Nursing/Microbiology Question

1. Discuss the important considerations when collecting a throat sample.
2. What does the presence of neutrophils, macrophages, or respiratory epithelial cells indicate about a sputum sample?
3. How does mask-wearing and physical distancing contribute to prevention of COVID-19? Citizens in some countries routinely wear masks during flu season. Do you think this practice could or should be instituted in the U.S.?

In a well-organized, 1 – 2 page paper (225 – 450 words), chose one of the pathological conditions from this week's reading and discuss the following areas.

• Identify your pathological condition and explain what it is.
• Discuss some of the causes, signs, and symptoms associated with the chosen condition.
• Discuss ways the condition can be diagnosed and the treatment options.
• What are some lessons learned or what did you take away from completing this research?

Please proofread your work. Points will be deducted for incorrect grammar and spelling. The paper should be written in APA format.

Respond to the following in a minimum of 200 words. Answers must be in your own words. Please do not copy and paste from the internet!

• Which immunity type would you say is the most beneficial? Please explain your answer.
• How can you improve this immunity type's ability to fight infection?

Please show work.

1. Ordered: Ticarcillin 1000 mg IV q 6 hours to be administered in a total of 50 ml of NSS and infused over 30 minutes.

a. The pharmacy sends a 1 gram vial of Ticarcillin in powdered form for reconstitution. Directions state: “add 4.2 ml of sterile water for injection and shake well. The resultant solution will yield a concentration of 200 mg/ml”. How many ml will the nurse draw up from the vial once reconstituted?

b. Once the nurse has drawn up the correct number of ml’s (answer to a) to equal the ordered dose (1000mg), this is added to NSS to achieve a total of 50 ml. If the tubing’s drip factor is 12 gtts/ml, how many gtt/min will be needed to administer this medication? (You know the total volume, the time and the drop factor).

2. A patient returns from the PACU with an IV solution of D5 ½ NSS infusing at 45 gtt/min. The tubing’s drop factor is 15 gtt/ml. How many ml/hr is this patient receiving?

3. The patient is ordered an IV solution D5 ¼ NSS at a rate of 105 ml/hr. The IV tubing has a drop factor of 10 gtts/ml. At how many gtt/min will the nurse regulate the infusion?

4. The patient is ordered 300 ml of PRBC’s (Packed red blood cells) for a low hemoglobin count. The infusion is ordered to run over a total of 2 hours. At how many ml/hr will the nurse set the IV pump?

5. The patient is ordered Lactated ringers solution 125 ml/hr for 4 hours. The tubing’s drip factor is 20gtts/ml. How many drops per minute will the nurse regulate the IV?

6. How long will it take to infuse 1 liter of IV solution if the IV infusion pump is set to deliver the solution at a rate of 115 ml/hr?

7. The pediatric patient has an order to infuse D5 ¼ NSS with 20 meq KCL at a rate of 65 ml/hr. Microdrip tubing is available. How many gtt/min will the IV infuse?

8. The pediatric patient weighs 46 lbs. Lactated Ringers is ordered at 20 ml/kg to run over 2 hours for this patient.

.a. How many ml/hr would this be?

b. How many gtt/min with a tubing with a drip factor of 10 gtt/ml?

9. A child is ordered Ampicillin 170 mg q 6 hours. She weighs 19 kg. The drug is prepared so that there are 250 mg/ml. To deliver the drug IV it must be further diluted so that there are 10 mg of the drug in 1 ml of IV solution. Safe dose range for Ampicillin is 100-200 mg/kg/24hr.

How much is the child receiving per day and is it safe? ____________________

What is the volume of the drug drawn up? ______________________

How much will you dilute the drug in prior to IV administration? _________________

How fast should the IV drip (microdrop 60 gtts/ml) to infuse the med over 20 minutes? __________________gtts/min

10. Andy’s IV aminophylline comes from the pharmacy in a concentration of 350mg/500ml of IV solution. Safe dose is 0.6mg/kg/hr. Iv the IV delivers 60gtt/ml, what is the maximum safe rate the IV should drip? Andy weighs 77 lbs and is age 10.

11. Order: Ticarcillin 1 gm IV q 6 hr for a severe respiratory infection. Medication to be infused over 90 minutes. The child is three years old and weighs 35 lbs. The pediatric safe dose range for IV Ticarcillin is 200-300 mg/kg/day. What is the safe dose range for this child per day and per dose?

a. Is the ordered dose safe?

b. If the Ticarcillin is supplied as 1 gm in 100 ml of solution and the tubing is microdrip, at what flow rate (gtts/min) will the nurse administer the medication?

12. Your patient is to receive Ampicillin 2 gm IV to run over 30 minutes. Ampicillin comes as a powder that requires reconstitution. Adding 7.5 ml of NSS results in a concentration of 250 mg/ml. How many ml will you draw up to administer the dose?

