Steroids and Our World - 758 Words

Anabolic steroids are synthetic steroid hormones made to resemble testosterone. These drugs are not the only performance enhancing drugs (PED’s) out there. Some are not even steroids, such as: creatine, tamoxifen, propranolol, cox-2, albuterol, ephedrine, and erythpoietin. These performance enhancing drugs may be boosting the skill level in an athlete’s career, but it is doing no good to the health of the athlete himself. Multiple sports are having reports of athletes using PED’s including baseball, being one of the top sports for steroid usage, cycling, and mixed martial arts. The use of steroids and other performance enhancing drugs has forever changed the face of professional sports, and its athletes, making it a world fueled by drug contacts instead of skill and talent. (10 performance enhancing drugs that are not steroids by William Harris) Many times athletes are accused of using performance enhancing drugs by each other when they felt that the performance of their opponent far accedes their own. Some athletes are taking a proactive approach and speaking early in their careers about testing for performance boosters. George St.Pierre is one such athlete. George St.Pierre has gone for allegations made by opponent Nick Diaz. No proof has ever been provided even though St.Pierre is tested regularly. Steroids and PED’s seem to be wide spread through our athletic arenas. Ben Johnson, a former Olympic competitor, was planning to participate in a debate for legalizingShow MoreRelatedSports Philosophy And Recreation : Anabolic Steroids1430 Words   |  6 PagesPhilosophy and Recreation Are Anabolic Steroids Important Of Body Building? I will argue no that anabolic steroids are not important for body building because they have great negative effects. The use of anabolic steroids has been discouraged over the years because of their side effects, and they are against the philosophy of sports. The steroids are medicine and protein supplements that aid in the body building. I hugely oppose the notion that anabolic steroid are imperative in building the body.Read MoreWhy Do Scandalous Lawsuits Involving Athletes Abusing Substances Keep Popping Up?976 Words   |  4 Pagesbeyond human levels so ostracized? Doping is the practice of using steroids and other illegal substances to boost performance in sports and athletics. The debate of the morality of such substances has been going on for decades and continues to affect the world of sports in many ways. At the moment, steroids and all other performance-enhancing drugs are banned in their entirety from nearly all sports in most countries of the world. Scandalous lawsuits involving athletes abusing substances are constantlyRead MoreSteroids As Dangerous Illegal Substances1229 Words   |  5 Pagesword that comes to mind? Steroids. In early 2013 Lance Armstrong’s face dominated the headlines. Reporters condemned him, public figures shamed him and fans lost faith in this once great athlete. He was a maverick, a man that did everything to safeguard him first place in the tour de France races but ultimately lost his seven fold winner title. When allegation were put forward his response was a product of meticulous rebuttals and elaborate lies. Many of us see steroids as dangerous illegal substancesRead MoreAnabolic Steroids And Its Effects On The Brain1608 Words   |  7 PagesBrief History Anabolic steroids are directly related to steroids, and both have similar effects, however anabolic steroids intensify protein production in cells, leading to enlarged muscles, rather steroids contain various hormones including testosterone. Both, however exert the chemical dopamine into the blood stream, negatively effecting the brain driving addiction and abuse. The steps and action foreshadowing steroids can be traced back to 1849, when a German scientist named Arnold AdolphRead MoreThe Effects Of Steroids On The Human Body, Steroids Sports, And Reasons Why People Use Steroids1251 Words   |  6 Pages Jared Hipsher Mrs. Sexton 3-26-15 English 10 Steroids Jared Hipsher 3-26-2015 English 10 Mrs. Sexton Steroids Thesis : The history of steroids, the affects of steroids on the human body, steroids in sports, and reasons why people use steroids, are all things I ve wanted to know for a long time now I am going to further my knowledge on this topic. Introduction About A. Types 1. Anabolic 2. Corticosteroids III. History A. 1954 1. WeightRead MoreDoping Testing Should Not Be Banned1669 Words   |  7 PagesSteroids were introduced to the world by â€Å"the Nazis because they needed aggressive soldiers†(Sports in America: Recreation, Business, Education,;Controversy., and Performance-enhancing Drugs). Doping was introduced into sports because people wanted to have an â€Å"extra advantage on their opponents†(Sports in America: Recreation, Business, Education,;Controversy., and Performance-enhancing Drugs). Drug testing was introduced to the world in 1968 at the Olympics (Sports in America: Recreation, BusinessRead MoreSteroid Use Of Sports On Sports1237 Words   |  5 PagesMrs. Gallos English 3H 2 May 2016 Steroid use in Sports Steroid use in sports has became a large factor of impact in the sports world today. Everyone has their own opinion on it. They either enjoy watching athletes be ridiculously good at their sport, and they find it entertaining, or they like to see athletes play by the rules. Steroid use is a big part of most sports, mostly baseball. Most records held by the greatest of baseball players used steroids. Steroid usage has many negative effects. EvenRead MoreSteriods Informative Speech909 Words   |  4 PagesSection #34/Rosie Title: The Facts about Anabolic Steroids in our Bodies. Specific Purpose: To inform my audience of the effects of Anabolic Steroids in peoples bodies. Thesis: Today I would like to enlighten the class on what I’ve learned about Anabolic Steroids and the causes it has on our body. Introduction Attention material: According to Do Something.Org, Science Daily quotes that â€Å"A recent study found that 57%of high school steroid users said that they would risk