018). The pharmacology of amphetamine and methylphenidate: Relevance to the neurobiology of attention-deficit/hyperactivity disorder and other psychiatric comorbidities. _Neuroscience & Biobehavioral Reviews, 87_, 255–270. [https://doi.org/10.1016/j.neubiorev.2018.02.001Links to an external site.](https://doi.org/10.1016/j.neubiorev.2018.02.001)

    Fedder, D., Patel, H., & Saadabadi, A. (2023). _Atomoxetine_. In _StatPearls_. StatPearls Publishing. [https://www.ncbi.nlm.nih.gov/books/NBK493234/Links to an external site.](https://www.ncbi.nlm.nih.gov/books/NBK493234/)

    Goldin, D. S. (2023). _Fast facts for psychopharmacology for nurse practitioners_. Springer Publishing.

    Medscape. (n.d.). _Medscape reference: Drugs, diseases & medical procedures_. [https://reference.medscape.com/Links to an external site.](https://reference.medscape.com/)

    Schoeman, R., & Voges, T. (2022). Attention-deficit hyperactivity disorder stigma: The silent barrier to care. _South African Journal of Psychiatry, 28_, Article 1865. [https://doi.org/10.4102/sajpsychiatry.v28i0.1865Links to an external site.](https://doi.org/10.4102/sajpsychiatry.v28i0.1865)

    Stahl, S. M. (2021). _Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications_ (5th ed.). Cambridge University Press.

    (Chapter 11: Attention deficit hyperactivity disorder and its treatment, pp. 449–485)

    Verghese, C., Patel, P., & Abdijadid, S. (2024). _Methylphenidate_. In _StatPearls_. StatPearls Publishing. [https://www.ncbi.nlm.nih.gov/books/NBK482451/Links to an external site.](https://www.ncbi.nlm.nih.gov/books/NBK482451/)

  • [Solved] Heart failure

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    Use this reference as an additional source **Burcham, J., & Rosenthal, L. (2022).** _Lehne pharmacology for nursing care_ (12th ed.). Saunders. – [\ \ Inthisproject.docx](https://www.sweetstudy.com/files/inthisproject-docx-10526373 "Inthisproject.docx")

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    Use this reference as an additional source **Burcham, J., & Rosenthal, L. (2022).** _Lehne pharmacology for nursing care_ (12th ed.). Saunders.

    – [\
    \
    Inthisproject.docx](https://www.sweetstudy.com/files/inthisproject-docx-10526373 "Inthisproject.docx")

  • [Solved] Healthcare policy and Economics

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    **Summative:** **Competency:** This assessment synthesizes skills developed in previous sub-competencies, focusing on evidence-based strategy planning, stakeholder engagement, and professional communication. It reinforces the ability to distill complex policy concepts into actionable insights and pr…

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    **Summative:**

    **Competency:**

    This assessment synthesizes skills developed in previous sub-competencies, focusing on evidence-based strategy planning, stakeholder engagement, and professional communication. It reinforces the ability to distill complex policy concepts into actionable insights and present them effectively. Mastery of these skills equips nurse leaders to navigate the complexities of health policy, advocate for impactful changes, and lead initiatives that drive long-term improvements in healthcare systems.

    **Overview:**

    This assignment focuses on analyzing a health policy’s development, implementation, and sustainability strategies and presenting findings in a concise, visual, and actionable format. Students will create an infographic summarizing the policy’s goals, stakeholder roles, implementation strategies, and sustainability approaches. A recorded video briefing will accompany the infographic, serving as a professional presentation to stakeholders. This format emphasizes the importance of clear communication, evidence-based strategy planning, and stakeholder engagement in advancing effective health policy initiatives.

    **Instructions:**

    **Select a Health Policy:**

    – Choose a health policy at the institutional, local, state, federal, or international level. Examples include telehealth expansion, mental health parity laws, or environmental health initiatives.

    **Develop an Infographic:**

    – Create a visual infographic that outlines:
    – **Policy Overview:** Goals, intended impact, and context of development.
    – **Stakeholder Roles:** Key stakeholders and their contributions to the policy’s success.
    – **Implementation Strategies:** Evidence-based strategies used to implement the policy across diverse settings, including successes and challenges.
    – **Sustainability Plan:** Proposed strategies for ensuring the policy’s long-term success, including metrics for evaluation and adaptation.

    **Create a Stakeholder Briefing Video:**

    – Record a 3- to 5-minute video briefing as if presenting the infographic to key stakeholders.

