Grader - Instructions Access 2019 ProjectGO19_AC_CH01_GRADER_1E_AS - Computer Club 1.0 Project Description: In this project, you will create database objects to track the inventory of new computer parts used by the Computer Club. You will create a table and import data from Excel to create a second table. You will create a simple query, a form, and a report. Steps to Perform: Step Instructions Points Possible 1 Start Access. Open the downloaded file named Student_Access_1E_AS_Computer_Club.accdb, enable the content, and then open the Inventory table. 0 2 Beginning in the second column of the Inventory table and using the specified data types, create the following fields (in this order): Part (Short Text), Room (Short Text), Cabinet Location (Short Text), Vendor ID (Short Text), Price (Currency), Quantity in Stock (Number). 12 3 Change the data type of the ID field to Short Text, rename the ID field to Part ID, and then save the table. 6 4 Add the following three records to the Inventory table and then close the table. Record 1: Part ID: V-01 Part: Monitor with speakers Room: SE110 Cabinet Location: Cabinet A, Shelf 3 Vendor ID: V-015 Price: 199.99 Quantity in Stock: 3 Record 2: Part ID: S-01 Part: Sound Card Room: SE110 Cabinet Location: Drawer A Vendor ID: V-002 Price: 24.99 Quantity in Stock: 10 Record 3: Part ID: P-01 Part: Power Supply Room: SE110 Cabinet Location: Drawer C Vendor ID: V-010 Price: 189.99 Quantity in Stock: 2 10.5 5 Append the records from the downloaded Excel file a01E_Parts_Inventory.xlsx to the Inventory table and then open the table in Datasheet view (the table has 13 records). 7 6 Switch to Design view and delete the Room field. For the Part field, enter a description of Enter the computer component name and then change the field size to 50. For the Part ID field, change the field size to 4 and then save the table. 8 7 Switch to Datasheet view, apply Be.

1. Grader - Instructions Access 2019
ProjectGO19_AC_CH01_GRADER_1E_AS - Computer Club 1.0
Project Description:
In this project, you will create database objects to track the
inventory of new computer parts used by the Computer Club.
You will create a table and import data from Excel to create a
second table. You will create a simple query, a form, and a
report.
Steps to Perform:
Step
Instructions
Points Possible
1
Start Access. Open the downloaded file named
Student_Access_1E_AS_Computer_Club.accdb, enable the
content, and then open the Inventory table.
0
2
Beginning in the second column of the Inventory table and
using the specified data types, create the following fields (in
this order):
Part (Short Text),
Room (Short Text),
Cabinet Location (Short Text),
Vendor ID (Short Text),
Price (Currency),
Quantity in Stock (Number).
12
3

2. Change the data type of the ID field to Short Text, rename the
ID field to
Part ID, and then save the table.
6
4
Add the following three records to the Inventory table and then
close the table.
Record 1:
Part ID:
V-01
Part:
Monitor with speakers
Room:
SE110
Cabinet Location:
Cabinet A, Shelf 3
Vendor ID:
V-015
Price:
199.99
Quantity in Stock:
3
Record 2:
Part ID:
S-01
Part:
Sound Card
Room:
SE110
Cabinet Location:
Drawer A
Vendor ID:
V-002

3. Price:
24.99
Quantity in Stock:
10
Record 3:
Part ID:
P-01
Part:
Power Supply
Room:
SE110
Cabinet Location:
Drawer C
Vendor ID:
V-010
Price:
189.99
Quantity in Stock:
2
10.5
5
Append the records from the downloaded Excel file
a01E_Parts_Inventory.xlsx to the Inventory
table and then open the table in Datasheet view (the table has 13
records).
7
6
Switch to Design view and delete the Room field. For the Part
field, enter a description of
Enter the computer component name and
then change the field size to
50. For the Part ID field, change the field
size to
4 and then save the table.

4. 8
7
Switch to Datasheet view, apply Best Fit to all of the fields in
the table, save the table, and then close the table.
0
8
Import the records from the downloaded Excel file
a01E_Vendors.xlsx into the database as a
new table named
Vendors. Designate the first row as column
headings and the Vendor ID field as the primary key. Open the
Vendors table in Datasheet view (the table has 15 records).
6
9
Switch to Design view. For the State field, enter a description
of
Enter two-letter state abbreviation and then
change the field size to
2. For the Vendor ID field, change the field
size to
5 and then save the table.
6
10
Switch to Datasheet view, apply Best Fit to all of the fields in
the table, save the table, and then close the table.
0
11
Based on your Inventory table, use the Query Wizard to create a
simple query. Add the Part, Cabinet Location, and Quantity in
Stock fields (in that order). Keep the default name of
Inventory Query, click Finish to display the
query results, and then close the query.

