Recent orders
Patient Diagnosis ( lower abdominal pain, nausea and vomiting)
Case
1. A 28-year-old woman complaining of lower abdominal pain, nausea & vomiting. She has
noticed increased white vaginal discharge for 4 days. She is febrile. On pelvic exam, you note
CMT (Cervical Motion Tenderness) and abdominal pain with palpation. Her diagnosis is pelvic
inflammatory disease.
a. What will you prescribe? She is allergic to penicillin. What would you prescribe if she was not
allergic to penicillin?
b. Discuss pathophysiology of the disease or physiology of the organism that the drug(s) are
addressing.
c. Rationales for using the specific orders, emphasize the APRN role in the assessment,
diagnosis, and pharmacological interventions of clients.
d. Indications, contraindications of the drug(s)
e. List the prices of three drugs to treat the selected problem from two different pharmacies.
f. Describe in detail the instructions the patient should receive for the selected drug(s). Write this
at a fifth-grade level.
Instructions to the writer:
-Please don’t take this if its not your subject matter.
-Send me your choice of antibiotics for me to approval before you start writing the paper. Also
indicate what you will give for nausea and for fever.
– Mechanism Of Actions (MOA) on each medication is very important
Nursing Eugenics Reflection Assignment
Points for the assignment: 10
Assignment overview:
This assignment invites you to research the U.S. eugenics movement and compare it with Nazi
eugenics. In the second half of the assignment we are asking you to reflect on the degree to
which eugenics thinking is present in society today using Down’s Syndrome screening and your
response to this. Be sure to respond to the questions below.
Assignment instructions:
Reflection: Compare and contrast the U.S. eugenics movement and Nazi eugenics. Reflect on
what is similar in both movements and what is different. In what ways is the thinking underlying
these movements present in contemporary society? Is this good or bad? Morally praiseworthy or
blameworthy?
Type a 2-page reflective journal entry describing your response (what you were thinking and
feeling) as you read about the U.S. and Nazi eugenics movement. (5 points)
Down’s Syndrome Screening
Read the UpToDate Summary of Down’s Syndrome Screening in the US. available on the
assignment page in 2GU.
• Write a two–three page paper which addresses the following areas: o
How is this testing similar to the eugenics movement of the past? o
How is it different?
o What impact does the current screening have on our society as a whole?
Prepare these as one document and upload them together.
Superfund Hazardous Waste Research Project (Assignment)
The Superfund
Hazardous Waste Research Project
Introduction
The Comprehensive Environmental Response, Compensation, and Liability Act, otherwise
known as the Superfund Law, was written to help clean up sites contaminated with hazardous substances. The Environmental Protection Agency (EPA) is authorized under this law to identify
individuals or corporations responsible for toxic sites and force them to restore them.
To enforce this law, the EPA has created a National Priorities List of sites that are eligible for
funding under this law. This list can be accessed here:
http://cumulis.epa.gov/supercpad/cursites/srchsites.cfm
Finding Local Superfund National Priority Sites
1. Scroll down the page to “State*” and select Texas from the list.
2. Click on “Search” at the bottom of the page.
3. Record sites in Dallas County. Notice 413 Superfund sites exist in Texas. You can sort by
county by clicking on arrow in county column. You can also sort by with an NPL status of “Final
NPL” or “Deleted NPL”. These are sites that are currently, or were formerly designated
Superfund cleanup sites.
Site Name NPL Status
Researching Superfund Site Details
1. Sort by NPL status and look at the sites that have a status of “Final NPL”.
2. You will choose three designated Superfund (NPL) sites with a Final NPL status.
3. For each of the three sites, read the site descriptions and record each of the following: site
description, specific hazardous chemicals found, and whether the site has been remediated yet
or not. Record on the following data table.
*You must fill out the table with sufficient detail to receive full credit.
Site Name Description Chemical Contaminants Current Status
Example
Outboard Marine Corp. Waukegan, IL Hydraulic fluid was dumped into floor drains, which
eventually lead into the nearby harbor and nearby soil. Polychlorinated Biphenyls
Trichloroethene
Vinyl chloride
Coal Tar Plant 1 – Soil cleanup complete.
Plant 2- Soil cleanup not complete.
1.
2.
Site Name Description Chemical Contaminants Current Status
3.
Identifying Toxic Chemicals
1. The Agency for Toxic Substances and Disease Registry (ATSDR) has a toxic substance
database that can be accessed here: http://www.atsdr.cdc.gov/substances/toxsearch.asp
2. Enter the name of one of the toxic chemicals present in a Superfund site above.
Example: Vinyl Chloride
3. Note if this substance is a carcinogen (causes cancer), teratogen (causes developmental
disorders or birth defects), a neurotoxin, an endocrine (hormone) disruptor, if it irritates the skin
or breathing passages, or has developmental effects.
Toxic / Hazardous Chemical Carcinogen Teratogen Neurotoxin Endocrine Respiratory Skin
Irritant Vinyl Chloride X X
