Picking Summer Strawberries free essay sample

In a world which seems to spin on a hyperactive axis,the slow act of picking fruit has taught me to appreciate just how beautiful lifecan be. At the height of summer, my mothers garden is a sumptuous mix ofcolorful perennials and vegetables. One of my favorite things to do is walkbarefoot in the garden and feel the warm dirt squishing between my toes. Thispleasant diversion, however, must be taken with caution, because my mother may behidden in the corn patch or tall perennials. This is her kingdom, and if she seesa subject lolling about, she will command help with weeding or picking. Picking fruit, however, isnt that horrible a chore. Sometimes my mother willcall my father, sister and me out to pick strawberries. It wont take but 15minutes if we all help, she tells us. This family effort produces baskets fullof sweet, fresh fruit, which we all enjoy. We will write a custom essay sample on Picking Summer Strawberries or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page While picking, I feel close tothe earth which yields almost all the goods I enjoy every day. It is easy toforget this vital connection. I also am close to people I love and love spendingtime with. The 15 minutes with my family on these days calm my mind and help mefocus on important things, not just the everyday nuisances that sometimes consumeme. It helps me regain my center.

The Catcher in the Rye free essay sample

The Catcher in the Rye Like any good artist, authors must leave room for interpretation in their work. Symbolism provides readers with a chance to read between the lines and further interpret the literature. J. D. Salinger creates depth in his novel, The Catcher in the Rye, through the use of symbolism. By looking deeper into the symbols of the novel readers understand the true message he wishes to convey. The novel contains many symbols which give insight into Holdens views and feelings; these symbols include Holdens hunting hat, his fascination with the duck pond, and the use of the title The Catcher in the Rye. Holdens hunting hat is a distinct part of his identity as a character. Holden frequently wears the hat, despite its different and unconventional appearance. The hat stands for Holdens uniqueness and individuality. The bright red color of the hat also serves as a symbol. We will write a custom essay sample on The Catcher in the Rye or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page When Holden remembers Allie he often talks about his bright red hair. He also connects this color to Phoebe, who shares the same hair color. Holden uses the hat as a symbol of his siblings that he loves dearly. He wears the hat as a way to feel connected to them. Phoebe knows the importance of the hat and gives it back to Holden even though she thinks he will leave her. Then what she did-it damn near killed me-she reached in my coat pocket and took out my red hunting hat and put it on my head(Salinger 274). Holdens hat concretely represents him, whereas the pond more symbolically represents his youth and fear of change. The frozen pond and the migration of the ducks symbolize many things. Holdens curiosity about the duck pond shows his inner youth. Like a child, he constantly questions where the ducks go during winter. I was thinking about the lagoon in Central Park I was wondering if it would be frozen over when I got home, and if it was, where did the ducks go (Salinger 18)? The ducks leave every winter but return in the summer; this shows him that nothing remains permanent. Ever since Allies death Holden fears change and disappearance. The constant changing of the pond and ducks show how not even trauma lasts forever, life continues. The pond is not the only symbol representing youth, the title The Catcher in the Rye symbolizes youths innocence. Holden says he wants to be The Catcher in the Rye, meaning he wants to protect the innocence of youth. I keep picturing all these little kids playing some game in this big field of rye And Im a standing on the edge of some crazy cliff. What I have to do, I have to catch everybody if they start to go over the cliff (Salinger 224). This represents how he wants to protect children from falling out of innocence. Holden views the adult world as completely phony and harsh. This causes him to want to save ch ildren, such as his sister, from these harsh realities. Considering the title, the symbol of holden as the catcher in the rye serves as the most important symbol in he novel. Evidence throughout the novel shows Salinger put great emphasis on the title as a symbol. Through analyzing the symbols of Holdens hat, his curiosity about the duck pond, and him as the catcher in the rye, readers obtain an in depth view on him as a character. These symbols give readers a deeper insight into the many messages Salinger conveys in the novel. They also provide readers with proof of the unique complexity of The Catcher in the Rye. Salinger put the symbols in the novel to allow room for individual interpretation. In return this makes the novel all the more intriguing and much more appealing to the reader. The Catcher in the Rye free essay sample An analysis of J.D. Salingers The Catcher in the Rye focusing on Holden Caulfield, the main character in the novel. The following paper examines how the character of Holden Caulfield still reminds us that cynicism and self-doubt are not characteristics that are proprietary to adults. The writer examines how teen-age Holden is cynical, defiant, and blind to what is actually going on around him, yet to the very end of the novel he continues to berate the phoniness of others, particularly adults. The irony of Holdens seeing the faults and foibles of others while not being able to recognize them in himself is Salingers comment on the way society views the human condition . This paper discusses how society always views the human condition as the other guy. The novel begins with Holden proving this point: Were introduced to Holden by his telling us that he doesnt want to talk about his lousy childhood he doesnt feel like going into it (Salinger 1). We will write a custom essay sample on The Catcher in the Rye or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Holden is self-destructing but doesnt realize it because hes so intent on blaming everyone else for his problems. These psychological battles within Holdens own head serve as the basis for critical argument. As we read and learn more about Holdens situation, we must accept that society does indeed fail us because the finger is always pointed toward someone other than ourselves, whether its to help someone in need or accept that we ourselves need help. Holdens character has sometimes been criticized for possessing the same characteristics he abhors in other people, but that, as I see it, is the point he is a teenager and as such, rather self-centered. He doesnt choose to see that the very qualities he finds fault with in other people.

