comprehensive health screening and history on a young adult

In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:
Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.
Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.
Complete the assignment as outlined on the worksheet, including:

  1. Biographical data
  2. Past health history
  3. Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening
  4. Review of systems
  5. All components of the health history
  6. Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)
  7. Rationale for the choice of each nursing diagnosis.
  8. A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.
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.
In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:
Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.
Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.
Complete the assignment as outlined on the worksheet, including:

  1. Biographical data
  2. Past health history
  3. Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening
  4. Review of systems
  5. All components of the health history
  6. Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)
  7. Rationale for the choice of each nursing diagnosis.
  8. A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.
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.
In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:
Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.
Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.
Complete the assignment as outlined on the worksheet, including:

  1. Biographical data
  2. Past health history
  3. Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening
  4. Review of systems
  5. All components of the health history
  6. Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)
  7. Rationale for the choice of each nursing diagnosis.
  8. A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.
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.

Epic computer system

1-I can understand and agree what you are saying. Today, I started self-module training for the new Epic computer system we will be starting effective March 1st and barely passed the exam portion which didn’t have me so thrilled. Although this would be a great upgrade to what we are currently using, many of us worry about the adjustment phase. Yes, it’s true there is little energy or drive for energy left when working 12+ hour shifts, let alone any extra time in those shifts to even think about learning as we go along with the idea of being at work longer than scheduled because of that. While many of the nurses are excited about the change, there are those who are so accustomed to the current processes that they are not up for it. When the transition from paper to computers occured at my previous workplace, many quit because of the failure to adapt or energy/drive to adapt. This could also be the result of inadequate training and support. But yes, I agree that we just need to dig down, stay positive, find that energy for change because times are changing and evolving and most things are implemented for the better. As long as education, training, and support is adequate, change is attainable.
 
2-I agree, I think you covered everything needed to implement something new if it’s within our scope. I know how tough it can be to just change things in my working environment without getting negative feedback. I find it is best to throw an idea out there see how everyone feels about it, ask for feedback, and procede from there. I don’t always get 100% buy in, but they come around after they get used to the new change. Yes, the best way to keep everyone on the same page and to have safe patient care is communication.
 
3-I really like how your first thought was about how it would benefit a patient. That really goes to show that your first instinct as a nurse is to put your patient first. You then mention checking the scope of practice for your board of nursing. Really those two things are one in the same, as your states scope of practice, and really all the rules of the state board of nursing for practicing nurses, are specifically written to ensure that what you are doing as a nurse will do no harm to your patient, and let us not forget it is to also ensure you are practicing within the rules as well. I also like that mentioned if you felt uneasy you would seek guidance from your chain of command. This is a great use of resources, and I would say that even if you fell 100% confident that you could definitely still reach out to your chain of command for their thoughts and use as a resource throughout the roll out process. Sometimes as nurses we can get caught up as A type personalities and just get running on a task without even taking the time to ask a question, or get some input from other parties that have a lot more experience with these things. What I have learned from all the posts on this discussion is that I should do a little more self assessment, and ask for input from peers and mentors before diving into a task this large.

Applying Systemic Approaches

Unit 6 Discussion 1
Applying Systemic Approaches
Select a speaker who shared their story of recovery in the Psy8430: Portrait of Addiction video viewed in Unit 2. Assume that they present for treatment as they were when they were early in recovery with their family or significant other. Describe how a specific systemic treatment approach could be used to assist the couple or family and how it might be applied given what the speaker describes of their life before recovery. (Note that the speakers are identified by name at the end of the film at 53:40.)
Response Guidelines
Respond to the main discussion posts of two learners. What reactions do you have to the ideas they have presented? Include examples from the course readings or your own experience to support your perspective, and raise questions to continue the dialogue.
Resources
· Discussion Participation Scoring Guide.
· Portrait of Addiction. | Launch Presentation.
Please S25.00 for the Assignment. Due (Monday) 2/12/2018.
 

