A track coach wants to compare the 200m time of his high school track team.
boy: 23, 22, 21, 24, 23, 25, 22, 23
girl: 25, 28, 22, 26, 29, 26, 27, 24

a. What test should he use to compare the means?
b. Is it significant at 0.5 level?
c. What conclusion can be made?
d. Calculate omega squared and interpret its meaning in this study.

t = (M₁-M₂)/sqr rt [{(N₁-1)S_{1² +} (N₂-1)S2²/(N₁+N₂-2)] _* [(N_{1 +} N₂)/N1*N2]}

Ω² = {(t² - 1)/ (t² + N₁ + N₂ -1)} X 100

Baby S (a 3-month old baby boy) was brought to the clinic by his foster mother. He has been in her care only 24 hours and came with some problems due to lack of care. He has an inflamed bottom near his genitalia and anus. The foster mother states that he has been crying nearly continually since he came to her, and he is very uncomfortable when he urinates. He looks dehydrated as his lips are dry and skin appears dry. She has attempted to put some cream on the bottom, with no effect.

Question: Describe how a skin infection can be differentiated from a systemic infection in terms of the pathophysiology and symptoms. Support your answer using specific facts, data, examples, and other information drawn from the textbook and at least one other supplemental source.

When should the discharge teaching begin for Jordan and his family?

What is the best way to approach Jordan regarding the intravenous (IV) line that has been ordered?

What would be good distractions for a child of Jordan’s age?

When should Susan’s nurse explain the procedure to her?

To give Susan some control over this situation, what choices could be given to her?

What actions should the nurse take in this clinical situation? Prioritize the actions.

When I was a boy, Uncle WIlbur measured the iron content of runoff from his banana ranch. He acidified a 25.0-mL sample with HNO₃ and treated it with excess KSCN to form a red complex. He then diluted the solution to 100.0 mL and put it in a variable-pathlength cell. For comparison, he treated a 10.0-mL reference sample of 6.80 x 10^-4 M Fe³⁺ with HNO₃ and KSCN and diluted it to 50.0 mL. The reference was placed in a cell with a 1.00-cm pathlength. Runoff had the same absorbance as the ref. when the pathlength of the runoff cell was 2.48 cm. What was the conc. of iron in Uncle Wilbur's runoff?

CLINICAL CASE SCENARIO

Kodjo, 15 years old boy, is admitted to the medical ward with burns on the trunk and arms by Dr. Edinam Insoko. Kodjo came with the history of wound on the trunk, dizziness, painful arms and trunk, fever (38˚C) and insomnia. His folder number is 102/06-2020. Kodjo is a Catholic with allergy of ripped plantain. Kodjo was at home for social distance as a student of the L/A Basic School at Fiayase. Kodjo was nurse in bed M7. The physician ordered the following; diagnostic investigation; Blood for full blood count, fasting blood sugar, liver function test. Urine for urinalysis, BUE, ESR, medications prescribed included Tab Amoxiclav 312.5mg daily x 7, Suppository Paracetamol 1g PRN x 72 hours, Iv Normal Saline 500mls start, Ringer Lactate 500mls start. Dr Edinam Insoko scheduled her for nutritionist specialist review on Mondays and Wednesdays for a month then physiotherapy Tuesdays and Thursdays for three (3) months as well as the plastic surgeon every Friday for three (3) weeks. You are the student nurse in the male ward working for 24 hour period work scheduled due to the COVID-19. Demonstrate your care within the 24 hour care of Kodjo on the ward using the nursing process as a guide and follow all the MOH/GHS/WHO protocol for COVID-19 complete the Nursing Care Plan for Kodjo.

As student nurse in the male ward working for 24 hour period due to the COVID-19. Demonstrate your care within the 24 hours of Kodjo on the ward using the nursing process as a guide complete your Nursing care plan for Kodjo. Also follow all the MOH/GHS/WHO protocol for COVID-19 in your care.

SECTION A

1. Complete the personal data of the Kodjo
2. Clearly detail the medical orders for Kodjo
3. State five (5) patient problem
4. State the patient allergies   
5. State the patient strength in-line with the stated problems   
6. State the nursing diagnosis for each patient problem
7. Explain in detail objective/outcome criteria for each problem in (6) above
8. Give your nursing orders to manage Kodjo
9. Write your nursing intervention provided for Kodjo with evidence-based
10. Evaluate each objective set

NJ is an 11-year-old boy with a 5-year history of ADHD and a 7-year history of asthma. He also experiences perennial allergic rhinitis. NJ’s mother is bringing him into your office due to an exacerbation of this allergy. The symptoms he presents with include increased cough and runny nose and sneezing. He has no other medical history.