Pronounce the French R Perfectly

Pronounce the French R Perfectly The French letter r is one of the two most difficult sounds in French to pronounce for most people (u is the other one). The r is a kind of raspy sound pronounced in the back of the throat. There is no equivalent sound in English. Take a look at step-by-step instructions on how to pronounce the French r. French R Words Hear different r words and their correct pronunciation in French:   Ã‚  Ã‚  ronronner: to purr  Ã‚  Ã‚  rouge: red  Ã‚  Ã‚  crà ©neau: gap  Ã‚  Ã‚  farine: flour  Ã‚  Ã‚  sucre: sugar  Ã‚  Ã‚  frà ¨re: brother Many French students have trouble with the letter  r. Follow step-by-step instructions  to learn how to pronounce the French r: Open your mouth.Close your throat as if youre going to gargle or to avoid swallowing a mouthful of liquid, and say  k  carefully, several times.Pay attention to where in your throat the k sound is made. Well call this the  K place.Begin slowly closing your throat until you can almost feel the K place. Your throat should be only partially constricted.Tense the muscles around the K place.Gently push air through your partially-constricted throat.Practice saying ra-ra-ra (where r steps 4-6) every day. Tips Try not to think of this letter as an r. The French r is nothing like the  English r  (pronounced in the middle of the mouth) or the  Spanish r  (pronounced in the front of the mouth). The French r is pronounced in the throat. The French r sounds a lot like the ch sound in Loch Ness and the kh in Arabic transcription, as in Khalid. Remember that practice makes perfect! Sources R. Lawless English, 2019. R. Spanish Consonant, Lawless English, 2019.

