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You are an LPN working on a medical-surgical floor in a team that consists of an RN and a medical assistant. Read through some of the chart entries over a 48-hour period and answer the questions at the end. Please make sure you cite any sources using APA format. You will find when there is a major clue. 0130: Admission nurses note (RN): Client arrived via EMS from long-term-care for evaluation of “low blood sugar.” Pt. arrived confused (alert and oriented X 1) and is a known diabetic. Finger stick was 45. Orange juice and crackers, given repeat finger stick 104. Pt now alert and oriented X 4. Report from the charge nurse at the long-term-care facility indicates that the client has been having frequent bouts of hypoglycemia. 0530: (RN) Foley catheter inserted for incontinence--pt. “too weak” to get up to the bathroom and is experiencing bouts of incontinence. 600 mL clear yellow urine noted. The nurse indicates that the ER is “very busy” and “short-staffed.” 0545 (Admitting Physician) See history and physical. Pt. admitted to the medical-surgical service for evaluation of recurrent hypoglycemia. View the ER chart before the pt. is transferred to the floor: 0730: (RN) Report is given to RN on 3 North. Emergency Department Chart Client: Mabel Simpson DOB: 4/23/1941 Admission Date 8/16/2019 Medical Diagnosis: recurrent hypoglycemia Allergies: None Vitals/ Data Collection: Temp.- 97.3 PO History: Diabetes (insulin dependent) Medications: Insulin R titrated to finger sticks Allergies: None Vitals/ Data Collection: Pulse- 68 History: Hypertension Medications: Furosemide 20 MG twice per day Allergies: None Vitals/ Data Collection: Respirations- 18 History: Atrial Fibrillation Medications: Warfarin 5 Mg Mon, Wed, Fri 2 Mg Tues, Thurs Allergies: None Vitals/ Data Collection: Blood Pressure- 122/86 History: Rheumatoid Arthritis Medications: Enalapril 5 Mg once per day Allergies: None Vitals/ Data Collection: No C/O pain History: Mild Heart Failure (class 1) Medications: Proventil inhaler as needed for wheezing Allergies: None Vitals/ Data Collection: Alert and oriented X 4 History: Former Smoker- smoked 1 pack per day X 40 years- last smoked 10 years ago Medications: Methotrexate 2.5 Mg per day Allergies: None Vitals/ Data Collection: Lungs: No adventitious sounds History: Appendectomy as a child Medications: Tylenol 650 Mg as needed for pain or fever Allergies: None Vitals/ Data Collection: + Bowel sounds History: Mobility (baseline): able to ambulate slowly with minimal assist Clear yellow urine draining from Foley catheter in adequate amts. Medications: Allergies: None Vitals/ Data Collection: Clear yellow urine draining from Foley catheter in adequate amts. History: Medications: Allergies: None 8/16/2019 10:00: (RN) Pt received on 3 North. Alert and oriented X 4. Fingerstick 81. Eating breakfast. Offering no complaints. 8/17/2019 (Medical Assistant) 0130: Sl.
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0130 Admission nurses note (RN) Client arrived via EMS from lo.docx
0130: Admission nurses note (RN): Client arrived via EMS from long-term-care for evaluation of “low blood sugar.” Pt. arrived confused (alert and oriented X 1) and is a known diabetic. Finger stick was 45. Orange juice and crackers, given repeat finger stick 104. Pt now alert and oriented X 4. Report from the charge nurse at the long-term-care facility indicates that the client has been having frequent bouts of hypoglycemia.
0530: (RN) Foley catheter inserted for incontinence--pt. “too weak” to get up to the bathroom and is experiencing bouts of incontinence.
600 mL clear yellow urine noted. The nurse indicates that the ER is “very busy” and “short-staffed.” 0545 (Admitting Physician) See history and physical. Pt. admitted to the medical-surgical service for evaluation of recurrent hypoglycemia.
View the ER chart before the pt. is transferred to the floor:
0730: (RN) Report is given to RN on 3 North.
Emergency Department Chart
Client: Mabel Simpson
DOB: 4/23/1941
Admission Date 8/16/2019
Medical Diagnosis: recurrent hypoglycemia
Allergies: None
Vitals/ Data Collection:
Temp.- 97.3 PO
History:
Diabetes (insulin dependent)
Medications:
Insulin R titrated to finger sticks
Allergies:
None
Vitals/ Data Collection:
Pulse- 68
History:
Hypertension
Medications:
Furosemide 20 MG twice per day
Allergies:
None
Vitals/ Data Collection:
Respirations- 18
History:
Atrial Fibrillation
Medications:
Warfarin 5 Mg Mon, Wed, Fri 2 Mg Tues, Thurs
Allergies:
None
Vitals/ Data Collection:
Blood Pressure- 122/86
History:
Rheumatoid Arthritis
Medications:
Enalapril 5 Mg once per day
Allergies:
None
Vitals/ Data Collection:
No C/O pain
History:
Mild Heart Failure (class 1)
Medications:
Proventil inhaler as needed for wheezing
Allergies:
None
Vitals/ Data Collection:
Alert and oriented X 4
History:
Former Smoker- smoked 1 pack per day X 40 years- last smoked 10 years ago
Medications:
Methotrexate 2.5 Mg per day
Allergies:
None
Vitals/ Data Collection:
Lungs: No adventitious sounds
History:
Appendectomy as a child
Medications:
Tylenol 650 Mg as needed for pain or fever
Allergies:
None
Vitals/ Data Collection:
+ Bowel sounds
History:
Mobility (baseline): able to ambulate slowly with minimal assist
Clear yellow urine draining from Foley catheter in adequate amts.
Medications:
Allergies:
None
Vitals/ Data Collection:
Clear yellow urine draining from Foley catheter in adequate amts.
History:
Medications:
Allergies:
None
8/16/2019
10:00: (RN) Pt received on 3 North. Alert and oriented X 4. Fingerstick 81. Eating breakfast. Offering no complaints.
8/17/2019 (Medical Assistant)
0130: Sleeping Soundly
0700: (LPN) alert and oriented Finger stick 124. Offering no complaints. Medications given as ordered. Foley catheter draining cloudy yellow urine- RN notified.
1100: (Case Manager note): Pt. alert and oriented. Blood sugar stable. Will speak to the physician about discharge tomorrow morn.
1.CC I have been having terrible chest and arm pain for the pa.docx
1.
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
QUESTION 2
1.
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
QUESTION 3
1.
A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
1 points
QUESTION 4
1.
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sen.
CC I have been having terrible chest and arm pain for the .docx
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
2 points
QUESTION 2
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
3 points
QUESTION 3
A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
1 points
QUESTION 4
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought.