5. 8
12
Based on your Vendors table, use the Form tool to create a form
for the table. Save the form as
Vendor Form, display the form in Form
view, and then close the form.
8.5
13
Based on your Inventory table, use the Report tool to create a
report. Delete the Vendor ID and Price fields from the report.
Save the report as
Inventory Report.
15
14
Sort the Part field in ascending order. Set the width of the Part
and Cabinet Location fields to
2 inches. Delete the page number from the
report, save the report, and then close the report.
13
15
Close all database objects, close the database, and then exit
Access. Submit the database as directed.
0
Total Points
100
Created On: 07/05/2019 1
GO19_AC_CH01_GRADER_1E_AS - Computer Club 1.0
1.
According to the case study information, how would
you classify the severity of D.R. asthma attack?
The severity of D.R. asthmatic episode would be classified as

6. moderate persistent because his symptoms are occurring daily,
he has had symptoms for 3 nights out of the 4 nights since the
onset, and his PFE is from 65 to 70% of his baseline. D.R. onset
of symptoms was 4 days ago, his peak flow expiratory rates
have ranged from 65 to 70% of his regular baseline and he has
been feeling nightly symptoms for 3 nights, in addition, his
symptoms are not being relieved by the albuterol therapy.
“Asthma is a chronic pulmonary disease that is characterized
by chronic airway inflammation and bronchial
hyperresponsiveness” (Dlugasch & Story, 2020, p. 222). The
Severity of the Asthma can be broken down into four categories:
intermittent, mild persistent, moderate persistent and severe
persistent. Factors that will differentiate the different types are
daytime and nightime symptoms, peak expiratory flow rate and
peak flow rate variability (Dlugasch & Story, 2020).
2. Name the most common triggers for asthma in any given
patients and specify in your answer which ones you consider
applied to D.R. on the case study.
Asthma could be triggered by:
· Being exposed to indoor or outdoor allergens that could be
inhaled such as molds, dust and dust mites, pet dander, pollen
or spores.
· An asthma attack could also be triggered by sensitivity to
certain foods such as peanuts and shellfish.
· Irritants could also cause an asthma attack like cigarrete
smoke, paint fumes, air pollution, aerosol sprays and some
chemicals.
Dlugasch & Story (2020) argue asthma is triggered by the the
innate and adaptive immune response to an exposure to an
antigen or irritant on a previously sensitized individual. In
addition, respiratory infections and exercise could enduce an
asthma flare (Berger, 2008). Finally, other factors that could
start a flare are wheather fluctuations, stress, hormonal changes,
and medications such as aspirin, NSAIDs and beta blockers
(Dlugasch & Story, 2020).
We don’t have enough information about patient D.R. but

7. considering that he is a young person. His asthma attack could
be started for an exposure to cigarrete smoke, some chemicals
or practicing some exercise.
3. Based on your knowledge and your research, please explain
the factors that might be the etiology of D.R. being an asthmatic
patient.
How I mentioned before D.R. is a young adult with a prior
history of asthma as evidenced by patient verbalization in his
encounter to the Nurse Practitioner of history of albuterol use
and peak flow rates measurements. (Dlugash and Story 2020)
explain asthma attacks are usually consistent, thus there is high
probability D.R. has experienced these symptoms before, only
this time the medication is not working for him. Because his
disease is not severe, atopy is the most probable etiology for his
asthma. D.R. is genetically predispose to an exaggerated
amount of IgE in response to allergens and irritants. A quick
interview with the patient will help us identify the cause of the
attack. As part of his treatment, he will be recommended to
avoid the triggering factor.
Second Case Study. Patient Brown
Fluid, Electrolyte and Acid-Base Homeostasis
1.
Based on Ms. Brown admission’s laboratory values,
could you determine what type of water and electrolyte
imbalance does she has?
Ms. Brown admission values reveal elevated serum levels of
glucose, that could be attributed to diabetes. She also has her
Na high. Patient has not eaten or drunk for 2 days. The water
and electrolyte imbalance patient are experiencing must be due
to inadequate intake; making Ms. Brown dehydrated or
hypovolemic. Inadequate water replacement after not having
drunk water for 2 days, can results in hypernatremia. Her
hyperchloremia can also be associated to her dehydration, as
chloride usually binds to sodium. Patient elevated serum
potassium is due to decreased excretion, and decreased
potassium cellular intake due to acidotic state and insulin

