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can anybody give an explanation and answer for three of the question? plz !thanks a lot "Previously a person could only comfortably lift a 10 pound weight for five repetitions before their muscle is exhausted; now they can comfortably lift the weight for 10 repetitions.' What is being described? An improvement in muscle strevigth An improvement in muscle endurance A docline in stroke volume An improvernent in aerobic capacity Question 6 $1 \mathrm{pts}$ With respect to adaptive thermogenesis, how do obese individuals differ from lean individuals during severely-reduced energy intake? Obese individuals will increase energy expenditure to a greater extent than fean individuals and as a result the obese individuals will lose more weight. Obese individuals will reduce energy expenditure to a greater extent than lean individuals and as a result the obese individuals will lose more weight. Obese individual's will reduce energv expenditure to a greater extent than lean individuals and as a result the obese individuals will lose less weight. There is no difference between lean and obese individuak. Question 7 $1 \mathrm{pts}$ "When given a meal, a person's blood levels of ghrelin dropped sharply." Which statement best describes this individual? This is an obese individual having a blunted ghrelin response to a meat: This is a iean individuat having a normal ghrelin response to a meat, This is a lean individual having a blunted ithelin cusponse to a ment. This is an obese individual having a normal ghrelin response to a meal.

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Interview Interview an organizational leader or department manager who oversees staff in health care setting. The interview should be at least 30 minutes in length. To prepare for this interview, develop 10 questions that focus on organizational behavior that you will ask the leader. Ask questions that help understand and define the person's leadership and motivational approaches, and how these affect organizational behavior and culture. Consider academic and professional background, contributions to the community, problem-solving processes, mentoring activities, employee relations, position and role in the organization's structure, etc. Paper Write 1,000-1,250-word paper. Refer to the questions and responses from your interview. Analyze your findings using the information on leadership styles and theories, and the positive and negative outcomes associated with various leadership approaches, presented in this course. Summarize the conclusions of your analysis in regard to the following: 1. Describe the leadership style, or styles (transformational, transactional, visionary, servant, etc.) communicated by the leader. Provide examples to support your explanation. 2. Define how motivation occurs in organizational behavior. Describe what motivational strategies used by the leader. What are the similarities and differences between your leadership style and other leadership styles? 3. Describe the successes and challenges that occurred as a result of the leader's overall approach and how they related to the organization’s content and process theories of motivation, and how power can influence the senior leadership level. 4. Based upon the organizational mission and values, determine the most effective strategies the leader could implement in the future in order to improve, or continuing to improve, organizational and individual performance.

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Read the following medical condition, then answer the questions below Client Profile Mr. Evans is a 73-year-old man who presents to the clinic with complaints of “foggy” vision, headaches, and aching in his eyes. He also reports seeing “rings around lights.” Since his wife’s death two months ago, he states things have not been go-ing well at home. He has not been able to handle the bill payments because of his change in vision and his depression. He is upset and is worried that he will not be able to stay in his home. His children live in another state and have not been home to help him. Case Study Mr. Evans’s vital signs are temperature 98.18F, blood pressure 172/92, pulse 68, and respiratory rate of 24. Tonometry shows an elevated intraocular pressure of 26 mm Hg. He reports that his peripheral vision is decreased and it is noted in the visual exam by the physician that his optic disk appears pale and the depth and size of the optic cup appears increased. Mr. Evans’s history reveals that his mother also had glaucoma. His neighbor and good friend is with him and states, “I take care of Mr. Evans and drive for him.” His diabetes is under control and he states, “If I keep good track of my diet and blood sugars, the only medication I need is my morning diabetic pill.” He also talks openly about how depressed he has been since his wife died . Questions 1. Define glaucoma and the group of conditions that can cause it. 2. Describe the tonometry test and normal results. What other tests can be used in diagnostics? 3. What symptoms would be found with acute angle-closure glaucoma? 4. The medical diagnosis for Mr. Evans is primary open-angle glaucoma. What are the clues in the case study that support this diagnosis? 5. What risk factors does Mr. Evans have that contribute to glaucoma? 6. Discuss the pharmaceutical management for glaucoma. Discuss teaching Mr. Evans about these medications. 7. Mr. Evans has surgical management with a laser trabeculoplasty after failure of nonsurgical management. What is laser trabeculoplasty? What would be further management if he failed to respond to the laser therapy? 8. List three priority nursing diagnoses for Mr. Evans. 9. Mr. Evans has many worries about his ability to manage at home. What are main primary nursing foci for an older adult with impaired vision? What types of services would help him to remain in his own home?

