Discuss the impacts of tourism to Hawaii including the positive aspects, the negative aspects, and which economy has to be doing well in order for tourism to do well.

A place in Oregon that goes from central Oregon to Puget Sound, in between Cascade and Coast Ranges; it is a fertile valley which measures 15 – 30 miles across and about 125 miles long is referred to as __________.

Discuss two important places in the Pacific Northwest region that we went over in lecture.

Which nursing care related to peripherally inserted IV catheters can reduce the incidence of catheter-related infections? 

Which nursing care related to peripherally inserted IV catheters can reduce the incidence of catheter-related infections? 

Case Scenario (continued): Mr. Martinez has just completed his scheduled hemodialysis treatment. He reports mild dizziness when standing. His post-dialysis vital signs are: BP: 98/62 mmHg HR: 88 bpm O2 sat: 96% on room air Symptoms: No chest pain or shortness of breath; no confusion. Dialysis notes: The nurse observes minor oozing from the AV fistula site.He is scheduled to be discharged home today and receives outpatient hemodialysis 3 times per week. Question: Matching  Instructions: Determine each discharge teaching point with its appropriate classification. Based on the client’s health status, determine if the nursing actions are appropriate or not appropriate.  

Read the case scenario carefully. Then, answer the following questions based on your clinical judgment and understanding of nursing care for a client with chronic renal failure. Case Scenario: Client Name: Henry MartinezAge: 62Medical History: Hypertension, Type 2 Diabetes Mellitus (15 years), Chronic Renal Failure (diagnosed 2 years ago)Medications: Lisinopril, Metformin, Erythropoietin, Furosemide Chief Complaint: Increasing fatigue, swelling in lower legs, and shortness of breath with minimal exertion. Vital Signs: BP: 168/92 mmHg HR: 92 bpm RR: 22/min O2 Sat: 95% on room air Weight: 88 kg (baseline: 84 kg) Lab Results: BUN: 58 mg/dL Creatinine: 6.1 mg/dL Potassium: 6.3 mEq/L Hemoglobin: 8.2 g/dL GFR: 12 mL/min/1.73 m² Albumin: 2.8 g/dL Question : Multiple Choice Which of the following dietary recommendations is most appropriate for Mr. Martinez?

Read the case scenario carefully. Then, answer the following questions based on your clinical judgment and understanding of nursing care for a client with chronic renal failure. Case Scenario: Client Name: Henry MartinezAge: 62Medical History: Hypertension, Type 2 Diabetes Mellitus (15 years), Chronic Renal Failure (diagnosed 2 years ago)Medications: Lisinopril, Metformin, Erythropoietin, Furosemide Chief Complaint: Increasing fatigue, swelling in lower legs, and shortness of breath with minimal exertion. Vital Signs: BP: 168/92 mmHg HR: 92 bpm RR: 22/min O2 Sat: 95% on room air Weight: 88 kg (baseline: 84 kg) Lab Results: BUN: 58 mg/dL Creatinine: 6.1 mg/dL Potassium: 6.3 mEq/L Hemoglobin: 8.2 g/dL GFR: 12 mL/min/1.73 m² Albumin: 2.8 g/dL Question : Multiple Choice Which of the following dietary recommendations is most appropriate for Mr. Martinez?

Which assessment is the priority when a client with heart failure reports a 9-pound (4-kilogram) weight gain in the past two weeks? 

Case Scenario (continued): Mr. Martinez has just completed his scheduled hemodialysis treatment. He reports mild dizziness when standing. His post-dialysis vital signs are: BP: 98/62 mmHg HR: 88 bpm O2 sat: 96% on room air Symptoms: No chest pain or shortness of breath; no confusion. Dialysis notes: The nurse observes minor oozing from the AV fistula site.He is scheduled to be discharged home today and receives outpatient hemodialysis 3 times per week. Case Study Question: Multiple Choice Which of the following post-dialysis assessments requires immediate follow-up?