1. Understand extracellular and intracellular, discuss the movement of water between compartments.

2. How do we control fluid levels?

3. Discuss the causes of edema. How is this different from 3rd spacing?

4. Describe dehydration, including the signs and symptoms and compensation.

Review these questions and scenarios:

a student copies a homework, is that cheating?

If a student edits a paper that was written by another in a previous term and submits it as his/her own, is that a problem?

Is it okay for a student who forgot to check the patient's CBC and instead fills in a number that s/he thinks is good on the care plan?

It is absolutely acceptable for students to have their papers proof read. Describe the difference between proofreading help and someone writing the paper. What are the signals and boundaries of academic integrity?

Now, write a 100 word statement about one or more of these questions.

Provide at least 3 reasons (label as 1, 2, 3) why is multiculturalism such a salient concern in health promotion programming? Cite at least 1 source

1. EXPLAIN WHY MOTOR DEVELOPMENT IS VIEWED AS CHANGE IN MOTOR BEHAVIOR (SPECIFICALLY IN GROWTH, DEVELOPMENT, AND MOTOR SKILLS). WHAT DOES THAT MEAN TO THE CONCEPT OR STATUS OF MOTOR DEVELOPMENT? IF WE WANT TO DESCRIBE A CHILD’S MOTOR DEVELOPMENT, HOW DO WE DO IT?

2. EXPLAIN WHAT TYPE OF CHANGE (QUANTITATIVE OR QUALITATIVE) WE VALUE/TEACH/USE WHEN IT COMES TO ACTIVITIES OF DAILY LIVING, EXTRACURRICULAR ACTIVITIES, AND SPORTS. GIVE EXAMPLES.

Compare the three types of errors for which a healthcare organization needs to be prepared: Skill based, rule based, and knowledge based errors. How can an organization reduce the likelihood of each if these errors occurring in a healthcare setting?

Trace the path for a patient that led to late COPD and state the early manifestations of COPD, but the focus is on manifestations following treatment?

Create a case study of a 58 year man who is diabetic. The components of the case study must include the following.
a. Learning objective.
b.Medical history of the patient.
c. Social history of the patient.
d. Objective data
e.Subjective data
f. Identify patient problems.

Next.
Develop four questions for your peers related to this case study.

A case study using a 58 year old man who is diabetic as an example or a person suffering from any other disease.

You have just received report from Kyle’s primary nurse as you will be covering for the nurse the rest of the shift. The reporting nurse tells you that Kyle last had Tylenol at home around 10:00. You review the MAR and Kyle’s vital signs. You walk into Kyle’s room to introduce yourself, and you note he has taken his oxygen nasal cannula off and is coughing. His mother is at his bedside watching television. You state, “Kyle it appears you are having some distress. Does it feel difficult to breathe?” Kyle states, “Yes, it feels like my lungs are all clogged up.” You obtain an albuterol nebulizer for Kyle and begin chest physiotherapy. As you are providing chest physiotherapy, you take the opportunity to demonstrate to Kyle’s mother correct placement of the hands and movement required to perform chest physiotherapy. When you are finished providing chest physiotherapy, Kyle states that he often feels better when his nebulizers are accompanied by physiotherapy. You are not confident Kyle will have someone available to provide chest physiotherapy as often as he needs at home so you contact social work to obtain a high frequency chest compression vest for the patient’s home.

1. What is the patient’s status?

2. Document a nursing intervention used to improve the patient’s respiratory status.

3. The patient teaching provided to the patient’s mother.

4. Document the request for a social work consult.

1. A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to assistive personnel?

1. Assist the client to ambulate for the first time following the procedure
2. Check the client’s condition after the procedure
3. Witness the client’s signature on the consent for the procedure
4. Give the client atropine 30 mins before the procedure

2. A nurse is caring for a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client’s personal coping skills?

1. “How have you deal with similar situations in the past?”
2. “Do you see your current situation affecting your future?”
3. “How does this situation affect your life?”
4. “Can you describe how you are currently feeling?”

