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The patient is a 55 yo female admitted to a skilled nursing facility after a prolonged hospitalization for chest pain.  The patient was diagnosed with 4 vessel coronary artery disease and aortic valve insufficiency and underwent a coronary artery bypass graft x 4 and an aortic valve replacement.  Upon discharge from the hospital, the pt required mod assist for bed mobility, max assist for sit to stand transfers due to sternal precautions, and can ambulate 20’ with RW and minimal assistance. Pt becomes short of breath (SOB) with minimal exertion which is why gait distance is limited to 20’.  Pt lives with her dog, Maddie, in a 3-story home with stairs. She works in a medical lab and was independent in all ADLS and IADLS prior to surgery.  She does not have family in town but has friends who are willing to assist intermittently once discharged to home.  Sternal precautions: cannot reach both arms back behind to stretch sternum, not allowed to use UEs to push to stand, 5 lb lifting restriction, no overhead work.  They last x 8 weeks. Answer the following questions regarding completion of the ICF. Name two (2) body structures/functions that are impaired and at least one outcome tool you would use to objectively measure function. Name two (2) environmental factors that you will need to consider with this patient. Name one (1) facilitator and one (1) inhibitor that you will need to consider with this patient.        

“Pt’s gait distance improved from yesterday to today to a distance consistent with household ambulation” would be documented in the                                         section of a SOAP note.

Your patient is a 70 yo male who had a total hip arthroplasty (THA) 3 weeks ago.  He is now able to move in and out of the bed independently, transfer to a bedside chair, and ambulate 25’ with a rolling walker (RW).  He wants to return to driving, golfing and playing with his grandchildren.  Which of the following statements is true?

There are more chemotherapeutic drugs to treat viral infections than there are to treat any other microbial class.

Neisseria gonorrhoeae is a gram-negative diplococcus. This means it has a thin layer of peptidoglycan, an outer membrane, and arranged as pairs of rod-shaped bacteria.

Staining increases the _______ which is the ability to distinguish the specimen from the background.

What type of alternative therapy is the nurse practicing when using essential oils to provide inhalation treatments?

What has been targeted by a control agent if a bacterial cell is no longer able to regulate what enters and exits the cell?

It is your first day as an intern at a dental clinic. Your job is to sterilize the tools after they are used to clean a patient’s teeth. The dental assistant that was training you had to leave early due to a family emergency and didn’t have a chance to tell you how to sterilize the tools. You have found an ultraviolet lamp, an autoclave, a refrigerator, and a membrane filtration system. Which piece of equipment will you use to sterilize the equipment? How does this physical control method kill microbes?

Which of the following classes of antibiotics does not target protein synthesis?