    **Include:**

    – A concise explanation of the infographic’s key points.
    – Emphasis on stakeholder engagement and the policy’s potential impact.
    – Evidence supporting proposed strategies for implementation and sustainability.

    #### **Document Type/Template & Rubric**

    – You may use the platform of your choice to create the infographic and to record the stakeholder briefing video.

    – [\
    \
    C3-SummativeAssessmentRubric.pdf](https://www.sweetstudy.com/files/c3-summativeassessmentrubric-pdf-10526667 "C3-SummativeAssessmentRubric.pdf")

  • [Solved] Healthcare policy and Economics

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    **Competency:** This formative assessment provides an opportunity to critically evaluate a real-world policy while designing an evidence-based alternative. It emphasizes stakeholder engagement and sustainability planning, preparing nurse leaders to influence health policy initiatives and ensure thei…

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    Assignment Prompt & Instructions

    **Competency:**

    This formative assessment provides an opportunity to critically evaluate a real-world policy while designing an evidence-based alternative. It emphasizes stakeholder engagement and sustainability planning, preparing nurse leaders to influence health policy initiatives and ensure their success.

    **Description:**

    Evaluate the implementation of the _Maternal Health Action Plan_ by analyzing its successes and challenges. Propose an alternative rollout strategy tailored to a specific setting, focusing on stakeholder engagement, evidence-based planning, and sustainability. Create an analysis and proposal, including an overview of the actual rollout, your alternative strategy, and plans for ensuring long-term success. This activity develops critical skills in policy evaluation and strategic planning for nurse leaders.

    **Instructions**

    1. **Initiative Focus:**
    – The chosen policy for this assessment is the [_Maternal Health Action Plan_](https://aspe.hhs.gov/topics/public-health/hhs-initiative-improve-maternal-health) _._
    2. **Analyze the Actual Rollout:**
    – Summarize the key strategies used in implementing the initiative, such as stakeholder involvement, funding mechanisms, and outreach efforts.
    – Identify challenges and successes, such as addressing disparities in maternal mortality rates, community engagement, or gaps in care delivery.
    3. **Propose an Alternative Rollout Plan:**
    – Design a new implementation strategy tailored to a specific setting (e.g., rural areas, urban underserved populations, or state-level programs).
    – Outline stakeholder engagement strategies, including the roles of healthcare providers, community organizations, and policymakers.
    – Propose methods to overcome challenges identified in the original rollout, such as improving access to care, addressing cultural barriers, or enhancing funding mechanisms.
    4. **Consider Sustainability:**
    – Develop a plan for sustaining the initiative, including approaches for continuous funding, community involvement, and regular evaluation.
    5. **Deliverable:**
    – Create a 2-page analysis and proposal that includes:
    – A brief overview of the actual initiative rollout.
    – Analysis of challenges and successes.
    – A reimagined implementation strategy tailored to a specific setting.
    – Sustainability strategies for ensuring long-term impact.

    #### **Document Type/Template**

    – Word Document

  • [Solved] Healthcare policy and Economics

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    **Competency:** This formative assessment helps students connect theoretical concepts to real-world examples, preparing them to navigate the complex interplay of political, economic, and cultural factors in health policy. It supports their development as nurse leaders capable of influencing policy f…

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    Assignment Prompt & Instructions

    **Competency:**

    This formative assessment helps students connect theoretical concepts to real-world examples, preparing them to navigate the complex interplay of political, economic, and cultural factors in health policy. It supports their development as nurse leaders capable of influencing policy for equitable healthcare outcomes.

    **Description:**

    Select a health policy and analyze how political, economic, and cultural factors influenced its development and implementation. Write a case analysis summarizing the policy, the key influences, and reflections on how these factors could be addressed or leveraged for improved outcomes. This assignment builds critical skills in understanding the complexities of health policy development and implementation.

    **Instructions**

    **Select a Health Policy:**

    – Choose an existing health policy, either local, state, or national, that has been influenced by political, economic, and/or cultural factors. Examples include Medicaid expansion, vaccination campaigns, or public health funding initiatives.

    **Analyze the Policy:**

    – Political Factors: Identify political dynamics, such as leadership changes, legislative priorities, or lobbying efforts, that impacted the policy’s development or implementation.
    – Economic Factors: Evaluate how funding, cost considerations, or budget constraints shaped the policy’s scope and outcomes.
    – Cultural Factors: Examine how public attitudes, community values, or societal norms influenced the policy’s reception and success.

    **Deliverable:**

    – Write a 1- page case analysis summarizing the policy and its influences. Include:
    – A brief description of the policy and its purpose.
    – Analysis of political, economic, and cultural factors that impacted the policy.
    – Reflections on how these factors could have been addressed or leveraged for more effective implementation.