Time value of money

hw in finance

Time value of money worksheet # 1 (5.1 to 5.3). BFIN 3321
Use your calculator to complete the following problems. Show your work and highlight your answer. Upload your solution on blackboard.
1. Margot’s grandparents gave her $2,500 for her birthday. She opened a savings account that pays 3% annually. How much money will she have in 7 years?

N=  
I=  
PV=  
PMT=  
FV=  

2. Your parents will retire in 18 years. They currently have $200,000 and they think they will need $1,000,000 at retirement. What annual interest rate must they earn to reach their goal, assuming they don’t save any additional funds?

N=  
I=  
PV=  
PMT=  
FV=  

3. If you deposit $50,000 in an account that pays 5% annual interest, how long will it take to double your money?

N=  
I=  
PV=  
PMT=  
FV=  

4. Rebecca deposited $300 in an account that pays 6% compounded semiannually. How much money will she have in the account 5 years from now?

N=  
I=  
PV=  
PMT=  
FV=  

5. Jerry has $200,000 in his savings account. How much money did he deposit in the account 10 years ago if he earned 4% compounded monthly?

N=  
I=  
PV=  
PMT=  
FV=  

6. Amanda deposited $20,000 in an account that pays 8% annually. How long will it take her to triple the money if interest is paid every quarter?

N=  
I=  
PV=  
PMT=  
FV=  

Ordinary Annuity vs. Annuity Due.
7. At the end of each year you deposit $1,200 in a retirement account that pays 6%. How much money will you accumulate for your retirement if you plan to retire 40 years from now?

N=  
I=  
PV=  
PMT=  
FV=  

8. Starting today Andrew will deposit $750 per year in a retirement account that pays 6%. How much money will he accumulate for his retirement if he plans to retire 40 years from now?

N=  
I=  
PV=  
PMT=  
FV=  

9. You are looking into an investment that will pay you $5,000 per year for the next 8 years. If you require a 9% return, what is the most you would pay for this investment?

N=  
I=  
PV=  
PMT=  
FV=  

10. If today you pay $28,000 in exchange for an 8%, 15 year annuity, what will be the annual cash flow?

N=  
I=  
PV=  
PMT=  
FV=  

11. You will buy a house for $150,000. Your mortgage bank will lend you the money at 6% for 15 years. How much will you have to pay every month?

N=  
I=  
PV=  
PMT=  
FV=  

12. An insurance company is trying to sell you an investment policy that will pay you and your heirs $20,000 per year forever. If the required return on the investment is 7%, how much will you pay for the policy?
13. You bought a car for $15,000. You gave the dealer $5,000 as a down payment. The balance will be financed with a 4 year loan with an interest rate of 5%. What will your monthly payment be?

N=  
I=  
PV=  
PMT=  
FV=  


14. Calculate the effective annual rates for each of the following cases:

Stated Rate (APR) Number of Times Compounded Effective Rate (EAR)
7% Quarterly
12% Monthly
6% Semiannually

15. You just bought a house for $150,000. You have agreed to make 5 payments at the end of the year for 5 years with an interest rate of 5%. What will the annual payment be? Create a loan amortization schedule.

1
2
3
4
5

16. A first-round draft choice quarterback has been signed to a three-year, $25 million contract. The details provide for an immediate cash bonus of $2 million. The player is to receive $5 million in salary at the end of the first year, $8 million the next, and $10 million at the end of last year. Assuming a 15% discount rate, is the package worth $25 million? If not, how much is it worth?
17. You are evaluating an investment from a large financial services firm. The investment promises an initial payment of $8,000 at the end of this year and subsequent payments that will grow at a rate of 4% annually. If you use a 7 % discount rate for investments like this, what is the value of this investment?

