A patient has had a strong productive cough for 3 weeks. He complains of fever, chills, and night sweats. The radiograph is consistent with path infiltrates and blebs, In addition the white blood cell count is found elevated. Which of the following laboratory test would you recommend to render a diagnosis?

-blood culture

-acid fast staining

-coagulation studies

-sputum culture

Kingston Ash Slide Case study. On December 22, 2008. When a dike failed at Tennessee Valley Authority's (TVA) Kingston Fossil Plant, millions of cubic yards of coal ash cascaded into the Emory and Clinch rivers and covered numerous acres of land. A slow-moving wave of toxic sludge polluted the river water. The spill prompted TVA and other utilities across the nation to re-evaluate how they store coal ash, a byproduct from burning coal to produce electricity. Congress held hearings in the aftermath. The U.S. Environmental Protection Agency proposed new rules regulating coal ash, including classifying it as a hazardous material. Unfortunately, 5 years later, coal ash remains largely unregulated. The EPA and Congress have not yet acted to strengthen oversight of the material. Industry groups and some lawmakers continue to oppose classifying coal ash as hazardous.

The questions are:

How do we think that the Environmental Protection Agency (EPA) should proceed with regulating coal ash?

Who are the major stakeholders that need to be involved in regulating coal ash?

Do new policies need to be written and implemented related to the management of coal ash?

If we believe new polices should be written, what policies do we propose and why? If we do not believe new policies should be written, why not?

What are the most common issues facing in the nursing field?

Disruption of infrastructures and economic systems are likely to occur during complex humanitarian emergencies causing interference with any efforts of providing response and recovery. Research a recent complex humanitarian emergency and discuss how it disrupted efforts for providing assistance. Also, if this same complex humanitarian emergency occurred in your community, discuss how it would impact emergency services during the post-crisis period. 200 words

Describe to me the etiology, pathogenesis, clinical manifestations, and treatment options for Osteomyelitis? What education to you provide to diabetic patients on foot care to try to reduce osteomyelitis of the foot? What other general education to you provide to patients about reducing osteomyelitis? What is the next step of medical treatment if antibiotics do not treat osteomyelitis?

A patients complete blood count result is found to have 68% segmented neutrophils and 10% bands. This patient is likely experiencing which of the following?

-a severe bacterial infection

-a severe viral infection

-excessive bleeding

-anemia

Describe to me the etiology, pathogenesis, clinical manifestations, and treatment options for Osteoporosis? Patients of any gender need to complete resistance training to prevent bone loss after age 30. What resistive training program might you suggest to your patients?

Inpatient             Gender: M          Age: 31

Preprocedural Dx: Second-degree burns to both upper arms, subsequent encounter

Procedure: Debridement of blisters and skin on both upper arms measuring 180 sq cm. A skin substitute was applied.

TIP: Remember that a second-degree burn is also called a partial thickness burn.

4 CPT Codes:

Describe to me the etiology, pathogenesis, clinical manifestations, and treatment options for Psoriasis. What education will you provide to patients about interventions to keep their joints healthy as long as possible?

Hello, I would like to know about special consideration that take into account the patients specific culture. Know about different cultural styles of communication. What are alternative health practices, hebal and alternative medications. I am preparing for Hesi final test tomorrow. I am reviewing intercultural communication. Thank you.

1. A woman who has a history of chronic back pain and has been using opioids for over 10 years, has been admitted with a stroke. Unable to understand what is said to her (receptive aphasia) or reply (expressive aphasia), the woman can not tell the nurse if or when she is having pain. The patient can use her non-dominant hand. The doctor orders a PCA (patient-controlled-analgesic) pump. The family keeps pushing the button to dispense pain medication. Is this an ethical dilemma? Explain your answer.

2. The 78-year-old patient has bone cancer with metastasis to the liver. The patient does not want extra-ordinary measures implemented in the event of cardiac or respiratory arrest. He wants to be a DNR. The family says he is depressed and he should be a full code. Is this an ethical dilemma? Explain your answer.

3. A patient who is a poor historian, fails to tell the staff he is allergic to iodine. When the patient has a CT scan with contrast, the patient goes into antiphallic shock. Before the patient can be intubated, the patient dies. Is this an ethical dilemma? Explain your answer.

You are approached by a 3^rd year health sciences student who is trying to recruit you to participate in a study of student mental health.  You are told that it involves an online survey, and covers topics like your current mental health, whether or not you access campus resources for mental health care, past experiences that may have been involved in the determination of your mental health experiences, and how your mental health relates to your academic outcomes during first year.

The 3rd year student is a research assistant on this project that is led by a new faculty member.  He is being paid to recruit students, and he tells you that he gets $25 for each successful recruit.

He explains the survey protocol in detail to you.  The protocol involves having you sign in to a web-based survey platform, provide a bit of information about yourself and your background, then answer questions about your mental health.  You will fill out the survey and provide your student ID number which will be linked with your academic record over first year (provided by the University Registrar), and also your health care visits to Student Health Services over the year (provided by Student Health and Wellness Services).  

Once the survey is completed you will receive a coupon for Tim Hortons, and also be eligible to enter a draw for a new iPad.  The study data will be kept by the student on his laptop, as well as the faculty members’ server.  Your name will be provided as part of the survey, but will never be used in any reporting.

In a one page response (maximum), please describe the types of questions you would ask the person recruiting you for study, in order to determine whether this research meets ethical standards.

Calculate the following amounts for a nurse practitioner who bills Medicare under their own NPI.

Submitted charge                                                                   $75

Medicare allowed amount (MPFS)                                         $60

Nurse practitioner allowed amount                                         $    

(80% of office charge or 85% of MPFS whichever is lower)

Medicare payment (80% of the allowed amount)                  $       

Coinsurance amount                                                              $      

Provider write-off                                                                    $