The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.

Objective Data

1. Height: 68 inches; Weight 134.5 kg
2. BP: 172/96, HR 88, RR 26
3. Fasting Blood Glucose: 146/mg/dL
4. Total Cholesterol: 250mg/dL
5. Triglycerides: 312 mg/dL
6. HDL: 30 mg/dL

Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
2. Ranitidine (Zantac) 300 mg PO at bedtime.
3. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

1. Assess each of Mr. C.’s functional health patterns using the information given. (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.)
2. What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

Create a discussion post with the instructions below. Should you have any questions, please dont hesitate to contact me. Thanks 

(no plagiarism, APA Style 6th edition, a minimum of 300 words). A link has been provided for guidances/info.

Liability and Risk Management

• Risk management
• Distinguish negligence from malpractice
• Examine the Good Samaritan laws and their   relevance for health care deliverers.

Discussion 3 

List the elements of malpractice and give   examples of each element in professional nursing practice, including ways to   avoid or lessen the potential of future malpractice cases.

https://www.napnap.org/sites/default/files/userfiles/for_providers/NP_Malpractice_FAQ_NSO.pdf

Question 1: Manuscripts of the Early Middle Ages

Before the invention of the printing press, books were copied by hand one at a time by illuminators, and the vellum was often embellished with beautiful calligraphy and intricate patterns and designs.

Using your course textbook locate three examples of illuminated manuscripts from the early Middle Ages. Read about each one in your textbook, course lectures, and through reliable internet resources

First, completely identify each manuscript and/or manuscript page by title, date, and location where it was created.

In a minimum of 2 well-developed paragraphs address the following questions:

1. Who commissioned the creation of the manuscript? Why?
2. What was the purpose of the manuscript?
3. How do the visual characteristics of each manuscript contribute to or enhance its message or meaning?
4. How do the reasons these manuscripts were created compare with religious texts created today?

Be sure to explain your ideas clearly and support them by discussing specific details about each manuscript.

Question 2: Romanesque and Gothic Cathedrals

Both Romanesque and Gothic architecture displayed distinctive characteristics and features. For this assignment, select one example of Romanesque church architecture and one example of Gothic church architecture from your course textbook. Read about each one in your textbook, course lectures, and through reliable internet resources.

First, completely identify the two cathedrals you have selected by name, date, and location.

Then, in a minimum of 3 well-developed paragraphs, address the following questions:

1. What architectural details are evident in each cathedral that make it representative of either the Romanesque or Gothic style?
2. What sort of decoration (interior and exterior) was employed in each cathedral? What was the meaning of the sculptures, paintings, windows that adorned each cathedral?
3. What was the visitor or viewer experience in each cathedral?

Respond to both questions as thoroughly as possible, making sure to use information from the readings and the lectures. All responses should be in complete sentence form, using proper spelling and grammar.

Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?

This assignment is designed to assist you in developing a thoughtful process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so.

This assignment consists of answering each of the questions listed below from the “Political Analysis and Strategies” chapter of your course textbook. Write each question as a new topic area; then follow with a paragraph or two to answer the question. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources, if any used. This project should be no longer than 4 pages.

Let us assume that you are a school nurse in a high school. At a recent school athletic event, a spectator suffered a cardiac arrest in the stands. A coach of the home team went into the high school to fetch the automatic emergency defibrillator (AED) only to find out that it was not readily available. In the meantime, an emergency squad arrived and resuscitated the spectator. On Monday morning, you learn of the absence of the AED only to find out that it had been locked in the custodian’s closet. Reflect on the following questions outlined in the “Political Analysis and Strategies” chapter:

• What is the issue?
• Is it my issue, and can I solve it?
• Is this the real issue or merely a symptom of a larger one?
• Does it need an immediate solution, or can it wait?
• Is it likely to go away by itself?
• Can I risk ignoring it?
• What are the possible solutions? Are there risks to these solutions?
• What steps would you need to take in order to solve the issue?
• Does anyone else at the school need to be involved in the solution?
• Where is the power leverage in the school to reach the preferred solution?

Reaching a solution requires the use of power vested in the nurse. Review Box 9-1 (Sources of Power) and determine which type(s) of power the school nurse has in this situation. State your reasons for your answer.

Submission Details:

• Submit your response in a 4-page Microsoft Word document.
• Name your document SU_NSG4068_W4_Project_LastName_FirstInitial.doc.
• Submit your document to the Submissions Area by the due date assigned.
• Cite sources in the APA format on a separate page.