The Necessity of Mythology in the Classroom

The Necessity of Mythology in the Classroom Free Online Research Papers Mythology, a necessity in the classroom, as it provides vital tools for teachers and children to learn so much from. It incorporates so many things that prove essential to a childs development. The positive things that come from mythology make such a great impact on young children to last them a lifetime. Mythology seems like a normal way to involve the student. Most children love to hear and read myths because they offer some sort of adventure. The large amount of positive things that come from mythology surprise many people. Students can gain good role models to look up to not just movie stars and sports stars but heroes from mythology. Children love to read about heroes because of all the excitement. Heroes are important to children. A child’s definition of a hero has changed slightly over the past few years and they now look for heroes that have super powers, extreme bravery, and on the side of good. These heroes typically go out on a quest and end up fighting evil. Heroes like Heracles and Odysseus exemplify the term hero in many ways. Many students should recognize Hercules as a major hero from previous experience such as television shows or movies. Odysseus’ most famous for coming up with the idea of building the Trojan Horse and constructing that particular plan of attack. Children may not recognize his name but should have heard something about the Trojan Horse. By including these prominent figures in a lesson plan one could possibly catch the attention of many students and spark their interests. In sparking a child’s interest, a teacher increases their likelihood for success in mastery of all objectives for the lesson plan. Students can learn many great life lessons from the study of mythology as many of the stories have underlying meanings or lessons to learn. One major life lesson learned from mythology revolves around the concept of right from wrong. My characters in these stories face this dilemma on a daily basis. In Antigone, Antigone must decide wrong from right in the decision to bury her brother and die or leave him be. She chooses to bury her brother and before they could kill her she kills herself. This is an example of the choices that some people had to make for themselves. Another important aspect to understand is the concepts of fate and luck as they exist in society today. Many characters in mythology seemed to possess a sense of luck and had a good feeling for their fate and purpose in this world. Students need to be aware of these concepts which are definitely instilled in mythology without being the overall message of the story. Discussing issues such as morality need to begin at an e arly age because children need to have morals or principles to live their lives by. The fields of study taught with the use of mythology are widespread in subject. One that comes to mind would use history or multicultural education as the subject. A teacher could ask her students to find a god from the different types of mythology such as Norse, Roman, or Greek. Students can integrate the use of technology by researching a particular god or goddess and give a presentation to the class. Their presentations could be as simple as a report or as elaborate as a short story. Teachers should encourage them to dress like the god or goddess or talk like him or her. This activity is very hands on and fun which will surely spark some creativity and deep thought. This should encourage students to learn and study topics like early beliefs and to give them the ability to believe in themselves and their creative work. Reading mythology is an easy way to stimulate students in class. They usually enjoy them more than expected by teachers. Students seem to enjoy them because they have a great story structure. For the most part myths do not drag on forever so they keep the attention of their audience. If a child has a genuine interest in mythology then often they advance in their reading ability without even noticing. The students can all read or listen to and understand the stories of the myths. Children relate the stories to things happening in modern society to make more sense of them. Often times children that read about all of these tragic times gain a better understanding and appreciation for their own life. Astronomy can integrate mythology into a lesson about constellations and planets. Many constellations and planets got their name from gods and goddesses from mythology. This would prove successful as a lesson plan for studying stars and planets. The students would even enjoy a field trip to the local planetarium to learn more about constellations and planets and where they got their names from. I know of one constellation that is very interesting, Orion’s belt, it consists of four stars that make an x and three stars in the middle to make the belt. Writing and Art can also incorporate mythology in their lessons. The abundance of childrens books which contain one single myth is phenomenal. These books have the best illustrations. It opens up so many opportunities for creative writing and artwork. Students could examine the childrens books for how the author used creativity to make the story exciting. The students could examine the art work and perhaps incorporate art into their own myths. The wide varieties of things to write creatively about mythology could go on forever. For a creative writing assignment students could choose a god or goddess to research. Then prepare a monologue to share with the class as they try to guess which person you are. The study of mythology arises as an important aspect of today’s society in many places and things we do. Many companies are related to mythology in some way for example, Ajax was a Greek warrior in the Trojan War, who cleaned up in battle and today is a popular household cleaner. Apollo was the God of music and the Apollo Theater, a famous music hall, stays alive in New York City. Midas was the King with the golden touch, who transformed all he touched to gold and now Midas refers to a famous muffler and brake chain of service stations. One of the more likely resemblances to mythology, inhabitants of the city that got destroyed by the Greeks during the Trojan War; the Trojans. In society today if someone says Trojan people think of the maker of condoms and birth control products. Myths exist in every culture around the world. Mythology has shaped art and music in today’s world. Research Papers on The Necessity of Mythology in the ClassroomStandardized TestingEffects of Television Violence on ChildrenPersonal Experience with Teen PregnancyHarry Potter and the Deathly Hallows EssayWhere Wild and West MeetComparison: Letter from Birmingham and CritoRelationship between Media Coverage and Social andHip-Hop is ArtThree Concepts of PsychodynamicInfluences of Socio-Economic Status of Married Males

