Should race and gender be taken into account in medical research as well as in clinical practice? Why would you say agree and why would you disagree?

What are some things you like to do to keep your students motivated to want to learn? Or what will you do to turn a negative thought into a positive thought in your students?

endocrine case study 3 CJ

You are working in an outpatient clinic when a mother brings in her 20-year-old daughter, C.J., who has type 1 diabetes mellitus (DM) and has just returned from a trip to Mexico. She has had a 3-day fever and diarrhea with nausea and vomiting. She has been unable to eat and has tolerated only sips of fluid. Because she was unable to eat, she did not take her insulin as directed. You note C.J. is unsteady, so you take her to the examining room in a wheelchair. While helping her onto the examination table, you note her skin is warm and flushed. Her respirations are deep and rapid, and her breath is fruity and sweet smelling. C.J. is drowsy and unable to answer your questions. Her mother states, “She kept telling me she’s so thirsty, but she can’t keep anything down.”
C.J.’s mother tells you the following:
“Blood glucose monitor has been reading ‘high.’”
“C.J. has had sips of ginger ale, but that’s all.”
“She has been vomiting about every other time she drinks.”
“When she first got home, she went [voided] a lot, but yesterday she hardly went at all, and I don’t think she has gone today.”
“She went to bed early last night, and I could hardly wake her up this morning. That’s why I brought her in.”

Vital Signs
Blood pressure
90/50 mm Hg
Heart rate
124 beats/min
Respiratory rate
36 and deep
Temperature
101.3° F (38.5° C) (tympanic)

Laboratory Test Values
Glucose
677 mg/dL (37.6 mmol/L)
Potassium
6.3 mEq/L (6.3 mmol/L)

Interpret C.J.’s VS and laboratory results, relating them to the pathophysiology.
After assessing C.J., the ED resident on call writes the following orders. please Review each order and Indicate which of these orders are appropriate, also indicate corrections for those which are inappropriate.

____ 1000 mL lactated Ringer’s IV stat
____ 36 units NPH and 20 units regular insulin subQ now
____ CBC with differential; CMP; blood cultures × 2 sites; clean-catch urine for UA and C&S; stool for ova and parasites, Clostridium difficile toxin, and C&S; serum lactate, ketone, and osmolality; ABGs on room air
____ 1800-calorie, carbohydrate-controlled diet
____ Bed rest
____Acetaminophen 650 mg rectal suppository                      q4h as needed
____Furosemide 60 mg IV push now
____Urinary output every hour
____VS every shift

All orders have been corrected and therapies started. C.J. receives fluid resuscitation and sliding-scale insulin drip via infusion pump. After several hours, her latest laboratory findings are as shown in the chart.

Laboratory Test Results
Na
149 meq/L (149 mmol/L)
K
3.0 meq/L (3.0 mmol/L)
Cl
119 meq/L (119 mmol/L)
Total CO₂
21 meq/L (21 mmol/L)
BUN
12 mg/dL (4.28 mmol/L)
Creatinine
1.2 mg/dL (106 mcmol/L)
Glucose
307 mg/dL (17 mmol/L)

The attending changes the insulin drip infusion, decreasing it from 6 units to 4 units per hour. Is it acceptable for the nurse to make this change alone, or should it be verified by another nurse? please Explain answer.

A 35 year old G1P0 is 20 weeks gestation with a past medical history of hypertension. Her pregnancy has been uneventful; however, at today's appointment, her blood pressure was 150/100mmHg at first check and 15 minutes later was still 136/90 mmHg. She is also complaining of light-headedness and palpitations.

