What tensions do you think you might experience arising from the differing worldviews of administrators, health care providers, and patients?

1. Compare and contrast Medicaid and Medicare.
2. Discuss the 4 components of Medicare.
   • Where are these 4 components applicable and why is it important to know this information?

3. Discuss the collections process.
   • Describe the statement, dunning notices, and rules regarding the collection process.

A 42 year-old male with history of insulin dependent diabetes has an appendectomy secondary to appendicitis. Upon his arrival home, he noted increasing abdominal distention, fever, heavy breathing, shortness of breath and palpitations. He presented to the emergency department with pronounced abdominal distention, hypotension and altered mental status. His labs reveal a leukocytosis, bandemia, anion gap, positive blood cultures x2, creatinine elevation and hyperglycemia.

1. What is the primary diagnosis for this patient? Support your answer using the pathophysiology of the disease.

2. What is the most likely cause for this presentation?

3. What do you anticipate his treatment plan to include?

1. Should there be a right to healthcare? If so, how much should be provided? In your answer, you must discuss the concepts of negative and positive rights and you must explain which bioethical principles you are using to justify your position.

2. It is generally accepted that autonomy should be followed when end of life care decisions are made; however, some bioethicists have challenged this, stating that there are some situations when the patient's autonomy should be overruled. Discuss these situations and argue for (or against) each situation from an ethical standpoint.

Develop a plan of care recognizing TWO actual and ONE potential health problem for the following patient. (NO MORE THAN 10 NURSING INTERVENTIONS) (15 mrks)

Sandra Payne is a 66-year-old female who was admitted to surgical unit with a history of hyperthyroidism for thyroidectomy. Despite Mrs. Payne increase in appetite, she has lost 15 pounds within last month. She complains of intolerance to heat and sweats profusely. She also complains nervousness and irritability. Her vital signs are T37.6 P 108 R 24. Recently, she has refused visitor claiming that she is ashamed of how she looked and ask you the nurse why she have to have surgery?

who is a oxygen concentrator used for, 2) Explain oxygen therapy guidelines,3) oxygen therapy systems how often should they be cleaned ,4) what is the flow rate for a nasal cannula,5) where do you have to evaluate for pressure soars ,6) Explain the diffence between the five types of masks , 7) what is pulse oximetry, 8) what is important to check for during portable nebulizer treatment

1- Identify methods of infection control and how it can be applied in the community.

2- Describe the Holistic approach and what benefits it provides.

3- Identify population at risk for communicable diseases and how can they be protected?

A 25-year-old previously well woman presents to doctor’s office with complaints of episodic shortness of breath and chest tightness. She has had the symptoms on and off for about 2 years but states that the have worsened lately, occurring two to three times a month. She notes that the symptoms are worse during the spring months. She has no exercise-induced or nocturnal symptoms. The family history is notable for a father with asthma. She is single and works as an administrative assistant in a high-tech firm. She lives with a roommate, who moved approximately two months ago. The roommate has a cat. The patient smokes occasionally when out with friends and drinks socially, but has not history of illicit drug use. Examination is notable for mild end-expiratory wheezing. The history and physical examination are consistent with a diagnosis of asthma. Pulmonary function tests are ordered to confirm the diagnosis.

1. What are three categories of provocative agents that can trigger asthma? What are some possible triggers in this patient?

2. Describe the early events responsible for the pathogenesis of asthma. How does this result in chronic airway inflammation and airway hyperresponsiveness.

3. Define wheezing. What pathogenetic mechanisms are responsible for this patient’s symptoms of wheezing, shortness of breath, and chest tightness?

4. What might you expect the results of her pulmonary function tests to be? Why?

A 67-year-old man presents to the doctor’s office with worsening cough, sputum production, and shortness of breath. He has been a cigarette smoker for the past 50 years, smoking approximately 1 pack a day. He has a chronic AM cough productive of some yellow sputum but generally feels ok during the day. He was in his usual state of health until two weeks ago when he developed a cold. Since then, he has had a hacking cough and increased thick sputum production. He also has had difficulty walking more than a block without stopping due to shortness of breath. Physical examination reveals prolonged expiration and audible wheezing. Chest x-ray shows hyperinflation of both lungs with a flattened diaphragm.

1. What are the two major clinical syndromes classified as chronic obstructive pulmonary disease? How do they differ?

2. Of the two syndromes above, which is predominant in this patient? What are the epidemiology and predisposing factors for this condition? What is the most important identified genetic risk factor for the evolution of COPD?

3. What might be pulmonary function tests show in this patient since he shows “prolonged expiration” i.e FEV1/FVC?

4. What does ventilation-perfusion mismatch mean? How do arterial blood gases different in chronic bronchitis and emphysema and related it to “pink puffer” or “blue bloater”?

what are pharmacological treatment of acute cough?

You are reinforcing teaching about administering insulin injections. What should they know about giving injection? How will you know if the patient understands how to administer the injection?

Name these components for different types of insulin (Refer to the Davis Drug Guide):

Insulin Aspart,-
NPH Insulin-
Insulin Regular-
Insulin Glargine