My Favourite Hobbies - Free Essay Example

Sample details Pages: 2 Words: 665 Downloads: 3 Date added: 2017/09/26 Category Leisure Essay Type Narrative essay Topics: Friends Essay School Essay Student Essay Did you like this example? My Three Favorite Hobbies Most of my day consists of studies, doing house choirs and going to school. With all that, all my time is usually taken up. It is very hard to find time for myself. It can get very stressful with homework, traffic, and getting work completed on time. When I do get the chance to have some extra time, I have many other activities I enjoy doing. A few of my hobbies include, sleeping, going to the movies, and listening to music. First, I enjoy sleeping every chance I can get. When I am at school I try to make time during my breaks to get a few minutes of sleep. It helps me be alert and stay awake throughout the day. Also, any spare time that I might have I try to get some sleep, for example between classes, or between my travel and school. It rarely happens, but I take advantage of it when it does come along. My favorite time to sleep would be at night; everyone’s favorite time to sleep is at night I would guess. Getting a good night sleep is i mportant to me. If I do not get a good night sleep, I can pretty much count myself as dead the next day. Second, going to the movies gives me something to do. When I am bored, it always seems like a good idea to just head out and go watch a movie. I do rarely have time in my schedule to get bored, but it does happen once in a blue moon. I enjoy going to the movies and it puts me in a better mood. To laugh, get scared, or even cry over something that does not have anything to do with my own personal life is a good feeling. For example, the movie Mirrors was an awesome movie about spirits being trapped in mirrors. I was scared during the movie, but I knew once it was over, that was not something I had to be scared of in real life. My friends sometimes like to get together and make it a group thing to go out and all see a movie. Usually when this happens, we do not know what we are going to watch until we get there. Meaning this could come to waiting for hours for the movie to st art and take the chance of watching a dual movie. Having your friends there always make it all worthwhile. Lastly, listening to music releases most of stress I get from my busy day. When I am at home doing my homework, I put music on to help me think. It clears my mind, and I have realized I work faster while listening to it. I have an MP3 player with all of my favorite songs downloaded to it. Listening to it makes my day seem to zoom by. Also, I enjoy listening to the talk shows in the morning where the radio hosts do funny pranks on people who call in. It makes me laugh and awakens me in the morning. My absolute favorite time to listen to music would be when traffic. When I am sitting there not moving, all I have to do is turn up the radio and tune out of all the traffic. In my mind, it makes it seem as if traffic was going quicker. Unfortunately I lost it, by now I’m planning to buy one, because I think I can’t live without it Sleeping, going to the movies, an d listening to music are the three main hobbies I enjoy the most in my spare time. I hope there will be time to do all the things that make me the happiest in life. Then, I will be able to sleep all I need to. I will be able to go to the movies, not just out of boredom. I will listen to music more than just at home or while stuck in traffic. Don’t waste time! Our writers will create an original "My Favourite Hobbies" essay for you Create order

Analysis Of Piano And Hide And Seek - 2479 Words

‘Piano’ and ‘Hide and seek’ show fond, vivid memories of childhood. The writers have obviously lived a happy life as they write in a joyful tone; this reflects the sentiment of Christie’s quotation. In contrast ‘A Mother in a refugee camp’ and ‘Prayer before Birth’ describe the horror of growing up in a poor environment. ‘Prayer before Birth’ indicates that life is a lottery and it is a matter of luck whether you avoid the hardships and pain of life. However ‘If-’ tries to guide the child away from making mistakes. ‘If,’ describes growing up to be a good and happy person, rather than a fulfilled childhood. ‘Prayer before Birth’ is a dark and disturbing poem written from the point of view of the unborn child who is preaching to God that when he is born, hoping he is not affected by the horrors of society. Macneice s negative views towards current society are shown through the fetus’ spiteful thoughts; in the fifth stanza, Macneice lists how the unborn child wants to avoid ‘bureaucrats’ hectoring him, avoid being laughed at ‘by lovers’ and not be frowned at by ‘mountains’-this portrays how paranoid the fetus is. Not only is he worried about being judged by ordinary people, but also the landscape surrounding him. The influence of nature will affect his unspoilt unborn form, but he should not be looking at it pessimistically. One of the most powerful effects used by Macneice is the repetition of the phrase ‘I am not born yet.’ This emphasises the fact that he has not yetShow MoreRelatedAn Unknown Girl Analysis1379 Wor ds   |  6 Pages↠ A Passage To Africa. (Narrative Article, Literary  Analysis.) 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Ethics Reflections Paper Free Essays

