Tag Archive for: nursing

physical examination

Knee Injury Case Studies A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. Studies Results Routine laboratory values Within normal limits (WNL) Long bone (femur, fibula, and tibia) X-ray No fracture Arthrocentesis with synovial fluid analysis Appearance Bloody (normal: clear and straw-colored) Mucin clot Good (normal: good) Fibrin clot Small (normal: none) White blood cells (WBCs) <200 WBC/mm3 (normal: <200 WBC/mm3 ) Neutrophils <25% (WNL) Glucose 100 mg/dL (normal: within 10 mg/dL of serum glucose level) Magnetic resonance imaging (MRI) of the knee Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tears Arthroscopy Tear in posterior aspect of medial meniscus Diagnostic Analysis The radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful. Critical Thinking Questions 1. One of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching? 2. Why is glucose evaluated in the synovial fluid analysis? 3. What are special tests used to differentiate type of Tendon tears in the knee ? Explain how they are performed (Always on boards)

I NEED all presentation in APA format

references must be from a book or journal not websites

Course Outcomes

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4, 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Due Date

Submit the completed RRL Worksheet by Sunday, 11:59 p.m. MT at the end of Week 6.

Points

This assignment is worth 200 points.

Assignment Directions:

  1. Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric.
  2. Review the following link which contains a tutorial for your Week 6 Assignment. Click here for transcript. (Links to an external site.)https://lms.courselearn.net/lms/video/player.html?video=0_jhxsfia6
  3. Download and complete the required Reading Research Literature (RRL) worksheet (Links to an external site.).
  4. Download or access the required article. The required article must be used. 
    de Araujo, D. D., Silva, D. V. A., Rodrigues, C. A. O., Silva, P. O., Macieira, T. G. R., & Chianca, T. C. M. (2019). Effectiveness of nursing interventions to prevent dry eye in critically ill patients. American Journal of Critical Care, 28(4), 299–306. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=137294247&site=eds-live&scope=site  (Links to an external site.)
  5. You must use the grading rubric to ensure you are meeting all grading criteria of the worksheet.
  6. You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
  7. Use correct grammar, spelling, punctuation, and in-text APA formatting.
  8. Submit the completed Reading Research Literature Worksheet to the Week 6 Assignment.

Creating a Plan of Care

Creating a Plan of Care

Utilizing the information you have gathered over the weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.

Create the plan in a 4- to 6-page Microsoft Word document (the 4–6 pages include the holistic care plan). Include the following in your plan:

  • Start the paper with a brief introduction describing the chronically ill group you selected and provide rationale for selecting this illness and the participants. Clearly identify the Healthy People 2020 topic chosen and why this topic was chosen.
  • You will want to compile the information gathered from Weeks 1–4 over 2 to 3 pages. This should be in APA format and paragraph form. This is not to be copied and pasted from previous assignments. It is to be a summary of each week. 
  • The paper should include the care plan for your chronic illness group organized under the following headings:
    • Nursing Diagnoses
    • Assessment Data (objective and subjective)
    • Interview Results
    • Desired Outcomes
    • Evaluation Criteria
    • Actions and Interventions
    • Evaluation of Patient Outcomes
  • You will need to ensure that the care plan is holistic and includes at least 3 nursing diagnoses related to the topic and interview results from the previous weeks.
  • Include strategies for the family or caregiver in the care plan and provide your rationale on how they will work.
  • Include a reference page to provide reference for all citations for the paper as well as the care plan.

On a separate references page, cite all sources using APA format.

proportion of nurses

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

  1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
  2. Recommendation 5: Double the number of nurses with a doctorate by 2020.
  3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

  1. How will increasing your level of education affect how you compete in the current job market?
  2. How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to Turnitin

American Nursing Association

I need a professional paper, I want you to exactly follow the instruction and address all asking questions:

A concept is the glue that ties conceptual frameworks, models, and theories together. The concepts in a framework or theory relate to each other in some way. This is what gives them meaning. A concept analysis is an exploration of how a concept ties a framework together.

