David, who has suffered from ALS for 20 years, is now hospitalized in a private religious hospital on a respirator. He spoke with his physician before he became incapacitated and asked that he be allowed to die if the suffering became too much for him. The physician agreed that, while he would not give David any drugs to assist a suicide, he would discontinue David's respirator if asked to do so. David has now indicated through a prearranged code of blinking eye movements that he wants the respirator discontinued. David had signed his living will before he became ill, indicating that he did not want extraordinary means keeping him alive. The nursing staff has alerted the hospital administrator about the impending discontinuation of the respirator. The administrator tells the physician that this is against the hospital's policy. She states that once a patient is placed on a respirator, the family must seek a court order to have him or her removed from this type of life support. In addition, it is against hospital policy to have any staff members present during such a procedure. After consulting with the family, the physician orders an ambulance to transport the patient back to his home, where the physician discontinues the life support.

II. Define the precise ethical issue. For example, is it a matter of fairness, justice, morality, or individual rights?

III. Identify the major principles, rules, and values. For example, is this a matter of integrity, quality, respect for others, or profit?

IV. Specify the alternatives. List the major alternative courses of action, including those that represent some form of compromise. This may be a choice between simply doing or not doing something.

V. Compare values and alternatives. Determine if there is one principle or value, or a combination of principles and values, that is so compelling that the proper alternative is clear.

VI. Assess the consequences. Identify short-term, long-term, positive, and negative consequences for the major alternatives. The short-term gain or loss is often overridden when long-term consequences are considered. This step often reveals an unanticipated result of major importance.

VII. Make a decision. The consequences are balanced against one’s primary principles or values. Always double-check your decision.

A woman who has recovered from a serious illness begins a diet regimen designed to get her back to a healthy weight. She currently weighs 107 pounds. She hopes each week to multiply her weight by 1.09 each week.

(a) Find a formula for an exponential function that gives the woman's weight w, in pounds, after t weeks on the regimen.

w =

107(1.09)t

(b) How long will it be before she reaches her normal weight of 140 pounds? (Round your answer to two decimal places.)
weeks

Fana is a nine-year-old girl from Ethiopia who presents to the clinic withneck pain and a low-grade fever. Fana is dressed in traditional garb, meaning only her face is exposed. Everything else is covered to includeher arms, and only her hands are visible.

Fana arrives at the clinic in the company of her uncle because Fana's parents are in Ethiopia. The uncle speaks a little bit of English. Fanadoes not speak any English. please question below

1) What are you going to do first in Fana's case to provide culturally competent care?

Mr. Tan is a 69-year-old patient who is admitted from the Emergency Room with a diagnosis of hypokalemia after 48 hours of vomiting, and diarrhea. The patient's potassium level is 2.9 upon admission. The patient's creatinine level is 0.9 mg/dL and the BUN is 10 mg/dL.

• As the primary nurse, use the SBAR mnemonic to contact the attending physician for desired orders to care for Mr. Tan.
• The admitting resident asks you if the ER physician checked a magnesium level. Discuss why he/she asked you this laboratory result? Assess the current creatine and BUN levels.
• Identify three clinical manifestations associated with hypokalemia with causative factors, and include nursing interventions.
• During the administration of the potassium, Mr. Tan begins to scream in pain and says something is wrong with the IV. Identify interventions that might remedy the patient's discomfort.

Mr. Dugan is an 18-year-old patient who is being admitted from the emergency department with a diagnosis of sepsis. The patient is a current IV drug user. The patient's vital signs are: T: 104 F, HR:138 RR: 32, and oxygen saturation: 90% at 6 liters per min via high-flow nasal cannula. The patient states "I have been taking my antibiotics like my doctor wants me to, but the infection keeps coming back." The patient is noted to have the following physical findings: splinter hemorrhages; a systolic murmur on a^uscultation, Osler's nodes on his fingers and Janeway's lesions on his palms and the soles of his feet.

He is ordered Vancomycin, 2 gm, IV QD. (20 points each)

• Identify three diagnostic studies, with rationales, that should be ordered by the provider and why.
• Provide a possible explanation for the systolic murmur and any patient teaching implications.
• Besides IV drug use, identify five other risk factors for infective endocarditis.
• After a week in the hospital, the physician orders a PICC line to be placed and consults home health for antibiotic administration and teaching. Develop a teaching plan for a patient who requires home antibiotic therapy, providing a rationale for each intervention.

The National Weight Control Registry tries to mine secrets of success from people who lost at least 30 pounds and kept it off for at least a year. It reports that out of 3500 registrants, 922 were on a low-carbohydrate diet (less than 90 grams a day).

a. Develop a 99% confidence interval for the proportion of people in the registry on a low-carb diet.

b. Is it possible that this population proportion is 25%?

c. For a follow-up study, how large a sample is needed to estimate the proportion within .5% and with 99% confidence?

(Please make sure you focus on the numbers given above)

Who produces capital, wages and profits from a political economy perspective and how does the control of the surplus ( capital flight and strike, campaign contributions, media and philanthropy) significantly determine the political economy of society ?

(at least 150 words)

Find a poet who appeals to you from a culture other than your own in our text Compact Literature. Why does his or her work appeal to you? Explain your ideas and feelings so that your colleagues can understand why you have chosen this particular author. *Note that the poet that you choose to discuss in this posting should come from a culture that is different from your own. You need to explain those differences and how they are reflected in the poet’s work. You will have to do a little research for this particular discussion posting, but you can also use your textbook to help you. Make sure to include a specific poem from this poet and explain why you like it. Once you have examined the cultural elements of the chosen poem, ask yourself: how does the culture in Achebe’s novel impact my understanding of the story? Does your chosen poet bring new meaning to his/her culture? …to your culture?

Pedro is a college student who receives a monthly stipend from his parents of $1,000. He uses this stipend to pay rent for housing and to go to the movies (you can assume that all of Pedro’s other expenses, such as food and clothing have already been paid for). In the town where Pedro goes to college, each square foot of rental housing costs $2 per month. The price of a movie ticket is $10 per ticket. Let xdenote the square feet of housing, and let ydenote the number of movie tickets he purchases per month.

a) What is the expression for Pedro’s budget constraint?

b) Draw a graph of Pedro’s budget line.

c) What is the maximum number of square feet of housing he can purchase given his monthly stipend?

d) What is the maximum number of movie tickets he can purchase given his monthly stipend?

e) Suppose Pedro’s parents increase his stipend by 10 percent. At the same time, suppose that in the college town he lives in, all prices, including housing rental rates and movie ticket prices, increase by 10 percent. What happens to the graph of Pedro’s budget line?