Nursing MedSurg Lewis

The nurse is caring for a patient suffering from anorexia secondary to chemotherapy. Which strategy would be most appropriate for the nurse to use to increase the patient's nutritional intake? A. Serve three large meals per day plus snacks between each meal. B. Add items such as skim milk powder, cheese, honey, or peanut butter to selected foods. C. Increase intake of liquids at mealtime to stimulate the appetite. D. Avoid the use of liquid protein supplements to encourage eating at mealtime. 2. The patient Is receiving an IV visitant chemotherapy drug. The nurse notices swelling and redness at the site.What should the nurse do first? A. Call the ordering health care provider. B. Ask the patient If the site hurts. C. Administer sterile saline to the reddened area. D. Turn off the chemotherapy infusion. 3. The female patient is having whole brain radiation for brain metastasis. She is concerned about how she will look when she loses her hair. What is the best response by the nurse to this patient? A. â€Å"When your hair grows back it will be patchy. † â€Å"You should contact â€Å"Look Good, Feel Better† to figure out what to do about this. † B. â€Å"You can get a wig now to match your hair so you will not look different. D. C. Don't use your curling iron and that will slow down the loss. † 4. The patient has been diagnosed with non-small cell lung cancer. Which type of targeted therapy will most likely be used for this patient to suppress cell proliferation and promote programmed tumor cell death? A. BCC-ABLE tyrosine kinas inhibitors B. Protease inhibitors C. Epidermal growth factor receptor-tyrosine kinas inhibitors. CD monoclonal antibodies (Mob) 5. A 33-year-old patient has recently been diagnosed with stage II cervical cancer. What should the nurse understand about the patient's cancer? A. It has diastase. B. It Is In situ. C.It has spread locally. D. It has spread extensively. 6. The patient was told that he would have Inter personal chemotherapy. He asks the nurse when the IV will be started for the chemotherapy. What should the nurse teach the patient about this type of chemotherapy delivery? A. A Classic catheter will be preposterously placed into the peritoneal cavity for chemotherapy administration. B. It is delivered via an Mayo reservoir and extension 3 hours. D. The arteries supplying the tumor are accessed with surgical placement of a catheter connected to an infusion pump. . The patient is being treated with peripherally for cervical cancer.What factors must the nurse be aware of to protect herself when caring for this patient? A. The time the nurse spends at what distance from the patient B. The nutritional supplements that will help the patient C. The medications the patient is taking D. How much time is needed to provide the patient's care 8. The patient and his family are upset that the patient is going through procedures to diagnose cancer. What nursing actions should the nurse use first to facilitate their coping with this situation (select all that apply)? A. Give them antiquity medications. B. Maintain hope. C. Exhibit a caring attitude. D.Be available to listen to fears and concerns. E. Teach them about all the types of cancer that could be diagnosed. F. Plan realistic long-term goals. 9. The laboratory reports that the cells from the patient's tumor biopsy are Grade II. What should the nurse know about this histologist grading? A. Cells are abnormal and moderately differentiated. B. Cells are very abnormal and poorly differentiated. C. Cells are immature, primitive, and undifferentiated. D. Cells differ slightly from normal cells and are well-differentiated. 10. Previous administrations of chemotherapy agents to a cancer patient have resulted in diarrhea.Which dietary modification should the nurse recommend? A. A diet emphasizing whole and organic foods B. A bland, low-fiber diet C. A diet high in fresh fruits and vegetables D. A high-protein, high-calorie diet 1 1 . When caring for the patient with cancer, what does the nurse understand as the response of the immune system to antigens of the malignant cells? A. Tumor misdiagnoses B. Immunologic surveillance C. Immunologic escape D. Metastasis 12. The patient with breast cancer is having telegraphy radiation treatments after ere surgery. What should the nurse teach the patient about the care of her skin? A.Avoid heat and cold to the treatment area. B. Scented lotion can be used on the area. D. Wear the new bra to comfort and support the area. 13. Which cellular dysfunction in the process of cancer development allows defective cell proliferation? A. Cell differentiation B. Activation of nosecones C. Proto-nosecones D. Dynamic equilibrium 14. The patient is receiving biologic and targeted therapy for ovarian cancer. What medication should the nurse expect to administer before therapy to combat the most common side effects of these medications? A. Acetaminophen (Ethylene) B. Anderson (Saffro n) C. Ibuprofen (David) D.Morphine sulfate 15. The nurse is caring for a patient receiving an initial dose of chemotherapy to treat a rapidly growing metastasis colon cancer. The nurse is aware that this patient is at risk for tumor lists syndrome (TLS) and will monitor the patient closely for which abnormality associated with this oncology emergency? A. Hypoglycemia B. Hypoglycemia C. Hypothermia's D. Hypoglycemia 16. Which nursing diagnosis is most appropriate for a patient experiencing multiprocessing secondary to chemotherapy for cancer treatment? A. Hypothermia B. Acute pain C. Powerlessness D. Risk for infection 17.The patient has stomachache of the right leg. The unlicensed assisting personnel (ASAP) reports that the patient's vital signs are normal, but the patient says he still has pain in his leg and it is getting worse. What assessment question should the nurse ask the patient to determine treatment measures for this patient's pain? A. â€Å"Where is the pain? † B. â€Å"Do you use medications to relieve the pain? † C. â€Å"Is the pain getting worse? † D. â€Å"What does the pain feel like? † 18. Which item would be most beneficial when providing oral care to a patient with atheistic cancer who is at risk for oral tissue injury secondary to chemotherapy?A. Hydrogen peroxide rinse B. Alcohol-based mouthwash C. Firm-bristle toothbrush 19. What can the nurse do to facilitate cancer prevention for the patient in the promotion stage of cancer development? A. Teach the patient to exercise daily. B. Teach the patient promoting factors to avoid. C. Tell the patient to have the cancer surgically removed now. D. Teach the patient which vitamins will improve the immune system. 20. The patient is told that the adenoma tumor is not encapsulated but has normally fractionated cells and that surgery will be needed.