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Read the following medical condition, then answer the questions below Client Profile Mr. Evans is a 73-year-old man who presents to the clinic with complaints of “foggy” vision, headaches, and aching in his eyes. He also reports seeing “rings around lights.” Since his wife’s death two months ago, he states things have not been go-ing well at home. He has not been able to handle the bill payments because of his change in vision and his depression. He is upset and is worried that he will not be able to stay in his home. His children live in another state and have not been home to help him. Case Study Mr. Evans’s vital signs are temperature 98.18F, blood pressure 172/92, pulse 68, and respiratory rate of 24. Tonometry shows an elevated intraocular pressure of 26 mm Hg. He reports that his peripheral vision is decreased and it is noted in the visual exam by the physician that his optic disk appears pale and the depth and size of the optic cup appears increased. Mr. Evans’s history reveals that his mother also had glaucoma. His neighbor and good friend is with him and states, “I take care of Mr. Evans and drive for him.” His diabetes is under control and he states, “If I keep good track of my diet and blood sugars, the only medication I need is my morning diabetic pill.” He also talks openly about how depressed he has been since his wife died . Questions 1. Define glaucoma and the group of conditions that can cause it. 2. Describe the tonometry test and normal results. What other tests can be used in diagnostics? 3. What symptoms would be found with acute angle-closure glaucoma? 4. The medical diagnosis for Mr. Evans is primary open-angle glaucoma. What are the clues in the case study that support this diagnosis? 5. What risk factors does Mr. Evans have that contribute to glaucoma? 6. Discuss the pharmaceutical management for glaucoma. Discuss teaching Mr. Evans about these medications. 7. Mr. Evans has surgical management with a laser trabeculoplasty after failure of nonsurgical management. What is laser trabeculoplasty? What would be further management if he failed to respond to the laser therapy? 8. List three priority nursing diagnoses for Mr. Evans. 9. Mr. Evans has many worries about his ability to manage at home. What are main primary nursing foci for an older adult with impaired vision? What types of services would help him to remain in his own home?

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DO NOT COPY ONLINE Scenario The Board of Nursing in your state has decided to utilize a tool developed by the National Council of State Boards of Nursing called the Taxonomy of Error, Root Cause Analysis Practice- Responsibility (TERCAP). Your nurse manager has provided you with a summary of the completed TERCAP report by your Board of Nursing’s Disciplinary Action Committee. She has asked you to review this summary and to develop a proposal of suggestions for continuing education topics on ways to minimize legal risks for your hospital’s practicing nurses. The nurse educators will develop an education series based upon your recommendations. Instructions Prepare a proposal based on the summary of the TERCAP with recommendations and suggestions on minimizing legal risks that: Part One - Review summary of completed TERCAP report below. A patient, aged 54, admitted for back surgery secondary to compressed vertebrae and intense pain. The difficulty with pain management has caused the patient some depression and insomnia over the last month. During her first post-operative day, the patient fell attempting to go from the bed to the bathroom without assistance. Her injury was serious and involved significant harm requiring two additional days of hospitalization and an addition six weeks of physical therapy. A review of the case determined that her assigned nurse on night shift was an RN (age 24) with nine months of experience in this unit. This was her third 12 hours shift in a row, and she was 29 weeks pregnant. There were 28 beds occupied with only two RNs and one patient technician, due to one vacancy and a call-in for illness. This community facility has experienced a turnover rate of 12% in the last year (community average of 4.5%), and has a high number of new graduates working on medical surgical units, particularly on the 7 pm- 7 am shift. A review of the chart showed that the patient had been advised by the out-going nurse, who admitted her to the unit post-operatively, that she needed to ask for assistance with toileting for at least the next 24 hours due to the extensive back surgery and post-anesthesia response and pain medication. The RN coming on shift had received bedside shift report at 7 pm and noted the patient sleeping, so the issue of patient assistance was not repeated. She checked on her again at 8 pm and administered the requested prn medication (morphine) for pain. She was busy with other patients and did not see the patient again until the patient fell at 9:51 pm. The patient reported that she did not recall having been instructed to ask for assistance, as she was very groggy from the anesthesia. She stated that she had pushed the nurse call button for assistance and “no one came.” There was no clerical support at the nursing station and the three staff members had been very busy with patients, so this statement could not be substantiated. The risk manager found that the RN had not followed nursing policy for patient assessment 20 minutes after receiving pain medication, and had not done the recommended hourly rounding on the patient to assess for the need for elimination, pain, and patient comfort. The note in the chart indicated only that the patient requested pain medication, but did not provide specific nursing assessment details or comment that the patient had received the same dosage of morphine two hours earlier. Part Two - Factors and Actions Discusses the factors that contributed to event and how these factors could be addressed to minimize legal risks. Situational factors Nursing factors Human factors Organizational factors Explains whether the nurse was negligent or did her actions reach the level of malpractice and support your reasoning with research. Determines what options the nursing board had regarding this nurse’s license to practice nursing. Describes your reasoning for what action would you recommend (warning, probation, revocation of license) if you were on the disciplinary committee of your Board of Nursing. Explains how the level of nursing behavior relates to your proposed recommendation on licensure. Part Three - Continuing Education Summarizes a list of topics to be provided to the education department based on the summary of the TERCAP report. Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar in the proposal REFERENCES, please.