PULMONARY EMBOLISM 1711W035 .docx
Pneumonia is an inflammation of the lungs caused by an infection. It is also called Pneumonitis or Bronchopneumonia. Pneumonia can be a serious threat to our health. Although pneumonia is a special concern for older adults and those with chronic illnesses, it can also strike young, healthy people as well. It is a common illness that affects thousands of people each year in the Philippines, thus, it remains an important cause of morbidity and mortality in the country. There are many kinds of pneumonia that range in seriousness from mild to life- threatening. In infectious pneumonia, bacteria, viruses, fungi or other organisms attack your lungs, leading to inflammation that makes it hard to breathe. Pneumonia can affect one or both lungs. In the young and healthy, early treatment with antibiotics can cure bacterial pneumonia.
MDC3 -3MAKE SURE TO ANSWER ALL THE FOLLOW CAREFULLY AND CORRECTL
MDC3 -3
MAKE SURE TO ANSWER ALL THE FOLLOW CAREFULLY AND CORRECTLY WITH CAREFUL UNDERSTANDING
1. Which of the following assessment findings are consistent with aortic regurgitation?
Atrial fibrillation
Systolic click
Pitting edema
Blowing decrescendo diastolic murmur
2. The nurse receives an order to infuse heparin 1000 units/hr IV. The IV bag contains 25.000 units heparin in 500ml. D5W. Calculate the IV rate in ml/hr___ ( record as a whole number)
3. The nurse is assessing a client with severe anemia. Which clinical manifestation does the nurse expect to see in this clients?
Dyspnea with activity
Hypertension
Bradycardia
Warm flushed skin
4. A nurse is caring for a 19 year old male recently diagnosed with leukemia. Which of the following nursing interventions is appropriate for the client?
Strict hand hygiene to prevent infection
Fluid restriction
Low residual diet
Therapeutic phlebotomy
5. The nurse assesses a client and documents the following findings edema 2+ bilateral ankles brown pigmentation of lower extremity skin aching pain of lower extremities when standing that resolves with elevation and 2+pedal pulses. What condition does the client likely have?
Deep vein thrombosis
Venous insufficiency
Peripheral arterial disease
Raynaud disease
6. The nurse is caring for a 65 year old female who presented to the emergency department with shortness of breath and chest discomfort. The client has not been feeling well for the past few days and complains of a productive cough of blood tinged sputum. Laboratory an elevated brain natriuretic peptide (BNP) and chest x-ray reveals pulmonary congestion , Based on the assessment findings which of the following diagnosis are consistent with these findings?
Heart failure(left- sided)
Pulmonary embolism
Heart failure(right-sided)
Lung cancer
7. A nurse is performing discharge teaching for a client who was recently diagnosed with heart failure. Which of the following should be included in the client and family teaching? (SATA)
Medication teaching
Low sodium diet
Fluid restriction
Weekly weight
Symptoms to report to the provider
8. A 65 year old female presented to the emergency room with complaints of progressively worsening fatigue shortness of breath, and palpitations. Upon assessment heart rate is 150 beats per minute and irregular, and there is positive jugular vein distention heart tones reveal a high pitched holosystolic murmur. Which of the following disorders are consistent with these findings?
Mitral regurgitation
Mitral stenosis
Aortic regurgitation
Mitral valve prolapse
9. Which of the following assessment findings is consistent with mitral valve prolapse?
Systolic click
Urinary frequency
Atrial fibrillation
Claudication
10. The nurse is caring for four clients on a post surgical unit . The nurse understands that monitoring the client for which post operative complication takes priority?
Constipation
Nausea
Urinary retention
Pneumonia
11. A nurse is caring for a client who was recently diagno ...
Recommended
0130 Admission nurses note (RN) Client arrived via EMS from lo.docx
0130: Admission nurses note (RN): Client arrived via EMS from long-term-care for evaluation of “low blood sugar.” Pt. arrived confused (alert and oriented X 1) and is a known diabetic. Finger stick was 45. Orange juice and crackers, given repeat finger stick 104. Pt now alert and oriented X 4. Report from the charge nurse at the long-term-care facility indicates that the client has been having frequent bouts of hypoglycemia.
0530: (RN) Foley catheter inserted for incontinence--pt. “too weak” to get up to the bathroom and is experiencing bouts of incontinence.
600 mL clear yellow urine noted. The nurse indicates that the ER is “very busy” and “short-staffed.” 0545 (Admitting Physician) See history and physical. Pt. admitted to the medical-surgical service for evaluation of recurrent hypoglycemia.
View the ER chart before the pt. is transferred to the floor:
0730: (RN) Report is given to RN on 3 North.
Emergency Department Chart
Client: Mabel Simpson
DOB: 4/23/1941
Admission Date 8/16/2019
Medical Diagnosis: recurrent hypoglycemia
Allergies: None
Vitals/ Data Collection:
Temp.- 97.3 PO
History:
Diabetes (insulin dependent)
Medications:
Insulin R titrated to finger sticks
Allergies:
None
Vitals/ Data Collection:
Pulse- 68
History:
Hypertension
Medications:
Furosemide 20 MG twice per day
Allergies:
None
Vitals/ Data Collection:
Respirations- 18
History:
Atrial Fibrillation
Medications:
Warfarin 5 Mg Mon, Wed, Fri 2 Mg Tues, Thurs
Allergies:
None
Vitals/ Data Collection:
Blood Pressure- 122/86
History:
Rheumatoid Arthritis
Medications:
Enalapril 5 Mg once per day
Allergies:
None
Vitals/ Data Collection:
No C/O pain
History:
Mild Heart Failure (class 1)
Medications:
Proventil inhaler as needed for wheezing
Allergies:
None
Vitals/ Data Collection:
Alert and oriented X 4
History:
Former Smoker- smoked 1 pack per day X 40 years- last smoked 10 years ago
Medications:
Methotrexate 2.5 Mg per day
Allergies:
None
Vitals/ Data Collection:
Lungs: No adventitious sounds
History:
Appendectomy as a child
Medications:
Tylenol 650 Mg as needed for pain or fever
Allergies:
None
Vitals/ Data Collection:
+ Bowel sounds
History:
Mobility (baseline): able to ambulate slowly with minimal assist
Clear yellow urine draining from Foley catheter in adequate amts.
Medications:
Allergies:
None
Vitals/ Data Collection:
Clear yellow urine draining from Foley catheter in adequate amts.
