1.Many factors affect drug absorption. Select five (5) of these factors and provide a rationale or mechanism(s) for each one’s effects on drug absorption. Use examples to clarify your answer.

Discuss the role of the liver and kidney in drug metabolism and excretion. Include, at least, an analysis of two (2) relevant cellular and/or biochemical processes per organ (showing how the drug is metabolized and excreted).

How could Maslow's Hierarchy of Needs affect a health care worker's ability to exercise sound judgment and values when faced with an ethical dilemma? (Must be 300 a minimum of words)

a. what are some therapeutic procedures for Alzheimer's disease?

b. What are some laboratory tests for Alzheimer's disease?

What is the role of the Executive Branch in country's healthcare?

1. What complicating factors can affect urinary incontinence?

2. Discuss why it is important to support the patient with a toileting schedule and promote their hydration.

3. Why is it important to give peri-care, provide garment and linen changes frequently to patients who are incontinent of urine/feces?

4. How can the Personal Support Worker possibly prevent this for the patient and help promote fecal and urinary continence?

5. What types of treatments are sometimes used for individuals experiencing constipation?

Scenario: Alex is a 6 year old boy who arrives to his primary care office with a 3-day temperature of 102-103F axillary and L leg pain.  Today he started with red pinpoint rash and has been unusually sleep.  Alex is up-to-date on his vaccines.   His vitals today are RR 28

HR 120    T102.5F     BP 90/60   O298% on room air.  Weight 21.8 kg    Height 3.5 feet

the NP finds that Alex has not only cervical lymphadenopathy but also enlarged lymph nodes in the axillae and groin. Yet, Alex is not complaining of a sore throat, headache, ear pain, or trouble urinating.  UA, rapid strep, and rapid flu test are all negative.  Alex hasn’t had any recent injury to his leg.  The NP draws blood to run a CBC and comprehensive metabolic panel.  

The CBC shows a WBC 42,000 (very high)  RBC  (normal)  Hbg 10 (low)  Hct 31% (low)  Platelets 90,000 (low)  Neutrophils-bands – (high)  Neutrophils-segmented (low)  Lymphoblasts at 38% (very high).    The NP admits Alex to the local children’s hospital and orders an oncology consult for suspected leukemia.

1. What in the above scenario could lead to a diagnosis of leukemia?

2.  What additional tests would you expect to be done in hospital?

3. What pain scale would you use for Alex?

4.  Who else in the hospital could you ask to help prepare Alex for the various tests and procedures?  

5. List one nursing diagnosis with interventions & goals.

6. Would advance directives be appropriate here?  Why or why not?

To whom should the duty and responsibility fall when a patient is suddenly rendered incapacitated and incapable of making her own medical decisions, yet has no living will? If married, should the decision automatically fall to the spouse? Under what conditions would it not be rational for the spouse to become the decision maker? If the ultimate decision were to fall to either the court or the medical provider, whom should society choose? Please propose, in this your final discussion, possible measures that could be taken to both educate the public about the need for such planning and, also, those concrete measures that could be taken by lawmakers to implement better legal preparation for end of life and incapacity issues.

In two or three paragraphs, answer the following questions:

a. Using the SLU ( Saint Leo University) Library, locate an article on medical errors. In your own words, provide a brief summary of the article.

b. Explain how managers can assist in improving patient safety.