A 64 yr old man comes to the emergency department with acute chest pain. He is holding his chest with his fist directly over his sternum. He is diaphoretic. He is in work clothes and has been mowing the lawn. It is 98F outside.
What nursing actions would be appropriate immediately?

The greatest source of sodium in the American diet comes from the salt added:

Which form of iron is more easily absorbed?

1. Which of the following minerals is involved with insulin production and glucose utilization? It is currently being researched for use in diabetic treatment, but it has also been marketed by the supplement industry (without substantiated evidence with human subjects) as being able to build muscle and melt fat.

   		Selenium
   		Chromium
   		Copper
   		Potassium

2. This mineral functions as an antioxidant in the body and protects the body from free radicals and their damage. It works in conjunction with Vitamin E and protects against chronic diseases, such as cancer. Which mineral is described?

   		Selenium
   		Chromium
   		Sodium
   		Calcium

3. The thyroid gland becomes enlarged during a deficiency of this mineral, as the gland cells attempt to trap and store the dwindling supply of iodine. This condition is known as:

   		Gout
   		Arthritis
   		Goiter
   		Pernicious anemia

4. An excess of which mineral may be consumed if a person is a regular user of laxatives and antacids, such as milk of magnesia?

   		Biotin
   		Iodine
   		Selenium
   		Magnesium

5. Compounds in tea and coffee, which bind iron and impair absorption, are called:

   		Electrolytes
   		Tannins
   		Buffers
   		Fluorapatites

6. Compounds in greens have been found to bind calcium interfering with its absorption. These compounds are known as:

   		Oxalates
   		Antioxidants
   		Tannins
   		Iron

7. A reduction of the bone mass (associated with reduction of calcium stores) in older persons leads to fragile bones and a condition known as:

   		Goiter
   		Anemia
   		Osteoporosis
   		Cretinism

8. Which of the following minerals is part of the digestive acid that maintains the low pH of the stomach?

   		Heme
   		Chromium
   		Copper
   		Chloride

You are preparing the discharge care plan for a patient who delivered a healthy son 24 hours earlier. The patient and infant have been doing well with no complications; however, when you enter the room, you notices the patient is diaphoretic and flushed. She is trying to fan herself. Her vital signs reveal a temperature of 100.6 F, heart rate of 90 beats/min, respiration rate of 24 breaths/min and blood pressure of 130/88mmHg.

A. What assessments will you do?

B. What interventions will you implement?

C. What are your expected outcomes?

You are assessing an infant who was born with a cleft palate. The parents are concerned and want it corrected immediately before taking their baby home.

A. What teaching is necessary before the child and parents go home?

B. What therapies and /or corrections should the nurse teach the parents? C. What nursing diagnoses are appropriate in this case?

Using the Proceed-Precede Model, Apply a population based health program involving the planning, implementation, and evaluation phases for evaluating the poor personal hygiene strategy for adults among mentally challenged/disabled population

1. This vitamin is involved with the metabolism of carbohydrates, fats and proteins. Rarely is there a deficiency of this vitamin because as the name suggests it is "widespread" in the food supply.

   		Biotin
   		Vitamin K
   		Folate
   		Pantothenic acid

2. Which of the following is not one of the functions of vitamin C?

   		Protects against infections
   		Involved in production and maintenance of collagen
   		Is a component of insulin
   		Promotes the absorption of iron

3. The treatment to this deficiency disease was accidentally discovered when the discarded brown coat of rice was given to chickens as scraps and then the attendant noticed the chickens did not walk stiff and weak following this diet. Alcoholics' staggering gait and jerky eye movements are the result of not being able to absorb the vitamin; usually a shot of this vitamin is given to those in rehabilitation programs. It is:

   		Thiamin B1
   		Riboflavin B2
   		Ascorbic acid C
   		Vitamin K

4. Sulfur, a mineral that forms bridges between amino acids and provides the rigid shape of nails and hair, is adequate in a diet that contains sufficient:

   		Fat
   		Protein
   		Carbohydrate
   		Vitamins

5. Which of the following minerals is part of the digestive acid that maintains the low pH of the stomach?

   		Heme
   		Chromium
   		Copper
   		Chloride

6. The following minerals are all involved in red blood cell (RBC) formation and utilization except:

   		Zinc
   		Copper
   		Iron
   		Fluoride

Dor Yeshorim is a modern eugenics program. How does it compare morally to programs of the past? Is it negative or positive eugenics? Do you think this matters morally?

