Hydrochlorothiazide is a mild diuretic that affects distal tubule of the nephron. Specifically, it blocks the reabsorption of NaCl in the distal tubule. Consider this mechanism of action, and answer the following questions:

How does this medication affect the amount of NaCl in the tubular fluid?

Will this make the tubular fluid more or less concentrated?

How will this affect the reabsorption of water in the collecting duct?

How will this affect the urine volume/output?

Use reflective and analytical writing to consider the following:
o Explain and reflect upon the reasons you entered nursing.
o Review the literature about the various nursing roles.

 Examples: clinician, social justice advocate, leader, scholar,
researcher/nurse scientist, humanitarian, entrepreneur, educator, knowledge
broker, technologist, nurse engineer, legal nurse, patient navigator (do NOT
choose a role that is assigned to a particular area of practice such as public
health nurse, pediatric nurse, nurse practitioner, or oncology nurse).
o

Choose ONE of the above nursing roles that resonates with you and choose two
articles to support your analysis. Reflect and analyze:
 Why does this role resonate with you?
 How is this role similar or in contrast to why you entered nursing?

CASE STUDY

A 62 year-old inmate is admitted to the hospital from prison with a complain of chest pain. The patient is being worked up for possible myocardial infarction and admitted to the cardiac unit. Because the patient is an inmate, while he is in the hospital a prison guard will be posted outside of the patient’s room and he patient will be hand cuffed to the bed rail. During the initial assessment, the admission nurse finds the patient to be withdrawn. The nurse discovers the patient has a past medical history significant for abuse of multiple substances. . the patient describes how the addictive behaviours led to his incarceration and estrangement from his family. The patient expresses to the nurse interest in meeting with a chaplain while in the hospital.

• QUESTION

Describes examples of the how a nurse can provide care to this patient as guided by each of the 10 caritas processes.

If the final result of the sterilization process requires the absolute absence of living forms from the surface and bulk of the item:

• Which destructions implies this sterilization process?
• From Where comes the achievement of the sterility status?
• Provide one example of medical devices sterilization.

The Role of Information Technology in Health Care reading outlines a number of different forms of technology. Write a 2 page review of the types of technology in healthcare. Be sure name the technology and how it is intended to improve care and (or) workflow.

Qualitative Research Methods

1. Describe the following differences in the different types of approaches or methodologies for conducting qualitative research.

a. Phenomenology

b. Ethnography

c. Ground Theory

2. Give example an example of a qualitative research question that would provide needed knowledge to nurse managers' leadership style and what approach would you use?

Critical Thinking Case Study

An older adult patient has asthma, and an adrenergic agonist is selected for treatment.

1. What are the drug advantages and disadvantages associated with the use of an adrenergic agonist, such as metaproterenol or albuterol, for this patient? Explain your answer.
2. Is age a factor in drug selection? Explain your answer.

An older adult patient has hypertension and asthma. An adrenergic blocker is selected for treatment.

1. What are the drug advantages and disadvantages associated with the use of doxazosin, prazosin, propranolol, metoprolol, and atenolol for this patient? Explain your answer.
2. What needs to be included when teaching this patient about the use of an adrenergic blocker?

In all U.S. states, the age of majority is generally defined as 18 years, but minors around 12 years of age are legally allowed to seek HIV testing without parents’ approval including care related to sexual activity. Do you believe this practice is ethically justifiable or not? Discuss by reference to the violation of parental autonomy, state beneficence, etc.