Chapter 31 Nursing Management Hematologic Problems

Chapter 31: Nursing Management: Hematologic Problems Test Bank MULTIPLE CHOICE 1. A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patient’s laboratory findings to include a. a hematocrit (Hct) of 38%. b. an RBC count of 4,500,000/ µL. c. normal red blood cell (RBC) indices. d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L). ANS: D The patient’s clinical manifestations indicate moderate anemia, which is consistent with a Hgb of 6 to 10 g/dL. The other values are all within the range of normal. DIF: Cognitive Level: Understand (comprehension) REF: 633 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 2. Which menu choice indicates that the†¦show more content†¦The other patient statements are correct. DIF: Cognitive Level: Apply (application) REF: 638 TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity 7. Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia? a. Potential complication: seizures b. Potential complication: infection c. Potential complication: neurogenic shock d. Potential complication: pulmonary edema USTESTBANK.COM ANS: B Because the patient with aplastic anemia has pancytopenia, the patient is at risk for infection and bleeding. There is no increased risk for seizures, neurogenic shock, or pulmonary edema. DIF: Cognitive Level: Apply (application) REF: 642 TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity 8. It is important for the nurse providing care for a patient with sickle cell crisis to a. limit the patient’s intake of oral and IV fluids. b. evaluate the effectiveness of opioid analgesics. c. encourage the patient to ambulate as much as tolerated. d. teach the patient about high-protein, high-calorie foods. ANS: B Pain is the most common clinical manifestation of a crisis and usually requires large doses of continuous opioids for control. Fluid intake should be increased to reduce blood viscosity and improve perfusion. Rest is usually ordered to

Essay about Advertising and Obesity - 1695 Words

Obesity is defined as an excessively high amount of body fat or adipose tissue in relation to lean body mass.[2] According to data from the Center for Disease Control (CDC), during the years between1988 and 1994, 45.3% of American white males and females, 60.1% of black males and females, and 64.5% of Hispanic males and females were obese.[3] Since obesity has been rising at an epidemic rate during the past 20 years in the United States, reducing its prevalence among adults to less than 15% has become one of our countrys national health objectives for the year 2020.[4] This recent epidemic of obesity has created many health problems nationwide, such as increased rates of type 2 diabetes, heart disease, high blood pressure, and†¦show more content†¦To analyze how the media help to shape the values of our culture, I chose advertisements and articles on weight reduction which appeared in the magazines People Weekly, Working Woman, and Prevention. The ad in Working Woman entitl ed Now, I Believe in Miracles! focuses on the diet pill called Xenadrine. The ad features a young woman who lost 84 pounds in 12 weeks using Xenadrine. She is pictured both before and after using the drug. The ad claims that Xenadrine, the #1 diet supplement in America, is clinically proven to increase fat loss an extraordinary 38.6 times more than will diet and exercise alone; it also claims that one can feel the results immediately.[6] The second work I examined is People Magazines article on a surgical treatment performed on Carnie Wilson, a musician, who lost 150 pounds after having surgery to remove excess skin and shrink an enlarged stomach. In the article, the authors applaud her ability to make such a brave decision.[7] The third work is Prevention ad; it is about weight-loss herbs that help people overcome obstacles to diet and exercise. It is anShow MoreRelatedThe Effects Of Advertising On Childhood Obesity Essay1042 Words   |  5 Pagesentirely accountable for childhood obesity because other factors may affect the childhood obesity epidemic, such as household environment, psychological issues, sleep disturbances or even actions taken by the mother while she was pregnant. Parents or guardians have a responsibility to control what the children in their care are consuming. According to Amanda L. Willette (2007), Where have all the parents gone? Do efforts to regulate food advertising to curb childhood obesity pass constitutional muster?Read MoreEssay on Advertising and Obesity in America2871 Words   |  12 Pagesthey can portray both their products and a lifestyle. Their intense advertising focus on minorities and children, however, has begun to exacerbate the epidemic of obesity that is sweeping our nation. Fast foods televised advertising is a significant contributor to obesity in todays minority youth. 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Obesity is one problem that gives birth to numerous fatal diseases, including but not limited to cardiovascular disease, diabetes, and depression. The Centers for Disease Control and Prevention (CDC) conducted a survey and found that, â€Å"More than one-third of U.S. adults (35.7%) and approximately 17% (or 12.5 million) of children and adolescents aged 2-19 years are obese†Read MoreEssay about Advertising and Childhood Obesity2520 Words   |  11 Pagespouring a bowl of sugary cereal, or convince their parents to take them to McDonalds for a Happy Meal lunch. These advertisements are showing children â€Å"wants† instead of â€Å"needs.† These advertisements are promoting negative social consequences, such as obesity and health risks, including smoking and alcohol. Abstract Through an examination of the background of advertisement aimed at children, an explanation of each side of the argument, and an analysis of each side, it can be proved that a regulationRead MoreFast Food Advertising Causing Obesity1916 Words   |  8 PagesFast Food Advertising Causing Obesity â€Å"I think America s food culture is embedded in fast-food culture. And the real question that we have is: How are we going to teach slow-food values in a fast-food world? Of course, it s very, very difficult to do, especially when children have grown up eating fast food and the values that go with that†(Waters). The fast food industry is controlled by many powerful companies who feel the need to keep costs low. This is because they believe that the lower theRead MoreFast-Food Advertising Causes Obesity Essay1395 Words   |  6 Pagesshows that greater familiarity with fast food advertising on television is associated with obesity in young people (Pediatric Academic Societies parag.1). It is known that these children and adolescents are being extremely exposed to fast food advertising including the internet, social media, and particularly on television. The marketer and owners of these fast food restaurants use many techniques to attract children and help cause childhood o besity. Not only are they mainly targeting children butRead MoreThe Effects Of Advertising On Children s Obesity Rate1056 Words   |  5 PagesThe Effect of Advertising on Children’s Obesity Rate It has come down to this, there is an obesity epidemic. It s like people can’t stop themselves from eating so much. Well, I guess eating isn t necessarily the big problem here... It s the type of food that people are consuming, fast food. America tops the list of world s most obese countries. It s just sad and something needs to be done about it. The worst part is that there are so many children being affected by obesity. According to CDCRead MoreShould Obesity Be Solved With Exercise Using The Media And Advertising878 Words   |  4 Pagesmore about eating responsibility for our health. Because, we are in the obesity epidemic which causes many diseases and threatens our health. The film starts with that government and many industrial companies say that people become obese when they don’t do exercise as much as they eat; on the other hand, overweight is the lack of people’s effort and exercising. However, it is not true that exercising can deal with every obesity. In the video example, fat people like to eat the food that makes peopleRead MoreExcessive Advertising of Junk Food is Adding Fuel to the Obesity Epi1571 Words   |  7 PagesExcessive Advertising of Junk Food is Adding Fuel to the Obesity Epidemic I distinctly remember watching Fruit by the Foot commercials as a child. Not just what the commercial showed, but the feelings it evoked in me. In the commercial, the boy unwrapped the snack with a look of excitement on his face. He unrolled it and started rolling it up and down, as if it was a yo yo. Then it was utilized as a jumprope. The boy danced around, using the snack as a prop. He flung it up and down and all around