glucocorticoid

Question 1
A patient wants to know what can cause ACTH to be released.How should the nurse respond?
a. High serum levels of cortisol
b. Hypotension
c. Hypoglycemia
d. Stress
Question 2
A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond?
a. Aldosterone
b. Testosterone
c. Cortisol
d. Prolactin
Question 3
A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by:
a. Diffusion
b. Osmosis
c. Active transport
d. Endocytosis
Question 4
A 45-year-old female has elevated thyroxine production.Which of the following would accompany this condition?
a. Increased thyroid-releasing hormone (TRH)
b. Increased anterior pituitary stimulation
c. Decreased T4
d. Decreased thyroid-stimulating hormone (TSH)
Question 5
A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed. Which of the following would the nurse expect following surgery?
a. Increased serum calcium
b. Decreased bone formation
c. Decreased calcium reabsorption in the kidney
d. Increased calcitonin
Question 6
A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find?
a. High levels of circulating thyroid-stimulating antibodies
b. Ectopic secretion of thyroid-stimulating hormone (TSH)
c. Low circulating levels of thyroid hormones
d. Increased circulation of iodine
Question 7
A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis?
a. Fasting plasma glucose levels
b. Random serum glucose levels
c. Genetic testing
d. Glycosylated hemoglobin measurements
Question 8
A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is a dysfunction in the:
a. Anterior pituitary
b. Posterior pituitary
c. Pars intermedia
d. Pituitary stalk
Question 9
While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is _____ diabetes insipidus.
a. Neurogenic
b. Nephrogenic
c. Psychogenic
d. Allogenic
Question 10
When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a _____ effect by a hormone.
a. Pharmacologic
b. Permissive
c. Biphasic
d. Direct
Question 11
Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations?
a. Polyuria
b. Edema
c. Vomiting
d. Thirst
Question 12
An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone?
a. Growth hormone (GH)
b. Luteinizing hormone (LH)
c. Antidiuretic hormone (ADH)
d. Epinephrine
Question 13
A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH).Which of the following electrolyte imbalances would be expected in this patient?
a. Hyponatremia
b. Hyperkalemia
c. Hypernatremia
d. Hypokalemia
Question 14
A patient wants to know why ADH is important in the body.What is the nurse’s best response? ADH is important in:
a. The body’s water balance and urine concentration
b. Maintaining electrolyte levels and concentrations
c. Follicular maturation
d. Regulation of metabolic processes
Question 15
A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find?
a. Renal toxicity
b. Episodes of hypoglycemia
c. Hypotension
d. Type 2 DM
Question 16
If the patient has a problem with the pineal gland, which substance would the nurse monitor?
a. Melatonin
b. Epinephrine
c. Cortisol
d. Somatostatin
Question 17
A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective?
a. Neurogenic diabetes insipidus
b. Psychogenic diabetes insipidus
c. Nephrogenic diabetes insipidus
d. SIADH
Question 18
While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism.
a. High
b. Low
c. Steady
d. Variable
Question 19
If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease?
a. PRF
b. ADH
c. ACTH
d. GH
Question 20
An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond?
a. Autoimmune disease
b. Cancer
c. Pregnancy
d. Heart failure
Question 21
What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?
a. Coma
b. Visual disturbances
c. Confused states
d. Breathing abnormalities
Question 22
A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect?
a. Hypovolemia
b. Hypotension
c. Hypokalemia
d. Hyponatremia
Question 23
A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state?
a. Increased insulin levels promote protein breakdown and ketone formation.
b. Her uncontrolled diabetes has led to renal failure.
c. Low serum insulin promotes lipid storage and a corresponding release of ketones.
d. Insulin deficiency promotes lipid metabolism and ketone formation.
Question 24
A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find?
a. Decreased IGF-1
b. Hypotension
c. Sexual dysfunction
d. Height increases
Question 25
A nurse recalls insulin has an effect on which of the following groups of electrolytes?
a. Sodium, chloride, phosphate
b. Calcium, magnesium, potassium
c. Hydrogen, bicarbonate, chloride
d. Potassium, magnesium, phosphate
Question 26
A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the nurse’s best response?
a. A familial, autosomal dominant gene defect
b. Obesity and lack of exercise
c. Immune destruction of the pancreas
d. Hyperglycemia from eating too many sweets
Question 27
When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by:
a. Pituitary hyposecretion
b. Parathyroid adenoma
c. Parathyroid gland injury
d. Hypothalamic inactivity
Question 28
A 50-year-old male patient is deficient in ADH production.Which of the following assessment findings would the nurse expect to find?
a. Increased blood volume
b. Increased urine osmolality
c. Increased urine volume
d. Increased arterial vasoconstriction
Question 29
A 30-year-old male was diagnosed with hypothyroidism.Synthesis of which of the following would decrease in this patient?
a. Corticosteroid B globulin
b. Sex hormone-binding globulin
c. Thyroid-binding globulin
d. Albumin
Question 30
A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate?
a. Dilutional hyponatremia
b. Dehydration from polyuria
c. Cardiac arrest from hyperkalemia
d. Metabolic acidosis
Question 31
A patient has high levels of hormones. To adapt to the high hormone concentrations, the patient’s target cells have the capacity for:
a. Negative feedback
b. Positive feedback
c. Down-regulation
d. Up-regulation
Question 32
A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal:
a. A normal-sized thyroid
b. A small discrete thyroid nodule
c. Multiple discrete thyroid nodules
d. Diffuse thyroid enlargement
Question 33
A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolactinoma. Which of the following treatments would the nurse help implement?
a. Dopaminergic agonists
b. Calcium
c. Insulin
d. Radiation
Question 34
A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left untreated what will happen.What is the nurse’s best response? If left untreated, the child would have:
a. Mental retardation and stunted growth
b. Increased risk of childhood thyroid cancer
c. Hyperactivity and attention deficit disorder
d. Liver, kidney, and pancreas failure
Question 35
Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is:
a. Decreased blood flow to the eye
b. Orbital edema and protrusion of the eyeball
c. TSH neurotoxicity to retinal cells
d. Local lactic acidosis