    #### **Document Type/Template**

    – Word Document

  • [Solved] Healthcare policy and Economics

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    **Competency:** This formative assessment builds critical skills in stakeholder analysis and engagement, preparing nurse leaders to navigate complex collaborations essential for health policy success. It aligns with the lesson’s objectives by emphasizing practical strategies for fostering stakeholde…

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    Assignment Prompt & Instructions

    **Competency:**

    This formative assessment builds critical skills in stakeholder analysis and engagement, preparing nurse leaders to navigate complex collaborations essential for health policy success. It aligns with the lesson’s objectives by emphasizing practical strategies for fostering stakeholder participation and achieving policy goals.

    **Description:**

    Develop a plan to analyze and engage stakeholders in a health policy or initiative. Identify key stakeholders, describe their roles and interests, and evaluate potential challenges to collaboration. Propose strategies for effective communication and engagement, ensuring the policy’s success. This activity builds critical skills for navigating complex stakeholder dynamics in health policy development and implementation.

    **Instructions:**

    **Select a Health Policy or Initiative:**

    – Choose a specific health policy or initiative, either existing or hypothetical, that requires stakeholder engagement for successful development or implementation. Examples include policies addressing nurse staffing ratios, rural healthcare access, or community health programs.

    **Identify Stakeholders:**

    – List the key stakeholders involved in the policy or initiative, such as government agencies, healthcare organizations, providers, patients, community groups, or private-sector entities.
    – Describe each stakeholder’s role and potential contributions to the policy’s success.

    **Analyze Stakeholder Interests and Challenges:**

    – Evaluate the interests, priorities, and concerns of each stakeholder group.
    – Identify potential conflicts or barriers to collaboration among stakeholders.

    **Develop an Engagement Plan:**

    – Outline strategies for effectively engaging stakeholders, including methods for communication, collaboration, and consensus building.
    – Propose solutions for addressing potential challenges or conflicts.

    **Deliverable:**

    – Create a 1–-page stakeholder analysis and engagement plan that includes:

    – A brief description of the policy or initiative.
    – Identification and analysis of stakeholders.
    – Engagement strategies and proposed solutions for challenges.

    #### **Document Type/Template**

    – Word Document

  • [Solved] Apply leadership concepts, skills, and decision making in the provision of quality nursing care

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    Apply leadership concepts, skills, and decision making in the provision of quality nursing care

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    Apply leadership concepts, skills, and decision making in the provision of quality nursing care

  • [Solved] Apply knowledge

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    Answer the discussion prompts below with explanation and detail. **Paragraph one:** Discuss the ethical dilemmas related to pain management in treating musculoskeletal disorders, including balancing the need for pain relief with the risk of opioid dependence. What is the nurse's role in assessing pa…

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    Assignment Prompt & Instructions

    Answer the discussion prompts below with explanation and detail.

    **Paragraph one:** Discuss the ethical dilemmas related to pain management in treating musculoskeletal disorders, including balancing the need for pain relief with the risk of opioid dependence. What is the nurse's role in assessing pain and opioid use?

    **Paragraph two:** Explore cultural factors that influence the perception and treatment of pain and how nurses should navigate these complexities ethically. Based on the letter of your last name, research your assigned culture’s perception of pain and common practices in treating pain. Discuss how their beliefs impact musculoskeletal, gastrointestinal, or genitourinary assessment.

    **Last Name Client:** A-F Chinese Culture

    **Paragraph three:** What challenges have you experienced in conducting gastrointestinal assessments? How can nurses ensure that clients are actively involved in their gastrointestinal health?

    **References:** Provide complete references for all citations.

  • [Solved] help with home work

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    **files (2)** – ## Nu553Assignment2.docx – ## NU553_Unit_2_Template.docx **## Nu553Assignment2.docx** Nu 553 Assignment 2 In this assignment you will explore the ethical, legal, and regulatory aspects and cost-effective benefits of prescribing practices of the advanced practice nurse with regards…

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    **files (2)**

    – ## Nu553Assignment2.docx

    – ## NU553_Unit_2_Template.docx

    **## Nu553Assignment2.docx**

    Nu 553 Assignment 2

    In this assignment you will explore the ethical, legal, and regulatory aspects and cost-effective benefits of prescribing practices of the advanced practice nurse with regards to antibiotic stewardship.

    You will address ethical prescribing practices and complete a comparison table in a provided template.

    · Access the Unit 2 template and ensure you complete your name and the required information. Use the headers in the template provided.