Egyptian Art Free Essays

They dedicated enormous resources to Egyptian rituals and the construction of temples. Because of their beliefs, they developed an exquisite and unique form of art. Their art works centered on their gods and the preparation for eternal life after death. We will write a custom essay sample on Egyptian Art or any similar topic only for you Order Now They created sculptures, forms of pottery, paintings and hieroglyphs to decorate burial tombs for their eternal afterlife Journey. This civilization is the most well known for their monumental sculptures, but they also created small sculptures made of stone, wood, and bronze. These were often a suture of a human body with the head of an animal (falcons). They were also known for their astonishing pottery made out of clay which held images of animals, people, and last but not least; their gods. (Above, we can observe an image of the kneeling figure/sculpture of Hatchets. This image is located in page 67 or our eBook – Art: A Brief History. The actual sculpture can be found at the Metropolitan Museum of Art in New York). The great Sphinx of Gaza is probably one of the most mysterious monuments in the world today. The Great Sphinx is located near modern-day Cairo Egypt and is a lion with a man’s head, which is thought to be the head of the Pharaoh Cheapen – the fourth king of the 4th Dynasty is believed to have been the brother or son of Cheeps, but the only problem is that there is no evidence that this temple was in fact built by Pharaoh Cheapen as there are no artifacts or identifying inscriptions of any kind. This isomorphic mythological figure has its origins in sculpted figures from Old Kingdom Egypt and it was the Greeks who named it â€Å"Sphinx† which in Greek hydrology meant: female monster or strangler. The Egyptians basically told us everything about them through their art. Their art revealed to us their beliefs and ways of life. Their art also revealed to us about economical and political changes of their time and so much more. References: Stoked, Coterie (2010). Art: A Brief History – 4th Edition. Pearson Education – up 56 – 75. Http://www. Schenectady. Org/humanities/art-history/art-history-400-c-e–ancient- cultures- 1 [ancient-Egypt/a/Egyptian-art http://www. Crystalline. Com/sphincters. HTML How to cite Egyptian Art, Papers