Instructions:This is an individual writing assignment. Select one of the following four concepts for your paper: trust, hope, suffering, uncertainty. Once you’ve chosen your concept, complete the following:Determine the aim or purpose of your analysis; what do you want to accomplish by conducting this concept analysis? Answer the questions “Why am I doing this?” and “Why is this relevant to nursing knowledge and nursing science?” Conduct your literature review by identifying all uses of the term that you can discover. Answer “what are the known conceptualizations?     Locate and use a minimum of: 3 dictionary definitions; 1 thesaurus entry; and 5 scholarly references from the nursing literature (you may use non-nursing literature, if necessary). Combined, these references will be the basis for identifying and defining attributes of your selected concept.Determine the critical or defining attributes of the concept by identifying what each instance or use of the term has in common with the other uses. The more scholarly references you locate and use, the easier it is to determine critical attributes of a concept.Define the 4 cases using the critical attributes:     Construct a model case, or a real-life scenario that uses the concept and includes all critical attributes of the concept. Explain how you use each critical attribute. This case should be an accurate representation or model of your concept.Construct a contrary case, or one that is opposite of the concept. Support the claims you make by explaining how and why the contrary case does not contain any of the critical attributes of your concept.Construct a borderline case, or one that is related to the concept but is not actually an example of the concept. Support the claims you make by explaining how and why the borderline case differs from the model and contrary cases (i.e., does not contain all of the critical attributes of your concept, etc.)Construct an invented case, or fictitious scenario that uses the concept and includes all of the critical attributes. Explain how you use each of the critical attributes.Identify related concepts; provide a list of terms that are related to or similar to the concept.Identify an inaccurate use of the concept. Provide an example of how the concept is used in a way that is improper or incorrect.Identify concept antecedents and consequences. This should include a description of 1) concepts or traits that precede (antecedent) the existence of the concept and 2) concepts or traits that follow (consequence) the existence of the concept. An antecedent cannot be one of the attributes, but a consequence may be.The paper should be written in a professional, scholarly manner (i.e., no errors in APA formatting, spelling, or grammar). The body of the paper (excluding title page and reference list) should be about 6 pages in length.
FYI: i am member of ANA( American Nursing Association)

Qualitative Research Critique

Rough Draft Qualitative Research Critique and Ethical Considerations

 

Write  a critical appraisal that demonstrates comprehension of two qualitative  research studies. Use the “Research Critique Guidelines – Part 1”  document to organize your essay. Successful completion of this  assignment requires that you provide rationale, include examples, and  reference content from the studies in your responses.

Use the  practice problem and two qualitative, peer-reviewed research article you  identified in the Topic 1 assignment to complete this assignment.

In  a 1,000–1,250 word essay, summarize two qualitative studies, explain  the ways in which the findings might be used in nursing practice, and  address ethical considerations associated with the conduct of the study.

Prepare  this assignment according to the guidelines found in the APA Style  Guide, located in the Student Success Center. An abstract is not  required.

This assignment uses a rubric. Please review the rubric  prior to beginning the assignment to become familiar with the  expectations for successful completion.

ethics, moral, or legal standards

  • ntroduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
  • Consider  an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
  • Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
  • Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.

 

sexual transmission of HIV

Question 1: After sexual transmission of HIV, a person can be infected yet seronegative for _____ months.

Question 2: Once they have penetrated the first line of defense, which microorganisms do neutrophils actively attack, engulf, and destroy by phagocytosis?

Question 3: Which statement about vaccines is true?

Question 4: Cells in _____ may act as a reservoir in which HIV can be relatively protected from antiviral drugs.

Question 5: Which statement is true about fungal infections?

Question 6: What of the following remains a significant cause of morbidity and mortality worldwide?

Question 7: In a type II hypersensitivity reaction, when soluble antigens from infectious agents enter circulation, tissue damage is a result of

Question 8: What is the mechanism in type III hypersensitivity reactions?

