1.) Among the medical treatments for lupus, which of these has no known long-term health implications or negative secondary effects?

   a.   corticosteroids

   b.   NSAIDs

   c.   antimalarial drugs

d. immunosuppresssant medications

2.) Which of the following describes chronic fatigue syndrome?

   a.   usually diagnosed in childhood

   b.   most frequently diagnosed in women

   c.   more likely to be found in individuals of higher levels of education

   d.   occurs in up to 15% of the population in the United States

1. Steven had a left ventricular wall infarction secondary to myocardial ischemia. This damage to the left ventricle compromised its function as a pump; the left ventricle could no longer generate enough pressure to eject blood normally. Draw the normal Frank–Starling relationship for the left ventricle. Superimpose a second curve showing the Frank–Starling relationship after the myocardial infarction, and use this relationship to predict changes in stroke volume and cardiac output.

7. What was the rationale for treating Steve with furosemide (a loop diuretic)?

8. A medical student in the coronary intensive care unit asked whether Steven should also be treated with propranolol (a β-adrenergic antagonist). The student reasoned that propranolol would reduce the myocardial O₂requirement and possibly prevent another infarction. Why does propranolol decrease the myocardial O₂requirement? The attending physician pointed out that there could be a risk associated with the use of propranolol. What is this risk?

9. Why was Steven sent home on a low-Na⁺diet?

You conducted the literature search above and identified examples of EHR terminology. What is the difference between EMR, EHR, and PHR?

Write a 3-5 page paper analyzing the program by answering the following questions, explaining what the specific health of smoking and why it needed to be addressed. Then, consider the resources and respond to the following:

• In which setting was the health promotion/prevention program implemented?
• What was the rationale for the selection of the setting and the population?
• Was there a theory that guided the program or study? If so, what theory or theories were used?
• What were the results of the program or study?
• In what ways did the program or study contribute to the field of health education?

Mrs. A. is an 84-year-old woman who was recently discharged from the hospital with a diagnosis that includes an exacerbation of congestive heart failure (CHF). She also has diabetes and hypertension. Mrs. A. was discharged from the hospital on multiple medications and lives alone. Home care services were initiated with skilled nursing care visits, some home health aide support, and orders to include daily telemonitoring of her vital signs. The telehealth device will remotely monitor Mrs. A.’s blood pressure, heart rate, oxygen saturation, and weight. In addition, the patient will answer customized questions about her disease on a daily basis. This information will then be transmitted daily to the home care agency, where the telenurse can determine appropriate clinical actions based on the data trends and preset baseline alerts that indicate when set parameters have been exceeded.

• What assessment information in the patient situation is the most important and of immediate concern for the nurse?
• What patient condition(s) are consistent with the most relevant information?
• Which possibilities or explanations are most likely to be present in the patient situation? Which are the most serious or a priority?
• What actions would most likely achieve the desired outcome for this patient?
• Which actions are the most appropriate and how should they be implemented?
• What patient assessment would indicate your actions were effective

1. What are some pros and cons of the AZ HB2582 from the perspective of the patient, family, or community and its role in reducing the cost for health care insurers.

S.T. is a 72-year-old female patient. Her husband died 6 months ago and she lives alone now. She is seeing the health care provider for her annual physical exam. She has a history of hypertension and osteoarthritis. She currently takes the following medications: Furosemide 20 mg PO daily every morning Inderal LA 80 mg PO daily every morning Celecoxib 200 mg PO daily every morning Subjective Data Has “some” pain in her right knee States “It looks like I lost a half an inch this past year” Objective Data Temperature 98.2° F, pulse 72, respirations 16, blood pressure 130/76 Height 5 feet 2½ inches, weight 170 lbs, BMI 30.6 kg/m2 Unsteady gait, walks with a limp Discussion Questions What is some important subjective data to ask S.T. related to her musculoskeletal system? Describe what you would include in S.T.’s musculoskeletal assessment. What are some musculoskeletal findings would you expect as part of the normal aging process? Based on her past medical history and diagnosis of osteoarthritis as well as the subjective data and physical assessment findings of right knee swelling and tenderness to palpation and decreased range of motion, S.T. is at risk for falls. What are some fall prevention strategies you could teach S.T.? What could you teach S.T. to help improve some of her symptoms? Based on the subjective and objective data S.T.’s health care provider orders an x-ray of the right knee and after reading the x-ray, recommends S.T. have a right knee arthroscopy with possible debridement in order to visualize the contents of the knee to determine the cause of the pain and identify treatment options. What should you explain to S.T. about this procedure?

Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. She was asymptomatic upon arrival. She was admitted yesterday for stabilization of her glucose levels, and assist her with lifestyle modification. She states she leads a sedentary lifestyle as a bank officer. Her HbA1C is 10%.

Mrs. Workman calls the nurse and complains of cool clammy skin, anxious, weak, hungry but nauseous, and slightly confused.

Perform a focused assessment on Mrs. Workman.

1. Culturally competent care in the perinatal field

In order to provide competent care to the LBGTQ population, it is important to identify your own attitudes. After thinking about your attitudes, please address the following question:

1. Are there special needs of this community when assisting these clients to maintain health and engage in preventative care?
2. List how you would use provide patient-centered care to this population.

BPH and Enlarged Prostate Gland

1. Would you recommend patients use saw palmetto for prostate overgrowth in lieu of the prescription options? Why or why not?
2. Since the risk of falls is so low for men taking the prescription options, would you mention it to a patient?
3. Some health care providers don't recommend prostate exams routinely. Instead, they recommend prostate exams when men have symptoms. This is the case even for men over 50. What is your opinion? Which side of the argument do you agree with most? Why?

1) When obtaining a nursing history from a patient starting on a newly prescribed diuretic, what information would be priority? What questions should be asked?

2) What are some of the causes of dehydration? What are the signs and symptoms to monitor for? Explain the purpose of fluid and electrolyte replacement?