Saturday by Ian Mcewan free essay sample

Some hours before dawn Henry Perowne, a neurosurgeon, wakes to find himself already in motion, pushing back the covers from a sitting position, and then rising to his feet. Its not clear to him when exactly he became conscious, nor does it seem relevant. Hes never done such a thing before, but he isnt alarmed or even faintly surprised, for the movement is easy, and pleasurable in his limbs, and his back and legs feel unusually strong. He stands there, naked by the bed he always sleeps naked feeling his full height, aware of his wifes patient breathing and of the wintry bedroom air on his skin. That too is a pleasurable sensation. His bedside clock shows three forty. He has no idea what hes doing out of bed: he has no need to relieve himself, nor is he disturbed by a dream or some element of the day before, or even by the state of the world. We will write a custom essay sample on Saturday by Ian Mcewan or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Its as if, standing there in the darkness, hes materialised out of nothing, fully formed, unencumbered. He doesnt feel tired, despite the hour or his recent labours, nor is his conscience troubled by any recent case. In fact, hes alert and empty-headed and inexplicably elated. With no decision made, no motivation at all, he begins to move towards the nearest of the three bedroom windows and experiences such ease and lightness in his tread that he suspects at once hes dreaming or sleepwalking. If it is the case, hell be disappointed. Dreams dont interest him; that this should be real is a richer possibility. And hes entirely himself, he is certain of it, and he knows that sleep is behind him: to know the difference between it and waking, to know the boundaries, is the essence of sanity.

A Book Review of The Kissing Hand by Audrey Penn

A Book Review of The Kissing Hand by Audrey Penn Since it was first published in 1993, The Kissing Hand by Audrey Penn has provided reassurance for children dealing with difficult transitions and situations. While the focus of the picture book is on fears about starting school, the reassurance and comfort the book provides can be applied to many different situations. Summary of The Kissing Hand The Kissing Hand is the story of Chester Raccoon, who is terrified to tears at the thought of starting kindergarten and being away from his home, his mother and his usual activities. His mother reassures him about all the good things he will find at school, including new friends, toys, and books. Best of all, she tells Chester that she has a wonderful secret that will make him feel at home at school. Its a secret, passed down to Chesters mother by her mother and to her mother by Chesters great-grandmother. The name of the secret is the Kissing Hand. Chester wants to know more, so his mother shows him the secret of the Kissing Hand. After kissing Chesters palm, his mother tells him, Whenever you feel lonely and need a little loving from home, just press your hand to your chest and think, Mommy loves you. Chester is reassured to know that his mothers love will be with him wherever he goes, even kindergarten. Chester is then inspired to give his mother a kissing hand by kissing her palm, which makes her very happy. He then happily goes off to school. The story is slightly stronger than the illustrations, which while colorful, are not as well executed as they could be. However, kids will find Chester to be appealing in both the story and the illustrations. At the end of the book, there is a page of small red heart-shaped stickers that have the words The Kissing Hand printed on each of them in white. This is a nice touch; teachers and counselors can give out the stickers after reading the story to a class or parents can use one whenever a child needs reassurance. According to her website, Audrey Penn was inspired to write The Kissing Hand as a result of something shed seen and something she did as a result. Shed seen a raccoon kiss the palm of her cub, and then the cub put the kiss on his face. When Penns daughter was scared about starting kindergarten, Penn reassured her with a kiss to the palm of her daughters hand. Her daughter was comforted, knowing the kiss would go with her wherever she went, including school. About the Author, Audrey Penn After her career as a ballerina came to an end when she became ill with juvenile rheumatoid arthritis, Audrey Penn found a new career as a writer. However, she began writing a journal when she was in the fourth grade and continued writing as she was growing up. Those early writings became the basis for her first book, Happy Apple Told Me, published in 1975. The Kissing Hand, her fourth book, was published in 1993 and has become her most well-known book. Audrey Penn received the Educational Press Association of Americas Distinguished Achievement Award for Excellence in Educational Journalism for The Kissing Hand. Penn has written about 20 books for children. In all, Audrey Penn has written 6 picture books about Chester Raccoon and his mother, each focusing on a different situation that can be difficult for a child to deal with: A Pocket Full of Kisses (a new baby brother), A Kiss Goodbye (moving, going to a new school), Chester Raccoon and the Big Bad Bully (dealing with a bully), Chester Raccoon and the Acorn Full of Memories (the death of a friend) and Chester the Brave (overcoming fears), She also wrote A Bedtime Kiss for Chester Raccoon, a board book dealing with bedtime fears. As to why she writes about animals, Penn explains, Everyone can identify with an animal. I never have to worry about prejudice or hurting someones feelings if I use an animal instead of a person.   About the Illustrators, Ruth E. Harper and Nancy M. Leak Ruth E. Harper, who was born in England, has a background as an art teacher. In addition to illustrating The Kissing Hand along with Nancy M. Leak, Harper illustrated Penns picture book Sassafras. Harper uses a variety of media in her work, including pencil, charcoal, pastel, watercolor, and acrylic. Artist Nancy Leak, who lives in Maryland, is known for her printmaking. Barbara Leonard Gibson is the illustrator of all of Audrey Penns other picture books and board books about Chester Raccoon.   Review and Recommendation The Kissing Hand has provided a lot of comfort for scared children over the years. Many schools will read it to a new kindergarten class to ease their fears. In most cases, children are already familiar with the story and the idea of the kissing hand really resonates with young ones. The Kissing Hand was originally published in 1993 by the Child Welfare League of America. In the foreword to the book, Jean Kennedy Smith, founder of Very Special Arts, writes, The Kissing Hand is a story for any child who confronts a difficult situation, and for the child within each of us who sometimes needs reassurance. This book is perfect for children 3 to 8 years old who need comforting and reassurance. (Tanglewood Press, 2006.) More Recommended Picture Books If you are looking for bedtime stories for young children that are reassuring, Amy Hests Kiss Good Night, illustrated by Anita Jeram, is a good recommendation, as is Goodnight Moon by Margaret Wise Brown, with illustrations by Clement Hurd. For young children worried about starting school, the following picture books will help ease their fears: First Grade Jitters by Robert Quackenbush, with illustrations by Yan Nascimbene, and Mary Ann Rodmans First Grade Stinks! illustrated by Beth Spiegel. Sources: Audrey Penns website, Tanglewood Press