Critical evaluation of the international Accounting Standard and Essay

Critical evaluation of the international Accounting Standard and Financial Reporting Standard that applied on BRITIVC plc - Essay Example investors and lenders. This report specifically aims at the critical evaluation of the key financial information provided in the financial statements of Britvic Plc. Those key items are 1) Revenues, 2) Property, Plant and Equipment, 3) Earnings per share. These key items are evaluated in the light of their relevant accounting standards as to check whether these areas are consistent with providing the useful information to the lenders and investors. The following discussion and evaluation highlights these specific areas on separate basis so that each individual key accounting area can be judged regarding the achievement of IAS and IFRS objective (IFRS and IAS Summaries- English, 2011-2012). IAS 18 covers revenue recognition for the preparation of financial statements. The major criterion for recognizing the revenues is the transfer of risks and rewards between the parties to the sales contract. Seller transfers the risks associated with the selling item in response to a reward received from the buyer. When risks and rewards are transferred to the concerned parties, the revenues are deemed to be recognized by the selling entity. As far as the disclosure requirements of IAS 18 are concerned, minimal disclosure are required such as the total revenue generated during the current period along with comparative figure of the last year (BDO, n.d.). If the financial statements of Britvic Plc. are accounted for the year 2012, it can be clearly observed from the statement of comprehensive income that the company has generated the revenues of around  £1,256 million. In the previous year, the company had upward revenues of around  £1,290 million. From the perspective of disclosure requirements, the company has provided the appropriate disclosure requirements in the statement of comprehensive income (Annual Report Britvic Plc., 2012). Besides this disclosure requirement of IAS 18, certain other requirements relating

Writing for the Web Essay Example | Topics and Well Written Essays - 500 words - 1

Writing for the Web - Essay Example Our video and sound equipment is state of the art and of the highest professional quality. The videotaping and editing of each video is produced digitally. We offer a wide variety of video transfer services to our customers, including the following: You can ship your videos to us from anywhere in the United States or internationally and will put them on DVDs and/or encode them into computer files. We can transfer 16mm, 8mm, and Super8 home movies to DVD and video. We can also transfer video to various formats including VHS to MPEG, Quicktime to AVI, MPEG to Quicktime, AVI to Betacam, PAL to NTSC (foreign video conversions), and many more! Additionally, we can convert videos to web based video such as Windows Media and Flash so you can publish your videos to the web. Our duplication and replication services provide a professional look by including color-printed cases and labels. We will even instruct you on how to keep your DVDs from damaging your DVD players as well as your clients or friend’s DVD players. Need 100 copies with cases and sleeves in within 48 hours? Give us a call and we can help you with that as well! Sunray also offers video services for special events in your personal or business settings. We have produced a wide variety of videos for our clients such as marketing and demo videos, TV commercials, instructional videos and seminars, web site videos, videos for tradeshows, biographical tribute videos, and informational products for professional speakers. We have also videotaped and digitally captured live events including dance recitals and other stage performances. For more information on how we can â€Å"wow† you with our video and photo montages, please visit our montage web page. Also, if you need a big projection screen at your event we can provide one for you. We have tried to give you an extensive idea

Essay Interview Example | Topics and Well Written Essays - 1000 words

Interview - Essay Example Although my country also provides good educational opportunities, yet they cannot be compared to Canadian standard of education. I believe in high-end quality in education. I believe in seeking that kind of education and degree that is recognized worldwide. My own homeland also has many reputable universities that are recognized around the globe, but my dream was to seek education in Canada since I was a little child. I can find highly flexible learning opportunities in Canada. There is a wide variety of courses available there. Although I may sound like demeaning the education of my own homeland, but the truth is that I am a very patriotic person; yet, I cannot compromise on sensitive issues like education. I had to choose what was best for me, and therefore, I chose Canada. Among many other choices which I was considering about immigration for the purpose of education, I found Canada to be a country which provides protection to its citizens much more than any other country. We can call it a safe country. I feel comfortable in any part of the country without the threat of terrorism or violence. People are guaranteed protection even in bigger cities like Ottawa and Toronto. I do not feel as if I am being neglected because I am not in my own homeland. There is Canadian social help system which does not make me feel unaccompanied when I am facing difficulties settling down. There are a lot of government sponsored programs and courses that I can seek help from in my hard times. For example, if I lose my job, I shall be supported through a government funded program to back up my finances until I find a new job. Another important point that I considered was that Canada is one of the developed countries whose economical infrastructure is very strong. I can be sure to find a suitable paying job in this country. Most of the jobs are well

