Chapter 32 Nursing Assessment Cardiovascular System Essay

Chapter 32: Nursing Assessment: Cardiovascular System Test Bank MULTIPLE CHOICE 1. After noting a pulse deficit when assessing a 74-year-old patient who has just arrived in the emergency department, the nurse will anticipate that the patient may require a. emergent cardioversion. b. a cardiac catheterization. c. hourly blood pressure (BP) checks. d. electrocardiographic (ECG) monitoring. ANS: D Pulse deficit is a difference between simultaneously obtained apical and radial pulses. It indicates that there may be a cardiac dysrhythmia that would best be detected with ECG monitoring. Frequent BP monitoring, cardiac catheterization, and emergent cardioversion are used for diagnosis and/or treatment of cardiovascular disorders but would not†¦show more content†¦While doing the admission assessment for a thin 76-year-old patient, the nurse observes pulsation of the abdominal aorta in the epigastric area. Which action should the nurse take? a. Teach the patient about aneurysms. b. Notify the hospital rapid response team. c. Instruct the patient to remain on bed rest. d. Document the finding in the patient chart. ANS: D Visible pulsation of the abdominal aorta is commonly observed in the epigastric area for thin individuals. The nurse should simply document the finding in the admission assessment. Unless there are other abnormal findings (such as a bruit, pain, or hyper/hypotension) associated with the pulsation, the other actions are not necessary. DIF: Cognitive Level: Apply (application) REF: USTESTBANK.COM 695 | 697 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 7. A patient is scheduled for a cardiac catheterization with coronary angiography. 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My Paper On Cultural Identity - 1140 Words

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Internet Facebook Use Abuse - 4365 Words

Internet Use and Abuse 1. Statement of the Problem Technology has advanced greatly in the last 20 years. The greatest advancement was the way we communicate. The Internet and Cell-phones have changed the way information is shared, the way we communicate and the way many of us spend our days. I find this all very interesting. I am now 23 and I have witnessed the world change from, house phones and letters, to the Internet and cell-phones. I remember when my family got caller ID for our home phone and I remember when the Internet was slow and nothing but simple text filled websites. I was always good with computer and electronics, even as a kid, my parents could never understand them and I had no problem. As I got into high†¦show more content†¦Only 5 out of 337 participants had a cell-phone, and surprisingly 45 participants had more then one cell-phone (C. Jenaro et al. 312). When asked how much time participants spent per week on their cell-phone, 75% said less than 1 hour per week, and 15 participants used their cell-phone more then 4 hours a week (C. Jenaro et al. 312). This study is from 2006, which is a time when Smartphones were in their infancy, and this is apparent by the study which did not even ask if people surfed the internet on their cell-phones. Only 2 participants (.59%) said that they used instant messaging (Internet based messaging) on their cell-phone (C. Jenaro et al. 312). Facebook Usage A study on Facebook titled A Two-Process View of Facebook Use and Relatedness Need-Satisfaction: Disconnection Drives Use, and Connection Rewards It, showed some very alarming results. According to the study, â€Å"Facebooking has become near-epidemic in college populations (Sheldon, Abad and Hinsch 766). The first part of the study, surveyed 1002 participants from University of Missouri. The participants consisted of 436 males and 563 females. The results showed that 960 out of 1002 participants have a Facebook page, which is more than 95% of the participants. Also out of the 1002 participants, 78% access the site at least twice per day. These results could indicate â€Å"an obsessionShow MoreRelatedSocial Media Sites : A Blessing Or A Curse?1247 Words   |  5 Pagessites is Facebook. With its 1.393 billion active users, Facebook has revolutionized the world of communication.(Facebook statistics). It has been beneficial to both business owners and customers. Facebook has re volutionized the way businesses and customers conduct theie business transactions. Businesses are allowed to create pages to promote their business. Their customers can connect with them to get information on specials and other deals the business might provide. 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The Wanderer Poem - 1122 Words

