A 66-year-old female client with a diagnosis of chronic obstructive pulmonary disease (COPD) is admitted to the health care facility. The client gives a history of working in a factory for 35 years and that she thinks the chronic obstructive pulmonary disease was caused by inhaling the fumes from the machines she worked with. Her home is near a major highway that is always congested. The client appears well nourished, does not smoke, and only drinks a glass of wine on social occasions. She has recently retired and is hoping to spend time with her grandchildren. Her concern is that, for the past few days, she has been having difficulty breathing and that she has been coughing but it is nonproductive. She has also felt more tired than usual. At first, she thought it was a cold or the flu but became worried when her chest started to hurt each time, she took a deep breath. Vital Signs on admission: BP 126/82, HR 90, RR 26, Temp. 98°F (36.7°C), Pulse Ox 93%.

You are the nurse caring for this patient. On your mid-day rounds, you notice the following: Vital Signs: BP 100/76, HR110, RR30, Temp 101.3F, Pulse Ox 92%.

You determine that you need to call the physician and prepare an  Identify, Situation, Background, Assessment and Recommendation.(ISBAR) communication form.

Provide one example of a new skill you learned having clinical in the intensive care unit. It could be an intervention, a communication technique, or an assessment skill. Write an essay of about 1000 words.

Define the terms medical sociology and social epidemiology. Then apply social epidemiology to try to solve current global health issues. Write an essay of not less than 1000 words. Apply the functionalist, conflict theorist, and symbolic interactionist perspectives to health issues.

An obese patient who weighs 198 pounds has been diagnosed with a deep vein thrombosis (DVT) in her left leg and needs to be heparinized. The provider orders a bolus of 80 units/kg to be infused now and followed by a maintenance infusion. Solution is labeled as 25,000 units heparin/1000 mL D5W. Ordersareas shown:

1. Heparin bolus at 80 units/kg$$\times 1$$.

2.Run a maintenance rate of 1500 units per hour. What rate should the infusion pump be set at? How many mL/hr?

Explain how you solve the above question.

Reproductive health is critical. What are the nursing roles in knowing reproductive and sexual health in relation to the nursing process? Explain in not less than 1000 words.(Cite reference)