Blood Clots

Discussion 1: Blood Clots
Blood clots form in various locations of the body and are not unique to any specific age group or gender. While there are certain risk factors that may make a patient more likely to develop blood clots, essentially any patient is a potential candidate. Unfortunately, blood clots often go unrecognized until something happens. Even if the patient identifies a problem and seeks medical care, blood clots are frequently misdiagnosed resulting in serious medical complications and sometimes death. Why does this happen? How can you, as the advanced practice nurse, protect your patients from misdiagnosis?
Consider the following case studies:
Case Study 1
A 44-year-old African American male had a partial colectomy to have a cancerous tumor removed. The patient did really well after surgery and was discharged from post-op recovery to the surgical unit at a medical center. Approximately one hour after surgery, the patient complained of gas pains and shortness of breath. The patient continued to complain of gas pains after administration of morphine sulfate. Providers failed to diagnose a pulmonary embolism that resulted in the loss of the patients life.
Case Study 2
A 50-year-old white male went to the emergency department with complaints of right leg pain. The patient is an avid runner, and knowing this, the provider diagnosed the patient with a right leg muscle strain. The patient was sent home with Flexeril as needed and Motrin 800 mg q8h as needed. One week later, the patient followed up with his primary care doctor with continued right leg pain. His doctor instructed him to continue to take the muscle relaxant and Motrin, and advised that the pain should subside in 510 days. The following day the right leg pain increased, prompting the patient to return to the emergency department. Multiple providers failed to diagnose a blood clot in the patients right leg.
To prepare:
Review Part 11 of the Buttaro et al. text in this weeks Learning Resources.
Select one of the cased studies provided. Reflect on what went wrong in this case study, as well as why patient blood clots continue to be misdiagnosed.
Think about how you might have prevented the misdiagnosis of the patient the case study. Consider strategies for obtaining patient history, ordering diagnostics, and recommending potential treatment options.
By Day 3
Post a description of what went wrong in the case study that you selected, as well as why patient blood clots continue to be misdiagnosed. Then, explain how you might have prevented the misdiagnosis of the patient in the study. Include strategies for obtaining patient history, ordering diagnostics, and recommending potential treatment options.
Read a selection of your colleagues responses.

Which of the following is true of retaliation in workplaces?

Question 1

Which of the following is true of retaliation in workplaces?

a.Employers are prohibited from retaliating against individuals who file discrimination charges.
b.Employees are prohibited from retaliating against organizations that practice discrimination.
c.Employers are prohibited from retaliating against employees on ethical grounds.
d.Employees are restricted from retaliating against employers who encourage instances of glass ceiling.

5 points

Question 2

“Percentage of employees with career plan” is an example of the development HR metric.

True

False

5 points

Question 3

Which of the following is true of the administrative role of human resource departments?

a.It involves managing most human resource activities in keeping with strategies and operations that have been identified by management.
b.It involves helping to define the strategy relative to human capital and its contribution to organizational results.
c.It involves identifying possible strategies to attract and retain talent with a focus on organizational growth.
d.It focuses on record keeping, including essential legal paperwork and policy implementation.

5 points

Question 4

Which of the following statements is true of Internet recruiting?

a.Twitter is rarely used by recruiters because of the 140-word limit.
b.The broad reach of Internet recruiting has significantly reduced the amount of discrimination against job seekers from racial/ethnic groups because it enlarges the applicant population exponentially over traditional recruiting methods.
c.If a recruiter checks an applicant’s Facebook account, learns that the applicant is Jewish, and then rejects the applicant, the company can be charged with an EEO discrimination complaint.
d.An advantage of Internet recruiting is that it streamlines EEO data gathering because everyone who accesses a job Web site is considered an applicant for legal purposes.

5 points

Question 5

Which of the following best defines HR analytics?

a.An evidence-based approach to making HR decisions on the basis of quantitative tools and models
b.An assumption-based approach to making HR decisions on the basis of quantitative tools and models
c.An evidence-based approach to making HR decisions on the basis of qualitative tools and models
d.An assumption-based approach to making HR decisions on the basis of qualitative tools and models

5 points

Question 6

Poor adaptation of an expatriate’s spouse and/or family to the overseas location is a major factor in the failure of expatriate assignments.

