A 36 year old first-time mother develops complications during labor and requires an emergency cesarean section. How does postpartum nursing care differ for this mother? What assessment and monitoring should the nurse perform?

This is a 35-year-old HIV-positive male with progressive lymphadenopathy and unexplained fever, night sweats, and chills. Low osmolar CT scan of the chest, abdomen, pelvis, and neck showed extensive lymphadenopathy involving mediastlnum and left hilum, paratracheal nodal chains, retroperiteoneum, right iliac nodal chains, and right inguinal nodes. There were several areas of atelectasis evident in the lung. CT guided needle biopsy of an emerged mediastinal node that was suspicious for tuberculosis. This was accomplished using visipaque contrast. The node in fact was AFB-positive. The patient was placed on respiratory isolation and serial sputums were obtained. The patient’s sputum contained positive AFB on concentrated specimen. Also, during the hospitalization, the patient complained of swelling in the bilateral lower extremities. Dopplers were negative for DVT. The patient was diagnosed with tuberculosis of intrathoracic, retroperitoneum, and Inguinal lymph nodes, tubercle bacilli found by microscopy. The patient will be referred to the clinic for management of his HlV disease and associated tuberculosis. What codes are assigned?

Need help with ICD-10-CM Code with POA indicator and MS'DRG and lCD-10-PCS Code.

1) Compare and contrast the 3 study approaches (Qualitative, Case-control, and Cohort) including advantages and disadvantages.

1. Describe the positive symptoms of schizophrenia and relate those symptoms to the case study patient.  

2. Explain the genetics of schizophrenia.

3. The APRN reviews recent literature and reads that neurotransmitters are involved in the development of schizophrenia. What roles do neurotransmitters play in the development of schizophrenia?

4. The APRN reviews recent literature and reads that structural problems in the brain may be involved in the development of schizophrenia. Explain what structural abnormalities are seen in people with schizophrenia.

5. Discuss the role genetics plays in the development of bipolar 2 disorders.  

6. Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.

7. Discuss the role inflammatory cytokines play in the development and exacerbation of bipolar type 2 symptoms

8. Discuss the role of the amygdala in bipolar disorder.

9. How does neurochemical dysregulation contribute to bipolar disorders?

10. What is the current status of the use of nutraceuticals in management of depression?

11. What are panicogens and how do they contribute to the development of panic attack symptoms?

12. How does the GABA-benzodiazepine (BZ) receptor systems contribute to panic attacks/disorders?

13. Describe the areas of the brain that are associated with social anxiety disorder.

14. How is oxytocin associated with anxiety disorder (SAD)?

15. Discuss the role of neurotransmitters in the expression of generalized anxiety disorder (GAD).  

16. Explain the structural brain changes that occur in people with GAD.

17. Describe the changes seen in the brain structure in patients with PTSD.

18. Briefly discuss the role glucocorticoids may have on the development of PTSD.

19. What is primary pathophysiology of obsessive-compulsive disorder (OCD?

20. Describe the role the dorsal anterior cingulate cortex (dACC) has in reinforcement of obsessive behaviors.

Imagine that you are a public health nurse, and you and your colleagues have determined that the threat of a deadly new strain of influenza indicates a need for a mass inoculation program in your community.

0What public health data would have been used to determine the need for such a program? Where would you locate public health data? What data will be collected to determine the success of such a program? How might you communicate this to other communities or internationally?

A 23-year-old male with Type 1 diabetes presents to the ER complaining of fatigue and malaise. He tells you he has skipped his insulin injections the previous two days. His labs are:

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issues

Use the "Community Teaching Work Plan Proposal" resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
2. Request feedback (strengths and opportunities for improvement) from the provider.
3. Complete the "Community Teaching Experience" form with the provider. You will submit this form in Topic 5.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

A 22-year-old woman comes to the office due to worsening cough. The patient has been coughing every day for the past several months, but over the last 4 weeks, the cough has worsened, with increased amounts of thick sputum and shortness of breath. Streaks of blood have been present in the sputum on several occasions. The patient also has a history of chronic sinusitis and repeated hospitalizations for airway infections. She takes pancreatic enzyme supplements for chronic diarrhea. She does not use tobacco, alcohol, or illicit drugs. Physical examination reveals nasal polyps, a barrel-shaped chest, bilateral coarse lung crackles, and digital clubbing. Chest x-ray shows hyperinflated lungs and dilated, thickened airways. The patient is diagnosed with cystic fibrosis.