shortening their lifeRead More Steroids and Sports Essay1324 Words   |  6 PagesSteroids and Sports Steroids, ever since their introduction into the sports world five decades ago, they have been a controversial issue (WebMD medical news). Anabolic performance dates as far back as the original Olympic Games. Today walking into any gym you will find some one who is using steroids or some kind of enhancement supplement. Anabolic steroids are so popular with athletes from high School level all the way up to the top. For the past fifty years, athletes around the world use steroidsRead MoreSteroids and Other Performance Enhancers Essay1191 Words   |  5 PagesThe issue over steroids and other performance enhancer drugs has been a recent topic in the sports world. The debate over whether or not to punish those who have been caught using has been a major topic recently, as well as the legalization of these drugs. When arising the question of whether or not to legalize steroids, many positive and negative factors are brought to the table, and in effect could change various aspects of ou r normal day lives. Anabolic steroids are a class of natural

Hospital Trends in The Current Economic Environment Essay

Hospital Trends 1. How is the current economic environment affecting hospitals? According to the article, â€Å"The Economic Downturn and Its Impact on Hospitals†, the current economic environment is affecting hospitals and other heath care facilities in a number of ways. The most common issue relates to inability of the hospitals to obtain and secure relevant financing that enables health institutions to meet their daily obligations. Since most payments in hospitals lags behind the amount expected to deliver health care, most of the times hospitals are forced to borrow funds from financial institutions to meet their operating expenses. With this issue of economic downturn, borrowing funds from financial institutions has become very†¦show more content†¦Hospitals need to analyze their services and health programs, and only engage in activities which are beneficial and cost effective to them, taking into consideration the wellbeing of the patients (TREADWATCH, 2009). The current Hospi tals goals should be changed to focus on making health care affordable to all, by categorically making their patients to adopt government insurance programs, which are more stable and with fewer risks of problems associated with economic down turn. Hospitals should also adopt effective management systems, which would make them more competent in managing their debts and cash. The health care institutions should establish other money generating programs in order to reduce their over dependence on loans from banks. Health is something important for a given nation, and the entire globe for that matter. This means that it would be necessary that a proper method for financing healthcare be formulated towards ensuring there is a proper health structure. This is the main reason why innovative finance comes in as a very good approach towards effective health .Innovative financing is a modern approach that has been noted to come with a number of possibilities towards increasing overall econom ic development while bringing in positive possibilities which can effectively accelerate all the measures and processes put in place towards poverty reduction (Primer, 2007). 3. What similarities andShow MoreRelatedHealthcare Industry in the United States1315 Words   |  5 Pagesthe healthcare industry in United States of America will go through three stages of evolution. Already through the first stage, this industry will restructure within an atmosphere marked by ambiguity in the regulatory environment, sustained scientific advancement, global economics and digital transformation. By 2030, the health care industry will be drastically different from today and ever more complexly tied to the global health market and its population. With the evolving changes in the industryRead MoreThe Patient Protection And Affordable Care Act ( Aca )1617 Words   |  7 Pagesimplemented legislation know as the Patient Protection and Affordable Care Act (ACA). The following is an overview of external factors that will have potential impact for the Mayo Clinic in the coming years. SWOT for Mayo Clinic External Environment Analysis Government influences. The Patient Protection and Affordable Care Act (ACA) is a comprehensive approach to tackle some the challenges in the healthcare industry. The first issue addressed by the legislation was the disparity in accessRead MoreThe Current Marketing Trends, Healthcare And Clinical Health Act1323 Words   |  6 PagesTTechnology trends. Looking at the current marketing trends, healthcare is advancing day-by-day. Therefore, it is important for healthcare organizations to incorporate certain technologies, such as telemedicine that can provide effective healthcare services to even its physically distant patients, which will serve as a useful asset to a rural hospital like PMH (Campbell, 2001). Another great benefit of this technology will be how it can help in overcoming the physician shortage situation at PMH,Read MoreAft2 Task 4 Essay1733 Words   |  7 PagesA1. Status Preparing for The Joint Commission, Nightingale Community Hospital reviews areas of compliance and non-compliance. A periodic performance review, which is a self-evaluation, is utilized by Nightingale Community Hospital, to prepare for The Joint Commission. The Joint Commission has eighteen accreditation requirements. (Commission, 2013) The periodic performance review found the hospital to be compliant and non- compliant in the following areas: Compliant: Emergency Management Read MoreThe Financial Health Of The Company1044 Words   |  5 PagesMedicare. Meyer thus suggested the need for investigation. Additionally, HMA was also charged with inappropriate admission in its hospitals as well as ordering patients to undergo unnecessary tests. In 2014, HMA was accused of attempting to inflate bills by inflating its payments from Medicare and Medicaid (De La Merced, 2013; Kelly Humer, 2013). Furthermore, the