You mix the ampicillin in 50 ml of IV solution. At what rate will you regulate the IV with a drop factor of 15 gtts/ml?

13.The patient is to receive 1400 units of heparin every hour. If there are 25,000 units of heparin in 250 ml of IV solution, how many ml each hour should the patient receive?

Lorrie is a 60-year-old female who was recently diagnosed with hypothyroidism. Her granddaughter, Alissa, who is in college studying to be a registered nurse, is very interested in learning more about hypothyroidism so that she can help to educate her grandmother about her disease process. Alissa begins by reviewing basic anatomy and physiology of the thyroid gland.

1.Create a teaching plan for lorrie a patient with hypothyroidism.

1. Why is learning to perform Leopold's maneuvers important?
2. what can you learn from this procedure?
3. What would contraindications be to performing this maneuver?

In the dietary supplements aisle of the grocery store, the choices are endless—and expensive. Julie, a college sophomore, just read the Academy of Nutrition and Dietetics’ position paper on nutrient supplementation for her class. She learned that dietary supplements, such as a balanced multivitamin and mineral supplement, can be a good back-up plan to ensure adequate nutrition, but the jury is still out when it comes to demonstrating a benefit of dietary supplements for long-term health. The majority of Americans regularly take nutrient supplements, but it is usually the people who already consume a healthy diet who take them. Getting more than the recommended amount of a nutrient does not confer additional health benefits. In fact, too much of some vitamins and minerals can lead to toxicity.

Julie decides she would rather focus on getting her nutrients from whole foods. How can she get the most vitamins and minerals out of the foods she eats?

- What factors can damage or reduce vitamins in food?

- To maximize vitamin content, what should Julie keep in mind as she selects fresh produce for purchase?

- How does food processing affect vitamin and mineral content? Does it make a difference if Julie chooses products with whole grains or refined grains?

- When storing fruits and vegetables in her apartment, what steps can Julie take to minimize nutrient losses?

- Which cooking methods are best for preserving vitamin content?

Explain the access and allocation differences between those who are well-insured, and those who are uninsured or under-insured.

1. What is "vaping illness" and what "outbreak" is the doctors referring to?

2. How might you assist a patient looking to quit smoking? Would you suggest a vape pen? Why or why not?

3. What education might you offer a person who wants to start vaping? A common misconception is that vaping is "safe" and "better than cigarettes" - what might you say to someone with that opinion?

PowerPoint of a full-body physical assessment in order

from head to toe

Accident and health issues related to Covid-19. Ex. Covid-19 health issues and the likelihood of that specific accident happening. Gracias!

QUESTION 5

1. The most accurate method for diagnosing obesity is ___________

   		underwater weighing
   		dual energy X-ray absorptiometry (DEXA)
   		skinfold thickness
   		body mass index

QUESTION 6

1. Bulimia nervosa is characterized by all of the following except __________

   		refusal to eat
   		purging
   		secretive bingeing
   		misuse of laxatives

QUESTION 7

1. Which protein produced in fat tissue regulates body weight by signaling the brain about changes in body fat stores?

   		thyroid hormone
   		ghrelin
   		leptin
   		cholecystochinin

QUESTION 8

1. Regarding body weight and factors impacting it, all of the following are correct statements, except ______________

   		research suggests that genetics play a minor role
   		Those with limited incomes tend to have a greater risk of obesity
   		Marfan syndrome and anorexia nervosa tend to cause a person to have limited fat stores
   		A sound weight loss program may include control of energy intake, regular physical activity, and control of problem behaviors.

QUESTION 9

1. All of the following raise basal metabolic rate except _____________

   		fever
   		increase in thyroid hormone secretion
   		during adolescence
   		physical activity
   		eating one meal a day

QUESTION 10

1. Which of the following statements about Dr. Atkins' diet is correct?

   		person is restricting amount of carbohydrate intake to less than 100 g/day
   		there is a risk of developing ketosis
   		Because of low carbohydrate intake, stored glycogen is depleted, which makes the person easy to get tired.
   		may develop constipation due to lack of fibers in the diet
   		excessive protein intake may lead to fat and increased weight as protein doe not get stored.
   		all statements are correct.

Select a disorder below and discuss the psychosocial impacts on the client from the disorder:

• Inflammatory bowel disease – either ulcerative colitis or Crohn disease
• Irritable bowel syndrome
• Celiac disease
• Ileostomy
• Colostomy
• Pseudomembranous colitis (aka: C. difficile)

Be sure to do the following:

1. Identify the pathophysiology of the disorder.
2. Discuss manifestations of the disorder.

Use one evidence-based article from peer-reviewed journals or scholarly sources (not the Internet) to support your findings. Be sure to acknowledge the source you use.