What is the expected ausculatation outcome of bowel sounds when the appendix has ruptured? I'm assuming my professor is asking what bowel sounds should you expect to hear if the appendix has ruptured. Thank you!

A 26-year-old unmarried woman who comes to the emergency department (ED) complaining of severe left lower quadrant (LLQ) pain and watery bowel movements (BMs) containing bright red blood every 2-3 hours for the past 30 hours. She has a four-year history of inflammatory bowel disease (IBD). She was hospitalized once at the time of diagnosis of the IBD, but has been stable since then and currently doesn’t take any medication. She lives alone and has a significant other, according to whom she is worried about money because she doesn’t get paid when she doesn’t work.

Explain the admission data in terms of the pathophysiology

Admission Data:

BP 102/64

P 110

RR 18

T 100.4

O2 saturation (by pulse oximetry) 98% on room air (RA)

Hemoglobin (Hgb) 9.8  

Hematocrit (Hct) 29

Potassium (K+) 2.8

Sodium (Na) 142

Blood-urea-nitrogen (BUN) 30

Serum creatinine 0.7

Health Belief Model (HBM) and Pender’s Health Promotion Model (HPM) as applied to the Timmerman article “Addressing Barriers to health Promotion in Underserved Women” by Timmerman. Please number your answers with the numbers below.

1. What aspects of the HBM and HPM did the author explore in the article?
2. What approaches did the author recommend to enhance health promoting behaviors?
3. Do you think the author’s recommendations will be helpful to enhance health promotin behaviors in this population?

4. What other recommendations do you suggest may be helpful for these women?

Name the exchange lists and identify a food typical of each list. Explain how the exchange system groups foods and what diet-planning principles the system best accommodates. 3 What information can you expect to find on a food label? How can this information help you choose between two similar products? 4. What are the daily values? How can they help you meet health recommendations?5. Describe the path food follows as it travels through the digestive system. Summarize the muscular actions that take place along the way 6. Name five organs that secrete digestive juices. How do the juices and enzymes facilitate digestion? 7. How is blood routed through the digestive system? Which nutrients enter the bloodstream directly? Which are first absorbed into the lymph? 8. What steps can you take to help your GI tract function at its best?

What functional deficits might a child experience when the following reflexes are not integrated:

ATNR-

STNR-

Moro-

Spinal Galant-

Describe how you would test each of these reflexes for retention:

ATNR-

STNR-

Moro-

Spinal Galant-

Describe an exercise/activity you would recommend to promote integration of each of these reflexes:

ATNR-

STNR-

Moro-

Spinal Galant-

Powerpoint slides for COPD with the given case study by using CRC.

Ms Aaliyah Abimbola

Background information for the assignment.

You are the RN on a morning shift on the respiratory ward of a large inner-city hospital. At 10:30 AM you receive a patient from the Emergency Department.

This is the hand-over you receive.

Your initial assessment findings on the ward for Ms Abimbola are as follows:

Medications

Metoprolol 100mg daily, Aspirin 100mg daily, Atorvastatin 20mg mane, Glibenclamide (Daonil) 5mg orally daily before breakfast, Salbutamol sulphate (Ventolin) 100mcg inhaler as required for symptom relief (1-2 puffs as required), Fluticasone propionate/salmeterol xinafoate (Seretide) 50/25 inhaler (2 puffs BD)

Current vital observations:

BP 142/96mmHg

HR 96bpm

RR 24 bpm

SpO2 93% on RA

T 36.7C

Health assessment findings:

Height 158cm, Weight 93kg,

Total cholesterol level - 5.2mmol/L

Fasting BGL - 9.6mmol/L

Inspiratory and expiratory wheeze. speaking in short phrases taking 2-3 breaths between each phrase before continuing to speak.

Alert and orientated to time, place, and person.

Further information you gather from her medical history and as part of her admission questions:

Ms Aaliyah Abimbola is a 56 year old female who emigrated from Africa 20 years ago. Ms Abimbola is a single parent with three female children (ages 14, 17 and 18) living in the inner-west of Melbourne.

Ms Abimbola went to her local health care clinic 2 weeks ago complaining of increasing shortness of breath and lack of energy. She says she was given some breathing medication (inhalers) by the doctor and told to take it easy for a few days. She has been struggling to get from the ground floor living area to the upstairs bedrooms without resting half-way to catch her breath. She says sometimes the medication helps her catch her breath but she still has to rest half way even with the medication.