History:
Medications:
Allergies:
None
8/16/2019
10:00: (RN) Pt received on 3 North. Alert and oriented X 4. Fingerstick 81. Eating breakfast. Offering no complaints.
8/17/2019 (Medical Assistant)
0130: Sleeping Soundly
0700: (LPN) alert and oriented Finger stick 124. Offering no complaints. Medications given as ordered. Foley catheter draining cloudy yellow urine- RN notified.
1100: (Case Manager note): Pt. alert and oriented. Blood sugar stable. Will speak to the physician about discharge tomorrow morn.
1.CC I have been having terrible chest and arm pain for the pa.docx
1.
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
QUESTION 2
1.
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
QUESTION 3
1.
A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
1 points
QUESTION 4
1.
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sen.
CC I have been having terrible chest and arm pain for the .docx
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
2 points
QUESTION 2
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
3 points
QUESTION 3
A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
1 points
QUESTION 4
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought.
PULMONARY EMBOLISM 1711W035 .docx
Pneumonia is an inflammation of the lungs caused by an infection. It is also called Pneumonitis or Bronchopneumonia. Pneumonia can be a serious threat to our health. Although pneumonia is a special concern for older adults and those with chronic illnesses, it can also strike young, healthy people as well. It is a common illness that affects thousands of people each year in the Philippines, thus, it remains an important cause of morbidity and mortality in the country. There are many kinds of pneumonia that range in seriousness from mild to life- threatening. In infectious pneumonia, bacteria, viruses, fungi or other organisms attack your lungs, leading to inflammation that makes it hard to breathe. Pneumonia can affect one or both lungs. In the young and healthy, early treatment with antibiotics can cure bacterial pneumonia.
MDC3 -3MAKE SURE TO ANSWER ALL THE FOLLOW CAREFULLY AND CORRECTL
MDC3 -3
MAKE SURE TO ANSWER ALL THE FOLLOW CAREFULLY AND CORRECTLY WITH CAREFUL UNDERSTANDING
1. Which of the following assessment findings are consistent with aortic regurgitation?
Atrial fibrillation
Systolic click
Pitting edema
Blowing decrescendo diastolic murmur
2. The nurse receives an order to infuse heparin 1000 units/hr IV. The IV bag contains 25.000 units heparin in 500ml. D5W. Calculate the IV rate in ml/hr___ ( record as a whole number)
3. The nurse is assessing a client with severe anemia. Which clinical manifestation does the nurse expect to see in this clients?
Dyspnea with activity
Hypertension
Bradycardia
Warm flushed skin
4. A nurse is caring for a 19 year old male recently diagnosed with leukemia. Which of the following nursing interventions is appropriate for the client?
Strict hand hygiene to prevent infection
Fluid restriction
Low residual diet
Therapeutic phlebotomy
5. The nurse assesses a client and documents the following findings edema 2+ bilateral ankles brown pigmentation of lower extremity skin aching pain of lower extremities when standing that resolves with elevation and 2+pedal pulses. What condition does the client likely have?
Deep vein thrombosis
Venous insufficiency
Peripheral arterial disease
Raynaud disease
6. The nurse is caring for a 65 year old female who presented to the emergency department with shortness of breath and chest discomfort. The client has not been feeling well for the past few days and complains of a productive cough of blood tinged sputum. Laboratory an elevated brain natriuretic peptide (BNP) and chest x-ray reveals pulmonary congestion , Based on the assessment findings which of the following diagnosis are consistent with these findings?
Heart failure(left- sided)
Pulmonary embolism
Heart failure(right-sided)
Lung cancer
7. A nurse is performing discharge teaching for a client who was recently diagnosed with heart failure. Which of the following should be included in the client and family teaching? (SATA)
Medication teaching
Low sodium diet
Fluid restriction
Weekly weight
Symptoms to report to the provider
8. A 65 year old female presented to the emergency room with complaints of progressively worsening fatigue shortness of breath, and palpitations. Upon assessment heart rate is 150 beats per minute and irregular, and there is positive jugular vein distention heart tones reveal a high pitched holosystolic murmur. Which of the following disorders are consistent with these findings?
Mitral regurgitation
Mitral stenosis
Aortic regurgitation
Mitral valve prolapse
9. Which of the following assessment findings is consistent with mitral valve prolapse?
Systolic click
Urinary frequency
Atrial fibrillation
Claudication
10. The nurse is caring for four clients on a post surgical unit . The nurse understands that monitoring the client for which post operative complication takes priority?
Constipation
Nausea
Urinary retention
Pneumonia
11. A nurse is caring for a client who was recently diagno ...
Dealing with tachycardias
It is very common to see patients with different Tachycardias in Emergency department. Dealing with tachycardias as a part of ACLS is a must to know for all Emergency Physicians. This presentation covers different types of Tachycardias like Sinus Tachycardia, stable tachycardia, unstable tachycardia, ventricular tachycardia, supraventricular tachycardia, svt with abberancy, AIVR, TCA Toxicity, Ventricular paced rhythm, modified vagal maneuvre, atrial fibrillation and others
Toxic cases emergency
مشروع إعداد طبيب حكيم ناجح- المعهد العربي للتنمية المهنية المستدامة دورة الطوارئ و التخدير و الرعاية 8-4-2014
1. CC I have been having terrible chest and arm pain for the p.docx
1. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.1 of 2 Questions:Why is HDL considered the “good” cholesterol?
QUESTION 2
. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.2 of 2 Questions:Explain the role inflammation has in the development of atherosclerosis.
QUESTION 3
. A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
QUESTION 4.
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu.
Anti-Phospholipid Syndrome Grand Round Presentation Dhaka Medical College Hos...
Anti-Phospholipid Syndrome Grand Round Presentation Dhaka Medical College Hos...Mohammed Shadman Shakib
A case of 20 year female presenting with fever, respiratory distress and joint pain.This case was presented in grand round session of Department of Medicine , Dhaka Medical College Hospital on 6th July, 2019.Nursing information helps you to collect history of patient which is helpful
Helps you to collect information
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several types of effector cells. In the space below, describe the roles and activities of each of these cells:
TH1 cells
TH2 cells
TH17 cells
TFH cells
2) Use the following diagram to compare and contrast systemic immunity and mucosal immunity.
Systemic
Both Systemic and Mucosal
Mucosal
ordinary surface epithelia
Why is there a need for these differences in the first place?
CDC Sexually Transmitted Diseases Case Study.
Read the patient case study below
General:
The patient is a young seventeen-year-old female who came to the clinic with complaint of abdominal pain.
