Discuss factors that contribute to the changes in the myocardium and show an image of the changes. (PLEASE TYPE YOUR RESPONSE BECAUSE EVERYBODY'S HANDWRITING IS DIFFERENT AND SOMETIMES HARD TO READ)

Throughout this course, we have tried to emphasize the importance of meeting our nutritional needs through healthy food choices. This question asks you to put your knowledge to work and show what you know about our requirements for protein.   

a. John is a healthy 6 ft., 200 lb male, whose recommended caloric intake is 2000 calories a day. He is in a sedentary job, but goes to a personal trainer twice a week. The trainer has recommended that he take a protein supplement to add muscle. John is considering adding a high protein shake to his diet. He decides to evaluate his protein intake to see if the supplement is really necessary.

Based on the Guidelines for proportionality, how many calories of high quality protein should he consume a day?

a. John should consume between ______________ and _______________ calories from protein foods. Write your answer on line 1.

b.  John had an egg and two slices of bacon for breakfast. The egg had 6 grams of protein and the two slices of bacon had 16. How many calories of protein did John consume at breakfast? _______________calories Write your answer on line 2.

John skips lunch, but goes to his favorite steak house for an early dinner. Presented with options of a 6, 9, or 12 oz steak, he chooses the 9 oz. portion. This particular 9-oz steak contains 74 grams of protein. How many calories of protein are supplied by the steak? ___________ calories Write your answer on line 3.

He also has a corn on the cob which supplies 4.5 grams of protein and a Parkerhouse roll which has 3 grams of protein. How many calories does he get from these two food items? ______________________ calories Write your answer on line 4.

d. What is the total number of calories from protein that John consumed during the day ? ___________________ calories Write your answer on line 5

e. Does John need to take the protein supplement recommended by his trainer, or did he meet his protein needs for the day? Explain your answer on line 6

Which of the following statements about the U.S. healthcare system is true?

One goal of the Affordable Care Act is to provide self-employed or unemployed individuals who have private health insurance the option to buy a less costly government-sponsored plan.

All firms with 50 or more workers must provide employee health insurance.

To help terminated employees continue with health insurance coverage, all firms that provide workers with health insurance must provide and pay for the COBRA health insurance continuation benefit.

In 2017, Texas and Oklahoma had the highest (health) uninsured rates with Massachusetts having the lowest uninsured rate.

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?