Identify 5 different Pediatric Cardiovascular disorders and 5 different Pediatric Neurologic disorders . Include the appropriate Nursing Management for each disorder.

Study Guide: Hypersensitivity Reactions

1.

1. What stimulates the release of molecules from mast cells during a Type I hypersensitivity reaction?a

2. Compare the role of mast cells in the immediate hypersensitivity Type I reaction to that of the role of mast cells in the late phase of the Type I hypersensitivity reaction.

1. Type IV reactions are also referred to as delayed type hypersensitivity. What immunological processes occur during the sensitization phase of a Type IV reaction compared to the effector phase?

2. Considering the relationship between these two phases, why are Type IV reactions called delayed type hypersensitivity?

What does the medical assistant do when a patient is having an endoscopy procedure done?.

Identify and compare key players to the foundation of nursing practice

Training methods are crucial when it comes to using databases. Studies have shown that HANDS-ON training is just as effective as classroom and group training techniques.

Allocating sufficient resources to system implementation allows individuals to know that the system works properly, is stable and secure. What is another positive result that comes with having resources available during system implementation?

What is an objective of the IT strategic planning process?

what are some nursing interventions for assessment of data?

Louis, a 60-year-old male, has not been feeling himself lately. He has been drowsy and fatigued. He becomes short of breath walking from one room to the next. On a recent visit, his daughter noticed that he seemed to be scratching a lot. His legs, ankles, and feet were extremely swollen and his shortness of breath was becoming worse. He began to complain of chest pain and was immediately taken to the emergency room. A review of Louis’ medical history revealed that he was currently being treated for a urinary tract infection. His infection was resistant to the antibiotics that he was initially treated with. He began treatment with gentamicin 5 days ago. Physical examination confirmed the observations of Louis’ daughter. A urinary catheter was placed in Louis’ bladder in order to determine urine output. A sample was sent to the laboratory for analysis. His urine analysis showed cloudy, dark urine. Casts were seen. A diagnosis of acute renal failure due to nephrotoxic acute tubular necrosis (ATN) was made.

Explain the pathophysiology associated with nephrotoxic acute tubular necrosis.

The patient was a 5-year old male who awoke on the day prior to evaluation with a sore throat and fever. His mother treated him symptomatically with Tylenol, and he stayed home. That night, he slept well, but the next day he awoke still complaining of sore throat and fever, as well as headache and abdominal pain. On physical examination, he had a fever, and his anterior pharynx and tonsils were red. His anterior cervical lymph nodes at the angle of the mandible were enlarged and tender. No skin lesions or rashes were seen. He did not have a cough, runny nose, or conjunctivitis. A rapid antigen test for Group A streptococci (GAS) was taken, and the results were positive. As a result, the clinician prescribed a 10-day course of oral amoxicillin.

Based on his clinical presentation, what organism was most likely causing this patient’s infection? Explain what bacterial virulence factors are important for the development of the sore throat.

Sore throat associated with a macupapular rash is frequently seen with this organism. What is this condition called? What virulence factors are responsible for this rash?

Was antimicrobial therapy necessary in this patient? Explain.

This patient is a risk for noninfectious sequelae. What are they? Describe our current understanding of the pathogenesis of these nonsuppurative sequelae. What bacterial virulence factors are important for the development of these diseases?

Case Study: Global Healthcare Public Policy Imagine that in the near future, the global community has been wracked by successive crises including economic upheaval, severe food and water shortages, and attacks on human dignity. In response, nationwide grassroots movements of young people have elected members of congress and parliament who support restoring leadership throughout the world in the areas of health, freedom, and human rights. Groundswells invoking liberty and justice are sweeping Europe, Africa, South America, Oceania, and the United States. Prompted by this worldwide atmosphere of new hope, the United Nations is convening a World Congress of Present and Future Human Flourishing. Conference sessions will focus on the right to healthcare, health disparities/health inequities, emerging infectious diseases, food and water security, and mechanisms for global environmental and climate governance.

Ethical Analysis

1. Discuss the role of the principles of biomedical ethics in helping to establish a robust global healthcare community capable of providing services to all those in need.

2.Analyze the persistence of global undernutrition and poverty from the perspective of the biomedical ethical principles of autonomy and justice. Describe two global public policy solutions to meaningfully influence these social determinants of health.

3. Analyze the importance of helping to ensure optimal maternal and newborn health from the perspective of the biomedical ethical principles of autonomy and justice. Describe two global public policy solutions to meaningfully impact these social determinants of health.

