Despite the laws and regulations created through the U.S. Clean Water Act and Safe Drinking Water Act, and substantial scientific capacity and diagnostics to monitor drinking water, the U.S. also faces many challenges in safe drinking water provision. Discuss several of the issues that undermine our ability to guarantee safe drinking water in the U.S. For each issue: (a) offer a short-term assessment of our progress, and (b) describe barriers to improving safe drinking access to the most vulnerable communities.

Miss Jones is a 19-year-old college student who is complaining of abdominal pain. She rates this an 8 out of 10. She is constipated and doesn’t want to sit, just stands and paces. You are the nurse caring for her in the student health center.

How would you manage her pain in the health center? What makes this pain concerning and requiring further emergent evaluation? (One sign or symptom)

Miss Jones undergoes an abdominal ultrasound at the local urgent care. It is determined that she has appendicitis and needs surgery. What pain management would be appropriate at this point? (med + route + rationale)

After the US an ambulance is called and she is taken to surgery for an appendectomy.

After surgery she will recover for 2-3 days before being discharged, What non-opiate medication will you give her in the hospital? (med + route + rationale). What instructions will you give her when she goes home?