Identifying Bacteria Through Staining

Option 3: Identifying Bacteria Through Staining
Under a powerful light microscope, it is possible to see something as small as a single bacterium. However, different types of bacteria can look very similar even at high magnification. In such cases, scientists use a variety of stains to tell types of bacteria apart. This technique is called differential staining.
In this activity, you will observe how different types of bacteria appear when stained using this technique.
You are to write a 1-page Lab Report using the Scientific Method sections below.Document Preview: 

Option 3: Identifying Bacteria Through Staining
Under a powerful light microscope, it is possible to see something as small as a single bacterium. However, different types of bacteria can look very similar even at high magnification. In such cases, scientists use a variety of stains to tell types of bacteria apart. This technique is called differential staining.
In this activity, you will observe how different types of bacteria appear when stained using this technique.
You are to write a 1-page Lab Report using the Scientific Method sections below. Your Pearson report is your data to support your report. Attach the Pearson report as part of your lab report results. The Pearson questions are to help you understand the topic and may be used in your report to support your findings.
Complete the steps of the scientific method for your lab option choice. Use these headings in your paper, please.
Purpose:
State the purpose of the lab.
Introduction:
This is an investigation of what is currently known about the question being asked. Use background information from credible references to write a short summary about concepts in the lab. List and cite references in APA style.
Hypothesis / Predicted Outcome:
An hypothesis is an “educated guess.” Based on what you have learned and written about in the Introduction, state what you expect to be the results of the lab procedures.
Methods:
Summarize the procedures that you used in the lab.
The Methods section should also state clearly how data (numbers) were collected during the lab; these will be reported in the Results/ Outcome section.
Results/Outcome:
Provide here any results / data that were generated doing the lab procedure.
Discussion/Analysis:
In this section, state clearly whether you obtained the expected results, and the outcome was as expected. Note: You can use answers to any multiple choice or essay questions you filled out in the lab to help you discuss the results and what you learned.

What would be an exposure pathway for your client?

As a nurse practicing within a family practice, you are interviewing a 55-year-old woman who is an executive assistant at a local law firm, where she has worked for 9 years. She has a 7-year history of respiratory illness, which occurs several times throughout the year, not seemingly connected to the changes in season. She does not use tobacco products in any form. During your questions regarding her home and work environments, she reports that she enjoys working adjacent to the courthouse in a building over 100 years old because it is such a contrast to her brand-new home on a local golf course. When describing the health of her coworkers, she indicates, “We all share illnesses, which seem to affect everyone else during the year; we just seem to be sicker more often!”

What information is pertinent to your client’s case?
How would you assess your client’s risk?
What would be an exposure pathway for your client?
Your document should be 1-2 pages in length, in APA format

Describe a procedure for matching the EHR date fields to the practice recommendation assessment and intervention concepts?

Chapter 7 question 3

please limit your responses to question to no more than 300 words and APA guidelines, 12 font Times New Roman.

Question: Describe a procedure for matching the EHR date fields to the practice recommendation assessment and intervention concepts?

Circulatory Assist Devices

#1.  Please write a 3-5 paragraph discussion post on your assigned topic.   The posts should be detailed and comprehensive.

– Circulatory Assist Devices to include IABP (intra-aortic balloon pump) and VAD (ventricular assist device)

#2.  Please write a 3-5 paragraph discussion post on your assigned topic.   The posts should be detailed and comprehensive.

– DIC ( disseminated intravascular coagulation )

#3. Please write a 3-5 paragraph discussion post on your assigned topic.   The posts should be detailed and comprehensive.

– Review types of immunities ( active, passive, innate and acquired )

#4. Please write a 3-5 paragraph discussion post on your assigned topic.   The posts should be detailed and comprehensive.

– Acute pharyngitis, sinitus, and peritonsillar abcess (often called a quincy)

Based on selected form of artistic expression, this assignment may require you to submit two different files, one for the artistic expression and a paper.