Ethics Reflection Paper Nadine C. Brown STR/581 Strategic Planning and Implementation University of Phoenix Jose L. Hernandez, MBA November 15, 2010 Ethics Reflection Paper During this age of philosophy in which people exercise their freedom of speech and is concerned with their personal development, it becomes a challenge to remain ethical while considering one’s social responsibilities. We will write a custom essay sample on Ethics Reflections Paper or any similar topic only for you Order Now People are striving to become more successful without being dishonest or disrespectful. With more emphasis on moral and ethical issues, equality and fair trade, â€Å"businesses are under pressure to be fair and ethical to satisfy not only government standards, but also consumers, and additionally, to attract more discerning employees† (Hughes, 2010, p. 1). Many factors can affect one’s ethical decision-making process. For example, one’s own values and ideology about right and wrong can make one doubt one’s own beliefs if the outcome is unfavorable. The interaction with family and friends can greatly influence decision-making because of the emotions involved. One can experience conflict with socialization in the community when it goes against one’s religious beliefs. In addition, businesses want to be successful and honest while competing in a struggling economy. Conflict can exist with one’s own values and ethics. Organizations want to remain competitive but also practice honesty with consumers and stakeholders who want to receive a return on their investment. To ensure employees remain ethically aware of the company’s values, obligations to customers, society and stakeholders, organizations should develop a code of ethics and incorporate its principles in its strategic plan. The Importance of Ethics in an Organization A code of ethics incorporated in the strategic plan is especially important for leaders. When leaders make decisions, they must consider the impact their decisions will have on others. â€Å"Leaders are often put in decisions where they must choose among options that vary in their degree of ethical behavior† (Sherwin, 1983, p. 1). This is true because of the competition of priorities. For example, the goal of any organization is to generate a profit for its stakeholders. To reach this goal, some may apply unethical methods to generate that profit, such as increasing proceeds or cutting expenses. On the other hand, the same stakeholders who work and invest in the organization are a part of the general makeup of the community. If cutting costs harms the individuals who make up the community, it would be harming the stakeholders as well. The decision made is then unethical because it is not for the greater good. Therefore, leaders should (Sherwin, 2010, p. 2): 1. Recognize all perspectives when making an ethical decision. . Define who you are, your company and personal values. 3. Don‘t allow personal gains to outweigh the good of the organization. Changes in My Ethical Perspectives While attending University of Phoenix, my ethical perspectives have changed. This is evident when required to write essays. Many essays exist online to be used by all. The decision to avoid using them demonstrates my values of honesty and integrity. The university striv es to keep its student honest by posting its own code of Ethics. Temptations that will allow me to take the easy way out always exist. Because students benefit more from doing their own work, possessing the moral courage to do what is right, even when one is unsure of the results, demonstrates one’s ethical values. According to my William Institute Ethical Awareness Inventory, the results or consequence of my actions stems from my ethical perspective. I know turning in the work of others for my own benefit is wrong and will have consequences that may appear later. Conclusion The pressure of trying to remain ethical to stakeholders and society may result in businesses making unethical decisions. Businesses want to make a profit for stakeholders but may hurt the people in the community in the process. â€Å"Leaders are often put in decisions where they must choose among options that vary in their degree of ethical behavior† (Sherwin, 1983, p. 1). To ensure leaders and employees remain ethically aware of the impact of their decisions; organizations should develop a code of ethics and ncorporate its principles in its strategic plan. As a result, leaders will remain ethically aware of the company’s values and its obligations to customers, society and stakeholders when making decisions. References Hughes, S. (2010). Corporate Social Responsibility and Ethical Business. Retrieved on November 14, 2010 from http://www. squidoo. com/CSR-ethicalbiz Sherwin, D. (1983). Work-Place Ethics. Retrieved on November 15, 2010 from http://www. chsbs. cmich. edu/leader_model/Development/media/Targeted%20Lessons/workplace_ethics. htm How to cite Ethics Reflections Paper, Papers

Orange Peelings free essay sample