    · Begin with an introductory paragraph on general considerations related to safe antibiotic prescribing.

    · Next include content on ethical, legal, and regulatory aspects of prescribing.

    · Address how it is important for you to demonstrate civility in communication with patients and other disciplines when prescribing.

    · Address cost-effective benefits of prescribing practices. Include brand vs generic aspects.

    · Next address antibiotic stewardship and prescribing practices. Include content on reducing resistance, commitment as a prescriber and how to follow evidence based practice in prescribing antibiotics.

    · Provide 4-5 sentences per section.

    · Then complete the table component within the template.

    · Refer to your text and readings to help you choose a drug from the class. Include 2-4 items/ key points per section based on your literature search.

    · The template sections will expand as you add content. Use key words with bulleted content or brief descriptions. Do not paste large content.

    · You will have completed 10 drugs yourself when done.

    · Penicillin is done for you as an example. Keep it on the table to help you.

    · You may add the citation under the drug names as in the PCN example. Include references on your reference page.

    · Keep the headings within the essay portion bolded. Polish and keep the template and the table neat. Be sure the font is Ariel 10 within the table. It should be readable, meaningful, organized and not wordy.

    Assignment Details

    **Prescribing Practice Considerations – Evidence Based Antimicrobial Therapy**

    **NU553-1:** Explore the ethical, legal, and regulatory aspects and cost-effective benefits of prescribing practices of the advanced practice nurse.

    Before finalizing your work, you should:

    · Read the directions carefully

    · Consult the grading rubric and review your completed work to make sure you have included everything necessary

    · Utilize spelling and grammar checks to minimize errors.

    Your writing assignment should:

    · Follow the conventions of Standard English (correct grammar, punctuation, etc.);

    · Be well ordered, logical, and unified, as well as original and insightful;

    · Display superior content, organization, style, and mechanics;

    · Use the
    [**template**](https://kapextmediassl-a.akamaihd.net/nursing/NU553/NU553_2601A/NU553_Unit_2_Template.docx) provided;

    · Use APA 7th edition format.

    **## NU553_Unit_2_Template.docx**

    **NU553 Unit 2 Template**

    Review the
    [grading rubric](https://kapextmediassl-a.akamaihd.net/nursing/NU553/NU553_2601A/NU553_Unit_2_Assignment_Rubric.docx).

    **Antimicrobials and Antibiotic Stewardship**

    **Student Name:**

    **Date:**

    **Instructor Name:**

    **Introduction**.

    **Legal/ Ethical and Regulatory Considerations.**

    **Communication Civility**

    **Cost- Effective Benefits**.

    **Antimicrobial Stewardship.**

    | | | | | | | |
    | — | — | — | — | — | — | — |
    | Antimicrobial Agents |
    | **Drug Class**<br>**Drug Name**<br>**Brand/**<br>**Generic** | **Mechanism of action** | **Pharmacokinetics Key points** | **Microbiology**<br>**Key points** | **Indications and Uses** | **Dose via Age and Dose**<br>**Considerations** | **Warnings** |
    | **Penicillins**<br>**Penicillin G**<br>(Penicillin G 2025) | Beta-lactam antibiotic, interferes with bacteria cell wall synthesis ultimately leading to cell lysis | Protein bound to albumin in circulation<br>Crosses placenta and breast milk<br>Excreted in urine primarily | #### Gram + Bacteria.<br>#### Streptococcus pyogenes,<br>#### S. pneumoniae<br>#### enterococcal<br>Some gram-neg: meningeal cocci | treponemal infections-syphilis<br>#### meningococcal bacteremia<br>Endocarditis<br>Botulism<br>Pneumonia | 4-24 million units per day based on indication.<br>IV most often since poorly absorbed in the gut<br>Can be IM for short term indication | Allergy<br>CHF related due to sodium content<br>Dose adjustment for renal impairment |
    | **Beta-Lactam/**<br>**Beta Lactamase Inhibitor** | | | | | | |
    | **1st Generation Cephalosporin** | | | | | | |
    | **Fluoroquinolone** | | | | | | |
    | **Macrolide** | | | | | | |
    | **Aminoglycoside** | | | | | | |
    | **Tetracycline** | | | | | | |
    | **Sulfonamide** | | | | | | |
    | **Fusion Inhibitor** | | | | | | |
    | **Nucleoside Analogs** | | | | | | |
    | **Protease Inhibitor** | | | | | | |

    References

    Penicillin G. (2025). Merck Manual
    [https://www.merckmanuals.com/professional/infectious-diseases/bacteria-and-antibacterial-medications/penicillins?query=pen%20vk#Pharmacokinetics_v13957234](https://www.merckmanuals.com/professional/infectious-diseases/bacteria-and-antibacterial-medications/penicillins?query=pen%20vk)

    **## NU553_Unit_2_Template.docx**

    **NU553 Unit 2 Template**

    Review the
    [grading rubric](https://kapextmediassl-a.akamaihd.net/nursing/NU553/NU553_2601A/NU553_Unit_2_Assignment_Rubric.docx).