3. A nurse conducting an admission interview with a new client who tells the nurse. “My life is so stressful. I can’t take it anymore.” Which of the following responses should the nurse take first?

1. “How have you dealt with stress in the past?”
2. “Let’s talk more about what you are experiencing.”
3. “Are you thinking of harming yourself?”
4. “Tell me what makes you feel stressed.”

4. A nurse is caring for a client who is experiencing alcohol withdrawal and notes visible tremors and an elevated blood pressure and heart rate. Which of the following mediations should the nurse prepare to administer?

1. Naltrexone
2. Lorazepam
3. Methadone
4. Disulfiram

5. A nurse is caring for a school-age child who has a diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications?

1. Valproate
2. Methylphenidate
3. Lithium
4. Risperidone

History:

Margaret Spezia is a married, 49-year-old Italian American with eight children whose ages range from 3 to 18 years. For the past 2 months, Mrs. Spezia has had frequent morning headaches, and occasional dizziness and blurred vision. At her annual physical Assessment 1 month ago, her blood pressure was 168/104 and 156/94. She was instructed to reduce her fat and cholesterol intake, to avoid using salt at the table, and to start walking for 30 to 45 minutes daily. Mrs. Spezia returns to the clinic for follow-up.

ASSESSMENT

While escorting Mrs. Spezia to the Assessment room and obtaining her weight, blood pressure, and history, Lisa Christo RN, notices that Mrs. Spezia seems restless and upset. Ms.Christos says, “You look upset about something. Is everything OK?” Mrs. Spezia responds, “Well, my head is throbbing, and I’m sort of dizzy. I think I’m just overdoing it and not getting enough rest. You know, raising eight children is a lot of work and expense. I just started working part time so we wouldn’t get behind in our bills. I thought the extra money might relieve some of my stress, but I’m not so sure that’s really happening. I’m not getting any better and I’m worried that I’ll lose my job or become disabled and that my husband won’t be able to manage the children by himself. I really need to go home, but first, I want to get rid of this awful headache. Would you please get me a couple of aspirin or something?” Mrs. Spezia’s history shows a steady weight gain over the past 18 years. She has no known family history of hypertension.

Physical findings include:

• height 63 inches (160 cm)
• weight 225 lb (102 kg)
• T 99° F (37.2° C)
• P 100 regular
• R 16
• BP 180/115 (lying)
• 170/110 (sitting)
• 165/105 (standing)
• Skin cool and dry
• capillary refill 3 seconds right hand, 3 seconds left hand.

Mrs. Spezia’s total serum cholesterol is 245 mg/dL (normal< 200 mg/dL). All other blood and urine studies are within normal limits. Based on analysis of the data, Mrs. Spezia is started on captopril 12.5mg twice daily and hydrochlorothiazide 12.5 mg and placed on a low-fat low-cholesterol, no-added 2gm sodium diet.

Highlight the data in the history and the assessment that needs to be addressed. Read the brief history and identify: concerning

1) subjective/objective data,

2) potential/actual problems,

3) what interventions,

4) Education

5) follow-up would be suggested.

6). Explain the prioritization of problems.

How would you prioritize these problems? Which two would you address first?   Why

Write n essay Based on data from the U.S. Department of Education and the National Institute of Literacy (2015), what other verbal and non-verbal competencies should health care providers be cognizant of in treating patients?

By establishing a provider network, it will help contract cost for care or services, the quality of it (that is being provided), and it also creates drug formulary (pharmaceutical) or tiering cost of the drug for the patients. This network of provider sort of acts as a bundle where all services that are being given or requested falls under this group. Manage Care Organizations (MCOs) also contract with health plan insurance to create some type of program where they can help manage the patient's medication, a service where they have someone reviewing and answering any question the patient may have about their medication and making sure that they are using it correctly and effectively. Prior to any treatment or services that are about to receive, the patient can request a second opinion, to see if that treatment or services is appropriate, before going forward with it. It is about managing cost for the patient and provider, the patient will be receiving adequate care at a reduced cost, and the provider is generating profit from it because the client base is assured

NURSING ABBREVIATIONS