Is A 76 Year Old Female With Hypertension Despite Being On Lisinopril 40 Mg Dail

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J. P. is a 76 year old female with hypertension. Despite being on lisinopril 40 mg daily, and hydrochlorothiazide 25 mg daily, her blood pressure has continued to rise. Her blood pressure on the previous shift was checked every two hours because it had been elevated. The blood pressures were: 2400- 196/108; 0200- 214/126. At this time the night nurse called the physician and received an order to give Hydralazine 10 mg IV once. This was given at 0220. Further blood pressures were 0300- 188/94; 0400- 182/90; 0600- 196/102. Her other VS at 0600 are 84, 20, 98.4. She is on a regular diet. Labs this morning are: sodium- 138, potassium- 3.1, chloride- 101, BUN- 17, creatinine- 1.0, Glucose- 124, total cholesterol- 213. There is a saline lock in her right hand which was last flushed at 1600 yesterday.  The nursing assistant just came to tell you that the patient put her light on with complaints of a severe frontal headache. 

1. define all the medical diagnosis, and evaluate all data describing it as normal or abnormal and implications of that information.  

 
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Is A 69 Year Old Hispanic Woman She Was Widowed Five Years Ago And Lives Alone H

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G.T. is a 69 year old Hispanic woman. She was widowed five years ago and lives alone. Her son and daughter live near-by. She emigrated from Mexico in her teens, and married a man of eastern Indian decent that she met in an English speaking class. G.T. has a high school diploma, and worked for many years as an administrative assistant to an insurance executive. Her mother followed a Curandero as her primary health care provider when G.T. was growing up in Mexico. G.T. follows some western health care practices at the insistence of her daughter, but leans towards more cultural beliefs and sees a Curandero along with a physician. G.T. loves to cook and garden, and makes many traditional foods. She is retired now, has a cat and is very involved in her church. G.T. has a medical history of Diabetes Mellitus Type II, which is not well controlled, hyperlipidemia, hypertension, and gout.

Paper:

  1. Organization and Formatting
  • 2-3 pages.
  • Include at least three peer-reviewed or evidence based resources.
  • Use appropriate composition mechanics including a thesis statement and introduction, body and conclusion in your paper.
  • The paper must be well organized, following a logical flow with accurate content that clearly relates to the topic.
  1. Discuss the following content in your paper:
  2. Three primary health concerns related to culture that the nurse should explore for this patient.
  • Explain each concern or area of interest in detail, thoroughly describing how or why each is related to the patient’s culture.
  1. Three evidence-based health promotion activities that relate to and respect the patient’s culture.
  • Provide examples and details of how each will improve health and respect the patients’ health beliefs, traditions and practices.
  1. Three strategies the nurse will use that support cultural awareness in planning care for the patient.
  2. Support your work with at least two peer-reviewed or evidence based resources.
 
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Is Anyone Interested In Writing An Approved Experiential Essay On A Topic In Soc

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Is anyone interested in writing an Approved Experiential Essay on a topic in Social Science? This is a three-credit essay.  You must use the “Applying Kolb’s Model to Your Essay”

When you write your experiential essay, you are required to use each of Kolb’s four steps to describe each of the required subtopics. For instance, if you have developed a nutrition or health plan with your health care provider, and have maintained that health plan, you may want to write the essay on “Human Nutrition and Health”. You must address these three subtopics in your 3,000 to 4,500 word essay:

Subtopic 1: Explain the physiological role of protein, fat, and carbohydrates in maintaining health.

Subtopic 2: Explore the physiological role of vitamins and minerals in disease prevention.

Subtopic 3: Discuss major nutritional guidelines to decrease heart disease, cancer, and osteoporosis.

Subtopic 4: Analyze modifications from national recommended guidelines you have made in your diet and the rationale for those modifications.

Subtopic 5: Explore challenges US citizens encounter in attaining sound nutrition.

Subtopic 6: Discuss current fad diets and the hazards they bring to overall health and wellness.

In subtopic 1, you must address each of Kolb’s points:

Description of Concrete Experience: discuss your experiences with the way your body reacts to specific types of foods, namely proteins, carbohydrates, and fats, and how these contribute to your overall health.

Reflections: describe your feelings about your experiences and how your thoughts, attitudes and observations developed through the reflective process. For instance, as you experimented with different foods, how did your thoughts change about your nutrition plan? Did you grow to like foods that you didn’t like before? Explain.

Generalizations, Principles and Theories: explain specific theories and principles of the physiology of proteins, carbohydrates and fats and how they support your knowledge of the topic in the area of nutrition and health. Discuss what your health care provider explained to you about this topic.

Testing and Application: discuss how you tested the theories about protein, carbohydrates and fat. Did applying a particular principle bring about the desired outcome? Why or why not? You can add more to this discussion by writing about how more recent experiences have impacted your generalizations, principles and theories.

Get credit for your knowledge

 
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Is A 62 Year Old Black Female Who Has Returned To The Clinic To Discuss Her Conc

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Ms. S. is a 62-year-old black female who has returned to the clinic to discuss her concerns that her lifestyle modifications to lose weight have not worked. At the last visit 3 months ago, she was advised to change her eating habits and increase activity to promote weight loss. She reports walking at least 30 minutes a day but has lost very little weight. She indicates that the walking only made her extremely thirsty and hungry and attributes her increased thirst and hunger to increased exercise and her increased urination due to drinking more water since “it’s been hot lately” and exercise makes me thirsty”. She has returned to the clinic to discuss if there is anything else that can be done to lose weight and to determine why she is so tired, thirsty and hungry all the time. She also thinks she may have an overactive bladder since she has to urinate frequently during the day, which has influenced her not to go on outings with her friends.