Wilms tumor questions

 
Question
Question 1
A 2-year-old male is diagnosed with Wilms tumor. Which of the following clinical conditions is often associated with this disease?
a. Cystic disease of the liver
b. Aniridia
c. Anemia
d. Hypothyroidism
Question 2
A nurse is preparing to teach about the loop of Henle. Which information should be included? The descending segment of the loop of Henle primarily allows for:
a. Sodium secretion
b. Potassium secretion
c. Hydrogen ion reabsorption
d. Water reabsorption
Question 3
A nurse is describing the trigone. Which information should be included? The trigone is defined as:
a. The orifice of the ureter
b. The inner area of the kidney
c. A triangular area between the openings of the two ureters and the urethra
d. The three divisions of the loop of Henle
Question 4
When the nurse discusses the glomerulus and Bowman capsule together, it is referred to as the renal:
a. Corpuscle
b. Capsule
c. Medulla
d. Pyramid
Question 5
A 5-year-old male was diagnosed with glomerulonephritis.History reveals that he had an infection 3 weeks before the onset of this condition. The infection was most likely located in the:
a. bone.
b. gastrointestinal (GI) tract.
c. respiratory tract.
d. ear.
Question 6
A 75-year-old male reports to his primary care provider loss of urine with cough, sneezing, or laughing. Which of the following is the most likely diagnosis the nurse will observe on the chart?
a. Urge incontinence
b. Stress incontinence
c. Overflow incontinence
d. Functional incontinence
Question 7
A nurse observes on the chart that a patient is admitted with Wilms tumors. A nurse knows the tumors are found in the:
a. kidneys.
b. ureters.
c. bladder.
d. urethra.
Question 8
A 35-year-old female was severely burned and is hospitalized. She is now suffering from acute tubular necrosis (ATN). Which of the following is the most likely diagnosis the nurse will observe on the chart?
a. Prerenal
b. Intrarenal
c. Extrarenal
d. Postrenal
Question 9
A 24-year-old female is diagnosed with renal calculus that is causing obstruction. Which of the following symptoms would she most likely experience?
a. Anuria
b. Hematuria
c. Pyuria
d. Flank pain
Question 10
If a nurse wants to obtain the best estimate of renal function, which test should the nurse monitor?
a. Glomerular filtration rate (GFR)
b. Circulating antidiuretic hormone (ADH) levels
c. Volume of urine output
d. Urine-specific gravity
Question 11
While planning care for a patient who has acute pyelonephritis. A nurse recalls the most common condition associated with the development of acute pyelonephritis is:
a. Cystitis
b. Renal cancer
c. Urinary tract obstruction
d. Nephrotic syndrome
Question 12
When a nurse is preparing to teach about urine, which information should the nurse include? Just before entering the ureter, urine passes through the:
a. Collecting duct
b. Renal pelvis
c. Urethra
d. Major calyx
Question 13
When a patient’s renal system secretes rennin, what effect will that cause in the body? It causes the direct activation of:
a. Angiotensin I
b. Angiotensin II
c. Antidiuretic hormone
d. Aldosterone
Question 14
Anemia accompanies chronic renal failure because of:
a. Blood loss via the urine
b. Renal insensitivity to vitamin D
c. Inadequate production of erythropoietin
d. Inadequate retention of serum iron
Question 15
A 4-year-old male is diagnosed with nephrotic syndrome.Which of the following assessment findings accompanies this condition?
a. Proteinuria
b. Decreased blood urea nitrogen (BUN)
