Research a major (note the word major) security/ privacy breach that occurred in the healthcare or public health domain in the last 5 years. Answer the following questions. What was the impact on patients?

What could have been done to prevent it?

What was the penalty / fine awarded to the healthcare organization?

YH presents to the clinic with a chief complaint of severe pain, redness, and swelling in his joints. Upon further assessment, he has been diagnosed with gout.

a. Explain what is causing YH’s severe joint pain on a biochemical level. Which specific degradation pathway does it relate to?

b. You suspect the patient’s diet might be the primary cause of his gout. What type of diet could contribute to gout? What is another potential cause of gout unrelated to his diet?

c. Allopurinol is the drug of choice to prevent next gout episode. What is its target substrate and how does inhibiting it help to prevent gout? Explain its mechanism of action and how it can help to decrease the patient’s uric acid formation. (hint: there are 2 ways)

95

Which of the following will require sterilised equipment for a patient with no special sterility requirements?

1. Indwelling catheter
2. Bed sheet
3. Urinary catheter
4. Wound dressings
5. Blood pressure cuff
6. Urine bottle

Select one:

A. I, II, IV, VI

B. I, III, IV

C. I, II, II, IV

D. I, IV, VI

1. A physician is called to the intensive care unit at the local hospital to care for Joe West, a patient in coronary crisis. The physician spends an hour at the patient's bedside, stabilizing him.

CPT code    __________

2. The physician is preparing to leave the hospital after seeing Joe West but is called back into the intensive care unit to see and stabilize another patient, Ted Keel. The service to the patient takes 1 1/2 hours

CPT code      ____________________

3. An established patient, Harriet Turner, comes to the office for a follow up visit. She has been prescribed medication for her recent onset of depression, but since her last visit, when the dosage was increased, she has felt that the medication is making her sleepy and lethargic. Considering the other factors such as other medical problems and drug interactions, the physician spends 25 minutes with the patient performing a detailed history and physical examination. After reviewing the details as well as the recent laboratory work, the physician concludes that a different medication should be prescribed. The physician’s decision-making has moderate complexity, given the possible medical complications that could arise.

CPT code    __________

While discussing the increased use of technology to gather, store, and access healthcare information, senior nursing students discuss the importance of preventing data security breaches and the implication of such breaches on nurses professionally. The class is divided into groups to research and prepare information on various relevant topics to present to the entire class.

1. A group is assigned to create a summary of information related to the ethical aspects of electronic data collection to the profession of nursing. What information will be included?
2. A group of students is assigned to research information regarding a healthcare organizational risk assessment. What will that group focus upon?

Explain how the bone marrow receives nutrients to survive.

List and explain the function of the cells in the bone marrow stroma.

Track the path of maturation of the T lymphocyte.

List four causes of a hyperplastic marrow.

What would you expect to see on microscopic examination of a stained blood smear if the patient has had a splenectomy and why?

In looking at exenatide, how is this drug administered? How is it supplied? What type of diabetic is this drug used for? How does it work? What are 3 priority teaching points?

David, who has suffered from ALS for twenty years, is now hospitalized in a private religious hospital on a respirator. He spoke with his physician before he became incapacitated and asked that he be allowed to die if the suffering became too much for him. The physician agreed that, while he would not give David any drugs to assist a suicide, he would discontinue David’s respirator if asked to do so. David has now indicated through a prearranged code of blinking eye movements that he wants the respirator discontinued. David had signed his living will before he became ill, indicating that he did not want extraordinary means keeping him alive. The nursing staff has alerted the hospital administrator about the impending discontinuation of the respirator. The administrator tells the physician that this is against the hospital’s policy. She states that once a patient is placed on a respirator, the family must seek a court order to have him or her removed from this type of life support. In addition, it is against hospital policy to have any staff members present during such a procedure. After consulting with the family, the physician orders an ambulance to transport the patient back to his home, where the physician discontinues the life support.

1. Determine if there is one principle or value, or a combination of principles and values, that is so compelling that the proper alternative is clear.

2. Identify short-term, long-term, positive, and negative consequences for the major alternatives. The short-term gain or loss is often overridden when long-term consequences are considered. This step often reveals an unanticipated result of major importance

Nursing education is adopting e-learning and simulation experiences for the students. Two junior-level nursing students, Gene and Linda, are discussing the merits of this type of nursing-focused learning. What pros and cons will Gene identify associated with e-learning? How will Linda identify the different types of simulations and the impact they have on nursing education?