hospital tried to increase its revenues by admitting patients even when it was not necessary. In an attempt to further increase its revenuesRead MoreThe Competency Of Knowledge Of The Healthcare Environment995 Words   |  4 PagesThe competency of knowledge of the healthcare environment is composed of four general themes. These themes include customers, staff, systems and community/environment. Of these four domains I believe I have a lot of room to grow in the community/environment. There are many steps I can take increase my knowledge in this area. The domain of community/environment can be impacted in many ways. As our text describes, changes in the nature of the population, the local economy, and awareness and attitudesRead MoreThe For The Patient Protection And Affordable Care Act1187 Words   |  5 Pageshigh quality services and ensuring safety. Although today’s APNs still must accomplish this primary clinical functions, they are also accountable for attaining positive financial outcomes (Finkler et al, 2013; Stichler, 2008). The implication of economics for APNs is the need to be familiar with the basic accounting principles and be able to articulate the language of finance so APNs can effectively advocate for the scarce resources they need to the chief financial officers (CFOs) with the aim ofRead MoreThe Royal London Hospital Nhs1278 Words   |  6 Pagesreport is about The Royal London Hospital which is carried out by NHS trust. The vision of the Royal London hospital is created and the objectives are been f ramed. There is proper medical improvement. This report creates new updated vision of the organization which helps in identifying the objectives. Thus various factors are evaluated and communication is made clear with the stakeholders in the organization. There have been meetings taken up by the royal London hospital so as to meet up its aims andRead MoreHistory of the U.S. Health Care Delivery System1169 Words   |  5 PagesIntroduction: In order to understand current health delivery services changes and formulate predictions, one must thoroughly comprehend the three developmental eras of the health care system. The evolution of our current health care system began in 1850, and has metamorphosed in three time periods, 1850 to 1900, 1900 to World War II (WW II), and WW II to 2009. Significant distinct and overlapping trends in disease prevalence, availability of health care resources, social organizations, and theRead MoreGlobal Population And Climate Change1536 Words   |  7 Pagesabout a variety of global population trends and how climate change has had a notable effect on the planet. There are currently four main trends that have emerged from the current climate and population changes: migration, declining fertility rates, aging and declining population and urbanization (MacPhail). Migration is the movement of people from one place to another and it happens for a variety of reasons (â€Å"Migration Trends†). People migrate because of economic opportunities such as higher wages

Wheelworks free essay sample

Case Study: Wheelworks Case Study: Wheelworks Principle of Management After analyzing Wheelworks’ compensation and benefits structure, I have found that this organization meets every need demanded by its employees and motivates them in every level. When it comes to needs and motivations, there are two commonly used theories that explain each step. One of the most commonly used theories to explain the levels of needs and motivators is Maslows hierarchy of needs. The other commonly used theory when explaining levels of needs and motivations is Herzberg’s Two  Factor Theory. Maslows Hierarchy of Needs Starting at the bottom with physiological needs and moving upwards to safety, love/belongings, esteem, and eventually reaching self-actualization, Maslows hierarchy of needs is often shown as a five level pyramid. Wheelworks meet its employee’s first need, Physiological needs, just by paying them a salary. When Wheelworks pays its employees, it allows each employee to buy food, water, and pay for a shelter and clothing to maintain a constant body temperature. This first need on Maslows hierarchy of needs is essential and without it, humans would not be able to survive. Wheelworks meet Maslow second need, safety, by providing its employees with benefits such as health insurance, bonuses, and 401k plans. Because of the plans that Wheelworks offer its employees, areas such as financial security and health and well being are covered. Love and belongings, the third level of Maslows hierarchy of needs, is also covered by Wheelworks. Humans need to feel that they belong and are loved. Due to the positive atmosphere that Wheelworks offers, its employees feel loved and like they belong to the group. Due to this, Wheelworks also meets Maslow’s third need. The forth level of Maslows hierarchy of needs is esteem. Wheelworks also cover this level by recognizing its employees for its qualities. By recognizing each of its employee’s qualities, Wheelworks helps them build a stronger self-esteem and self-respect, covering the forth Maslows hierarchy of needs. The fifth nd last level of Maslows hierarchy of needs is self-actualization. This level of Maslows hierarchy of needs has been already reached by Wheelworks employees because of their love for the sport of cycling. Many of Wheelworks employees are highly educated and have better opportunities in other companies, but their love for cycling keeps them working at Wheelworks helping them reach Maslow’s need of self- actualization. Herzberg’s Two  Factor Theory Unlike Maslows five level hierarc hy of needs, Herzberg’s theory has only focuses in two factors. Herzberg believed that there is a two-step approach to understanding employee motivation and satisfaction. These two steps are the hygiene factors and the motivator factors. Hygiene factors consist of the need to for a business to avoid unpleasantness at work. † If these factors are considered inadequate by employees, then they can cause dissatisfaction with work  Ã¢â‚¬Å"(tutor2u. net). Wheelworks meet the hygiene factor by providing