national healthcare issue and consider how that issue may impact your work setting
In: Nursing
1. Explain what toxins and chemical agents are in the food supply.
2. Discuss how the food supply is protected in the United States.
In: Nursing
Who agencies are responsible to create national health days, in the world? Explain.
In: Nursing
Mindbender Anti-hypertensive-Diuretic Case Study
An African-American 65-year old man has a history of diabetes and chronic kidney disease with baseline creatinine of 2.8 mg/dL. Despite five different antihypertensives, his clinic blood pressure is 176/92 mm Hg and he has 2-3+ edema on exam. He has been taking furosemide 80mg twice a day for one year now. He has mild dyspnea on exertion. At the clinic visit, hydrochlorothiazide 25mg daily is added for better blood pressure control and symptoms/signs of fluid overload. Two weeks later, the patient presents to the emergency department with symptoms of weakness, anorexia, and generalized malaise. His blood pressure is now 91/58 mm Hg and he has lost 15kg in two weeks. His laboratory test are significant for a serum creatinine of 10.8.
1. What has led to the acute kidney injury? 5pt
2. What is the reason for the weight loss? 5pt
3. What precautions could have been taken to avoid this hospitalization? 5pt
4. The 65-year old man (J.J) brings his adopted-son, also African-American, a 35- year old man (M.J) to Roosevelt General emergency room due to having a blood pressure of 150/95 mm Hg. He has been generally healthy, is sedentary, drinks several cocktails per day, and does not smoke cigarettes. M.J has a family history of hypertension, and his biological father died of a myocardial infarction at age 55. Physical examination is remarkable only for moderate obesity. Total cholesterol is 220, and high-density lipoprotein (HDL) cholesterol level is 40 mg/dL. Fasting glucose is 105 mg/dL. Chest x-ray is normal. Electrocardiogram shows left ventricular enlargement. How would you treat this patient? 5pt
5. A grad student taking Prof A.J pharmacology course is on grand-rounds at Roosevelt General and overhears some M3 and P4 students discussing the 35-year old man (M.J) case. Both students mentioned M.J had a history of angioedema which caused his face and tongue to swell. Unfortunately, they couldn’t figure out which drug caused this adverse effect and he had no home meds listed in his patient profile. So, they went to ask M.J, but he couldn’t remember the name of the drug. Not wanting to ask their preceptor, both students decided to ask the grad student (You)!!
a. What drug did Prof A.J discussed in class known for causes angioedema? 2.5pt
b. What is the next best option You would recommend to the M3 and P4 students that does NOT cause angioedema? 2.5pt
In: Nursing
In: Nursing
In: Nursing
Is the EPA has done a good job monitoring the safety of public water systems?
In: Nursing
Chapter 10, The Interview and Assessment Process
1.You have been asked to conduct an interview for a psychiatric–mental health client.
a} What part of conducting an interview to obtain psychosocial data on a client is most difficult for you?`
b} What part of conducting an interview to obtain psychosocial data on a client is relatively easy for you?
What are your strengths as an interviewer and what skills do you need to develop?
You are working at a psychiatric–mental health facility that uses the PERSONS acronym for collecting data in the initial patient assessment.
c} Choose one of the letters of this acronym and explain the data that would be collected under that letter.
d} For your chosen area, list five questions that you would ask to elicit information from a psychiatric–mental health client.
The nurse is caring for a 39-year-old American Indian psychiatric mental health client.
e} What is the importance of assessing cultural needs in a psychiatric–mental health client?
f} What is the importance of assessing spiritual needs in a psychiatric–mental health client?
Your nursing instructor lectured on standardized tools in class today. You took good notes and you are attempting to explain these tools for a fellow nursing student who was sick and missed class.
g} What are some of the standardized tools your instructor discussed? Which healthcare professional would use the tools discussed? What are the tools used for?
h} Why do healthcare professionals use standardized tools?
