describe four of the worldviews presented in Tim Keller's article "4 wrong answers to why me? what are the implications of each worldview as one responds to the struggles or the death of a loved one?

A nurse is working in a prenatal care clinic with a high number of adolescent pregnancies. The nurse is asked to prepare some guidelines for the staff regarding care for this population. Explain four interventions you would include in these guidelines. Consider nutritional, psycho-social, and developmental issues for this high-risk population. Include suggestions for professionals who should be on a care team for pregnant adolescents and at least one important community referral that should be made for this population.

A 16-year-old female presents at the clinic with extreme fatigue and shortness of breath while playing volleyball. She has been in good health until about six months ago. During these six months, she has had several colds and flu events where she was unable to do normal activities. Her mother reports she spends a great deal of time sleeping, sometimes twelve hours, and complains of fatigue when she awakens. She is pale and appears to have little energy. The doctor suspects iron deficiency anemia (IDA).

Explain the pathophysiology of iron deficiency anemia (IDA). You will need to defend your answer using specific facts, & data.

Discuss the health care support systems available for muslim culture in minnesota

1. Describe the path of a piece of steak in the GI tract, the enzymes involved in digesting it and how absorption occurs. (8 points)
2. Explain how DNA directs the synthesis of new proteins. What is the role played by each of the three RNAs? (8 points)
3. Explain the special challenges facing vegetarians when considering the body’s protein requirements. In what ways can vegetarians maintain their diets without compromising their health? Why do you think many people still believe vegetarian diets to be dangerous to a person’s health? (8 points)

To prepare for this Discussion, you will be required to read the assigned chapters in your Stanhope and Lancaster text. Then, call the Department of Health or your local Public Health Department and speak to a nurse. Find out the top health concern(s) for your community. Please focus your attention on the unique tools that nurses who work in the community utilize to care for populations, including the Intervention Wheel.

Please listen to Dr. Attia’s Ted Talk in the resources for this week and then respond to the following questions:

• Pick a top health issue in your community and describe some ways in which a nurse might improve this issue at the population level.
• Are the problems that your colleagues are sharing the same as you are seeing in your communities, or are they different?
• Help each other consider different aspects of intervention(s) at the system and community levels of care to address health problems in their own communities. Consider Dr. Attia’s profound message as you respond to your peers and think outside the box.

1. All of the following are possible results of excessive protein intake, except ____________

   		Excess protein may become a burdensome on kidneys as they excrete urea.
   		protein can be used to make glucose
   		dehydration
   		excess protein can be stored as fat
   		all of the above are possible results.

1 points   

QUESTION 2

1. The two phases of protein synthesis in the cell are ____________ which takes place in the __________, and ___________ which takes place in the _______________

   		transcription in the nucleus, and translation in the ribosomes.
   		translation in the nucleus, and transcription in ribosomes
   		transcription in the nucleus, and translation in the mitochondria.
   		translation in the nucleus, and transcription in the golgi apparatus.

2 points   

QUESTION 3

1. Proteins are involved in all of the following functions except ___________

   		promoting bowel function
   		making hormones
   		making enzymes
   		aiding in immune function
   		providing cell structure
   		providing energy

1 points   

QUESTION 4

1. Positive Nitrogen balance results when protein intake exceeds its loss. This is expected in all of the following conditions, except _____

   		during pregnancy
   		during growth spurt
   		in athletic training
   		a feverish person with loss of appetite

1 points   

QUESTION 5

1. Which of the following is classified as a complete protein?

   		kidney beans
   		whole-grain bread
   		fat-free milk
   		corn tortillas

1 points   

QUESTION 6

1. Vegetarian (vegan) diet is becoming more popular. All of the following statements are correct, except ________

   		There is a concern about developing vitamin B-12 deficiency as well as zinc and calcium.
   		Vegan diet is often rich in antioxidants, dietary fibers, and phytochemicals.
   		It is possible to get all nutrientional requirements from vegan diet, if planned well
   		A dish made of beans (limited in methionine) and rice (limited in lysine) will supply the body with all essential amino acids.
   		it is important to compensate for deficiencies in vegan diet, Vegans can use fortified food or take supplements
   		all of the above statements are correct regarding vegetarian diet.

1 points   

QUESTION 7

1. For a healthy adult whose weight is 60 kg, total RDA is ___________ per day, and % of daily energy obtained from protein should be __________ respectively.

   		4.8 grams, 8%
   		36 grams, 30%
   		48 grams, 10-35%
   		60 grams, 20-35%

2 points   

QUESTION 8

1. Hemoglobin is a protein that contains 4 polypeptide chains. Its structure is considered _________

   		primary
   		secondary
   		tertiary
   		quaternary

1 points   

QUESTION 9

1. This process involves synthesis of nonessential amino acids, while that process involves making glucose from non-carbohydrate source, respectively

   		transamination, ketogenesis
   		deamination, gluconeogenesis
   		transamination, gluconeogenesis
   		deamination, glycolysis

1 points   

QUESTION 10

1. Marasmus is protein-deficiency malnutrition, while Kwashiorkor is energy-deficit malnutrition

   True

   False

Nursing careplan of Pneumothorax

Hemodynamic Vent (Question 6)

Patient Profile

R.B. is a 55-year-old woman who presented to the emergency department (ED) via ambulance for acute shortness of breath. Her daughter called an ambulance after finding her mother with an increased respiratory rate and shortness of breath. Upon arrival to the ED, R.B.’s respirations were 40 and shallow with wheezing in the lower lobes and rhonchi in the upper lobes bilaterally. She had positive jugular vein distention and a heart rate of 128. After treatment with albuterol nebulizer via mask, her vital signs were temperature 96.8˚F, pulse 98, respirations 28, blood pressure 148/84, and O₂ saturation 94% with 15 LPM via mask. Arterial blood gasses showed her pH 7.19, pCO₂ 90, PO₂ 92%, HCO₃ 38. R.B. was intubated for hypercapnia. After an echocardiogram showed an ejection fraction less than 50%, she had an emergency left heart catheterization done with two stent placements into the left anterior descending artery. A pulmonary artery catheter was placed, and the initial hemodynamic readings show elevated left ventricular preload. R.B. is now being transferred to the intensive care unit (ICU).

Subjective Data

• Lives with her single daughter, who cares for D.B. full time
• Daughter is not present at bedside
• Smokes 1 pack of cigarettes per day
• No longer active outside of the home because of her chronic illness
• Does not drink alcohol

Objective Data

Physical Examination

• Orally intubated #8 endotracheal (ET) tube taped at 26 cm to lip
• Ventilator settings: FIO₂ 60%, tidal volume 700, assist control (A/C), rate 16, PEEP of 5
• Height 5’5”,weight 117 kg
• Alert and oriented to person, place, and time
• Fine crackles and wheezes bilateral lower lobes
• 2+ pitting edema bilateral lower extremities

Diagnostic Studies

• Chest x-ray postintubation: ET tube 4 cm from carina. Infiltrates in both bases; left base is worse than right
• 12-lead ECG: ST elevation
• Troponin: 41.94
• Lung V/Q scan negative for pulmonary embolism
• Urinalysis: dark yellow and cloudy, protein 28 mg/dL, positive for casts, positive for red blood cells and white blood cells, positive for glucose and ketones

Discussion Questions

6) Describe each of R.B.'s ventilator settings and the rationale for the selection of each.

• Ventilator settings: FIO₂ 60%, tidal volume 700, assist control (A/C), rate 16, PEEP of 5