Based on selected form of artistic expression, this assignment may require you to submit two different files, one for the artistic expression and a paper. Please submit both files at the same time.
Requirements
Criteria for Content
Take a moment to reflect on how you demonstrate caring in your current professional practice.
Create an artistic representation of your perception on caring in nursing. The artistic expression can be a drawing, sculpture, collage, poem,
short story, or dance.
Videos are to be 1 to 3 minutes in length.
Poems and short stories should not exceed one-page, double-spaced wording.
Drawings, pictures, or collages should be formatted on an 8 x 10 document.
Sculptures submitted as a jpg.
In a one- to two-page written paper, address the following.
The importance of caring to nursing practice and the profession
A personal definition of caring; include principles of holistic care
Definitions of caring found in nursing literature that support your perspective on caring
An explanation of the artistic expression you chose and how it represents caring
Summary of key concept presented in the paper

What causes the rapid change in the resting membrane potential to initiate an action potential?

What causes the rapid change in the resting membrane potential to initiate an action potential?
Question 1 options:
Potassium gates open and potassium rushes into the cell, changing the membrane potential from negative to positive
Sodium gates open and sodium rushes into the cell, changing the membrane potential from negative to positive.
Sodium gates close, allowing potassium into the cell to change the membrane potential from positive to negative.
Potassium gates close, allowing sodium into the cell to change the membrane potential from positive to negative.
Question 2
What is a consequence of leakage of lysosomal enzymes during chemical injury?
Question 2 options:
Enzymatic digestion of the nucleus and nucleolus occurs, halting deoxyribonucleic acid (DNA) synthesis.
Influx of potassium ions into the mitochondria occurs, halting the adenosine triphosphate (ATP) production.
Edema of the Golgi body occurs, preventing the transport of proteins out of the cell.
Shift of calcium out of the plasma membrane occurs, destroying the cytoskeleton.
Question 3
In hypoxic injury, sodium enters the cell and causes swelling because:
Question 3 options:
The cell membrane permeability increases for sodium during periods of hypoxia.
Adenosine triphosphate (ATP) is insufficient to maintain the pump that keeps sodium out of the cell.
The lactic acid produced by the hypoxia binds with sodium in the cell.
Sodium cannot be transported to the cell membrane during hypoxia.
Question 4
What mechanisms occur in the liver cells as a result of lipid accumulation?
Question 4 options:
Obstruction of the common bile duct, preventing the flow of bile from the liver to the gallbladder
Increased synthesis of triglycerides from fatty acids and decreased synthesis of apoproteins
Increased binding of lipids with apoproteins to form lipoproteins
Increased conversion of fatty acids to phospholipids
Question 5
Which solution is best to use when cleaning a wound that is healing by 101. During an Immunoglobulin E (IgE)-mediated hypersensitivity reaction, the degranulation of mast cells is a result of which receptor action?
Question 5 options:
Histamine bound to H2
Chemotactic factor binding to the receptor
Epinephrine bound to mast cells
Acetylcholine bound to mast cells
Question 6
What is the mechanism that results in type II hypersensitivity reactions?
Question 6 options:
Antibodies coat mast cells by binding to receptors that signal its degranulation, followed by a discharge of preformed mediators.
Antibodies bind to soluble antigens that were released into body fluids, and the immune complexes are then deposited in the tissues.
Cytotoxic T (Tc) lymphocytes or lymphokine-producing helper T 1 (Th1) cells directly attack and destroy cellular targets.
Antibodies bind to the antigens on the cell surface.
Question 7
Type III hypersensitivity reactions are a result of which of the following?
Question 7 options:
Antibodies coating mast cells by binding to receptors that signal its degranulation, followed by the discharge of preformed mediators
Antibodies binding to soluble antigens that were released into body fluids and the immune complexes being deposited in the tissues
Cytotoxic T (Tc) cells or lymphokine-producing helper T 1 (Th1) cells directly attacking and destroying cellular targets
Antibodies binding to the antigen on the cell surface
Question 8
Tissue damage caused by the deposition of circulating immune complexes containing an antibody against the host deoxyribonucleic acid (DNA) is the cause of which disease?
Question 8 options:
Hemolytic anemia
Pernicious anemia
Systemic lupus erythematosus
Myasthenia gravis
Question 9
Why does tissue damage occur in acute rejection after organ transplantation?
Question 9 options:
Th1 cells release cytokines that activate infiltrating macrophages, and cytotoxic T (Tc) cells directly attack the endothelial cells of the transplanted tissue.
Circulating immune complexes are deposited in the endothelial cells of transplanted tissue, where the complement cascade lyses tissue.
Receptors on natural killer (NK) cells recognize antigens on the cell surface of the transplanted tissue, which releases lysosomal enzymes that destroy tissue.
Antibodies coat the surface of the transplanted tissue to which mast cells bind and liberate preformed chemical mediators that destroy tissue.
Question 10