â€Å"The Wanderer† â€Å"The Wanderer† portrays the current situation of various speakers that are all intertwined. The poem goes into grave detail as to the feelings, hardships, and memories of the various speakers, leaving the reader feeling as if they were actually there. Of course, grave detail is just one of the ways the author puts the reader â€Å"within† the piece. The speaker uses alliteration, caesura, imagery, metaphors, and tone to establish the austere mood of the poem. As the poem unravels with such strong emotion, it pulls the reader in deeper with every line read. In the beginning of the poem, the speaker, or lone-dweller, â€Å"longs for relief† from his exile at sea. As the reader, we can feel the pain he is feeling and in some way can†¦show more content†¦We do not see this unfold until the end, but it is made evident that the speaker has gone through stages of emotion. These stages lead him to his current state at the end of the poem. Through tone we see this shift in the speakers emotion throughout the whole poem. He moves from lonely, exiled and miserable, to reminiscing of his past happiness, to gaining wisdom from his experience, to his final state of contentment and wisdom. The speaker says, â€Å"Therefore no one is wise without his share of winters in the world’s kingdom. A wise man must be patient†¦Ã¢â‚¬  then he leads into explain what traits a wise man must have. He realizes that you gain this wisdo m through hard experiences or â€Å"winters† as he compares it. He realizes that all things fall apart and nothing in this life is permanent. Before the speaker was dwelling in the fact that he was alone and everything he once knew is gone. Now, he has a new outlook: that all things must end, but it does not have to bring endless sorrow. A use of repletion is also used in order for the speaker to get his point across. â€Å"Here wealth is fleeting, here family is fleeting, here human kind is fleeting,† as stated by the speaker to once again explain that this life is not permanent nor are the people, places, and wealth we may experience. The ultimate goal is that of heaven â€Å"where a fortress stands for all†. The speaker embellishes his religious views by saying, â€Å"all will be well for him whoShow MoreRelatedAnalysis Of The Poem The Wanderer 1376 Words   |  6 Pagesinterpretation, The Wanderer lends itself to a depressing and lamenting read from the hands of the poet who wrote the words of a poor and lonely voyager battling against his internal struggle of loneliness and the external force of nature. This wanderer longs for the company he held before battle and death took them away. He has los t his lord and fellow-warriors, the lively mead-halls, and the showers of feasts and treasures. 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The Atlanta Murders Of 1979â€1981, Sometimes Called The

The Atlanta murders of 1979–1981, sometimes called the Atlanta Child Murders (although several of the purported victims were adults), were a series of murders committed in the American city of Atlanta, Georgia, from the middle of 1979 until May 1981. Over the two-year period, at least 28 African-American children, adolescents and adults were killed. Wayne Williams, an Atlanta native who was 23 years old at the time of the last murder, was arrested for and convicted of two of the adult murders, and sentenced to two consecutive life terms. Police subsequently have attributed a number of the child murders to Williams and closed the cases, although he has not been tried or convicted in any of those cases. Police staked out a local river where†¦show more content†¦A witness said she saw Yusuf getting into a blue car before he disappeared. His body was found on November 8 in the abandoned E. P. Johnson elementary school by a school janitor who was looking for a place to uri nate. Bell s body was found clothed in the brown cut-off shorts he was last seen wearing, though they had a piece of masking tape stuck to them. He had been hit over the head twice and the cause of death was strangulation. Police did not immediately link his disappearance to the previous killings. On March 4, 1980, the first female victim, 12-year-old Angel Lenair, disappeared. She left her house around 4 pm, wearing a denim outfit, and was last seen at a friend s house watching the television program Sanford and Son. Lenair s body was found six days later, in a wooded vacant lot along Campbellton Road, wearing the same clothes in which she had left home. A pair of white panties that did not belong to Lenair were stuffed in her mouth, and her hands were bound with an electrical cord. The cause of death was strangulation. On March 11, one week after Lenair s disappearance, 11-year-old Jeffrey Mathis disappeared while on an errand for his mother. 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Dead Poets Archetypes free essay sample

