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You are the home care nurse who is assessing the home environment of a new patient with a laryngectomy. You visit the patient in the hospital and inform the patient that he will need to arrange for installation of which system in the home?

A patient received CPR during a code. After the code, the nurse can only hear breath sounds in the right lung.  The nurse realizes that this may indicate:

A patient has fallen and fractured several ribs on the left side. Which of the following would the nurse include in the plan of care:  Select all that apply.

The nurse reviews the medication administration record (MAR) for a patient having an acute asthma attack. Which medication should the nurse administer first?

You are doing patient teaching with a patient diagnosed with acute rhinosinusitis. What possible complication would you teach the patient that requires immediate follow-up?

The nurse is caring for a patient who needs education on his medication therapy for allergic rhinitis. The patient is to take cromolyn (Nasalcrom) daily. In providing educational interventions, what is the most important instruction the nurse can give on the action of the medication?

Strong acids or salts denature a protein, the protein loses it’s functions. This is due to the change of the protein’s _________.

 PART II – BONUS QUESTIONS      The following are bonus questions. (Points WILL NOT be deducted, even if you answer the questions wrong.) Read the following news article and answer the questions. How liver responds so quickly to food The finding could help better understand metabolism and some forms of diabetes Source:   Salk Institute  Summary:    Researchers have uncovered how the liver can have a speedy response to food; liver cells store up pre-RNA molecules involved in glucose and fat metabolism. Salk researchers discover how liver responds so quickly to food. Image shows NONO protein immunostained green in liver cells after a meal. Blue indicates cell nuclei. Credit: Salk Institute Minutes after you eat a meal, as nutrients rush into your bloodstream, your body makes massive shifts in how it breaks down and stores fats and sugars. Within half an hour, your liver has made a complete switch, going from burning fat for energy to storing as much glucose, or sugar, as possible. But the speed at which this happens has puzzled scientists — it’s too short a time span for the liver’s cells to activate genes and produce the RNA blueprints needed to assemble new proteins to guide metabolism.  Now, Salk researchers have uncovered how the liver can have such a speedy response to food; liver cells store up pre-RNA molecules involved in glucose and fat metabolism.  “The switch from fasting to feeding is a very quick switch and our physiology has to adapt to it in the right time frame,” says Satchidananda Panda, a professor in the Salk Institute’s Regulatory Biology Laboratory. Their paper “Now we know how our body quickly handles that extra rush of sugar” was published in the journal Cell Metabolism.  It was known that a RNA-binding protein “NONO” was associated in regulating daily rhythms in the body. But Panda’s group wondered whether NONO had a specific role in the liver. They analyzed levels of NONO in response to feeding and fasting in mice. After the animals ate, speckled clumps of NONO suddenly appeared in their liver cells, newly attached to RNA molecules. Within half an hour, the levels of corresponding proteins — those encoded by the NONO-bound RNA — increased.  “After mice eat, it looks as if NONO brings all these RNAs together and processes them so they can be used to make proteins,” says Panda.  When mice lacked NONO, it took more than three hours for levels of the same proteins, involved in processing glucose, to increase. During that time lag, blood glucose levels shot up to unhealthy levels.  Since blood glucose levels are also heightened in diabetes, the researchers think that the mice without NONO may act as a model to study some forms of the disease.  “Understanding how glucose storage and fat burning are regulated at the molecular level will be important for the development of new therapies against obesity and diabetes,” says Benegiamo. (… truncated below) The scientists suggested that NONO may regulate those proteins needed for the after-meal process. By comparing normal and NONO-lacking mice, they proposed that the NONO-lacking mice may serve as a model to study diabetes. Why? Because after the meal, their __________.

“Blood _______ osmotic pressure” is due to the ______ in blood plasma that will pulls fluid into the capillary from tissue.

Catalysts _________.