Oncogenes are genes that are capable of:
Question 10 options:
Undergoing mutation that directs the synthesis of proteins to accelerate the rate of tissue proliferation
Directing synthesis of proteins to regulate growth and to provide necessary replacement of tissue
Encoding proteins that negatively regulate the synthesis of proteins to slow or halt the replacement of tissue
Undergoing mutation that directs malignant tissue toward blood vessels and lymph nodes for metastasis
Question 11
After the baroreceptor reflex is stimulated, the resulting impulse is transmitted from the carotid artery by which sequence of events?
Question 11 options:
From the vagus nerve to the medulla to increase parasympathetic activity and to decrease sympathetic activity
From the glossopharyngeal cranial nerve through the vagus nerve to the medulla to increase sympathetic activity and to decrease parasympathetic activity
From the glossopharyngeal cranial nerve through the vagus nerve to the medulla to increase parasympathetic activity and to decrease sympathetic activity
From the glossopharyngeal cranial nerve through the vagus nerve to the hypothalamus to increase parasympathetic activity and to decrease sympathetic activity
Question 12
Regarding the endothelium, what is the difference between healthy vessel walls and those that promote clot formation?
Question 12 options:
Inflammation and roughening of the endothelium of the artery
Hypertrophy and vasoconstriction of the endothelium of the artery
Excessive clot formation and lipid accumulation in the endothelium of the artery
Evidence of age-related changes that weaken the endothelium of the artery
Question 13
What is the expected electrocardiogram (ECG) pattern when a thrombus in a coronary artery permanently lodges in the vessel and the infarction extends through the myocardium from the endocardium to the epicardium?
Question 13 options:
Prolonged QT interval
ST elevation myocardial infarction (STEMI)
ST depression myocardial infarction (STDMI)
Non-ST elevation myocardial infarction (non-STEMI)
Question 14
A patient reports sudden onset of severe chest pain that radiates to the back and worsens with respiratory movement and when the patient is lying down. These clinical manifestations describe:
Question 14 options:
Myocardial infarction (MI)
Pericardial effusion
Restrictive pericarditis
Acute pericarditis
Question 15
Respirations that are characterized by alternating periods of deep and shallow breathing are a result of which respiratory mechanism?
Question 15 options:
Decreased blood flow to the medulla oblongata
Increased partial pressure of arterial carbon dioxide (PaCO2), decreased acid-base balance (pH), and decreased partial pressure of arterial oxygen (PaO2)
Stimulation of stretch or J-receptors
Fatigue of the intercostal muscles and diaphragm
Question 16
Which cytokines activated in childhood asthma produce an allergic response?
Question 16 options:
IL-1, IL-2, and interferon-alpha (IFN-α)
L-8, IL-12, and tumor necrosis factor–alpha (TNF-α)
IL-4, IL-10, and colony-stimulating factor (CSF)
IL-4, IL-5, and IL-13
Question 17
Which statement accurately describes childhood asthma?
Question 17 options:
An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation
A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and diffuse densities on chest X-ray imaging
A pulmonary disorder involving an abnormal expression of a protein, producing viscous mucus that lines the airways, the pancreas, the sweat ducts, and the vas deferens
An obstructive airway disease characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency
Improvement on a trial of asthma medication
Question 18
Which statement best describes cystic fibrosis?
Question 18 options:
Obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation
Respiratory disease characterized by severe hypoxemia, decreased pulmonary compliance, and diffuse densities on chest X-ray imaging
A pulmonary disorder involving an abnormal expression of a protein, producing viscous mucus that obstructs the airways, the pancreas, the sweat ducts, and the vas deferens
A pulmonary disorder characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency
Question 19
What are the abnormalities in cytokines found in children with cystic fibrosis?
Question 19 options:
A deficit of IL-1 and an excess of IL-4, IL-12, and interferon-alpha (IFN-α)
A deficit of IL-6 and an excess of IL-2, IL-8, and granulocyte colony-stimulating factor (G-CSF)
A deficit of IL-10 and an excess of IL-1, IL-8, and TNF-α
A deficit of IL-3 and an excess of IL-14, IL-24, and colony-stimulating factor (CSF)
Question 20
Examination of the throat in a child demonstrating signs and symptoms of acute epiglottitis may contribute to which life-threatening complication?
Question 20 options:
Retropharyngeal abscess
Laryngospasms
Rupturing of the tonsils
Gagging induced aspiration
Question 21
Free radicals play a major role in the initiation and progression of which diseases?
Question 21 options:
Cardiovascular diseases, such as hypertension and ischemic heart disease
Renal diseases, such as acute tubular necrosis and glomerulonephritis
Gastrointestinal diseases, such as peptic ulcer disease and Crohn disease
Muscular diseases, such as muscular dystrophy and fibromyalgia
Question 22
What is a consequence of plasma membrane damage to the mitochondria?
Question 22 options:
Enzymatic digestion halts deoxyribonucleic acid (DNA) synthesis.
Influx of calcium ions halts adenosine triphosphate (ATP) production.
Edema from an influx in sodium causes a reduction in ATP production.
