Questions
Your assignment is to examine the identity and cultural structure of a non-U.S. Cultural group in...

Your assignment is to examine the identity and cultural structure of a non-U.S. Cultural group in the following areas:

1. Give a brief history of the culture - this history should include information that lead to major changes within the cultural behaviors or the group.

2. Give a description of the culture's worldview - multiple views may be present. Include values, belief and social practices.

3. What is the primary language of the culture and how is it used? Discuss verbal and nonverbal language usage.

4  Describe the cultural role of family and the family structure.

5. Describe how this culture views and handles conflict.

6. Examine the cultural traditions, include how the the culture uses different foods to celebrate.

In: Nursing

The nurse is assisting the Registered Nurse (RN) in providing care for a patient who is...

The nurse is assisting the Registered Nurse (RN) in providing care for a patient who is recovering from a stroke with residual effects. Which assigned intervention by the RN will the nurse question?

A. Observe the patient performing active range of motion (ROM) on the affected side.

B. Assist with maintaining correct body alignment for comfort.

C. Follow the physical therapist’s (PT’s) recommendations for being up in a bedside chair.

D. Support affected extremities with pillows to prevent dislocation

In: Nursing

Explain the potential benefits of health information technology to improve disease surveillance, alerts and responses to...

Explain the potential benefits of health information technology to improve disease surveillance, alerts and responses to threats. Provide an example of how this information can be quickly disseminated to the public to increase education in times of outbreaks

In: Nursing

A patient will be receiving electrolyte replacement therapy. which of the following would require the use...

A patient will be receiving electrolyte replacement therapy. which of the following would require the use of cardiac monitor for electrocardiogram wave pattern, heart rate and rhythm?

-phosphurus

-magnesium

-patassium

-chloride

In: Nursing

The breakdown of food components that occurs in the large intestine is cause by: salivary amylase...

The breakdown of food components that occurs in the large intestine is cause by:

salivary amylase

bacterial enzymes

lipase

pepsin

In: Nursing

In a hypothetical case-control study, researchers are interested in exploring the activities and behaviors of individuals...

In a hypothetical case-control study, researchers are interested in exploring the activities and behaviors of individuals at Northwestern University that may be associated with increased risk for testing positive for COVID-19.

a. What inclusion and exclusion criteria would you use? Why?

b. Define who is considered a case. How might you identify cases?

c. Carefully define who is in the control group. How might you accurately identify control individuals?

d. For the case-control study, how would you collect information on activities and behaviors?

e. Discuss how cases and controls in your study might differ, besides disease status, and how this might bias the results.

In: Nursing

Values in the table below are approximate. Use these to answer the following questions and to...

Values in the table below are approximate. Use these to answer the following questions and to compare health impact of the two diseases.

R-naught

Incubation period

Contagious Period

COVID-19

2.5

10 days

2-3 days before symptoms to 10 days after

Rabies

1.5

Several months

From symptoms to 10 days after symptoms

Recall that R-naught is the average number of additional cases that directly result from a single person bringing it into a fully susceptible community.

Below, compare in the impact between the two diseases for each of these disease characteristics on public health. For each question, use only the information provided in the table.

a. What does the R-naught suggest about the relative public health risk for the two diseases?

b. What do the differences in the incubation period suggest about potential challenges in clinical and public health responses to the two diseases?

c. What do the differences in the contagious period suggest about potential challenges in clinical and public health responses to the two diseases?

d-e. What are two other important aspects of the disease, besides access to vaccination, that would contribute to different health risks for these diseases?

In: Nursing

A hypothetical study investigated periodontal disease and oral hygiene behavior. The outcome of interest was the...

A hypothetical study investigated periodontal disease and oral hygiene behavior. The outcome of interest was the presence or absence of periodontal disease, and the exposure was current oral hygiene practices such as frequency of brushing and use of dental floss. Participants were enrolled during a regular dental visit where they were given a full dental screen and then completed a short questionnaire.

a. What type of a study design is this?

b. What are the advantages of using this design to study this question?

b. What is the major limitation of this design for showing that poor dental hygiene causes periodontal disease?

c. How might the patient’s knowledge of having periodontal disease bias the results?

In: Nursing

Nurses interact with technology on a daily basis. For this discussion, please address each of the...

Nurses interact with technology on a daily basis. For this discussion, please address each of the following aspects of the discussion:

  1. Describe a human-technology interface that you have encountered in healthcare that you think needs improving.
  2. Describe what you would specifically like to see changed about this technology and why?

Describe a situation from your professional experience that backs up your viewpoint and discuss the social, moral, political and economic factors impacting your position.

In: Nursing

Case Study Colleen, a psychiatric mental health RN, is leading a therapeutic group for inpatients who...