Chief Complaint:
Kim reports "I've been having pain in my stomach for several weeks." She describes the pain as being sharp and being constant. She stated the pain often occurs on both sides of her lower abdominal. She has been experiencing the pain for the past two weeks. The pain has gotten worse since then.
Reliability and Source of History:
The patient is alert and oriented and able to answer most of the questions.
Source & Reliability of History:
O – "I have been having pain in my stomach for several weeks now.” she stated that the pain has lasted for two weeks without any relief.
L – Both sides of her lower stomach
D – The patient reported that she has been having this bilateral lower stomach pain for the last two weeks, However, the symptoms got worse since the pain started ago.
C – She stated that since the onset of the pain, her pain has remained constant without any relieve and aggravating factor. The pain is firm regardless of the time or day or event. She further stated that her symptoms get worse. The patient states that she is unaware of what caused the pain or how the pain started; however, she stated that taking pills could relieve her stomach pain and stop her bleeding
A – She stated that the pain remains constant. She also stated that she is unaware of what caused the pain or how the pain started.
R – She stated that the pain remains steady and does not go away or radiate to other areas.
T- she reported feeling uncomfortable doing her regular shores due to the pain.
Past Medical history:
Patient is asthmatic; however, her asthma is under control. She knows known history of any other condition or never been hospitalized.
Family History:
She is the second in a family of four who are all alive and healthy. There is no history of any chronic condition in the family.
Social History:
Patient is a regularly active young woman; she is single and does moderately active exercise. However, she stated that her daily activity and chores has recently reduced due to her recent symptoms of pain. She also stated to have no appetite secondary to her recent pain. She also stated that her stress level may be related with her college. She has no history of alcohol, smoking, or had never smoked in her life. She has not used any ...
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several types of effector cells. In the space below, describe the roles and activities of each of these cells:
TH1 cells
TH2 cells
TH17 cells
TFH cells
2) Use the following diagram to compare and contrast systemic immunity and mucosal immunity.
Systemic
Both Systemic and Mucosal
Mucosal
ordinary surface epithelia
Why is there a need for these differences in the first place?
CDC Sexually Transmitted Diseases Case Study.
Read the patient case study below
General:
The patient is a young seventeen-year-old female who came to the clinic with complaint of abdominal pain.
Chief Complaint:
Kim reports "I've been having pain in my stomach for several weeks." She describes the pain as being sharp and being constant. She stated the pain often occurs on both sides of her lower abdominal. She has been experiencing the pain for the past two weeks. The pain has gotten worse since then.
Reliability and Source of History:
The patient is alert and oriented and able to answer most of the questions.
Source & Reliability of History:
O – "I have been having pain in my stomach for several weeks now.” she stated that the pain has lasted for two weeks without any relief.
L – Both sides of her lower stomach
D – The patient reported that she has been having this bilateral lower stomach pain for the last two weeks, However, the symptoms got worse since the pain started ago.
C – She stated that since the onset of the pain, her pain has remained constant without any relieve and aggravating factor. The pain is firm regardless of the time or day or event. She further stated that her symptoms get worse. The patient states that she is unaware of what caused the pain or how the pain started; however, she stated that taking pills could relieve her stomach pain and stop her bleeding
A – She stated that the pain remains constant. She also stated that she is unaware of what caused the pain or how the pain started.
R – She stated that the pain remains steady and does not go away or radiate to other areas.
T- she reported feeling uncomfortable doing her regular shores due to the pain.
Past Medical history:
Patient is asthmatic; however, her asthma is under control. She knows known history of any other condition or never been hospitalized.
Family History:
She is the second in a family of four who are all alive and healthy. There is no history of any chronic condition in the family.
Social History:
Patient is a regularly active young woman; she is single and does moderately active exercise. However, she stated that her daily activity and chores has recently reduced due to her recent symptoms of pain. She also stated to have no appetite secondary to her recent pain. She also stated that her stress level may be related with her college. She has no history of alcohol, smoking, or had never smoked in her life. She has not used any ...
EMERGENCY RED FLAGS
Daily practice in medicine in general need awareness of critical signs and symptoms that can be the presentation of life threatening and fatal conditions
You are going away for one full week. During this time, someone i.docx
You are going away for one full week. During this time, someone is going to take over your entire life:
· They will be going to school for you, completing all of your required assignments and taking your exams for you.
· They will be going to work for you, and you will be held accountable for them completing all your work assignments and performing all the functions of your job.
· They will be taking over all of your extracurricular, volunteer, and family responsibilities
· They will be running your household
Select a specific person who will be taking over your life for one week. You may select any week during Fall 2018 semester to go away.
1. Create a comprehensive Training Plan for your selected person. This plan will ensure that all your responsibilities are completed to your expectations. Customize your training plan to the specific person you have selected to take over your life. Be certain to utilize concepts from the text to create your plan.
2. What did you learn about training and employee development from this experience?
Annotation
In a recent interview with Steve Martin on NPR's Fresh Air, host Terri Gross asked her guest: "Do
you remember the point in your career, when people started to realize that you are smart?" The host was
referring, of course, to Martin's zany comedic roles that qualify him as a loveable nut. After all, it is tough
to equate "King Tut" from Saturday Night Live, as an author of fairly serious repute. Martin, in reality, is
an immensely talented writer; his "Shouts and Murmurs" and other brief pieces in the New Yorker were
enjoyable and set his writing reputation even before his first novella, Shopgirl was released. His latest,
another slim volume, The Pleasure of my Company, emphasizes Martin's status as a promising and
talented writer.
Martin's protagonist is a thirty-something single guy, Daniel Pecan Cambridge, whose life is
constrained by his obsessive-compulsive behavior. Daniel informs us that his middle name originates
from the pecan plantation his "granny" owns in Southern Texas, but we realize it is a fitting name for a
"nut." Daniel is a cute one though, even despite his many quirks. His biggest obstacle, one that prevents
him from venturing out on long walks anywhere, is his fear of curbs. To avoid them, he searches for
opposing "scooped out driveways" in his California town, and draws mental maps that will take him
successfully to his favorite hideout-the local Rite Aid. The Rite Aid with its clean lines and atmosphere is
like heaven to Daniel and he never tires of walking the aisles, checking out supplies and the cute
pharmacist, Zandy. "The Rite Aid is splendidly antiseptic," explains Daniel, "I'll bet the floors are hosed
down every night with isopropyl alcohol. The Rite Aid is the axle around which my squeaky world turns,
and I find myself there two or three days a week seeking out the rare household item such as cheesecloth."
Among Daniel's other obsessions are ensuring that t.
You are given three exchange rates below. Assess (yesno) whether .docx
You are given three exchange rates below. Assess (yes/no) whether an opportunity exists for arbitrage (support your answer with an explanation).