A. What actions would you take as her nurse?

B. What change should this patient be encouraged to do?

Intravenous Therapy: Manifestations of Infiltration (Active Learning Template: Nursing Skill Description of skill, Indications, Nursing interventions(pre,intra,post) Outcomes/Evaluation, client Education, Potential complications,Nursing interventions

1.Whereas vaccines boost the immune response, immunopharmacologic drugs such as cyclosporine___.
A. suppress cells of the immune system
B. boost cells of the immune system
C. have no effect on cells of the immune system

2. Cyclosporine ____
A. is derived from a bacterium
B. suppresses rejection of organ transplants
C. suppresses interferon-a
D. has product formulations that are substitutable

3. Which drug is for mild to moderate chronic atopic dermatitis?
A. basiliximab
B. glatiramer
C. tacrolimus
D. temsirolimus

4. Which of the following is true about the influenza
vaccine?
A. Flu vaccines are reformulated annually based on predictions of the virus epidemiologists believe will be most virulent.
B. Influenza vaccine comes in an inactivated killed
vaccine and a live attenuated vaccine form.
C. The influenza vaccine is for those 6 months of age and older.
D. All of the above

5. Select the false statement. Each time the cold chain is disrupted,
A. the effectiveness of the vaccine is reduced
B. the loss of potency is cumulative
C. the vaccine potency is unaffected
D. the shelf life of the vaccine is reduced

6. Cold chain protocols for drugs should be established for all of the following except.
A. receiving
B. stocking
C. storage
D. transport
E. administration

7. A warning label that is commonly affixed to most prescriptions for orally administered chemotherapeutic agents for women is
A. AVOID PREGNANCY
B. TAKE WITH LOTS OF WATER
C.SHAKE WELL
D. AVOID PROLONGED SUNLIGHT

8.Which drug is not approved for the treatment of
breast cancer?
A. tamoxifen
B. hydroxyurea
C. Taxol
D. Femara

9.Which source of ionizing radiation is not used for treatment of cancers?
A. X-rays
B. gamma rays
C. neutrons
D. UV light

Between 15-30% of stroke patients develop lung infections, of which about 50% will die. Whilst preclinical studies have demonstrated that acute post-stroke treatment with antibiotics significantly reduces mortality, clinical studies have found no evidence to suggest that antibiotics can improve survival. Which of the following has been proposed to be the likely explanation as to why antibiotics have not been successful? Select one:

a. Antibiotics cannot cross the blood brain barrier

b. The dose of antibiotics has not been appropriate

c. The most appropriate antibiotic(s) have not been used

d. Antibiotic treatment was administered too late

There is much confusion on the meaning and interactions of theories, frameworks and models. What do each of these concepts mean and how do they provide a framework for nursing practice?

Compare and contrast the structural anatomy of the superior and inferior chambers of the heart. What anatomical characteristics are similar in both? Which features are unique to a particular chamber? For each feature, indicate its location and include a brief description of its function. Use terms like endocardium, myocardium, epicardium, the names of great vessels, auricle, papillary muscle, pectinate muscle, types/names of valves, fossa ovalis, chordae tendineae, interventricular septum, parts of the conduction system.

The title of the article is: “Anxiety in adults with autism: Perspectives from practitioners by Kirsty Ainswortha, Ashley E. Robertsonb, Heather Welshc, Matthew Dayd, Jane Watte, Fiona Barrye, Andrew Stanfieldf, Craig Melville”. Answer the following question according to the article.

Question 5.

A. Do the researchers discuss the relevance of the findings to clinical practice?

B. Do the researchers discuss how this study adds to current science?

C. Do the researchers make any suggestions for future research based on their findings?

D. How will the findings influence nursing practice?

E. How do the researchers handle bias?

F. Do the researchers discuss data saturation?

In your own words, provide a 100-word discussion of each of the following eight topics. Each mini-essay earns from zero to three points. Points earned are based on a writing skills rubric. The maximum points available for this assignment is 24 points.

Topic #1: Compare and contrast managed care and case management.

Topic #2: Discuss four milestones in the history and evolution of case management systems.

Topic #3: Compare and contrast acute care case management vs. palliative care case management.

Topic #4: Discuss the role of the case manager in the areas of management and leadership.

Topic #5: Discuss the role of the case manager in the areas of provision of case management services and outcomes evaluation.

Topic #6: Discuss the case manager's utilization of negotiating skills. Provide an example of such a negotiation.

Topic #7: Discuss the history of Medicare and compare and contrast Medicare Part A vs. Medicare Part B.

Topic #8: Discuss the history of Medicaid and describe the categories of Medicaid eligibility. What is the primary function of Medicaid?

quality standards for a general hospital