Orange Peelings As Air Freshener Abstract Odor Problems are caused by the Normal Stuff of Life. Kittens and puppies don’t arrive in homes housetrained. Mold and mildew like to grow in damp, dark places. Food spoils inside refrigerators. Garbage and other disagreeable things accumulate in floor-mounted heating ducts. Not everyone hits the proper target in the bathroom. In other words, unpleasant odors can take over small areas, large rooms, or entire houses. We found out that the peelings of the orange can give a sweet scent and the salt can absorb bad Odors. Introduction An orange—specifically, the sweet orange—is the citrus Citrus ? ?sinensis (Citrus Sinensis (L. ) Osbeck) and its fruit. [2] It is the most commonly grown tree fruit in the world. [3] The orange is a hybrid of ancient cultivated origin, possibly between pomelo (Citrus maxima) and mandarin (Citrus reticulata). [4] It is an evergreen flowering tree generally growing to 9–10 m in height (although very old speciments have reached 15 m). We will write a custom essay sample on Orange Peelings or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page [5] The leaves are arranged alternately, are ovate in shape with crenulate margins and are 4–10Â  cm long. [6] The orange fruit is a hesperidium, a type of berry. 7] Salt, also known as table salt, or rock salt, is a mineral that is composed primarily of sodium chloride (NaCl), a chemical compound belonging to the larger class of ionic salts. It is essential for animal life in small quantities, but is harmful to animals and plants in excess. Salt is one of the oldest, most ubiquitous food seasonings and salting is an important method of food preservation. The taste of salt (saltiness) is one of the basic human tastes. Statement of the Problem odors are transferred into your breathing air by the heated or cooled air flowing through the ducts. Cleaning the ducts is thus essential, and cleaning out the joints in the ducts is critical. The joints contain much of the material causing the smell, so everything, including the grates, needs to be cleaned and sprayed with an effective odor eliminator Most serious odor problems take weeks, months or years to accumulate. So, expecting to squirt some magic chemical mixture at the contaminated area one time and vanquish the odor problem is not a realistic. It takes a combination of time, effort and the right product to eliminate the odor problem. You have to provide the time and effort and use the right product. Odor elimination products that work do so because they treat the source of the problem rather than masking the smell by introducing a new, more pleasant odor with sprays or candles. Another ineffective odor solution desensitizes the olfactory senses to prevent any odor from being perceived. Effective odor removers will bond with the odor atoms or absorb the smelly gases. There are some odor removers that work by combining these two techniques. In summary, to solve odor problems, you must first treat the source. Find an odor remover that is capable of solving most organic odor problems permanently and you will be rid of the true cause of odor problems. Hypothesis Significance of the study Scope and limitations of the study Definition of terms Review of related literature and studies http://www. divinecaroline. com/33672/40771-true-cause-odor-problems/2#ixzz1UMkSHAaO How to Make an Orange Peel Air Freshener With Salt | eHow. com http://www. ehow. com/how_5583309_make-peel-air-freshener-salt. html#ixzz1UMrdDQe3 Methodology 1. * 1 Cut an orange in half. * 2 Spoon out the oranges pulp. Discard the pulp or place it to the side for orange juice later. 3 Fill the oranges shell with 2 tsp. of table salt. Spread the salt all around the inside of the shell with your finger. * 4 Place the orange shell in a plastic sandwich bag or small plastic bowl. Dont seal the bag if you use one. * 5 Place the plastic bag or bowl on a table, dresser, or other surface in your house so the salt within the orange shell can absorb foul odors and the orange shell can release a orange fragrance throughout your home. * 6 Repeat steps to make additional orange peel air fresheners. Presentation, Analysis and Interpretation of Data Findings or Results Summary, Conclusion and Recommendation

Respiratory free essay sample

It will be most important for the nurse to check pulse oximetry for which of these patients? a. A patient with emphysema and a respiratory rate of 16 b. A patient with massive obesity who is refusing to get out of bed c. A patient with pneumonia who has just been admitted to the unit d. A patient who has just received morphine sulfate for postoperative pain C Rationale: Hypoxemia and hypoxemic respiratory failure are caused by disorders that interfere with the transfer of oxygen into the blood, such as pneumonia. The other listed disorders are more likely to cause problems with hypercapnia because of ventilatory failure. Cognitive Level: Application Text Reference: pp. 1799-1800 Nursing Process: Assessment NCLEX: Physiological Integrity ? 