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CASE STUDY: SEPSIS   Scenario: A 73-year-old male was taken to the Emergency Department by ambulance because his wife found him sitting up in his recliner, awake but not responsive. He takes sitagliptin daily for type 2 diabetes mellitus and a daily multivitamin.  A rapid assessment reveals the following: opens eyes when his name is called; otherwise keeps them closed. Does not follow instructions. Skin warm and flushed. Heart rhythm regular, rate 114; ECG shows sinus tachycardia. BP 96/52; respirations 24. Temperature 101.5°F (38.6°C). SPO2 96% on room air; lungs clear to auscultation bilaterally. Abdomen soft, nondistended, with normoactive bowel sounds in all quadrants. Trace edema noted on ankles and shins bilaterally.  The patient has a large bandage on his right arm; his wife explained that he cut himself badly when gardening a few days ago and they wrapped it with a bandage to stop the bleeding. The wound on the right forearm is 3.2 cm long, 0.5 cm wide, and 0.2 cm deep, with redness around the wound and a moderate amount of yellowish drainage on the bandage. Laboratory results are listed below. The stroke team evaluated the patient using the NIH Stroke Scale; the evaluation was negative for a stroke. A STAT CT scan came back normal. Laboratory Results: Na: 144 mEq/L K: 4.9 mEq/L Glu: 134 mg/dL  HIGH BUN: 22 mg/Dl  Creatinine: 1.4 mg/dL HIGH Lactic acid: 2.9 mg/dl HIGH Procalcitonin: 0.6 ng.ml HIGH WBC: 19.2 1000/mm3 Hgb: 16 g/dL Hct: 44% Platelet count 249,000 mm3   Scenario: Within the hour, the patient is transferred to a step-down unit and the admitting nurse is reviewing orders for cultures and antibiotics, which include piperacillin-tazobactam and vancomycin. The patient is receiving intravenous normal saline at 150 mL/hour after receiving two 500 mL fluid boluses of normal saline in the emergency department. He is more awake but still confused and does not know where he is. He states that his right arm "hurts really bad" but he is unable to rate the pain on a 1 to 10 scale. Vital signs are: Temperature 101°F (38.3°C), pulse 100, respirations 22, BP 104/98. He is on oxygen 2 L/min per nasal cannula, and the latest SpO2 reading is 97%. He voided 500 mL of dark amber urine into a urinal. A wound care specialist will be coming in to assess the arm wound; the arm wound is loosely covered with a gauze dressing and is draining a small amount of yellowish fluid. QUESTION 1: 1) Based on the patient's condition, the patient's priority needs will be to prevent _____1_____ and _____1_____. In addition, he will need interventions to prevent _____2_____, _____2_____, _____2_____, and _____2_____. Options for 1: Options for 2: Musculoskeletal weakness Diarrhea Pain Stress ulcers Injury from falling Skin breakdown Hypoxia Fluid volume deficit   Venous thromboembolism (VTE)  