• 25 Yen(Japan)/Yuan (China)
• 6.8 Yuan/USD
• 184 Yen/USD
Your response should be at least
100 words
in length. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.
Moffett, M. H., Stonehill, A. I., & Eiteman, D. K. (2012).
Fundamentals of multinational finance
. (IV ed., p. 162). New York: Pearson.
In-text citation
(Moffett, Stonehill & Eiteman, 2012)
No Wiki, no dictionary.com, please cite all work.
.
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Dealing with tachycardias
It is very common to see patients with different Tachycardias in Emergency department. Dealing with tachycardias as a part of ACLS is a must to know for all Emergency Physicians. This presentation covers different types of Tachycardias like Sinus Tachycardia, stable tachycardia, unstable tachycardia, ventricular tachycardia, supraventricular tachycardia, svt with abberancy, AIVR, TCA Toxicity, Ventricular paced rhythm, modified vagal maneuvre, atrial fibrillation and others
Toxic cases emergency
مشروع إعداد طبيب حكيم ناجح- المعهد العربي للتنمية المهنية المستدامة دورة الطوارئ و التخدير و الرعاية 8-4-2014
1. CC I have been having terrible chest and arm pain for the p.docx
1. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.1 of 2 Questions:Why is HDL considered the “good” cholesterol?
QUESTION 2
. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.2 of 2 Questions:Explain the role inflammation has in the development of atherosclerosis.
QUESTION 3
. A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
QUESTION 4.
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu.
Anti-Phospholipid Syndrome Grand Round Presentation Dhaka Medical College Hos...
Anti-Phospholipid Syndrome Grand Round Presentation Dhaka Medical College Hos...Mohammed Shadman Shakib
A case of 20 year female presenting with fever, respiratory distress and joint pain.This case was presented in grand round session of Department of Medicine , Dhaka Medical College Hospital on 6th July, 2019.Nursing information helps you to collect history of patient which is helpful
Helps you to collect information
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several types of effector cells. In the space below, describe the roles and activities of each of these cells:
TH1 cells
TH2 cells
TH17 cells
TFH cells
2) Use the following diagram to compare and contrast systemic immunity and mucosal immunity.
Systemic
Both Systemic and Mucosal
Mucosal
ordinary surface epithelia
Why is there a need for these differences in the first place?
CDC Sexually Transmitted Diseases Case Study.
Read the patient case study below
General:
The patient is a young seventeen-year-old female who came to the clinic with complaint of abdominal pain.
Chief Complaint:
Kim reports "I've been having pain in my stomach for several weeks." She describes the pain as being sharp and being constant. She stated the pain often occurs on both sides of her lower abdominal. She has been experiencing the pain for the past two weeks. The pain has gotten worse since then.
Reliability and Source of History:
The patient is alert and oriented and able to answer most of the questions.
Source & Reliability of History:
O – "I have been having pain in my stomach for several weeks now.” she stated that the pain has lasted for two weeks without any relief.
L – Both sides of her lower stomach
D – The patient reported that she has been having this bilateral lower stomach pain for the last two weeks, However, the symptoms got worse since the pain started ago.
C – She stated that since the onset of the pain, her pain has remained constant without any relieve and aggravating factor. The pain is firm regardless of the time or day or event. She further stated that her symptoms get worse. The patient states that she is unaware of what caused the pain or how the pain started; however, she stated that taking pills could relieve her stomach pain and stop her bleeding
A – She stated that the pain remains constant. She also stated that she is unaware of what caused the pain or how the pain started.
R – She stated that the pain remains steady and does not go away or radiate to other areas.
T- she reported feeling uncomfortable doing her regular shores due to the pain.
Past Medical history:
Patient is asthmatic; however, her asthma is under control. She knows known history of any other condition or never been hospitalized.
Family History:
She is the second in a family of four who are all alive and healthy. There is no history of any chronic condition in the family.
Social History:
Patient is a regularly active young woman; she is single and does moderately active exercise. However, she stated that her daily activity and chores has recently reduced due to her recent symptoms of pain. She also stated to have no appetite secondary to her recent pain. She also stated that her stress level may be related with her college. She has no history of alcohol, smoking, or had never smoked in her life. She has not used any ...
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several types of effector cells. In the space below, describe the roles and activities of each of these cells:
TH1 cells
TH2 cells
TH17 cells
TFH cells
2) Use the following diagram to compare and contrast systemic immunity and mucosal immunity.
Systemic
Both Systemic and Mucosal
Mucosal
ordinary surface epithelia
Why is there a need for these differences in the first place?
CDC Sexually Transmitted Diseases Case Study.
Read the patient case study below
General:
The patient is a young seventeen-year-old female who came to the clinic with complaint of abdominal pain.
Chief Complaint:
Kim reports "I've been having pain in my stomach for several weeks." She describes the pain as being sharp and being constant. She stated the pain often occurs on both sides of her lower abdominal. She has been experiencing the pain for the past two weeks. The pain has gotten worse since then.
Reliability and Source of History:
The patient is alert and oriented and able to answer most of the questions.
Source & Reliability of History:
O – "I have been having pain in my stomach for several weeks now.” she stated that the pain has lasted for two weeks without any relief.
L – Both sides of her lower stomach
D – The patient reported that she has been having this bilateral lower stomach pain for the last two weeks, However, the symptoms got worse since the pain started ago.
C – She stated that since the onset of the pain, her pain has remained constant without any relieve and aggravating factor. The pain is firm regardless of the time or day or event. She further stated that her symptoms get worse. The patient states that she is unaware of what caused the pain or how the pain started; however, she stated that taking pills could relieve her stomach pain and stop her bleeding
A – She stated that the pain remains constant. She also stated that she is unaware of what caused the pain or how the pain started.
R – She stated that the pain remains steady and does not go away or radiate to other areas.
T- she reported feeling uncomfortable doing her regular shores due to the pain.
Past Medical history:
Patient is asthmatic; however, her asthma is under control. She knows known history of any other condition or never been hospitalized.
Family History:
She is the second in a family of four who are all alive and healthy. There is no history of any chronic condition in the family.
Social History:
Patient is a regularly active young woman; she is single and does moderately active exercise. However, she stated that her daily activity and chores has recently reduced due to her recent symptoms of pain. She also stated to have no appetite secondary to her recent pain. She also stated that her stress level may be related with her college. She has no history of alcohol, smoking, or had never smoked in her life. She has not used any ...
