Describe and evaluate the ethical issues involved in Medicare-funded organ transplants

• Introduce the issue.
• Define the problem.
• Search the literature.
• Analyze the problem.
• Offer possible solutions.
• Propose a single solution.
• Develop an implementation plan.
• Justify why and how if your solution will solve the identified problem.

Write at least 3 paragraphs about 10/20 system. Describe the objective, benefits and the process of this system in sleep study.

Mr. H is a 64 year old male with a history of COPD, HTN, and Type 2 DM. he just arrived this morning from the ED with a diagnosis of uncontrolled HTN (admitting BP 220/110), and chest pain. The symptoms that brought him into the ED were severe morning H/A with occasional vomiting x3 days, SOB, and chest pain. When you examine him you notice a large bruise on his right elbow and hip. He relays history of a fall recently. He complains of dysphasia which he attributes to a sore throat from vomiting. He is slightly disoriented and drowsy, but received a dose of Zofran for vomiting before he was brought up to your unit. His HA has returned but he feels he cannot take anything PO because of his earlier vomiting.

Labs: Na: 145, K: 3.7, Cl: 100, CO2: 28, BUN: 22, Creatinine: 1.5, Blood Glucose: 210, HgB: 12.7, WBC: 10.3, PLTS: 110.
CK enzymes negative
Chest X-ray: no effusions, pneumonia but emysematous changes noted.
Current BP: 156/98 HR: 78 reg. RR: 24 on 4L O2

1) What could be happening to Mr. H? (hint: Is all his symptoms related to HTN?)
2) What symptoms are related to the severe HTN?
3) What symptoms are related to the COPD?
4) what symptoms are related to the Type 2 DM?
5) Based on his history and labs what is probably responsible for the bruising?
6) List all abnormal lab values, possible causes, in a significance of the abnormal lab values in Mr. H plan of care?
7) What does emysematous changes on the CXR mean? What disease process is this related to?
8) What are your top 3 nursing priority concepts (in order of priority) would you use for Mr. H? What nursing interventions would you include for Mr. H?

Case Scenario Jarli, a 50-year old Indigenous client is diagnosed with liver cancer. During a teaching session with him, the nurse makes a connection between his drinking history which began in his early teens and states that “drinking is part of the culture in your community.” While in the hospital, he seems very uncommunicative, sad and, contrary to the nurse’s expectation, receives very few visitors. He travelled from his rural community to undergo chemotherapy as planned but later decided to forego the treatment and return home to be with his family. Two weeks later his wife calls and tells the nurse that he was too scared to continue the procedure, that he is a spiritual leader in the community and this was not taken into account when the nurse did her teachings with him. His wife offers to meet with the nurse to further discuss this so that future Indigenous clients will not have to go for treatment without their culture and spirituality being taken into account.

1. What are some of the reasons Indigenous peoples may be reluctant to access health care services? Discuss how these may have contributed to Jarli’s decision to forego treatment for his liver cancer. What strategies can be utilized to prevent or manage the situation?
2. dentify and discuss some of the alternative healing practices that Indigenous peoples use. Discuss how the healthcare environment incorporates these into its practices today. How would you utilize these in your care for Jarli?

Why do mammography systems use one type of filter, whereas chest x-ray or CT x-ray systems would use another type? What else is different about these x-ray systems?

For a radiograph acquired with automatic exposure control, an increase in which of the following factors will increase patient skin dose the most?

A. Tube current (mA)

B. Tube voltage (kV)

C. Patient thickness

D. patient-to-detector distance

E. Source-to-detector distance

You have just been accepted to nursing school. As a requirement, you have to have a tuberculosis (TB) test as well as a hepatitis B recombinant vaccine. The nurse who administers the TB skin test explains that if significant swelling occurs around the injection site, you will need to have chest x-rays to determine if you are infected with Mycobacterium tuberculosis. On the morning of the second day after the skin test, you awake to find your arm red and swollen in an area about the size of a quarter around the site of the test. It is also tender to the touch. Now you are really worried. Could you have TB?

1. Why does the reaction to the skin test take 36-48 hours to show up? Explain.

2. If you have a tuberculosis infection, why doesn’t the whole body, or at least the respiratory tract, react when the antigen is injected during this diagnostic test? After doing a chest x-ray, your doctor says the results are inconclusive. So, you are put on a six-month course of isoniazid to be safe. About six months later, while sitting in your medical microbiology class during a lecture on tuberculosis, you suddenly realize why you had that positive reaction to the skin test six months earlier. It had nothing to do with being infected, but was because you were born in Norway and your family moved to the United States when you were four years old.