Question 9: Deficiencies in which element can produce depression of both B- and T-cell function?

Question 10: A person with type O blood is likely to have high titers of anti-___ antibodies.

Question 11: Hypersensitivity is best defined as a(n)

Question 12: In which primary immune deficiency is there a partial to complete absence of T-cell immunity?

Question 13: What mechanism occurs in Raynaud phenomenon that classifies it as a type III hypersensitivity reaction?

Question 14: The effect that low serum albumin has on the central stress response is to

Question 15: Which cytokines initiate the production of corticotropin-releasing hormone (CRH)?

Question 16: Stress-age syndrome results in decreased

Question 17: Exhaustion occurs if stress continues and _____ is not successful.

Question 18: Inherited mutations that predispose to cancer are almost invariably what kind of gene?

Question 19: Which of the viruses below are oncogenic DNA viruses?

Question 20: Which of the following represents the correct nomenclature for benign and malignant tumors of adipose tissue, respectively?

Question 21: Cells from a muscle tumor show a reduced ability to form new muscle and appear highly disorganized. This is an example of

Question 22: What is the role of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), and transforming growth factor-alpha (TGF-α) in cell metastasis?

Question 23: Which of the following cancers originate from connective tissue?

Question 24: Which characteristic among women correlates with a high morbidity of cancer of the colon, liver, gallbladder, pancreas, breast, uterus, and kidney?

Question 25: What percentage of children with cancer can be cured?

———————————————————

Question 1: Symptoms of polycythemia vera are mainly the result of

Question 2: Untreated pernicious anemia is fatal, usually because of

Question 3: What is the pathophysiologic process of aplastic anemia?

Question 4: Pernicious anemia generally requires continued therapy lasting

Question 5: The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12.

Question 6: Which anemia produces small, pale erythrocytes?

Question 7: What change is seen in leukocytes during an allergic disorder (type I) often caused by asthma, hay fever, and drug reactions?

Question 8: Which of the following is a description consistent with acute lymphocytic leukemia (ALL)?

Question 9: Heparin-induced thrombocytopenia (HIT) is described as a(n)

Question 10: Which of the following is a description consistent with chronic lymphocytic leukemia (CLL)?

Question 11: Erythroblastosis fetalis is defined as an

Question 12: In a full-term infant, the normal erythrocyte life span is _____ days, whereas the adult is _____ days.

Question 13: The sickle cell trait differs from sickle cell disease in that the child with sickle cell trait

Question 14: Hemophilia B is caused by clotting factor _____ deficiency.

Question 15: Idiopathic thrombocytopenic purpura (ITP) is an autoimmune process involving antibodies against

Question 16: G6PD and sickle cell disease are

Question 17: An individual who is demonstrating elevated levels of troponin, creatine kinase (CK), and lactic dehydrogenase (LDH) is exhibiting indicators associated with:

Question 18: Which of the following is manufactured by the liver and primarily contains cholesterol and protein?

Question 19: In systolic heart failure, what effect does angiotensin II have on stroke volume?

Question 20: Which of the following can trigger an immune response within the bloodstream that can result in an embolus?

Question 21: When does most cardiovascular development occur?

Question 22: Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click?

Question 23: Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome?

Question 24: An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect?

Question 25: The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.

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Question 5: In hemolytic anemia, jaundice occurs only when

Question 6: Clinical manifestations of mild to moderate splenomegaly and hepatomegaly, bronze-colored skin, and cardiac dysrhythmias are indicative of which anemia?

Question 8: Which proinflammatory cytokines are responsible for the development and maintenance of DIC?

Question 11: Hemolytic disease of the newborn can occur if the mother is

Question 13: The type of anemia that occurs as a result of thalassemia is

Question 14: What is the name of the disorder in which levels of bilirubin remain excessively high in the newborn and are deposited in the brain?

Question 17: The pulsus paradoxus that occurs as a result of pericardial effusion is significant because it reflects the impairment of the

Question 18: Atherosclerosis causes an aneurysm by

Question 20: What alteration occurs in injured endothelial cells that contributes to atherosclerosis?

Question 21: When does most cardiovascular development occur?

Question 25: When does systemic vascular resistance in infants begin to rise?

———————————————————

Question 3: The body compensates for anemia by

Question 4: In some anemias, the erythrocytes are present in various sizes, which is referred to as

Question 8: Heparin-induced thrombocytopenia (HIT) is described as a(n)

Question 12: Polycythemia occurs in a fetus because

Question 17: What is the most common cardiac disorder associated with acquired immunodeficiency syndrome (AIDS) resulting from myocarditis and infective endocarditis?

Question 18: Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes?

Question 20: Which of the following can trigger an immune response within the bloodstream that can result in an embolus?

Question 25: What is the most important clinical manifestation of aortic coarctation in the neonate?

———————————————————

Question 1: When thirst is experienced, how are osmoreceptors activated?

Question 2: How does the loss of chloride during vomiting cause metabolic alkalosis?

Question 3: At the arterial end of capillaries, fluid moves from the intravascular space into the interstitial space because the

Question 4: What is a major determinant of the resting membrane potential necessary for transmission of nerve impulses?

Question 5: Physiologic pH is maintained around 7.4 because bicarbonate (HCO3) and carbonic acid (H2CO3) exist in a ratio of

Question 6: Water movement between the intracellular fluid compartment and the extracellular compartment is primarily a function of

Question 7: Which are indications of dehydration?

Question 8: A(n) _____ is a circumscribed area of suppuration and destruction of lung parenchyma.

Question 9: Which inflammatory mediators are produced in asthma?

Question 10: Clinical manifestations of pulmonary hypertension include

Question 11: _____ is a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury.

Question 12: Clinical manifestations that include unexplained weight loss, dyspnea on exertion, use of accessory muscles, and tachypnea with prolonged expiration are indicative of

Question 13: Which pleural abnormality involves a site of pleural rupture that act as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration?

Question 14: In ARDS, alveoli and respiratory bronchioles fill with fluid as a result of the

Question 15: Which of the following is a true statement?

Question 16: In tuberculosis, the body walls off the bacilli in a tubercle by stimulating

Question 17: Pulmonary edema usually begins at a pulmonary capillary wedge pressure or left atrial pressure of _____ mm Hg.

Question 18: Kussmaul respirations may be characterized as a respiratory pattern

Question 19: Which of the following statements about the advances in the treatment of RDS of the newborn is incorrect?

Question 20: Which of the following types of croup is most common?

Question 21: The release of fibroblast growth factors affects ARDS by causing

Question 22: What is the primary cause of RDS of the newborn?

Question 23: Chest wall compliance in infants is _____ in adults.

Question 24: Cystic fibrosis (CF) is caused by a(n)

Question 25: An accurate description of childhood asthma is that it is a(n)

———————————————————

Question 1: In hyperkalemia, cardiac rhythm changes are a direct result of

Question 3: Why are infants susceptible to significant losses in total body water (TBW)?

Question 5: Chvostek sign and Trousseau sign indicate

Question 6: At the arterial end of capillaries, fluid moves from the intravascular space into the interstitial space because the

Question 8: Dyspnea is not a result of

Question 11: The most successful treatment for chronic asthma begins with

Question 14: Clinical manifestations that include unexplained weight loss, dyspnea on exertion, use of accessory muscles, and tachypnea with prolonged expiration are indicative of

Question 19: What is the primary cause of RDS of the newborn?

Question 20: An accurate description of childhood asthma is that it is a(n)

Question 21: The release of fibroblast growth factors affects ARDS by causing

Question 22: Which immunoglobulin is present in childhood asthma?

Question 23: Cystic fibrosis (CF) is caused by a(n)

Question 3: Why are infants susceptible to significant losses in total body water (TBW)?

