NRS-410V Pathophysiology and Nursing Management of Clients’ Health Entire Course
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NRS-410V Topic 1 Mandatory Discussion Question
Max Points: 20.0
The case scenario
provided will be used to answer the discussion questions that follow.
Case Scenario
Ms. G., a 23-year-old
diabetic, is admitted to the hospital with a cellulitis of her left lower leg.
She has been applying heating pads to the leg for the last 48 hours, but the
leg has become more painful and she has developed chilling.
Subjective Data
·
Complains of pain and
heaviness in her leg.
·
States she cannot bear
weight on her leg and has been in bed for 3 days.
·
Lives alone and has
not had anyone to help her with meals.
Objective Data
·
Round, yellow-red, 2
cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount
of thick yellow drainage
·
Left leg red from knee
to ankle
·
Calf measurement on
left 3 in > than right
·
Temperature: 38.9
degrees C
·
Height: 160 cm;
Weight: 83.7 kg
Laboratory Results
·
WBC 18.3 x 10¹² / L;
80% neutrophils, 12% bands
·
Wound culture:
Staphylococcus aureus
Critical Thinking Questions
1. 1. What clinical manifestations are present in
Ms. G and what recommendations would you make for continued treatment? Provide
rationale for your recommendations.
2. 2. Identify the muscle groups likely to be
affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
3. 3. What is the significance of the subjective
and objective data provided with regard to follow-up diagnostic/laboratory
testing, education, and future preventative care? Provide rationale for your
answer.
4. 4. What factors are present in this situation
that could delay wound healing, and what precautions are required to prevent
delayed wound healing? Explain.
5.
NRS-410V Week 1 Assess your Knowledge of Foundational
Concepts
Details:
Assess your knowledge
of foundational concepts essential to the nursing management of client health
by taking the interactive quiz, located in the media “Arterial Blood Gas
Interpretation.” http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_self-assessment-v1.1.php
The quiz is designed
as a tool for self-assessment. When you encounter questions that seem vaguely
familiar, click on the media’s study materials, which are organized by topic
(e.g., anatomy, biology, chemistry, pharmacology). This media will serve as a
refresher for the concepts that build upon one another in nursing practice.
You will have the
opportunity to retake the quiz until you achieve a passing score of 100%.
Once completed, please
save your results and submit to the instructor.
NRS-410V Topic 2 Assignment Approach to Care
Details:
Write a paper
(1,250-1,750 words) describing the approach to care of cancer. In addition,
include the following in your paper:
1.
Describe the diagnosis
and staging of cancer.
2.
Describe at least
three complications of cancer, the side effects of treatment, and methods to
lessen physical and psychological effects.
3.
Prepare this
assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This assignment uses a
grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to
submit this assignment to LopesWrite. Refer to the directions in the Student
Success Center. Only Word documents can be submitted to LopesWrite.
NRS 410 Topic 2 Mandatory Discussion Question
The American Cancer
Society (ACS) is a nationwide, community-based, voluntary health organization
dedicated to eliminating cancer as a major health problem. Together with its
supporters, ACS is committed to helping people stay well and get well by
finding cures and by fighting back.Critical Thinking Questions:
1. 1. Imagine that a family friend or colleague
has just been diagnosed with cancer. Explain how the American Cancer Society
might provide education and support. What ACS services would you recommend and
why?
2. 2. According to statistics published by the
American Cancer Society, there will be an estimated 1.5 million new cancer
cases diagnosed each year over the next decade. What factors contribute to the
yearly incidence and mortality rates of various cancers in Americans? What
changes in policy and practice are most likely to affect these figures over
time
3. 3. Select a research program from among those
funded by the American Cancer Society. Describe the program and discuss what
impact the research will have on the prevention or treatment of cancer.
NRS-410V Topic 3 Case Study 1
Details:
In a short essay
(500-750 words), answer the Question at the end of Case Study 1. Cite
references to support your positions.
Prepare this
assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
You are required to
submit this assignment to LopesWrite.
NRS-410V Topic 3 Case Study 2
Details:
In a short essay
(500-750 words), answer the Question at the end of Case Study 2. Cite
references to support your positions.
Prepare this
assignment according to the APA guidelines found in the APA Style Guide, located
in the Student Success Center. An abstract is not required.
This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
You are required to
submit this assignment to LopesWrite.
NRS-410V Topic 4 Mandatory Discussion Question
Use the image in
“Discussion Question Resource: Chest X-Ray” to answer the following Critical
Thinking Questions.
Examine the x-ray of a
patient diagnosed with pneumonia due to infection with Mucor. Refer to the
“Module 4 DQ Chest Xray” resource in order to complete the following questions.
Critical Thinking Questions
1.
Explain what Mucor is
and how a patient is likely to become infected with Mucor. Describe the
pathophysiologic progression of the infection into pneumonia and at least two
medical/nursing interventions that would be helpful in treating the patient.
2.
Examine the laboratory
blood test results and arterial blood gases provided in “Discussion Question
Resource: Laboratory Blood Test Results.” What laboratory values are considered
abnormal? Explain each abnormality and discuss the probable causes from a
pathophysiologic perspective.
3.
What medications and
medical treatments are likely to be prescribed by the attending physician on
this case? List at least three medications and three treatments. Provide
rationale for each of the medications and treatments you suggest.