Sputum culture from this patient is most likely to yield which of the following organisms?

Pseudomonas aeruginosa

Yersinia pestis

Yersinia enterocolitica

Bartonella henselae

Streptococcus pneumoniae

Staphylococcus aureus

1.Three weeks postpartum, a women reports that her period has returned and that it is very heavy; each times she changes her pad, it is soaked through. What postpartum complication might this woman be experiencing, and what instructions or information should the nurse provide?

2. The nurse records a blood loss of 500 ml from a woman who had a cesarean delivery less than 24 hours ago and notes she appears to be developing hypovolemic shock. What signs and symptoms of hypovolemic shock should the nurse recognize? What medical management is indicated?

1.   Provide three unique examples of specific sport tasks using (primarily) each of the three energy systems (9 examples total). For example: Phosphagen, 100m dash (don’t steal that one).

1. Phosphagen:

2. Lactic Acid System:

3. Aerobic System:

Brad presents with report of foreign object in right eye.Brad Pittman is a 35 year old welder.While at work welding , a metal splinter lodged in his eye.

Scenario:.The patient is afebrile and appears in moderate distress,clutching his face.Respirations increased .Heart rate elevated.Patient is slightly diaphoretic.No obvious debris lodged in the face,neck or hands.Nares clear.Ipsilateral lids normal.Sclera grossly inflamed .Upon examinatiuon with slit lamp,the metal splinter is embedded in the cornea but does not enter the anterior chamber.Splinter removed without complications .Contralateral eye is unaffected.Identify the Examinatio elements in this note by organ system,

A. Eye, Ears, Nose

B. Mouth, Throat

C. Skin

D. Cardiovascular and Respiratory

E. all of the above

Patient Name: Arthur Tapping
Patient Number: 2004-1756-0
Birth Date: 12/07/72
Date: 07/07/04

Chief Complaint/ Present illness:
Mr. Tapping is a 32-year-old obese African-American male who visited the hospital with a chief complaint of postprandial gastralgia. The patient was well two weeks ago when he noticed the gradual onset of intermittent epigastric pain, after eating. Initially each episode lasted for ½ hour, was mild, and located diffusely in the upper abdomen. Over time the episodes lengthened to 1-2 hours, became severe, and localized in the RUQ. As of yesterday, he has vomited three times, and is now anorexic. The patient denies any previous history of abdominal pain, hemorrhoids, recent weight gain or loss, illicit drug use and excessive alcohol consumption. There are no suggestions of prior postprandial symptoms, or jaundice.

Physical Examination:
General: alert, responsive, middle-aged man who is moderately obese, in obvious discomfort.
Vitals: BP 173/80; Temp 98.5F; HR 97bpm;
Skin: clear, no evidence of jaundice
Lymphatics: unremarkable
HEENT: Sclera was icteric, ears, nose, and throat are clear
Chest: unremarkable
Abdomen: Moderately obese with a very tender globular mass in the RUQ. No splenomegaly or hepatomegaly noted on palpation. Rebound tenderness was negative over the RLQ. No ascites noted, or other evidence or portal hypertension. Bowels sounds are normal and no bruits noted.
Pelvic/Rectal: within normal limits, Guaiac negative, significant steatorrhea noted
Extremities: All distal pulses are palpable, no edema noted

Lab tests:
Blood: Within normal limits except for hypercholesterolemia, and hyperbilirubinemia
Urine: Bilirubin 3+
Echo scan gallbladder: Gallbladder is approximately 13 cm in length with four to five spherical calculi visualized each approximately 1.5 cm at their greatest diameter.
Impression:

1. Acute cholecystitis, from cholelithiasis
2. Secondary jaundice
3. Hypertension
4. Exogenous obesity
5. Hypercholesterolemia

Treatment/Plan: Refer patient to a gastroenterologist for an open cholecystectomy surgery with operative cholangiography.

Thomas Nosbod, MD

What surgery is suggested for Mr. Tapping?

Question 1 options: