week 7 patho knowledge check

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Home>Homework Answsers>Nursing homework helpyesnowQUESTION 1A 52-year-old obese Caucasian male presents to the clinic with a 2-day history of fever, chills, and right great toe pain that has gotten worse. Patient states this is the first time that this has happened, and nothing has made it better and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. Past medical history positive or hypertension treated with hydrochlorothiazide and kidney stones. Social history negative for tobacco use but admits to drinking “a fair amount of red wine” every week. General appearance: Ill appearing male who sits with his right foot elevated. Physical exam remarkable for a temp of 101.2, pulse 108, respirations 18 and BP 160/88. Right great toe (first metatarsal phalangeal [MTP]) noticeably swollen and red. Unable to palpate to assess range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 14,000 mm3 and uric acid 8.9 mg/dl. The APRN diagnoses the patient with acute gout.Question 1 of 2:Describe the pathophysiology of gout.– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 2A 52-year-old obese Caucasian male presents to the clinic with a 2-day history of fever, chills, and right great toe pain that has gotten worse. Patient states this is the first time that this has happened, and nothing has made it better and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. Past medical history positive or hypertension treated with hydrochlorothiazide and kidney stones. Social history negative for tobacco use but admits to drinking “a fair amount of red wine” every week. General appearance: Ill appearing male who sits with his right foot elevated. Physical exam remarkable for a temp of 101.2, pulse 108, respirations 18 and BP 160/88. Right great toe (first metatarsal phalangeal [MTP]) noticeably swollen and red. Unable to palpate to assess range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 14,000 mm3 and uric acid 8.9 mg/dl. The APRN diagnoses the patient with acute gout.Question 2 of 2:Explain why a patient with gout is more likely to develop renal calculi.– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 3Stan is a 45-year-old man who presents to the clinic complaining of intermittent fevers, joint pain, myalgias, and generalized fatigue. He noticed a rash several days ago that seemed to appear and disappear on different parts of his abdomen. He noticed the lesion below this morning and decided to come in for evaluation. He denies recent international travel and the only difference in his usual routine was clearing some underbrush from his back yard about a week ago. Past medical history non-contributory with exception of severe allergy to penicillin resulting in hives and difficulty breathing. Physical exam: Temp 101.1 ˚F, BP 128/72, pulse 102 and regular, respirations 18. Skin inspection revealed a 4-inch diameter bull’s eye type red rash over the left flank area. The APRN, based on history and physical exam, diagnoses the patient with Lyme Disease. She ordered appropriate labs to confirm diagnosis but felt it urgent to begin antibiotic therapy to prevent secondary complications.Question:What is Lyme disease and what patient factors may have increased his risk developing Lyme disease?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 4A 72-year-old female was walking her dog when the dog suddenly tried to chase a squirrel and pulled the woman down. She tried to break her fall by putting her hand out and she landed on her outstretched hand. She immediately felt severe pain in her right wrist and noticed her wrist looked deformed. Her neighbor saw the fall and brought the woman to the local Urgent Care Center for evaluation. Radiographs revealed a Colles’ fracture (distal radius with dorsal displacement of fragments) as well as radiographic evidence of osteoporosis. A closed reduction of the fracture was successful, and she was placed in a posterior splint with ace bandage wrap and instructed to see an orthopedist for follow up.Question:What is osteoporosis and how does it develop?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 5A 42-year-old woman presents to the clinic with a four-month history of generalized joint pain, stiffness, and swelling, especially in her hands. She states that these symptoms have made it difficult to grasp objects and has made caring for her 6 and 4-year-old children problematic. She admits to increased fatigue, but she thought it was due to her stressful job as well as being a single mother. No significant past medical history but recalls that one of her grandmothers had “crippling” arthritis. Physical exam remarkable for bilateral ulnar deviation of her hands as well as soft, boggy proximal interphalangeal joints. The metatarsals of both of her feet also exhibited swelling and warmth. The diagnosis for this patient is rheumatoid arthritis.Question:Explain why patients with rheumatoid arthritis exhibit these symptoms and how does it differ from osteoarthritis?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 6A 32-year-old Caucasian male presents to the office with complaints of back pain, stiffness, especially in the morning, interrupted sleep due to pain, and difficulty in leaning over to tie his shoes. The patient first noticed these symptoms about 6 months ago but attributed them to his weekend basketball team’s games. He said he is exhausted due to sleep interruption. He has taken acetaminophen with some relief but says the naproxen seems to be working better. Married with 2 small children and works as a bank manager. Physical exam: Lungs clear but decreased chest excursion noted as well as decreased range of motion of hips and forward flexion, rotation, and lateral flexion restricted. Spine radiographs in the office revealed a slight kyphosis along with ankylosis at L5-S1. The APRN suspects the patient may have ankylosing spondylitis (AS). The APRN orders laboratory tests including an HLA-B27.Question:Why did the APRN order an HLA-B27 lab? How wouldthat lab result assistin understanding what ankylosing spondylitis?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 7A 17-year-old male presents to the clinic with a chief complaint of pain in his right elbow. He says the pain is sharp, especially with pronation and supination.  He noticed the pain several weeks ago after his tennis team went to a regional competition. When he rests, the pain seems to go away. The pain is alleviated when he takes Naprosyn. No history of trauma or infection in the elbow. Past medical and social history noncontributary. He is a junior at the local high school and just started taking tennis lessons 2 months ago and his coach is working with him on his backhand serve. Focused physical exam revealed point tenderness over the lateral epicondyle which increases with pronation and supination. The APRN diagnoses him with lateral epicondylitis and orders a wrist splint to prevent wrist flexion.Question:Why did the APRN feel a wrist splint would be helpful? What patient characteristics lead to this diagnosis.– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 8A 24-year-old Caucasian male was brought to the Emergency Room (ER) by Emergency Medical System (EMS) after suffering a “convulsion” episode at work that didn’t stop. Upon arrival to the ER, the patient was noted to be actively seizing with tonic-clonic movements. The patient’s boss accompanied him to the ER and gave a statement that the patient appeared in his usual good health earlier in the morning when they started working at their jobs in an auto parts store. The boss didn’t know of any past medical history. The boss brought along the patients next of kin information, and the patients mother told the ER that the patient has a prior history of seizures but hadn’t had a seizure in several years. The family thought he had “outgrown them.” Past medical history, other than previous seizures, and social history non-contributory. No history of alcohol or drug abuse and had no history of vaping. The ER APRN diagnoses the patient with status epilepticus and along with the ER staff, initiated appropriate treatment.Question:What is a seizure and why is status epilepticus so dangerous for patients?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 9A 32-year-old while female presents to the Urgent Care with complaints of blurry vision and “fuzzy thinking” which has been present for the last several weeks or so. She works as an executive for an insurance company and put her symptoms down to the stress of preparing the quarterly report. Today, she noticed that her symptoms were worse and were accompanied by some fine tremors in her hands. She has been having difficulty concentrating and has difficulty voiding. She remembers her eyes were bothering her a few months ago and she went to the optometrist who recommended reading glasses with small prism to correct double vision. She admits to some weakness as well. No other complaints of fevers, chills, upper respiratory tract infections, or urinary tract infections. Past medical and social history noncontributory. Physical exam significant for 4th cranial nerve palsy. The fundoscopic exam reveals edema of right optic nerve causing optic neuritis. Positive nystagmuson positional maneuvers. There are left visual field deficits. There was short term memory loss with listing of familiar objects. The APRN tells the patient that she will be referred to a neurologist due to the high index of suspicion for multiple sclerosis (MS).Question:What is multiple sclerosis and how did it cause the abovepatient’s symptoms?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 1061-year-old male complains of intermittent weakness and muscle fatigue that has progressively worsened over the past month. He was an internationally known extreme mountain climber but now he says he has difficulty in getting his morning paper. Initially he thought his symptoms of profound leg weakness and fatigue were due to his age and history of injuries from mountain climbing. Over the past few months, he also reports having noticed “blurriness” when working on his antique train collection or reading for long periods of time. He has developed intermittent double vision that seems to be worse when reading at bedtime. He also reports an occasional “droopy” eye lid. Past medical and social history noncontributory. Physical exam reveals weakness of right extra ocular muscle (EOM) with repetition. There is positive nystagmus and symmetrical upper extremity weakness with fasciculations. Lower extremities within normal limits (WNL).   The APRN suspects the patient has myasthenia gravis (MG).Question:What is the underlyingpathophysiology of MG?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 11A 67-year-old male presents to the clinic along with his family with a chief complaint of having problems with his short-term memory. His family had dismissed these problems and attributed them to the aging process. Over time they have noticed changes in his behavior, along with increased confusion and difficulty completing basic tasks. He got lost driving home from the bowling alley and had to be brought home by the police department. He is worried that he may have Alzheimer’s Disease (AD). Past medical and social history positive for a minor cerebral vascular accident when he was 50 years old but without any residual motor or sensory defects. No history of alcohol or tobacco use. Current medication is clopidogrel 75 mg po qd.  Neurological testing confirms the diagnosis of AD.Question:What is Alzheimer’s Disease and how does amyloid beta factor into the development and progression of the disease?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 12A 22-year-old male was an unrestrained front seat passenger of a car traveling at 50 miles per hour. The driver swerved to avoid hitting a deer that darted in front of the car and hit a tree. The patient was ejected from the vehicle. He was awake and alert at the scene when the paramedics arrived, and his pupils were equal and reactive to light. He was placed in a hard-cervical collar per protocol and log rolled onto a long backboard. He was breathing spontaneously at the scene, but pulse oximetry in the EMS unit revealed a SaO2 of 88% on room air. He was placed on 100% oxygen via non-rebreather mask and was taken to a Level I trauma center with the following vital signs:Vital signs: BP 90/50, Pulse 48 and regular, Respirations 24 and shallow with some use of accessory muscles, temp 95.2 F rectally. He was awake and answering questions appropriately but says he cannot feel his arms or legs. Glasgow Coma Scale 14. His skin was warm and dry with minor abrasions noted on his arms. According to family members, past medical history noncontributory and social history reveals only occasional alcohol use and no tobacco or vaping history. Full work up in the ED revealed a fracture-dislocation of C4 with assumed complete tetraplegia(formerly called quadriplegia). No other injuries noted He was given several liters of IV fluid, but his blood pressure remained low.Question 1 of 2:Explain the differences between primary and secondary spinal cord injury (SCI)?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 13A 22-year-old male was an unrestrained front seat passenger of a car traveling at 50 miles per hour. The driver swerved to avoid hitting a deer that darted in front of the car and hit a tree. The patient was ejected from the vehicle. He was awake and alert at the scene when the paramedics arrived, and his pupils were equal and reactive to light. He was placed in a hard-cervical collar per protocol and log rolled onto a long backboard. He was breathing spontaneously at the scene, but pulse oximetry in the EMS unit revealed a SaO2 of 88% on room air. He was placed on 100% oxygen via non-rebreather mask and was taken to a Level I trauma center with the following vital signs:Vital signs: BP 90/50, Pulse 48 and regular, Respirations 24 and shallow with some use of accessory muscles, temp 95.2 F rectally. He was awake and answering questions appropriately but says he cannot feel his arms or legs. Glasgow Coma Scale 14. His skin was warm and dry with minor abrasions noted on his arms. According to family members, past medical history noncontributory and social history reveals only occasional alcohol use and no tobacco or vaping history. Full work up in the ED revealed a fracture-dislocation of C4 with assumed complete tetraplegia(formerly called quadriplegia). No other injuries noted He was given several liters of IV fluid, but his blood pressure remained low.Question 2 of 2:What is spinal shock and how it is different from neurogenic shock?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 14A 22-year-old male was an unrestrained front seat passenger of a car traveling at 50 miles per hour. The driver swerved to avoid hitting a deer that darted in front of the car and hit a tree. EMS on the scene noted a stellate fracture of the windshield on the passenger side. The patient was non-responsive at the at the scene when the paramedics arrived, and his pupils were unequal with the left pupil larger and sluggish to react to light. He was placed in a hard-cervical collar per protocol and log rolled onto a long backboard. He was breathing spontaneously at the scene, but pulse oximetry in the EMS unit revealed a SaO2 of 78% on room air. He was intubated at the scene for airway protection and transported to a Level 1 trauma center. Glasgow Coma Scale=3After a full trauma work up, the patient was diagnosed with an isolated traumatic brain injury with acute subdural hematoma secondary to coup-contrecoup mechanism of injury. He was emergently taken to the operating room for craniotomy after which he was taken to the Intensive Care Unit (ICU) for close monitoring. He had an intracranial bolt for measurements of his intracranial pressure (ICP).Question 1 of 2:Explain the differences between primary and secondary traumatic brain injuries (TBIs)?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 15A 22-year-old male was an unrestrained front seat passenger of a car traveling at 50 miles per hour. The driver swerved to avoid hitting a deer that darted in front of the car and hit a tree. EMS on the scene noted a stellate fracture of the windshield on the passenger side. The patient was non-responsive at the at the scene when the paramedics arrived, and his pupils were unequal with the left pupil larger and sluggish to react to light. He was placed in a hard-cervical collar per protocol and log rolled onto a long backboard. He was breathing spontaneously at the scene, but pulse oximetry in the EMS unit revealed a SaO2 of 78% on room air. He was intubated at the scene for airway protection and transported to a Level 1 trauma center. Glasgow Coma Scale=3After a full trauma work up, the patient was diagnosed with an isolated traumatic brain injury with acute subdural hematoma secondary to coup-contrecoup mechanism of injury. He was emergently taken to the operating room for craniotomy after which he was taken to the Intensive Care Unit (ICU) for close monitoring. He had an intracranial bolt for measurements of his intracranial pressure (ICP).Question 2 of 2:The APRN is called by the ICU staff because the patient’s ICP has risen to 22 mmHg. The APRN recognizes the urgent need to lower the ICP. The APRN institutes measures to decrease the ICP and increase the cerebral perfusion pressure (CPP). What are the factors that determine CPP?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 16A 68-year-old man was brought to the emergency department by his family. During his routine morning walk he noticed a sudden onset of left facial numbness associated with a dull headache on the right posterior aspect of his head. He was staggering to the right side and feeling unsteady and nauseated, with no vomiting. He telephoned his wife, who noticed his speech was slow and slurred, but there was no word-finding difficulty. His family immediately took him to the hospital. There was a history of hypertension, hypercholesterolemia, ischemic heart disease (MI and PCI with bare metal stent in 2007) and probable transient ischemic attack (TIA) at the time of cardiac intervention. His medication included atenolol, ramipril, simvastatin, aspirin and clopidogrel.Within one hour, the patient’s symptoms had totally resolved. The diagnosis of transient ischemic attack was made, and the patient was discharged to home with instructions to contact his healthcare provider (HCP) for follow-up.Question:Why did the patient’s symptoms totally resolve?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 17An 83-year-old man presents with a history of atrial fibrillation (AF), hypertension, and diabetes. His daughter, who accompanied the patient, states that yesterday the patient had a period when he could not speak or understand words, and that approximately 4 weeks prior he staggered against a wall and was unable to stand unaided because of weakness in his legs. She states that both instances lasted approximately a half-hour. She was unable to persuade her father to go to the emergency room either time. Today he suffered another episode of right sided weakness, dysarthria, and difficulty with speech. Past medical history: Hypertension for 15 years, well controlled; diabetes for the past 10 years, and hyperlipidemia. Medications: Diltiazem CD 300 mg daily; lisinopril 40 mg daily; metformin 500 mg twice daily; aspirin 81 mg daily and atorvastatin 20 mg po qhs.Social history: reported former smoker with 40 pack year history. Alcohol -drinks one beer a day. Denies any other substance abuse. Review of systems: Denies dyspnea, dizziness, or syncope; complains that he cannot move or feel his right arm or leg. Difficulty with speech.Physical exam: Vitals: height = 70 inches; weight = 185 pounds; body mass index = 26.5; BP = 134/82 mm Hg; heart rate = 88 bpm at rest, irregularly irregular pattern.HEENT remarkable for expressive aphasia, eyes with contralateral homonymous hemianopsia.No loss of sensation but unable to voluntarily move right arm or leg.The patient was diagnosed with a right middle cerebral artery vascular accident (CVA) secondary to atrial fibrillation (AF)Question:How does atrial fibrillation contribute to the development of a CVA?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 18A 57-year-old male construction worker comes to the clinic with a chief complaint of pain in his right hip. The pain has progressively gotten worse over the last 2 months and he has been having trouble sleeping. There is little pain in the morning, but he is a bit stiff. The pain increases as the day wears on.  has taken acetaminophen without any relief but states that the ibuprofen does work a little bit. He is anxious since the hip pain has limited his ability to work and he is afraid that his boss will fire him if he cannot perform his usual duties. There is no history of past trauma or infection in the joint. Past medical history noncontributory. Social history without history of alcohol, tobacco, or illicit drug use. Physical exam remarkable for decreased range of motion of the right hip. BMI 34 kg/m2. Radiographs in the office demonstrated asymmetrical joint space narrowing of the right hip with osteophyte formation. Several areas of the hip showed bone-on-bone contact with loss of the articular cartilage. The APRN tells the patient he has osteoarthritis (OA) and refers the patient to an orthopedist for evaluation of his need for a total hip replacement.Question:Describehow osteoarthritis developsand forms and distinguish primary osteoarthritis from secondary arthritis.– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 19A 34-year-old Caucasian female presents to the clinic with a chief complaint of widespread pain in her joints and muscles. She states that her skin seems sensitive and sometimes it hurts to be touched. She has had extreme fatigue for the past 4 months. She admits to being depressed and it unable to sleep well. She has had to drop out of her gardening club due to pain. She says that bright lights and loud noises really bother her. Past medical history noncontributory. Social history is significant for her divorce from her husband 14 months ago. She is the mother of 2 small children and works as an administrative assistant as the local insurance company. Physical exam remarkable for tender points over her posterior supraspinatus muscles, occiput, trapezius, gluteal area, and sacroiliac joints bilaterally. The APRN tells the patient that she most likely has fibromyalgia, based on her physical exam.Question 1 of 2:What are the underlying causes of fibromyalgia?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsQUESTION 20A 34-year-old Caucasian female presents to the clinic with a chief complaint of widespread pain in her joints and muscles. She states that her skin seems sensitive and sometimes it hurts to be touched. She has had extreme fatigue for the past 4 months. She admits to being depressed and it unable to sleep well. She has had to drop out of her gardening club due to pain. She says that bright lights and loud noises really bother her. Past medical history noncontributory. Social history is significant for her divorce from her husband 14 months ago. She is the mother of 2 small children and works as an administrative assistant as the local insurance company. Physical exam remarkable for tender points over her posterior supraspinatus muscles, occiput, trapezius, gluteal area, and sacroiliac joints bilaterally. The APRN tells the patient that she most likely has fibromyalgia, based on her physical exam.Question 2 of 2:The APRN tells the patient that the tender points are no longer used to diagnose FM. She suggests that the patient takes the Widespread Pain Index (WPI) and the Symptom Severity Inventory (SSI). The patient asks the APRN what these tests are for. What is the APRN’s best answer?– Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 pointsClick Save and Submit to save and submit. Click Save All Answers to save all answers.5 years ago11.01.202120Report issueAnswer(1)MUSYOKIONES A+5.0(4k+)4.9(509)ChatPurchase the answer to view itNOT RATEDWeek7PathoKnowledgeCheck.docxwk7.pdf5 years agoplagiarism checkPurchase $40Bids(96)Tutor Cyrus KenBethuel BestQuickly answerQuality AssignmentsProf Double RWIZARD_KIMToniskyAmanda SmithDr. ElahiPapersGuruRosie SeptemberDr. Adeline Zoebrilliant answersBrainy BrianPremiumRihAN_MendozaTutor RisperMUSYOKIONES A+Elprofessorimichael smithother Questions(10)MHA 616 Week 5 Discussion 2 ( Electronic Health Records Acquisition ) ~ ( Latest Syllabus – Perfect Tutorial – Scored 100% )MHA 616 Week 4 Discussion 1 ( Laws for Health Information Systems ) ~ ( Latest Syllabus – Perfect Tutorial – Scored 100% )FOR MARKMANU ONLY !!!!!IST questionsJust need to add a couple things to my paper….POLITICAL SCIENCE HWaccExpress Questionsocwk6as described