c. Hematuria
d. Sodium loss
Question 16
A 19-year-old female was involved in a motor vehicle accident during which she sustained a closed head injury. She is now experiencing detrusor sphincter dyssynergia. Which of the following is the most beneficial medication treatment?
a. Alpha blocker
b. Beta blocker
c. Vasodilator
d. Diuretic
Question 17
A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is:
a. cystitis.
b. chronic pyelonephritis.
c. acute glomerulonephritis.
d. renal calculi.
Question 18
A 25-year-old female is diagnosed with urinary tract obstruction. While planning care, the nurse realizes that the patient is expected to have hydronephrosis and a decreased glomerular filtration rate caused by:
a. decreased renal blood flow.
b. decreased peritubular capillary pressure.
c. dilation of the renal pelvis and calyces proximal to a blockage.
d. stimulation of antidiuretic hormone.
Question 19
A 15-year-old female presents with flank pain, irritability, malaise, and fever. Tests reveal glomerulonephritis. When the parents ask what could have caused this, how should the nurse respond?
a. poststreptococcal infection
b. nephropathy
c. nephrotic syndrome
d. potter syndrome
Question 20
A 60-year-old male is diagnosed with renal failure. While the nurse is reviewing lab results, which of the following lab values would be most consistent with this diagnosis?
a. Elevated plasma creatinine level
b. Decreased plasma potassium level
c. Metabolic alkalosis
d. Increased urea clearance
Question 21
While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus formation is:
a. urine pH.
b. body temperature.
c. gender.
d. serum mineral concentrations.
Question 22
A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is:
a. cystitis.
b. chronic pyelonephritis.
c. acute glomerulonephritis.
d. renal calculi.
Question 23
A 55-year-old male presents reporting urinary retention.Tests reveal that he has a lower urinary tract obstruction. Which of the following is of most concern to the nurse?
a. vesicoureteral reflux and pyelonephritis
b. formation of renal calculi
c. glomerulonephritis
d. increased bladder compliance
Question 24
The urologist is teaching about the nephrons that determine the concentration of the urine. The urologist is discussing the _____ nephrons.
a. Juxtamedullary
b. Midcortical
c. Cortical
d. Medullary
Question 25
A 42-year-old female is diagnosed with chronic renal failure, and the nurse is discussing dietary treatment. Which information indicates the nurse understands dietary regimen? Treatment includes restricting:
a. Fats
b. Complex carbohydrates
c. Proteins
d. Sugars
Question 26
When a newborn is admitted with urinary tract infections (UTIs), which type of infection will the nurse look for in the newborn?
a. blood-borne infections
b. infections caused by bacteria from the gastrointestinal (GI) tract
c. yeast infections
d. viral infections
Question 27
A nurse is reviewing urinalysis results and notices glucose is present in the urine. A nurse realizes glucose will be excreted in the urine when:
a. The maximum rate of glucose filtration is achieved
b. The carrier molecules have reached their maximum
c. Glucose is consumed
d. The ability of the kidneys to regulate blood glucose is lost
Question 28
A 42-year-old male is involved in a motor vehicle accident during which he loses a lot of blood. The nurse realizes he is in acute renal failure caused by:
a. kidney stones
b. immune complex deposition in the glomerulus
c. inadequate renal blood flow
