When percussing the lower posterior chest, begin by:

Question 1

A 3 year-old presents with a history of fever and cough over the past 24 hours. Findings on exam reveal: temperature of 102°F, apical heart rate of 157 beats/minute, and respiratory rate of 40 breaths/minute. Tachypnea in this child is most likely related to

paradoxical respirations.

the child’s febrile state.

the child’s age

an airway obstruction

Question 2

When percussing the lower posterior chest, begin by:

standing on the side rather than directly behind the patient.

having the patient lie supine on the examining table.

carefully palpating any area the patient has reported pain.

using the ball or the ulnar surface of the hand

Question 3

The palpation technique used to assess respiratory expansion of the chest is placing the hands on the eight or tenth ribs posteriorly with the thumbs close to the vertebrae, sliding the hand medially and grasping a small fold of skin between the thumbs. Then:

ask the patient to cough and note chest expansion.

ask the patient to take a deep breath and note any delay in expansion during inhalation.

have the patient hold his breath for 15 seconds then note chest expansion.

have the patient exhale forcefully noting expansion on expiration

Which drug could be responsible for the constipation?

Question 1

Jamie, age 55, has just started on a statin after having his liver function tests (LFTs) come back normal. He now asks you how often he has to have the LFTs repeated. What do you tell him?

Question options:

a) Initially in 6 weeks

b) Every 3 months

c) Every 6 months

d) It’s no longer necessary for his statin regimen.

Question 2

A patient comes to the office complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the constipation?

Question options:

a) Multivitamin

b) Magnesium hydroxide

c) Pepto-Bismol®

What information should you be looking for on nutrition labels to help you decide if a product is a healthy choice?

The initial post is due on Wednesday and needs to be a minimum of 175 words.  

In order to support society and health, nutritional guidelines are created and communicated to all Americans. Three of these guidelines are the 2020-2025 Dietary Guidelines for Americans, MyPlate and nutrition labels on food.  

Week 3 questions:

  • What is the rationale behind these guidelines? Why were these guidelines developed?  
  • What are some of the specific recommendations outlined in the 2020-2025 Dietary Guidelines?  
  • What information should you be looking for on nutrition labels to help you decide if a product is a healthy choice?  Why is this information important to look at?
  • Explain what MyPlate is. How would you utilize MyPlate in planning meals?  
  • Do most Americans follow these guidelines? Why or why not?
  • After you reviewed these guidelines, did they change any nutritional choices you made? How and why did they change your choices or if they did not change your choices, why not?  Explain and provide specific examples to support your response.

Explain your instructional choices including how your lesson extends the skills taught in the “Sample Co-Teaching Lesson Plan”

Review “Marcus Partial IEP and Lesson” to inform the assignment. Upon reviewing the Present Level of Performance and the second grade literacy-based standards, think about how you can adapt the lesson to meet Marcus’ specific needs and align to his identified academic goals. Revise the “Sample Co-Teaching Lesson Plan (Direct Instruction)” to reflect modifications and accommodations for Marcus. Use bold print or highlighting to indicate changes you have made to the lesson.

Write a 250-500 word rationale the addresses the following.

  • Explain your instructional choices including how your lesson extends the skills taught in the “Sample Co-Teaching Lesson Plan” for Marcus and why the lesson is appropriate for meeting Marcus’ academic goal.
  • Discuss how elements of Universal Design for Learning (UDL) will be incorporated to enhance Marcus’ learning. GCU College of Education

    LESSON PLAN TEMPLATE

     

     

    Marcus Partial IEP and Lesson

     

     

    Student: Marcus

    Age: 7 years 2 months

    Disability: Specific Learning Disability

     

    Present Level of Performance:

    Marcus is a second-grade student who qualifies for special education services in the areas of reading comprehension and reading fluency as a student with a specific learning disability. He struggles with decoding grade level words and is unable to correctly answer grade level reading comprehension questions related to what he has just read. When material is read to him, Marcus is able to answer comprehension questions at grade level. According to standardized testing, his current reading comprehension is at the 1.0 grade level. When given a timed test at the first-grade level, Marcus is able to correctly read 30 words in two minutes. Marcus also struggles with written expression.

