Tutor profile: Hailee W.
Create a nursing care plan for COPD.
Assessment: Cough Sputum production Clubbing Barrel Chest Tripoding Dyspnea Anxiety “Blue bloaters” Crackles and wheezes Fatigue Weight changes Inability to talk in full sentences SPO2 is less than 90 Diagnosis: Impaired gas exchange related to altered oxygen delivery Ineffective airway clearance related to decreased energy, dyspnea, ineffective cough Activity intolerance related to fatigue and dyspnea Anxiety-related to breathlessness Risk for infection Risk for ineffective nutrition Planning: Monitoring oxygen Sleep monitoring ABGs Give smaller meals throughout the day Activity planning Check sputum Intervention: Give bronchodilators and steroids Teach pursed-lipped vaccine Administer vaccine Position in semi-fowlers Keep oxygen between 88% - 92% Encourage smoking cessation Frequent pulmonary assessments Chest physiotherapy Evaluation Recheck ABGs, SpO2 Takes medication as ordered Has the patient demonstrate breathing techniques Coping with lifestyle activities such as eating
Subject: Basic Math
Bob is staying at a hotel. The hotel charges $107.37 per night plus tax for a room. There is a one-time untaxed fee of $18.00 charged by the hotel. The tax rate for the room is 9%. What is the equation for Bob's total?
1.09(107.37x) + 18 = total cost 1.09 represent the tax rate per night plus the whole total of the cost per night. 107.37 x X is the rate for the room time X, the number of nights. 18 is the flat hotel rate added to the rest.
Describe the inflammatory process of the body.
The inflammatory response is crucial to the healing process. It is also used to dispose of foreign material or dying tissues. After an acute injury, the cells around the injury release chemical messengers, histamine. Histamine acts on your blood vessels to create vasodilation or more blood flow to the area. This in turn leads to swelling at the area of injury. With vasodilation, your blood vessels get more "leaky" they allow more to pass through them. The chemical messengers or chemokines, released after the injury is sensed by the body, attract the "first responders" the white blood cells, specifically neutrophils to the area. The neutrophils perform phagocytosis or "eat up" the bacteria around the injury. Next T-cell and B-cell are recruited to the area and they mount a more targeted response to the foreign bodies. They are like the special agents coming to the scene. All of these cells work to fight the bacteria and foreign body that is present. There are more blood, fluid, and cells going towards the area. This is why we see redness, swelling, exudate (fluid), and pain at the sight of inflammation.
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