Question 6: Which enzyme is secreted by the juxtaglomerular cells of the kidney when circulating blood volume is reduced?

Question 7: Water movement between the intracellular fluid compartment and the extracellular compartment is primarily a function of

Question 10: In ARDS, alveoli and respiratory bronchioles fill with fluid as a result of the

Question 16: High altitudes may produce hypoxemia through

—————————————————

Question 1: After sexual transmission of HIV, a person can be infected yet seronegative for _____ months.

Question 2: Once they have penetrated the first line of defense, which microorganisms do neutrophils actively attack, engulf, and destroy by phagocytosis?

Question 3: Which statement about vaccines is true?

Question 4: Cells in _____ may act as a reservoir in which HIV can be relatively protected from antiviral drugs.

Question 5: Which statement is true about fungal infections?

Question 6: What of the following remains a significant cause of morbidity and mortality worldwide?

Question 7: In a type II hypersensitivity reaction, when soluble antigens from infectious agents enter circulation, tissue damage is a result of

Question 8: What is the mechanism in type III hypersensitivity reactions?

Question 9: Deficiencies in which element can produce depression of both B- and T-cell function?

Question 10: A person with type O blood is likely to have high titers of anti-___ antibodies.

Question 11: Hypersensitivity is best defined as a(n)

Question 13: What mechanism occurs in Raynaud phenomenon that classifies it as a type III hypersensitivity reaction?

Question 14: The effect that low serum albumin has on the central stress response is to

Question 15: Which cytokines initiate the production of corticotropin-releasing hormone (CRH)?

Question 16: Stress-age syndrome results in decreased

Question 17: Exhaustion occurs if stress continues and _____ is not successful.

Question 18: Inherited mutations that predispose to cancer are almost invariably what kind of gene?

Question 19: Which of the viruses below are oncogenic DNA viruses?

Question 20: Which of the following represents the correct nomenclature for benign and malignant tumors of adipose tissue, respectively?

Question 21: Cells from a muscle tumor show a reduced ability to form new muscle and appear highly disorganized. This is an example of

Question 22: What is the role of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), and transforming growth factor-alpha (TGF-α) in cell metastasis?

Question 23: Which of the following cancers originate from connective tissue?

Question 24: Which characteristic among women correlates with a high morbidity of cancer of the colon, liver, gallbladder, pancreas, breast, uterus, and kidney?

Question 25: What percentage of children with cancer can be cured?

—————————————————

Question 1: What of the following remains a significant cause of morbidity and mortality worldwide?

Question 4: Which statement is true about fungal infections?

Question 6: What is the role of reverse transcriptase in HIV infection?

Question 7: Deficiencies in which element can produce depression of both B- and T-cell function?

Question 8: What is the mechanism in type III hypersensitivity reactions?

Question 9: During an IgE-mediated hypersensitivity reaction, what causes bronchospasm?

Question 11: In a type II hypersensitivity reaction, when soluble antigens from infectious agents enter circulation, tissue damage is a result of

Question 12: What mechanism occurs in Raynaud phenomenon that classifies it as a type III hypersensitivity reaction?

Question 13: The class of antibody involved in type I hypersensitivity reactions is

Question 14: Which hormone increases the formation of glucose from amino acids and free fatty acids?

Question 15: Exhaustion occurs if stress continues and _____ is not successful.

Question 16: Which cytokines initiate the production of corticotropin-releasing hormone (CRH)?

Question 17: The effect that low serum albumin has on the central stress response is to

Question 18: Intestinal polyps are benign neoplasms and the first stage in development of colon cancer. These findings support the notion that

Question 19: Which of the following cancers originate from connective tissue?

Question 20: What is the role of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), and transforming growth factor-alpha (TGF-α) in cell metastasis?

Question 21: Which cytokine is involved in producing cachexia syndrome?

Question 23: Which of the viruses below are oncogenic DNA viruses?