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Assignment: Practicum Journal: Voluntary and Involuntary Commitment

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Home>Homework Answsers>Nursing homework helpclearScenario for Week 7 Case:You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?The Assignment (2–3 pages):Based on the scenario, would you recommend that the client be voluntarily committed? Why or why not?Based on the laws in your state, would the client be eligible for involuntary commitment? Explain why or why not.Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain.If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment.If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client.Rubric:Quality of Work Submitted:The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.–Excellent27 (67.5%) – 30 (75%)Good24 (60%) – 26 (65%)Fair21 (52.5%) – 23 (57.5%)Poor0 (0%) – 20 (50%)Quality of Work Submitted:The purpose of the paper is clear.–Excellent5 (12.5%) – 5 (12.5%)Good4 (10%) – 4 (10%)Fair3.5 (8.75%) – 3.5 (8.75%)Poor0 (0%) – 3 (7.5%)Written Expression and FormattingParagraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.–Excellent5 (12.5%) – 5 (12.5%)Good4 (10%) – 4 (10%)Fair3.5 (8.75%) – 3.5 (8.75%)Poor0 (0%) – 3 (7.5%)5 years ago15.01.202120Report issueAnswer(1)brilliant answers4.8(3k+)4.9(349)ChatPurchase the answer to view itNOT RATEDTurnitin_Originality_Report_PracticumJournal.htmlPracticumJournal.docx5 years agoplagiarism checkPurchase $20Bids(91)Tutor Cyrus KenDr. Ellen RMBethuel BestMARTHA92_PHDQuickly answernicohwilliamQuality AssignmentsProf Double RYourStudyGuruWIZARD_KIMToniskyAmanda SmithDr. ElahiPapersGuruRosie Septemberbrilliant answersBrainy BrianPremiumTutor RisperMUSYOKIONES A+other Questions(10)FOR BRAINY BRIANAnalyze the Growth of Apple over time since its inception and the role of Steve Jobs in it.You have just been hired by a company to evaluate the way the company treats its employees, suppliers, and customers. Create an analysis of the ethical theories the company would want to use to show the employees, suppliers, and customers that it cares abHow finance graded?Imagine that you work for the maker of a leading brand of low-calorie, frozen microwavable food that estimates the following…i dont want any plaigarismFinancing TerrorismTort Liability (Risk Management and Workers’ Compensation Administration)Agreement made with Wendy LewisThe paper should compare two theoretical approaches to international security. writer will have to highlight the distinctive features of each approach, explain their strengths and shortcomings and formulate suggestions on how to improve them

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Discussion post role of ethics among the interprofessional healthcare team and its role in communication and information sharing, confidentiality, and whistleblowing.

