Pregnancy

Pregnancy does not just affect the reproductive system, but the entire female body. Research the physiological symptoms of pregnancy. Based on your observations of others and your research, what are two or three physiological symptoms that seem to be the most common complaints? What are two or three symptoms that seem to be less common? What are the physiological causes of two or three of the symptoms you chose, and how do they relate to the development and growth of the fetus?

Jackson Smith, a 18 year-old male, was admitted to the Emergency Department at 9pm with severe breathlessness. His family informed you that the patient has a history of Asthma that had been diagnosed when he was two years old. On admission to the Emergency Department the clinical manifestations were:

• Severe dyspnoea, inability to speak sentences in one breath
• Respiratory rate of 32 breaths/minute
• SpO2 94%, on room air
• Pulse rate of 130 beats/minute
• Auscultation of lungs identifies diminished breath sounds and widespread wheeze
• Chest x-ray shows clear and hyper-inflated lung fields

A provisional diagnosis of Acute Severe Asthma is made.

This is the case, and how would you explain or describe the clinical manifestation and the pathogenesis causing the clinical manifestations with which Mr Smith presented.

Name two pollutants for each route that are very easily absorbed through each route of exposure (lung, skin, and digestive tract) and explain why they are easily absorbed. Describe how each of their chemical/ physical characteristics aids in their absorption.  

Clarification: There should be a total of six different pollutants: 2 unique pollutants for inhalation, 2 unique pollutants for skin, and 2 unique pollutants for the digestive tract.

1. The science class was studying genetics at school and Arya came home in tears. She told her older sister, “We were doing our family tree and when I filled in our traits, I discovered that Mom and Dad can’t be my real parents ’cause the traits don’t match!” It turns out that Mom and Dad can roll their tongues but Arya can’t. Could Mom and Dad still be Arya’s parents?
2. Tyrion has smoked cigarettes for years and is having breathing difficulties. He has been diagnosed with emphysema. Describe specific kinds of structural changes you would expect to observe in Tyrion’s respiratory system. How are air flow and gas exchange affected by these structural changes?
3. Sansa was diagnosed with exercise-induced asthma after she reported trouble catching her breath during a swim meet. Exercise-induced asthma is a particularly annoying condition for an athlete because the body’s response to exercise is the exact opposite of the body’s need. Explain this statement.

Shock is a clinical syndrome that is a result of inadequate tissue perfusion that creates imbalance between the delivery of and the requirements for oxygen that support cell health. Signs and symptoms of excess fluid volume or inadequate tissue perfusion characterize heart failure.

Address the Following:

Describe the differences in the nursing management for hypovolemic shock, cardiogenic shock, and heart failure.

Because heart failure can be a chronic condition, identify a priority teaching intervention for the patient with a new diagnosis of heart failure.

Comparison of humoral and cell-mediated immunity

Discuss the major differences between humoral and cell-mediated immunity, including cell types involved and the end result of the immune process. Why is it essential to have both a humoral as well as a cell-mediated immune response in order to have a fully competent immune system?

a) List and discuss NINE (9) negative consequences of the covid pandemic on the medical and
agricultural sectors in the Caribbean.

b) Discuss FIVE (5) of the major negative effects that covid is having on trade in Jamaica.

c) Offer 8 (eight) recommendations that can be adapted by the government of Jamaica in a post-covid setting that will
allow our trade framework and business and health sectors to withstand any future pandemics.

History:

Write an essay on the topic "Women of The Revolutions."

Minimum 250 words.

Define a functional food, and describe how both naturally occurring and packaged functional foods can be part of a healthy, well-balanced diet.