Understanding the SQ3R Study Strategy

Understanding the SQ3R Study Strategy SQ3R is an  active reading  exercise that is designed to help you get a fuller understanding of your reading materials. You will need to keep a pen and some paper on hand to use this method.  SQ3R stands for: SurveyQuestionReadReciteReview Survey The first step of SQ3R is to survey the chapter.  Survey  means to observe the layout of something and get an idea of how it is constructed.  Skim  over the chapter and observe the titles and subtitles, take a look at the graphics, and make a mental note of the overall layout. The survey of the chapter gives you an idea of what the author considers most important. Once you have surveyed the chapter, you will have a mental framework of the reading assignment. Jot down any words that are in bold or italics. Question First, jot down questions that address the chapter titles and boldface (or italicized) words youve noted. Read Now that you have a framework in your mind, you can begin to read for deeper understanding. Start at the beginning and read the chapter, but stop and write down additional sample test questions for yourself as you go, fill-in-the-blank style. Why do this? Sometimes things make perfect sense as we read, but not so much sense later on, as we try to remember. The questions you form will help the information stick in your head. You may also find that the question you write matches the teacher€™s actual  test questions. Recite When you reach the end of a particular passage or section, quiz yourself on the questions you’ve written. Do you know the material well enough to answer your own questions? It’s a good idea to read and answer aloud to yourself. This can be a great learning strategy for auditory learners. Review For best results, the review step of SQ3R should take place a day after the other steps. Go back to review your questions, and see if you can answer them all easily. If not, go back and review the survey and the reading steps.

Explain the relationship between performance and rewards Essay

Explain the relationship between performance and rewards - Essay Example When I was working at the sales department of Nestle Company I was offered three types of rewards: money, promotion and a vacation. Before these rewards could be offered, the goals of the department were clearly stipulated and aligned to organizational goals. Then we sat with the departmental manager to set individual goals which if achieved, reward would be given. We met periodically with the manager to review our performance and revise the goals if unachievable before performance was evaluated at the end of each year. Those of us who achieved our targets got monetary rewards and this made us to work harder for extra cash. I was also promoted from sales representative to sales manager and this motivated me to worker harder so as to climb up the ladder and achieve self-actualization. A vacation was also welcome to spend time with family away from the stress of work. This made me feel fresh on reporting back to work hence increased morale, job satisfaction and consequently improved pe rformance. If such rewards were not offered, then many employees would not go out of their way to ensure organizational goals are achieved or work beyond the expected performance. This is in line with the expectancy theory of motivation whereby employees expect to be given something in return for their extra effort (Hegar, 2012, p. 12). If they do not expect anything, the likelihood of losing morale is high. The most likely type of rewards to result in improved productivity are intrinsic rewards such as recognition, increased responsibility, challenging work, sense of accomplishment and belonging. These come from inside the person rather than from external source such as money given by a boss hence have more power to motivate (Hegar 2012). An employee is most likely to get used to external rewards hence views them as a norm thus reducing his/her motivation. For intrinsic rewards, an employee is not forced to