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Home>Homework Answsers>Nursing homework helpethicsDiscuss the role of ethics among the interprofessional health care team and its role in communication and information sharing, confidentiality, and whistleblowing.Requirements for this post:Word count: 300 minimum – 500 maximumAPA FormatPlagiarism freeReferences within the last 5 years.5 years ago12.01.20217Report issueAnswer(1)Quality Assignments4.9(6k+)4.9(989)ChatPurchase the answer to view itRoleofEthicsAmongInterprofessionalHealthCareTeam.docx5 years agoplagiarism checkPurchase $7Bids(95)Dr Michelle MayaQuality AssignmentsMUSYOKIONES A+Tutor Cyrus KenTeacher A+ WorkProf Double RPremiumRosie SeptemberDr. Michelle_KMTutor RisperAmanda SmithProfRubbsEmily MichaelAshliey WriterElprofessoriMaria the tutorYourstarquerubohDr. Benevebrilliant answersother Questions(10)Identify which of the following statements are not correct, given the information provided in the Microsoft Windows Networking Essentials book. Write a correct alternative statement for each of these.With the aid of a table similar to Table 1, indicate at which layer number and layer name of the OSI model the protocols DHCP, frame relay, IPv4 and TCP would be found.for Expert_ResearcherCase Study 1: Bring Your Own Device (BYOD)Assign 2.2 Comp SciACC 291 Week 2 Individual Wiley Plus Assignment Exercise E8-3 , BE9-13, 9-4 , E9-9 , E9-10, Problem 9-5A 100% CORRECTFor Natural Science GuruBrochure5-6 paragraphsSecurety Management- 300 words, origionl wok- due today

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Workplace Environment Assessment

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Home>Homework Answsers>Nursing homework helpAPA 7Well writtenHow healthy is your workplace?You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.To Prepare:Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).Review and complete the Work Environment Assessment Template in the Resources.By Day 3 of Week 7Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace.How was this addressed? Be specific and provide examples.Please write replies for the discussions posted below all in APA 7 format and  well written and explained.SHELLsEliminating incivility must be part of any healthcare culture to increase employee satisfaction and retention. The way in which this can be accomplished is by intentionally instituting and promoting a culture of respect within an entity (Broome & Marshall, 2021). Incivility within a healthcare facility fosters many negative outcomes, and in my opinion and on the top of the list, is decreased patient safety (Clark et al., 2011). The fact that nursing is up to four times more hazardous than many occupations should garner the attention of everyone (Clark et al., 2011). Polite and respectful communication is linked to happy, productive employees (Clark, 2015).I completed the work environment assessment for my employer. The total score was 40. This indicates a very unhealthy work environment. Some of the reasons why it is unconsidered unhealthy are the fact that there is no shared decision-making, teamwork and collaboration are not promoted, there is no mentoring program available, no employee wellness program, nothing is done is resolve or fix conflicts that arise, and there is little to no advancement opportunities available. As you can imagine, this makes for a difficult work environment. The culture is that we treat our patients with the utmost respect and dignity while delivering excellent care, however, the same is not placed on the employee side. There is a great deal of turnover amongst the nursing staff. This leads to working short many times, which makes for an even more unhealthy and unsafe working environment.There was a situation where one nurse bullied another nurse, and there were witnesses to this event. This unfortunate event happened in front of a patient in a patient’s room as well. One of the witnesses told her supervisor. This situation created an uncomfortable working environment as there was nothing done about it. It was casually brought up at the next staff meeting that bullying was not permitted. This led to the nurse who was bullied quitting her job. There was a lot of sadness and disbelief by the staff because nothing was done, as well as the loss of a valuable staff member. This created poor working conditions and decreased employee satisfaction. The staff member that did the bullying was not written up or reprimanded, and often joked about the event and how she got the other nurse to quit. This was a disrespectful situation that created increased incivility in the workplace.There are many solutions to fix incivility, and one of them I would like to highlight is accountability as a useful tool and a solution for multiple challenges (Mentzer et al., 2017). Accountability can be increased by a simple technique of peer-evaluation amongst team members (Mentzer et al., 2017). This technique is known to create healthy teams and cultures (Mentzer et al., 2017). This is done by having individual staff members rate themselves, and then their peers do the same, and comparing the results (Mentzer et al., 2017). I have always said if we could see ourselves as others see us, we would work on self-improvements efforts. I believe this technique provides this an opportunity for self-improvement. I would like to see a lot of positive changes made at my employer to promote a healthier culture where everyone can thrive.References:Broome, M., & Marshall, E.S. (2021).Transformational leadership in nursing: From expert clinician to influential leader(3rd ed.). New York, NY: Springer.Clark, C.M. (2015). Conversations to inspire and promote a more civil workplace.American Nurse Today,10(11), 18-23.Clark, C.M., Olender, L., Cardone, C., Kenski, D. (2011). Fostering civility in nursing education and practice.The Journal of Nursing Administration,41(7/8), 324-330.Mentzer, N., Laux, D., Zissimopoulos, A., & R.Richards, K.A. (2017). Peer evaluation of team member effectiveness as a formative educational intervention.Journal of Technology Education,28(2), 53-82.https://doi-org.ezp.waldenlibrary.org/10.21061/jte.v28i2.4KelsThe workplace environment and culture are often a topic of discussion in healthcare, as they can have a significant impact on job satisfaction and patient outcomes. Knowing this impact, leaders aim to create a culture of excellence (Broome & Marshall, 2021). The American Association of Critical-Care Nurses (AACCN) has outlined six standards which will help to create a healthy work environment. These include open communication, team collaboration, productive decision making, staff recognition, and authenticity (Clark, 2015). When leaders look to address the culture within their setting, they must identify the strengths and weaknesses of the current environment, and invoke stakeholders input through open communication channels. This comprehensive assessment will guide the transformational leader towards cultural change (Broome & Marshall, 2021). Based on the AACCN standards of workplace excellence, Clark (2015) created a tool to assist in a workplace environment assessment.I completed the Clark (2015) assessment on my own workplace to get an idea of how healthy the culture is for me. The answers are given on a scale of 1 to 5, with 5 being the most healthy, and total points are added up from 20 questions for a total as high as 100 and as low as 20. My total score was 77, indicating that my workplace environment is mildly healthy. This result is not overly surprising to me, as I mostly feel satisfied with my job, but there are areas that I think need improvement. The questions that got a lower score were the questions that asked about work compensation and options for career advancement, as this is a common complaint among school nurses. Foley, Lee, Wilson, Cureton, and Canham (2004) looked at school nurse job satisfaction, and proposed that Maslow’s hierarchy of needs can be applied to the workplace to explain why pay and job security impact nurse’s satisfaction the most.Foley, Lee, Wilson, Cureton, and Canham (2004) also discussed how positive workplace interactions can increase employee satisfaction. In my survey, I scored issues of workplace civility high, because I find that my leader does an excellent job of resolving issues. This is not always the case though, as incivility in the healthcare industry is a major problem affecting nursing retention and nurse job satisfaction. Incivility can come from disgruntled patients as well as disgruntled employees (Clark, Olender, Cardoni, & Kenski, 2011). In a school setting, it is not uncommon for parents to have negative interactions with the school nurse. In light of recent events, this is more true than ever. In my practice since returning to school in September during the covid-19 pandemic, tensions are high among parents who are navigating difficult and stressful decisions involving the schooling of their children. Elevated stress levels are shown to increase incivility, so it is not surprising that I have had parents upset with me over newly implemented rules (Clark, Olender, Cardoni, & Kenski, 2011). This has included a new guideline that all students are required to receive the influenza vaccine, as well as strict exclusion guidelines that require a student be sent home for symptoms that could be caused by something other than covid-19, in order to rule out the virus. However, an important role as the leader is to be able to assist in conflicts and make staff feel supported (Broome & Marshall, 2021). My supervisor has supported our work, which is grounded in following protocols. She also encourages us to send parents her way if there continues to be issues, and she can reiterate the protocols that the district follows. When issues like this become frequent, my leader engages all of the nurses to express our views and have an open discussion about how situations can be handled. Feeling supported has gone a long way in my job retention and satisfaction.ReferencesBroome, M., & Marshall, E. S. (2021).Transformational leadership in nursing: From expertclinician to influential leader(3rd ed.). New York, NY: Springer.Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace.AmericanNurse Today, 10(11), 18–23. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdfClark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursingeducation  and practice.The Journal of Nursing Administration, 41(7/8), 324–330.Foley, M., Lee, J., Wilson, L., Cureton, V. Y., & Canham, D. (2004). A Multi-Factor Analysis ofJob Satisfaction among School Nurses.Journal of School Nursing, 20(2), 94–100.5 years ago12.01.202110Report issueAnswer(1)MajesticMaestro5.0(2k+)5.0(1k+)ChatPurchase the answer to view itWorkplaceEnvironmentAssessment.docxSHELLsReply.docxKelsReply.docx5 years agoplagiarism checkPurchase $10Bids(95)Quality AssignmentsMUSYOKIONES A+Tutor Cyrus KenProf Double RMichelle GoodManPremiumRosie SeptemberEmily ClareDr. Michelle_KMDiscount AssignTutor RisperMajesticMaestroDiscount AnsAmanda SmithProfRubbsEmily MichaelDr Ava_MiaDr. Freya WalkerElprofessoriDr shamille Claraother Questions(10)Need Power Point Presentation Done for STR 581 Mini Strategy1.      What is price elasticity of demand?

