please answer as soon as possible

A 52-year-old male presented to the emergency department complaining of muscle pain and weakness for the last two day. He also noticed that his urine is becoming dark (red to brown). The patient has no history of accidents or trauma and no symptoms of anemia. The patient is known to have history of hypertension, Type II diabetes, hypercholesterolemia, and ischemic heart disease. 5-weeks before he came to the emergency he had suffered a myocardial infarction. He was treated in the intensive care unit for two weeks. He recovered well and was discharged with his regular medications except that oral atorvastatin 40 mg/day was added. At that time doctors explained to him that it was becoming more difficult to control his cholesterol levels using dietary measures only, thus they added the new medicine. On examination his muscles were painful to pressure (tenderness). He has no jaundice or abnormal skin coloration. He has no signs of anemia. The blood testing results including blood cell counts, hemoglobin levels, and total bilirubin levels are all normal. Kidney function tests and urine analysis were ordered and the treating doctor is awaiting results.

1. What is the most probable diagnosis in this patient that explain the muscle pain and the dark urine? (one word, 1.5 mark)
2. Which compound in patient’s urine would you expect to be elevated supporting the diagnosis you suggested in question 1? (one word, 1.5 mark)
3. Explain what happened in the patient's body and why did it happen leading to the muscle pain and the dark urine? (30 words, 2.5 marks)
4. What is the doctor rationale behind ordering the kidney function test? (30 words, 2.5 marks)
5. What kidney function tests did you study in biochemistry course that can be used in this situation? (Three words maximum, 2 marks. Note: only the tests I mentioned in the course. Other kidney function tests copied from the internet will be considered wrong.)

please reflect upon all the medications we covered this week and how they relate to the gastrointestinal and psychiatric systems. In your own words, please answer the following questions. What are some examples of medications that people with Alzheimer’s use to help their symptoms? What is the cause of Alzheimer’s? Why is it important to have a working understanding of these medications?

Lisa is admitted to your floor with a diagnosis of altered mental status. Her history includes HTN, hyperlipoidemia, early dementia, and alcohol abuse. Her home medications are as follow:

Metoprolol 250 mg PO BID

Ezetimibe (Zetia) 10 mg PO Daily

Donepezil (Aricept) 5 mg PO Daily

At the admission, a provider ordered to continue her home meds and ordering lactulose 10 grams/ 15 mL PO QID

Why do you think the provider ordered lactulose for Lisa?

What would be Lisa's abnormal lab study that lead to ordering of Lactulose?

What are the nursing considerations and additional assessment for Lisa?

describe how food can affect health.  Discuss (don't just list) 4 different ways that this can occur. For each of the 4, describe a public health strategy that has been put in place to try to improve health.

List 20 factors that affect the quality and quantity of human nutrition please provides all the details and how it affects

1. what are the Measurements to prevent road traffic accident?

2. what can be done to reduce the number of accident involving young drivers?

3. why you put your responsiblity of the case on cooker?

• Describe what is meant by “the essence of nursing” and how it aligns to nursing leadership and empowerment.
• Describe how new nursing students can make an impact in the profession of nursing in various ways.

List procedures or treatments that require a consent form. As many as you can.

1. What is a data dictionary? What is its importance in ensuring data quality? What type of information would be listed in a data dictionary?

considering peter Smith's age , what special aspects of care should you be aware of while caring for him?

A 42 year old woman was introduced to the Emergency Room with complaints of abdominal pain for the past few days. She was also reported her stools have been black and sticky. She suspected to have GI (gastro-intestinal) bleeding. According to her medical history, she was transfused with 2 units washed packed RBCs 6 months ago for the same symptoms. The CBC results were:

WBCs: 5.7 X 103/µl

RBCs: 2.95 X 106/µl

HGB: 6.3g/dL

Hematocrit: 19.8%

According to her anemic condition, she was admitted to the hospital for treatment and given 3 units of packed RBCs (each blood unit should increase hemoglobin level by 1g/dL, but she was given 3 units since she had an active GI bleeding). She is type B positive with a negative antibody screening {1} which means no antibodies were observed in her plasma. The 3 units were cross-matched and transfused without adverse reactions. One day later, she was discharged. Two days after discharge, she returned to the Emergency Room with yellowish eyes and skin (jaundice). The CBC at this time showed HGB = 5.8g/dL and elevated bilirubin level indicated hemolysis of RBCs. She was ordered with 2 units of packed red blood cells. At this time, the antibody screen was now positive {2}. Anti-JKb was found in her plasma and positive DAT was observed.

She was diagnosed with a delayed hemolytic transfusion reaction (DHTR) due to anti-JKb

1.       Discuss this condition DHTR?

2.       Why the first antibody screening {1} was negative? (Knowing that anti-JKb was present in her plasma from exposure of JKb positive blood via previous blood transfusion according to her medical history)? However, it is really negative since no immediate HTR was observed

3.       Why the second antibody screening{2} becomes positive after blood transfusion?

4.       If DAT was performed by gel-method, and positive mixed field result was observed. What does this mean?

Create a powerpoint presentation on Learning Together and managing group conflict.

After examining mohammad nassar and ordering and reviewing the results of an ECG test, Dr William's indicates that mohammad Nassar's heart appears to be normal. what factors might be contributing to mohammad Nassar's episodes of tachycardia?

3a. The ability for researchers to generalize the results of their study to the general population is called:

1. Internal validity
2. External validity
3. Response validity
4. Reliability

3b. If a screening test for a fast growing, deadly disease has been producing too many false negatives, which adjustment should you make to the screening tool?

1. Decrease sensitivity
2. Decrease specificity
3. Increase sensitivity
4. Increase specificity

3c. A screening test that (i) does not miss a lot of individuals with the disease, but (ii) inappropriately screens positive many individuals who do not have the disease, could be referred to as

1. High sensitivity/ high specificity
2. Low sensitivity/ low specificity
3. Low sensitivity / high specificity
4. High sensitivity/ low specificity

3d. A case-control study was performed to determine whether head injury was associated with an increased risk of brain tumors in children. Two hundred (200) cases with brain cancer were identified from the state cancer registry, and 200 controls were recruited from the same neighborhoods where the cases lived. The mothers of the children completed a questionnaire that asked them to describe their child’s past history of head injury. The investigators found that the mothers of the children with brain tumors reported a past head injury for 70 of the cases while a past history of head injury was reported in 30 of the controls. What type of bias was likely to have influenced the findings of this study?

1. Observer bias
2. Recall bias
3. Length bias
4. Surveillance bias

Pediatric Case Study Scenario history: Johnny is 6 years old, admitted late yesterday with exacerbation of asthma. Johnny has a history of asthma for 2 1/2 years. He has been admitted to the hospital exacerbation x3; no ICU admission. He was admitted due to coughing, expiratory wheezing, runny nose, and increasing shortness of breath that began shortly after a low-grade fever. Presenting signs: Temp 100.4, HR; 112, RR; 28, 02 Sat 91% Expiratory wheezing, intercostal, and subcostal retractions; unable to complete a sentence without shortness of breath. Peak flow meter- 60%.

1. What would you include in an Asthma Action Plan for Johnny?

2. What B-2 Agonists and Corticosteroids commonly used in the treatment of asthma?