How does SARS_COV2 attack the immune system? How does it affect the pulmonary system? What makes this disease so devastating for some, resulting in 'cytokine storm', the need for a ventilator, and death? For survivors, what are the long term effects of having this disease? Finally, after doing some research, what questions do you have about this disease?

The advances on pancreatic transplant for diabetes

Any suggestions for improving the documentation:

Is it ethical for the federal government to pay the costs of kidney dialysis for all patients, regardless of age or income, as it now does, but not to pay the costs of other illnesses? Which would be more reasonable and more feasible: extending benefits to those who have other illnesses or withdrawing them from those who need kidney dialysis?

1. What policies do you think the government could implement to make healthy choice the easy choice for all, regardless of their ZIP code or family income?
2. Do you think the policies you suggested will be supported by most people? Will anyone be negatively affected by your policies?

Death with Dignity Act in Maine

legal/ethical areas: give the legal/ethical conflict/violation - the

issue and what makes it so.

1. what specific ethical principles/theories come into play in this relationship
2. how the nurse would arrive at an ethical response in the situation
3. Compare and contrast the issue with professional nursing ethics/legal standards [compare with the ANA's ethical stance on Euthanasia and the ANA Code of Ethic

What factors make it easier for some mainstream health care occupations compared to others to approach or attain professional status? (Do not include alternative healers in your answer.)

What similarities and differences do you see between curanderos and acupuncturists in terms of who they serve, how they enter the field, and their current social and legal positions?

S.H. is a 25-year-old man who comes to the emergency department with chest pain radiating to the arm, behind sternum.

Subjective Data

• Character. Substernal chest pain, pressure, heaviness, or discomfort. Other sensations include a squeezing, aching, burning, choking, strangling, or cramping pain.
• Severity. Pain score of 10
• Location. Behind middle or upper third of sternum radiating to the arm.

Objective Data

• Physical Examination
• Blood pressure 189/92, pulse 120, temperature 97.7° F, respirations 22
• Labs

1.The health care provider diagnoses S.H. with CHF disease. What are the common causes of CHF disease

2.Name 2 priority nursing diagnosis for SH with 2 interventions, and 2 nursing goal with teachings.

3.S.H. is being discharged with prescriptions Inderal (Propranolol) and Nitroglycerin and recommendations to follow up with his primary care physician in 3-4 days.

4.What should your discharge teaching for S.H. include?

Syphilis Pregnancy

35 y.o. G4P3 presents at 30 weeks for her prenatal visit. The FOB of this baby is the same FOB as her last child, born 10 months ago. During that pregnancy, she was negative for all STI. Her 29 week labs were normal with the exception of a positive RPR with a titer of 1:2400. She then had a positive T. Palladium. She has had no new partners. FOB was last tested 8 months ago and was negative.

Allergies: Penicillin – was told she had hives as a child

Medications: Prenatal vitamins and iron

PMH: Migraines

PSH: None

OB History:

5 years ago NSVD, no complications in pregnancy or delivery

3 years ago NSVD, no complications in pregnancy or delivery

10 months ago NSVD, no complications in pregnancy or delivery

Current pregnancy history: Normal pregnancy course

Social history: Does not drink alcohol, does not smoke cigarettes, smokes marijuana daily, no other drug use.

1.     Subjective: Write out the subjective information. Write what other information you would want.

2.     Objective: Write out an objective assessment that you would expect to find. Include only the relevant systems.

3.     Plan: Based on the information provided, what would your plan for treatment be?

4.   How would you interpret her labs in terms of RPR Reactive, Titer 1:2400? Please explain how the titers are run.

5.   There are two ways to test for syphilis in pregnancy. The first is what we see in this case and the second is what is known as the “reverse algorithm”. Please describe the two ways and the advantages/disadvantages to each.

6.   What is your education on the risks to baby?

Bells palsy

Talk about the body system that is affected. (Respiratory, Cardiovascular, etc.)

What causes this disease? (Are the causes’ genetic susceptibility, environmental, lifestyle factors, another disease etc.…)?

Name three to five patient teachings associated with this disease.