    **Antimicrobials and Antibiotic Stewardship**

    **Student Name:**

    **Date:**

    **Instructor Name:**

    **Introduction**.

    **Legal/ Ethical and Regulatory Considerations.**

    **Communication Civility**

    **Cost- Effective Benefits**.

    **Antimicrobial Stewardship.**

    | | | | | | | |
    | — | — | — | — | — | — | — |
    | Antimicrobial Agents |
    | **Drug Class**<br>**Drug Name**<br>**Brand/**<br>**Generic** | **Mechanism of action** | **Pharmacokinetics Key points** | **Microbiology**<br>**Key points** | **Indications and Uses** | **Dose via Age and Dose**<br>**Considerations** | **Warnings** |
    | **Penicillins**<br>**Penicillin G**<br>(Penicillin G 2025) | Beta-lactam antibiotic, interferes with bacteria cell wall synthesis ultimately leading to cell lysis | Protein bound to albumin in circulation<br>Crosses placenta and breast milk<br>Excreted in urine primarily | #### Gram + Bacteria.<br>#### Streptococcus pyogenes,<br>#### S. pneumoniae<br>#### enterococcal<br>Some gram-neg: meningeal cocci | treponemal infections-syphilis<br>#### meningococcal bacteremia<br>Endocarditis<br>Botulism<br>Pneumonia | 4-24 million units per day based on indication.<br>IV most often since poorly absorbed in the gut<br>Can be IM for short term indication | Allergy<br>CHF related due to sodium content<br>Dose adjustment for renal impairment |
    | **Beta-Lactam/**<br>**Beta Lactamase Inhibitor** | | | | | | |
    | **1st Generation Cephalosporin** | | | | | | |
    | **Fluoroquinolone** | | | | | | |
    | **Macrolide** | | | | | | |
    | **Aminoglycoside** | | | | | | |
    | **Tetracycline** | | | | | | |
    | **Sulfonamide** | | | | | | |
    | **Fusion Inhibitor** | | | | | | |
    | **Nucleoside Analogs** | | | | | | |
    | **Protease Inhibitor** | | | | | | |

    References

    Penicillin G. (2025). Merck Manual
    [https://www.merckmanuals.com/professional/infectious-diseases/bacteria-and-antibacterial-medications/penicillins?query=pen%20vk#Pharmacokinetics_v13957234](https://www.merckmanuals.com/professional/infectious-diseases/bacteria-and-antibacterial-medications/penicillins?query=pen%20vk)

    **## Nu553Assignment2.docx**

    Nu 553 Assignment 2

    In this assignment you will explore the ethical, legal, and regulatory aspects and cost-effective benefits of prescribing practices of the advanced practice nurse with regards to antibiotic stewardship.

    You will address ethical prescribing practices and complete a comparison table in a provided template.

    · Access the Unit 2 template and ensure you complete your name and the required information. Use the headers in the template provided.

    · Begin with an introductory paragraph on general considerations related to safe antibiotic prescribing.

    · Next include content on ethical, legal, and regulatory aspects of prescribing.

    · Address how it is important for you to demonstrate civility in communication with patients and other disciplines when prescribing.

    · Address cost-effective benefits of prescribing practices. Include brand vs generic aspects.

    · Next address antibiotic stewardship and prescribing practices. Include content on reducing resistance, commitment as a prescriber and how to follow evidence based practice in prescribing antibiotics.

    · Provide 4-5 sentences per section.

    · Then complete the table component within the template.

    · Refer to your text and readings to help you choose a drug from the class. Include 2-4 items/ key points per section based on your literature search.

    · The template sections will expand as you add content. Use key words with bulleted content or brief descriptions. Do not paste large content.

    · You will have completed 10 drugs yourself when done.

    · Penicillin is done for you as an example. Keep it on the table to help you.

    · You may add the citation under the drug names as in the PCN example. Include references on your reference page.

    · Keep the headings within the essay portion bolded. Polish and keep the template and the table neat. Be sure the font is Ariel 10 within the table. It should be readable, meaningful, organized and not wordy.