Case Study

Colleen, a psychiatric mental health RN, is leading a therapeutic group for inpatients who have a history of alcohol abuse. The group is in the orientation phase, and members are still getting to know one another. Even at this early stage, however, Colleen recognizes behavior and personality traits of two members, in particular, that could pose potential problems in the group. One member, Howard, comes across as extremely negative and fairly aggressive. At times, he directly criticizes and belittles other members. When one group member discusses his wife’s disapproval of his drinking, Howard replies in disgust, “I don’t understand spineless guys like you who let women run your life. No wonder you can’t quit drinking.” When not confronting members directly, Howard makes dismissive and disparaging sounds or gestures. Other members seem offended by his behavior. Another member of the group, Fatima, has not spoken at all, except when directly asked a yes-or-no question. She does not seem unpleasant or unhappy to be in the group, but she keeps her eyes down, as though she’s afraid to be “called on.”



What term describes the type of group behavior Howard is demonstrating? How might Colleen address this behavior most effectively?


Fatima is what type of group member? How is this best addressed? Should Colleen leave Fatima alone since she is not disrupting the group or causing any trouble? Or should Colleen be more proactive with this member?


The members of Colleen’s group are inpatients. What bearing, if any, should this have on your suggestions above for Colleen in addressing member behavior? How might this affect Colleen’s overall leadership style for this group?




In: Nursing

1. Select the accurate statement that describes the benefit of long-term therapy for Tuberculosis (TB)? A)...

1. Select the accurate statement that describes the benefit of long-term therapy for Tuberculosis (TB)?
A) It eradicates tubercle bacilli and provides a cure for the infection

B) It decreases drug toxicity and better patient tolerance

C) It decreases the likelihood of active infection in latent TB

2. Your patient is on metformin, glipizide, and pioglitazone for his DM II. His last 3 morning FBG are < 60mg/dl, which medication should be discontinued to avoid the risk of hypoglycemia?

A) Metformin

B) Pioglitazone

C) Glipizide

3. All of the followings accurately describes prochlorperazine (Compazine), EXCEPT:

A) It blocks acetylcholine receptors in chemoreceptor trigger zone

B) Can be co-administer with morphine to prevent nausea

C) It is indicated for nausea associated with opioids or anesthesia

4. A patient ℅ tinnitus after starting many new medications. Which of the following is most likely the cause of this ototoxicity effect?

A) Ondansetron (zofran)

B) Metformin

C) Pantoprazole

Gentamycin


In: Nursing

How does bacterial pneumonia lead to hypoxemia? (Describe the pathophysiology).

How does bacterial pneumonia lead to hypoxemia? (Describe the pathophysiology).

In: Nursing

Scenario Mr FG is a 69-year-old retired school teacher who was admitted to the emergencydepartment complaining...

Scenario
Mr FG is a 69-year-old retired school teacher who was admitted to the emergencydepartment complaining of severe chest pain after climbing stairs at hisdaughter’s house. In the ambulance he is administered aspirin 300 mg. Onarrival at hospital and subsequent examination and review by the admittingdoctor the following information is obtained.
Previous medical history
Hypertension (10 years). Type 2 diabetes mellitus (recently diagnosed, currentlydiet controlled). The patient is a regular cigarette smoker (>40 per day) anddrinks approximately 10 units of alcohol per week. He has osteoarthritis of theknee.
Family history
Father died following a myocardial infarction at 60 years of age. No maternal
history of cardiovascular disease.
Drug history
Allergies: Trimethoprim. Mr FG has been taking diclofenac MR tablets 75 mg
(twice daily) and nifedipine (Adalat Retard) MR tablets 20 mg (twice daily). Both
were stopped on admission.
Signs and symptoms on examination
▪ Temperature 36.4°C
▪ Blood pressure 160/80 mmHg
▪ Heart rate 75 b/m, regular
▪ Respiratory rate 15 breaths per minute
▪ No basal crackles in the lungs.
▪ An ECG taken immediately on arrival reveals ST elevation of 3 mm in the inferior
▪ leads.
Diagnosis
A preliminary diagnosis of myocardial infarction is made.
Relevant test results
Full blood counts, liver function tests, electrolytes and renal function, CXR,total cholesterol, full blood count and blood glucose were taken at admission.
The following tests taken at admission are reported:
Na+ 134 mmol/L (135–145 mmol/L)
K+ 4.3 mmol/L (3.5–4.0 mmol/L)
Urea 5.2 mmol/L (0–7.5 mmol/L)
Creatinine 81 micromol/L (35–125 micromol/L)
Total cholesterol 5.9 mmol/L (<4 mmol/L)
Blood glucose 4.4 mmol/L (4–10 mmol/L)
Initial treatment
About 45 minutes after the onset of chest pain the patient received the following
treatment in the emergency department:
▪ Heparin 5000 units stat
▪ Reteplase 10 units i.v. bolus followed by a further 10 unit i.v. bolus after 30minutes
▪ Diamorphine 2.5 mg IV stat
▪ Metoclopramide 10 mg stat.
▪ A sliding scale insulin infusion of Actrapid 50 units made up to 50 mL with
sodium chloride 0.9% was initiated and titrated against blood glucose.
The patient is subsequently transferred 2 hours later to the coronary care unit as he is pain-free. As the ward cli
nical pharmacist, you are responsible for dailyreview of drug charts and advice to medical and nursing staff on all aspects ofdrug treatment for patients on the ward.

