You’ve been hired by Central Hospital for your first job as a phlebotomist. You start next Monday, but first you need to read the employee handbook, which includes a description of personal characteristics for the successful phlebotomist. Dependability? Check—you’ve been holding down a steady job for more than 2 years. Positive attitude? Check—your nickname at the warehouse is “Can do.” Professional appearance? Uh-oh—no piercings, no visible tattoos, no artificial nails. You’ve got them all.

When Monday rolls around, what should you do? Forget about the job? Tell your supervisor, “This is me—deal with it”? What would you do? Why?

List the advantages and disadvantages of each blood taking methods/systems.(syringe, infusion/butterfly needle & vacutainer system.

What are the benefits and drawbacks of expended genetic code relate to  designer microbes and novel engineered proteins.

whether complex genetic code leads to complex forms of life and how will this aid in making designer microbes?

List the signs and symptoms of surgical wound infection in a client.

Explain 2 factors that affect wound healing.

Define serous, serosanguineous, sanguineous and purulent.

Identify 2 ways in which you can reduce the risk of falls in all patient populations.

2. What is the purose of a code system (Code blue, pink, white etc.)

3. Identify 2 de-escalation techniques that could be implemented to reduce the risk of patient agitation or aggression.

clear hand writting only

For state and local public health departments, an important part of their work is addressing legal issues related to the health of their communities. To meet their responsibilities, state and local public health departments will often involve legal counsel and draw on the knowledge and experience of program staff. Briefly explain the key roles of legal counsels at state and local health department

Each of the three major issues of funding national health insurance requires solutions. Of the three major issues, which do you feel requires a solution to the soonest? In your opinion, what is the best currently proposed solution? How will implementing this solution determine the production and distribution of medical services? Explain your answer in detail.

The following tests were performed as a group from one blood sample: lipid panel – total serum cholesterol, HDL and triglycerides; electrolyte panel – carbon dioxide, chloride, potassium, and sodium. Code the labs

What is the CPT code(s)?

Modifiers if appropriate?

the affordable healthcare act How do supply and demand affect this policy

Dani is a 19-year-old female who is seen in the office complaining of “problems with my bowels.” She is having frequent abdominal cramping, flatulence, and feels bloated most of the time. She describes alternating bouts of constipation and diarrhea, though more diarrhea than constipation. On questioning, she did acknowledge mucus in her stools, though she denied any blood. On physical exam, her abdomen was, indeed, bloated. Digital rectal exam—negative. Hyperactive bowel sounds on auscultation. I explained to Dani, that based on her symptoms and exam, she most likely has irritable bowel syndrome and I would like to start out with a conservative approach. I would like her to keep a food diary for the next seven days and document what she eats and when. I also want her to document her mood and activity for each day. She was also instructed to keep a record of each bowel movement, by day, and to indicate if it was constipated, diarrhea, normal, etc. I would also like her to increase her fiber. Plan: See her back in the office in 10 days and then I will decide whether to start her on medications or do further work up. Dx: IBS

What is the ICD 10 CM?

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

Your neighbor tells you she has been experiencing heartburn and belching, acidic foods seem to make it worse.

What might your neighbor be experiencing?

Explain why this occurs and what might be done to alleviate the problem?

The goals of peptic ulcer disease pharmacotherapy are to provide immediate relief from symptoms, promote healing of the ulcer, and prevent recurrence of the disease.

Discuss the drug classification, which might be prescribed.

The patient will begin medications to treat peptic ulcer disease.

What would the nurse include in the assessment prior to giving the medication, during the medication administration?

In addition, what symptoms might indicate potential adverse effects or complications?

A patient presents to their primary care physician complaining of dizziness, lightheadedness, feeling cold, and states they are a strict vegan. Upon further assessment and bloodwork, the patient is diagnosed with iron deficiency anemia.

Discuss this type of anemia.

Cite examples of the different indications for the administration of anemia drugs.

What would be included in patient education?

A patient with Stage 1 cancer is being admitted to the oncology unit for chemotherapy and reports that she has been taking nutritional supplements to build up her immune system.

What are the nutritional supplements?

After a week of chemotherapy, the patient is unable to eat or drink anything without vomiting in spite of administering antiemetics. She is weak and has lost 9 pounds. The oncologist has ordered total parenteral nutrition (TPN) to be administered via her central line.

What is the difference between administering nutrition enterally and parenterally?

Multidisciplinary Care-How do these roles assist the patient.
• Social Worker
• Dietician
• Chaplain

What are potential solutions(2) to address the problem in cybersecurity in healthcare? What are "experts" suggesting? What do you, personally, suggest?

1. By the end of pregnancy, it is expected that the weight of a healthy mother increases by about 40 pounds.

   True

   False

QUESTION 7

1. Which of the following compounds can be secreted in the human milk?

   		alcohol
   		caffeine
   		food flavors
   		drugs
   		all of the above

QUESTION 8

1. Iron needs rise significantly during pregnancy because _______ (multiple answers).

   		the fetus is building iron stores.
   		the fetus breaks down RBCs rapidly
   		the number of RBCs in the mother increases to meet the new demands.
   		iron plays part in energy production as a cofactor.

QUESTION 9

1. Milk production is promoted by oxytocin while let-down reflex is enhanced by prolactin.

   True

   False

QUESTION 10

1. Colostrum is the yellowish liquid secreted from the breast in the first few days after delivery of baby. It is rich in antibodies and other immune system cells.

   True

   False