Specialty Certification and Patient Outcomes †MyAssignmenthelp

Question: Discuss about the Specialty Certification and Patient Outcomes. Answer: Introduction: The clinical reasoning cycle allows nurses to collect cues about the patient problem, process the information, and arrive at an understanding of the patient problem or the specific situation in which the patient is found (Schoenwaldab et al. 2018). The process is meant to help the nurse to develop a patient plan of intervention, evaluation, and reflection. The saturation of Oxygen is 95% and 50 % when using the nasal prongs in-situ(Batti, 2013). The rate of respiration for the patient is shallow and measures 16-20 meaning the nurse can help the patient develop solutions for proper posture and breathing(Merrifield, 2016). Her cough is weak and non-productive implying she is in need of a constant flow of oxygen to her lungs(Boyle, 2017). The inclusion of Fentanyl in her medication means she is under immense pain such as the pain presented during cancer(Mukasa, 2015). The medicine belongs to a class of drugs referred to as narcotic analgesics. The patient is placed on bed rest. The head of the bed must be elevated, and her position must frequently change to lower the diaphragm and improve the chances of chest expansion(Coster, Watkins, Norman, 2018). It enhances expectoration of secretions, mobilization, and stabilization of the chest cavity, which is essential for proper body metabolism(Grant, 2016). Decreased flow of air happens in areas that have a high concentration of the fluid. Sounds of bronchial breath can occur in areas that high fluid capacity(Batti, 2013). The nurse must listen out for whizzing sounds, which occur because of accumulation of fluids. After determining the correct diagnosis of the disease, the nurse needs to establish the right medical procedures for the patient(Grant, 2016). Pneumonia arises from the inflammation of the lung cavity because of attacks by microorganisms like Bacteria, viruses, fungi and micro bacteria(Boyle, 2017). The condition is the sixth leading cause of death in the United States primarily among young children, and therefore the nurse needs to exercise caution when dealing with it (Coster et al. 2018). Normotensive in a period of 1 hour Improved signs that are vital in 2 hours Increased output of urine in an hour Decreased rates of anxiety in less than an hour Improved Blood Pressure levels The drug works by altering the brains affinity to pain to change the manner in which the body of the patient reacts to pain(Boyle, 2017). The nurse must desist from using the patch form of the drug for purposes of relieving pain that is mild, and that can quickly go away(Merrifield, 2016). Presence of the Ondansetron ODT in the prescription means the patient nauseates. The drug is used alone or along with other medications to prevent the patient from vomiting(Lakea, et al., 2017). Monitoring of the salts in the body of the patient Collection of MO data with the use of ISBAR Acquiring a fluid challenge order Reduction of the IV rate Looking out for the vital signs Urine output monitoring Raising the patient foot to the bet The nurse will ask the patient whether she or he feels any better The state of Oxygen Saturation The rate of urine output The level of blood pressure The drug creates the best results for patients under radiation therapy and cancer treatment procedures(Boyle, 2017). It is essential for preventing vomiting and nausea after surgery(Grant, 2016). The drug works by blocking one of the natural substances of the body that leads the patient to vomit. The drug is dissolved on top of the tongue and should not be swallowed or dissolved like other drugs(Grant, 2016). The patients metabolic test shows stability in the electrolytes of the patient, and therefore it is not a cause for alarm. The nurse assesses the depth and rate of chest movements for shallow respirations and discomfort of the moving chest due to the walls or the fluids on the chest cavity(Mukasa, 2015). Reference Batti, R. (2013). Perioperative Nursing and Education: What the IOM Future of Nursing Report Tells Us. AORN Journal, 98(3), 249-259. Boyle, D. (2017). Nursing Specialty Certification and Patient Outcomes: What We Know in Acute Care Hospitals and Future Directions. Journal of the Association for Vascular Access, 22(3), 137-142. Coster, S., Watkins, M., Norman, I. (2018, April 11). What is the impact of professional nursing on patients outcomes globally? An overview of research evidence. AORN Journal, 98(3), 249-259. Grant, R. (2016, February 3). The US is Running Out of Nurses . Retrieved January 11, 2017, from The Atlantic : https://www.theatlantic.com/health/archive/2016/02/nursing-shortage/459741/ Lakea, D., K.Engelke, M., A.Koskoa, D., Roberson, D. W., Fany, J., Feliciana, J., et al. (2017). Nicaraguan and US nursing collaborative evaluation study: Identifying similarities and differences between US and Nicaraguan Curricula and Teaching Modalities Using the Community Engagement Model. Nurse Education Today, 51(1), 34-40. Merrifield, N. (2016, December 19). Universities warn of 20% drop in applicants for nursing courses after end of bursary . Retrieved January 11, 2017, from Nursing Times Journal : https://www.nursingtimes.net/news/education/universities-warn-of-drop-in-applicants-for-nursing-courses/7014339.article Mukasa, B. (2015). A Public Health Leadership Theory to Address the Shortage of Public Heatlh Leaders. Walden, 1(1), 1-28. Schoenwaldab, A., Windsorb, C., Gosden, E., Douglasb, C. (2018). Nurse practitioner led pain management the day after caesarean section: A randomised controlled trial and follow-up study. International Journal of Nursing Studies, 78(1), 1-9.