Pediatric Respiratory Case Study

A 7-year-old is being discharged after initial diagnosis and treatment of acute asthma. You are the nurse caring for the patient whom will be discharged in a day or two.

1. What signs or symptoms would you have expected to see in this patient at the time of diagnosis? List the s/s.

2. What instructions would you give the patient/parent regarding the peak expiratory flow meter and how to use it?

3. What medications are prescribed for the child with asthma? How do they work?

4. How will you respond when the child’s parents tell you they plan to restrict him from physical education at school in order to prevent another attack? What physical exercises would you recommend to these parents?

5. What is the purpose of a spacer with the metered dose inhaler?

6. What is the overall goal of asthma management?

Cindy Chen, a 28-year-old female complaining of inability to sleep and nervousness, arrives at the office. She tested positive for HIV in 2014, although she has been asymptomatic on antiviral drugs. Currently, she lives with her aunt and is going to school to become a phlebotomist. During her interview, she says she thinks her nervousness may be due to upcoming exams and the recurrent sore throat and tiredness she has been experiencing in the last several months.

Discussion Questions:

1. How would you code Cindy’s HIV-positive status using ICD-10?

2. What other diagnosis codes would you use related to Cindy’s symptoms, using the ICD-10 coding system?

3. You note in Cindy’s record that she has a history of mild depression. Should this diagnosis be coded and, if so, how would this diagnosis be coded?

Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing a really bad headache as her boyfriend was driving her to the university. He thought she was sleeping and by the time they got to the school, 45 minutes later, she was not waking up. She was diagnosed with a cerebral aneurysm and you are taking care of her in the Neurological ICU.

• What testing do you expect to be performed to diagnose brain death?
• What is the procedure when a patient is determined to be brain dead?
• Who should approach the family about organ donation?

The family is approached about organ donation. The patient indicated on her driver's license that she wanted to be an organ donor. Her mother refuses to consent for organ donation.

• Do you think donation should happen anyway? Why or why not?
• What will be the ethical consequences of your decision?

Consider two countries: Nigeria and Taiwan, and two goods: oil and semiconductors. In Nigeria, a barrel of oil costs 5 labor hours to produce, while a pound of semiconductors costs 20 labor hours. In Taiwan, a barrel of oil costs 7.5 labor hours to produce, while a pound of semiconductors costs 15 labor hours.

(a) (7 points) Does any country have an absolute advantage? Why or why not?

(b) (8 points) Which country has a comparative advantage in each school? What will be the country export/import? Justify your answer by computing the relative price of each good in each country.

(c) (7 points) Suppose the international relative price of a pound of semiconductors is 3 barrels of oil. Show how each contry can save on hours of work by trading with each other.

2. The pharmacist at Arnold Palmer Hospital, Wende Huehn-Brown, receives 13 requests for prescriptions each hour, Poisson distributed. It takes her a mean time of 4 minutes to fill each, following a negative exponential distribution. Use the waiting-line table, Table D.5 (select the closest matching value) and Wq=Lq/λ, to answer these questions.

a. What is the average number of prescriptions in the queue?

b. How long will the average prescription spend in the queue?

c. Wende decides to hire a second pharmacist, Ajay Aggerwal, with whom she went to school and who operates at the same speed in filling prescriptions. How will the answers to parts (a) and (b) change? NOTES: Start by determining how many prescriptions are filled per hour. Use formula in Table D.3 for Wq (also included above).

Show all work/steps

1. Some would argue that the current child protective system is over interventionist and tends to disrupt families in pursuit of an idealized vision of family life. In particular, critics argue that the poor are most likely to suffer because their lives fall short of the middle-class norms that pervade protective agencies. Others argue that the protective system, especially the system we follow in Massachusetts (the "Boston" school) does not do enough to help children out of deference to parental authority and that this perpetuates the idea that children are a form of parental property Which position do you favor? What kinds of deference do you think parents are entitled to? How would you decide when intervention is appropriate? How do you account for class and cultural styles? Please discuss these ideas thoughtfully and thoroughly with reference to class discussion, your notes, and readings you have done.

For the following cases, you may use either the P-value approach or the rejection region approach to present a full hypothesis test, including:

1. Identifying the claim and H₀ and H_a,
2. Finding the appropriate standardized test statistic,
3. Finding the P-value or the rejection region,
4. Deciding whether to reject or fail to reject the null hypothesis, and
5. Interpreting the decision in the context of the original claim.

1. A guidance counselor claims that high school students in a college preparatory program score higher on the ACT test than those in a general program.  The mean ACT score for a random sample of 49 students in the college preparatory program is 22.2 with a standard deviation of 4.8.  The mean ACT score for a random sample of 46 students in the general program is 20.0 with a standard deviation of 5.4.  Perform the appropriate test on the counselor’s claim with regard to the difference between the mean ACT scores at α = 0.10.

Sue and Bill are married. They have 2 children under 17 years old. They qualify for the $2000 child tax credit for both children. Everyone in the family was covered with health insurance for the entire year in 2018 Their total wages combined are $78,928 Federal tax withheld for both of them is $6495 Interest income $575 Tax exempt interest $275 After tax medical paid $6587 Mortgage interest paid $9300 The acquisition debt for the mortgage is $385,000 Property taxes paid $6275 State, City and School district taxes paid $4578 Student loan interest paid for Sue $3275 Student loan interest paid for Bill $575 Cash donations to a several charitable organizations was $5200 Please calculate the refund or amount due based on the above information. Please show all of your work for credit. Need completed ASAP

Women athletes at the University of Colorado – Boulder have a long-term graduation rate of 62% (Source: The Chronicle of Higher Education). Over the past several years, a simple random sample of 42 women athletes at the school showed that 22 eventually graduated. Does this indicate that the population proportion of women athletes who graduate from the University of Colorado – Boulder is now less than 62%? Use a 5% significance level and the Traditional method.

check the requirements

Establish H0 and H1.

Is this a 2-tailed test, left-tailed, or right-tailed?

Calculate the value of the test statistic. Round to three figures after the decimal point. Use correct sign.

Determine the critical value. Use correct sign.

Is there sufficient evidence to reject the claim that the population proportion of women athletes who graduate from UC equals to 0.62?

Group of answer choices