Between Independence of Texas and the Mexican War of 1846-1848 which is considered most impactful on Westward Expansion during 1800-1848? Explain why

Analyze the effects of the ideology of Manifest Destiny on Independence of Texas and the Mexican War of 1846-184 with historical events

The American System, Transportation, and Communication: Describe the idea of Henry Clay's "American System." Based on Clay's economic vision of America, analyze how the American System would build the American market and economy? Analyze the role of mechanization and communication in the American System.

1. A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the APRN if this means he has COPD. Question 2 of 2: Explain the pathophysiology of chronic bronchitis and how it relates to COPD.

What is a common presenting sign of an infant with cystic fibrosis?

1.Meconium Ileus

2.Hypotonic muscle tone

3.Failure to thrive

4.Meconium Ileus and failure to thrive

Mr. Smith is a 55 Yr. old African American male that came to the ED complaining of chest pain and shortness of breath. Mr. Smith appears anxious, diaphoretic, and uncomfortable. He rates his chest pain as 9 on a pain scale of 10. Mr. smith has a history of hypertension, hyperlipidemia, and chronic bronchitis. He admits to smoking 1 back per day and tries to exercise but is usually too busy.

Objective data: B/P-190/88, HR-120, R-20, Sa02-94% (Room air), T-99

Cardiac monitor shows tachycardia with an occasional PVC.

Subjective data: Mr. Smith rates chest pain as 9 out of 10. Mr. Smith is anxious and states he feels "like he is going to die".

Describe how you would do your nursing assessment on Mr. Smith for beginning to the end?

What nursing intervention could the nurse provide to Mr. Smith?

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

• Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
• Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Why should evaluation be considered at the beginning stages of health promotion planning, not at the end?

What aspects of medical malpractice should medical professionals should be aware of? What steps can they take to ensure that medical malpractice issues do not arise in their careers?

Explain your reasons behind this choice.

BURN INJURIES

A cook in a restaurant was rushed to the emergency department after sustaining burns on the face, entire torso, anterior right upper extremity, and anterior right lower extremity including the genitalia. Answer the questions pertinent to the patient’s condition.

1. Compute for the total body surface area affected by the burns.

2. Using parkland formula, compute for the fluid resuscitation for the patient on:

a.First 8 hours

b.Second 8 hours

c.Third 8 hours

3. What acid-base imbalance will the patient be predisposed to in the initial stages of burns?

4. What is the priority in the different phases of burn management

a.Emergent phase: _______________

b.Acute phase: ___________________

c.Rehabilitative phase: _____________

5. Part of the management for burn patient is the administration of Proton-pump inhibitors (PPIs) –g. Omeprazole. What is the rationale behind the inclusion of the said drug to the therapeutic management of burn patients?

2. You went to a grocery store and bought a lot of groceries. 25% of the total money you spent was on produce, which comprised $14.79. What was the total bill?

3. A tube feeding formula is 9% protein by volume. The patient needs 80 grams of protein per day.

How much formula should this patient get per day?

4. A patient is getting an IV infusion with 0.45% NaCl.

If a patient receives needs 5 grams of NaCl, how much total solution should be infused?

5. A parenteral nutrition formula contains 20% glucose.

If the patient needs 270 grams of glucose, how much of this formula should be infused?

A 28-year-old legal assistant presents to her GP after being bothered by stiffness in the joints of both of her hands for the past few weeks. The stiffness is most prominent on awakening and lasts approximately an hour before getting better through the day. She denies any other musculoskeletal problems or any other joints being affected. Her only medical history is mild asthma. Her family history is positive for type 1 diabetes in her brother.

Examination
Physical examination reveals a well-looking, slim woman. Her metacarpophalangeal joints
are slightly swollen bilaterally and mildly tender, and there is some pain on palpation over a
few of the interphalangeal joints in both hands. Metacarpal squeeze test is positive bilaterally.
Questions
1. Based on the history and examination findings, suggest a differential diagnosis.
Which diagnosis is most likely and why?
2. What further investigations are required, and which tests are most predictive for the
likely diagnosis?
3. Summarize the pathophysiology of the underlying diagnosis. What extra-articular
complications may arise with this condition?

Jamie is a 48-year-old black woman who comes into the emergency department complaining of painful swelling, drainage, and redness over the past 5 days in the left hand. She spends a lot of time outdoors working in her garden and said she had a “pretty nasty” mosquito bite on the top of that hand before the swelling started. After 3 days of increased swelling and redness she went to her doctor and received an oral antibiotic and was told it was probably a mild infection from the insect bite. Now, she presents because her hand is increasingly painful, tight, and the drainage has worsened. She noticed that she had a fever this morning of 102.9°F. Laboratory test results today show a WBC count of 18,500 (well above normal). The wound is cultured and is found to be positive for Staphylococcus aureus, which is a bacteria commonly found on the skin as a communal organism.  

1. It started as a bug bite on the epidermis but has developed into a cellulitis. Explain in detail what happened.