Question Answered step-by-step A state is granted three House seats after the last census. In the… A state is granted three House seats after the last census. In the most recentpresidential election, the Democrat won the state by a 60-40 margin, makingthat ratio a likely one for the entire state. The vast majority of those Democrats,though, live in the state’s only major city, which is densely packed. The suburbsare about even politically and rural areas are about 80-20 for Republicans. Ifyou are a Republican and in charge of drawing the state’s congressional districtboundaries, how do you best gerrymander the state’s districts to ensureRepublicans win at least two of those seats while conforming to the SupremeCourt’s rules on congressional districts?make one district composed only of the city, dividing the other twodistricts between the rural areas and the suburbs.divide the districts evenly between city, suburbs, and rural areascreate two small-population districts in the rural areas and make one vastdistrict, with most of the state’s population, in the rest of the statecarve two districts out of the city and place the less-populated suburbsand rural areas in a single district  History US History Share QuestionEmailCopy link Comments (0)

Question Sickle Cell Crisis I. Data Collection Chief complaint/History of PresentIllness: You are admitting Tia who is a 14-year-old young woman with Sickle Cell disease who presented to the emergency room early this morning with a 2-week history of worsening headache and 2-day history of diffuse back pain. The headache started after she participated in a week of basketball camp. Tia reports that she has been “sensitive to light.” She denies having had any vision change, although Tia reports that yesterday while still at home she had some tingling in the right side of her face and in her right arm and leg. She has not had any respiratory symptoms and she has not had fever. She had a CBC, UA with culture, and type and crossmatch in the ER. She is to receive packed cells when the blood is ready. Personal/Social History: Lives with parents. Is in the eighth grade. PMH: Mother reports that Tia’s sickle cell clinical course has been mild. She has never had a painful crisis per Mom. She has never had acute chest syndrome. Tia has a history of recurrent urinary tract infections and nasal allergies. Current Medications: Tia and Mother report that Tia’s medications are Tylenol; an iron supplement; Allegra; and folic acid. Patient Care Begins: You are waiting for the lab to send the packed red blood cells for the transfusion. You also need to inform the patient that the MRI will be done later in the morning after the blood is infused. Your Initial VS: T: 99.4 *F P: 98 BPM R: 24 RR BP: 134/62 mmHg O2 sats: 98% Pain: 4/5 on Verbal Analog Scale Weight: 77.2 kg (170 lb 3.1 oz) Height: 179.1 cm (5′ 10.5″) Your Initial Nursing Assessment: GENERAL APPEARANCE: Large for age and appearing older than chronological age. Appears to be in moderate distress with head down and hand on forehead. Cooperative with assessment. RESPIRATORY: Denies SOB or chest pain. Breath sounds equal and with good aeration bilaterally. CARDIAC: Pulses 3+ throughout. No edema in extremities. Heart rate regular- S1 S2 Very soft systolic murmur. NEUROLOGIC: Alert and oriented x4. Complaining of diffuse lower back pain and severe headache and tingling right arm and leg. ABDOMEN/GI: Abdomen soft, non-tender with active bowel sounds. No guarding or tenderness present. GENITOURINARY: Urine clear and yellow. EXTREMITIES/SKIN: Skin is warm and dry-normal for color of skin. IV 20 gauge in right antecubital infusing D5 ½ NS with 10 mEq. KCL. Site without redness or edema. Mucus membranes moist and pale.What data above is relevant to this patient that must be recognized as clinically significant to the nurse?Which labs when trended are showing improvement and/or reveal concerning potential complications?Lab Results: CBC Current ER WBC (4.5-11.0) 13.8 16.8 RBC ( 3.04 2.33 HGB (12-16) 9.8 7.4 PLTS (140-440) 431 407 Neuts. % (42-72) 48 85 Lymphs % (20-44) 39 19 Reticulocytes (0.5-1.5) 32 27.9 Anisocytosis (neg) 1+ Polychromasia (neg) 1+ Hypochromia (neg) 1+ Microcytes (neg) 1+ Ovalocytes (neg) 1+ Target Cells (neg) 1- Sickle Cells (neg) 2+ Schistocytes (neg) 1+ Tear Drop Cells (neg) 1+ Basic Metabolic panel Current ER Sodium (135-145) 139 144 Potassium (3.5-5.1) 4.4 4.9 Glucose (65-100) 126 104 Creatinine (0.5-1.5) 0.5 UA Current Color (yellow) Yellow Clarity (clear) Clear Sp. Grav (1.002-1.030) 1.013 Protein (neg) Neg Glucose (neg) Neg Ketones (neg) Neg Blood (neg) Neg Nitrate (neg) Neg Leukocytes (neg) Trace RBC’s (0-2) 4 WBC’s (0-5) 19 Bacteria (0-few) Many Epithelial (0-few) FewIdentify the relevant lab results to this patient and their clinical significance:II. Evaluation: Evaluate the response of your patient to nursing & medical interventions during your shift. All physician orders have been implemented that are listed under medical management.Eight hours later…VS:                                                     8 Hour Shift I & OT:  98.2P:  72                                            Intake  IV                     888R:  18                                                        enteral             1850BP:  118/60                                   Output                         2385O2 sats: 98%Pain:  1/5  Verbal Analog ScaleWhat VS data is relevant to this patient that must be recognized as clinically significant to the nurse? Health Science Science Nursing NURADN 403 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step The class is Contracts and Procurement (MGMT475-2202B-01) Unit 3:… The class is Contracts and Procurement (MGMT475-2202B-01) Unit 3: Conduct Procurements: Procurement Negotiation and Procurement Contract Award Image transcription text<_ Assignment Overview —II Unit 3 - Discussion Board Assignment Details Regardless whether people buycars, houses, or groceries at the marketplace, they are trying to get the best product or service for the lowestprice possible. Companies do the same. To get the best product, service, and price, you often mu... Show more... Show more Business Management Project Management MANAGEMENT 475-2202B- Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step Analysis of Healthcare Issue-ACAand Nurses and Nurse Practitioner… Analysis of Healthcare Issue – ACA and Nurses and Nurse Practitioner demand   Focus Questions: Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.   Reference Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer. Galan, N. (2018). The affordable care act: An update. Medical News Today. https://www.medicalnewstoday.com/articles/247287.php Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1-15. doi: 10.1186/s12960- 016-0154-3 Parente, S. T., Feldman, R., Spetz, J., Dowd, B., & Baggett, E. E. (2017). Wage Growth for the Health Care Workforce: Projecting the Affordable Care Act Impact. Health services research, 52(2), 741-762. https://doi.org/10.1111/1475-6773.12497 Fung, V., Price, M., Hull, P., Cook, B. L., Hsu, J., & Newhouse, J. P. (2021). Assessment of the Patient Protection and Affordable Care Act’s Increase in Fees for Primary Care and Access to Care for Dual-Eligible Beneficiaries. JAMA network open, 4(1), e2033424. https://doi.org/10.1001/jamanetworkopen.2020.33424  https://www.aacnnursing.org/news-information/fact-sheets/nursing-shortage  Health Science Science Nursing NURS 6053 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step A client with fecal incontinence has inflamed skin around the rectalarea. Following an episode of incontinence, how should the practical nurse (PN) care for this area?aApply a thick coating of antibiotic ointmentbSpray the area with a mild per-wash solutioncRinse the inflamed area with dilute hydrogen peroxide.dGently massage around the outside of the reddened area Health Science Science Nursing NUR 47000 Share QuestionEmailCopy link Comments (0)