Question 25: Childhood exposure to all of the following risk factors increases susceptibility to cancer except

—————————————————

Question 7: What disease involves the deposition of circulating immune complexes containing an antibody against host DNA, resulting in tissue damage?

Question 14: Stress-induced norepinephrine results in

Question 15: What effect does estrogen have on lymphocytes?

Question 19: Many cancers create a mutation of ras. What is ras?

Question 20: Which cytokine is involved in producing cachexia syndrome?

Question 21: By what process does the ras gene convert from a proto-oncogene to an oncogene?

Question 24: Tobacco smoking is associated with cancers of all of the following except

Question 11: What mechanism occurs in Raynaud phenomenon that classifies it as a type III hypersensitivity reaction?

—————————————————

Question 1: When thirst is experienced, how are osmoreceptors activated?

Question 3: In hyperkalemia, cardiac rhythm changes are a direct result of

Question 4: How does the loss of chloride during vomiting cause metabolic alkalosis?

Question 15: In ARDS, alveoli and respiratory bronchioles fill with fluid as a result of the

—————————————————

Question 1: A woman complains of chronic gastritis, fatigue, weight loss, and tingling in her fingers. Laboratory findings show low hemoglobin and hematocrit levels, and a high mean corpuscular volume. These findings are consistent with _____ anemia.

Question 2: Symptoms of polycythemia vera are mainly the result of

Question 3: Untreated pernicious anemia is fatal, usually because of

Question 4: The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12.

Question 5: What is the pathophysiologic process of aplastic anemia?

Question 6: Pernicious anemia generally requires continued therapy lasting

Question 7: Which proinflammatory cytokines are responsible for the development and maintenance of DIC?

Question 8: What change is seen in leukocytes during an allergic disorder (type I) often caused by asthma, hay fever, and drug reactions?

Question 9: Local signs and symptoms of Hodgkin disease–related lymphadenopathy are a result of

Question 10: What is the most common cause of vitamin K deficiency?

Question 11: Hemolytic disease of the newborn can occur if the mother is

Question 12: The type of anemia that occurs as a result of thalassemia is

Question 13: The sickle cell trait differs from sickle cell disease in that the child with sickle cell trait

Question 14: Hemophilia B is caused by clotting factor _____ deficiency.

Question 15: In a full-term infant, the normal erythrocyte life span is _____ days, whereas the adult is _____ days.

Question 16: G6PD and sickle cell disease are

Question 17: Atherosclerosis causes an aneurysm by

Question 18: An individual who is demonstrating elevated levels of troponin, creatine kinase (CK), and lactic dehydrogenase (LDH) is exhibiting indicators associated with:

Question 19: Which form of cardiomyopathy is characterized by ventricular dilation and grossly impaired systolic function, leading to dilated heart failure?

Question 20: Which of the following can trigger an immune response within the bloodstream that can result in an embolus?

Question 21: The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.

Question 22: When does most cardiovascular development occur?

Question 23: When does systemic vascular resistance in infants begin to rise?

Question 24: What is the most important clinical manifestation of aortic coarctation in the neonate?

Question 25: Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome?

Fetal Abnormality.

Week 2 Assignment 

Write a 750-1000 word analysis of “Case Study: Fetal Abnormality.” Be sure to address the following questions:

  1. Which theory or theories are being used by Jessica, Marco, Maria, and      Dr. Wilson to determine the moral status of the fetus? Explain.
  2. How does the theory determine or influence each of their      recommendation for action?
  3. What theory do you agree with? How would that theory determine or      influence the recommendation for action?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

running a temperature

Consider the following scenarios:

Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:
Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To prepare:

Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
Identify the pathophysiology of the disorders presented in the scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
To complete:

Write a 2- to 3-page paper that addresses the following:

Explain the pathophysiology of the disorders depicted in the scenarios, including their associated alterations. Be sure to describe the patients’ adaptive responses to the alterations.
Construct a mind map of your selected disorder. Include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.