a good salary, pleasant work environment, and health and 401k plans. These factors are not taken in account when one measures satisfaction, but the absence of these will cause dissatisfaction. The motivator factor is based on an individuals need for personal growth. Wheelworks meet this factor by recognizing its employee’s qualities, challenging them, and giving them responsibilities. By doing this, Wheelworks employees stay motivated achieving above-average performance and effort. Number One Motivator Having a passion for the sport of cycling has become Wheelworks’ employees’ number one motivator. Many times, one would think that salary, health benefits, and good working conditions would rank high when it comes to job motivation, but without love of the work itself, all of these benefits would not be enough to motivate one’s employees. The main reason Wheelworks’ employees perform above-average and put an extra effort to do the job better is because their love for the sport of cycling. As long as Wheelworks provide its employees with the hygiene and motivator factors, its employees will stay motivated. Financial Rewards Even though that passion for the sport of cycling has become Wheelworks’ employees’ number one motivator, financial rewards also helps motivate them. One of the many ways that Wheelworks motivates its employees financially is by paying them the highest possible wage. By doing this, Wheelworks makes sure that its employees are well paid motivating them to stay within the company. Another method that Wheelworks uses to financially reward its employees is by offering vacation and sick pay, 401k, profit chairing, and health plan. By offering these benefits, Wheelworks ensures that its employees feel well taken care of resulting in a motivated staff. The last financial reward that Wheelworks uses to motivate its employees is giving them seasonal bonuses. Each bonus is subject to how good the company does during the season. Due to this, each employee is motivated to improve its performance which will eventually result in a bigger bonus. Commission One of the best strategies that Wheelworks has used to motivate its sale persons, but yet, maintain a superior customer services is giving seasonal bonuses instead of commission. Due to this strategy, Wheelworks customers receives a superior customer crevice and do not feel pressured to buy an expensive bike. This strategy also improves team work instead of having a constant competition among team members. Even though this strategy has worked greatly for Wheelworks, it could be improved. One way Wheelworks could improve its number of units sold is by giving a reward to the person that averages more units sold per hour in a week. For example, the person that averages the most units sold per week could choose one day to leave early and get paid for the whole day. Rewards like this one could significantly increase the number of units sold increasing the yearly revenue of Wheelworks. Works Cited (n. d. ). Retrieved April 10, 2010, from tutor2u. net: http://tutor2u. net/business/people/motivation_theory_herzberg. asp Janet A. Simons, D. B. (1987). Retrieved April 10, 2010, from honolulu. hawaii. edu: http://honolulu. hawaii. edu/intranet/committees/FacDevCom/guidebk/teachtip/maslow. htm W. Griffin, R. (2007). Management. Houghton Mifflin. Wheelworks_part1. (n. d. ). Retrieved April 10, 2010, from

Nursing questions free essay sample

The nurse is performing her admission assessment of a patient. When grading arterial pulses, a 1+ pulse indicates: Above normal perfusion. Absent perfusion. Normal perfusion. Diminished perfusion. Murmurs that indicate heart disease are often accompanied by other symptoms such as: Dyspnea on exertion. Subcutaneous emphysema. Thoracic petechiae. Periorbital edema. Which pregnancy-related physiologic change would place the patient with a history of cardiac disease at the greatest risk of developing severe cardiac problems? Decrease heart rate Decreased cardiac output Increased plasma volume Increased blood pressure The priority nursing diagnosis for the patient with cardiomyopathy is: Anxiety related to risk of declining health status. Ineffective individual coping related to fear of debilitating illness Fluid volume excess related to altered compensatory mechanisms. Decreased cardiac output related to reduced myocardial contractility. A patient with thrombophlebitis reached her expected outcomes of care. Her affected leg appears pink and warm. Her pedal pulse is palpable and there is no edema present. We will write a custom essay sample on Nursing questions or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Which step in the nursing process is described above? Planning Implementation Analysis Evaluation An elderly patient may have sustained a basilar skull fracture after slipping and falling on an icy sidewalk. The nurse knows that basilar skull factures: Are the least significant type of skull fracture. May have cause cerebrospinal fluid (CSF) leaks from the nose or ears. Have no characteristic findings. Are always surgically repaired. Which of the following types of drugs might be given to control increased intracranial pressure (ICP)? Barbiturates Carbonic anhydrase inhibitors Anticholinergics Histamine receptor blockers The nurse is teaching family members of a patient with a concussion about the early signs of increased intracranial pressure (ICP). Which of the following would she cite as an early sign of increased ICP? Decreased systolic blood pressure Headache and vomiting Inability to wake the patient with noxious stimuli Dilated pupils that don’t react to light Jessie James is diagnosed with retinal detachment. Which intervention is the most important for this patient? Admitting him to the hospital on strict bed rest Patching both of his eyes Referring him to an ophthalmologist Preparing him for surgery Dr. Bruce Owen, a chemist, sustained a chemical burn to one eye. Which intervention takes priority for a patient with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist. Administer a cycloplegic agent to reduce ciliary