3. What is going on here? Discuss in detail.

4. A while later, you told a friend of yours who is HIV-positive about your TB scare. She said that her doctor doesn't typically use the TB skin test on her, even though people with HIV are more susceptible to TB. Why is the skin test not always a reliable TB test for those with HIV?

Current ICD definitions of malnutrition use biochemical markers as a component of the diagnostic criteria. Explain the effect of inflammation on visceral proteins and how that may impact the clinician’s ability to diagnose malnutrition. What laboratory values may confirm the presence of inflammation?

you're a patient is a 48-year-old female brought to the emergency department for stroke like symptoms what are your primary concerns for this patient and what assessment and interventions will be associated with your concerns and why

1.What is a Fistula? How do you care for it?

2. What are you concerned about if the patient’s peritoneal dialysis outflow is brown/bright yellow

1. You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient’s room according to unit specifications and collect the necessary equipment and forms. When the patient arrives, she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions. Accompanying the patient is her daughter, who comments, “This is the fourth time she’s been admitted to this hospital in the past year.” The patient and her daughter demonstrate a close, loving relationship. The daughter not only encourages her mother, but also sets boundaries regarding her mother’s anxiety. (Learning Objectives #1 & #3)
   1. What data in this scenario are pertinent?
   2. Which conditions within the case study could be addressed by nursing diagnoses?
   3. Which conditions within the case study would be addressed by a medical diagnosis?
   4. How are medical diagnoses, collaborative diagnoses, and nursing diagnoses different?
   5. Compare how a medical diagnosis is written versus a nursing diagnosis.

2. You are a nurse preparing to receive a new patient, fresh from surgery, to your unit. The patient is a 71-year-old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanesthesia recovery unit, you learn that his medical history includes hypertension, 40 pack-years of smoking, and COPD. His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the United States. He lives alone, receives Meals on Wheels, and pays a cleaning service to keep his home clean. (Learning Objective #6)
   1. What data in this scenario are pertinent?
   2. What potential collaborative problem(s) could be applicable in this situation?
   3. Which nursing diagnoses would you expect to be applicable regarding the medical procedures in this situation?
   4. Which nursing diagnoses would you expect to be applicable regarding the nursing/medical history in this situation?
   5. Which nursing diagnoses would you expect to be applicable regarding the discharge planning in this situation?
   6. You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient’s room according to unit specifications and collect the necessary equipment and forms. When the patient arrives, she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions. Accompanying the patient is her daughter, who comments, “This is the fourth time she’s been admitted to this hospital in the past year.” The patient and her daughter demonstrate a close, loving relationship. The daughter not only encourages her mother, but also sets boundaries regarding her mother’s anxiety. (Learning Objectives #1 & #3)
      1. What data in this scenario are pertinent?
      2. Which conditions within the case study could be addressed by nursing diagnoses?
      3. Which conditions within the case study would be addressed by a medical diagnosis?
      4. How are medical diagnoses, collaborative diagnoses, and nursing diagnoses different?
      5. Compare how a medical diagnosis is written versus a nursing diagnosis.
   8. You are a nurse preparing to receive a new patient, fresh from surgery, to your unit. The patient is a 71-year-old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanesthesia recovery unit, you learn that his medical history includes hypertension, 40 pack-years of smoking, and COPD. His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the United States. He lives alone, receives Meals on Wheels, and pays a cleaning service to keep his home clean. (Learning Objective #6)
      1. What data in this scenario are pertinent?
      2. What potential collaborative problem(s) could be applicable in this situation?
      3. Which nursing diagnoses would you expect to be applicable regarding the medical procedures in this situation?
      4. Which nursing diagnoses would you expect to be applicable regarding the nursing/medical history in this situation?
      5. Which nursing diagnoses would you expect to be applicable regarding the discharge planning in this situation?

1. The following is true about Alzheimer's Disease

   Check all that apply

   1. it is irreversible

   2. it accounts for 2/3 of all dementia conditions

   3. it causes significant cognitive impairment

   4. it can be prevented

2. Question 40

   1 Point

   The Demographic Transition Theory attempts to explain the trends in population aging

   1. True
   2. False