Question 10
Which of the following is most likely contributing
to the confusion and disorientation in the patient?

a) hyponatremia
b) hyperkalemia
c) azotemia
d) hypotension

Case Scenario: A young woman presents at the clinic six weeks after a gastric bypass surgery. She had more than 100 lbs. to lose and so far, has lost 40 lbs. She expected to gain some strength and begin exercising, but she is very weak. She states that at times she is too weak to even comb her hair. She eats small meals several times a day, but has watery diarrhea and is nauseated much of the time. She is losing her hair and is very discouraged.

2. Question: How are fats absorbed from the small intestine? How might this surgery affect this process? You will need to defend your answer using specific facts, data, and other information drawn from the textbook and at least one other supplemental source.

1)In which of the following rooms should a 23 year old client who has been diagnosed with tuberculosis be assigned by the charge nurse? Until a negative pressure room is available, assign the client to

1. A room with a 20 year old client who has tuberculosis

2. Any room as long as the patient is on TB medications

3. A private room with no roommate

4. The room with clients who have no infection

2)A nurse is discharging a client with TB who has been on medications for 1 week. Which statement by the client indicates that additional teaching is needed?

1. “I need to be sure to include foods that have a lot of calories”

2. “My meds can be stopped in 9 weeks when sputum tests are negative”

3. “As the people I work with need to be tested for TB”

4. “I will wear a surgical mask on my taxi ride home”

3)A priority nursing diagnosis for the newly admitted client who is diagnosed with pneumonia is: inadequate ventilation R/T exhaustion. Which of the following nursing interventions is appropriate for the client?

1. Administer IV antibiotic q 4 hours as ordered

2. Place client in appropriate postural drainage positions

3. Encourage deep breathing 2-3 times each half hour

4. Insure that the ordered O2% is delivered via nasal cannula

4)A nurse on a medical unit is assigning clients to members of the staff. There are 2 RN’s and one LPN on duty. Which client can be safely assigned to an LPN?

1. 60 year old male whose chest tube was inserted 2 hours ago

2. 54 year old female arriving from the ER with pneumonia

3. 34 year old female 36 hours post-op following a colostomy

4. 21 year old female admitted with a diagnosis of R/O appendicitis

5)A patient who has a severe case of community acquired pneumonia had a physicians order for “activity as tolerated”. The best nursing response for the patient should be to

1. Assist the patient to sit in a chair three times a day

2. Ask the patient what activities he would like to do

3. Check pulse before allowing him to stand to urinate

4. Keep patient on strict bedrest for the first 24 hours

Describe how you will seek support from more experienced and qualified staff in the service.

Please respond to the following discussion prompts.
1. Locate an article on the nutritional beliefs of a culture or religion. Provide a summary of the article and include a link to the article. What interventions should be implemented to ensure cultural competence? Use evidence from one scholarly source other than your textbook or ATI book to support your answer. Use APA Style to cite your source.

20-year-old pregnant female with stress incontinence.

For this client, describe how the nurse could intervene to manage urinary incontinence.

Using therapeutic communication,

1. ask three assessment questions
2. list three interventions
3. how will you evaluate the care given

Discuss the difference between food borne illness and food poisoning. Provide an example of each and discuss the mode of transmission, signs and symptoms, treatment, and prognosis. What education would the nurse provide on prevention? Use evidence from one scholarly source other than your textbook or ATI book to support your answer. Use APA Style to cite your source.

Health Issue

Around 25% of the adult population in Saudi Arabia are diabetics which is around 5 million people. One of the biggest causes of so many cases of diabetes is obesity, 40 percent of the population are obese.

Unhealthy eating habits and lack of exercise lead to diabetes and this can cause further complications with people’s health. Around 50 percent of dialysis patients were diabetics, and the same ratio was found in patients with cardiovascular problems.

Saudi Arabia ranks the second highest in the Middle East for the number of diabetics in their country and seventh in the world rate for diabetes.

With that being said, let us assume that the Ministry of Health developed several public health programs to reduce the diabetes rate in Saudi Arabia. The public health programs developed by the Ministry of Health are:

1. Weight-management program: designed to reduce the obesity rate in the Saudi Society.
2. Eat healthy & be healthy program: designed to increase healthy diet consumption and reduce the unhealthy eating habits.
3. Exercise and health education program: designed to make community members engage in physical activities and stay active.

Now assume you work for evaluation agency that provides evaluation services for all kinds of public health programs. The Ministry of health asked your agency to evaluate their programs. Your agency creates evaluation team specifically to evaluate all the above-mentioned programs. The team leader asks you to choose one of the programs to develop evaluation framework. The framework is based on the steps mentioned below. You must answer each question thoroughly. Use the knowledge and skills you learned from the course to help you answer the questions. You may use responsible assumptions to complete this assignment.

1. Stakeholders Engagement and evaluation program description
   1. What is the name of the program you choose? Identify specific people in the program who might be involved in the evaluation.
   2. Identify specific groups, people, or organization who are served or affected by your program.
   3. What problem does your program address? What are the projected outcomes?
   4. What are the factors or issues that might affect your evaluation program?
2. Evaluation design and gathering credible evidence
   1. What is the purpose of your program evaluation? Choose and describe one of the following:
      1. Improvement,
      2. Accountability,
      3. Knowledge.
   2. Identify the specific users of your evaluation findings (such as: program managers, funding agencies, health officials). How do you think they will use that findings?
   3. What data will you need to gather to measure the outcomes and activities of your program? How will you collect the data you need?
   4. What resources will you need to implement your evaluation? Resources may include people, skills, technology, money, etc.
   5. List two types of data you will collect in your program. How you are going to make sure the data you collected is credible and accurate?

Please provide thee full pathologic explanation and references why the pulse rate is 138/min in septic shock?

What are the major benefits of being able to share information in individual case safety reports (ICSRs) and view reports submitted in other countries?

provide 5 unique features of brain anatomy and physiology and explain how they affect brain injury patterns

what 5 features of the brain can affect brain injury patterns ?? idk how else to word this strange question

what does the organization base the criteria on in discriminating….that is where job analysis, job description, and KSAOCs come in. For the discrimination to be legal the criteria must be based on KSAOCS that are in the description, which are derived from the job analysis. Then of course you document, document, document your process. The challenge may not be discrimination per se, but unconscious bias which could lead to disparate impact. I do believe everybody has them…the challenge is to recognize them and moderate them. What do you think about unconscious bias? Have you read anything in the healthcare literature that mentions it? How might that affect quality of healthcare?

Describe relationships among the medical assistant the employer and coworkers and how to resolve conflict?