Potassium shifts out of the mitochondria, which destroys the infrastructure.
Question 23
In addition to osmosis, what force is involved in the movement of water between the plasma and interstitial fluid spaces?
Question 23 options:
Oncotic pressure
Buffering
Net filtration
Hydrostatic pressure
Question 24
Venous obstruction is a cause of edema because of an increase in which pressure?
Question 24 options:
Capillary hydrostatic
Interstitial hydrostatic
Capillary oncotic
Interstitial oncotic
Question 25
At the arterial end of capillaries, fluid moves from the intravascular space into the interstitial space because:
Question 25 options:
The interstitial hydrostatic pressure is higher than the capillary hydrostatic pressure.
The capillary hydrostatic pressure is higher than the capillary oncotic pressure.
The interstitial oncotic pressure is higher than the interstitial hydrostatic pressure.
The capillary oncotic pressure is lower than the interstitial hydrostatic pressure.
Question 26
Secretion of antidiuretic hormone (ADH) and the perception of thirst are stimulated by:
Question 26 options:
A decrease in serum sodium
An increase in plasma osmolality
An increase in the glomerular filtration rate
A decrease in osmoreceptor stimulation
Question 27
Some older adults have impaired inflammation and wound healing because of which problem?
Question 27 options:
The circulatory system cannot adequately perfuse tissues.
Complement and chemotaxis are deficient.
Underlying chronic illnesses exist.
The number of mast cells is insufficient.
Question 28
Lead poisoning affects the nervous system by:
Question 28 options:
Interfering with the function of neurotransmitters
Inhibiting the production of myelin around the nerves
Increasing the resting membrane potential
Altering the transport of potassium into the nerves
Question 29
Carbon monoxide causes tissue damage by:
Question 29 options:
Competing with carbon dioxide so that it cannot be excreted
Binding to hemoglobin so that it cannot carry oxygen
Destroying the chemical bonds of hemoglobin so it cannot carry oxygen
Removing iron from hemoglobin so it cannot carry oxygen
Question 30
Which statement is true regarding the difference between subdural hematoma and epidural hematoma?
Question 30 options:
No difference exists, and these terms may be correctly used interchangeably.
A subdural hematoma occurs above the dura, whereas an epidural hematoma occurs under the dura.
A subdural hematoma is often the result of shaken baby syndrome, whereas an epidural hematoma rapidly forms as a result of a skull fracture.
A subdural hematoma usually forms from bleeding within the skull, such as an aneurysm eruption, whereas an epidural hematoma occurs from trauma outside the skull, such as a blunt force trauma.
Question 31
What physiologic change occurs during heat exhaustion?
Question 31 options:
Hemoconcentration occurs because of the loss of salt and water.
Cramping of voluntary muscles occurs as a result of salt loss.
Thermoregulation fails because of high core temperatures.
Subcutaneous layers are damaged because of high core temperatures.
Question 32
Hemoprotein accumulations are a result of the excessive storage of:
Question 32 options:
Iron, which is transferred from the cells to the bloodstream
Hemoglobin, which is transferred from the bloodstream to the cells
Albumin, which is transferred from the cells to the bloodstream
Amino acids, which are transferred from the cells to the bloodstream
Question 33
Hemosiderosis results in what substance being stored in excess as hemosiderin in cells of many organs and tissues?
Question 33 options:
Hemoglobin
Ferritin
Iron
Transferrin
Question 34
What two types of hearing loss are associated with noise?
Question 34 options:
Acoustic trauma and noise induced
High frequency and low frequency
High frequency and acoustic trauma
Noise induced and low frequency
Question 35
What type of necrosis results from ischemia of neurons and glial cells?
Question 35 options:
Coagulative
Liquefactive
Caseous
Gangrene
Question 36
During cell injury caused by hypoxia, sodium and water move into the cell because:
Question 36 options:
Potassium moves out of the cell, and potassium and sodium are inversely related.
The pump that transports sodium out of the cell cannot function because of a decrease in adenosine triphosphate (ATP) levels.
The osmotic pressure is increased, which pulls additional sodium across the cell membrane.
Oxygen is not available to bind with sodium to maintain it outside of the cell.
Question 37
In decompression sickness, emboli are formed by bubbles of:
Question 37 options:
Oxygen
Nitrogen
Carbon monoxide
Hydrogen
Question 38
What is an example of compensatory hyperplasia?
Question 38 options:
Hepatic cells increase cell division after part of the liver is excised.
Skeletal muscle cells atrophy as a result of paralysis.
The heart muscle enlarges as a result of hypertension.
The size of the uterus increases during pregnancy.
Question 39
Current research has determined that chemical-induced cellular injury:
Question 39 options:
Affects the permeability of the plasma membrane
Is often the result of the damage caused by reactive free radicals
Is rarely influenced by lipid peroxidation
Seldom involves the cell’s organelles
Question 40
What is the inflammatory effect of nitric oxide?
Question 40 options:
It increases capillary permeability and causes pain.
It increases neutrophil chemotaxis and platelet aggregation.
It causes smooth muscle contraction and fever.
It decreases mast cell function and decreases platelet aggregation.