1. There are many social and cultural influences on dietary choices.   Pick a single social or cultural influence and write a well-organized essay about the ways that will impact dietary choices in the selection of protein, carbohydrate, fat, and vitamin/mineral sources. Choose one topic: Examples include, but are not limited to:
   • How a particular religious belief affects diet choices
   • How the prevalence and low cost of fast food influences Americans,
   • How marketing of processed foods, but not unprocessed foods affects food decisions
   • or how highly environmentally conscious individuals will choose foods differently.

1. How does the World Health Organisation define disability?
2. List the name and address of ten different government information websites you can use to find information on resources and services for people with disabilities. The answer should include information about sporting, cultural and specific interest groups.
3. Identify three cultural barriers you may encounter when supporting community participation and social inclusion.
4. What strategies can you implement to encourage community participation and inclusion according to your client’s individualised plan?
5. What is a community access plan?
6. How can you assist your client in forming one-to-one connections and relationships?
7. Discuss the different types of feedback you can collect. Who should you collect feedback from and why?
8. What principles are important to observe and practice when implementing an Individualised Support Plan?
9. Why is it important to monitor an Individualised Support Plan?
10. In what ways can you find out about barriers that may be affecting your clients during programs and activities? What is the best course of action to attempt to overcome them?
11. List four strategies you could help to implement to assist a high functioning person you support to manage a transport system.
12. Give your understanding of the rights and responsibilities of a person with disability. Where can you find out more information on human rights of clients?
13. What is active citizenship? How does this have an impact on your job role?
14. In what ways can the family or carers of the people you support, be some of the most important working relationships for your work role?
15. For what reasons might you need to get someone else involved when encouraging community participation and inclusion with your clients?
16. What is the process for review of your client’s goals, as dictated in their individualised plan?
17. How would you find out about the types of social activities your clients might want to link in to? What personal information might assist you with the selection of activities?
18. What services might you need to access to assist with community participation or activities for the clients you support?

Explain Hemolytic disease (Erythroblastosis fetalis) of the newborn and the rationale for treatment.

a.How fast does Current/ signals move in a human vs computer circuit

b. Explain specifically/details Part a

3 a. What are purposes of the heart

c. What is the sinoatrial node, details

4.Periodic Table a. How are the vertical columns organized functionally?

b. Specifically, why are certain elements better conductors’ (related to the periodic table)

Describe the nurse’s role in the pharmacologic management of coagulation disorders (please explain)

SBIRT (Screening, Brief Interview, Referral to Treatment) is an intervention often used in Emergency Departments to identify and refer persons with addictions.

True

False

Read the following case study:
A small community hospital in the Midwest has used a homegrown information system for years. The system began in the early 1970s with a financial module. Over time, additional modules were added. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Except for physicians, most in-house clinical or care-related documentation is online. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff; thus there is no data dictionary or specific standard language. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. The clinics and doctors’ offices are now being converted to the hospital administrative systems. A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed.
A major change is being planned. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). No other significant staff changes were made. With her team in place, one of the CIO’s first activities was to complete an inventory of all applications. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system.
As a member of the clinical staff with informatics education, the CIO has requested that you develop a training and information presentation for the clinical staff that will:
•   Identify two or more issues with the existing system
•   Provide staff with appropriate “work-around” for using the existing system
•   Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps
o   One standard language should pertain only to nursing
o   One standard language should be multidisciplinary.
•   Obtain clinical staff input, using a five-question survey, of specific methods to support transition to the new system; questions should be open-ended.