spasm. Immediately instill a tropical anesthetic, then irrigate the eye with saline solution. Administer antibiotics to reduce the risk of infection The nurse is assessing a patient and notes a Brudzinski’s sign and Kernig’s sign. These are two classic signs of which of the following disorders? Cerebrovascular accident (CVA) Meningitis Seizure disorder Parkinson’s disease A patient is admitted to the hospital for a brain biopsy. The nurse knows that the most common type of primary brain tumor is: Meningioma. Angioma. Hemangioblastoma. Glioma. The nurse should instruct the patient with Parkinson’s disease to avoid which of the following? Walking in an indoor shopping mall Sitting on the deck on a cool summer evening Walking to the car on a cold winter day Sitting on the beach in the sun on a summer day Gary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. This type of aphasia is known as: Receptive aphasia Expressive aphasia Global aphasia Conduction aphasia Kelly Smith complains that her headaches are occurring more frequently despite medications. Patients with a history of headaches should be taught to avoid: Freshly prepared meats. Citrus fruits. Skim milk Chocolate Immediately following cerebral aneurysm rupture, the patient usually complains of: Photophobia Explosive headache Seizures Hemiparesis Which of the following is a cause of embolic brain injury? Persistent hypertension Subarachnoid hemorrhage Atrial fibrillation Skull fracture Although Ms. Priestly has a spinal cord injury, she can still have sexual intercourse. Discharge teaching should make her aware that: She must remove indwelling urinary catheter prior to intercourse. She can no longer achieve orgasm. Positioning may be awkward. She can still get pregnant. Ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with halo traction. When caring for the patient in halo traction, the nurse must: Keep a wrench taped to the halo vest for quick removal if cardiopulmonary resuscitation is necessary. Remove the brace once a day to allow the patient to rest. Encourage the patient to use a pillow under the ring. Remove the brace so that the patient can shower. The nurse asks a patient’s husband if he understands why his wife is receiving nimodipine (Nimotop), since she suffered a cerebral aneurysm rupture. Which response by the husband indicates that he understands the drug’s use? â€Å"Nimodipine replaces calcium. † â€Å"Nimodipine promotes growth of blood vessels in the brain. † â€Å"Nimodipine reduces the brain’s demand for oxygen. † â€Å"Nimodipine reduces vasospasm in the brain. † Many men who suffer spinal injuries continue to be sexually active. The teaching plan for a man with a spinal cord injury should include sexually concerns. Which of the following injuries would most likely prevent erection and ejaculation? C5 C7 T4 S4 Cathy Bates, age 36, is a homemaker who frequently forgets to take her carbamazepine (Tegretol). As a result, she has been experiencing seizures. How can the nurse best help the patient remember to take her medication? Tell her take her medication at bedtime. Instruct her to take her medication after one of her favorite television shows. Explain that she should take her medication with breakfast. Tell her to buy an alarm watch to remind her. Richard Barnes was diagnosed with pneumococcal meningitis. What response by the patient indicates that he understands the precautions necessary with this diagnosis? â€Å"I’m so depressed because I can’t have any visitors for a week. † â€Å"Thank goodness, I’ll only be in isolation for 24 hours. † â€Å"The nurse told me that my urine and stool are also sources of meningitis bacteria. † â€Å"The doctor is a good friend of mine and won’t keep me in isolation. An early symptom associated with amyotrophic lateral sclerosis (ALS) includes: Fatigue while talking Change in mental status Numbness of the hands and feet Spontaneous fractures When caring for a patient with esophageal varices, the nurse knows that bleeding in this disorder usually stems from: Esophageal perforation Pulmonary hypertension Portal hypertension Peptic ulcers T iffany Black is diagnosed with type A hepatitis. What special precautions should the nurse take when caring for this patient? Put on a mask and gown before entering the patient’s room. Wear gloves and a gown when removing the patient’s bedpan. Prevent the droplet spread of the organism. Use caution when bringing food to the patient. Discharge instructions for a patient who has been operated on for colorectal cancer include irrigating the colostomy. The nurse knows her teaching is effective when the patient states he’ll contact the doctor if: He experiences abdominal cramping while the irrigant is infusing He has difficulty inserting the irrigation tube into the stoma He expels flatus while the return is running out He’s unable to complete the procedure in 1 hour The nurse explains to the patient who has an abdominal perineal resection that an indwelling urinary catheter must be kept in place for several days afterward because: It prevents urinary tract infection following surgery It prevents urine retention and resulting pressure on the perineal wound It minimizes the risk of wound contamination by the urine It determines whether the surgery caused bladder trauma The first day after, surgery the nurse finds no measurable fecal drainage from a patient’s colostomy stoma. What is the most appropriate nursing intervention? Call the doctor immediately. Obtain an order to irrigate the stoma. Place the patient on bed rest and call the doctor. Continue the current plan of care. If a patient’s GI tract is functioning but he’s unable to take foods by mouth, the preferred method of feeding is: Total parenteral nutrition Peripheral parenteral nutrition Enteral nutrition Oral liquid supplements Which type of solution causes water to shift from the cells into the plasma? Hypertonic Hypotonic Isotonic Alkaline Particles move from an area of greater osmelarity to one of lesser osmolarity through: Active transport Osmosis Diffusion Filtration Which assessment finding indicates dehydration? Tenting of chest