Chemistry Essay Example | Topics and Well Written Essays - 1000 words

Chemistry - Essay Example In this conformation there is no steric strain and no torsional strain. Due to the migration of electrons towards the more electronegative nucleus in a bond between two different elements the molecules become polarized. In larger molecules a number of poles form and this causes some parts of the molecule to attract and some to repel each other. In the butane molecule both ends of the molecule are rotating around the C-C bond and take different configurations (these are constantly changing. Steric strain is caused by the crowding together of groups – as explained above the groups are forced to approach each other till they touch, but because of their similar polarity they are under forces of repulsion also. This leads to the molecule possessing extra potential energy, this energy is called steric strain. a. In 1870, Markonikov laid down a basic principle of chemistry that holds till today. The Markonikov Rule states that when a hydrogen halide (Hydrochloric acid, HCl being an example) reacts with an asymmetrically substituted alkene the hydrogen attaches itself to the carbon atom that has the larger number of its hydrogen atoms substituted. The halogen automatically attaches itself to the carbon atom having the least number of its hydrogens substituted. An example of such an addition reaction: b. Enantiomers are two molecules of the same chemical that are the mirror image of each other, like our hands, they are similar but yet not the same and can not be superimposed on each other. Such molecules are called Enantiomers. They are not isomers and are not different from each other in any way except in their configuration. c. An Emperical formula gives the proportion of the constituent elements in the molecule but does not give the exact composition of the molecule. The empirical formula represents the mole fraction/ ratio of each element in the compound. For example the empirical formula may show that there is hydrogen and

Literacy narrative in context Essay Example | Topics and Well Written Essays - 750 words

Literacy narrative in context - Essay Example In his narrative text, Baca recalls that â€Å"From the time I was seven; teachers had been punishing me for not knowing my lessons† (Baca, 3). Nevertheless, that limitation did not stop him from becoming a high caliber writer, despite Baca’s recollection that â€Å"Ashamed of not understanding and fearful of asking questions, I dropped out of school in the ninth grade† p4. Therefore, my essay, â€Å"Growing Up and How I Did It† can be written better, through the extensive application of personal experiences, explained into details to form a complete life narration that can then comprise a narrative. Jimmy Baca’s text presents the elaborate way through which personal experiences and the components of a person’s life can be transformed into an inspiring and motivational content, which then can be applied by others to gain insights on how to make accomplishments in life, even without having sufficient resources at an individual’s disposal (Baca, 4). However, it is the text, â€Å"A Rationale of Textual Criticism† by Tanselle, which introduces new insights on how constructive criticism can be applied to make a written work of literature better, through applying either the positive or the negative approach to improve a written piece of work (Tanselle 20). Therefore, through the application of positive criticism, my essay c an be improved into an interesting story, considering that my writing experiences are unique in the sense that I learnt writing early while still in the kindergarten, which is not a requirement for children in this class. Through positive criticism as discussed by Tanselle, the early writing desire can be a basis of developing a narrative that revolves around many other unique or extraordinary experiences and characteristics, which then can form a basis of a motivational and inspiring text, like the one developed through Jimmy Baca’s personal life experiences, but only when combined with further constructive imagination (Tanselle, 33).. Tanselle has reduced this whole concept by stating that â€Å"those most emphatic in holding that the meaning of literature emerges from a knowledge of its historical context†¦are in fact hindering their progress toward their goal† p34. Writers are destined to fail in developing some influential piece of written literature, â€Å" if they do not recognize that artifacts may be less reliable witnesses to the past than their own imaginative reconstructions† (Tanselle 34). Additionally, negative criticism can also be applied to improve my essay and develop it into a reasonable and inspiring narrative text, considering the much resources and opportunities I have at my disposal, yet there is nothing to show for it. Through placing the wasted opportunities into perspective, such as the time wasted during my childhood playing tag with my friends and the access to valuable resources that I have heard in the course of my school life for sharpening my writing skills, the experiences can be drawn to form a narrative that advises others against misusing or underutilizing the valuable resources at their disposal. This would then form an impressive narrative, which will change the notion that I do not have adequate writing skills, as portrayed in my essay, â€Å"Growing Up and How I Did It†. Tanselle rightly p uts it that â€Å"the act of reading or listening to receive a message from the past entails the effort to discover, through the text (or texts) one is presented with†, p18. This is an indication that through the application of sufficient effort towards discovering the content of the past, there is the