    Assignment Details

    **Prescribing Practice Considerations – Evidence Based Antimicrobial Therapy**

    **NU553-1:** Explore the ethical, legal, and regulatory aspects and cost-effective benefits of prescribing practices of the advanced practice nurse.

    Before finalizing your work, you should:

    · Read the directions carefully

    · Consult the grading rubric and review your completed work to make sure you have included everything necessary

    · Utilize spelling and grammar checks to minimize errors.

    Your writing assignment should:

    · Follow the conventions of Standard English (correct grammar, punctuation, etc.);

    · Be well ordered, logical, and unified, as well as original and insightful;

    · Display superior content, organization, style, and mechanics;

    · Use the
    [**template**](https://kapextmediassl-a.akamaihd.net/nursing/NU553/NU553_2601A/NU553_Unit_2_Template.docx) provided;

    · Use APA 7th edition format.

    **## NU553_Unit_2_Template.docx**

    **NU553 Unit 2 Template**

    Review the
    [grading rubric](https://kapextmediassl-a.akamaihd.net/nursing/NU553/NU553_2601A/NU553_Unit_2_Assignment_Rubric.docx).

    **Antimicrobials and Antibiotic Stewardship**

    **Student Name:**

    **Date:**

    **Instructor Name:**

    **Introduction**.

    **Legal/ Ethical and Regulatory Considerations.**

    **Communication Civility**

    **Cost- Effective Benefits**.

    **Antimicrobial Stewardship.**

    | | | | | | | |
    | — | — | — | — | — | — | — |
    | Antimicrobial Agents |
    | **Drug Class**<br>**Drug Name**<br>**Brand/**<br>**Generic** | **Mechanism of action** | **Pharmacokinetics Key points** | **Microbiology**<br>**Key points** | **Indications and Uses** | **Dose via Age and Dose**<br>**Considerations** | **Warnings** |
    | **Penicillins**<br>**Penicillin G**<br>(Penicillin G 2025) | Beta-lactam antibiotic, interferes with bacteria cell wall synthesis ultimately leading to cell lysis | Protein bound to albumin in circulation<br>Crosses placenta and breast milk<br>Excreted in urine primarily | #### Gram + Bacteria.<br>#### Streptococcus pyogenes,<br>#### S. pneumoniae<br>#### enterococcal<br>Some gram-neg: meningeal cocci | treponemal infections-syphilis<br>#### meningococcal bacteremia<br>Endocarditis<br>Botulism<br>Pneumonia | 4-24 million units per day based on indication.<br>IV most often since poorly absorbed in the gut<br>Can be IM for short term indication | Allergy<br>CHF related due to sodium content<br>Dose adjustment for renal impairment |
    | **Beta-Lactam/**<br>**Beta Lactamase Inhibitor** | | | | | | |
    | **1st Generation Cephalosporin** | | | | | | |
    | **Fluoroquinolone** | | | | | | |
    | **Macrolide** | | | | | | |
    | **Aminoglycoside** | | | | | | |
    | **Tetracycline** | | | | | | |
    | **Sulfonamide** | | | | | | |
    | **Fusion Inhibitor** | | | | | | |
    | **Nucleoside Analogs** | | | | | | |
    | **Protease Inhibitor** | | | | | | |

    References

    Penicillin G. (2025). Merck Manual
    [https://www.merckmanuals.com/professional/infectious-diseases/bacteria-and-antibacterial-medications/penicillins?query=pen%20vk#Pharmacokinetics_v13957234](https://www.merckmanuals.com/professional/infectious-diseases/bacteria-and-antibacterial-medications/penicillins?query=pen%20vk)

    **## Nu553Assignment2.docx**

    Nu 553 Assignment 2

    In this assignment you will explore the ethical, legal, and regulatory aspects and cost-effective benefits of prescribing practices of the advanced practice nurse with regards to antibiotic stewardship.

    You will address ethical prescribing practices and complete a comparison table in a provided template.

    · Access the Unit 2 template and ensure you complete your name and the required information. Use the headers in the template provided.

    · Begin with an introductory paragraph on general considerations related to safe antibiotic prescribing.

    · Next include content on ethical, legal, and regulatory aspects of prescribing.

    · Address how it is important for you to demonstrate civility in communication with patients and other disciplines when prescribing.

    · Address cost-effective benefits of prescribing practices. Include brand vs generic aspects.

    · Next address antibiotic stewardship and prescribing practices. Include content on reducing resistance, commitment as a prescriber and how to follow evidence based practice in prescribing antibiotics.

    · Provide 4-5 sentences per section.

    · Then complete the table component within the template.