2. The nurse will monitor for clinical manifestations of hypercapnia when a patient in the emergency department has a. chest trauma and multiple rib fractures. b. carbon monoxide poisoning after a house fire. We will write a custom essay sample on Respiratory or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page c. left-sided ventricular failure and acute pulmonary edema. d. tachypnea and acute respiratory distress syndrome (ARDS). A Rationale: Hypercapnia is caused by poor ventilatory effort, which occurs in chest trauma when rib fractures (or flail chest) decrease lung ventilation. Carbon monoxide poisoning, acute pulmonary edema, and ARDS are more commonly associated with hypoxemia. Cognitive Level: Application Text Reference: p. 1800 Nursing Process: Assessment NCLEX: Physiological Integrity ? 3. When a patient is diagnosed with pulmonary fibrosis, the nurse will teach the patient about the risk for poor oxygenation because of a. too-rapid movement of blood flow through the pulmonary blood vessels. b. incomplete filling of the alveoli with air because of reduced respiratory ability. c. decreased transfer of oxygen into the blood because of thickening of the alveoli. Mismatch between lung ventilation and blood flow through the blood vessels of the lung. C Rationale: Pulmonary fibrosis causes the alveolar-capillary interface to become thicker, which increases the amount of time it takes for gas to diffuse across the membrane. Too-rapid pulmonary blood flow is another cause of shunt but does not describe the pathology of pulmonary fibrosis. Decrease in alveolar ventilation will cause hypercapnia. Ventilation and perfusion are matched in pulmonary fibrosis; the problem is with diffusion. Cognitive Level: Application Text Reference: p. 1802 Nursing Process: Implementation NCLEX: Physiological Integrity ? 4. A patient is diagnosed with a large pulmonary embolism. When explaining to the patient what has happened to cause respiratory failure, which information will the nurse include? a. Oxygen transfer into your blood is slow because of thick membranes between the small air sacs and the lung circulation. b. Thick secretions in your small airways are blocking air from moving into the small air sacs in your lungs. c. Large areas of your lungs are getting good blood flow but are not receiving enough air to fill the small air sacs.Blood flow though some areas of your lungs is decreased even though you are taking adequate breaths. D Rationale: A pulmonary embolus limits blood flow but does not affect ventilation, leading to a ventilation-perfusion mismatch. The response beginning, Oxygen transfer into your blood is slow because of thick membranes describes a diffusion problem. The remaining two responses describe ventilatio n-perfusion mismatch with adequate blood flow but poor ventilation. Cognitive Level: Application Text Reference: p. 1802 Nursing Process: Implementation NCLEX: Physiological Integrity ? 5. A patient is brought to the emergency department unconscious following a barbiturate overdose. Which potential complication will the nurse include when developing the plan of care? a. Hypercapnic respiratory failure related to decreased ventilatory effort b. Hypoxemic respiratory failure related to diffusion limitations c. Hypoxemic respiratory failure related to shunting of blood d. Hypercapnic respiratory failure related to increased airway resistance A Rationale: The patient with an opioid overdose develops hypercapnic respiratory failure as a result of the decrease in respiratory rate and depth. Diffusion limitations, blood shunting, and increased airway resistance are not the primary pathophysiology causing the respiratory failure. Cognitive Level: Application Text Reference: p. 1800 Nursing Process: Diagnosis NCLEX: Physiological Integrity ? 6. When assessing a patient with chronic lung disease, the nurse finds a sudden onset of agitation and confusion. Which action should the nurse take first? a. Monitor the patient every 10 to 15 minutes. b. Notify the patients health care provider immediately. c. Attempt to calm and reassure the patient. d. Assess vital signs and pulse oximetry. The nurse needs to collect additional clinical data to share with the health care provider and to start interventions quickly if appropriate (e. g. , increased oxygen flow if hypoxic). The change in the patients neurologic status may indicate deterioration in respiratory function, and the health care provider should be notified immediately but only after some additional information is obtained. Monitoring the patient and attempting to calm the patient are appropriate actions, but they will not prevent further deterioration of the patients clinical status and may delay care. Cognitive Level: Application Text Reference: pp. 1804-1805 Nursing Process: Assessment NCLEX: Physiological Integrity ? 