2.      What are examples of goods with very high elasticity of demand (i.e., highly…Humanities 112 discusion question (due tomorrow)Politicshomework 2I need an expert writer in politicsFor you YthomitPsychology Assignment 1Spreadsheet Modeling and Decision Analysis ProblemFINAL

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Advance Clinical Practicum Discussion 1

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Home>Homework Answsers>Nursing homework helpspellinggrammarDescribe your current knowledge of the facility you chose for your practicum experience and your reasoning for choosing this particular facility. Also, share one vulnerable population that can be found within your facility’s community and your experience dealing with this population. If you do not have experience with this population, what research will you do before you start?I work with the medicare population as a Case Manager at an Insurance company5 years ago12.01.20215Report issueAnswer(1)Discount Assign5.0(6k+)5.0(1k+)ChatPurchase the answer to view itCaseManager.edited.docx5 years agoplagiarism checkPurchase $5Bids(91)Quality AssignmentsMUSYOKIONES A+Tutor Cyrus KenTeacher A+ WorkProf Double RRosie SeptemberEmily ClareDr. Michelle_KMDiscount AssignTutor RisperDiscount AnsAmanda SmithEmily MichaelDr Ava_MiaDr. Freya WalkerElprofessoriMaria the tutorDr shamille ClaraEARNESTWRITERYourstarother Questions(10)Week 8 Discussion: HRM520The Internet has created new ways to do business for organizations with much less capital planning as opposed to the high capital needs of traditional brick and mortar organizations. Based on this, answer the following questions: How should management anstereotypetraining and developmentpaperCriminal Procedure IIstatistics helpSCM 430 Unit 2 DBPART Ccan u help

