Mr. Park remains very SOB, increased upon exertion. Requiring 3-4L 02 via NP. Wheezes throughout lung fields. Coarse crackles to mid-upper fields. Thick yellow sputum. Please encourage coughing. Required 3 x rescue inhaler treatments. Slept very poorly but didn’t want to take Zopiclone. Flat affect. Minimal fluid intake overnight.

CXR is scheduled for this morning at 0830. Blood samples were drawn at 0630 for ordered lab tests. The daughter says will visit today after work. She wants him to stop smoking before he comes home.

Social history Married x 45 years. My wife died 2 years ago of cancer. Immigrated to Canada in 1980. Ran a successful realty and property management business from 1982 to 2012. Now retired and living with his daughter in Burnaby, B.C.

Used to be very involved with the local Korean business association. Enjoys playing cards with his friends and watching sports, but is less involved with these activities for the last few months. Not very physically active. Poor appetite. No alcohol. 1 pack of cigarettes per day. Financially secure.

Discuss the roles and competencies of a doctor of Nursing Practice(DNP).  Advantages and disadvantages of DNP’s role in the health care system? Please provide references of less than 5 years.

As you are walking toward the lunchroom, you pass a computer that has a patient’s health information displayed from the electronic health record (EHR). You are able to clearly see a list of the patient’s medications. What safety measures can the office take to prevent such unintentional disclosure of Protected Health Information?

A client in acute respiratory failure is intubated and placed on mechanical ventilation. The post-intubation arterial blood gas (ABG) results are pH 7.55, PaCO2 29 mm Hg, and PaO2 93 mm Hg. The collaborative healthcare team will MOST LIKELY decide to implement which of the following interventions.

Group of answer choices

Decrease the respiratory rate.

Increase the tidal volume.

Increase the minute volume.

Decrease frequency of ABG analysis.

Based on the examples in Brawley’s (2012) book, describe one way that advocates can influence health policy decisions. (To answer this question, please READ chapter 24, 25 of Brawley, O. W. (2012). How we do harm: A doctor breaks ranks about being sick in America. St. Martin’s Griffin.