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Six actors ---- Bob, Carol, Dave Ed, Frank, and Grace audition for a part in an off-Broadway play. The auditions will take place over four consecutive days, starting on a Thursday. Each actor will have one audition; the days on which the different actors will audition must conform to the following conditions.
i . At least one audition will take place each day.
ii. No more than two auditions will take place on any day.
iii. No more than three auditions will take place on any two consecutive days.
iv. Bob’s audition must take place on Saturday.
v . Carol’s audition must take place on the same day as another audition.
vi. Frank’s auditions must take place on the day before Grace’s audition.
vii. Dave’s audition must take place on a day after Ed’s audition.
Sub-Questions:
Pender's Health Promotion Model (HPM, 1982; revised 1996) is grounded in social cognitive theory and emphasizes positive health behaviors rather than disease avoidance.
Key components of the HPM:
- Individual Characteristics and Experiences: Prior behavior, personal factors (biological, psychological, sociocultural)
- Behavior-Specific Cognitions and Affect: Perceived benefits, perceived barriers, perceived self-efficacy, activity-related affect, interpersonal and situational influences
- Behavioral Outcome: Commitment to a plan of action → Health-promoting behavior
Acute Hemolytic Transfusion Reaction (AHTR) — most dangerous transfusion complication, usually due to ABO incompatibility:
- Onset: within first 15–30 minutes of transfusion
- Symptoms: fever, chills, back/flank pain (renal involvement), hemoglobinuria (red/brown urine), hypotension, anxiety, sense of doom
- Mechanism: Antibodies destroy transfused RBCs → intravascular hemolysis → free hemoglobin → acute renal failure
Immediate nursing actions (STOP-STAY-SUPPORT):
- Stop the transfusion immediately
- Keep IV line open with normal saline
- Notify physician and blood bank STAT
- Send blood and urine samples to blood bank
- Monitor vital signs every 5 minutes
- Return blood bag and tubing to blood bank
- Monitor urine output — maintain >100 mL/hr (prevent renal failure)
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