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Chief Complaint“I can no longer lie down flat because I can’t breathe and I’vegained 3 pounds in 3 days.”HPIBizzy Fuller is a 64-year-old female with a history of ischemiccardiomyopathy with last known EF 25% (ECHO 1.5 years ago). Shepresents to the emergency department with approximately 2–3 days ofincreasing shortness of breath, and she reports having gainedapproximately 3 lb over the past 3 days. She also notes that shehas had increasing leg swelling over the same time period. Over thepast week, the patient has noted increasing bloating in her abdomenand has felt slightly nauseated. She has had problems with diarrheaand constipation since her cholecystectomy several months ago. Shehas been on a fiber supplement, from which she has derived somebenefit. She states that she had been on torsemide many years agobut for an unknown reason was switched to furosemide.PMHCAD (status postmyocardial infarction × 2 in early 2000s; CABGin 2000, PCI in May 2002)Paroxysmal ventricular tachycardia (status post-ICD placementin 2011)Obstructive sleep apneaDiabetes mellitus type 2DepressionDyslipidemiaMild osteoarthritisGERDSeasonal allergiesFHBoth her mother and father died of MI in their 60sSHPatient is a happily married, retired school teacher and isfully functional with ADLs. She is an occasional alcohol drinker(two to three drinks per week) and has a 30 pack-year history, butquit smoking approximately 12 years ago.MedsFexofenadine 60 mg orally BIDInsulin detemir 40 units SC at bedtimeInsulin aspart 7 units SC before each mealAspirin 81 mg orally once dailyCarvedilol 12.5 mg orally BIDDuloxetine 30 mg orally once dailyFluticasone nasal spray 50 mcg/inh one spray BIDLasix 80 mg orally BIDLisinopril 20 mg orally once dailyMeloxicam 15 mg orally daily PRN joint painNitroglycerin 0.4 mg sublingually PRN chest painSimvastatin 20 mg orally QHSRanitidine 150 mg orally BIDAllNKDAROSShe denies any fevers, chills, sweats, or coughs. She statesthat her diet has not changed recently, and she tries to watch hersalt intake, but she states that she has been nonadherent to hermedication regimen for the last 2 days, stating, “I have been toobusy to take my medicine.” She denies any significant chest painand also denies any history of additional coronary interventionprocedures since 2002. All others negative.Physical ExaminationGenA 64-year-old obese, Caucasian female in mild respiratorydistressVSBP 186/92 mm Hg, P 71 bpm, RR 32 on admission (16 currently),oxygen saturation 86–92%; T 97.5°F; Ht 5′3″; Wt 87.4 kgSkinWarm and diaphoreticHEENTNC/AT with trachea midlineNeck/Lymph NodesNeck supple, (+) JVD, no bruits, no thyromegalyLungs/ThoraxCrackles in the bases bilaterallyBreastsNormalCVRegular rate and rhythm without any murmurs, gallops, orrubsAbdSoft, nondistended, nontenderGenit/RectDeferredMS/ExtExtremities reveal 2+ pitting edema; all pulses palpableNeuroA & O × 3, CNs intact, history of depression but no apparentsymptoms at presentLabs| Download (.pdf) | PrintNa 131 mEq/LBNP 2867 pg/mLK 3.7 mEq/LTroponin 0.03 ng/mLCl 101 mEq/LWBC 8.7 × 103/mm3CO2 20 mEq/LHgb 14.1 g/dLBUN 24 mg/dLHct 42.3%SCr 1.7 mg/dLPlt 226 × 103/mm3Glu 96 mg/dLA1C 6.5%Ca 9.6 mg/dL Chest X-RayInterstitial infiltrates throughout, tiny pleural effusionsbilaterally; mild cardiomegaly; implanted defibrillator leads areat the right atrial appendage and right ventricular apex. No focalpneumonia, pneumothorax, or evidence of frank pulmonary edema.ECGSinus rhythm with occasional premature ventricular complexes; noacute ischemia indicatedAssessmentCongestive heart failure exacerbation due to medicationnonadherence; poorly controlled hypertension. Admit for medicalmanagement.2. What are the short-term goals ofpharmacotherapy regarding treatment of ADHF?3.a. What nondrug therapies might beuseful for alleviating this patient’s symptoms and preventing arecurrence of ADHF?3.b. What pharmacotherapeutic options areavailable for treatment of this patient’s ADHF?4 What drugs, doses, schedule, andduration are best for achieving the pharmacotherapeutic goals forthis patient?5. What clinical and laboratory parametersare necessary to evaluate your chosen therapy for achievement ofthe desired therapeutic outcome and to detect or prevent adverseeffects?6. What discharge education should beprovided in order to enhance adherence, ensure successful therapy,minimize adverse effects, and prevent an unplanned readmission?

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