Ms Abimbola has been working at the local flour mill since she arrived in Melbourne from Africa 20 years ago. She has never smoked but says the dust at the flour mill often makes her cough. Her job for the first 3 years was filling bags with flour until that process became fully automated. She then got promoted to running one of the flour grinding machines. 2 years later she got another promotion to shift supervisor in the milling and packaging section. She says her clothes were always covered in white dust at the end of every shift. "I used to look like a ghost at the end on my shift. We all did!" The flour mill made it mandatory to wear a mask and other protective equipment when you're working in the factory about eight years ago. However, Ms Abimbola has been working in the office for the last 6 years and no-one wears protective equipment in the office as it's not necessary. She says there's always a fine layer of dust on the paperwork in the office because the 'flour just gets everywhere no matter how often you clean or how careful you are."

Ms Abimbola is currently averaging 50 hours/week which means she needs to work on most weekends. Since the Covid 19 lockdown the factory has increased production to 24 hours a day 7 days a week. That means the office is also extremely busy. Ms Abimbola has always accepted any overtime on offer to help pay the rent for their house and cover the school fees for the Catholic school her children attend. She is adamant that she wants them to get a good education so they can make the most of the opportunities she never had in Africa. She has always been socially active within her Church community, but due to her increased working hours this has restricted her ability to attend mass and contribute to her community. She states that she needs to “prioritise any free time I have so I can spend it with the kids, especially my oldest who is doing VCE this year”. She has two close friends at church who help with looking after her children when she has to work late or on weekends.

Ms Abimbola states that she tries to exercise when she has time and walks to the train station every day to get to work. It used to take 8 minutes each way but lately it takes at least 20 minutes including rest stops to catch her breath. She also does a lot of walking at the flour mill taking paperwork to the production supervisors and picking up reports for processing. However, she has had to ask one of the younger staff to get the reports and deliver the orders more and more over the last year or so as she get's too short of breath when she walks too far too quickly.

Ms Abimbola has not spoken to her husband since she and the children left him 6 years ago. She says he used to work at the flour mill but was sacked for being drunk at work eight years ago. He had a hard time finding work so drank heavily and became violent. She took the children and left him after he hit the middle child for spilling his coffee. She doesn't know where he lives and has had no contact with him for over 4 years.

Family history

Her father died from a stroke in 2005.

Question

• In relation to Ms. Abimbola what we can do to manage her COPD.

Discuss the four factors affecting community :health environment,sociocultural individual behavior ,community organizations. give examples of each.Limit to 400

write an essay about why electric shock in psych. is allow

Answer the following:

1. Explain how a field's literature can be a source of significant research questions or problems.

2. List some important characteristics of literature reviews.

3. Explain the difference between one tailed hypotheses and two-tailed hypotheses

Each paragraph shall be no less than 4 sentences and no more than 6 sentences.

1. A patients has an elevated WBC of 11000.

a. As a nurse what are the risks for infection, your goal, your intervention, and your rationale?

After reading the APA Manual on Punctuation, summarize one of the section and describe why you selected it, what did you learn from it, what might you use to remember to use it correctly, and provide an example of why it is essential.

Peggy Vizente, a clinical nurse on a 57-bed internal medicine ward at a medium-sized teaching hospital in Pittsburgh, Pennsylvania, has identified a problem of wasted nursing time spent acquiring supplies for client care. Nurse Vizente begins keeping track of the time she spends locating supplies for her clients’ care. She notes that at least 30 minutes per day are spent gathering supplies for clients. Nurse Vizente identifies a list of those items that she most frequently has to acquire to perform care. Systematically, she begins to develop a plan to present to her nurse manager to correct this situation. Nurse Vizente designs a nurse server—a container built into the room—to hold essential supplies. She also develops a procedure for how the supplies will be stocked and by whom. She takes her ideas to the nurse manager and proposes a change in procedure and in equipment (nurse server).

1. (a) Would you describe Nurse Vizente’s proposed change as radical or systematic? (b) How would you relate her process to the concept of “organized abandonment”?
2. This change is going to require some adjustments, of course, by not only Vizente’s supervisor, but by all the nurses affected. Identify key stages they will most likely experience if they are to agree to and successfully adjust to this new system.
   1. First knowledge of an innovation's existence and functions
   2. Persuasion to form an attitude toward the innovation
   3. Decision to adopt or reject
   4. Implementation of the new idea
   5. Confirmation to reinforce or reverse the innova­tion decision
3. Nurse Vizente’s nurse manager likes the idea and encourages her to present it at the next staff nurse meeting. She does and for the most part, it seems to be well received, with a couple of questions raised: “How can we test this out, though, before we have to say yes or no? I mean, the container—the nurse server—has to be built in each area first, right? So what happens if we pay to have these things installed and then find that we don’t like the system?” This is a valid question. Which of Rogers’ five factors (for determining a successful planned change) does this nurse’s question reflect?