8. deficiency.
2.
Describe the signs and symptoms to the different types
of water imbalance and described clinical manifestation she
might exhibit with the potassium level she has.
Water imbalance could be because of excess of fluids or deficit
of fluids. When patient is experiencing an excess of fluids due
to impaired elimination or increased intake is known as
hypervolemia. On the other hand, hypovolemia occurs when
there is a fluid deficit due to increased elimination or decreased
fluid intake (Dlugasch & Story, 2020).
Signs and Symptoms of Hypervolemia.
· Clinical manifestations of fluid excess can include edema.
· Other signs of fluid excess include dyspnea, bounding pulse,
tachycardia, hypertension, jugular vein distention, crackles, and
bulging fontanelles in infants.
· Fluid excesses can also be manifested as pleural effusions,
pulmonary edema, or ascites (Dlugasch & Story, 2020).
Signs and Symptoms of Hypovolemia.
· Clinical manifestations of fluid deficits include thirst and
altered level of consciousness.
· Hypotension or orthostatic symptoms (e.g., dizziness) with
compensatory tachycardia. As volume continues to decrease, the
pulses become weak and thready.
· Signs opposite of edema (fluid excess) such as flat jugular
veins, sunken fontanelles in infants, decreased skin turgor, dry
mucous membranes, oliguria, and weight loss can occur
(Dlugasch & Story, 2020).
High Potassium levels (hyperkalemia) is a dangerous state and
can cause death. Patient may exhibit the following symptoms:
· Paresthesia, Muscle cramps, weakness, fatigue, hyperreflexia,
flaccid paralysis (later).
· Respiratory depression, diaphragm weakness.
· Nausea, vomiting, diarrhea, cramping.
· Electrocardiogram (EKG) changes and dysrhythmias (delayed
conduction—bradyarrhythmia’s, asystole and cardiac arrest.

9. 3.
In the specific case presented which would be the most
appropriate treatment for Ms. Brown and why?
The appropriate treatment for Ms. Brown would be first to
restore the acid-base imbalance, decreasing her serum potassium
levels by administering, sodium polystyrene sulfonate
(Kayexalate), and given insulin. Additionally administer IV
dextrose to prevent hypoglycemia. Also, fluid replacement will
be necessary to correct water, sodium, and chloride
imbalance (Dlugasch & Story, 2020).
4.
What the ABGs from Ms. Brown indicate regarding her
acid-base imbalance?
Patient is in Metabolic Acidosis Partly compensated.
· A pH lower than 7.30 indicates Ms. Brown’s hydrogen levels
are low she is in acidotic state.
· A PaCO2 lower than 35 establishes ventilation is not adequate.
· HCO3 lower than 22 indicates Ms. Brown kidneys are not
retain or excrete bicarbonate properly.
· PaO2 lower than 95 indicates low O2 concentration in the
arterial blood.
5.
Based on your readings and your research define and
describe Anion Gaps and its clinical significance.
Anion gap (also known as serum anion gap) is a measurement to
check for the acid-base balance of your blood and / or an
electrolyte imbalance in your blood. The anion gap is a
calculation of the difference between the amounts of some
negatively charged electrolytes (such as chloride and
bicarbonate) and the amount of positively charged electrolytes
(such as sodium) in your blood. (Cleveland clinic, 2021).
In individuals with normal acid-base balances the sum of
cations is about the same as the sum of the anions on the
extracellular space. In these individuals the anion gap remains
normal, however, any conditions that causes metabolic acidosis

10. because of excess acid, will increase the anion gap. The
evaluation of this gap helps determine the cause of the
metabolic acidosis (Dlugasch & Story, 2020)
Applying the formula for the anion gap provided by (Dlugasch
and Story 2020) where Sodium - (Bicarbonate + Chloride) we
can see the result of the anion gap of Ms. Brown is 21 mEq/L as
demonstrated below, normal results range from 3 to 10 mEq/L.
Anion Gap = Sodium - (Bicarbonate + Chloride)
Anion Gap = 156 mEq/L – (20 mEq/L + 115 mEq/L) = 21
mEq/L.
References
· Berger, W. E. (2008).
Living with Asthma. New York, NY: Infobase
Publishing, Inc.
· Dlugasch, L., & Story, L. (2020).
Applied Pathophisiology for the Advanced Practice
Nurse. Burlington, MA: Jones and Bartlett Learning.
· cleveland clinic . (2021).
anio-gap/ blood test