In lesson 2 for this week, you were asked to reflect on your understanding of health leadership and how this resonates with your own personality and core values. These reflections were then to be captured in a short personal leadership statement. Include this leadership statement in your blog entry for this week, answering the following:

1. What are your core leadership values?

2. What do you expect of the people you work with?

3. What can the people you work with expect from you?

4. How will you evaluate your performance?

In what situations do I seek to confirm my biases rather than control them? In what situations do I interpret evidence in a way that flatters my bias?

1. Calculate the NET VO2 for someone walking on a treadmill at 3.5 mph and a 12% grade.

What is 80% of this person's VO2reserve?

2. What is the predicted VO2 for 62 kg man cycling at a resistance of 147 watts. You must show all your work for full credit.

3. Why do exercise scientist have objective criteria to see whether a true VO2 max was reached? List/name at least 4 of the criteria that must be met for a TRUE VO2max test. What is it called when the criteria is not met?

4.

Please give a general description of the differences between two component models vs. multi-component models for estimating body composition. Ex: what components do they look at? Is one preferred over the other? Why should we care about the components that are being measured?

35.

You are working at a state of the art sports testing complex (think the Nike or Gatorade research labs where time, money and equipment are in abundance) and you are looking to collect body composition on a small group (5) of elite distance runners. The purpose is to collect body composition before they try to break the marathon world record.

Based on the methods we have discussed, what body composition assessment would you use and why? Be detailed and specific when explaining/defending your choice!

34.

You are working on a research project and you are looking to collect VO2max measures on obese adults (categorized as such based on weight and BMI).

Which method/GXT would you choose to assess CRF and why?  Be detailed and specific when explaining/defending your choice

33.

You are working with a community project that is looking to identify health risk factors in middle school students. As a part of this project, you are tasked with collecting body composition assessments from 80 middle schoolers.

What method(s) of body composition would you choose and why? Be detailed and specific when explaining/defending your choice

32.

In lay (or simple) terms, please explain the basic theory of how the BIA method works to predict body composition. Assume you are explaining it to someone that is not in this class (a client/participant for example).

31.

Using the VO2Reserve method, calculate target VO2 for a client whose VO2 max is 12 METs and their prescribed intensity is 70%. Hint: your final answer should be in relative VO2 and NOT in METs. You must show all your work for full credit.

For this discussion, consider the ways in which technology and informatics are used to support evidence-based practice. Please address each of the following questions in your discussion response for this week: Choose a specific evidence-based practice (examples: CAUTI reduction, sepsis protocol, SCIP protocol, bedside shift report, etc.). Describe how technology and informatics are used to support the interventions used in practice? Describe how employing evidence-based practice guidelines improves patient outcomes? What benefits and challenges have you experienced with (the integration of) information technology in your practice? What strategies did you, or could you, use to overcome these challenges?

a nurse is reviewing mobility with the family of a client who is quadriplegic. which of the following statements should the nurse include in the teaching?

a. "place their feet against the footboard of the bed to prevent foot drop."
b. "perform active range of motions exercises daily."
c. "change your family members position every 6 hours."
d. "apply and remove splints every 2 hours."

a nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. which of the following information should the nurse include?

a. native American cultural practices include being outspoken about pain.
b. Puerto Rican cultural practices include the view that outspoken expression of pain are shameful
c. middle eastern cultural practices include hiding pain from close family members
d. Chinese cultural practices include enduring pain to prevent family dishonor

Chapter 46 Acute Kidney Injury Disease

Acute Kidney Injury

Patient Profile

A.S. is a 70-year-old white woman who presented to the emergency department because of a 4-day history of increased shortness of breath and generalized weakness. A.S. stated that she has been able to do her daily chores at home independently, but for the past few days, it was getting difficult for her to get around and that she needed to take frequent breaks because she was short of breath and had no energy. She has a long history of heart failure, type 2 diabetes, and hypertension. She is admitted with a tentative diagnosis of acute kidney injury (AKI).

Subjective Data

• Has been having headaches on and off, with nausea and dizziness
• Reported that she had not been taking her medications regularly at home because of “forgetfulness”
• Has not been urinating a lot
• Feels “puffy” in her legs and hands

Objective Data

Physical Examination

• Blood pressure 178/96, pulse 110, temperature 98.9°F, respirations 24, and an oxygenation of 93% on room air
• Alert and oriented to person, place, and time
• Mild jugular venous distention
• Fine crackles in bilateral lower lobes
• Heart rate regular, no murmurs
• Bowel sounds normoactive and present in all four quadrants
• 2+ edema bilateral lower extremities and hands

Diagnostic Studies

• Echocardiogram shows decreased left ventricular function
• Urinalysis: Urine dark yellow and cloudy, protein 28 mg/dL, negative for glucose and ketones, positive for casts, red blood cells and white blood cells
• 24-hour urine output = 380 mL
• Laboratory Tests:

Case Study Questions

• 1. A.S. has to have a 24-hour urine collection performed, as she is not urinating a lot. Describe in steps the collection procedure by the nurse.
• 2. What is your interpretation of A.S.'s BUN, Cr, and BNP?

BUN (10 -20 mg/dL)

Cr (<1.2 mg/dL for women <1.4 mg/dL for men)

BNP (<100 pg/mL):

3. Should you be concerned about A.S..'s potassium level of 5.2 meq/L? (Yes/No)

List two treatment types that the health care provider might prescribe if deciding to treat A. S. hyperkalemia.

1.

2.

• 4. Based on A.S.’s presentation, what nursing assessments, interventions, and monitoring skills need to be performed by you the registered nurse? Student must list at least six:
• 5. What orders do you as the nurse, anticipate the physician will order? Student must list at least six (frequencies not necessary to list; only what you think the physician will order):

6. Explain what might have contributed to A.S.’s present condition as described above? What are two evidence-based preventive health care provisions/programs that if put in place early might have prevented this from occurring?

Explain what might have contributed to A.S.’s present condition:

Evidence-based Preventive Health Care Provisions/Programs:

1.

2.

7. What is the significance of A.S.’s Hemoglobin, Hematocrit, and RBC levels being significantly decreased?

8. You are planning discharge for A.S. What would you include in your discharge instructions/teachings and what other interdisciplinaries/health professionals would you include? Student must list at least five each:

Nursing Teaching/Instructions                    Other Health Professionals

1.                                                                 1.
2.                                                                 2.
3.                                                                 3.
4.                                                                 4.
5.                                                                 5.

Reference:

Describe what you have learned in the course and what you are looking forward to learn in the future within the program?The program i pick is Allied health mananagement.

Elements of assignment:

• 1-2 Pages (NOT including the cover or reference page)
• 12 Font, Times New Roman
• Double Spaced
• APA format
• Well-thought out commentary

Compare and contrast the four types of diuretics for uses, side effects, precautions, and contraindications. Please make sure you cite your references used in APA format. Thank you

Do you think that a clinician socio-demographic characteristic such as: age, gender, religion, ethnic background, nationality, will have an influence on following or not the clinical practice guidelines?