Consider the use of corporate-level, divisional-level, organizational-level, and unit-level strategies in your recommendations section and include a summary of key points.

Strategic Thinking Map: Recommendations

The next component of your Project is evaluating alternatives and strategic choice as part of the Recommendations section for your analysis. Using the Project Case Study provided conduct an evaluation of alternatives and strategic choice pertaining to your recommendations for this project. Your recommendations should be based directly on what you outlined in your assessment and include the following:

Strategies for intervening in potential weaknesses and threats discovered in your market and SWOT analyses
Strategies for attracting healthcare professionals and staff
Feasibility for development satellite clinic
Value-adding strategies, support, and resources (e.g., equipment, technology, etc.)
Development of strategic initiatives

Consider the use of corporate-level, divisional-level, organizational-level, and unit-level strategies in your recommendations section and include a summary of key points.

For this assignment, develop a written report of your recommendations section and use the example strategic thinking maps from previous modules as a tool to assist with the different facets of the strategic planning process.

The map is to be used only as a supplement for your written recommendations.
Your well-written recommendations should meet the following requirements:

Be 3-4 pages in length, not including the cover, abstract (optional), or reference pages.
Utilize headings to organize the content in your work.
Include the strategic thinking map in addition to/or as a part of the 3-4 pages of content.
Include a minimum of four references with associated in-text citations. 
Be formatted according to the APA writing requirements.

Explain how to teach a patient with a life-threatening illness.

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

  1. Define negotiation as it applies to patient education.
  2. Explain how the change in the patient’s status through the years has affected patient education.
  3. List the pros and cons of negotiation.
  4. Describe the general conditions that would be included in a patient contract.
  5. Discuss old age and the baby boomer.
  6. List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.
  7. Explain some of the barriers to patient education of the elderly and discuss their special needs.
  8. List ways to best approach patient education of the elderly.
  9. Discuss some cultural and religious beliefs about death that you have encountered.
  10. Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.
  11. Explain how to teach a patient with a life-threatening illness.

