Activity Time:2 hours; Additional Time for Study, Research, and Reflection: 1 hourScenarioAs a nurse on a general medical floor, the RN has received a new admit. Review the client data provided.Richard Henderson58 years oldMaleAdmit diagnosis: GI bleedHistory: no surgical historyMedical history: Gastritis & GERDMedications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily.Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4/10 at present. No pain medication is ordered at this time.Lab assessments ordered: CBC and chemistry panelCT of the abdomen shows no signs of free air (no perforation)When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness.InstructionsIn the discussion post, address the following:While receiving report, what concerns do you have regarding the client report?What type of shock is occurring?What stage of shock is the client experiencing?What is your next intervention and why?What additional lab assessments would you anticipate?Provide additional thoughts and insights.In the initial posting provide one additional resource other than the required reading. When responding to one post, provide an evidence-based article in support of your response.ReferencesJones, D., DeVita, M., & Bellomo , R. (2011). Rapid-Response Teams. English Journal of Medicine, 365, 139-146. Retrieved from Client Safety Network.

FOR THESE 3 QUESTIONS BELOW, please respond briefly in writing, and DRAW one or more drawings to accompany your answers. Don't worry about the quality of your drawings! Your drawings don't have to be great, just expressive. :)Of the common myths about writing that Jensen raises, which one do you most find yourself falling into? Is this the same for all kinds of writing that you do, or is it different depending on what you're writing?- the magnum opus myth- the hostile reader- the impostor myth- the compared-to-X myth- the cleared-deck dream- the perfect first sentence- the need for one more source (You only had to read the beginning of Joli’s reading for today, but sometime when you’re ready for it, I would recommend reading at least the chapter that goes into your particular myth in more detail!)2. Is there another myth that gets in the way of your writing that Jensen hasn't mentioned? What would you call this myth? What other obstacles get you stuck? What obstacles, beliefs, emotions, or ideas do you struggle with when it comes to your writing?3. Invite one demon in for tea. Freewrite for a while: Identify (without hostility or criticism) what you are telling yourself. What belief about writing are you taking for granted? Is that belief really true? If it is, and it is painful, then what can you do to support yourself? If it is not, what is more accurate, and therefore more reasonable, to believe? What is one truth you could speak back to your demon? (Remember, this goes beyond positive thinking or pumping yourself up with supportive slogans. This is about seeing clearly to the reality of your situation, past the myths, which we can gradually dismantle when we allow ourselves to see them for the untruths they are.)

Directions:For this post, select an advertisement about body image, weight, food, an so forth, in today’s media. Think about your reactions to the advertisement. What did you think and feel about the advertisement? Consider how it might promote negative feelings about body image for a child or adolescent.With these thoughts in mind:Post the URL to an online advertisement or attach a scan/photocopy of the print advertisement to the discussion thread. Then, post a brief description of the advertisement you selected. Explain how this advertisement made you feel and explain why. Finally, explain one way this advertisement might affect a child or adolescent and how. Be specific.Be sure to support your postings and responses with specific references to the week’s resources.