Recently there has been increased focus on efforts and effects of early social prevention measures. Statistically, what factor has the CDC reported to be most responsible for the decrease in pregnancy among teens from 1991 to now? Why might this be the case?

what are Potential conflicts or influence between personal standards and the goals of an organization when implementing digital equality in an environment of diversity?

Which of the following medications can cause a dangerous block of the AV node if dosing is excessive?

Question options:

Under the ACA, health insurance companies cannot refuse coverage to individuals because of a pre-existing medical condition. Define what is a pre-existing medical condition? Also, what are the pros and cons of this provision under the law? 250 word answer

Discuss the role of the Joint Commission in health care. Why is Joint Commission accreditation important for health care facilities? What are the Joint Commission standards? 500 words.

Compose a 3-page research paper addressing the role of the Affordable Care Act (ACA) plays in the US health care system. Support your information through research or credible sources. Address the following topics.

• What are the primary goals of ACA?
• What are the current benefits and issues pertaining to the ACA?
• What is a pre-existing medical condition under the ACA?
• What is the ACA Marketplace?
• What are the Federal government Medicaid Expansion funds?

A 73-year-old female presents to the emergency department with nausea and confusion. The client normally takes digoxin, furosemide, and enalapril.

A. What will the nurse assess when caring for this patient? Include physical assessment and laboratory monitoring.

B. The patient's digoxin level of 2.2 ng/mL. What does the nurse do with this information?

Why are Do Not Resuscitate Orders a legal or ethical issue that is faced in healthcare?

b. The patient asks the student nurse what it means to develop resistance to anti-infectives. When the student nurse is teaching the patient about the anti-infective agent, it is important to include what general points to minimize bacterial resistance?

Marty Miller, age 26, who is training to run her fifth marathon, has gradually increasing dyspnea on exertion, fatigue, and weight gain. She has no children and is not now pregnant. Her nurse practitioner suspects a thyroid hormone disorder.

Instructions: Answer the following questions about Marty’s pathophysiology:

1. What are other symptoms about which you should ask Marty? Why?

2. If Marty has developed hypothyroidism, what might be found on examination?

3. The nurse practitioner drew blood to measure Marty’s TSH levels. What gland secretes TSH?

4. If Marty has hypothyroidism, what do you expect the TSH results to be? Why?

5. Marty is started on thyroid replacement therapy. Why should you teach her the signs and symptoms of hyperthyroidism as well as those of hypothyroidism?

6. What should Marty be taught to ensure adequate absorption of levothyroixine?

7. When her thyroid disorder was undiagnosed, was Marty at risk for thyroid storm? Why, or why not?

Brad Johnson (BJ) is a 54-year-old diagnosed with pituitary adenoma He undergoes a transsphenoidal hypophysectomy to remove the tumor.

1. Before surgery, what conditions might BJ’s pituitary adenoma precipitated?

2. After surgery, he has huge urinary outputs of 500 to 600 ml/hr. What is the most likely cause of his high urine output? What other clinical data would support this diagnosis?

3. BJ receives subcutaneous Desmopressin (DDAVP) to manage his high urine output. What is the rationale for this therapy? How can effectiveness be assessed?

4. It is expected that after his transsphenoidal hypophysectomy, all of BJ’s anterior pituitary hormones will be deficient (panhypopituitarism). What type of hormone replacement will be needed?

John, 78 years old, is a sometimes homeless veteran. He is missing many teeth from years of no dental care. John receives a monthly retirement check but he has great difficulty meeting his monthly bills, let alone buying enough food, and this has caused many evictions. When he can afford them, John has his prescriptions filled for a diuretic (for high blood pressure) and a statin (for high cholesterol). John isn’t sure what his current weight is, but he has had to tighten his belt to the last notch over the past eight months. He has no family with whom he is still in contact, and he eats all of his meals alone. At a neighbor’s insistence, John is visiting the local senior center to eat lunch for the first time. The day he visits, each person is having a free nutrition screen completed by a program staff member.

Questions:

1. Using the “Determine Your Nutritional Health” checklist (p. 459), assess John’s nutritional status. What is his score?

2. Review the “DETERMINE: Warning signs of poor nutritional health” checklist shown in Table 18.5 (p. 458). Prioritize John’s nutrition problems based on this screening tool.

3. What parts of the nutrition education handout created by the University of Florida IFAS Extension (access at http://edis.ifas.ufl.edu/he944) should be used to provide nutrition education to John?

4. What should the local senior center registered dietitian do for John to help address the nutrition problems you identified in #2?