Use and/or diseases of klebsiella pneumoniae:

six main factors (Social and demographic forces, Economic forces, Political forces, Technological forces, Informational forces and Ecological Forces) that will determine the future change in health care. please explain which of the six factors you feel will be most relevant in the future in detail

Prior to class, and after reading/viewing the module assignment, select one of the following and conduct an assessment.

Heart and Neck Vessels
Peripheral Vascular System
You may conduct the assessment on a fellow student, friend, or family member. Remember to secure their permission.

Collect both subjective and objective data using the process described in the textbook.

Then, document your findings and bring them to class.

Under HIPPA law, whose responsibility is it to make sure that other people who may be affected by COVID-19 or AIDS know about it - the patient or the physician?

You are on a committee charged with redesigning the unit including nursing stations and patient rooms. Suggestions were solicited from nurses to help inform the redesign project. The following proposals were received by the committee:

Proposal 1: Design the rooms with windows on the inside to help the patient feel connected.

Proposal 2: Include medication and supply cabinets in the room. Also bring computer charting to the bedside.

Proposal 3: Make the room feel more like a bedroom in a home with an area for patient families to sleep or relax.

Proposal 4: Apply fengshui to the room, making it a place that allows relaxation and positive energy.

Proposal 5: Use colors that encourage a relaxing environment, bringing nature into the room.

The committee is considering each of the proposals in terms of the patient’s needs and nursing care to optimize outcomes.

Top of Form

Considering the metaparadigm from Rogers, how does each of the proposals fit with the definitions?

Please answer the following:

1. Which of the following is a life-threatening emergency and serious complication of untreated or poorly treated hypothyroidism?

1. Endemic goiter
2. Thyroiditis
3. Myxedema coma
4. Multinodular toxic goiter

2. Kim is a 28-year-old female who presented to the emergency room with complaints of abdominal pain, nausea, and vomiting for the past 24 hours. Kim is afebrile, heart rate is 130 BPM, and blood pressure is 90/60 MM HG. During the pain assessment, Kim rates her pain attend on a scale 0-10. You note her pain to be in the periumbilical region. Based on the assessment findings, which of the following would you anticipate being Kim's diagnosis.

1. Peritonitis
2. Appendants
3. Crohn's disease
4. Ulcerative colitis

3. A nurse assesses a patient who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. What action would the nurse take first?

1. Document the finding in the patient’s chart
2. Compare extremities for deficiencies
3. Examine the patient's feet for signs of injury
4. Notify the health care provider

4. Which of the following is a main assessment finding in a client with hypothyroidism?

1. irritability
2. cold intolerance
3. Constipation
4. fatigue

5. What Instructions does the nurse include in when teaching the diabetic client about proper foot care?

1. use rubbing alcohol to help make the skin on the soles of the feet thicker
2. wear open toed shoes or sandals when it's warm outside to prevent perspiration
3. use moisturizing cream on feet after bathing but not in between toes
4. use cold water for bathing the feet to prevent a thermal injury

6. A nurse is caring for a patient who has been diagnosed with diabetes type 2. Which of the following should not be included in the discharge instructions?

1. Monitor blood glucose
2. Adhere to dietary modifications
3. Increase physical activity
4. Restrict fluid intake

7. A nurse teaches a patient who was diagnosed with diabetes melittids. Which statement would the nurse include in this patient's plan of care to delay the onset of microvascular and macrovascular complications?

1. “maintain tight glycemic control and prevent hyperglycemia”
2. “restrict your fluid intake to no more than two liters a day”
3. “prevent hypoglycemia by eating a bedtime snack”
4. “limit your intake of protein to prevent ketoacidosis”

8. You are the nurse providing care for a patient who underwent thyroidectomy two days ago. To Prevent complications with this surgery, which laboratory value requires close monitoring by a nurse?

1. Calcium level
2. Sodium level
3. Potassium level
4. Lactate level

9. Maria is a 45-year-old Hispanic female who presented to the emergency Department with epigastric pain she states that the pain is worse after eating Maria has a history of obesity and diabetes Maria was diagnosed with gastroesophageal reflux disease which of the following would be a treatment? (Select all that apply)

1. diet and lifestyle modifications
2. gastrectomy
3. protein pump inhibitors
4. prostaglandins

10. A nurse is caring for a patient who has recently been diagnosed with gastroesophageal reflux disease. Which of the following is the surgical management approach for patients with this condition?

1. Nissen fundoplication
2. Endoluminal fundoplication
3. Vagotomy
4. Gastroenterostomy

11. A nurse is providing discharge instructions to a patient recently diagnosed with peptic ulcer disease. Which of the following should not be part of the discharge instructions?

1. avoid spicy foods
2. resume alcohol in moderation
3. follow medications as prescribed
4. signs and symptoms to report

please answer the following

1. Which of the following glands are considered the master gland?

1. Thyroid
2. Adrenal
3. Pancreas
4. Pituitary

2. The nurse knows that which statement is true about age related changes in the endocrine system in older adults?

1. all hormone levels increase
2. thyroid hormone levels decrease
3. adrenal glands enlarge
4. the thyroid gland enlarges

3. Which of the following assessment findings is consistent with the diagnosis of diabetes insipidus?

1. Bradycardia
2. Moist skin
3. Polydipsia
4. Hypertension

4. A nurse is caring for a patient who recently underwent a colon resection for colorectal cancer. The patient is post op day two and develops a fever. Vital signs are temperature of 102 degrees Fahrenheit, heart rate 126 BPM, blood pressure 100/50 mm Hg. The patient is complaining of increased abdominal pain. Based on this information, which of the following conditions is the patient exhibiting?

