Why  a sleep study prior to pediatric ENT surgery is important ?

Mandy is a 10-year-old female with cystic fibrosis who weighs 62 pounds and is 51 inches tall and is considered low active.

1-Calculate Mandy’s estimated energy requirement given her DRI and medical condition using the following information (5 points) EER for Girls 9 through 18 Years EER = 135.3 – (30.8 ´ age [y]) + PA ´ (10.0 ´ weight [kg] + 934 ´ height [m]) + 25 kcal PA = 1.00 if PAL is estimated to be ≥ 1.0 < 1.4 (sedentary) PA = 1.13 if PAL is estimated to be ≥ 1.4 < 1.6 (low active) PA = 1.26 if PAL is estimated to be ≥ 1.6 < 1.9 (active) PA = 1.42 if PAL is estimated to be ≥ 1.9 < 2.5 (very active)

2-Calculate Mandy’s protein requirement given her DRI and medical condition (5 points). EER DRI Table

3-The estimated calorie requirement for an individual with cystic fibrosis is two to four times the usual recommendation. How would one know the appropriate calorie level to recommend initially? (5 points)

4-Research nutrition recommendations for cystic fibrosis that can assist an individual with meeting her high calorie and protein requirements (i.e., use the text and reputable websites). What advice could you provide to a patient? (10 points)

Examine the balance between defining HIT needs and applying available HIT solutions. How do you navigate these sometimes opposing forces? Describe your recommended method of requirements management and how you would recommend prioritization.

Katie has tox labs drawn to assess for worsening pre-eclampsia. The results are as follows:

• SGOT/AST 44, SGPT/ALT 86, Uric acid 7.7, Creatinine 1.2, Platelets 123K

      DTR’s are 3+ and brisk with 2 beats of clonus. The order reads to start Magnesium sulfate

      with a 4 gram bolus over 30 minutes followed by a continuous infusion at 2grams/hr.   In

      addition, her contractions have diminished and a Pitocin augmentation is initiated at 2

      milliunits/min and to increase q20 minutes until an adequate contraction pattern is attained.

      Her blood pressures range from 131/82 – 156/97.

Questions:

1. What is the significance of Katie’s lab work?

2. What assessment data needs to be collected?

Discuss the positive and negative images of nurses in social media and television. Provide examples.

What is the mental health concern depicted by anxiety disorder

1. Why are psychosocial variables more difficult to consistently and accurately measure?

Mrs. Smith is approaching her 80th birthday. She is adamant about her health including her healthy bones, so she’s been taking calcium supplements for over 40 years. Should she consume her calcium supplements with meals or between meals? Explain your answer. What other nutrients should Mrs. Smith be careful about?

• Use of alternative and complementary therapies.
• Possible hazards of alternative and complementary therapies.

(please answer the questions above)

Known Information:

UV is a 55-year-old man who is seen during follow-up after being diagnosed with Type 2 diabetes. At the last visit, he has prescribed metformin 500 mg twice daily. UV states that he never filled his prescription, but instead took his neighbors advice and started taking cinnamon. He said that he googled the spice and found that it lowers blood sugar. Upon further questioning, he states that he grabs a spoon from the drawer and consumes baking cinnamon found in his kitchen cabinet.

Mrs Leece is 81 years old and is currently in hospital recovering from a fractured hip (fractured neck of femur), which occurred when she was trying to mobilise outside to get the mail. She reports that she had noticed that she had been getting ‘weaker’ in the legs and had not been able to shop regularly, or cook for herself for a while. She says that her appetite has been reduced also and that she has noticed that her clothes are looser and that her wedding ring is now too big. On examination the dietitian reports that she in underweight and malnourished, while a bone density scan has confirmed her osteoporosis.

3. What are her risk factors for malnutrition?

4. What factors have contributed to her recent fall?

5. What other nutrients are particularly important for Mrs Leece at present? Please explain why each is important.

6. The medical team will be reviewing Mrs Leece and making recommendations about ongoing treatment and medications. Will there likely be role for supplements? If so, which ones might be prescribed and why?

7. What factors can assist in reducing the risk of osteoporosis for others?

Why is nursing image important in a nursing profession?

Think about your goal in nursing education (i.e., teaching in a pre-licensure program or an MSN program, or as a staff development specialist). Then review either (1) the Board of Nursing requirements for nursing faculty in your state (for an academic program), OR (2) the facility requirements for a healthcare setting. Based on your goals and these requirements, what additional knowledge, skills, and abilities do you need to be eligible to meet your goal and how will you achieve these knowledge, skills, and abilities? (Mine is 1)

Read the case study, then answer the questions that follow.

Liam is the facility manager at a residential aged care facility. The service provides independent living units, community nursing and home care packages, day centre visits, respite care, palliative care, and dementia specific care, to older people. Liam is responsible for managing legal and ethical compliance within the organisation, ensuring the facility’s AHPRA registration and accreditation are up to date, and maintaining collaborative and effective relationships with all multidisciplinary team members. Lucy, a casual nurse, comes to work with symptoms of gastroenteritis. She knows that she should have stayed home but she knew the service was going to be short staffed. After carrying out her duties for three hours, Lucy talks to her manager, Janice, in the tea room. She explains her symptoms and that she is feeling weak and unsteady. Janice tells her to go home immediately as gastroenteritis is highly contagious and could pose a severe health risk to residents and other staff members. That evening, four residents develop gastroenteritis. Liam has left work for the day but receives a phone call from the night nursing unit manager alerting him to the spread of virus (herein called ‘the incident’). Liam responds immediately by ordering the service into lock down. One of the residents who contracted the virus is taken to hospital for treatment and is in a critical condition. Liam organises refresher training for all staff with regard to duty of care. Liam receives an incident report form from Janice regarding Lucy’s illness. He thinks that because of Lucy’s failure to comply with organisational work health and safety procedures relating to infection control, the organisation has breached its duty of care to provide residents with a safe and healthy care environment.

a. How could Liam determine the organisation’s scope of compliance requirements relating to the health and safety of workers and people receiving support services? (Approx. 30 words).

b. List two places where Liam could access and interpret legal information relating to the incident. (Approx. 20 words that you can present in a bullet list if you wish)..

c. Aside from an infection control risk, what other aspect of WHS was at risk if Sarah stayed at work? (Approx. 15 words).