How will a negative manager affect the overall group dynamic as opposed to a positive leader who wants to see his or her team develop?

We learned effective communication is essential in overcoming conflict, embracing our similarities and differences, and streamlining our work. On the basis of your learning, review the scenario given below and develop the ways to address any misunderstandings based on ineffective communication.

You have been invited to be in charge of developing a team-building activity to improve collaboration, morale, and increased communication for your team members. Your department is closing for the day so you all can spend about four hours together in a team environment. The staff members will be placed into groups of three to run a maze, and the winning team will receive an extra four hours paid time off (PTO) time to use for a half vacation day. All members are excited about getting extra time off and, even though they have not participated in a maze-running event, they are happy to be out of the office. After the race is over, the group will be treated for lunch at a very nice restaurant. Review the following details of team members:

  • Rosamma and Mary are the two administrative staff members who do not get along. Rosamma keeps to herself, is quiet, wears traditional long dresses and cooks ethnic foods for lunch every day. Mary is outspoken, loud, hurries through assignments, and seems to be on her cell phone often talking about her personal life to friends. Mary is twenty and Rosamma is forty-six.
  • Cindy, thirty-five, and Lolita, forty, are the part-time staff members. They often bring their problems to work and are stressed due to the economy. They interact at work with the full time staff, but the full time staff think they complain too much and “what for, they only work part-time.”
  • Chip is a twenty-three-year-old maintenance worker who has two children and works a part-time job at night in addition to his full-time role. He is tired as he has been continuously working for many days.
  • Samir is fifty-five and works full-time, and cannot wait until he retires.
  • Sarah is the fifty-two-year-old negative department manager who complains about everyone else. However, she is a strong informal leader and has influence over the group.
  • Jerry is twenty-four and in graduate school. In fact, he is the president of his class and majors in business. He will likely leave in about one year when he graduates. He has a positive attitude and is currently a bit demotivated because no one likes to work together and there seems to be no direction at this point. He has made fun of Sarah just because she makes negative comments to him.
  • You are the manager (use your current age) and you are just promoted into this position as the leader of the group.

Your presentation should consist of 12–15 professional color Microsoft PowerPoint slides (not including the title and reference slide) along with detailed speaker notes to include examples to support each slide.

You need to divide the teams into three groups. Remember this is a team-building activity.

  • Can you put Rosamma and Mary together on a team when they clearly have communication issues and Mary feels Rosamma is “slow and too quiet . . . besides, she prays all the time.” Should the two younger males in the department be put on the same team or divided up to run with the women, even though they make comments about how old Sarah is and how she wears old-fashioned clothes? Give reasons.
  • How will you make the determination which members to put together?
  • Should members, who have a negative attitude, be placed with team members who are excited about this event? Why or why not?
  • How will a negative manager affect the overall group dynamic as opposed to a positive leader who wants to see his or her team develop?
  • How influential can an informal leader be among the team members? Can an informal leader carry more power than the formal manager?
  • What barriers to effective teamwork can you anticipate and how will it be addressed?
  • What specific traits will make this team-building activity a success?
  • How can effective leaders demonstrate care and value the workgroup to improve collaboration, motivation, and low turnover in the workplace?
  • How do you think results can improve when effective communication is practiced in the healthcare field with peers, colleagues, and leadership teams?

Support your responses with examples.

Cite any sources in APA format.

Submission Details

Present the additional information in the Notes section.

Describe the population served by the nurse in this role.

Application
The History of Public Health and the Role of the Community/Public Health Nurse
Using Chapter 2 in the course textbook, your assigned reading on the role of the nurse in a specific public health setting, and this week’s media presentation, address the following in a 2- to 3-page paper:
Trace the history of the public health nurse including the contributions made by Lillian Wald and the Henry Street Settlement. Also, summarize the role of the nurse in the practice setting assigned. Include the following in your summary:
• Explain how the core functions of community/public health nursing and the standards of practice are met with that specific role.

• Describe the population served by the nurse in this role.

• Which interventions might the nurse in this role utilize?

• Explain the level of practice used in this practice setting (primary/secondary/tertiary).

• Describe an ethical dilemma that might be encountered in this nursing role.