Abigail Lently is a 51-year-old patient who has recently been diagnosed with chronic obstructive pulmonary disease (COPD). She has come in for a follow-up spirometry test after being placed on her maintenance medications. She admits that she has had a very tough time with smoking cessation. Although she has cut back on the number of cigarettes smoked per day, she has not quit altogether.

1. Shandra, RMA, is working with Ms. Lently during her appointment today. She says to Shandra, “I don’t understand why I am having this test again. I didn’t even understand why I had to have it in the first place when I was diagnosed. What does this test do?” How should Shandra respond?
2. What type of data will Shandra need to enter into the computerized spirometry machine that is used by Pearson Physicians Group? Why will she need to enter these data?
3. After the spirometry test is complete, Dr. Penningworth looks over the results and examines Ms. Lently. He orders blood gas levels to be drawn. These blood tests aren’t drawn in the office, and the patient must go to an outside laboratory. Ms. Lently seems upset by the inconvenience of having to go to the lab to have the blood work done. She asks Shandra, “Why does he want me to do even more testing? What will this blood test show?” How should Shandra respond?

Claude Monet was an artist who was known for his impressionist paintings. Later in life, the choices of colors in his paintings changed. These color choices were the result of a visual disorder. What is the visual disorder and why did it affect his choice of colors?

Formulate an NCLEX question about infective endocarditis. Provide the correct answer with rationales and their resources

Calculate your estimated energy needs using 25-35 calories per kg ideal body weight for your height (show work):

Body Weight 250 Height 6ft 7in

a 72 year old Male patient comes to the clinic with his wife. John says that his balance is off and he is having difficulty walking. He feels lightheaded if he stands up too quickly and is incontinent of urine at times. On physical examination, the client has a noticeable right hand tremor. He shuffles his feet while walking, his facial expression is flat, and his speech is slow and monotone. Identify each abnormality and explain how its mechanism can be explained by Parkinson's disease. What treatment options would you discuss with the patient and his wife? Explain the pathophysiology reason that the treatment works.

How are health disparities identified?

Give 3 examples of a health disparity and discuss the role of the Community Health Nurse in identifying ad addressing these disparities.

What are the community resources available in NYC to address health disparity concerns?

What public health policies exist to address health disparities?

1. List the 2 types of Separation and briefly explain each:

2. Mergers and Acquisitions are changing the face of healthcare, from delivery to the work environment for staff. Briefly explain the difference between “merger” and “acquisition”.

3.What does the concept “Motivation is not a one-size-fits-all strategy“ mean? Explain briefly as it relates to a manager and his/her team.

Which of the following personality traits is negatively correlated with occupational attainment?

Select one:

a. extraversion

b. openness to experience

c. neuroticism

d. conscientiousness

In the table below LIST FIVE SHORT TERM & FIVE LONG TERM opportunity of HL7 based Electronic Health Record (EHR).

Look within your own community health centers and local department of health services. What primary, secondary, and tertiary mental health facilities and services are you able to find to share in the discussion?

#3: A6 year old child is brought to the emergency department by her parents in respiratory distress. The parents state this started right after eating sandwiches. They say this has never happened before. When asked what she ate, the mom says "PBJ on whole wheat bread, celery and carrot sticks, adn chocolate milk" The physician is suspecting a peanut allergy.

A. The mother states to you, the nurse, that she is very concerned because this has not happened before and the child eats peanut butter all the time. How should you respond?

B. Identify some ways to determining if there is allergy to peanuts.

C. What are some nursing diagnoses that would be appropriate in this situation?

All the following question are on folic acid and dTMP synthesis cycle.

a. Explain why folic acid is an important dietary supplement for pregnant women and women of child-bearing age.

b. Name the 2 requirements necessary for active folate.

c. Leucovorin is a form of active folate that can be used in combination with potent anticancer agents. Describe how the combination of 5-fluorouracil (5FU) and leucovorin can enhance the treatment.

d. Explain the difference in administration time between 5FU+leucovorin and methotrexate (MTX)+leucovorin.

Evidence based practice recommends the goal of oxygen therapy for a patient with COPD not be based on liters of oxygen administered, but instead an SpO2 greater --------- % during rest, sleep, and exertion