d. obstruction of the proximal tubule
Question 29
On average the kidneys receive approximately _____ of the cardiac output.
a. 10-14%
b. 15-19%
c. 20-25%
d. 26-35%
Question 30
When a nurse is checking the urinalysis, plasma proteins should be absent from the urine because:
a. all filtered proteins are subsequently reab-sorbed.
b. the texture of the covering surrounding plasma proteins interferes with reabsorp-tion.
c. filtered proteins are subsequently degrad-ed before elimination.
d. the negative charge of the glomerular fil-tration membrane repels the plasma pro-teins.
Question 31
A 3-year-old female presents with recurrent urinary tract infections (UTIs), fever, poor growth and development, and feeding problems.Tests reveal a retrograde flow of urine from the urinary bladder into the ureters. When giving report to the oncoming shift, the nurse will call this condition:
a. vesicoureteral reflux (VUR)
b. vesicourethral reflux
c. vesicoureteral influx
d. hydronephrosis
Question 32
A 6-year-old male is experiencing urine reflux from the urinary bladder into a grossly dilated ureter and calyces. He was diagnosed with vesicoureteral reflux. This condition would be graded:
a. I
b. II
c. III
d. IV
Question 33
A 35-year-old hypertensive male begins taking a diuretic.Which of the following common side effects of this medication should the nurse monitor?
a. Hypokalemia
b. Hyponatremia
c. Increased uric acid secretion
d. Hypermagnesemia
Question 34
A 27-year-old male has a severe kidney obstruction leading to removal of the affected kidney. Which of the following would the nurse expect to occur?
a. atrophy of the remaining kidney
b. compensatory hypertrophy of the remaining kidney
c. dysplasia in the remaining kidney
d. renal failure
Question 35
When a child is admitted with acute renal failure, a clinician realizes the most common cause of acute renal failure is:
a. glomerulonephritis.
b. obstruction.
c. nephrotic syndrome.
d. hemolytic uremic syndrome (HUS).
Question 36
A 7-year-old male presents to his primary care provider for incontinence. His mother indicates that he has never been continent. Which of the following is the most likely diagnosis the nurse will observe on the chart?
a. Nocturnal enuresis
b. Diurnal enuresis
c. Primary enuresis
d. Secondary enuresis
Question 37
While turning a patient with chronic renal failure, which principle should the nurse recall? Bone fractures are a risk factor in chronic renal failure because:
a. calcium is lost in the urine
b. osteoblast activity is excessive
c. the kidneys fail to activate vitamin D
d. autoantibodies to calcium molecules develop
Question 38
A 56-year-old male presents with flank pain and polyuria.Tests reveal that he has an enlarged prostate. Which of the following types of renal failure should the nurse monitor for as it is the most likely to occur?
a. prerenal
b. intrarenal
c. extrarenal
d. postrenal
Question 39
A 15-year-old male was diagnosed with pharyngitis. Eight days later he developed acute glomerulonephritis. While reviewing the culture results, which of the following is the most likely cause of this disease?
a. Kelbsiella
b. human immunodeficiency virus (HIV)
c. genital herpes virus
d. group A B-hemolytic streptococcus
Question 40
A 29-year-old female presents with cloudy urine, flank pain, hematuria, and fever. Which of the following does the nurse suspect the patient is most likely experiencing?
a. acute cystitis
b. renal calculi
c. chronic renal failure
d. postrenal renal failure

