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Question Activity of norepinephrine can be terminated by:Question 1 options:a) MOA enzymes A or B in presynaptic neuron or in synapseb) COMT enzyme located outside the presynaptic neuronc) NT transporter in presynaptic neurond) All of the above Health Science Science Nursing PYC 620 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step The patient information Henry Williams is a 69-year-old retired rail system engineer who lives in a small apartment with his wife. He was admitted during the night with progressive shortness of breath. His oxygen saturation on admission was 82% on room air. He has a history of COPD and coronary artery disease, and is hard of hearing. His oxygen saturation has improved and is now running 88% on oxygen 2 L/min by nasal cannula. His respiratory rate has been 24-30/min. Henry is concerned about his wife, Ertha, because she is experiencing frequent memory lapses. Ertha went home with their daughter-in-law, Betty, and they have just returned. Due to his shortness of breath the admission is not complete. A fall risk assessment has been done and indicates a moderate fall risk, but he still needs an overall assessment. Blood pressure has been 134/88 mmHg, pulse was 112/min, and respirations were 28/min. He is alert and oriented. The morning labs were just drawn, and the physician wants to know the arterial blood gases. Henry denies pain and says he is just tired. Patient Details Patient Data: Male- Age: 69 years. Weight: 88 kg (194 lbs). Height: 183 cm (72 in).Allergies: PenicillinPast Medical History: Chronic obstructive pulmonary disease (COPD), cardiovascular disease (CVD), asthma, hearing loss (wears hearing aids).History of Present Illness: Patient was admitted last night with an acute exacerbation of COPD. He was not able to catch his breath and his doctor told him to go to the emergency room. His neighbor brought him to the emergency room. He is concerned about his wife, Ertha, who has problems with memory and seems confused at times. His daughter-in-law Betty is a nurse. She mentioned that Henry appears depressed, and noted that his appetite has diminished over the past two months and he has lost some weight. He has also lost interest in his previous activities, such as following major league football and working on crossword puzzles. Betty will look after Ertha while Henry is here.Social History: Retired.Primary Medical Diagnosis: COPD, cardiovascular disease.Surgeries/Procedures & Dates: Appendectomy at age 15.Provider's OrdersBed rest, bathroom privileges with assistanceRegular, low fat dietI & ORespiratory treatment: Albuterol nebulizer treatment 2.5 mg and ipratropium bromide 0.5 mg in 3 mL normal saline every 20 minutes x 3, followed by albuterol 2.5 mg and ipratropium bromide 0.5 mg in 3 mL normal saline every 2 hours (decrease frequency, as tolerated)Titrate oxygen to maintain SpO2 at or above 90%Lactated Ringer's solution IV at 50 mL/hComplete Blood Count (CBC)Brain Natriuretic Peptide (BNP)Basic Metabolic Profile (BMP)Arterial Blood Gases (ABG's)Chest X-RayContinue home medications and add:Prednisone 40 mg PO daily x 10 daysLisinopril 12.5 mg PO dailyMetoprolol tartrate 50 mg PO dailyAcetylsalicylic acid 81 mg PO dailyRosuvastatin calcium 20 mg PO every eveningMontelukast 10 mg PO every eveningHome medications:Fluticasone propionate 250 mcg every 12 hours nebulizedAlbuterol 2 puffs as needed for acute onset of shortness of breath1.SOAP Notes 2.SBAR    Health Science Science Nursing NRSE 2030 Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step The following are some case analysis.  Analyze the questions and state your reason or analysis based on the case presented to the Rationale. Part I: Leadership in Theory and PracticeExplores the concept of leadership in theory and in practice as it also addresses the distinction between leadership and management.Differentiate leadership and management utilizing the provided table below.  LEADERSMANAGERSIn doing things  Focus of work  Objectives/Target area  Set of direction  Point of emphasis  Manner of influence  Manner of complying with standards   Part II : Understanding ChangeFocuses on the concept of change in the health care system and its implications considered as an essential component. Consider how you could make necessary changes as a leader or manager in your respective area of work as a Nurse Manager that is, considering what you have identified areas of concern as it affects delivery of nursing care and/or services to stakeholders of care:  Part III : Quality CareFocuses on quality care with particular emphasis on the involvement, and contribution, of nurses in the "quality improvement" within the health care system. How could you help reduce medical errors? What can you suggest that a health care organization could do?Describe the patient care delivery system at your place of work or clinical placement site. Compare and differentiate how functional it is. Part IV : Decision MakingExamines the theory and process of decision making which includes a section on critical thinking that is regarded as intrinsic to the decision making process. Describe a particular situation when you made an important decision. Can you consider that as the right decision? Why? Part V. A Scenario ActivityProvides student with scenario exercises