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.
In: Nursing
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?
In: Nursing
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.
In: Nursing
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.
In: Nursing
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:
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?
On average, how many servings did you have from each individual food group per day (dairy, fruits, vegetables, protein, grains, and fats/oils)?
Identify your diet’s strengths.
Identify your diet’s weaknesses.
Are you currently following a special diet or restricting any particular foods from your diet for any reason? If so, please describe.
How often do you eat out or order take-out?
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.
Identify five (5) vitamins or minerals that your diet has a deficient intake.
Are there any vitamins or minerals that you are consuming too much?
In: Nursing
______________ 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
In: Nursing
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.
In: Nursing
In: Nursing
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.
In: Nursing
Who are the future leaders of health care? Where can current health care professionals find these individuals and how can these future leaders be supported in their development? In the next 5-10 years, what are two leadership roles that will be critical in supporting continuous quality improvement in health care? Explain your answer.
In: Nursing
Robert Greenwood, a 70-year-old male, arrives at the clinic for blood pressure checkup. he denies pain. his vital sign are TPR 97.4-66-20, BP 158/90, O2 sat 96%. He is 69 3/4 inches tall and 165 lbs. His previous records indicate that he is allergic to "sulfa drugs". He states that he is currently taking Lipitor, 20 mg, on every day; atenolol, 50 milligrams, one every day; and 81 mg of asprin daily. He denies using alcohol, tobacco, and recreational drugs and does not know when he had his last tetanus shot. progress note documentation
In: Nursing
In: Nursing
A medical assistant calls in her patient, an African American transgendered woman (in her late 40s) to take a patient history, blood pressure, weight, and other vitals before she sees the physician. The assumption is that she is of middle class economic status. The medical assistant notes in her history that she is in the process of transitioning from male to female and questions the patient’s religious beliefs in relation to her decisions. The patient becomes agitated and expresses to the medical assistant that this is none of her business. The patient replies that she is here only for her annual physical. The medical assistant proceeds with preparing the patient for the physician. The medical assistant notes the woman has extremely long, thick hair in a style known as locks. As the patient stands on the scale, the medical assistant asks her how much she believes she would weigh without her hair. The patient is rather surprised and responds by stating that she doesn’t understand the question. She looks at the medical assistant, who has short blonde hair and asks, “Do you mean if my hair was short? I don’t understand your question.” “No, the medical assistant replies, “I mean if you remove your hair.” The patient became quite offended because her hair is her own and cannot be removed. She tells the medical assistant that her question was inappropriate and inaccurate and asks if she could just record her weight and move on to the blood pressure. The medical assistant looks at her with trepidation, still suspicious about her hair, and asks the patient to roll up her sleeves, so she can apply the blood pressure cuff. The patient is visibly offended, based on her expression, but receives no apology from the assistant. After completing the blood pressure check, the medical assistant tells the patient her blood pressure is very high. “You may want to consider cutting out soul food.” The patient replies curtly, “I am a vegetarian, and I don’t eat soul food.” The medical assistant leaves curtly, indicating that the doctor will be right in to proceed with the exam. The patient seriously considers leaving as she waits for the doctor because she has been so offended.
If you were the office manager or physician, evaluate this medical assistant against a “code of conduct.” Create an office policy statement to guide cultural sensitivity training of all staff to ensure the quality of care. The policy statement should be at least six paragraphs of methods and affective behaviors that should be exhibited by all staff as it applies to this case study and your research.
In: Nursing
1. What happens to the body temperature during exercise and why?
2. What physiological adaptations occur that allow a person to acclimate to exercise in the heat?
3. Describe the conditions at altitude that could limit the ability to perform physical activity.
4. What types of exercise are detrimentally influenced by exposure to high altitude and why?
APA format required; references
In: Nursing
M. S., a 23-year-old unmarried female, has a recent history of gonorrhea. For the past two weeks, she has had a heavy, purulent discharge and general malaise. Concerned that her symptoms appear to be worsening, M. S. made an appointment at the gynecologic clinic. The clinic physician palpated her abdomen and did an examination. M. S. experienced lower abdominal pain and tenderness, which was increased during the pelvic examination. Cultures were taken on the material removed from the vagina and cervix. A diagnosis of acute PID was made based on the data gathered. It was decided that M. S. should be admitted to the hospital so that maximum doses of antibiotics could be administered and the course of her infection followed more closely.
In: Nursing