pivotal goals of consumer health literacy efforts

One of the pivotal goals of consumer health literacy efforts is to design educational materials that attract as well as educate users. In this Assignment, you design a health information document on a topic that is of interest to you.

To prepare:

Select a health issue of interest to you.

Identify the audience or population that you seek to educate about this issue.

Search the Internet to find credible sites containing information about your selected topic.

Review the two health literacy websites listed in this week’s Learning Resources. Focus on strategies for presenting information.

To complete:

Design an educational handout on the health issue you selected.

Include a cover page.

Include an introduction that provides:

An explanation of your issue and why you selected it

A description of the audience you are addressing

In the handout itself:

Develop your handout in such a way that it attracts the attention of the intended audience.

Include a description of the health issue and additional content that will enhance your message (i.e., key terms and definitions, graphics, illustrations, etc.).

Recommend four or five sites that provide clear, valuable, and reliable information on the topic.

organizations suppliers

homework5 3

Respond to Classmates posts for discussion board. GIVE AN IN-TEXT CITATION WITH REFERENCE AND WEB ADDRESS TO SUPPORT YOUR STATEMENTS.
CLASSMATE #1
 Of the items that Dr. Dave Ulrich mentioned in the YouTube video (in the reading assignments for the week) for preparing for HR transformations, select two that you think are most important for the transformation you will recommend in your third paper. Here’s the link for easy reference 
http://youtu.be/WsFnCR7_dgI
The two items that stuck out most to me, in preparing for an HR transformation was, involving customers and involving suppliers.
Some companies invited customers to HR meetings, allowing them to hear the organizations future, and asked if they did those things, if they would buy more or be more involved with the organization (The RBL Group, 2013). Getting current customers feedback is a great way to improve the product or service currently being offered, and to be able to evolve it into something that will keep those customers coming back and attract new customers. Concerning RFC, getting customer feedback will tell them why customers are not continually renewing their memberships, and give suggestions for improvements that could be done to make RFC stand out and attract more customers.
Secondly, the organizations suppliers should be involved in the transformation. The suppliers are those who are filling the organization with the product/equipment customers are using. With RFC, fitness techniques and equipment can, and are always changing. Suppliers are going to be able to inform HR and the organization of new equipment being developed, and what equipment pieces are “trending.” Involving suppliers will help keep the organization up to date with equipment, to draw in customers with diverse workout wants and needs.
Reference
The RBL Group. (2013). Building an hr transformation team (external)- hr transformation tool 7.2. Retrieved 06 February 2018 from https://www.youtube.com/watch?v=WsFnCR7_dgI&feature=youtu.be
CLASSMATE #2
Of the items that Dr. Dave Ulrich mentioned in the YouTube video (in the reading assignments for the week) for preparing for HR transformations, select two that you think are most important for the transformation you will recommend in your third paper.
The Two I selected are:
HR Talent Management –  An organization would need to have the right approach to employ employees that share the same dream and has the knowledge, ability and Skill set to demonstrate such attitude on the job. Employers would need to know how to attract, attain and motivate best talent in their organization. According to Ulrich employers at times focus is shifted to pay, pension and disputes that they forget the need of talent as a valuable asset in a knowledge-based economy (Ulrich, 2008).
Regulators – Its important for organization to know who they govern by and the do’s and dont’s for their organization.
Reference
Ulrich, D., (2008). The Economist. Retrieved from: http://www.economist.com/node/12676991

Review the differences in predictive and prescriptive studies

Review the differences in predictive and prescriptive studies and select a predictive or prescriptive article that you found in your literature search. What are the independent variables (IV), dependent variables (DV), and mediating variables (MVs) that you find in the article? How do determining IVs, DVs, and MVs help you discern the theory tested in the research? In your particular article, what risk factors are identified, or what recommendations are provided?

300 words min with one reference within 5 years of 2017