1. Case Scenarios 4 & 5

Case Scenarios 4 & 5

A.Ms. Song, a 57-year-old accountant, comes to see you in the clinic with complaints of significant sleep problems that are impacting her quality of life. During your interview, you collect the following information:

● Work has been very stressful, especially during tax time when she has many deadlines

● Has trouble getting to sleep (average 45 minutes; some nights up to 2 hours) ● Wakes up two to three times a night to go to the bathroom or when her cat wakes her

● Drinks four to five cups of coffee a day but decaffeinated after 6 PM

● Usually has two glasses of wine at night to relax her

● Has trouble concentrating during the day and feels less productive

● Yawns frequently and at times has nodded off during boring meetings

● Has never used sleeping pills but now is willing if they will help her get a good night’s sleep.

1. What factors might be influencing Ms. Song’s sleep quality?

2. Script questions that could help her analyze factors that might be impacting her sleep.

3. Identify nonpharmacologic interventions that could improve her sleep.

4. Discuss the advantages and disadvantages of pharmacologic use of hypnotics to treat Ms. Song.

B.Patrick Matthews, an active and popular college baseball star, was treated in your emergency department after being hit in the face with a baseball. He talked a great deal to the staff about his concerns, and the staff all commented on how likable he was. Patrick’s eyes needed to be patched, and he received instructions to stay in an environment with minimal activity. His father has brought Patrick back to the hospital today. Patrick has refused to engage in conversation and has cut off contact with his friends. On the second night after the injury, Patrick showed signs of hallucinations that a roommate was talking to him and delusions that he was being poisoned through his meals. You have been assigned to give nursing care to Patrick the next morning.

1. Determine what additional information you might need.

2. Identify any specific concerns that you have about communicating with Patrick.

3. Examine the possible sources for disturbances in sensory perception that you believe are critical for Patrick.

4. Prioritize the areas you need to address in determining your nursing care.

1. In your own words, explain the concept of “educare”.
2. Describe the main principles, caregiving strategies, and benefits for children, families, and educarers. Provide specific examples from the videos to support your comments.
3. Do you agree with this approach, why or why not? How does this approach connect to developmentally appropriate practice?

The Case of Nancy Cruzan

First, identify the ethical dilemma. Then respond to Steps 1, 3, 4, and 5 of the Framework for Ethical Decision Making. You may wish to use the worksheet that includes prompts for what to include at each step. The steps to evaluate are:

STEP 1: Identify ethical issue(s)

STEP 3: Consider at least two options to address the dilemma

STEP 4: Weigh and evaluate the potential options (do not need to do 4a).

STEP 5: Decide and act. What is your decision, and why?

A 15 year old girl in a coma was brought to the emergency room by her parents. She has been an insulin dependent diabetic for 7 years. Her parents stated that there have been several episodes of hypoglycemia and ketoacidosis in the past, and that their daughter has often been “too busy” to take her insulin injections. The laboratory results obtained on admission are shown in Case study Table 14-5.1

1. Calculate the osmolal gap.

2. What method was used to measure Na+?

3. Are these results valid? Explain why?

Venous Blood                   Result                                   Reference Range

Sodium                                 145 mmol/L                        136-145 mmol/L

Potassium                           5.8 mmol/L                         3.4-5.0 mmol/L

Chloride                               87 mmol/L                           98-107 mmol/L

Bicarbonate                        8 mmol/L                             22-29 mmol/L

Glucose                                1,050 mg/dL                       70-110 mg/dL

Urea nitrogen                    35 mg/dL                             7-18 mg/dL

Creatinine                           1.3 mg/dL                            0.5-1.3 mg/dL

Lactate                                 5 mmol/L                             0.5-2.2 mmol/L

Osmolality                           385 mOsmol/kg                275-295 mOsmol/kg

Child Refugee Crisis

Vulnerable population (Children displaced as refugees)

Evaluate the child refugee crisis for effectiveness, focusing on access, equity, and health.

Has the child refugee crisis served its purpose or caused unintended consequences?

How could the child refugee crisis be improved?

What barriers might exist for improving the child refugee crisis ?

What are the consequences of not improving the child refugee crisis?