Discussion Questions Part One

Conduct a ROS on this patient.

Indicate which symptoms are most concerning to you.

List your differential diagnoses.

What types of screenings would be appropriate to use based on the chief complaint?

 
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Is Anyone Good At Powerpoint Assignment

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Is Anyone Good at PowerPoint Assignment?

 
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Is A 44 Year Old Female Patient Who Presents For Evaluation Of Sudden Severe Upp

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T.O. is a 44-year-old female patient who presents for evaluation of sudden, severe upper abdominal pain. She is clear about the onset, which was profound and occurred approximately one hour ago. She denies that the onset had any relationship to food or eating, and she denies nausea or vomiting. On examination, she is lying on her right side with her hips and knees flexed to draw her knees to her chest. Vital signs are stable, but examination reveals involuntary guarding. The abdomen is painful and tympanic to percussion in all quadrants. CBC reveals a white blood cell count of 15,600/uL. The AGACNP suspects:

A. Dissecting aortic aneurysm

B. Acute pancreatitis

C. Perforated peptic ulcer

D. Mallory-Weiss tear

 
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Is Any One Can Help Me With Those Questions

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Is any one can help me with those questions?

 
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Is A 39 Year Old Black Man Who Has Sickle Cell Disease Scd Marked By Frequent Ep

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.M. is a 39-year-old black man who has sickle cell disease (SCD) marked by frequent episodes of severe pain. His anemia has been managed with multiple transfusions, and he shows signs of chronic renal failure. He is a nonsmoker, nondrinker, and is on Social Security disability. His regular medications are pentoxifylline (Trental), oxycodone/acetaminophen (Roxicet), and folic acid (Folvite). In hematology clinic this AM, V.M.’s Hgb measured 6.7 g/dl. He received 2 units PRC (packed rerd cells) over 3 hours and then went home. V.M. developed dyspnea and shortness of breath approximately 1 to 1 ½ hours later, and his wife called 911. The EMS (emergency medical system) crew initiated oxygen and transported V.M. to the ED.

  1. V.M.’s ABG’s on 9 L O2/ simple face mask are pH 7.34, PaO2 74mmHg, Pa CO2 33mmHg, HCO3 18 mEq/L, BE -6. Is V.M being adequately oxygenated, why or why not?
  2. Why would V.M. be concerned about obtaining adequate pain control? And especially in the E.D?
 
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Is An Intentional Or Negligent Action Taken By A Legal Entity That Causes Harm T

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is an intentional or negligent action taken by a legal entity that causes harm to another legal entity.A) contractB) tortC) noticeD) jurisdiction2.A(n) ____ clause is a statement that the contract will be enforced according to the laws of a particular state.A) forum selectionB) jurisdictionC) personal jurisdictionD) subject-matter jurisdiction3.The details of ____ vary from state to state, but generally create personal jurisdiction over nonresidents who transact business or commit tortious acts in the state.A) subject-matter jurisdictionB) long-arm statutesC) statewide jurisdictionD) forum selection4.A(n) ____ is a commitment, with certain terms made to another party.A) contractB) offerC) acceptanceD) consideration5.A(n) ____ can be formed by two or more parties that act as if a contract exists, even if no contract has been written and signed.A) offerB) implied contractC) considerationD) contract6.A(n) ____ is a statement that the seller will not honor some or all implied warranties.A) invalid contractB) unsigned warrantyC) warranty disclaimerD) patent7.If a statement injures the reputation of a product or service instead of a person, it is called ____.A) defamatoryB) product defamationC) product disparagementD) company defamation8.If a company undertakes sufficient activities in a particular country, it establishes ____ with that country and becomes liable for filing tax returns in that country.A) copy controlB) noticeC) ToSD) nexus9.A(n) ____ is a tax levied by a state on property used in that state that was not purchased in that state.A) property taxB) income taxC) use taxD) patent10.A(n) ____ is assessed on the amount of value added at each stage of production.A) VATB) tortC) property taxD) transaction tax

 
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Is 312 Homework 3 Access Queries 10 1 Points Assigned 2 11 For Mon And 2 12 For

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IS 312 Homework 3: Access Queries [10+1 points] Assigned 2/11 for Mon and 2/12 for TR; Due 2/18 and 2/19 respectively

• All the problems will use the “Restaurants-2018” Access database. • All answers must be typed, 12-point font (or equivalent) to facilitate  my remarks and corrections (2-point penalty for violation). • Solutions must be assembled in the right order (2-point penalty for out of order). • All questions must print out design view and datasheet view, with  design view before datasheet view. [Design view can only be obtained  through screen print] o Order of assembly: Q1 design, Q1 data; then Q2 design, Q2 data, etc.

Problem 1 (3 points). Create query with AND and OR.

Create a query to display restaurant ID, city, state, annual sales, and square footage, for those restaurants in California with sales not more than $400,000, or those restaurants in the cities of Miami or Orlando, with sales not less  than half a million. [Watch out this part – “cities of Miami or  Orlando”]

Problem 2 (4 points). Total query. Create a total query with grouping, interpret the outcome of the query.

Create a total query – grouped by city, count the restaurant ID, sum on square footage, min on date opened. *** interpret the outcome of the query, in bullet form (so you will have three bullet points).

Problem 3 (4 points). Create a query with calculated fields.

Create a query with calculated fields – 1) Year_In_Biz, which is defined as the years a restaurant is in business, rounded to 1 decimal place; 2) Sale_Per_SqFt, which is annual sales divided by square footage, rounded to 0 decimal place. 3) Conditions: Year_In_Biz at least 18, AND Sale_Per_SqFt at least $350/ft

 
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