Directors use many different techniques when filming a movie. Unlike other forms of storytelling, movie directors have completely control of what the viewer sees. An author picks words to describe what they see, but most words have multiple meanings. This can lead to confusion about many scenes in numerous books. Stage directors can pick the set, the costumes, and the actors, but what an audience member sees is still up to the work of others. Also, no two shows are ever identical, so you could see a play on a Wednesday, and then go on Thursday and things would happen differently. Films, however, are completely under the director’s control. Once something is filmed and added, it stays that way forever. That is what gives them such great power, but also great responsibility. One of those responsibilities is making their message and theme clear to the audience. This is achieved in Dead Poets Society by the use of the Trickster and Scapegoat Archetypes though Mr. We will write a custom essay sample on Dead Poets Archetypes or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Keating, as well as the Monomyth Archetype through Todd Anderson. The Archetype of the Trickster is one of great importance to both the characters of a film, and the viewers. The Trickster uses elements such as shock and humor to get his message across to the people around him. In the case of film this is to the audience of the picture, and the characters in it. This character is one that can bring humor and entertainment to a film, but most importantly it expresses one the greatest messages the film contains. Without the Trickster the audience would not receive the message in the same manner the characters do. Often when the characters of the film are shocked, the audience is able to feel that emotion, and share in it. If the same message was being conveyed by the Benevolent Guide, then the message would have likely not been made clear, or relevant, to the audience. For the message to be made clear by this Archetype, the audience members would have to be going through the same trials as the characters, which is highly unlikely, making the Trickster a valued and important character in film. In Dead Poets Society, Robin Williams’ character John Keating is the Trickster of the film. Keating takes the seemingly â€Å"cookie-cutter† prep school world and tries to rebel against it. Some of the first scenes of the film are of classrooms with â€Å"normal† teachers teaching students. It is hard to distinguish one teacher from another in the collection of clips. Most are speaking in the same monotone voice, lecturing to their class from the textbook in their hands. Then we are shown Keating. Mr. Keating breaks the rhythm of this orchestrated institution. He does not read directly from a textbook in the front of the classroom. In fact, one of the first things he does is walk out of the classroom and begin speaking to the students in the hallway. He brings them to a wall of pictures and shows them the similarities between the photographed boys and themselves. He then begins to speak to the boys about their similar fates, and how one day they will end up dead just like the boys in the pictures. This first experience with Mr. Keating leaves the boys, and the audience, in a slight state of shock. He presents their world to them in a way that no other teacher has before. This view is one that belittles the schools importance and disagrees with what it stands for. Keating also shocks the students when he has them rip out the beginning of their poetry textbooks, which explains what poetry is and how you should rate it. The students are reluctant to do so at first, possibly thinking that this is a trick. Slowly, though, one by one, they rip out the beginning pages. This is a large step for Keating and for the boys. It shows that Keating is beginning to get through to them, and they are beginning to trust him. Ripping up parts of textbooks goes against everything these boys have been taught their entire academic careers, and it shows great faith and influence on the part of Mr. Keating, for them to do such a thing. This also demonstrates Keating’s relentlessness to break away from the society he and the students are in. This denial of the books teachings is meant to symbolize the school’s teachings and it’s core values. He was once working within the system to achieve his goals, but now he is trying to change the system to meet his standards. Standards that are not agreed upon by those in charge of the school, and contradict the principles it was founded on. The Archetype of the Scapegoat seems to resolve the film. The Scapegoat is expelled from the society that they are in by either those in power, or he becomes so alienated that he leaves voluntarily. John Keating is the perfect example of this archetype as well.