Assignment #1: 3-Day Diet Record

Required to Submit:

• Title Page

• 3-Day Diet Record

Title page must include the following information, which must be centered vertically and horizontally on the first page:

• ∙ The title: Semester Diet Project

• ∙ Your Name

• ∙ Course Title and Section Number

Completing the 3-Day Diet Record

For this assignment, you will be completing a 3-day diet record, which will include two weekdays and one weekend day.

In the Diet Project Resources Module in Canvas, you will find a document titled Diet Record Instructions. Review the instructions for filling out a diet record. Use the good and bad examples to help you complete the diet record. Be sure to be thorough and complete when recording your diet. I suggest that you print this document and bring it with you during the days you are recording your diet. The section on estimating serving sizes provides useful rough measuring guides to help you record the amount of each food item you will be recording. The last two pages contain the diet record sheets you will be using to record what you eat each day.

A second document titled Diet Log Sheets is also located in the Diet Project Resources Module in Canvas. Use this document to create your digital diet record. After recording your diet with pencil and paper on the printed diet logs, transfer your diet logs to the Diet Log Sheets document.

Only typed diet records will be accepted for submission in Canvas and you must use the Diet Log Sheets provided. Points will be deducted from your assignment if you do not turn in a typed diet log using the Diet Log Sheets document provided.

Assignment #2: Individual Macronutrient Requirements and Diet Report

Required to Submit:

Previous assignment #1 and ….

• Your Individual Macronutrient Requirements for: Total kcals, Protein, Fat, Carbohydrate & Fiber

• Completed Diet Report

• Complete the Report Questions

Completing the Diet Report

• Once you have recorded your 3-day diet, . You can also access the website in the Diet Project Resources module in Canvas.

• Instructions on how to generate the Cronometer nutrition analysis report can be found in the Diet Project Resources module.

Complete the Diet Report Questions

After completing the online nutrient analysis of your diet, answer the following questions below:

1. Did you meet your individual macronutrient goals? Identify which ones you met and which ones you did not. If you did not meet a requirement, why do you think you did not?

2. On average, how many servings did you have from each individual food group per day (dairy, fruits, vegetables, protein, grains, and fats/oils)?

3. Identify your diet’s strengths.

4. Identify your diet’s weaknesses.

5. Are you currently following a special diet or restricting any particular foods from your diet for any reason? If so, please describe.

6. How often do you eat out or order take-out?

7. Are there any barriers to you eating a healthy diet? Examples of barriers include finances, proximity to grocery stores vs convenience stores, lack of cooking skills/time to cook, etc.

8. Identify five (5) vitamins or minerals that your diet has a deficient intake.

9. Are there any vitamins or minerals that you are consuming too much?

______________ suggests that effective leadership was associated with traits, ie: emotional intelligence, integrity etc……… a. trait theory b. skill theory c. behavior theory d. none of the above

discuss the key differences in the following leadership styles.

1.      Facilitative leadership

2.      Laissez-faire leadership

3.      Coaching leadership

Include in your response to how each of these leadership styles could be used in a nursing context.

The patient was a 28-year-old female who came to the United States from the Philippines 5 years ago. Two years ago, she was diagnosed with systemic lupus erythemathosus. On admission, she stated that she had a persistent fever of 38-39°C for the past 4 weeks. Approximately 4 weeks ago the entire family became ill. The patient and her husband had symptoms consistent with an upper respiratory infection, and the children had tonsillitis but improved. The patient and her husband were prescribed azithromycin, but only her husband improved. The patient had anorexia with 15 lb of unintentional weight loss in the past few months, as well as nausea and lethargy. Her physical examination was relatively benign with the exception of an abnormal chest CT scan showing small granulomas throughout her lungs. The patient was sent for a bronchoscopy, and lavage fluid was sent to the lab for bacterial, fungal and mycobacterial cultures and stains. The bronchoalveolar lavage fluid rendered acid-fast organisms.

1. What organism was most likely causing the infection?

2. Describe the natural history of infection with these organisms. Explain the role of the host immune system (cells, cytokines) in the development of the disease.

3. The organism isolated from this patient showed resistance to Isoniazid, rifampin, pyrazinamide, ethionamide, capreomycin. How would you classify this organism? What is the global prevalence of this disease? What is the significance of her being from the Philippines?

4. What is a PPD skin test (also called Mantoux or tuberculin test)? What is its value for the patient? What additional tests are available for detecting latent infection with this organism?