The following is his current list of medication:

            Concerta: 36 mg every morning

            Albuterol inhaler: 2 puffs as needed (uses one or two times a day)

            Singulair: 5 mg PO daily

            Zyrtec: 5mg PO daily

1. List specific goals of treatment for NJ.
2. What drug would be appropriate for NJ? Why?
3. What are the parameters for monitoring success of the therapy?
4. Discuss specific patient education based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What would be the choice for the second-line therapy for treating NJ?
7. What over-the-counter or alternative medications would be appropriate for NJ?
8. What dietary and lifestyle changes should be recommended for NJ?
9. Write your prescription for this patient.
10. Write your prescription for this patient.

A 2-year-old boy is being seen by a hematologist. The child's symptoms include the sudden onset of high fevers, thrombocytopenia, epistaxis, gingival bleeding, petechiae, and ecchymoses after minor traumas. The physician has ordered a bone marrow aspiration to confirm the clinical diagnosis of acute lymphocytic leukemia. If the diagnosis is positive, the child will be placed immediately on intensive chemotherapy. The physician has informed the parents that treatment produces remission in 90% of children with ALL, especially those between the ages of 2 and 8

1. What pathological condition does the hematologist suspect? Look this condition up in a reference source and include a short description of it

2.List and define each of the patient's presenting symptons

3. what diagnostic test did the physician perform? Describe

4. Explain the phrase "clinical diagnosis"?

5.If the suspected diagnosis is correct, explain the treatment that will begin

6. what does the term remission mean?

A nine month old baby boy who swallowed quarter and got sent to the emergency department two days later. The parent did not noticed that the baby swallowed a coin until the baby started showing symptoms of vomiting and trying to cough something out his throat. The parent also reported that the baby was not been eating good but continues to disregard that there might be something wrong. The incident happened Sunday, the baby got sent to the hospital Tuesday.

All information provided must be properly cited. Do not copy and paste your answers.

Case Study 2

Respiratory Drugs

Brett is a 12 y/o boy with a history of asthma, diagnosed 2 years ago.  He is an outgoing, active boy and participates in a swim club and soccer, but he has a difficult time adjusting to the limitations of his asthma.  He has learned to control acute attacks by using albuterol (Proventil) metered-dose inhaler, and because his asthma is often triggered by exercise, he has been using a budesonide (Pulmicort) inhaler and taking montelukast (Singulair).  

After competing in his swim meet at the local indoor pool, Brett began experiencing respiratory distress.  He alerted his coach, who retrieved the albuterol inhaler from Brett’s backpack.  After two inhalations, Brett was still in distress and the rescue team was called.

On admission to the emergency department, Brett is in obvious distress with pulse oximeter readings of 90% to 91%.  He has nasal flaring and bilateral wheezing is heard in is his lung fields, pulse rate is 122 beats/min, and he is orthopneic.  While treatment is started, the nurse asks him questions that he can nod or shake to answer.  He shakes his head “no” when asked if he used his budesonide inhaler today and shrugs when asked about his last dose of montelukast. Course hero

1. According to the onset of action, which specific group of drugs would you anticipate will be prescribed to treat Brett’s acute asthmatic attack and why?  (10 points).  Name an inhaler the patient be taught to use to for rescue? (5points)

2. Considering Brett’s history, medications, and the location where Brett’s asthma attack occurred, what might explain his acute attack? (5 points)

3. What is the mechanism of action of leukotriene receptor antagonists (LTRAs)? (20 points)

4. In the past, Brett’s asthma has been treated with use of a budesonide (Pulmicort Turbuhaler).  What is the mechanism of action of steroid inhalers?  (20 points)

5. What instructions is the patient and the parent give when the child is prescribed a steroid inhaler for use?  (15 points)

6. List 5 teaching instructions for Brett and his parents about the use of corticosteroid inhalers. (10 points)

7. Use keywords and a textbook as a resource to search for an asthma support group or online support group for children or for adults.  Include the URL and information about what the group does or services provided. (15 points)