You are working at a bariatric center and a patient comes to you for pre-operative exercise counseling. Your role is to assess and counsel/ prescribe patients on exercise prior and post-surgery. With this, each patient must participate in at least 8 weeks of an exercise program prior to surgery. (10 points)

Patient Profile: the patient is 48 years old, weight is 345 pounds; BMI= 57 kg/m2. She had a recent oral glucose tolerance test result of 285 mg/dl, TC= 290 mg/dl; TG= 560 mg/dl; HDL = 19 mg/dl. She also has sleep apnea and is developing arthritis in both knees. She takes 120 units of Lantus (basal insulin); 25 units Humalog (rapid insulin) per 3 meals; 80 mg of Zocor; 100mg Atenolol; 1500 mg Niaspan and Valsartan 160 mg twice daily.

Her goal with the laparoscopic adjustable gastric banding surgery is to lose 200 pounds and discontinue all her medications. She is getting the surgery so she does not have to try another diet and fail. She also hates to exercise so having this surgery will help her avoid exercising to lose weight. However, she realizes that she has to comply with your 8 week program to get the surgery.

Is discontinuing her medications realistic? Explain..

James, a 3-yr old has been diagonosed with lymphoblastic leukemia and will begin receiving chemotherapy with the mitotic inhibitor teniposide (Vumon) and the alklating agent Cyclophosphamide (Cytoxan) in the morning .

a. What special considerations are needed for a child James age who will receive chemotherapy?

Pharmacology question. Thanks.

A physician has submitted a prescription for a catheter, however, they did not submit sufficient information on the prescription to process the order. How would you go about finding the missing information and correcting the order? Please describe your process in triaging these situations, including any research you would do to solve these issues, resources you would want access to, the scripts you may use in interfacing with these patients, and your plan and cadence of outreach. How would you go about ensuring that the same problem doesn’t happen again?

Look up clindamycin in your drug handbook to determine an acceptable infusion rate and indicate over how many minutes you will infuse the clindamycin. Do not give a range .

After reading the executive summary of the 2011 report “Kiskisik Awasisik: Remember the Children”, briefly explain why there is an over-representation of indigenous children in the child welfare system.

Discuss the different ways of community reaction to agents of the disease invasion.

you are the medical assistant working in a pediatric clinic today you have a patient who has been diagnosed with steps throat this little one will be prescribed antibiotics to be taken over the next days how would this drug be classified and what information regarding the drug would you want to give to the patient's parent

In emergency care unite, TPN prescribed to a patient weight 88kg. He needs the following macronutrient: 500 cc of 10% lipid fat – 48 g of protein using 10% amino acid solution and D70.

A) Calculate the total osmolality of the TPN.

B) How many grams of fat will be used?

1. Complete an NCLEX style question. Provide the rationales for your answer. The question should be a multiple-choice style question.
2. Provide one question from each area (therapeutic and non-therapeutic concepts).

Therapeutic: Providing information, Clarifying, Focusing, Paraphrasing, Validation, Asking relevant questions,

Summarizing, Self-disclosure, Confrontation, Active listening, Using silence

Non-Therapeutic: Asking personal questions, Giving personal opinions, Changing the subject, Automatic responses, False reassurance,

Asking for explanations, Approval, or disapproval, Defensive responses, Passive or aggressive responces

1- Understand the purpose of HAART Therapy in the treatment of AIDS.

2- Know albuterol and inhaled corticosteroids used to treat asthma, and their teaching points.

3- Antihistamines mechanism of action. Difference between generation one and two.

4- Mechanism of action for Colace, Lomotil, Pancrelipase, and Carafate.

5- Understand why we vomit, and the receptors targeted in anti-emetic therapy (treatment of nausea)

6-Understand what COPD is and what causes it.

7-Mechanism of action of antacids (Tums, Mylanta) and PPIs.

8-Medications for nasal congestion (allergic rhinitis), and cough.

9- Know lipid vs water soluble vitamins.