    Marcus is able to perform at grade level in math, which is his preferred subject. Marcus appears to be somewhat reserved around his peers, and his parents would like to see him become more social.

    Sample Co-Teaching Lesson Plan (Direct Instruction)

    Section 1: Lesson Preparation

    Teacher Candidate Name: Ms. Lope
    Grade Level:

     

    2nd grade

     

    Date:

     

     
    Unit/Subject:

     

    ELA
    Lesson Summary and Focus: In 2-3 sentences, summarize the lesson, identifying the central focus based on the content and skills you are teaching.

     

     

     

     

     

     

     

    Classroom and Student Factors/Grouping:  

     

     

     

    National/State Learning Standards: Common Core State Standards:

    RF.2.3 a. Distinguish long and short vowels when reading regularly spelled one-syllable words.

    Specific Learning Target(s)/Objectives: Objective (Explicit)

    Student will be able to (SWBAT):

    · decode the vowel sound short /e/ in one-syllable words.

    · to distinguish the short /e/ sound in one-syllable word within a sentence.

     

    Sub-objectives

    · SWBAT sound out words phonically

    · SWBAT differentiate between different phonemes

     

    Academic Language Short /e/ sound

    Long /e/ sound

    Ben, Ted, let, bed, red, get, tell, then, left, fell, yells, pet, Jen, net, nest, tent, wet, web.

     

    Resources, Materials, Equipment, and Technology: Short /e/ Vocabulary list

    Short /e/ paragraph

    Short /e/ Book Jen

    Short /e/ Word Search worksheet

     

     

    Section 2: Instructional Planning

    Anticipatory Set

     

    Time Needed
    Multiple Means of Representation

    The teacher will start a conversation with the student, asking the student what the different sounds the different vowels make. Teacher will then lead into conversation about the e sound and it makes two different sounds. Teacher will tell the student that today’s objective is to work on the short /e/ sound. Teacher will review the short and long e sound with student, teacher will ask student about learning it in the past. (How did you learn these sounds? How do you remember which sound to make?) Teacher will tell student that we are going to read a paragraph and look for the short /e/ sound.

     

     

    Explain how you will differentiate materials for students with special needs

    · What accommodations/modifications will you include for a specific student?

    · Do you anticipate any student who will need an additional challenge?

     

     

    What co-teaching approach will you use to maximize student achievement?

     

     

     

     

     

     

    Time Needed
    Multiple Means of Engagement

    Teacher will have the student read the paragraph that emphasizes the short /e/ sound. The teacher will help the student if needed. The teacher will then have the student highlight the short /e/ sounds. Teacher will explain that it is a short /e/ sound because of the CVC/CVCC pattern.

     

    How did you know to use the short /e/ sound? What would it sound like if you used the long /e/ sound?

     

    Student will read the paragraph. Student will highlight the words with the short /e/ sound. Student will ask and answer questions.

     

     

    Explain how you will differentiate materials for students with special needs

    · What accommodations/modifications will you include for a specific student?

    · Do you anticipate any student who will need an additional challenge?

     

     

    What co-teaching approach will you use to maximize student achievement?

     

     

     

     

    Time Needed
    Multiple Means of Expression

    Teacher will tell the student to read aloud the mini book and highlight the short /e/ sounds. Teacher will visually assess student while working, teacher will ask and answer questions.

     

    Why did you highlight that word?

    How do you know it is not pronounced (use long /e/ sound in place of short /e/ sound)?

     

    Student will read the book aloud. Student will highlight the short /e/ sounds. Student will ask and answer questions.

     

     

    Explain how you will differentiate materials for students with special needs

    · What accommodations/modifications will you include for a specific student?

    · Do you anticipate any student who will need an additional challenge?

     

     

    What co-teaching approach will you use to maximize student achievement?

     

     

     

     

    Time Needed
       
    Extension Activity and/or Homework

    Teacher will talk with the student about the importance of knowing when to use the short /e/ sound giving the examples of:

    Ben vs. Bean

    Bed vs. Bead

    Pet vs. Peat

    Red vs. Read

    Teacher will ask the student if there are any other words that use the short /e/ sound that make another word when the short /e/ sound is exchanged for the long /e/ sound.

     

     

     

     

    Time Needed

     

     

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