Nursing questions Essay Example for Free

Nursing questions Essay The nurse is performing her admission assessment of a patient. When grading arterial pulses, a 1+ pulse indicates: Above normal perfusion. Absent perfusion. Normal perfusion. Diminished perfusion. Murmurs that indicate heart disease are often accompanied by other symptoms such as: Dyspnea on exertion. Subcutaneous emphysema. Thoracic petechiae. Periorbital edema. Which pregnancy-related physiologic change would place the patient with a history of cardiac disease at the greatest risk of developing severe cardiac problems? Decrease heart rate Decreased cardiac output Increased plasma volume Increased blood pressure The priority nursing diagnosis for the patient with cardiomyopathy is: Anxiety related to risk of declining health status. Ineffective individual coping related to fear of debilitating illness Fluid volume excess related to altered compensatory mechanisms. Decreased cardiac output related to reduced myocardial contractility. A patient with thrombophlebitis reached her expected outcomes of care. Her affected leg appears pink and warm. Her pedal pulse is palpable and there is no edema present. Which step in the nursing process is described above? Planning  Implementation Analysis Evaluation An elderly patient may have sustained a basilar skull fracture after slipping and falling on an icy sidewalk. The nurse knows that basilar skull factures: Are the least significant type of skull fracture. May have cause cerebrospinal fluid (CSF) leaks from the nose or ears. Have no characteristic findings.  Are always surgically repaired.  Which of the following types of drugs might be given to control increased intracranial pressure (ICP)? Barbiturates Carbonic anhydrase inhibitors Anticholinergics Histamine receptor blockers The nurse is teaching family members of a patient with a concussion about the early signs of increased intracranial pressure (ICP). Which of the following would she cite as an early sign of increased ICP? Decreased systolic blood pressure Headache and vomiting Inability to wake the patient with noxious stimuli Dilated pupils that don’t react to light Jessie James is diagnosed with retinal detachment. Which intervention is the most important for this patient? Admitting him to the hospital on strict bed rest Patching both of his eyes Referring him to an ophthalmologist Preparing him for surgery Dr. Bruce Owen, a chemist, sustained a chemical burn to one eye. Which intervention takes priority for a patient with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist. Administer a cycloplegic agent to reduce ciliary spasm. Immediately instill a tropical anesthetic, then irrigate the eye with saline solution. Administer antibiotics to reduce the risk of infection The nurse is assessing a patient and notes a Brudzinski’s sign and Kernig’s sign. These are two classic signs of which of the following disorders? Cerebrovascular accident (CVA) Meningitis Seizure disorder Parkinson’s disease A patient is admitted to the hospital for a brain biopsy. The nurse knows that the most common type of primary brain tumor is: Meningioma. Angioma. Hemangioblastoma. Glioma. The nurse should instruct the patient with Parkinson’s disease to avoid which of the following? Walking in an indoor shopping mall Sitting on the deck on a cool summer evening Walking to the car on a cold winter day Sitting on the beach in the sun on a summer day Gary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. This type of aphasia is known as: Receptive aphasia Expressive aphasia Global aphasia Conduction aphasia Kelly Smith complains that her headaches are occurring more frequently despite medications. Patients with a history of headaches should be taught to avoid: Freshly prepared meats. Citrus fruits. Skim milk Chocolate Immediately following cerebral aneurysm rupture, the patient usually complains of: Photophobia Explosive headache Seizures Hemiparesis Which of the following is a cause of embolic brain injury? Persistent hypertension Subarachnoid hemorrhage Atrial fibrillation Skull fracture Although Ms. Priestly has a spinal cord injury, she can still have sexual intercourse. Discharge teaching should make her aware that: She must remove indwelling urinary catheter prior to intercourse. She can no longer achieve orgasm. Positioning may be awkward. She can still get pregnant. Ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with halo traction. When caring for the patient in halo traction, the nurse must: Keep a wrench taped to the halo vest for quick removal if cardiopulmonary resuscitation is necessary. Remove the brace once a day to allow the patient to rest. Encourage the patient to use a pillow under the ring. Remove the brace so that the patient can shower. The nurse asks a patient’s husband if he understands why his wife is receiving nimodipine (Nimotop), since she suffered a cerebral aneurysm rupture. Which response by the husband indicates that he understands the drug’s use? â€Å"Nimodipine replaces calcium.† â€Å"Nimodipine promotes growth of blood vessels in the brain.† â€Å"Nimodipine reduces the brain’s demand for oxygen.† â€Å"Nimodipine reduces vasospasm in the brain.† Many men who suffer spinal injuries continue to be sexually active. The teaching plan for a man with a spinal cord injury should include sexually concerns. Which of the following injuries would most likely prevent erection and ejaculation? C5 C7 T4 S4 Cathy Bates, age 36, is a homemaker who frequently forgets to take her carbamazepine (Tegretol). As a result, she has been experiencing seizures. How can the nurse best help the patient remember to take her medication? Tell her take her medication at bedtime. Instruct her to take her medication after one of her favorite television shows. Explain that she should take her medication with breakfast. Tell her to buy an alarm watch to remind her. Richard Barnes was diagnosed with pneumococcal meningitis. What response by the patient indicates that he understands the precautions necessary with this diagnosis? â€Å"I’m so depressed because I can’t have any visitors for a week.† â€Å"Thank goodness, I’ll only be in isolation for 24 hours.† â€Å"The nurse told me that my urine and stool are also sources of meningitis bacteria.† â€Å"The doctor is a good friend of mine and won’t keep me in isolation.† An early symptom associated with amyotrophic lateral sclerosis (ALS) includes: Fatigue while talking Change in mental status Numbness of the hands and feet Spontaneous fractures When caring for a patient with esophageal varices, the nurse knows that bleeding in this disorder usually stems from: Esophageal perforation Pulmonary hypertension Portal hypertension Peptic ulcers Tiffany Black is diagnosed with type A hepatitis. What special precautions should the nurse take when caring for this patient? Put on a mask and gown before entering the patient’s room. Wear gloves and a gown when removing the patient’s bedpan. Prevent the droplet spread of the organism. Use caution when bringing food to the patient. Discharge instructions for a patient who has been operated on for colorectal cancer include irrigating the colostomy. The nurse knows her teaching is effective when the patient states he’ll contact the doctor if: He experiences abdominal cramping while the irrigant is infusing He has difficulty inserting the irrigation tube into the stoma He expels flatus while the return is running out.  He’s unable to complete the procedure in 1 hour.  The nurse explains to the patient who has an abdominal perineal resection that an indwelling urinary catheter must be kept in place for several days afterward because: It prevents urinary tract infection following surgery.  It prevents urine retention and resulting pressure on the perineal wound It minimizes the risk of wound contamination by the urine.  It determines whether the surgery caused bladder trauma .The first day after, surgery the nurse finds no measurable fecal drainage from a patient’s colostomy stoma. What is the most appropriate nursing intervention? Call the doctor immediately. Obtain an order to irrigate the stoma. Place the patient on bed rest and call the doctor. Continue the current plan of care. If a patient’s GI tract is functioning but he’s unable to take foods by mouth, the preferred method of feeding is: Total parenteral nutrition Peripheral parenteral nutrition Enteral nutrition Oral liquid supplements Which type of solution causes water to shift from the cells into the plasma? Hypertonic Hypotonic Isotonic Alkaline Particles move from an area of greater osmelarity to one of lesser osmolarity through: Active transport Osmosis Diffusion Filtration Which assessment finding indicates dehydration? Tenting of chest skin when pinched Rapid filling of hand veins A pulse that isn’t easily obliterated Neck vein distention Which nursing intervention would most likely lead to a hypo-osmolar state? Performing nasogastric tube irrigation with normal saline solution Weighing the patient daily Administering tap water enema until the return is clear Encouraging the patient with excessive perspiration to dink broth Which assessment