7. A patient with chronic obstructive pulmonary disease (COPD) arrives in the emergency department complaining of acute respiratory distress. When monitoring the patient, which assessment by the nurse will be of most concern? a. The patient is sitting in the tripod position. b. The patient has bibasilar lung crackles. c. The patients pulse oximetry indicates an O2 saturation of 91%. d. The patients respiratory rate has decreased from 30 to 10/min. D Rationale: A decrease in respiratory rate in a patient with respiratory distress suggests the onset of fatigue and a high risk for respiratory arrest; therefore, the nurse will need to take immediate action. Patients who are experiencing respiratory distress frequently sit in the tripod position because it decreases the work of breathing. Crackles in the lung bases may be the baseline for a patient with COPD. An oxygen saturation of 91% is common in patients with COPD and will provide adequate gas exchange and tissue oxygenation. Cognitive Level: Application Text Reference: p. 1804 Nursing Process: Assessment NCLEX: Physiological Integrity ? 8. To evaluate both oxygenation and ventilation in a patient with acute respiratory failure, the nurse uses the findings revealed with a. arterial blood gas (ABG) analysis. b. hemodynamic monitoring. c. chest x-rays. d. pulse oximetry. A Rationale: ABG analysis is useful because it provides information about both oxygenation and ventilation and assists with determining possible etiologies and appropriate treatment. The other tests may also provide useful information about patient status but will not indicate whether the patient has hypoxemia, hypercapnia, or both. Cognitive Level: Comprehension Text Reference: p. 1805 Nursing Process: Assessment NCLEX: Physiological Integrity ? 9. A finding indicating to the nurse that a 22-year-old patient with respiratory distress is in acute respiratory failure includes a a. shallow breathing pattern. b. partial pressure of arterial oxygen (PaO2) of 45 mm Hg. c. partial pressure of carbon dioxide in arterial gas (PaCO2) of 34 mm Hg. d. respiratory rate of 32/min. B Rationale: The PaO2 indicates severe hypoxemia and that the nurse should take immediate action to correct this problem. Shallow breathing, rapid respiratory rate, and low PaCO2 can be caused by other factors, such as anxiety or pain. Cognitive Level: Application Text Reference: p. 1806 Nursing Process: Assessment NCLEX: Physiological Integrity ? 10. While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patients arterial oxyhemoglobin saturation (SpO2) from 94% to 88%. The nurse will a. assist the patient to cough and deep-breathe. b. help the patient to sit in a more upright position. c. suction the patients oropharynx. d. increase the oxygen flow rate. D Rationale: Increasing oxygen flow rate will usually improve oxygen saturation in patients with ventilation-perfusion mismatch, as occurs with pulmonary embolism. Because the problem is with perfusion, actions that improve ventilation, such as deep-breathing and coughing, sitting upright, and suctioning, are not likely to improve oxygenation. Cognitive Level: Application Text Reference: pp. 1802, 1807 Nursing Process: Implementation NCLEX: Physiological Integrity ? 11. A patient with hypercapnic respiratory failure has a respiratory rate of 8 and an SpO2 of 89%. The patient is increasingly lethargic. Which collaborative intervention will the nurse anticipate? a. Administration of 100% oxygen by non-rebreather mask b. Endotracheal intubation and positive pressure ventilation c. Insertion of a mini-tracheostomy with frequent suctioning d. Initiation of bilevel positive pressure ventilation (BiPAP) B Rationale: The patients lethargy, low respiratory rate, and SpO2 indicate the need for mechanical ventilation with ventilator-controlled respiratory rate. Administration of high flow oxygen will not be helpful because the patients respiratory rate is so low. Insertion of a mini-tracheostomy will facilitate removal of secretions, but it will not improve the patients respiratory rate or oxygenation. BiPAP requires that the patient initiate an adequate respiratory rate to allow adequate gas exchange. Cognitive Level: Application Text Reference: pp. 1807-1808, 1810 Nursing Process: Planning NCLEX: Physiological Integrity ? 12. A patient in acute respiratory failure as a complication of COPD has a PaCO2 of 65 mm Hg, rhonchi audible in the right lung, and marked fatigue with a weak cough. The nurse will plan to a. allow the patient to rest to help conserve energy. b. arrange for a humidifier to be placed in the patients room. c. position the patient on the right side with the head of the bed elevated. d. assist the patient with augmented coughing to remove respiratory secretions. D Rationale: The patients assessment indicates that assisted coughing is needed to help remove secretions, which will improve PaCO2 and will also help to correct fatigue. If the patient is allowed to rest, the PaCO2 will increase. Humidification may help loosen secretions, but the weak cough effort will prevent the secretions from being cleared. The patient should be positioned with the good lung down to improve gas exchange. Cognitive Level: Application Text Reference: p. 1809 Nursing Process: Planning NCLEX: Physiological Integrity ? 13. When the nurse is caring for an obese patient with left lower-lobe pneumonia, gas exchange will be best when the patient is positioned a. on the left side. b. on the right side. c. in the high-Fowlers position. d. in the tripod position. B Rationale: The patient should be positioned with the good lung in the dependent position to improve the match between ventilation and perfusion. The obese patients abdomen will limit respiratory excursion when sitting in the high-Fowlers or tripod positions. Cognitive Level: Comprehension Text Reference: pp. 1809-1810 Nursing Process: Implementation NCLEX: Physiological Integrity ? 