A 52-year-old obese Caucasian male presents to the clinic with a 2-day history of fever, chills, and right great toe pain that has gotten worse. The patient states this is the first time that this has happened, and nothing has made it better, and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. Past medical history positive or hypertension treated with hydrochlorothiazide and kidney stones. Social history negative for tobacco use but admits to drinking “a fair amount of red wine” every week. General appearance: Ill-appearing male who sits with his right foot elevated. A physical exam is remarkable for a temp of 101.2, the pulse of 108, respiration of 18, and BP of 160/88. The right great toe (first metatarsal phalangeal [MTP]) is noticeably swollen and red. Unable to palpate to assess a range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 14,000 mm³ and uric acid 8.9 mg/dl. The APRN diagnoses the patient with acute gout.

Question 1 of 2:

Describe the pathophysiology of gout.

Explain why a patient with gout is more likely to develop renal calculi. 

Develop a personal nursing philosophy narrative as to how your life moved towards meeting that goal of becoming a nurse.

In a 3-4 page, double-spaced, typewritten document, please respond to the following:

• Begin your paper with why you wanted to become a nurse

• Develop a narrative as to how your life moved along towards meeting that goal of becoming a nurse.

Include any work experiences (volunteer work, hospital, MD office, healthcare facility) that reinforced your desire to become a nurse and why.

What educational preparation has already taken place in your life prior to entering a formal nursing program? Were there any particular people or nurses who influenced your decision to become a nurse and what was the nature of that influence?

What plans did you make to become a nurse that either was delayed or actually occurred as planned? What keeps you focused on completing the program especially when obstacles present themselves? What has been the greatest sacrifice you have made to become a nurse?

• In the time you have been involved in nursing activities, what has given you the greatest satisfaction and why?

• How has the current healthcare arena affected your feelings about being a nurse?

• Look at the QCC statement of philosophy of nursing.

• Write a statement of your philosophy of nursing that should include the four (4) meta paradigms of client, health, environment, and nursing. What are your beliefs about the client? How do you define health? In your opinion, what makes up the environment? How does nursing impact all of these? NB. Philosophy of Nursing can be found in your STUDENT HANDBOOK located under “Course Information.”

• How is your philosophy the same as or different than the QCC philosophy of nursing? • What nursing theory/theorist has influenced your personal philosophy the most and why?

• What will finally becoming a professional registered nurse mean to you?

• Where do you see yourself five years after graduation?

Here is the nursing school’s Philosophy: Philosophy of the Department of Nursing The philosophy of the Department of Nursing is based upon the relationships among the concepts of the individual/ patient, environment, health, and nursing. The Individual is a biopsychosocial and spiritual being who functions within the context of the family, culture, and community.

Individuals have basic physiological, psychosocial, and developmental needs across their lifespans. These needs must be fulfilled in order for a state of health to exist. An individual or group of individuals becomes a Patient upon entry into a healthcare system for assistance in achieving maximum self-care potential.

The Environment is the aggregate of biological, physical, spiritual, social, and cultural conditions that influence the life of the patient. The health of the patient is affected by the local and global environment. Health is living within one’s environment while achieving the greatest level of functioning.

Therapeutic support of the patient leads to a state of health, wholeness, well-being, and integrity in the individual. The ability to maintain optimum wellness varies among individuals based on developmental stage, life experiences, health alterations, level of knowledge, values, culture, and environment.

Alterations emerge when the individual cannot meet their needs as a result of disease, injury, or life cycle events. When individuals cannot meet their own needs, they have the right to receive patient-centered assistance in moving toward their highest level of functioning and health.

Summarize the genitourinary Infections or Disorders in terms of etiology, pathogenesis, clinical picture, diagnosis, and treatment rationale.

This summary should cover the following genitourinary infections:

UTI: cystitis & pyelonephritis

Genital infections: Chlamydia, gonorrhea

For each one of these 2 categories (UTI & Genital infections) discuss the following:

1. Etiology:

The organisms causing these infections, route of transmission, risk factors.

2. Clinical Picture:

Signs& symptoms of these infections and possible complications

3. Diagnosis:

Labs and tests to diagnose these infections.

This is the textbook for information:

McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473

Please help me to complete this nursing diagnosis. Anxiety related to change in health status As evidence by (need help with the evidence by) subjective data

Create a training script demonstrating your understanding of bodybuilding training principles for one of the phases of a training program (Foundational Training phase, Hypertrophy training phase, or Cutting training phase). The training script should be completed within the following guidelines:

State your name, school, or association that you work for.

State the training phase that you are designing the program for.

Outline the layout of the training program for one training day. (NOTE: Training program should be specific to one of the aforementioned phases of training.) Provide an explanation describing how your recommendations are specific to the phase of training that you have chosen to design the program for.

Provide thorough descriptions of the coaching cues you would use for each exercise that you recommend. For instance, if you recommend that the athlete should perform a front squat, state the coaching cues you will use to get the athlete to perform the movement properly. These coaching cues should be written in a narrative format. The reviewer should be able to read your script and get a mental image of what is trying to be relayed.

The training script should be for one training day.

. Include both a warm-up and cool-down routine with coaching cue descriptions for each drill.