EMERGENCY RED FLAGS
Daily practice in medicine in general need awareness of critical signs and symptoms that can be the presentation of life threatening and fatal conditions
Similar to You are an LPN working on a medical-surgical floor in a team tha.docx (20)
1. CC I have been having terrible chest and arm pain for the p.docx
1. CC I have been having terrible chest and arm pain for the p.docx
Anti-Phospholipid Syndrome Grand Round Presentation Dhaka Medical College Hos...
Anti-Phospholipid Syndrome Grand Round Presentation Dhaka Medical College Hos...
Nursing information helps you to collect history of patient which is helpful
Nursing information helps you to collect history of patient which is helpful
chest pain 2015 what else you want me to write here
chest pain 2015 what else you want me to write here
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several
More from avaforman16457
You are going away for one full week. During this time, someone i.docx
You are going away for one full week. During this time, someone is going to take over your entire life:
· They will be going to school for you, completing all of your required assignments and taking your exams for you.
· They will be going to work for you, and you will be held accountable for them completing all your work assignments and performing all the functions of your job.
· They will be taking over all of your extracurricular, volunteer, and family responsibilities
· They will be running your household
Select a specific person who will be taking over your life for one week. You may select any week during Fall 2018 semester to go away.
1. Create a comprehensive Training Plan for your selected person. This plan will ensure that all your responsibilities are completed to your expectations. Customize your training plan to the specific person you have selected to take over your life. Be certain to utilize concepts from the text to create your plan.
2. What did you learn about training and employee development from this experience?
Annotation
In a recent interview with Steve Martin on NPR's Fresh Air, host Terri Gross asked her guest: "Do
you remember the point in your career, when people started to realize that you are smart?" The host was
referring, of course, to Martin's zany comedic roles that qualify him as a loveable nut. After all, it is tough
to equate "King Tut" from Saturday Night Live, as an author of fairly serious repute. Martin, in reality, is
an immensely talented writer; his "Shouts and Murmurs" and other brief pieces in the New Yorker were
enjoyable and set his writing reputation even before his first novella, Shopgirl was released. His latest,
another slim volume, The Pleasure of my Company, emphasizes Martin's status as a promising and
talented writer.
Martin's protagonist is a thirty-something single guy, Daniel Pecan Cambridge, whose life is
constrained by his obsessive-compulsive behavior. Daniel informs us that his middle name originates
from the pecan plantation his "granny" owns in Southern Texas, but we realize it is a fitting name for a
"nut." Daniel is a cute one though, even despite his many quirks. His biggest obstacle, one that prevents
him from venturing out on long walks anywhere, is his fear of curbs. To avoid them, he searches for
opposing "scooped out driveways" in his California town, and draws mental maps that will take him
successfully to his favorite hideout-the local Rite Aid. The Rite Aid with its clean lines and atmosphere is
like heaven to Daniel and he never tires of walking the aisles, checking out supplies and the cute
pharmacist, Zandy. "The Rite Aid is splendidly antiseptic," explains Daniel, "I'll bet the floors are hosed
down every night with isopropyl alcohol. The Rite Aid is the axle around which my squeaky world turns,
and I find myself there two or three days a week seeking out the rare household item such as cheesecloth."
Among Daniel's other obsessions are ensuring that t.
You are given three exchange rates below. Assess (yesno) whether .docx
You are given three exchange rates below. Assess (yes/no) whether an opportunity exists for arbitrage (support your answer with an explanation).
• 25 Yen(Japan)/Yuan (China)
• 6.8 Yuan/USD
• 184 Yen/USD
Your response should be at least
100 words
in length. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.
Moffett, M. H., Stonehill, A. I., & Eiteman, D. K. (2012).
Fundamentals of multinational finance
. (IV ed., p. 162). New York: Pearson.
In-text citation
(Moffett, Stonehill & Eiteman, 2012)
No Wiki, no dictionary.com, please cite all work.
.
You are hired by JLA Enterprise to conduct a Forensic Examination af.docx
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What time did the attack happen?
How did the hacker get into the network?
What computers were compromised?
What computers were accessed?
What data was extracted from the network?
What type of attack was conducted?
How long did the attacker have access to the network?
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You are going to enhance the prior assignment by doing the following
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wrfile()
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Sample output
Use the same output from last assignment
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The Great Depression”.
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Must follow my outlines attached an bibliography etc.. and use the resources I have listed.
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Dorothea Lange's "Migrant Mother
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Bud Fields and his Family” by Walker Evans
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Strategies for Success
Have an effective thesis statement that makes a debatable claim
Avoid first/second person in your response UNLESS you make a personal connection as an introductory technique.
Use an evenhanded tone and dealing with all points of view fairly.
Acknowledge and respond to a counterargument of your claim.
Address these questions in your essay:
What is the rhetorical situation—
exigence
,
rhetors
,
audiences
,
context
,
constraints
—for each text?
What is the
genre
of each text? (For instance, is one a peer-reviewed research article and the other a two-minute news report?) Is there a genre shift between the original presentation of the scientist’s work and its popularization? Why was one genre not appropriate or useful in the other rhetorical situation?
How subtly or obviously are claims stated in each (and how accurately)? How do the
scientists state the significance of their claims? How does this compare to how the
media account states the significance of the scientific claims?
How are non-specialists accommodated in the mass media piece—through lan-
guage change, tone change, more overt statement of significance, the use of more sweeping claims (e.g., “the only kind” or “the first kind”), placement of information in the paragraph or sentence, removal of qualifiers or hedges (taking out “appears” or “suggests”), changes in phrasing that are more removed from the observed results of the study by leaping to results? Why are these changes made? Does the meaning change when these rhetorical changes are made?
What sources are used in the original science report and in the media accommoda- tion of it? Does the accommodation go beyond the published research to include interviews for quotations from the scientists not found in the original article? Do these interview quotations include observations and conclusions not found in the original published article? Why are these changes made? What is the effect of these changes?
Is contradictory evidence omitted in the accommodation? Why?
Are unsupportable or unsupported claims included in the accommodation? Why?
Is there any evidence that the scientists tried to refute claims in the accommoda-
tion? Given your analysis of information published about this research, did the
scientist succeed in changing the claims made about his/her work?
To your knowledge, did other scientists refute the claims of the original scien-
tists after the original publication? If so, were those counterarguments ever publicized?
Strategies for Success
Have an effective .
You are engaged in a study that seeks to understand the relation.docx
You are engaged in a study that seeks to understand the relationship between
different levels of love in the life of children from immigrant parents
, and the age at which the child begins to speak the native language of the country.