skin when pinched Rapid filling of hand veins A pulse that isn’t easily obliterated Neck vein distention Which nursing intervention would most likely lead to a hypo-osmolar state? Performing nasogastric tube irrigation with normal saline solution Weighing the patient daily Administering tap water enema until the return is clear Encouraging the patient with excessive perspiration to dink broth Which assessment finding would indicate an extracellular fluid volume deficit? Bradycardia A central venous pressure of 6 mm Hg Pitting edema An orthostatic blood pressure change A patient with metabolic acidosis has a preexisting problem with the kidneys. Which other organ helps regulate blood pH? Liver Pancreas Lungs heart The nurse considers the patient anuric if the patient; Voids during the nighttime hours Has a urine output of less than 100 ml in 24 hours Has a urine output of at least 100 ml in 2 hours Has pain and burning on urination Which nursing action is appropriate to prevent infection when obtaining a sterile urine specimen from an indwelling urinary catheter? Aspirate urine from the tubing port using a sterile syringe and needle Disconnect the catheter from the tubing and obtain urine Open the drainage bag and pour out some urine Wear sterile gloves when obtaining urine After undergoing a transurethral resection of the prostate to treat benign prostatic hypertrophy, a patient is retuned to the room with continuous bladder irrigation in place. One day later, the patient reports bladder pain. What should the nurse do first? Increase the I. V. flow rate Notify the doctor immediately Assess the irrigation catheter for patency and drainage Administer meperidine (Demerol) as prescribed A patient comes to the hospital complaining of sudden onset of sharp, severe pain originating in the lumbar region and radiating around the side and toward the bladder. The patient also reports nausea and vomiting and appears pale, diaphoretic, and anxious. The doctor tentatively diagnoses renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation site? Kidney Ureter Bladder Urethra A patient comes to the hospital complaining of severe pain in the right flank, nausea, and vomiting. The doctor tentatively diagnoses right ureter-olithiasis (renal calculi). When planning this patient’s care, the nurse should assign highest priority to which nursing diagnosis? Pain Risk of infection Altered urinary elimination Altered nutrition: less than body requirements The nurse is reviewing the report of a patient’s routine urinalysis. Which of the following values should the nurse consider abnormal? Specific gravity of 1. 002 Urine pH of 3 Absence of protein Absence of glucose A patient with suspected renal insufficiency is scheduled for a comprehensive diagnostic work-up. After the nurse explains the diagnostic tests, the patient asks which part of the kidney â€Å"does the work. Which answer is correct? The glomerulus Bowman’s capsule The nephron The tubular system During a shock state, the renin-angiotensin-aldosterone system exerts which of the following effects on renal function? Decreased urine output, increased reabsorption of sodium and water Decreased urine output, decreased reabsorption of sodium and water Increased urine output, increased reabsorption of sodium and water Increased urine output, decreased reabsorption of sodium and water While assessing a patient who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis. The nurse suspects: A urinary tract infection Renal calculi An enlarged kidney A distended bladder Gregg Lohan, age 75, is admitted to the medical-surgical floor with weakness and left-sided chest pain. The symptoms have been present for several weeks after a viral illness. Which assessment finding is most symptomatic of pericarditis? Pericardial friction rub Bilateral crackles auscultated at the lung bases Pain unrelieved by a change in position Third heart sound (S3) James King is admitted to the hospital with right-side-heart failure. When assessing him for jugular vein distention, the nurse should position him: Lying on his side with the head of the bed flat. Sitting upright. Flat on his back. Lying on his back with the head of the bed elevated 30 to 45 degrees. The nurse is interviewing a slightly overweight 43-year-old man with mild emphysema and borderline hypertension. He admits to smoking a pack of cigarettes per day. When developing a teaching plan, which of the following should receive highest priority to help decrease respiratory complications? Weight reduction Decreasing salt intake Smoking cessation Decreasing caffeine intake What is the ratio of chest compressions to ventilations when one rescuer performs cardiopulmonary resuscitation (CPR) on an adult? 15:1 15:2 12:1 12:2 When assessing a patient for fluid and electrolyte balance, the nurse is aware that the organs most important in maintaining this balance are the: Pituitary gland and pancreas Liver and gallbladder. Brain stem and heart. Lungs and kidneys. Nursing questions free essay sample The nurse is performing her admission assessment of a patient. When grading arterial pulses, a 1+ pulse indicates: Above normal perfusion. Absent perfusion. Normal perfusion. Diminished perfusion. Murmurs that indicate heart disease are often accompanied by other symptoms such as: Dyspnea on exertion. Subcutaneous emphysema. Thoracic petechiae. Periorbital edema. Which pregnancy-related physiologic change would place the patient with a history of cardiac disease at the greatest risk of developing severe cardiac problems? Decrease heart rate Decreased cardiac output Increased plasma volume Increased blood pressure The priority nursing diagnosis for the patient with cardiomyopathy is: Anxiety related to risk of declining health status. Ineffective individual coping related to fear of debilitating illness Fluid volume excess related to altered compensatory mechanisms. Decreased cardiac output related to reduced myocardial contractility. A patient with thrombophlebitis reached her expected outcomes of care. Her affected leg appears pink and warm. Her pedal pulse is palpable