5. Mr FG experiences a chest infection 4 days post admission and is prescribedamoxicillin 500 mg three times daily and erythromycin 500 mg four times daily.What problems may this cause with this patient’s statin therapy and what advicewould you give in order to avoid this problem occurring? (Drug interaction)

In: Nursing

Mr FG is a 69-year-old retired school teacher who was admitted to the emergencydepartment complaining of...

Mr FG is a 69-year-old retired school teacher who was admitted to the emergencydepartment complaining of severe chest pain after climbing stairs at hisdaughter’s house. In the ambulance he is administered aspirin 300 mg. Onarrival at hospital and subsequent examination and review by the admittingdoctor the following information is obtained.
Previous medical history
Hypertension (10 years). Type 2 diabetes mellitus (recently diagnosed, currentlydiet controlled). The patient is a regular cigarette smoker (>40 per day) anddrinks approximately 10 units of alcohol per week. He has osteoarthritis of theknee.
Family history
Father died following a myocardial infarction at 60 years of age. No maternal
history of cardiovascular disease.
Drug history
Allergies: Trimethoprim. Mr FG has been taking diclofenac MR tablets 75 mg
(twice daily) and nifedipine (Adalat Retard) MR tablets 20 mg (twice daily). Both
were stopped on admission.
Signs and symptoms on examination
▪ Temperature 36.4°C
▪ Blood pressure 160/80 mmHg
▪ Heart rate 75 b/m, regular
▪ Respiratory rate 15 breaths per minute
▪ No basal crackles in the lungs.
▪ An ECG taken immediately on arrival reveals ST elevation of 3 mm in the inferior
▪ leads.
Diagnosis
A preliminary diagnosis of myocardial infarction is made.
Relevant test results
Full blood counts, liver function tests, electrolytes and renal function, CXR,total cholesterol, full blood count and blood glucose were taken at admission.
The following tests taken at admission are reported:
Na+ 134 mmol/L (135–145 mmol/L)
K+ 4.3 mmol/L (3.5–4.0 mmol/L)
Urea 5.2 mmol/L (0–7.5 mmol/L)
Creatinine 81 micromol/L (35–125 micromol/L)
Total cholesterol 5.9 mmol/L (<4 mmol/L)
Blood glucose 4.4 mmol/L (4–10 mmol/L)
Initial treatment
About 45 minutes after the onset of chest pain the patient received the following
treatment in the emergency department:
▪ Heparin 5000 units stat
▪ Reteplase 10 units i.v. bolus followed by a further 10 unit i.v. bolus after 30minutes
▪ Diamorphine 2.5 mg IV stat
▪ Metoclopramide 10 mg stat.
▪ A sliding scale insulin infusion of Actrapid 50 units made up to 50 mL with
sodium chloride 0.9% was initiated and titrated against blood glucose.
The patient is subsequently transferred 2 hours later to the coronary care unit as he is pain-free. As the ward cli
nical pharmacist, you are responsible for dailyreview of drug charts and advice to medical and nursing staff on all aspects ofdrug treatment for patients on the ward.

7. What advice should be given to the patient at discharge with regard to lifestyle
issues?

In: Nursing

1. A current IV drug use patient develops endocarditis. Which type of pathogens is most likely...

1. A current IV drug use patient develops endocarditis. Which type of pathogens is most likely the cause of this infection?

A) GM+ cocci

B) Candidas

C) GM- bacilli

D) Pseudomonas

2. What is the most common pathogen for pyelonephritis? (An upper UTI infection)

A) E. Coli

B) Nisseria gonorrhea

C) MRSA

D) Extended spectrum beta-lactamase (ESBL) bacteria

3. What is the main benefit for intermitten chemotherapy?

A. It is more cost effective

B. It allows patient to receive chemo treatment at home

C. The successive dosing reduces cancer cell resistance

D. Allow host cells to recover and reduce injury after each dose

4. What are two examples of clinical consequences of AIDS?

A) Decreased adaptive immunity resulting in loss of fever response

B) Virus inhibits bone marrow function resulting in pancytopenia

C) Severe loss of macrophages and natural killer cells as shown by CD4 count < 200

D) Prone to severe, systemic fungal infection that is normally suppressed by healthy immune system


In: Nursing