pathophysiology of bronchiectasis

At least 300 words. Our system will use turn it in to check the work, so please make sure to use your own words.

please do not use handwriting, I always have trouble to read the handwriting

Discuss 5 factors that have influenced the increasing development of resistant microbial strains

Andrew’s doctor told him he is not meeting his RDA for vitamin C based on what Andrew told him about his eating habits. Andrew is worried that he will develop scurvy. Can you assume that he is at risk for scurvy if he isn’t consuming the RDA for vitamin C? Why may the doctor’s assessment be flawed? How can you determine if Andrew isn’t consuming enough vitamin C? What would you tell Andrew to calm his fears?

Case Study #8 – Cultural and Religious Influences on Food

Elizabet moved to the Midwest at the age of 26 years from her native country, Iceland, where she ate seafood almost every evening for dinner. She ate fruit and vegetables daily, but the variety was limited. In her new home, she complains that good seafood is hard to find—that it is not as fresh as it is at home, it tastes different, and it is more expensive. She also misses the dark brown and black breads she is accustomed to; she is willing to try American breads but is unsure what variety is “good.” American fast food is well known to her, but she does not want to rely on that to satisfy her need for familiar foods. She wants to eat foods that are healthy, tasty, and affordable.

■ What questions would you ask Elizabet before coming up with suggestions about foods she could try?

■ What would you say to her about her frustration with the seafood available locally? What suggestions would you make to her?

■ What would you tell her about healthy breads? What fruits would you recommend as healthy, tasty, and affordable? What vegetables?

Case Study #10 – Oral, Enteral, and Parenteral Nutrition

Eugene is a 73-year-old man who weighs 168 pounds and is 5 ft 10 in tall. He has had progressive difficulty swallowing related to supranuclear palsy. He has no other medical history other than hypertension, which is controlled by medication. He denies that the disease interferes with his ability to eat, even though he coughs frequently while eating and has lost 20 pounds over the last 6 months. He is currently hospitalized with pneumonia, and a swallowing evaluation concluded that he should have nothing by mouth (NPO). He has agreed to an NG tube because he believes the “problem” will be short term and he will be able to resume a normal oral diet after he is discharged from the hospital.

■ How many calories and how much protein does Eugene need? Is his weight loss classified as “significant”?

■ What type of formula would be most appropriate for him? How much formula would he need to meet his calorie requirements? How much formula would he need to meet his vitamin and mineral requirements?

■ What type of delivery would you recommend? What would the goal rate be?

■ If the doctor convinces him to agree to having a PEG tube placed, what formula and feeding schedule would you recommend for use at home? What does his family need to be taught about tube feedings?

Many cultures have ethno-etiologies that provide explanations for illness that are not based in science. From a biomedical perspective, the non-scientific medical treatments provided in these cultures have a low likelihood of success. Despite this, people tend to believe that the treatments are working.

• 1. Why do you think people tend to be satisfied with the effectiveness of the treatments they receive?
• 2. In transcultural nursing practice, why would it be important for nurses to understand such ethno-etiologies when nurses interact with patients of different cultures?

Subject: Anthropology

describe the procrssses of extracting ATP from carbohydrates, fat and protein

trace the route of biosynthesis and the storage of hlucose, fatty acids and amino acids

Measles is a potentially fatal disease. According to the CDC, for every 1000 children who come down with measles 1 or 2 will die. Although the vaccination risk proposed by Wakefield has not been supported, there are other potential risks to vaccination (e.g. allergic reactions). Do you believe people have a moral and/or societal responsibility to get their children vaccinated? Briefly discuss the ethics surrounding this issue, including a scientific argument to back up your opinions. Include the term “herd immunity” so that the definition is clear from context in your discussion (look online or in the textbook for the definition).

describe the effects of poverty in Australia on individuals, families and the wider community. How power and disempowerment affects people and the wider community? Identify the Community sector agencies in Australia that offer support, advocacy and interventions to people in poverty.