and there is no edema present. We will write a custom essay sample on Nursing questions or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Which step in the nursing process is described above? Planning Implementation Analysis Evaluation An elderly patient may have sustained a basilar skull fracture after slipping and falling on an icy sidewalk. The nurse knows that basilar skull factures: Are the least significant type of skull fracture. May have cause cerebrospinal fluid (CSF) leaks from the nose or ears. Have no characteristic findings. Are always surgically repaired. Which of the following types of drugs might be given to control increased intracranial pressure (ICP)? Barbiturates Carbonic anhydrase inhibitors Anticholinergics Histamine receptor blockers The nurse is teaching family members of a patient with a concussion about the early signs of increased intracranial pressure (ICP). Which of the following would she cite as an early sign of increased ICP? Decreased systolic blood pressure Headache and vomiting Inability to wake the patient with noxious stimuli Dilated pupils that don’t react to light Jessie James is diagnosed with retinal detachment. Which intervention is the most important for this patient? Admitting him to the hospital on strict bed rest Patching both of his eyes Referring him to an ophthalmologist Preparing him for surgery  Dr. Bruce Owen, a chemist, sustained a chemical burn to one eye. Which intervention takes priority for a patient with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist. Administer a cycloplegic agent to reduce ciliary spasm. Immediately instill a tropical anesthetic, then irrigate the eye with saline solution. Administer antibiotics to reduce the risk of infection The nurse is assessing a patient and notes a Brudzinski’s sign and Kernig’s sign. These are two classic signs of which of the following disorders? Cerebrovascular accident (CVA) Meningitis Seizure disorder Parkinson’s disease A patient is admitted to the hospital for a brain biopsy. The nurse knows that the most common type of primary brain tumor is: Meningioma. Angioma. Hemangioblastoma. Glioma. The nurse should instruct the patient with Parkinson’s disease to avoid which of the following? Walking in an indoor shopping mall Sitting on the deck on a cool summer evening Walking to the car on a cold winter day Sitting on the beach in the sun on a summer day Gary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. This type of aphasia is known as: Receptive aphasia Expressive aphasia Global aphasia Conduction aphasia Kelly Smith complains that her headaches are occurring more frequently despite medications. Patients with a history of headaches should be taught to avoid: Freshly prepared meats. Citrus fruits. Skim milk Chocolate Immediately following cerebral aneurysm rupture, the patient usually complains of: Photophobia Explosive headache Seizures Hemiparesis Which of the following is a cause of embolic brain injury? Persistent hypertension Subarachnoid hemorrhage Atrial fibrillation Skull fracture Although Ms. Priestly has a spinal cord injury, she can still have sexual intercourse. Discharge teaching should make her aware that: She must remove indwelling urinary catheter prior to intercourse. She can no longer achieve orgasm. Positioning may be awkward. She can still get pregnant. Ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with halo traction. When caring for the patient in halo traction, the nurse must: Keep a wrench taped to the halo vest for quick removal if cardiopulmonary resuscitation is necessary. Remove the brace once a day to allow the patient to rest. Encourage the patient to use a pillow under the ring. Remove the brace so that the patient can shower. The nurse asks a patient’s husband if he understands why his wife is receiving nimodipine (Nimotop), since she suffered a cerebral aneurysm rupture. Which response by the husband indicates that he understands the drug’s use? â€Å"Nimodipine replaces calcium. † â€Å"Nimodipine promotes growth of blood vessels in the brain. † â€Å"Nimodipine reduces the brain’s demand for oxygen. † â€Å"Nimodipine reduces vasospasm in the brain. † Many men who suffer spinal injuries continue to be sexually active. The teaching plan for a man with a spinal cord injury should include sexually concerns. Which of the following injuries would most likely prevent erection and ejaculation? C5 C7 T4 S4 Cathy Bates, age 36, is a homemaker who frequently forgets to take her carbamazepine (Tegretol). As a result, she has been experiencing seizures. How can the nurse best help the patient remember to take her medication? Tell her take her medication at bedtime. Instruct her to take her medication after one of her favorite television shows. Explain that she should take her medication with breakfast. Tell her to buy an alarm watch to remind her. Richard Barnes was diagnosed with pneumococcal meningitis. What response by the patient indicates that he understands the precautions necessary with this diagnosis? â€Å"I’m so depressed because I can’t have any visitors for a week. † â€Å"Thank goodness, I’ll only be in isolation for 24 hours. † â€Å"The nurse told me that my urine and stool are also sources of meningitis bacteria. † â€Å"The doctor is a good friend of mine and won’t keep me in isolation. An early symptom associated with amyotrophic lateral sclerosis (ALS) includes: Fatigue while talking Change in mental status Numbness of the hands and feet Spontaneous fractures When caring for a patient with esophageal varices, the nurse knows that bleeding in this disorder usually stems from: Esophageal perforation Pulmonary hypertension Portal hypertension Peptic ulcers Tiffany Black is diagnosed with type A hepatitis. What special precautions should the nurse take when caring for this patient? Put on a mask and gown before entering the patient’s room. Wear gloves and a gown when removing the patient’s bedpan. Prevent the droplet spread of the organism. Use caution when bringing food to the patient. Discharge instructions for a patient who has been operated on for colorectal cancer