Common cultural novel Essay Example For Students

Common cultural novel Essay Compare After the First Death with Far From the Madding crowd, with special consideration of each authors style and characterisation. I have Recently read two books. The first was Thomas Hardys novel set in the English counrty side during the nineteenth centuary. It told me a story about the arrival of Bathsheba Everdene in the village of Weatherbury to work a large, dilapidated farm that she inherited. In consequent of her inheritence she met a dashing young cavalry officer whom she found herself infanuated with; and also of her growing temptuous realtionship with the shepard-farmer, Gabriel Oak, whom she ends up marrying. The second novel was Robert Cormier, terroist act in America during the twentieth century, upon a bus full of small children and a vunerable high school cheer leader. She story contains not only fear and heroism but a psychological drama of ordinary people who are confronted with extrodinary events. It is in this essay that I am to compare each novel noting there simularities, even though they seem very different, and there extreme differences. Thomas Hardys Far From the Madding Crowd is a political and common cultural novel. It contains a great deal of detail allowing each reader to create a unique interpretation of the scenes described. He has used omnicient 3rd person narative and a simple chronolgical order. This makes the story easier to follow the events at hand. The chronolgy of Far From the Madding Crowd would have been benefical at the time when Hardy wrote as the novel would have been published in chapters with the newspaper. As the novel was written during the time of the industrial revelution, Hardy has taken the opertunity to once again interject comments, analysis, and phylosophical reflection of the concerns of the period. These authorical comments are felt to be on of the facotrs that add to Hardys novels rich texture, as the offer the reader the oppertunity to reflect on the text and its concerns. The interjections are also thought to set the social context of the events of the novel. It is therefore intersting that Hardy has chosen a non sterio-typical main role, Bathsheba Everdene. At the time that the novel is set, women are thought to be the weaker sex. However Bathsheba Everdene is quite the opposite, as she holds are role of authority and respect. She tackles the sterio-typical expectations of fellow farmers and country men at the market in chapter 12 where they are trying to dupe her into buying poor grain. However through this chapter we also see Bathshebas self confident side as she prompots herslef to other men for them to admire her. We get a sense here that her phylosophy it that you can look but u may not touch. Men be such a terrible class of society to look at a body, She said in reply to Liddys comment. On her meeting with Mr Boldwood she finds it rather destresing that he had no noticable desires to woo her. She finds herself in conversation with Liddy to discuss his sense to not waste his time upon her, Later Hardys narative voice invterjects as if Bathsehba and her charms were thin air. This technique to build the character I think works well as it gives us a real life sense of rejection on exquisit characters. Hardy has however used a very sterio-typical character in contrast with Batsheba, Gariel Oak. Even his name oak gives a sense of the type of character he is, and his personality. I say this as he is of the country and it rurally based, bad he is down to earth and you can imagin him being a strong soft countryman. Hardy opens the book with a chapter named Desription of Farmer Oak- An Incident. He is imediately related to the rising sun as his sturucture is described. This makes us voluntery be in favour of Gabriel Oak during his stroy. Hardy has also used yet a nother sterio-typical character, Sergant Troy, whom Bathsheba falls in love with and marries. .u4d5d3c7452b62e484090e0f556bd645d , .u4d5d3c7452b62e484090e0f556bd645d .postImageUrl , .u4d5d3c7452b62e484090e0f556bd645d .centered-text-area { min-height: 80px; position: relative; } .u4d5d3c7452b62e484090e0f556bd645d , .u4d5d3c7452b62e484090e0f556bd645d:hover , .u4d5d3c7452b62e484090e0f556bd645d:visited , .u4d5d3c7452b62e484090e0f556bd645d:active { border:0!important; } .u4d5d3c7452b62e484090e0f556bd645d .clearfix:after { content: ""; display: table; clear: both; } .u4d5d3c7452b62e484090e0f556bd645d { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u4d5d3c7452b62e484090e0f556bd645d:active , .u4d5d3c7452b62e484090e0f556bd645d:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u4d5d3c7452b62e484090e0f556bd645d .centered-text-area { width: 100%; position: relative ; } .u4d5d3c7452b62e484090e0f556bd645d .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u4d5d3c7452b62e484090e0f556bd645d .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u4d5d3c7452b62e484090e0f556bd645d .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u4d5d3c7452b62e484090e0f556bd645d:hover .ctaButton { background-color: #34495E!important; } .u4d5d3c7452b62e484090e0f556bd645d .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u4d5d3c7452b62e484090e0f556bd645d .u4d5d3c7452b62e484090e0f556bd645d-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u4d5d3c7452b62e484090e0f556bd645d:after { content: ""; display: block; clear: both; } READ: How does Shakespeare create excitement and tension in Act 3 Scene 1? EssaySergant Troys, maculine, dominent charatcter contrasts beautifully with the standardised rustic texture to Gabriel Oak as they are the black and white of the male species. Sergant Troys act with his sword to seduce Miss Everdene is a prime example of Troys masculinity and power. As he demonstrates his skill, reactions and his daring nature in such a way it is almost boastful. We find Oaks heroic act to be less daring but more practical, reflecting his character, as his saves the sheeps lives by piercing there stomachs, showing his knowledge and caring side.