14. When admitting a patient in possible respiratory failure with a high PaCO2, which assessment information will be of most concern to the nurse? a. The patient is somnolent. b. The patients SpO2 is 90%. c. The patient complains of weakness. d. The patients blood pressure is 162/94. A Rationale: Increasing somnolence will decrease the patients respiratory rate and further increase the PaCO2 and respiratory failure. Rapid action is needed to prevent respiratory arrest. An SpO2 of 90%, weakness, and elevated blood pressure all require ongoing monitoring but are not indicators of possible impending respiratory arrest. Cognitive Level: Application Text Reference: p. 1804 Nursing Process: Assessment NCLEX: Physiological Integrity ? 15. The nurse is caring for a patient who was hospitalized 2 days earlier with aspiration pneumonia. Which assessment information is most important to communicate to the health care provider? a. The patient has a cough that is productive of blood-tinged sputum. b. The patient has scattered crackles throughout the posterior lung bases. c. The patients temperature is 101. The patients SpO2 has dropped to 90%, although the O2 flow rate has been increased. D Rationale: The patients dropping SpO2 despite having an increase in FIO2 indicates the possibility of acute respiratory distress syndrome (ARDS). The patients blood-tinged sputum and scattered crackles are not unusual in a patient with pneumonia, although they do require continued monitoring. The continued temperature elevation indicates a possible need to change antibiotics, but this is not as urgent a concern as the progression toward hypoxemia despite an increase in O2 flow rate. Cognitive Level: Application Text Reference: p. 1815 Nursing Process: Assessment NCLEX: Physiological Integrity ? 16. When caring for a patient who developed acute respiratory distress syndrome (ARDS) as a result of a urinary tract infection (UTI), the nurse is asked by the patients family how a urinary tract infection could cause lung damage. Which response by the nurse is appropriate? a. The infection spread through the circulation from the urinary tract to the lungs. b. The urinary tract infection produced toxins that damaged the lungs. c. The infection caused generalized inflammation that damaged the lungs. d. The fever associated with the infection led to scar tissue formation in the lungs. C Rationale: The pathophysiologic changes that occur in ARDS are thought to be caused by inflammatory and immune reactions that lead to changes at the alveolar-capillary membrane. ARDS is not directly caused by infection, toxins, or fever. Cognitive Level: Application Text Reference: p. 1813 Nursing Process: Implementation NCLEX: Physiological Integrity ? 17. All the following medications are ordered for a mechanically ventilated patient with acute respiratory distress syndrome (ARDS) and acute renal failure. Which medication should the nurse discuss with the health care provider before administration? a. IV ranitidine (Zantac) 50 mg IV b. sucralfate (Carafate) 1 g per nasogastric tube c. IV gentamicin (Garamycin) 60 mg d. IV methylprednisolone (Solu-Medrol) 40 mg C Rationale: Gentamicin, which is one of the aminoglycoside antibiotics, is potentially nephrotoxic, and the nurse should clarify the drug and dosage with the health care provider before administration. The other medications are appropriate for the patient with ARDS. Cognitive Level: Application Text Reference: p. 1816 Nursing Process: Implementation NCLEX: Physiological Integrity ? 18. After prolonged cardiopulmonary bypass, a patient develops increasing shortness of breath and hypoxemia. To determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by left ventricular failure, the nurse will anticipate assisting with a. positioning the patient for a chest radiograph. b. drawing blood for arterial blood gases. Obtaining a ventilation-perfusion scan. d. inserting a pulmonary artery catheter. D Rationale: Pulmonary artery wedge pressure will remain at normal levels in the patient with ARDS because the fluid in the alveoli is caused by increased permeability of the alveolar-capillary membrane rather than by the backup of fluid from the lungs (as occurs in cardiogenic pulmonary edema). The other tests will not help in differentiating cardiogenic from noncardiogenic pulmonary edema. Cognitive Level: Application Text Reference: p. 1815 Nursing Process: Implementation NCLEX: Physiological Integrity ? 19. Which information obtained by the nurse when assessing a patient with acute respiratory distress syndrome (ARDS) who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) indicates a complication of ventilator therapy is occurring? a. The patient has subcutaneous emphysema. b. The patient has a sinus bradycardia, rate 52. c. The patients PaO2 is 50 mm Hg and the SaO2 is 88%. d. The patient has bronchial breath sounds in both the lung fields. A Rationale: Complications of positive-pressure ventilation (PPV) and PEEP include subcutaneous emphysema. Bradycardia, hypoxemia, and bronchial breath sounds are all concerns, but they are not caused by PPV and PEEP. Cognitive Level: Application Text Reference: p. 1816 Nursing Process: Assessment NCLEX: Physiological Integrity ? 20. Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP) to the family members of a patient with ARDS is correct? a. PEEP will prevent fibrosis of the lung from occurring. b. PEEP will push more air into the lungs during inhalation. c. PEEP allows the ventilator to deliver 100% oxygen to the lungs. d. PEEP prevents the lung air sacs from collapsing during exhalation. D Rationale: By preventing alveolar collapse during expiration, PEEP improves gas exchange and oxygenation. PEEP will not prevent the fibrotic changes that occur with ARDS, push more air into the lungs, or change the fraction of inspired oxygen (FIO2) delivered to the patient. Cognitive Level: Comprehension Text Reference: p. 1817 Nursing Process: Planning NCLEX: Physiological Integrity ? 21. When prone positioning is used in the care of a patient with acute respiratory distress syndrome (ARDS), which information obtained by the nurse indicates that the positioning is effective? a. The skin on the patients back is intact and without redness. b. Sputum and blood cultures show no growth after 24 hours. c. The patients PaO2 is 90 mm Hg, and the SaO2 is 92%. d. Endotracheal suctioning results in minimal mucous return. C Rationale: The purpose of prone positioning is to improve the patients oxygenation as indicated by the PaO2 and SaO2. The other information will be  collected but does not indicate whether prone positioning has been effective. Cognitive Level: Application Text Reference: pp. 1817-1818 Nursing Process: Evaluation NCLEX: Physiological Integrity ? 22. A patient with acute respiratory distress syndrome (ARDS) has progressed to the fibrotic phase. The patients family members are anxious about the patients condition and are continuously present at the hospital. In addressing the familys concerns, it is important for the nurse to a. support the family and help them understand the realistic expectation that the patients chance for survival is poor. b. inform the family that home health nurses will be able to help them maintain the mechanical ventilation at home after patient discharge. c. refer the family to social support services and case management to plan for transfer of the patient to a long-term care facility. d. provide hope and encouragement to the family because the patients disease process has started to resolve. A Rationale: The chance for survival is poor when the patient progresses to the fibrotic stage because permanent damage to the alveoli has occurred. Because of continued severe hypoxemia, the patient is not a candidate for home health or long-term care. The fibrotic stage indicates a poor patient prognosis, not the resolution of the ARDS process. Cognitive Level: Application Text Reference: p. 1814 Nursing Process: Implementation NCLEX: Psychosocial Integrity ? 23. The nurse obtains the vital signs for a patient admitted 2 days ago with gram-negative sepsis: temperature 101. 2 ° F, blood pressure 90/56 mm Hg, pulse 92, respirations 34. Which action should the nurse take next? a. Notify the health care provider of the patients vital signs. b. Obtain oxygen saturation using pulse oximetry. c. Document the vital signs and continue to monitor. d. Administer PRN acetaminophen (Tylenol) 650 mg. B Rationale: The patients increased respiratory rate in combination with the admission diagnosis of gram-negative sepsis indicates that acute respiratory distress syndrome (ARDS) may be developing; the nurse should check for hypoxemia, a hallmark of ARDS. The health care provider should be notified after further assessment of the patient. Documentation and continued monitoring of the vital signs are needed but do not constitute an adequate response to the patient situation. Tylenol administration is appropriate but not the highest priority for this patient. Cognitive Level: Application Text Reference: pp. 1813-1814 Nursing Process: Implementation NCLEX: Physiological Integrity ? 24. Which of these nursing actions included in the care of a mechanically ventilated patient with acute respiratory distress syndrome (ARDS) is most appropriate for the RN to delegate to an experienced LPN/LVN working in the intensive care unit? a. Placing the patient in the prone position b. Assessment of patient breath sounds c. Administration of enteral tube feedings d. Obtaining the pulmonary artery pressures C Rationale: Administration of tube feedings is included in LPN/LVN education and scope of practice and can be safely delegated to an LPN/LVN who is experienced in caring for critically ill patients. Placing a patient who is on a ventilator in the prone position requires multiple staff and should be supervised by an RN. Assessment of breath sounds and obtaining pulmonary artery pressures require advanced assessment skills and should be done by the RN caring for a critically ill patient.