True

False

5 points

Question 7

Ken, a brand manager at Media Labs LLC., is formulating a strategic plan for his organization. He has identified the organizational mission and formulated a SWOT analysis of the business. Which of the following is most likely to be Ken’s next step in the strategic planning process?

a.Evaluate and reassess strategy
b.Implement strategy
c.Establish goals and objectives
d.Formulate supporting functional strategies

5 points

Question 8

Which of the following situations is an example of a compressed work week?

a.Employees working for ten hours, four days a week
b.Employees working for eight hours, five days a week
c.Employees working for seven hours, six days a week
d.Employees working for eight hours, seven days a week

5 points

Question 9

The main legal reason for performing a thorough background check of all applicants is:

a.to comply with the Immigration and Naturalization Act
b.to avoid résumé fraud
c.to prevent discrimination against protected classes
d.to protect the organization against charges of negligent hiring

5 points

Question 10

Which of the following is typically the first stage in the job analysis process?

a.Preparing for and introducing job analysis
b.Planning the job analysis
c.Conducting the job analysis
d.Developing job descriptions and job specifications

5 points

Question 11

_____ refers to organizing tasks, duties, responsibilities, and other elements into a productive unit of work.

a.Job planning
b.Job analysis
c.Job design
d.Job redesign

5 points

Question 12

In the context of social media, the disclosure of which of the following is most likely to be considered a risk by employers?

a.Policy changes
b.Customer lists
c.Competitive service details
d.Operational changes

5 points

Question 13

Some of the major ways of increasing employee productivity are organizational restructuring, redesigning work, aligning human resource activities, and outsourcing analyses.

True

False

5 points

Question 14

The Bureau of Labor Statistics classifies people working _____ hours per week as part-time employees.

a.at least 45
b.at least 35
c.between 35 and 45
d.less than 35

5 points

Question 15

Which of the following is an intangible item in a psychological contract?

a.Salary
b.Benefits
c.Attendance
d.Loyalty

5 points

Question 16

Lack of fit between a person and a job is most likely to result from:

a.mistakes in evaluating the person’s KSAs
b.improper employee training
c.negligence of exit interviews
d.a lack of a positive company “brand” that attracts qualified applicants

5 points

Question 17

A(n) _____ is a citizen of one country working in a second country and employed by an organization headquartered in the first country.

a.host-country national
b.expatriate
c.third-country national
d.independent contractor

5 points

Question 18

Yield ratio is a measure of the quality of job applicants.

True

False

5 points

Question 19

The Rehabilitation Act passed in 1973 applied only to _____.

a.federal contractors
b.state governments
c.labor unions
d.nonprofit organizations

5 points

Question 20

Which of the following advertisements for recruitment is most likely to be considered illegal?

a.“Experienced writers required”
b.“Enthusiastic radio jockeys needed”
c.“Wanted: Professors with educational background in economics”
d.“Young store executives needed”

5 points

Question 21

Which of the following is true of the Consolidated Omnibus Budget Reconciliation Act?

a.Displaced workers can retain their group medical coverage for up to 18 months for themselves, and up to 36 months for their dependents, if they pay the premiums themselves.
b.Displaced workers can use the Medicare program sponsored by the government for up to 18 months after the termination of their employment.
c.Displaced workers can use the Medicare program sponsored by the federal government for up to 36 months after the termination of their employment.
d.Displaced workers can retain their group medical coverage for up to 12 months for themselves, and up to 24 months for their dependents, if they pay the premiums themselves.

5 points

Question 22

To increase employee satisfaction, the performance management systems and performance appraisal processes in organizations must be designed so they are linked to compensation increases.

True

False

5 points

Question 23

Composed of more than 200 statements, the position analysis questionnaire examines a variety of managerial dimensions, including decision making and supervising.

