record some ideas how will you interact with infants, toddlers and preschoolers when they are displaying aggressive behaviors ( 3 ideas for each stage/age). record both verbal and non verbal responses?

What is the position and reasons to support the position of Henrietta Lacks' Hela cells?  

What treatment approaches can be used to minimize the functional loss of brain due to strokes? Explain in your own words!

Briefly describe the functional recovery of brain after brain injury or stroke. explain in your own words!

F. N. is a 57-year old housewife, happily married with grown children, and 2 new grandchildren. F. N. made an appointment with her optometrist to explore a progressive OS (left eye) visual loss over a 9-month period. Her eye dx was essentially normal, and the optometrist referred her to a neurologist. After workup, a 2.5 cm brain mass was found, and surgery was scheduled. Her only past medical history (PMH) is hypertension, for which she takes nifedipine XL 60 mg qd and potassium chloride (K-dur) 10 mEq bid, and her past surgical history (PSH) includes T&A as a child, cholecystectomy, and a TAH at age 42. She also takes a conjugated estrogen (Premarin) 0.625 mg qd.

1. Name 4 tests that can be done to evaluate for brain tumor.

There is no standardized, universally accepted system of classifying brain tumors. They can be classified according to histologic basis, intraaxial vs. extraaxial, or malignant or benign.

. Using the term benign when discussing brain tumors is somewhat misleading. Why?

. Onset of neurologic symptoms is usually insidious, and they exhibit symptoms in relation to the area of the brain where the tumor is located. List 6 general symptoms associated with many brain tumors.

2. Dexamethasone (Decadron) is commonly prescribed when a tumor is diagnosed and the presence of increased intracranial pressure (IICP) is demonstrated. It is administered preoperatively and postoperatively, and in conjunction with radiation and chemotherapy. Why is Decadron prescribed, and why should it not be abruptly stopped?

. Other common supportive medications include antiseizure, diuretics, antacids and H₂ blockers, analgesics, antiemetics, and antidepressants. Indicate why each is used.

3. Once the diagnosis is made, the patient and family must be involved in the plan for treatment. Treatment depends on the type and location of the tumor and can include surgery, radiation, chemotherapy, or any combination of these. The patient also has the right to refuse treatment. Identify 4 other considerations the medical team, patient and family will consider in devising a treatment plan.

4. Describe common responses to a diagnosis of a brain tumor.

List 2 role-relationship nursing diagnoses for F. N.

5 F. N. drew up a living will and healthcare provider power of attorney after she heard the diagnosis. She also sat down with her family and made her wishes known. Why is this important for F. N. in particular and for everyone in general?

You enter F. N.’s room to take VS and she says, “What if I come out of surgery and I’m different? Or what if I lie? My grandbabies will never know me.” You hear the concern in her voice. Suggest several ways that F. N. can communicate with her loved ones in the event that her surgery is unsuccessful.

. F. N. had the surgery and was admitted to ICU post op. She did very well and remained neurologically intact (q 1h neuro checks), her BP was slightly elevated (147/68), the rest of her VS were normal, she had 2 peripheral IV’s, TED hose, O₂ at 4 L/nc, and a Foley. Postoperatively, F. N.’s K level dropped to 2.7 mEq/L and glucose was 202 mg/dL. Describe possible reasons why these 2 laboratory values are abnormal, and identify what treatment will be ordered to correct each.

F. N. did suffer mild neurologic damage as a result of the surgery. She was discharged to a rehabilitation facility, and eventually was able to recover most of her lost function. She continues to enjoy an active life, and has become involved in helping others facing similar experiences.

5. In this video, Oliver gives a visual demonstration about the extreme amount of sugar in chocolate milk. He also makes a very bold statement in saying, "Any judge in the whole world would look at the statics and the evidence and would find any government of old guilty of child abuse." Using the education you have received from this class regarding nutrition and the concept of child abuse, do you agree and What can you do to take a stand towards providing our children with proper food and nutrition?

There are three ethical perspectives concerning abortion. Briefly explain each view and discuss the bioethical principle (or principles) that supports each perspective.

Select a drug example for each the agonist, partial agonist, antagonist, and inverse agonist and explain if the resultant action is fast onset (seconds to minutes) or slow onset (weeks) and how do you know?

How could environment effect response to these drug examples?

35)Insulin resistance syndrome refers to:

   A.  
Inability to tolerate CHO, especially simple CHO

   B.  
Hyperinsulinemia

   C.  
Lipogenesis

   D.  
All of the above

36) What is the most likely cause of insulin resistance syndrome?

   A.  
Too much CHO in the diet

   B.  
Too much android (apple) fat

27) Android distribution of fat increases the incidence of all of the following except?

   A.  
HTN

   B.  
CAD

   C.  
Liver CA

   D.  
Type II DM

   C.  
Too much gynoid (pear) fat

   D.  
Too much insulin

32)

A pt has had a very poor p.o. intake for 2-3 months PTA. When you visit them, you write in your SOAP note to monitor 3 labs very closely because they decrease drastically with refeeding. What are they?

33)

A pt is taking Sibutramine (Meridia). What is the MAIN reason people take this pharmacological agent?

34)

What must one's BMI be in excess of to quality for bariatric surgery?

56)

What is the DASH diet higher in that seems to make it effective?

67)

Which of the following supplements seems to decrease LDL cholesterol?

58)

A PCO is all of the following with one exception:

59)

What is another name given to CoQ-10?

60)

A pt you visit has a wired jaw. What is the most appropriate diet to place them on for 8 weeks?

Position Paper 700 words about Ethical Issues at the End of Life in example Physician assisted suicide, Euthanasia,Palliation and pain management, Withholding and withdrawal of treatment, Withholding or withdrawal of medically assisted nutrition and hydration, Advance directives, End of life decision-making for unbefriended patients (no known proxy), Overriding an advanced directive by a family member or provider, DNR in the OR Aggressive end of life treatment for patients with advanced Alzheimer’s, dementia, or other chronic mental illness

The assignment will be scored according to the following rubric:

t is a beautiful Indian Summer fall Saturday evening in September. The barbeque pit is lit and the coals are warming and ready for those tasty burgers you are cooking for supper. The phone rings just as you are about to put the burgers on the fire. It’s work! You are requested to report immediately to El Centro Medical Center. There has been a horrific airplane crash at DFW. Two planes were involved. One plane was taking off and the other landing. The impossible happened. They collided into each other just as each was a few yards off of the runway. There are approximately 500 passengers plus the crews. Smoke covers the scene, not a good sign. Emergency workers are on the scene trying to get survivors transported and triaged. You are working at one of the receiving hospitals

. Assume the role of the emergency department director what should you do should this manager do to prepare their hospital staff to receive the injured? Be specific as to the role of the employees

The survivors continue to arrive for 4 hours and need to be received and triaged for an additional 12 hours. How will you attend everyone ?

How would you as a manager handle the press, the government groups, and the families?

What type of help will you solicit from other hospital departments/divisions?

PLEASEEEEEE DON´T COPY AND PASTE FROM OTHER ANOTHER ANSWERS

2. A newborn dies hours after birth due to a severe and inoperable heart defect. The mother asks to bathe and dress the infant and asks the nurse for assistance in doing the postmortem care. She asks the nurse to review and explain the hospital procedure and how to mark the tags, the shroud, etc. How would you respond and why?

3. A 4-year-old drowns in a backyard pool and is pronounced dead in the ER. The child’s parents perform and complete the postmortem care with the assistance of the nurse, but are not able to leave when the care is complete. The ER is starting to get busy and the space is needed for new patients. What is the most appropriate action and why?