•Independent Variable:
Levels of love
overdependent Variable: The age at which the child begins to speak the native language of the country•Method: Survey of parents
The study will be conducted as a survey, given to the parents of children.
You need to conceptualize Love and then operationalize it so that it can be measured in the survey.
(1)
How would you conceptualize the term 'love' in this research context?
(2)
How would you operationalize the term 'love'? (in other words, how would you measure 'love'?)
.
You are employed at a large global high-tech company that has office.docx
You are employed at a large global high-tech company that has offices worldwide in such places as Tokyo, London, Bombay, Toronto, Mexico City, Chicago, and Seattle to name a few. Although the sales has been reasonable these past few months even with the global economic crises, an internal crises exists related to employee morale being at an all-time low. There are many different beliefs on what is right and what is wrong across the board, especially when it comes to the cultural and communication differences and the technological equipment challenges. There are also concerns regarding the selfishness of the employees; where the employees do not enjoy working as a team. You supervisor has tasked you as the as the VP of the Service Department to prepare a research paper that will communicate information and solutions as well as provide a foundation of knowledge so that you can work with your peers and employees to solve these problems. At a minimum, your research paper must:
Analyze and evaluate the different leadership theories and behavior approaches, including the Tuckman four stages of group development model.
Evaluate the importance of the internal environmental factors that include the cultural, language, political, and technological differences.
Apply the necessary steps to overcome the identified challenges with the different sources of power that must be taken into account.
Present your findings as a 4-5 pages Word document formatted in APA style
.
.
You are employed at a large global high-tech company that has offi.docx
You are employed at a large global high-tech company that has offices worldwide in such places as Tokyo, London, Bombay, Toronto, Mexico City, Chicago, and Seattle to name a few. Although the sales has been reasonable these past few months even with the global economic crises, an internal crises exists related to employee morale being at an all-time low. There are many different beliefs on what is right and what is wrong across the board, especially when it comes to the cultural and communication differences and the technological equipment challenges. There are also concerns regarding the selfishness of the employees; where the employees do not enjoy working as a team. You supervisor has tasked you as the as the VP of the Service Department to prepare a research paper that will communicate information and solutions as well as provide a foundation of knowledge so that you can work with your peers and employees to solve these problems.
At a minimum, your research paper must:
Analyze and evaluate the different leadership theories and behavior approaches, including the Tuckman four stages of group development model.
Evaluate the importance of the internal environmental factors that include the cultural, language, political, and technological differences.
Apply the necessary steps to overcome the identified challenges with the different sources of power that must be taken into account.
.
You are editor-in-chief of the Times Leader, and in this role it is .docx
You are editor-in-chief of the Times Leader, and in this role it is your responsibility to write the paper’s editorials. A strange thing has recently come to pass in Wilkes-Barre. The owners of Liberty Tax Service apparently concluded that advertising the firm through dancing men, preferably bearded dancing men, cross-dressed as the Statue of Liberty, just does not suffice. So, the owners supplemented this campaign with another: they have been paying people, men and women alike, $1,000 to have the words “Ask Me About Liberty Tax” permanently, prominently tattooed on their foreheads. You find this campaign, well, both weird and wrong. Whether there should be a law against it is one question; whether public opinion should be strongly against it, even outraged by it, is another. Drawing from your undergraduate education—in particular a reading by Michael Sandel and discussions of Immanuel Kant (the humanity formulation of his categorical imperative comes to mind)—write an editorial opposing Liberty Tax Service’s new campaign. Focus on its morality; put the question of its legality aside. Why should public opinion be outraged by it? Why is it wrong? And what should be done?
.
You Are Defining and Defined by Social ResponsibilityThe first obs.docx
You Are Defining and Defined by Social Responsibility
The first observation of a social issue can be confusing for a young person. Noticing extremes of wealth and poverty from one neighborhood to the next—or from one country to another—or hearing statistics related to literacy and school dropout rates in developed countries can be shocking. While growing up, how did your community of family, friends, and teachers respond to social disparities? Were they ignored or confronted? Did you perceive a sense of helplessness or responsibility to help? Whether you feel burdened by, or called to address, the myriad of social concerns in the world today, your response stems, in part, from how you see yourself in the world in relation to others.
In this Discussion, you explore the influence of personal values on your concept of social responsibility.
To prepare for this Discussion:
Review examples of social responsibility presented in the assigned reading from the Loeb (2010) course text.
Review “The Golden Rule” from this week’s Resources to identify commonalities across quotes and to determine whether any quotes align with your own values.
Complete the Cultural Genogram: Dimensions of Culture document in this week’s Resources to discover personal values related to social responsibility.
Think of the community or communities where you grew up. What issue of concern or need in that community(ies) did you see addressed directly or indirectly?
Think about the elements in your life that might have influenced your definition of social responsibility.
Did any of your family members choose careers that served the community in which they lived?
What convictions do you hold that were formed early in life that now influence the way you view social responsibility?
Read the
Discussion Spark
topic, question or comment posted by your Instructor in the Discussion thread on
Day 1.
With these thoughts in mind:
Post by Day 2
a response to the Discussion Spark post. Your response should contain at least two
significant
paragraphs. Read the Discussion Rubric as it will inform your writing.
Important Note:
The Discussion Spark and the weekly Discussion topic below will be graded together. You will see one score in your My Grades area.
Post by Day 4
an example of a socially responsible act that has influenced your life. Explain why this example influenced you and describe how this example and the motivation behind it reflect your personal values regarding social responsibility. For example, are there particular aspects of social change that resonate with you? In addition, define
social responsibility
in your own words and provide two examples from this week’s Resources that support or influence the development of your definition.
Read
a selection of your colleagues' postings.
Respond by Day 7
to at least two of your colleagues' postings in one or more of the following ways:
Validate your colleague’s example of social responsibility by sharing one of your own sim.
you are creating a plan to implement case management at your wor.docx
you are creating a plan to implement case management at your workplace. For the first section of the rubric, what is your recommended plan for the use of case managers in your organization for patients with hypertension chronic illness. In the second section, identify people within your organization who are stakeholders or would support your plan. Whose support do you need to get your plan implemented? In the third section, identify your goals – what do you hope to accomplish with your case management plan?
Remember – goals should be measurable.
Once we determine what we want to accomplish, we can begin to construct our plan to achieve the goal. To achieve this goal, our plan may include providing education in a manner the client can understand (being sensitive to cultural needs), access to phone support, or inputting blood pressure readings into their electronic health record for documentation the case manager can evaluate and use to reach out to the client.
To put this plan in action, whose support would we need? Primary Care Physicians, Utilization Review personnel, and the Chief Financial Officer would all have an interest in optimizing patient health and reducing costs.