In: Nursing
Exercise Prescription Assignment
Demographic Data
Client: 35 year old femaleResting BP: 132/84 mmHg
Resting HR: 83 bpmTotal cholesterol: 203 mg/dl
Max HR: 185 bpmHDL-cholesterol: 62 mg/dl
Height: 67 in. (170.8 cm)LDL-cholesterol: 110 mg/dl
Body Weight: 143 lbs (65 kg)Daily Caloric Intake: 2000 kcals
Body Fat: 23%Activity Level: lightly active
Desired Body Fat: 20%Job: office work (sitting, standing)
Muscular Fitness Data (1 RM’s)
Bench Press: 90 lbsArm Curl: 45 lbsLat Pull-down: 85 lbs
Leg Press: 230 lbsLeg Extension: 80 lbsLeg Curl: 40 lbs
Cardiorespiratory Fitness Data (Treadmill Test)
| Stage |
Speed (mph) |
% Grade | METs |
Time (min) |
HR (bpm) |
RPE |
| 1 | 3 | 1 % | :45 | 90 | 0 | |
| 1:45 | 92 | 1 | ||||
| 2 | 6.0 | 2.5 % | 2:45 | 105 | 3 | |
| 3:45 | 107 | 3 | ||||
| 3 | 6.0 | 5.0 % | 4:45 | 128 | 6 | |
| 5:45 | 132 | 6 | ||||
| 4 | 6.0 | 7.5 % | 6:45 | 145 | 7 | |
| 7:45 | 146 | 7 | ||||
| 5 | 6.0 | 10 % | 8:45 | 160 | 9 | |
| 9:45 | 168 | 10 |
Data Analysis *{SHOW WORK FOR ALL CALCULATIONS}
In: Nursing
what strategies will you use to holistically support an infant's development and learning?
In: Nursing
During the examination of the abdomen a patient experiences right lower quadrant rebound tenderness. The nurse should do which additional assessment techniques for this patient?
-Assess the Murphy's sign
-Percuss to assess the organ's size
-Assess the Rovsing sign
-Test for a fluid wave
In: Nursing
An 82-year-old female patient admitted in a long-term care facility tells the nurse that she became at least 2 inches shorter in the last couple years. The nurse understands that she became shorter because of the following: (SELECT ALL THAT APPLY)
A. Postural changes associated with aging
B. Lower back pain and joint stiffness
C. Intervertebral discs thinning
D. Bone resorption an ongoing osteoporosis
E. Possible untreated congenital deformities
In: Nursing
Describe the mandated ratios and supporting rationale.
In: Nursing
Glascow Coma Scale – Know how to calculate a score
What is decorticate posturing?
What is decerebrate posturing?
Review the types of brain injuries i.e. focal, coup contre coup etc.
The impact of hypoxia on brain cells
What is the difference between a hemorrhagic stroke and a thromboembolic stroke?
Priority assessment for a patient on a ventilator
What are clinical manifestations of a patient with a DVT and a PE
What forms can carbon dioxide travel through the blood?
What is the process of moving air into the lungs called?
What is cor pulmonale and what are some of the causes?
What is a pneumothorax? Review the types of pneumothorax
Where is the brain’s respiratory center?
What is the purpose of surfactant?
Appropriate nursing interventions for emphysema
Purpose of the rescue inhaler for asthma patients
Clinical manifestations of bronchitis
What is polycythemia vera?
What causes pulmonary hypertension?
What lung disease causes destructive changes of the alveolar walls and enlargement of the distal air sacs
Adequate management of asthma
Clinical manifestations of a patient with acute respiratory failure (What would we expect the oxygen and carbon dioxide levels to be)
Clinical manifestations of a patient with cystic fibrosis
Know your normal ABGs.
Priority nursing intervention for a large wound
What is the impact of a myocardial infarction?
What lab values would a complete blood count (CBC) include?
Priority assessment for a patient with pneumonia
What is the significance of the hemoglobin?
What is polycythemia vera?
Hodgkin vs non Hodgkin disease
What is homeostasis and what are the 3 main parts of hemostasis? Know the steps in hemostasis
What is hematemesis?
What is erythropoietin?
What are erythrocytes and what are their functions?
What is the purpose of doing blood coagulation studies?
What is the role of the liver in clotting?
Priority assessment for a CHF patient
Priority assessment for a patient experiencing chest pain
What are the types of risk factors for patients with a hx of hypertension?
Cause of hypovolemic shock
Cause of septic shock
What is angina pectoris?
How do providers determine the causes of acute coronary syndrome (ACS)?
Effects of heart failure
Clinical manifestations of rt sided heart failure
The role of the lymphatic system in reducing edema
What is the difference between a MI and unstable angina?
What occurs in the late stages of shock?
What are some hypertension management techniques?
Two organs most affected by uncontrolled hypertension
What is the impact of increased intracranial pressure?
What is the area of the brain surrounding the area of infarct after a stroke called?
What is reperfusion injury?
In: Nursing
1- Explain how lead inhibits heme synthesis.
2- Explain the difference in the chemical composition of hemosiderin and ferritin.
3- How is sideroblastic anemia confirmed by laboratory analysis? Explain your answer.
4- Differentiate primary and secondary hemochromatosis?
5- Explain the absorption and assimilation of non-heme iron into hemoglobin in the RBC.
In: Nursing