Fruitadens - Facts and Figures

Fruitadens - Facts and Figures Name: Fruitadens (Greek for Fruita tooth); pronounced FROO-tah-denz Habitat: Woodlands of North America Historical Period: Late Jurassic (150 million years ago) Size and Weight: About two feet long and 1-2 pounds Diet: Probably omnivorous Distinguishing Characteristics: Exceptionally small size; bipedal posture; possibly feathers About Fruitadens It happens more often than you think, but the fossil specimens of Fruitadens languished for over two decades in museum collections before being meticulously examined. What these paleontologists found made headlines worldwide: a tiny (one or two pounds max), late Jurassic dinosaur that fed opportunistically on any bugs, plants, and any small critters that happened across its path. Fruitadens has proven difficult to classify; it has now been pegged as an ornithopod, and is believed to have been a close (albeit much smaller) relative of the different-toothed dinosaur Heterodontosaurus. (By the way, the name Fruitadens is often mistakenly translated as fruit tooth, but this wee dinosaur was actually named after the Fruita region of Colorado, where its fossil specimens were excavated in the late 1070s.) How could a dinosaur as tiny and inoffensive as Fruitadens survive in late Jurassic North America, home to giant, multi-ton sauropods like Brachiosaurus and fierce predators like Allosaurus? Logically enough, this tiny ornithischian probably adopted a similar strategy as the comparably sized mammals of the Mesozoic Era, scurrying through the underbrush (perhaps at night) and, just possibly, climbing trees to stay out of the way of larger dinosaurs. (In case you were wondering, as tiny as it was, Fruitafossor isnt the smallest dinosaur in the fossil record; that honor belongs to the four-winged Microraptor of early Cretaceous Asia, which was only about the size of a pigeon!)

Pabst Brewing Company action memo Essay Example | Topics and Well Written Essays - 750 words

Pabst Brewing Company action memo - Essay Example Therefore, I think a well-defined technological appliance would be a recipe for the success of the company. PBC would adopt the cloud based solution which focuses on channel of migration of the PBC datacenter to enterprise web based applications and its identification, extracted and channelize clouding activities for effecting clients web based internet speed and data acquisition. For the years PBC has been in business, it has major been offering competency outsourcing production, which focuses on marketing and promotion of services through internet marketing and distribution of data across world wide websites. This company has been and will be operating on virtualized datacenter because this technique has brought numerous changes to the company as far as digital technology is of concerned. Additionally, the company through the ICT department has been working closely with its customers to ensure that it provides the services on time. Concerning our customers, PBC assesses, prepares, and socialize with its clients via social media such as Facebook in order to enable effectiveness and realization of problems that may affect the business. Further, the company utilizes metrics configurations routine initiating cloud computing applications and operations to remove any forms of complexity dilemma. It provides its subscribers with salient margin minder application which assist in balancing inventory market demands on both sales and data integration. Further, the business offers its clients with free and customized six unique application services. This service includes a total of 28GB migration data space, entailing 4,152 files on system drive and 6,644 files on data drive. Some of the articulations that PBC has initiated in its business that favors, and creates conducive environment to its customers are; i. AppZero slashes the time and complexity of migrating complex, enterprise applications. ii. AppZero leaves the source machine and application untouched. iii. It mak es no change to the source application and requires no AppZero software on the source machine. iv. All AppZero software is on the destination machine in the Rackspace cloud. v. AppZero’s speed maximizes the productivity gains possible during limited maintenance windows vi. AppZero effectively stands in as the application subject matter expert in the absence of documentation or institutional knowledge, discovering and reproducing application inter-dependencies. vii. AppZero results in a clean installation build on the destination machine. viii. Identity Essential’s expertise marshaled technologies and talent to effect the migration. ix. The effort carried a big payload. Overhead is minimized; IT costs are decreased/controlled while its agility and flexibility are increased. PBC is now well positioned to use IT too aggressively and effectively provision fast changing business opportunities. Following its service provision to people, the firm has been accredited as the be st service provider for all gateway services, a service that is credited by the government and limited to the third party companies. I would like to state that Rack Mount Company has the freedom to go independent in order to accomplish their goals. I would also like to bring to your attention that some of the IT policies that the company need to