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Management - Essay Example Apart from this is the personality that we also possess to include human inadequacies, creativeness, eccentricity and everything that makes us unique. It has been observed by many commentators and researchers that the status of managers has fluctuated over the years. Management is in a period of decline, particularly in the middle management (Scarbrough and Burrel, 1996, cited in Brocklehurst et al., 2009, p. 7). The decline can be due to many factors, one of which can be traced to our personality and relationship: our relationship with people is affected by our uniqueness as humans. Clegg et al. (2008) deal in their article the complexities of human nature: we can relate this with the decline of the middle management, on the relationship of managers versus employees. Yet what makes this managing unique is that there is no exact definition of successful organization, or â€Å"failure† organization. Organizations will continue to exist for as long as man continues to socialize. The problem is how people behave or interact with each other; the effect is on the organization. In our socializing activities, we commit errors, but which are not really errors – they are a part of our being human. Examples of these errors are stereotyping, self-fulfilling prophecies, the ‘halo’ effect, attribution error, cognitive dissonance, and so forth. These affect our managing people. ‘Stereotyping occurs most commonly in the absence of enough social cues in order to make an informed assessment’ (Kawakami et al., 1998, cited in Clegg et al., 2005, p. 57). The most common issues concerning stereotyping center on culture and race. People have been asked to suppress their stereotyping behavior. ‘Self-fulfilling prophecies’ effect how we perceive others and how we act when we interact with them. If we look at others the way we think of them, they may act the way we perceive of them. We have also to consider the values we have

Community Emergency Preparedness and Response Oral Presentation Research Paper

Community Emergency Preparedness and Response Oral Presentation - Research Paper Example The five boroughs make up the counties. The Staten Island is in Richmond County, Brooklyn is in the King County, the Bronx is in the Bronx County. The Queens is found in Queens County and Manahattan, New York County. In 1898, the five boroughs were merged to form a single city. In area,Queens is the largest County, because it holds 108 square miles,while Brooklyn has the highest population containing 2.3 million residents as estimated by the census conducted in 1990. The 2012 census in New York estimated the population to be 8,33697 within an area of 783.8 square kilo meters. New York City is referred to the most diverse city in terms of linguistics because residents there speak over 800 different languages. The Metropolitan Area, in New York City is the most populated in The United States, with 18.9 million residents occupying an area of 17,1400 square kilo meters (Carroll, 2012). See the illustration below Retrieved on March 26, 2013, from, http://freepages.genealogy.rootsweb.ances try.com/~genealogylinks/dmst/%20-dmstgfx/NY/NYC-5B.gif Population New York is the third greatest state in population. California and Texas take first and second place respectively. As portrayed by the 2010 census, the population of New York residents was at 19,378,102, an aggrandizement of more than 400,000 people. The 2000-2006 transition in population was as a result of natural causes such as birth and death. During that period, the total population was 601,779 persons in that; the number of births which was 1,576,125 deduct the number of deaths which was 974,346 less the residents migrating who added up to 422,481 persons. Retrieved on March 26, 2013, from, http://climatechange.thinkaboutit.eu/scripts/tinymce/jscripts/tiny_mce/plugins/imagemanager/files/nyc_population.png Geographic New York City is situated at the meeting point of the Atlantic Ocean and River Hudson, South East of The State Of New York. The city is surrounded by three islands, Staten Island, Manhattan And Wester n Long Island. This is the reason why the city is densely populated due to the scarcity of land. River Hudson flows the Hudson Valley and enters New York Bay, resulting to a tidal bay, demarcating Northern New Jersey from Manahattan and Bronx. Harlem River, is another tidal anchorage, separating the Bronx from Manhattan. The New York City counties sprawl between two Eastern North American provinces bordering each other. Long Island, the location of Queens and Brooklyn are constituted in the plains of East Coast. Long Island, a huge ridge was formed at the Southern Borderline of the Laurentide Ice Sheet in the last glacial period. Newark Basin is an incrustation of the earth that subsided during the decomposition of the Supercontinent Pangaea in the Triassic period. The area which New York City occupies is approximated to be 831.4 square kilometers. Be that as it may, an estimation done more recently states that the area is now at 784.4 square kilometers. Todt Hill is said to be the most apical natural point situated on Staten Island at 124.9 meters above sea level. Retrieved on March 26, 2013, from, http://www.ny.com/images/nycmap-s.gif Physical Features The City Of New York has many physical features including The Broklyn Bridge, a historical landmark which has an earth bound footer and a bicycle alley set above the avenues of traffic. The bridge is used by residents and tourists to cross from one view point on the river to the other.

Case study Example | Topics and Well Written Essays - 500 words - 46

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