The registered nurse is assigned to care for a pediatric client who is receiving immune suppressants. The registered nurse is precepting a student nurse. The registered nurse reviews the key nursing considerations that the student needs to consider in the care of this patient.

⦁   Explain glycaemic index. Draw low- and high-glycaemic index response curves.

⦁   Explain gluconeogenesis. Emphasize the important reactions (bypass reactions) involved in gluconeogenesis.

⦁   When performing in several types of sports, our bodies require energy production faster than our bodies can adequately deliver oxygen. Explain the biochemical consequences with respect to energy production.

⦁   Explain absorption of monosaccharides using illustrative diagrams.

CASE SCENARIO

Mrs. Martha Davis is a 59 year old female is admitted at midnight with a diagnosis of Chest Pain. She complains of a squeezing type pain across her chest and into her left jaw area. Vital signs are: Blood Pressure-200/110; Pulse-128 beats per minute; Respirations- 26 per minute; Temperature-99.8; Saturation of Oxygen-86% on room air; pain level 9/10. During your initial assessment she is rubbing her mid-chest, grimacing and is diaphoretic. The pain has been occurring intermittently throughout the evening and night. Her color is pale except around her lips which are bluish. Cardiac auscultation reveals a rapid rhythm and a murmur, no pulse deficit. She has never had this pain before. Lungs sounds are crackles in both bases with clear upper lobes. She is afraid she is going to die. Per standing orders, a nurse administers & administers Nitroglycerine 0.4mg sublingually; applies cardiac electrodes for continuous cardiac monitoring; obtains an electrocardiogram; which indicates Mr. Davis is in a SVT (supraventricular tachycardia) and a Non-ST elevation MI. The nurse places a peripheral intravenous catheter with saline lock; positions patient in low Fowlers. On assessment vital signs are Blood Pressure-88/45; Pulse-188 beats per minute; Respirations- 22 per minute; Temperature-99.0; Saturation of Oxygen-90% on 2 liters per minute; Pain level 8/10. She says her chest pain hasn’t changed. Heart and lung sounds are unchanged. Color is pale without previous blue changes.

Question 1. What other treatments do you expect for her MI? Why?

atleast answer in 200 words

What would you recommend to the CEO and Board as to how to more fully apply a population health model and positively impact the health of the community and control costs at the same time (The Triple Aim)?

As science and technology continue to improve health care, our ability to prolong life increases. This can create an ethical and moral dilemma in cases when a patient faces a terminal disease. In these instances, health care providers often face a conflict of duty. There is an expectation to sustain life and relieve suffering. Conflict occurs when a patient and/or family member needs to decide whether extraordinary measures should be taken to prolong a life.

In your own words, define extraordinary measures. Provide an example of a situation in which extraordinary measures are used. In the example that you used, do you feel that it was ethical to use extraordinary measures? Why or why not? How does the use of extraordinary measures fit with a health care provider’s code of ethics? You may want to select a specific provider (e.g., cardiologist or nurse) and research that profession’s code. If you were to find yourself faced with the decision to use extraordinary measures to prolong your life or that of a family member, how would you make this decision?

Think of a loved one, a client or patient that you have cared for at work, or a patient case that you worked with.  How might working assignments using Cluster the data based on Gordon's Functional Health patterns and label the clusters may have helped you provide nursing care to this person?

9. How does a gastroscopy differ from a colonoscopy?

10. Summarize the role of the nurse during an aspiration procedure.

How does a change of culture at a place of work could be addressed considering leadership nursing? What is an example and what are the drawbacks and the positive aspects of the change?

Select two of the following major meridians that are paired and answer the five associated questions: (Lung, Large Intestine, Stomach, Spleen, Heart, Small Intestine, Urinary Bladder, Kidney, Pericardium, Gallbladder, Triple Burner, Liver)

Please answer the following questions associated with the flow of qi among the two paired meridians you have selected:

1) Describe your 2 paired meridians

2) Discuss the element associated with them

3) Discuss Qi flow between the meridians and how it affects the body

4) How does excess or stagnant QI manifest itself? (symptoms)

5) What treatments are available for QI imbalance in these organs/meridians?

1. Name and describe 5 important components of maintaining sterility.

2. What methods of preventing microbial transmission do nurses enforce?

3. What are the key principles to donning sterile gloves?

3. What are the key principles to donning sterile gloves?

4. Describe the most interesting fact you learned from this article.

please build a full questionnaire with introduction titled "Anemia Prevalence During Pregnancy And its Related Factors in Palestine", in 10 independent variables and 25 items for the dependent variable. please build this according to the following scale (1=Strongly disagree, 2= Disagree, 3=Neutral, 4=Agree, 5=Strongly agree). please i need questionnaire in the table

A 44- year old, 179Ib corporate executive, James, was admitted to the hospital complaining of chest pain. After evaluating James, the Cardiologist determined that he was experiencing a mild heart attack.

He was immediately taken to the catheterization lab, where he was diagnosed with a significantly blocked left circumflex artery. A PTCA (angioplasty) was performed. A follow- up echocardiography test reported an ejection fraction of 55%, indicating that James had NOT suffered major heart damage. Prior to his MI, James had no health issues and was physically fit, as he was involved in a regular fitness program.

Two weeks later, James was referred to you for an exercise prescription in a phase II cardiac rehabilitation program. His only medication is a daily aspirin. A maximal treadmill exercise test taking James to volitional fatigue after his PTCA revealed the following information:

- ECG: normal sinus rhythm

- Maximal heart rate: 156 bpm

- resting HR: 62 bpm

- Peak exercise blood pressure: 150/ 90 mmHg

- resting blood pressure: 120/ 70 mmHg

Bases on the above data, choose an intensity range using the %HRR method, and determine the TIME per exercise session and the NUMBER sessions per week. His goal is to expend at least 1, 000 calories per week.

- To reach is target HR, he must jog on treadmill at 4mph @ 3% grade. use the running equation to calculate his VO2.

- calculate his NET calories burned

- Determine the number of exercise sessions per week he would need to burn at least 1,000 calories per week.

- discuss the guidelines for a phase II cardiac rehab program.

- discuss the indications and the contraindications to exercise.

- are there any other physical limitations for this patient?

- what are your recommendations for this patient with regard to diet and resistance training?

- how would you guide him with regard to tips for resistance training?

What ethical measures and requirements are in place to guide human subject research nowadays?

This week, we are going to examine the importance of medical records. Everyone from the top down in a hospital or medical service is responsible for accurate medical records, billing, records release and other documentation.

Please review the materials for the discussion board this week and discuss at least 2 important take-aways that you have learned about from the e-text and the materials. What are the 2 most important things? What laws underpin those things that you learned?