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Nursing discussion board

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Home>Homework Answsers>Nursing homework helpModule 1 Discussion: HPMPReview theHPMP Orientation Handbookand then substantively reply to the following question in 200 words or more: “Should nurses with substance abuse disorders be allowed to provide direct patient care?”  In your response, discuss how theANA Code of Ethics for Nursesand theICN Code of Ethicsapplies to the situation. Be sure to review the Grading Rubric for important information.Module 2:Safety Assignment:Isolation PrecautionWhat is MRSA and how can it be spread from one patient to another? What precautions must the nurse take to prevent the spread of this organism?Team meetingDena suggests that urinary catheters be removed as soon as possible. What is her rationale for this and why did the other nurses seem resistant to the idea?Infection Control TeamHow might the use of an inter-professional team work toward improved infection control in the hospital setting? Is there one in your professional setting?Patient Question about handwashingConsider how you will incorporate handwashing into your practice? Can you think of ways to reinforce this practice?Family memberCommunication with family is vital in nursing. How would you feel if you were the family member and were told that you needed to gown and glove every time you came to see your family member? How would you as the nurse reinforce to family the need to follow precaution policies?Dr. GreeneGive three examples of how nurses can assist in the prevention of hospital-acquired infections? Consider what you have seen on the video, your readings and the lecture on infection prevention.Rubric.docx5 years ago13.01.202112Report issueAnswer(1)Young Nyanya5.0(3k+)4.9(77)ChatPurchase the answer to view itNOT RATEDmodule2safety.docxnurses.edited.docx5 years agoplagiarism checkPurchase $12Bids(92)Quality AssignmentsMUSYOKIONES A+Young NyanyaWIZARD_KIMTutor Cyrus KenTeacher A+ Workpacesetters2121Rosie SeptemberDr. Michelle_KMDiscount AssignTutor RisperDiscount AnsAmanda SmithYourStudyGuruProfRubbsEmily MichaelDr Ava_MiaHomeMarket_TutorDr. Freya WalkerElprofessoriother Questions(10)Edit2 for Adsupportaccouting quizECO 561 Week 4/Four DQsWhat is the “current macroeconomic situation” in the U.SWho was the first czar of Russia?for prateekParent Company hwhwWhat section of the OSH ActFailura analysis

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Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

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Home>Homework Answsers>Nursing homework helpMAThe answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.All answers to case studies must have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case StudyCase Study 1Mr. JS presents today to your office for a follow up appointment after a BP reading at home of 166/95 last week. He is a 52 y/o male with a PMH of HTN and Angina secondary to CAD, which is well controlled, experiencing less than 1 attack per month. On today examination, MR JS’s vital signs are as follows: Temperature: 96.8º Heart Rate: 68 bpm Blood Pressure: 168/92 Respiration: 14 Ox Sat: 95% at room air Pain: denies pain. Labs: Last LDL on records (6 months ago): 189 Current Medications: Atorvastatin 40 mg/day Metoprolol tartrate 10 mg/twice/dayCASE STUDY QUESTIONS:1) According to the recently released American Heart Association guidelines on hypertension, what should be the BP goal for a patient with chronic stable angina and hypertension?2) In addition to diet and lifestyle modifications, what is the medication of choice to control the BP of a patient with chronic stable angina? Provide rationale3) Provide at least 3 (questions) you would ask your patient RELATED to the case presented and provide rationale.4) Please explain whether you would request any laboratory or screening tests for this patient and why (if any)5) How would you achieve the B/P goal recommended for this patient according to the guidelines provided above?6) Provide References in APA styleTesticular CancerCase Studies A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5) CT scan of the abdomen Enlarged retroperitoneal lymph nodes CT scan of the chest Multiple pulmonary nodules Diagnostic Analysis At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.Critical Thinking Questions1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer?2. What might be the side effects of cytotoxic chemotherapy?3. What was the purpose of preserving his sperm before chemotherapy?4. Is this young man’s age typical for the development of testicular carcinoma?5 years ago15.01.20214Report issueAnswer(2)Amanda Smith4.9(25k+)4.9(5k+)ChatPurchase the answer to view itCASESTUDYANALYSIS3.docxmac.pdfreport69.pdf5 years agoplagiarism checkPurchase $4Amanda Smith4.9(25k+)4.9(5k+)ChatPurchase the answer to view itCASESTUDYANALYSIS333.docxjh1.pdf5 years agoplagiarism checkPurchase $6Bids(55)Dr AngelenaEmily ClareEARNESTWRITEREva GreenTutor_SupremoAmanda SmithProCastrol01GuruWriter24brilliant answersElprofessoriUrgent TutorDr_Hakuna_MatataYourstarRosie SeptemberBrilliant GeekStano 001Erick TylerMichelle OwensDr. Freya WalkerRESPECT WRITERother Questions(10)For this assignment, write a paper of 750-1,000 words in which you analyze the concept of resource scheduling and evaluating various methods used to schedule resources in project management.Who can handle doing this presentation by following instructions with non-plagiarized work?M2_A2Are you knowledgeabe on Advance Qualitative Research?Intermediate Accounting II Discussion Questioncrj 2 disbusiness discussionScholarly Activity Week 1RES-850 Module 8 DQ 2HOMEWORK HELP FOR NJOSH ONLY.

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answer the following question. Discuss the purpose of the literature review and which topics are you going to search for your topic? Discuss also what are the challenges that nurses are facing today when they have to do a literature review?

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Home>Homework Answsers>Nursing homework helpAfter reading chapters 5,6,7, and 8, answer the following question.Discuss the purpose of the literature review and which topics are you going to search for your topic? Discuss also what are the challenges that nurses are facing today when they have to do a literature review?Polit10e_PPT_Ch51.pptPolit10e_PPT_Ch61-1.pptPolit10e_PPT_Ch71.pptPolit10e_PPT_Ch81.ppt5 years ago12.01.20215Report issueAnswer(1)Martin Writer4.4(547)4.5(51)ChatPurchase the answer to view itNOT RATEDorder_55108_PurposeOfTheLiteratureReview.docx5 years agoplagiarism checkPurchase $5Bids(86)Dr Michelle MayaTutor Cyrus Kenpacesetters2121Michelle GoodManEmily ClareRosie SeptemberDr. Michelle_KMDiscount AssignDiscount AnsAmanda SmithProfRubbsAmerican TutorEmily MichaelRihAN_MendozaDr Ava_MiaDr. Freya WalkerElprofessoriDr shamille ClaraEARNESTWRITERYourstarother Questions(10)JJJPYTHON EXPERT ONLYdiscussion Boardhimath 116Paper on: How and Why Did the U.S. Automobile Industry Need To Be Bailed Out?GOOGLE STOCK (VERSION 2015)Healthy OcalahomeworkMRP

