This paper is an argumentative essay on Colson Whitehead’s “The Underground Railroad.” This paper should address how the structure helped develop the narrative and its themes. The Theme is Brutality and Violence. Expectations are a thesis that makes an argument about Whitehead’s purpose in constructing a literal underground railroad. Main points that support the “thesis.” Be sure that the organization of the paper is driven by “ideas” not “summary.” Evidence from the novel ONLY, supporting main points through quoting and observation. Works cited page that includes the book only.
Archive for July 10th, 2020
July 10th, 2020 
English and Literature, MLA 
Comments Off on “The Underground Railroad” Brutality and violence “The Underground Railroad” Brutality and violence
July 10th, 2020 APA (edition "APA 6"), Health Care and Life Sciences Comments Off on Case Study: Mr. M. Case Study: Mr. M.
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. M., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.
Case Scenario
Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.
Objective Data
Temperature: 37.1 degrees C
BP 123/78 HR 93 RR 22 Pox 99%
Denies pain
Height: 69.5 inches; Weight 87 kg
Laboratory Results
WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head shows no changes since previous scan
Urinalysis positive for moderate amount of leukocytes and cloudy
Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:
Describe the clinical manifestations present in Mr. M.
Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
Discuss what interventions can be put into place to support Mr. M. and his family.
Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
The grapes of wrath
In the grapes of wrath, Steinbeck uses creative language to effectively portray setting and characterization. Find two examples of a simile, metaphor, or personification in the first eight chapters and explain what it means in the context of a chapter and how it contributes to the novel.
Chinese History
Since 1978 China has experienced an explosive economic growth the world has never seen in its history. Apparently, this impressive growth has exerted a tremendous and diverse impact on changing the Chinese society. First, using weekly readings of the relevant primary sources and other appropriate materials you find elsewhere, please describe the profound social changes as well as serious challenges and problems China has seen and faced over the recent decades. Second, drawing on your analysis and additional sources, please perceive and analyze to what extent Chinas growth has affected your future life, the US-China relations, and the course of world history.
July 10th, 2020 APA (edition "APA 6"), Other Comments Off on One question seems to emerge over and over again in any study of poverty in America. That question is, How can so much poverty, deep poverty even, exist in the richest country in the world? Using statistical data show that the question is legitimate, expl One question seems to emerge over and over again in any study of poverty in America. That question is, How can so much poverty, deep poverty even, exist in the richest country in the world? Using statistical data show that the question is legitimate, expl
One question seems to emerge over and over again in any study of poverty in America. That question is, How can so much poverty, deep poverty even, exist in the richest country in the world? Using statistical data show that the question is legitimate, explain how it happened by analyzing the politics and economics that have played a role in allowing that poverty to exist, and offer corrective suggestions. Try to integrate important peace studies concepts into your answer to show that you know how peace studies and poverty are linked.
American Revolution
Agree or disagree with this. “The revolution created great social changes in American life.”
answer these 2 questions:
1. Explain the ways lie after the revolution changed for different groups of people, and the ways it didn’t change much.
2. Explain how much of a change this was. Great change? Minor change? Explain.
July 10th, 2020 APA (edition "APA 6"), Psychology and Education Comments Off on Cultural Competence Toolkit Cultural Competence Toolkit
In the Valuing Diversity section,
Explain how you can create accepting and respectful environments for different cultural backgrounds and customs, different ways of communicating, and different traditions and values.
Explain how you can foster a home-school partnership.
Describe one diversity activity that you would implement in an environment that families can be a part of.
In the Being Culturally Self-Aware section,
State your cultural competence philosophy.(My philosophy is…I believe that each child is unique , one who needs security, nurturing, stimulating their senses, to grow and mature in all facets of life, physically , socially and emotionally.)
Describe two or three ways to incorporate your philosophy into an understanding and respectful early childhood environment.
Discuss two to three obstacles you might encounter when creating a culturally relevant learning environment.
Identify ways to address these challenges.
In the Dynamics of Difference section,
Develop an activity that you can share with children and families to encourage and support respect for difference and other cultures. Be sure your activity description gives sufficient detail so that families will gain a clear understanding of what they are doing and why they are doing it.
In the Knowledge of Students Culture section,
Describe the types of culturally relevant and anti-bias curriculum you can use in learning environments so families can understand how learning is organized in your early learning setting.
Provide a graphic showing the main components of culturally relevant and anti-bias curriculum.
In the Institutionalizing Cultural Knowledge and Adapting to Diversity section,
Explain how you can adapt to diversity and serve diverse populations in early childhood settings.
Explain how you can apply The NAEYC Code of Ethical Conduct and Statement of Commitment (Links to an external site.) in your work with young diverse learners.
Defend your embrace of the following themes:
Culturally relevant methods
Anti-bias curriculum
Diverse family structures
Multicultural education
2 Credible Sources
July 10th, 2020 APA (edition "APA 6"), Health Care and Life Sciences Comments Off on Module 4 Assignment Module 4 Assignment
Blood transfusions are sometimes required in healthcare. Based on what you know about blood anatomy discuss why a patient would need a transfusion of PRBC (packed red blood cells), plasma, or platelets. A patient with anemia has a pulse oximetry reading in the high 80s, would this be an expected finding, explain?
Mike, 29 years old, was admitted to a community hospital three days ago with weakness and hypotension after sustaining a spider bite while hiking in the woods. Mike has a large hematoma on his left arm where he was bite. He has no prior medical history, no drug allergies, and does not take medication. Mike started to experience moderate respiratory distress, and started oozing blood from his IV sites, nose, and catheter. He is mildly jaundice and his skin is cool. His vital signs include a heart rate of 110 beats per minute and regular blood pressure of 92/44, slightly labored respiratory rate of 22 breaths per minute, and a pulse oximetry reading of 91 percent. What would your initial diagnosis be, explain? What diagnostic test would you order and why? What would you expect the diagnostic test to show? What is the treatment option for the diagnosis?
During natural disasters like hurricanes, when the community is living in shelters, why would there be a concern about a tuberculosis outbreak? What circumstances have led to the spread of drug-resistant tuberculosis? Mary, a nurse, skin test was positive for tuberculosis. Does this mean she has tuberculosis? Explain.
Each year many people go to their family physician with a common cold, but think they have the influenza. Based on symptoms how can you tell if you have a common cold or influenza? What are the causes and treatments for Pneumonia? What is the best way to prevent influenza and pneumonia?
USE OF FORCE INCIDENT FORM
Use the final exam resource from the FBI to create a USE OF FORCE INCIDENT FORM, in MS Word.
Watch the video and read the digital page which is provided, as it discusses how Force is measured, and CATEGORIZED.
YOU will create a USE OF FORCE INCIDENT FORM, and NO real or fictitious crime data is needed to fill the form.
HOWEVER, your ONE-PAGE form will need to include at least 10 Sections as seen on many POLICE DATA USE OF FORCE FORMS, yet your form must at least be originally created by you but mimic a real form.
link https://www.fbi.gov/services/cjis/ucr/use-of-force
July 10th, 2020 APA (edition "APA 6"), Health Care and Life Sciences Comments Off on Case Study: Mrs. J. Case Study: Mrs. J.
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
Describe the clinical manifestations present in Mrs. J.
Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.