1. Deep vein thrombosis
2. Peritonitis
3. Appendicitis
4. Intestinal obstruction

5. A client with diabetes has a blood glucose of 640 mg/dL and reports always being thirsty and having to void. The nurse knows that which terms describe this subjective finding?

1. Polydipsia and polyphagia
2. Polydipsia and polyuria
3. Polyzoaria and polyuria
4. Polyphagia and polythelia

6. The nurse is caring for a hypoglycemic diabetic client with a blood glucose of 56 mg/dL. The client is awake but not alert. What action would the nurse take?

1. Give a glass of orange juice with three sugar packets mixed in and monitor the client
2. Give a glass of milk and monitor the client
3. Give a complex carbohydrate and monitor the client
4. Administer D50 IV push per orders and monitor the client

7. Gwen is an 89-year-old female who was diagnosed with gastric cancer three months ago. Gwen has undergone chemotherapy and radiation Ann recently had surgery to remove the cancer. During the surgical procedure, the surgeon discovered that the cancer had spread to other organs. Gwen's family is having difficulty deciding treatment options. which of the following interventions are appropriate for Gwen's care?

1. Schedule Patient for additional chemotherapy
2. Schedule patient for additional radiation therapy
3. Consult the palliative care nurse
4. Discharge patient to Hospice

8. The nurse explains to a diabetic client that which lab test is the best indicator of the client’s average blood glucose level over the past three months?

1. Oral glucose tolerance test
2. Random blood glucose test
3. Glycosylated hemoglobin (HbA1c)
4. Preprandial blood glucose test

9. A nurse is caring for a patient who presented to the emergency room s/p motor vehicle accident. The patient is unconscious with a cervical collar in place. The patient has been diagnosed with syndrome of inappropriate anti diuretic hormone secretion. Which of the following lab values validate the diagnosis?

1. Decrease serum sodium
2. Increase serum sodium
3. Decreased urine osmolality
4. Decreased glomerular filtration rate

10. A 40-year-old female presents to the emergency room with upper abdominal pain radiating to her right shoulder and nausea. Upon assessment the patient's temperature is 101.2 degrees Fahrenheit, heart rate 110 BPM and a blood pressure is 140/82 MM HG. Based on the patient’s presentation, which of the following do you anticipate being the patient’s diagnosis?

1. Pancreatitis
2. Cholecystitis
3. Appendicitis
4. Diverticular disease

11. The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of 89mg/dL and hemoglobin A1C of 6%. What is the nurse’s interpretation of these findings?

1. The client's glucose control for the past 24 hours has been good, but the overall control is poor.
2. The client's glucose control for the past 24 hours has been poor, but the overall control is good.
3. The values indicate the client has poorly managed his or her disease.

please answer the following

1. Which food does the nurse teach the client with hypoparathyroidism to avoid in their diet?

1. Canned vegetables
2. Fresh fruit
3. Red meat
4. Milk

2. Which nursing intervention helps to prevent adrenocortical insufficiency

1. Administering diuretic therapy
2. Teaching the patient about a low-sodium diet
3. Discontinuing high-dose steroid therapy quickly
4. Reducing high-dose steroid therapy gradually

3. Which of the following is a common diagnostic study for patients with upper gastrointestinal disorder?

1. Arterial blood gas
2. Liver function test
3. Barium enema
4. Esophagogastroduodenoscopy

4. A nurse is caring for a 57-year-old Hispanic male who was recently diagnosed with Cushing’s disease. Which of the following laboratory tests validate the diagnosis?

1. Elevated lymphocyte count
2. Decreased late-night salivary cortisol test
3. Decreased urine specific gravity
4. Elevated urine cortisol level

5. A nurse is caring for a patient diagnosed with severe gastroesophageal reflux disease (GERD). Which of the following medications would the nurse expect the provider to order?

1. Pantoprazole
2. Metoclopramide
3. Diphenoxylate/atropine
4. Sucralfate

6. A nursing is caring for a patient recently diagnosed with pancreatitis. Which of the following are treatment options for pancreatitis? (select all that apply)

1. Nothing by mouth
2. Pain management
3. Antacids
4. IV fluids

7. James is a 56-year-old male who was recently diagnosed with Type 2 diabetes. Which of the following diagnostic tests would correlate with this diagnosis? (select all that apply).

1. Increased Hemoglobin A1C level
2. Increased random blood glucose
3. Increased fasting blood glucose
4. Increased hemoglobin level

8. The nurse identifies which lab result is consistent with a client’s diagnosis of hyperthyroidism?

1. Decreased T3 and T4 levels
2. Elevated serum thyrotropin-releasing hormone (TRH) level
3. Decreased radioactive iodine uptake
4. Increased serum T3 and T4 levels

9. Which of the following is hallmark assessment finding in a client with hyperthyroidism?

1. Weight gain
2. Increased libido
3. Hearth intolerance
4. Diarrhea

Technical writing

What type of peer feedback can I offer on the (warhead storage instructions)

"It is necessary for technical reasons that these warheads should be stored with the top at the bottom and the bottom at the top. In order that there may be no doubt as to which is the top and which is the bottom, for storage purposes it will be seen that the bottom of each head has been labeled with the word TOP."

Research the effects of common drugs such as penicillin, the myceins, etc., on kidney function.

1. Ms. V complains of constipation and takes an ounce of mineral oil daily. List causes of constipation, appropriate nonpharmacological interventions to prevent constipation, and your concerns about her current medication.

2. Jan Howe takes diphenoxylate [Lomotil] after every bowel movement for her ulcerative colitis. She complains of dry mouth. Explain a possible reason for this symptom.

kari martinsen nursing philosophide

folerence nightingale nursing philosophies

List the hemodynamic changes that occur with aging. Heart and neck vessels