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Module 6: Assignment N493

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Home>Homework Answsers>Nursing homework helpPOWERPOINTAPAModule 6: Assignment N493Put your project to work! Create materials for your presentation. These can include your speaker notes, PowerPoint for the presentation, or poster board. Hold the event at the designated and approved location. Take photos of yourself or record a short video of the location (this may be a table you have set up, a booth location, or a meeting room). Please include the photo OR video of you at the location as this will be the evidence that the event took place. This will be evidence that the event took place.Submit your presentation materials, including your photos or videosShow in your pictures: Your educational materials, your education table or booth, and some of the people that you gave instruction to, and include pictures. If the people at the education session do not want their picture taken, that is ok, just take some of you doing the presentation.Submit 2 or 3 pictures of your presentation Do not submit more than 3 pictures due to you will overload the drop box and be unable to submit your other tools such as power points (if you used one), or handouts that you used, etc. If you submit too many files, the drop box will be full. Don’t forget the log of at least 10-15 hours must be submitted into project concert.5 years ago16.01.202125Report issueAnswer(1)Tutor Cyrus Ken4.9(1k+)5.0(298)ChatPurchase the answer to view itRacismonHealthinAlaska.pptx5 years agoplagiarism checkPurchase $25Bids(105)Tutor Cyrus KenMath Guruuabdul_rehman_Quickly answerDr. Michelle_KMQuality AssignmentsProf Double RYourStudyGuruWIZARD_KIMLouisa95ToniskyAmanda SmithDr. Elahiwizard kimPapersGuruDr shamille Clarabrilliant answersDiscount AssignBrainy BrianPremiumother Questions(10)hw for ECO MICROECONOMICESIntroductionFOR PROFESSOR EXBusiness LawBusiness HelpOn 1/1/2009, XYZ signed a 2 year, $6,000 non-interest note and received equipment form ABCalgebra homeworkBIS/220 – INTRODUCTION TO COMPUTER APPLICATIONS AND SYSTEMSMKT 625 – Week 5 – DQ 2 – Marketing Ethics ~ A + Tutorial With ReferencesBBA 3210 Business Law Unit IV Mini Project – Shortcut

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Humanities and Contemporary Popular Culture

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Home>Homework Answsers>Nursing homework helplpsuInstructionsAnalyze: Word of the YearEvaluation Title: What is Pop Culture?One way to identify changes in popular culture is to examine new terms and concepts that arise and quickly become prevalent in society.  For example, you may be familiar with the new phrases that arose with the use of smartphones (LOL! OMG! YOLO!) and the new meanings for already familiar words such as text, data, refresh, application, etc.  We use “Google” as a verb today, “Spam” used to be a canned meat product, and “Amazon” no longer first brings to mind a river in South America.Oxford Dictionary (https://en.oxforddictionaries.com/ (Links to an external site.)) takes on the challenge of the ever-changing English language by providing definitions for newly adopted and used words in the English language and even selects a “Word of the Year” – a word that takes on a certain significant meaning in the context of current events and culture.  In 2015, it was notable that the “word” of the year wasn’t even a word at all, but instead an emoji!  No one 10 years ago could have predicted this, and it demonstrates clearly the role that communication via technology has in today’s culture.For this assignment, you will be creating a PowerPoint presentation about popular culture and this year’s Word of the Year.  Look up Oxford Dictionaries’ most recent Word of the Year and consider the cultural influences and events that drove this word selection.  What events are related to this word and what is their significance?  How does this word present itself in your own thoughts, experiences, and beliefs?  What is the connection between the “Word of the Year” and the concept of Popular Culture?Specifications:Submission: A 10-12 slide PowerPoint presentation or Prezi to address the questions posed above. Include speaker notes or a voice-over, images, and videos where applicable.  If you choose the voice-over option, you will upload your recording web link (URL).In your presentation:Clearly explain the meaning of the Word of the Year.Provide 4-5 examples of cultural events that led up to or evolved from this word usage.Reflect on thoughts, experiences, and beliefs regarding this word’s usage in society and your own life.Provide speaker’s notes or a voice-over on the PowerPoint to accompany each slide.  If you choose speaker’s notes, the total word count of your notes should be 750-1000 words.  If you choose to create a voice-over recording your presentation should be 4-6 minutes long.Include a title slide and include your references page in APA format on the last slide of the presentation.Helpful Resources:Screencast-o-Matic is an easy, free tool to use to create your voice over.  Get free access athttps://screencast-o-matic.com/ (Links to an external site.)If you are new to using Screencast-o-Matic, tutorials are available athttp://help.screencast-o-matic.com/ (Links to an external site.)For information on using PowerPoint speaker notes, see:https://support.office.com/en-us/article/Add-speaker-notes-to-your-slides-26985155-35f5-45ba-812b-e1bd3c48928e5 years ago15.01.202115Report issueAnswer(1)smart-tutor4.5(5k+)4.7(714)ChatPurchase the answer to view itHumanitiesandContemporaryPopularCulture1.pptx5 years agoplagiarism checkPurchase $15Bids(125)Quality AssignmentsMUSYOKIONES A+TopanswersWIZARD_KIMTutor Cyrus KenProf. Dr. ReenaTeacher A+ WorkProf Double RCreative GeekPremiumDr.Michelle_ProfEmily ClareHELPER WRITERDr. Michelle_KMElvis the writerMiss AngelinaProf James KelvinNightingaleAmanda Smithwizard kimother Questions(10)ACC = Exercise 2-28 and Exercise 3-46case studyKW 55Mama Italiano Sauce is in the process of preparing a production cost budget for May.Need help with Assignment For Suraya onlyExpected Value and Consumer ChoicesWeek 3 Knowledge Check / MGT/521 MGT 521 MGT521How to do it Victor Geniusteam charter and business strategyCS101 Final Exam

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