Thesis statement. What age should children be allowed to have a cell phone?

Introduction. What she should children be allowed to have a cell phone?

What significance does the case of Safe Water Standards and Monitoring of a Well Construction Program have regarding environmental and occupational public health? Explain your answer.

1.            Unknown bacteria #1

Gram-positive cocci

Smooth, yellow colonies

Growth, but not clearing or change on blood agar

Positive for urease production

Positive for gelatinase production

Bubbling produced when exposed to H₂O₂

Name: ___________________________________

2.            Unknown bacteria #2

Gram-positive cocci (mainly diplococci and chains)

Encapsulated

Produces green halo around growth on blood agar

No color change with oxidase reagent

No color change in urea broth

Produces a yellow color in glucose, lactose, and sucrose phenol red tubes

Name: ___________________________________

3.            Unknown bacteria #3

Gram-positive cocci

Encapsulated

No bubbling upon exposure to H₂O₂

VP negative

Produces a clearing around growth on blood agar

Facultative anaerobe

Name: __________________________________

4.          Unknown bacteria #4

Gram-negative bacillus

Abundant white growth

Encapsulated

Positive for nitrate reduction

Simmons citrate agar turns blue

Bubbling produced when exposed to H₂O₂

Name:__________________________________

5.            Unknown bacteria #5

Gram-negative bacillus

Creamy, mucoid, round colonies

Produces a green halo around growth on blood agar

Negative for all tests using SIM agar

No color change in nitrate test after adding reagents A and B plus zinc

TSI slant turns completely yellow

Name: ___________________________________

6.            Unknown bacteria #6

Gram-positive bacillus

Abundant white, waxy growth

Clearing around growth on blood agar

Ferments mannitol with acid production

Green oval structures visible using endospore stain

VP negative

Name: __________________________________

Surgery Assignment

A 62-year old male client who has undergone a total laryngectomy for laryngeal
cancer is being cared for on the surgical unit. He has a tracheostomy tube in place. In
addition to providing tracheostomy care, the nurse is also trying to help the client
communicate his needs to the staff as he is unable to speak.

a.  By what means can the client with a tracheostomy communicate his needs to
the staff?
b. Develop a plan of care for this patient including two actual and two potential

Purpose

An effective way to engage with the topic of writing is to consider how writing matters in various communities on a daily basis. This paper provides the chance to reflect in a personal way about a writing community you successfully joined by learning how to use the language and reasoning skills of that community. By using personal experiences and anecdotes, you will trace your movement from an outsider to an insider in a particular community. Examples of writing communities include a specific workplace, a sports team, a church community, a social or college club, a different country and language, a specific discussion forum--online or in-person.

Task

Write a 3-5 page personal narrative that explores a particular writing community that you are very familiar with and that you feel comfortable discussing with your peers. This writing community should be one that you have chosen, rather than one you were born into. Pick a clear writing community, explain and analyze the writing community’s specific language practices and value system, and show readers that you have become a full member of this community by learning those language practices. Follow these specific steps:

1. Include a main point or take-away (thesis) in the beginning of your essay to clearly indicate to readers what the essay is about and what overall point you wish to make.
2. Identify the community’s specific reasoning (logos), its values and emotions (pathos) and explain how you built your credibility (ethos) as a new community member.
3. Explain some of the tensions and limitations of this writing community: do some members demand or disapprove of certain language use?
4. Use what cultural anthropologist Clifford Geertz calls “thick description” in your essay to identify a particular setting, mood, and people’s characteristics (names, ages, etc.). Show, rather than tell, by using sensory details in your own writing that cue readers to visual, auditory, olfactory, tactile, and kinesthetic aspects.
5. Highlight one or two particular incidents (anecdotes) in which the community’s language practices are nicely evident.
6. You may use quotes from individuals of this community, or from texts the community uses. Make sure to integrate such quotes into your essay.
7. Your audience are your peers and myself, your instructor. Thus, tailor the language of your essay to us, your real audience, and use a style that is distinctly your own.