True

False

5 points

Question 24

Bob, a human resources executive at Axis Inc., is moving from an operational role in the human resources department to a strategic role. Which of the following best describes Bob’s change of role?

a.Moving from serving as a “champion” of employee concerns to helping define the strategy to manage human capital
b.Moving from helping define the strategy to manage human capital to processing legal paperwork
c.Moving from processing legal paperwork to serving as a “champion” of employee concerns
d.Moving from processing legal paperwork to helping define the strategy to manage human capital

5 points

Question 25

Mark, an HR manager, is responsible for the HR planning process in his organization. He has reviewed the organization’s strategic plans. Which of the following is most likely to be Mark’s next step in the planning process?

a.Develop HR staffing plans and actions
b.Compile HR planning forecasts
c.Implement HR staffing plans and actions
d.Assess external and internal workforce

Other than two weeks of doctor-ordered bed rest for gestational diabetes, your coworker has an impeccable performance record throughout her pregnancy. Do you feel that your coworker has a valid claim against the medical office? Why or why not?

A management position has opened up due to a recent retirement in the medical office where you work. You and your pregnant coworker are talking about it at lunch one day, and your coworker is very excited because she has been told several times by different senior managers that the next management position available would be hers. The next day, however, it is announced that someone with less experience, education, and time on the job will be taking over the position. Your coworker feels very strongly that it is because she is pregnant and going on maternity leave in two months. Other than two weeks of doctor-ordered bed rest for gestational diabetes, your coworker has an impeccable performance record throughout her pregnancy. Do you feel that your coworker has a valid claim against the medical office? Why or why not? What steps, if any, do you feel she should take next to address this situation? How would she go about proving a violation of her rights? Be sure to discuss a specific law or laws that may have been violated, and use facts to support your answer.

What is the spleen’s primary function in a fetus?

ANSWER QUESTIONS 1-20 CORRECTLY AND SEND THEM BACK TO ME ASAP

  1.  Lymph vessels that empty into lymph nodes are called
   A.efferent vessels.
   B.capillaries.
   C.afferent vessels.
   D.Peyer’s patches.  2.   What is the spleen’s primary function in a fetus?     A.Fighting infection before long-bone formation   B.Storing blood before long-bone formation   C.Filtering blood before long-bone formation   D.Producing lymphocytes and RBCs before long-bone formation 3.   Platelets are known as     A.white blood cells.   B.thrombosis.   C.red blood cells.   D.thrombocytes.   4.   One of the three major categories of blood is    A.plasma.   B.fibrinogens.   C.coagulation.   D.white blood cells.   5.   The main control center of the heart, responsible for setting the pace of heart rate, is called the    A.inferior vena cava.   B.atrioventricular node.   C.sinoatrial node.   D.superior vena cava.  6.   What combining form refers to the aorta?    A.Arti/o   B.Aort/o   C.Arot/o   D.Atri/o  7.   Plasma primarily consists of    A.minerals.   B.nutrients.   C.vitamins.   D.water.     8.   A confirmation blood test for HIV is called    A.Western blot.   B.ELISA.   C.an HIV blood test.   D.Coomb’s test. 9.   What is the chief function of red blood cells?    A.To carry oxygen to the body   B.To carry waste products away from the body   C.To carry waste products to the body   D.To carry oxygen away from the body   10.   The valve that goes from the right atrium to the right ventricle is the _______ valve.    A.tricuspid   B.ventricle   C.bicuspid   D.mitral  11.   What diagnosis is defined as failure of the heart to pump blood efficiently?    A.Congestive heart failure   B.Aneurysm   C.Myocardial infarction   D.Angina 12.   The medical term for an enlarged spleen is    A.spleenomegaly.   B.splenmagaly.   C.splenomagaly.   D.splenomegaly. 13.   Prothrombin blood tests check    A.white blood cells.   B.clotting factors.   C.cholesterol levels.   D.red blood cells. 14.   What combining form refers to the thymus?    A.Thromb/o   B.Myel/o   C.Sangui/o   D.Thym/o  15.   What combining form means immune?    A.Blast/o   B.Immun/o   C.Myel/o   D.Inguin/o  16.   Which of the following are white blood cells?    A.Basophils but not eosinophils   B.Both eosinophils and basophils   C.Neither eosinophils nor basophils   D.Eosinophils but not basophils 17.   _______ is a blood test that provides information on blood cells.     A.RSE   B.ESR   C.BCC   D.CBC 18.   How many phases are included in the hemostasis process?    A.12   B.3   C.1   D.2 19.   Lingual tonsils are located at the    A.back of the throat.   B.underside of the tongue.   C.base of the tongue.   D.back of the ear.  20.   The _______ artery is located above the elbow.    A.carotid   B.radial   C.subclavian   D.brachial