finding would indicate an extracellular fluid volume deficit? Bradycardia A central venous pressure of 6 mm Hg Pitting edema An orthostatic blood pressure change A patient with metabolic acidosis has a preexisting problem with the kidneys. Which other organ helps regulate blood pH? Liver Pancreas Lungs heart The nurse considers the patient anuric if the patient; Voids during the nighttime hours Has a urine output of less than 100 ml in 24 hours Has a urine output of at least 100 ml in 2 hours Has pain and burning on urination Which nursing action is appropriate to prevent infection when obtaining a sterile urine specimen from an indwelling urinary catheter? Aspirate urine from the tubing port using a sterile syringe and needle Disconnect the catheter from the tubing and obtain urine Open the drainage bag and pour out some urine Wear sterile gloves when obtaining urine After undergoing a transurethral resection of the prostate to treat benign prostatic hypertrophy, a patient is retuned to the room with continuous bladder irrigation in place. One day later, the patient reports bladder pain. What should the nurse do first? Increase the I.V. flow rate Notify the doctor immediately Assess the irrigation catheter for patency and drainage Administer meperidine (Demerol) as prescribed A patient comes to the hospital complaining of sudden onset of sharp, severe pain originating in the lumbar region and radiating around the side and toward the bladder. The patient also reports nausea and vomiting and appears pale, diaphoretic, and anxious. The doctor tentatively diagnoses renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation site? Kidney Ureter Bladder Urethra A patient comes to the hospital complaining of severe pain in the right flank, nausea, and vomiting. The doctor tentatively diagnoses right ureter-olithiasis (renal calculi). When planning this patient’s care, the nurse should assign highest priority to which nursing diagnosis? Pain Risk of infection Altered urinary elimination Altered nutrition: less than body requirements The nurse is reviewing the report of a patient’s routine urinalysis. Which of the following values should the nurse consider abnormal? Specific gravity of 1.002 Urine pH of 3 Absence of protein Absence of glucose A patient with suspected renal insufficiency is scheduled for a comprehensive diagnostic work-up. After the nurse explains the diagnostic tests, the patient asks which part of the kidney â€Å"does the work.† Which answer is correct? The glomerulus Bowman’s capsule The nephron The tubular system During a shock state, the renin-angiotensin-aldosterone system exerts which of the following effects on renal function? Decreased urine output, increased reabsorption of sodium and water Decreased urine output, decreased reabsorption of sodium and water Increased urine output, increased reabsorption of sodium and water Increased urine output, decreased reabsorption of sodium and water While assessing a patient who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis. The nurse suspects: A urinary tract infection Renal calculi An enlarged kidney A distended bladder Gregg Lohan, age 75, is admitted to the medical-surgical floor with weakness and left-sided chest pain. The symptoms have been present for several weeks after a viral illness. Which assessment finding is most symptomatic of pericarditis? Pericardial friction rub Bilateral crackles auscultated at the lung bases Pain unrelieved by a change in position Third heart sound (S3) James King is admitted to the hospital with right-side-heart failure. When assessing him for jugular vein distention, the nurse should position him: Lying on his side with the head of the bed flat. Sitting upright. Flat on his back. Lying on his back with the head of the bed elevated 30 to 45 degrees. The nurse is interviewing a slightly overweight 43-year-old man with mild emphysema and borderline hypertension. He admits to smoking a pack of cigarettes per day. When developing a teaching plan, which of the following should receive highest priority to help decrease respiratory complications? Weight reduction Decreasing salt intake Smoking cessation Decreasing caffeine intake What is the ratio of chest compressions to ventilations when one rescuer performs cardiopulmonary resuscitation (CPR) on an adult? 15:1 15:2 12:1 12:2 When assessing a patient for fluid and electrolyte balance, the nurse is aware that the organs most important in maintaining this balance are the: Pituitary gland and pancreas Liver and gallbladder. Brain stem and heart. Lungs and kidneys.