This paper should be 6-9 pages in length with a minimum of three scholarly sources for support.
Grading Rubric
Competency
28 points
24 points
11 points
0 points
Points Earned
Constructs an implementation plan.
Constructs an implementation plan.
Illustrates an implementation plan.
Defines an implementation plan.
Does not include an implementation plan.
/28
Proposes approach to gain buy-in from key stakeholders.
Proposes approach to gain buy-in from key stakeholders.
Indicates an approach to gain buy-in from key stakeholders.
States an approach to gain buy-in from key stakeholders.
Does not address an approach to gain buy-in from key stakeholders.
/28
Examines key outcomes of the case management plan.
Examines key outcomes of the case management plan.
Identifies key outcomes of the case management plan.
Lists key outcomes of the case management plan.
Does not address key outcomes of the case management plan.
/28
Competency
7 points
5 points
3 points
0 points
Points Earned
APA
Competent use of APA
Minimal APA errors
Many APA errors
Complete lack of understanding
/7
Competency
5 points
3 points
1 point
0 points
Points Earned
Organization
and
Grammar
Organization excellent, ideas clear and arranged logically, transitions smooth, no flaws in logic. Introduction and conclusion present. Grammar, punctuation, mechanics, and usage correct and idiomatic, consistent with Standard American English
Organization good; ideas usually clear and arranged in acceptable sequence; transitions usually smooth, good support. Grammar, punctuation, mechanics, and usage good mostly consistent with Standard American English; errors do not interfere with meaning or understand.
You are considering investing in Nuran Security Services. You have b.docx
You are considering investing in Nuran Security Services. You have been able to locate the following information on the firm: total assets are $27.00 million, accounts receivable are $2.80 million, ACP is 25 days, net income is $3.00 million, and debt-to-equity is 1.50 times.
Calculate the ROE for the firm.
(Do not round intermediate calculations and round your final answer to 2 decimal places.)
.
You are caring for a 6 year old female patient name Rita in the hosp.docx
You are caring for a 6 year old female patient name Rita in the hospital. She is 2 hours post-op from acute appendicitis. She had a laparoscopic appendectomy. She is sleepy but arousable and can answer short questions.
Her last set of vital signs are:
b/p 100/68, p 90, r 26, t 98.1, sats 96%.
Her vitals 30 minutes before that were:
b/p 120/79, p 74 r 20, t 98.3, sats 99%.
You check her abdomen and there are 4 well approximated incisions on her abdomen, closed with surgical glue. One incision on her lower left quadrant appears to be swollen and appears to have some red drainage seeping from under the surgical glue. Rita is moaning and grimacing with her eyes closed in the bed.
She has a 20g IV in her left forearm and is running LR at 100ml/hr, she has 02 at 2l/m via NC in place. She has an indwelling Foley catheter and you have drained 40ml of urine in the 2 hours she has been in your care.
Rita’s mom and dad are anxiously sitting in her room, asking questions regarding her recovery from surgery and when she will be discharged.
What are your thoughts regarding Rita’s condition? Is she progressing normally post operatively?
What is your priority in regard to her condition?
Is Rita giving you cause to worry? If yes, what do you anticipate happening?
What nursing diagnosis would you apply to Rita? To her family
.
You are being asked to take a look in the proverbial mirror and anal.docx
You are being asked to take a look in the proverbial mirror and analyze your own perceptions of normative behaviors and belief systems that have been passed down through your cultural filter.
Present personal examples of when you realized that your idea of “normal” (e.g. familial or cultural norms, traditions, and customs) differed from how “normal” is perceived by others.
Describe how your norms, traditions, and customs differed from others’.
Explain the origins of your norms, traditions, and customs. For instance, if you are presenting a story about how your family celebrates a “Festivus” of sorts, then you will need to discuss how that tradition came to be a part of your family’s rituals.
Reference and cite outside resources in APA format.
You can complete this assignment one of two different ways the options are listed below. Also please contact me prior to signing the agreement, if any questions concerning the assignment exist.
Option 1: Write a paper that illustrates the example(s) you are presenting.
Requirements: This must be a minimum 500 word paper, double-spaced, and in 12-point font. Include images for visual support and appeal. (attached is an example of this assignment option.)
Option 2: Construct a presentation that illustrates the example(s) you are presenting.
Requirements: The presentation must include 10-15 slides in a PowerPoint or Keynote format that includes both text and images.
A Reference List should be included with each assignment.
Minimum word/slide/page requirements do not include the title and reference pages.
Include at least 2 course terms to demonstrate your understanding of course concepts. (from list below)
Bricolage
Determinism
Cognitive Relativism
Mechanical Solidarity
Collective Effervescence
Collective Identity
Consciousness of Kind
Collective Representations
Cultural Construction
(
The
Objective
of this assignment
)
Gain a greater understanding of the commonalities and differences across cultures.
Gain greater understanding of the different components of culture (behavioral norms and belief systems) and social changes within and between societies across time.
Become familiar with the prevailing theories in the anthropological and sociological disciplines.
Increase ability to analyze and evaluate information in order to improve critical thinking skills.
.
You are attending an international journalist event and have been ch.docx
You are attending an international journalist event and have been chosen to give a presentation of the roles of the media in influencing government and its citizens. Identify and describe the possible roles of the media in influencing government and its citizens using specific descriptive examples. Please create a PowerPoint presentation to assist you in your presentation.
As you complete your presentation, be sure to:
Use speaker's notes to expand upon the bullet point main ideas on your slides, making references to research and theory with citation.
Proof your work
Use visuals (pictures, video, narration, graphs, etc.) to compliment the text in your presentation and to reinforce your content.
Do not just write a paper and copy chunks of it into each slide. Treat this as if you were going to give this presentation live.
Presentation Requirements (APA format)
Length: 8-10 substantive slides (excluding cover and references slides)
Font should not be smaller than size 16-point
Parenthetical in-text citations included and formatted in APA style
References slide (a minimum of 2 outside scholarly sources plus the textbook and/or the weekly lesson for each course outcome)
Title and introduction slide required
.
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- 2. Admission Date 8/16/2019 Medical Diagnosis: recurrent hypoglycemia Allergies: None Vitals/ Data Collection: Temp.- 97.3 PO History: Diabetes (insulin dependent) Medications: Insulin R titrated to finger sticks Allergies: None Vitals/ Data Collection: Pulse- 68 History: Hypertension Medications: Furosemide 20 MG twice per day Allergies: None Vitals/ Data Collection: Respirations- 18 History: Atrial Fibrillation
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