Please answer the following questions and then upload into the site labeled Week 2 Learning Objectives I. The Profession of Nursing (week 2) A. Nursing Education and Accreditation 1. Identify the roles of major nursing organizations that have an impact on nursing education. 2. Describe the differences between the ANA, ANCC, CCNE, NLN, and STTI 3. Describe the nursing education accreditation process and its importance. 4. Describe the types of nursing programs and degrees. 5. Explain the purpose of the Doctor of Nursing Practice (DNP) degree. B. The History of Nursing 6. Identify several key figures and events in nursing history. 7. Describe the past image of nursing and critical related issues C. What is a Profession? 8. Compare and contrast a profession with an occupation. 9. Describe what powers a profession has in our society. 10. Describe autonomy and self-regulation within a profession. D. What is Nursing? 11. Discuss the ANA definition of nursing. 12. Explain the meaning of caring to nursing. 13. Compare and contrast the art of nursing with the science of nursing. 14. Compare and contrast the major nursing roles. E. Nursing as a Profession 15. Explain how a nurse enters the profession. 16. Describe the current ethnic/gender characteristics of the nursing profession. 17. Explain the relevance of standards to the nursing profession. 18. Compare and contrast Nurse Practice Act and Nursing Standards of Care. 19. Discuss the development and roles of nursing associations. 20. Define certification and credentialing. If you are taking information from the power point slides, you do not have to provide an APA reference. This part is more about what you gained from class lecture and discussion this week. 1. Name 3 events or key figures that you believe have impacted nursing. What was the impact and was it positive or negative? 2. Is nursing a profession? Explain the reason for your answer. 3. You have been tasked to write a new definition of nursing-what would it say? 4. List 3 examples of the “art” of nursing 5. List 3 examples of the “science” of nursing

Case Study:

For the case study section only: Only provide short answers for the case study No more than 2 sentence response. Answer all the questions in all case study scenarios.

Michael is a 7-week-old breastfed infant with a 2-day history of irritability and poor feeding.

Subjective Data

Mom states that her infant has been “fussy” for the last 2 days.

He feeds for only a “few” minutes at a time.

He is breathing heavily and fast for 2 days.

Objective Data

Weight: 4.8 kg

Vital signs: temp, 36.8º C; pulse, 250 bpm; resp, 65 breaths/min; blood pressure, 84/58 mm Hg

Breath sounds clear to auscultation

Oxygen saturation: 95%

Central capillary refill: 4 seconds

Questions:

1. What is the treatment for an unstable patient with supraventricular tachycardia (SVT)?
2. Decreased cardiac output from prolonged SVT would produce what complication?
3. In this clinical situation, what actions should the nurse take? Prioritize the actions.

Discussions

Discussion Topic# 1: What is a “shift to the left” in a CBC?

Discussion Topic# 2: A father brings in his 3-year-old son, James, who was initially running a fever. He was given Tylenol, and the fever went away for 2 days. Now, however, the fever is back, and he has noted dark spots on his body and a lump in his armpit. He has been lethargic and has not wanted to eat for the last 24 hours. The physician suspects acute lymphocytic leukemia and has ordered blood chemistry studies, immunophenotyping, and bone marrow aspiration and biopsy.

1. The father is upset and wants to know what is leukemia and how did his son catch it? How would the nurse address this question?

What is the treatment for an unstable patient with supraventricular tachycardia (SVT)?

Decreased cardiac output from prolonged SVT would produce what complication?

In this clinical situation, what actions should the nurse take? Prioritize the actions.

Discussion Topic# 1: What is a “shift to the left” in a CBC?

The father is upset and wants to know what is leukemia and how did his son catch it? How would the nurse address this questio

I need list of 5 labs or diagnostic tests that i can apply to this case study as a nurse (choose five labs or diagnostic tests that might be ordered for your case study client. Note normal results, expected abnormal values, and what that would signify for your client?

Ms. Mae is a 75 year old Japanese American who speaks Japanese as a primary language but is proficient in reading/writing English. She recently moved to a long-term care facility as she was unable to adequately take care of herself at home. Ms. Mae is divorced and was a housewife. Her two daughters live nearby and visit each week. Her past medical history includes colon CA, colostomy, depression, hypertension, and osteoporosis. She wears glasses for reading.

Orders include:

Regular diet

Ambulate with gaitbelt and 1 standby assist

PT/OT daily

Change ostomy appliance PRN

Psychiatry consult

Sertraline 50 mg PO daily

Alendronate 10 mg PO daily

Cholecalciferol 1 capsule (5,000 IU) daily

Metoprolol ER 100 mg PO daily

Clonidine 0.1 mg PO TID

Full resuscitation

C. What is a Profession? 1. Compare and contrast a profession with an occupation. 2. Describe what powers a profession has in our society. 3. Describe autonomy and self-regulation within a profession. D. What is Nursing? 4. Discuss the ANA definition of nursing. 5. Explain the meaning of caring to nursing. 6. Compare and contrast the art of nursing with the science of nursing. 7. Compare and contrast the major nursing roles.