focusing on clinical decision making involving the critical application of conflict management/resolution.Causes of conflict in an organization may include any one of the following:Scarce resources - in terms of money, space, equipment or personnel.Ambiguity over responsibility and ambiguity over jurisdiction - (unclear job assignment) group of individuals within an organization are sometimes uncertain as who is responsible for performing various tasks or duties. When this occurs, each involved party disclaims responsibility and conflict can develop over this issue.Interpersonal causes or organizational conflict - faulty attributions - errors concerning the causes behind other's behavior.Faulty communication - inappropriate criticism, inconsiderate, harsh, sarcastic, contains threat, inappropriate delay, motivated by anger - offers no concrete suggestions for improvement.Distrust and lack of confidence - someone or some group is out to get them.Personality and attitudinal problems - differences in goalsCompeting work and family demandsOver control by management Considering the above mentioned causes of conflict in an organization, which have been noted affected your professional career as a practicing nurse in a leadership role? Discuss how you are able to resolve the conflict/s you have encountered in your previous employment a nurse leader/manager.  Part VI. Ethical situationsCase analysis 1A pregnant woman has carcinoma of the uterus. If nothing is done to cure the disease, both mother and child will die. If the doctor operates on the uterus, the fetus will die, the mother maybe saved. The doctor intends to cure the organ and to save the mother's life. By treating the uterus (X-ray or operation) the cure is affected, the death of the fetus is not the means by which the uterus is cured. It is a merely permitted by -product. The proportionate reason is the certain death of both.GUIDED QUESTION:Explain the meaning of double effect as it relates to human act.RATIONALE:In double effect, the attainment of the object of the Human Act ( not the object itself) is the primary effect, the secondary effect is the unwanted by-product.If the bad effect - the by-product of Human Act, provided there is a sufficient reason for merely permitting the bad effect.A Rule of Thumb: If a Human Act with a double effect is performed the same way as if there were no secondary effect, it is safe to say that the evil effect is a genuine by product.  Case analysis 2 There is a pregnant woman with advanced tuberculosis of the lungs. In the opinion of the physician, she most probably will die before she can give birth, but there is good hope to save her if she can be relieved of the burden of pregnancy. In this case, the case principle of double effect cannot be applied. The intention to save the mother's life is good, but this effect is reached by means of killing the fetus.GUIDED QUESTION:What are the essential attributes of morality. Explain and elucidate each one of these.RATIONALE:Morality presupposes a person.Man is responsible for his moral behavior.This responsibility presupposes freedomMorality is indispensableMoral rectitude expects a reward SELF-EVALUATION Tabulate evaluation of yourself as a leader and as a follower. Identify skills you possess that help you and skills you would like to develop or improve. As a leader/follower. I am... Qualities as a Leader Qualities as a Follower           Skills that have helped me as a LeaderSkills that needs Improvement as a leader                During your RLE exposure, try to find opportunities to practice that skill that needs improvement.Activity on Self - Assessment: Leadership and ManagementLeadership involves improving your own performance as well as working with your people to improve theirs. Use the following  checklist to assess your effectiveness in developing people and to highlight those chapters in this handbook which is particularly useful to you.As you make decisions on whether you are OK or need to work on a particular skill, note down any ideas for improvement in the column provided. You might discuss the list with a colleague in order to identify some high-priority needs.SKILLOKNEED WORKCOMMENT/IMPROVEMENT1.Develop yourself as a leader.   2.Encouraging a motivating and "developmental work climate"   3.Introducing a new person to the work of the unit or team.   4.Arranging for one person mentor or train another.   5.Organizing and preparing for staff briefings/training sessions.   6.Conducting staff briefings/training sessions.   7.Arranging for and following up on training courses.   8.Delegating work and responsibilities.   9.Observing and assessing on-the-job training.   10.Preparing for and conducting performance discussions.   EXPERIENTIAL ACTIVITY 2 - Leadership Strengths, Assets and SkillsWhat can you say about yourself in terms of your strengths, assets and skills in leadership?  How do you feel about yourself in light of this information? In relation to other people ( your peers, family, teachers, etc.), how do you feel they see you in terms of your leadership skills, strengths and weaknesses? Do you feel you are ready to lead in your group/class and/or in your community?  EXPLAIN YOUR ANSWER:  Health Science Science Nursing NURSING NR 414 Share QuestionEmailCopy link Comments (0)
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