Acid-Base And Electrolyte Case Study

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A nurse is taking care of an 85-year-old woman in a hospital-based skilled nursing facility. In the report, the nurse is told the patient has not been breathing well for the past 2 days. She has been lethargic, her skin is warm and dry, and she has a decreased urine output. The following laboratory findings were returned from the laboratory immediately after morning report:

  • Na: 147
  • Cl 110
  • K 4.0
  • Blood Gases:
  • pH 7.33
  • PCO2 48
  • HCO3 27
  • Po2 96
  • Urine:
  • Urine Specific Gravity 1.040

Address the following:

  1. Identify each of the abnormal laboratory findings in the above results. Specify how they differ from a normal range and identify what condition each abnormality indicates.
  2. What specific electrolyte disturbance does the patient have?
  3. What clinical manifestations would the nurse expect to see with this electrolyte abnormality presented above?
  4. If the patient had an increase in her potassium level, what clinical manifestations would the nurse monitor for?
  5. What blood gas abnormality is seen in this patient? Discuss the rationale for your answer.
  6. What are the three major mechanisms of pH regulation?

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines,

Gerontology Paper

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For this assignment, you are required to read the “Finding the Frame” article found under the content section of Beachboard. Your assignment is to type a 3-4-page essay on how aging and ageism impacts our society. Use this essay as an opportunity to frame your own solution to the issues presented in this report and discuss what your recommendations would be to change the direction of this narrative. You will also discuss what must happen at various governmental levels to have your solutions executed, in your opinion (Reality Check section, see below). Devote 1-1 ½ page(s) to a summary of the issue(s), and the rest of the paper should be used to present your thoughts on your possible solutions. In addition to the Finding the Frame article, please reference a minimum of three outside sources related to your paper (at least four total sources, your textbook may be a source as well). Keep in mind, this is a narrative paper (first person) and the purpose of this assignment is for you to think critically about the issue of ageism/ aging and explore your thoughts, feelings and solutions on these issues. Write creatively and honestly in explaining your ideas and what society will look like when your solutions are implemented. Furthermore, discuss specific ways you would put your solutions into place. Imagine that it is all up to you and you alone to make these aging issues better and more manageable, what steps are you going to take at various levels to better ageism issues. Format: 3-4 pages, APA (6th ed)- Double-spaced; Times New Roman, Size 12 Font, with a minimum of four sources (including Finding the Frame article) cited in APA format. ***Do not forget to cite sources in text, as well as in a reference list. No Title page and Abstract necessary. Reference Page is not included in page count 

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For more information please follow up with the instruction document in the attachment and the needed paper is also in the attachment as well. 

I need very good job in the paper so I can make sure I get an A.

thanks,  

Respond to the following two questions with two pages answer for each one. Separate responses from each question.

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Tasks: Respond to the following two questions with two pages answer for each one. Separate responses from each question.

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples that demonstrates a clear connection to the readings

Q1 – Choose a middle-range theory or grand theory that, in your opinion, can be applied to research. What are the assumptions underpinning this theory? Discuss how this theory finds application in research.

Q2– Choose a middle-range theory or grand theory that, in your opinion, can be applied to practice. What are the assumptions underpinning this theory? Discuss how this theory finds application in your area of practice.

Object-Oriented Application

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So far, you have learned about design and how to create a simple Java application using an IDE. Now, you are going to gain some experience writing an object-oriented program with classes, objects, inheritance, and polymorphism. These terms sound complex, but you will find they are not difficult to use. You will be drawing on all the information you have gained, and this project will require some time, so start early, and pay attention to instructions.

For this project, you will create a Java program that allows the user to select a category of animal from a menu and then a specific animal in that category, then view information about their selection. To facilitate this, we will use a class and inheritance structure as follows:

Program/Main Class: AnimalInfo. This file is for the code (in the method “Main()”) that will run the program, present the list, prompt for input, execute the appropriate class method, and then terminate. Note that this file may not include any information about the categories of animals or any specifics about animals. That information comes from the inheriting classes discussed below.

  • Create a project called “AnimalInfo”.
  • Using the method “Main()”, present the user with three animals and ask them to select one to learn more about that animal. The animals in the menu must match your “inheriting classes” discussed below.
  • When the user selects an animal from the menu, execute the “displayInfo()” method from the appropriate inheriting class.
  • Use code comments to annotate your source code, indicating what each line of code does as well as how it works.

Parent Class: (Name to be determined.) This file is for the broad category of animals that the user can examine in your program, such as dogs, horses or fish. Your program may contain only one parent class (users will only be able to select from a single category of animals).

  • Create a class file, naming it according to the category of animals that you’ve decided to use.
  • Do NOT inherit another file/class. (Do not use the “extends” keyword in the class declaration.)
  • Create a method in your class file called “displayInfo()”.
  • This displayInfo() method will only be executed if inheritance fails, so in displayInfo(), write code that reports to the screen that this parent class has been engaged by mistake. For example, if executed this method will generate user-friendly text on the screen such as: “Incorrect class inheritance, please contact technical support.”
  • Use code comments to annotate your source code, indicating what each line of code does as well as how it works.

Inheriting Classes: (Names to be determined.) Create three class code files that inherit from the parent class discussed above. For example, if you named your parent class “Dogs”, then your inheriting class files might be “Bulldog”, “Beagle” and “Poodle”. (You may not use those examples for your program.)

  • Create three class files, reflecting the animals listed in the menu that was presented to the user.
  • Within each of these class files, declare the class so that it inherits your parent class (using the “extends” keyword).
  • In each class, create a method called “displayInfo()” so that it will override the same method in the parent class. (This will cause text about the selected animal to appear on the screen instead of the error report you wrote for the same method in the parent class.)
  • The text must be a short description of the animal, such as where they live and/or their physical parameters and something interesting about them (1 paragraph of no more than 3-4 sentences). (You do not need to cite your source for this information.)
  • Use code comments to annotate your source code, indicating what each line of code does as well as how it works.

Create a ZIP file that includes your project folder and Word document and upload it to the course portal.