Nursing Care Plan ) Case Study Linda Shaw is a 56-year-old female who was brought to the hospital by EMS on December 23, 2019. She presented to the emergency department with complaints of shortness of breath. She has had a productive cough for 3 days with a fever. She is admitted to the hospital with pneumonia and septicemia. She has a history of cellulitis, iron deficiency, high cholesterol and hypertension. She has an allergy to penicillin and vancomycin. She is taking ramipril 10mg daily, atorvastatin 20 mg daily and iron replacement daily. Since her arrival to hospital she has been on IV ceftriaxone 1gm q24 hours. She has been admitted for 2 days on the medicine unit that you are working on. Upon your assessment of the patient you notice she is short of breath during the interview. She can get no more than two words out before having to stop talking and rest. She is on wall oxygen at 2L via nasal prongs. You use your stethoscope to auscultate her chest and note decreased breath sounds to the LLL. You are aware that she has a left-sided pneumonia. You ask her to sit up in the bed and notice that she becomes increasingly short of breath with bed mobilization. Her respiratory rate is 24/min with evidence of accessory muscle use (abdominal breathing). You assess her oxygen saturation to be 92% on 2L of oxygen via nasal prongs. When asked if she has any pain the patient states “I have a heavy feeling in my chest”. You ask her what makes this pain worse, Linda states “The pain is worse when I am coughing”. You ask Linda when she first noticed the pain, “I first noticed the pain at 5am today”. Linda mentions that the pain in her chest seems to move into her throat. You ask Linda to describe the pain in her throat, “it is a scratchy pain”. Linda states that since changing her position on the bed she feels less pain. Linda states “before you asked me to move up in the bed my pain was 7/10 but since moving it is now 2/10 and mostly gone from my throat”. You assess Linda’s heart rate to be elevated (99 beats/min). You auscultate her apical pulse to match that finding. You note that her pulse is regular. You assess her blood pressure to be 111/80. You compare that to the blood pressure that the previous nurse had obtained overnight. Her pressure overnight was 118/79. You recognize that her blood pressure is lower than normal and ask her if she is dizzy or lightheaded, she tells you that she is not. Linda is alert and oriented and answering questions appropriately with no evidence of confusion. Upon assessment you note her pupils are equal and reactive bilaterally. Linda explains to you that she is feeling “unwell and tired”. She expresses frustration with her inability to sleep due to noise in the hallway at night. She tells you that she overheard the nurses talking all night long about baking Christmas cookies and it made her sad because she may not be home for Christmas. While Linda is talking to you about her inability to sleep, you notice that her oxygen saturation remains 92% despite her obvious shortness of breath when talking. Also, while she is talking to you, you take a look at her skin tone and note a normal skin colour and normal skin temperature. She does have dried blood at the site of her IV and the dressing is not intact. You assess her temperature to be elevated at 39 degrees Celsius. Linda also expresses frustration to you about being constipated, “I think I need some bran flakes. I haven’t had a bowel movement in 2 days”. Her abdomen does appear distended. You palpate all four of her abdominal quadrants and note they are soft and appear to be non-tender. You auscultate for bowel sounds and note that they are active in all quadrants. You ask Linda if she is passing gas, “you betcha” she replies. She tells you that before coming to the hospital she was 135lbs and that she believes she has lost weight. You ask her why she thinks this, “I haven’t eaten well since arriving to this hospital. I have no appetite and it seems to take a lot of effort to eat”. She seems to be moving her legs in bed frequently while you are interviewing her. You ask Linda, “Do you have pain in your legs?”. Linda explains that she does not have pain but rather wants to keep moving them so that she doesn’t “stiffen up”. Linda goes on to explain that she has had soreness and morning stiffness every morning for the last several years and her family doctor is investigating for arthritis. She denies requiring any mobility aids currently and denies any history of falls. You notice that Linda has a foley catheter insitu. There is 400cc of straw colour urine in the foley collection bag. You ask her why she has a catheter in. Linda states “the nurses put this catheter in while I was in the emergency department, they needed a urine specimen. Truthfully, I would like it out so that I can try to pee on my own”. Before terminating the interview, you hand Linda her cosmetic bag that she requested. She tears up and states, “I am not feeling much like putting make-up on. I fear that I will never get better. I seem to be wasting away in this bed. I am on my own with two kids in university so all that I can think about is who is going to work to pay for what they need. I need to get out of here!”. LAB VALUES AND DIAGNOSTIC TESTS FOR CASE STUDY #2 You can use the values below to add to the case study provided. If you have already developed the case study using your own lab values that is also acceptable. The idea is to explore the data and learn how to collect it in a comprehensive format along with identifying the priority nursing problem. WBC-16.2 Hgb-123 Plt-361 Na+-134 k-3.3 Cr-69 Glucose-6.2 CXR shows consolidation to left lower lung.

1. One Nursing diagnosis

2. One Short term goal

3. Four nursing interventions with cited rationale.

4. Evaluation: provide an explanation of what, when and how you would evaluate the nursing interventions

CLEAR HAND WRITTING ONLY PLEASE THANKS!1

what is polyneuropathy? examples?

1. In a table, please list factors that increase and decrease iron absorption

2. What dietary practices are associated with an increased risk of cancer (Please list 4)

3. Discuss how maternal age, eating patterns, overall health, and lifestyle choices affect pregnancy outcome.

4. Provide 5 tips for mothers who want to maximize their chances of breastfeeding successfully, and what advice you give to a new mother who is still deciding on breastfeeding her baby? Include 5 benefits in your advice.