The role of an AGACNP

 

 

You are part of a surgical team and your role is postoperative management of thoracic surgery. In your role, you are required to determine the course of action for the patient before you call the surgeon. A right lower-lobe resection occurred due to adenocarcinoma. The nurse has called at the 12-hour interval from surgery concerned with the amount of drainage within the chest tube. Respond to the following and support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

Describe the role of an AGACNP at each of the steps in postoperative care for a surgical patient.
Describe the assessment steps you would take.
Explain the drainage and decompression devices and how you manage these as an AGACNP.
Discuss potential differential diagnoses you could expect from the assessment.
Discuss the hemodynamic findings one might see with your provided diagnosis.
Propose potential treatment plans that would be appropriate.

 

 

Sample Solution 

stretches powerless in key areas of program administration, hazy of mission and design, and short on linkages and strategy development. The projects are more the results of a ceaseless series of emergencies. Three most significant issues dwell inside utilitarian college issues and are as staff arrangement, monetary connections, and educational plan control (Lynton, 1974). Yin and Burger’s (2003) concentrate on analyzed the connection between chose pre-essential ADN confirmations factors and first-time accomplishment on the NCLEX-RN. Concentrate on members comprised of green bean understudies, move level understudies, understudies with past degree, and LPN understudies. Factors concentrated on included understudy status, (for example, move level understudy, past certificate understudy), total school and secondary school GPA, GPA in program pre-essential courses (like English and natural sciences), government sanctioned test scores (ACT), number of school credits taken, and segment information like age, identity and orientation at season of nursing program affirmation. The specialists discovered that pre-imperative affirmations school GPAs in organic science along with grades in brain research and secondary school class rank were the most grounded indicators of first-endeavor NCLEX-RN achievement. Measurable information from the review demonstrated that of the 325 ADN understudies in the review, eight were LPNs. First endeavor NCLEX-RN achievement was noted in 285 understudies with each of the 8 LPNs passing on the main endeavor. In spite of the results from past examinations, ACT composite scores and number of school credit hours were not viewed as critical indicators of NCLEX-RN achievement (Yin and Burger’s, 2003).

Sayles et.al (2003) led a review to decide whether a relationship existed between scores on normalized tests and first-endeavor accomplishment on the NCLEX-RN. The normalized tests inspected were the NET and the PreRN test. The NET test was taken by understudies upon admission to the nursing program, while the PreRN test was finished during the last semester of the nursing program, prior to taking the NCLEX-RN. The NET gives an extensive variety of data on the test taker including math and ability to understand and profiling data like learning styles and the level and kinds of stressors of the test taker. Information got included NCLEX-RN results, segment information, ACT and GED scores, program confirmation GPA, by and large nursing GPA and number of RN courses rehashed while signed up for the program. Discoveries from the review uncovered that minority understudies were not as effective on the NCLEX-RN. Different results acquired from the review were that individual (math and perusing) and composite NET scores, notwithstanding composite PreRN assessment scores were all indicators of NCLEX-RN achievement. Further, higher program confirmation and generally nursing school GPAs were found to bring about an improved probability of NCLEX-RN achievement (Sayles et.al, 2003). Seldomridge and DiBartolo (2004) endeavored to distinguish indicators of NCLEX-RN achievement and disappointment at different places in a nursing program. Information were gotten by auditing understudy records and NCLEX-RN report. Autonomous factors included essential nursing affirmations measures factors, total GPA in junior year and number of ‘C’ grades in senior year. Course grade in Pathophysiology was the just pre-confirmations measures to deliver measurably critical outcomes. These factors anticipated NCLEX-RN achievement 98.7% of the time, and disappointment 5.6%. Understudies who were fruitless on the NCLEX-RN were noted to have two times as many ‘C’ grades in junior level nursing courses. Be that as it may, the exhaustive leave test, the National League of Nursing Comprehensive Achievement Test for Baccalaureate Students (NLNCATBS) given to seniors was the most reliable generally indicator of NCLEX-RN achievement and disappointment rates. Execution on the NLNCATBS test anticipated NCLEX-RN achievement 94.7% and disappointment 25% of the time. NCLEX-RN disappointment was more hard to foresee

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