    · Refer to your text and readings to help you choose a drug from the class. Include 2-4 items/ key points per section based on your literature search.

    · The template sections will expand as you add content. Use key words with bulleted content or brief descriptions. Do not paste large content.

    · You will have completed 10 drugs yourself when done.

    · Penicillin is done for you as an example. Keep it on the table to help you.

    · You may add the citation under the drug names as in the PCN example. Include references on your reference page.

    · Keep the headings within the essay portion bolded. Polish and keep the template and the table neat. Be sure the font is Ariel 10 within the table. It should be readable, meaningful, organized and not wordy.

    Assignment Details

    **Prescribing Practice Considerations – Evidence Based Antimicrobial Therapy**

    **NU553-1:** Explore the ethical, legal, and regulatory aspects and cost-effective benefits of prescribing practices of the advanced practice nurse.

    Before finalizing your work, you should:

    · Read the directions carefully

    · Consult the grading rubric and review your completed work to make sure you have included everything necessary

    · Utilize spelling and grammar checks to minimize errors.

    Your writing assignment should:

    · Follow the conventions of Standard English (correct grammar, punctuation, etc.);

    · Be well ordered, logical, and unified, as well as original and insightful;

    · Display superior content, organization, style, and mechanics;

    · Use the
    [**template**](https://kapextmediassl-a.akamaihd.net/nursing/NU553/NU553_2601A/NU553_Unit_2_Template.docx) provided;

    · Use APA 7th edition format.

    **## NU553_Unit_2_Template.docx**

    **NU553 Unit 2 Template**

    Review the
    [grading rubric](https://kapextmediassl-a.akamaihd.net/nursing/NU553/NU553_2601A/NU553_Unit_2_Assignment_Rubric.docx).

    **Antimicrobials and Antibiotic Stewardship**

    **Student Name:**

    **Date:**

    **Instructor Name:**

    **Introduction**.

    **Legal/ Ethical and Regulatory Considerations.**

    **Communication Civility**

    **Cost- Effective Benefits**.

    **Antimicrobial Stewardship.**

    | | | | | | | |
    | — | — | — | — | — | — | — |
    | Antimicrobial Agents |
    | **Drug Class**<br>**Drug Name**<br>**Brand/**<br>**Generic** | **Mechanism of action** | **Pharmacokinetics Key points** | **Microbiology**<br>**Key points** | **Indications and Uses** | **Dose via Age and Dose**<br>**Considerations** | **Warnings** |
    | **Penicillins**<br>**Penicillin G**<br>(Penicillin G 2025) | Beta-lactam antibiotic, interferes with bacteria cell wall synthesis ultimately leading to cell lysis | Protein bound to albumin in circulation<br>Crosses placenta and breast milk<br>Excreted in urine primarily | #### Gram + Bacteria.<br>#### Streptococcus pyogenes,<br>#### S. pneumoniae<br>#### enterococcal<br>Some gram-neg: meningeal cocci | treponemal infections-syphilis<br>#### meningococcal bacteremia<br>Endocarditis<br>Botulism<br>Pneumonia | 4-24 million units per day based on indication.<br>IV most often since poorly absorbed in the gut<br>Can be IM for short term indication | Allergy<br>CHF related due to sodium content<br>Dose adjustment for renal impairment |
    | **Beta-Lactam/**<br>**Beta Lactamase Inhibitor** | | | | | | |
    | **1st Generation Cephalosporin** | | | | | | |
    | **Fluoroquinolone** | | | | | | |
    | **Macrolide** | | | | | | |
    | **Aminoglycoside** | | | | | | |
    | **Tetracycline** | | | | | | |
    | **Sulfonamide** | | | | | | |
    | **Fusion Inhibitor** | | | | | | |
    | **Nucleoside Analogs** | | | | | | |
    | **Protease Inhibitor** | | | | | | |

    References

    Penicillin G. (2025). Merck Manual
    [https://www.merckmanuals.com/professional/infectious-diseases/bacteria-and-antibacterial-medications/penicillins?query=pen%20vk#Pharmacokinetics_v13957234](https://www.merckmanuals.com/professional/infectious-diseases/bacteria-and-antibacterial-medications/penicillins?query=pen%20vk)

  • [Solved] Nursing Week 4 Assignment

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    There are 2 parts to this assessment: – Part 1: Explore nurses’ use of epidemiology and other evidence-based data to develop methods to prevent and mitigate communicable and/or chronic disease in the community. – Part 2: Complete the development of your teaching plan, implement the plan, and evaluat…

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    Assignment Prompt & Instructions

    There are 2 parts to this assessment:

    – Part 1: Explore nurses’ use of epidemiology and other evidence-based data to develop methods to prevent and mitigate communicable and/or chronic disease in the community.
    – Part 2: Complete the development of your teaching plan, implement the plan, and evaluate the success of your teaching project.