NRS-410V Topic 4 Assignment Collaborative Learning Community:
Home Visit with Sallie Mae Fisher
Details:
This is a CLC
assignment.
As a group, observe
the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).
Refer to “Sallie Mae
Fisher’s Health History and Discharge Orders” for specifics related to the case
study used to inform the assignment.
Using “Home Visit With
Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge
Orders,” complete the following components of this assignment:
Essay Portion
After viewing the home
visit, write an essay of 500-750-words in which you do the following:
1.
Identify, prioritize,
and describe at least four problems.
2.
Provide substantiating
evidence (assessment data) for each problem identified.
3.
Identify and describe
at least four medical and/or nursing interventions.
4.
Discuss your rationale
for the interventions identified.
Prepare this step of
the assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
Scripted Dialogue Portion
Utilizing the
information learned from the home visit, health histories, and discharge
orders, write a scripted dialogue in which you provide Sallie Mae with
education that describes her problems and the interventions identified to
improve her condition. Consider Sallie Mae’s physiological, psychosocial,
educational, and spiritual needs when developing your dialogue.
Your dialogue should
resemble a script. The following is an example of a few sentences from a
scripted dialogue:
Nurse: “Good morning, Salle
Mae, my name is ______ and I will be your nurse today. I understand you are
experiencing problems with ________.”
APA format is not
required for this part of the assignment, but solid academic writing is
expected.
Refer to “Home Visit
With Sallie Mae Fisher Grading Criteria.”
Entire Assignment
You are required to
submit this assignment to LopesWrite. Refer to the directions in the Student
Success Center. Only Word documents can be submitted to LopesWrite.
NRS410V.R.SallieMaeFishersHealthHistoryandDischargeOrders_Student_02-11-13.docxNRS410V.R.HomeVisitWithSallieMaeFisherGradingCriteria_Student_02-11-13.docx
NRS-410V Topic 5 Mandatory Discussion Question
The case scenario
provided will be used to answer the discussion questions that follow.
Case Scenario
Mr. C., a 32-year-old
single man, is seeking information at the outpatient center regarding possible
bariatric surgery for his obesity. He reports that he has always been heavy,
even as a small child, but he has gained about 100 pounds in the last 2–3
years. Previous medical evaluations have not indicated any metabolic diseases,
but he says he has sleep apnea and high blood pressure, which he tries to
control with sodium restriction. He current works at a catalog telephone
center.
Objective Data
1.
Height: 68 inches;
Weight 134.5 kg
2.
BP: 172/96, HR 88, RR
26
3.
Fasting Blood Glucose:
146/mg/dL
4.
Total Cholesterol:
250mg/dL
5.
Triglycerides: 312
mg/dL
6.
HDL: 30 mg/dL
Critical Thinking Questions
What health risks
associated with obesity does Mr. C. have? Is bariatric surgery an appropriate
intervention? Why or why not?
Mr. C. has been
diagnosed with peptic ulcer disease and the following medications have been
ordered:
1. Magnesium hydroxide/aluminum hydroxide
(Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at
bedtime.
2. Ranitidine (Zantac) 300 mg PO at bedtime.
3. Sucralfate/Carafate 1 g or 10ml suspension
(500mg / 5mL) 1 hour before meals and at bedtime.
The patient reports
eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan
an administration schedule that will be most therapeutic and acceptable to the
patient.
1. Assess each of Mr. C.’s functional health
patterns using the information given. (Hint: Functional health patterns include
health-perception – health management, nutritional – metabolic, elimination,
activity-exercise, sleep-rest, cognitive-perceptual, self-perception –
self-concept, role-relationship, sexuality – reproductive, coping – stress
tolerance.)
2. What actual or potential problems can you
identify? Describe at least five problems and provide the rationale for each.
NRS-410V Topic 5 Assignment Benchmark – Evidence-Based
Practice Project—Paper on Diabetes
Details:
Identify a research or
evidence-based article that focuses comprehensively on a specific intervention
or new diagnostic tool for the treatment of diabetes in adults or children.
In a paper of
750-1,000 words, summarize the main idea of the research findings for a
specific patient population. Research must include clinical findings that are
current, thorough, and relevant to diabetes and the nursing practice.
Prepare this
assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
You are required to
submit this assignment to Turnitin. Refer to the directions in the Student
Success Center. Only Word documents can be submitted to Turnitin.
NRS-410V Topic 5 Evidence-Based Practice
Project—Intervention Presentation on Diabetes
Details:
Based on the summary
of research findings identified from the Evidence-Based Project—Paper on
Diabetes that describes a new diagnostic tool or intervention for the treatment
of diabetes in adults or children, complete the following components of this
assignment:
Develop a PowerPoint
presentation (a title slide, 6-12 slides, and a reference slide; no larger than
2 MB) that includes the following:
1. 1. A brief summary of the research conducted
in the Evidence-Based Project – Paper on Diabetes.
2. 2. A descriptive and reflective discussion of
how the new tool or intervention may be integrated into practice that is
supported by sound research.
While APA format is
not required for the body of this assignment, solid academic writing is
expected, and in-text citations and references should be presented using APA
documentation guidelines, which can be found in the APA Style Guide, located in
the Student Success Center.
You are not required
to submit this assignment to Turnitin, unless otherwise directed by your
instructor. If so directed, refer to the Student Success Center for directions.
Only Word documents can be submitted to Turnitin.
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