include irrigating the colostomy. The nurse knows her teaching is effective when the patient states he’ll contact the doctor if: He experiences abdominal cramping while the irrigant is infusing He has difficulty inserting the irrigation tube into the stoma He expels flatus while the return is running out He’s unable to complete the procedure in 1 hour The nurse explains to the patient who has an abdominal perineal resection that an indwelling urinary catheter must be kept in place for several days afterward because: It prevents urinary tract infection following surgery It prevents urine retention and resulting pressure on the perineal wound It minimizes the risk of wound contamination by the urine It determines whether the surgery caused bladder trauma The first day after, surgery the nurse finds no measurable fecal drainage from a patient’s colostomy stoma. What is the most appropriate nursing intervention? Call the doctor immediately. Obtain an order to irrigate the stoma. Place the patient on bed rest and call the doctor. Continue the current plan of care. If a patient’s GI tract is functioning but he’s unable to take foods by mouth, the preferred method of feeding is: Total parenteral nutrition Peripheral parenteral nutrition Enteral nutrition Oral liquid supplements Which type of solution causes water to shift from the cells into the plasma? Hypertonic Hypotonic Isotonic Alkaline Particles move from an area of greater osmelarity to one of lesser osmolarity through: Active transport Osmosis Diffusion Filtration Which assessment finding indicates dehydration? Tenting of chest skin when pinched Rapid filling of hand veins A pulse that isn’t easily obliterated Neck vein distention Which nursing intervention would most likely lead to a hypo-osmolar state? Performing nasogastric tube irrigation with normal saline solution Weighing the patient daily Administering tap water enema until the return is clear Encouraging the patient with excessive perspiration to dink broth Which assessment finding would indicate an extracellular fluid volume deficit? Bradycardia A central venous pressure of 6 mm Hg Pitting edema An orthostatic blood pressure change A patient with metabolic acidosis has a preexisting problem with the kidneys. Which other organ helps regulate blood pH? Liver Pancreas Lungs heart The nurse considers the patient anuric if the patient; Voids during the nighttime hours Has a urine output of less than 100 ml in 24 hours Has a urine output of at least 100 ml in 2 hours Has pain and burning on urination Which nursing action is appropriate to prevent infection when obtaining a sterile urine specimen from an indwelling urinary catheter? Aspirate urine from the tubing port using a sterile syringe and needle Disconnect the catheter from the tubing and obtain urine Open the drainage bag and pour out some urine Wear sterile gloves when obtaining urine After undergoing a transurethral resection of the prostate to treat benign prostatic hypertrophy, a patient is retuned to the room with continuous bladder irrigation in place. One day later, the patient reports bladder pain. What should the nurse do first? Increase the I. V. flow rate Notify the doctor immediately Assess the irrigation catheter for patency and drainage Administer meperidine (Demerol) as prescribed A patient comes to the hospital complaining of sudden onset of sharp, severe pain originating in the lumbar region and radiating around the side and toward the bladder. The patient also reports nausea and vomiting and appears pale, diaphoretic, and anxious. The doctor tentatively diagnoses renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation site? Kidney Ureter Bladder Urethra A patient comes to the hospital complaining of severe pain in the right flank, nausea, and vomiting. The doctor tentatively diagnoses right ureter-olithiasis (renal calculi). When planning this patient’s care, the nurse should assign highest priority to which nursing diagnosis? Pain Risk of infection Altered urinary elimination Altered nutrition: less than body requirements The nurse is reviewing the report of a patient’s routine urinalysis. Which of the following values should the nurse consider abnormal? Specific gravity of 1. 002 Urine pH of 3 Absence of protein Absence of glucose A patient with suspected renal insufficiency is scheduled for a comprehensive diagnostic work-up. After the nurse explains the diagnostic tests, the patient asks which part of the kidney â€Å"does the work. Which answer is correct? The glomerulus Bowman’s capsule The nephron The tubular system During a shock state, the renin-angiotensin-aldosterone system exerts which of the following effects on renal function? Decreased urine output, increased reabsorption of sodium and water Decreased urine output, decreased reabsorption of sodium and water Increased urine output, increased reabsorption of sodium and water Increased urine output, decreased reabsorption of sodium and water While assessing a patient who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis. The nurse suspects: A urinary tract infection Renal calculi An enlarged kidney A distended bladder Gregg Lohan, age 75, is admitted to the medical-surgical floor with weakness and left-sided chest pain. The symptoms have been present for several weeks after a viral illness. Which assessment finding is most symptomatic of pericarditis? Pericardial friction rub Bilateral crackles auscultated at the lung bases Pain unrelieved by a change in position Third heart sound (S3) James King is admitted to the hospital with right-side-heart failure. When assessing him for jugular vein distention, the nurse should position him: Lying on his side with the head of the bed flat. Sitting upright. Flat on his back. Lying on his back with the head of the bed elevated 30 to 45 degrees. The nurse is interviewing a slightly overweight 43-year-old man with mild emphysema and borderline hypertension. He admits to smoking a pack of cigarettes per day. When developing a teaching plan, which of the following should receive highest priority to help decrease respiratory complications?