    #### **Part 1: Nursing Student Presentation on Infection Control**

    **Prepare** for your presentation by doing the following:

    – Explore the [Healthy People 2030](https://health.gov/healthypeople) website.
    – Review the [Objectives and Data](https://health.gov/healthypeople/objectives-and-data) page on the Healthy People 2030 website.
    – Review the [Leading Health Indicators](https://health.gov/healthypeople/objectives-and-data/leading-health-indicators) page on the Healthy People 2030 website.

    **Develop** a 13-slide Microsoft® PowerPoint® presentation on infection control to demonstrate your understanding of public health nurses’ roles in prioritizing health promotion and disease prevention strategies. Analyze infectious diseases in your presentation by:

    – Describing the incidence and/or prevalence of the identified communicable or infectious disease
    – Evaluating different variables that affect the rates of the communicable or infectious disease within your local community
    – Analyzing evidence-based practices aimed at reducing the infectious or communicable disease you have identified
    – Explaining health-promotion techniques that can be used by the community to prevent and/or manage the infectious or communicable disease in the patient population

    **Include** the following in your presentation:

    – Speaker notes: The slides should only contain essential information and as little text as possible (e.g., slides with long bullet points). Your speaker notes should convey the details you would give if you were presenting. Refer to the [Create Speaker Notes](https://support.office.com/en-us/article/video-create-speaker-notes-fc59586b-888f-4ebf-ab07-8a3cc8297867) page on the Microsoft website for assistance creating speaker notes.
    – References slide

    **Cite** a minimum of 3 scholarly sources.

    **Format** citations and references according to APA guidelines.

    #### **Part 2:  Clinical Activities – Teaching Project**

    **Part 2a: Teaching Project Preparation**

    In collaboration with your patient at your local community, **develop** at least 1 SMART goal for your teaching project. You will use this goal to evaluate the success of your teaching project. The acronym, _SMART_, stands for goals that are specific, measurable, attainable, realistic, and time bound.

    – **SMART goal example:** In collaboration with me, the patient developed the following SMART goal related to their efforts to increase exercise in their daily activities to prevent cardiovascular disease: “I will walk at a brisk pace (indicated by light perspiration and dampness under the arms) for 30 minutes a day for at least 5 days per week over a 1-month timeframe.” Progress toward this goal will be evaluated at [specified time].

    **Gather** the resources and materials you will need to teach your patient population.

    **Format** how you will present your teaching materials to your patient population. Ideally, communicate prevention messages for your teaching session using multiple modalities. Modalities could include visual/auditory using face-to-face counseling, visual using written materials, auditory using radio and audiobooks, and kinesthetic using hands-on practice.

    **Review** your teaching plan/intervention with your preceptor prior to delivering it to your patient population.

    **Review** and **modify** your teaching project. To do this, identify 1 or 2 clients with whom you can practice the communication method/health promotion delivery modalities. Receive feedback and suggestions for improvement from your client(s) about the method of teaching (e.g., liked it/did not like it and why, ways to improve/do things differently) and incorporate their feedback into your final teaching plan.

    ##### **Part 2b: Teaching Project Delivery and Summary**

    Deliver the teaching project focused on the prevention of the identified communicable or chronic disease to the patient population (i.e., individual, family, group). Schedule each educational session for at least 30 minutes (i.e., 15 minutes for the presentation and 15 minutes for demonstration, questions, and/or discussion). _Note_: Schedule as many educational sessions as necessary to complete the required 12 direct-care clinical hours for this assessment.

    After each teaching session, **evaluate** the success of the teaching project to address the identified public health issue or disease by assessing the patient population’s understanding of the content. To do this:

    – Use appropriate evaluation methods, such as teach-back and return demonstration. For example, in conversation with your population, can they teach back any of the major teaching points you delivered during your educational intervention (e.g., handwashing should be performed for at least 20 seconds or the time it takes to sing “Happy Birthday”)?
    – Correct any errors in understanding during teach back and demonstration.

    **Write** a 350-word summary of your Week 4 patient-education activities that includes:

    – Locations and dates of all sessions conducted
    – Description of resources and materials provided for each teaching session
    – Description of the evaluation method used to evaluate the effectiveness of the patient teaching
    – Evaluation results
    – Discussion how you met the objective(s) for this week, Week 4

    **Format** your summary according to APA guidelines.