NRS410 Pathophysiology And
Nursing Management of Clients Health
Week 1 Discussion
DQ1 Identify
a cardiac or respiratory issue and outline the key steps necessary to include
for prevention and health promotion.
DQ2 Discuss
what resources are often necessary for nonacute care for cardiorespiratory
issues. Explain how they support patient independence and decrease readmission.
NRS410 Pathophysiology And
Nursing Management of Clients Health
Week 2 Discussion
DQ1 Identify
a common perceptual, neurological, or cognitive issue and discuss contributing
factors. Outline steps for prevention or health promotion for the patient and
family.
DQ2 Discuss
characteristic findings for a stroke and how it affects the lives of patients
and their families. Discuss the nurse's role in supporting the patient's
psychological and emotional needs. Provide an example.
NRS410 Pathophysiology And
Nursing Management of Clients Health
Week 3 Discussion
DQ1 Discuss
how elimination complexities can affect the lives of patients and their
families. Discuss the nurse's role in supporting the patient's psychological
and emotional needs. Provide an example.
DQ2 Discuss
how functional patterns help a nurse understand the current and past state of
health for a patient. Using a condition or disease associated with an
elimination complexity, provide an example.
NRS410 Pathophysiology And
Nursing Management of Clients Health
Week 4 Discussion
DQ1 Discuss
characteristic findings of immune dysfunction for either hypersensitivity
reactions or AIDS. Explain what symptomology the patient would exhibit and how
these symptoms may complicate daily living and relationships.
DQ2 Discuss
what symptoms are associated with anaphylactic shock and how the nurse
differentiates these from other conditions or issues. What steps should be
taken if the nurse suspects anaphylactic shock?
NRS410 Pathophysiology And
Nursing Management of Clients Health
Week 5 Discussion
DQ1 Describe
some of the more common pathophysiological changes and abnormal findings
associated with musculoskeletal, metabolic, and multisystem health
dysfunctions. Explain what symptoms are associated with the findings and how
these affect patient function.
DQ2 Explain
the risk factors for osteoporosis. What can a nurse do to help manage this
health condition to restore the patient to optimal health?
NRS410 Pathophysiology And
Nursing Management of Clients Health
Week 1 Assignment
Case Study Mrs.
J.
It is
necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding
of the pathophysiological processes of disease, the clinical manifestations and
treatment protocols, and how they affect clients across the life span.
Evaluate
the Health History and Medical Information for Mrs. J., presented below.
Based on
this information, formulate a conclusion based on your evaluation, and complete
the Critical Thinking Essay assignment, as instructed below.
Health History
and Medical Information
Health
History
Mrs. J. is
a 63-year-old married woman who has a history of hypertension, chronic heart
failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L
of oxygen/nasal cannula at home during activity, she continues to smoke two
packs of cigarettes a day and has done so for 40 years. Three days ago, she had
sudden onset of flu-like symptoms including fever, productive cough, nausea,
and malaise. Over the past 3 days, she has been unable to perform ADLs and has
required assistance in walking short distances. She has not taken her
antihypertensive medications or medications to control her heart failure for 3
days. Today, she has been admitted to the hospital ICU with acute decompensated
heart failure and acute exacerbation of COPD.
Subjective
Data
Is very
anxious and asks whether she is going to die.
Denies pain
but says she feels like she cannot get enough air.
Says her
heart feels like it is "running away."
Reports
that she is exhausted and cannot eat or drink by herself.
Objective
Data
Height 175
cm; Weight 95.5kg.
Vital
signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
Cardiovascular:
Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses
are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates
a ventricular rate of 132 and atrial fibrillation.
Respiratory:
Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy
blood-tinged sputum; SpO2 82%.
Gastrointestinal:
BS present: hepatomegaly 4cm below costal margin.
Intervention
The
following medications administered through drug therapy control her symptoms:
IV
furosemide (Lasix)
Enalapril
(Vasotec)
Metoprolol
(Lopressor)
IV morphine
sulphate (Morphine)
Inhaled
short-acting bronchodilator (ProAir HFA)
Inhaled
corticosteroid (Flovent HFA)
Oxygen
delivered at 2L/ NC
Critical
Thinking Essay
In
750-1,000 words, critically evaluate Mrs. J.'s situation. Include the
following:
Describe
the clinical manifestations present in Mrs. J.
Discuss
whether the nursing interventions at the time of her admissions were
appropriate for Mrs. J. and explain the rationale for each of the medications
listed.
Describe
four cardiovascular conditions that may lead to heart failure and what can be
done in the form of medical/nursing interventions to prevent the development of
heart failure in each condition.
Taking into
consideration the fact that most mature adults take at least six prescription
medications, discuss four nursing interventions that can help prevent problems
caused by multiple drug interactions in older patients. Provide a rationale for
each of the interventions you recommend.
Provide a
health promotion and restoration teaching plan for Mrs. J., including
multidisciplinary resources for rehabilitation and any modifications that may
be needed. Explain how the rehabilitation resources and modifications will
assist the patients' transition to independence.
Describe a
method for providing education for Mrs. J. regarding medications that need to
be maintained to prevent future hospital admission. Provide rationale.
Outline
COPD triggers that can increase exacerbation frequency, resulting in return
visits. Considering Mrs. J.'s current and long-term tobacco use, discuss what
options for smoking cessation should be offered.
You are
required to cite to a minimum of two sources to complete this assignment.
Sources must be published within the last 5 years and appropriate for the
assignment criteria and relevant to nursing practice.
Prepare
this assignment according to the guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This
assignment uses a rubric. Please review the rubric prior to beginning the
assignment to become familiar with the expectations for successful completion.
You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite
Technical Support articles for assistance.
NRS410 Pathophysiology And
Nursing Management of Clients Health
Week 2 Assignment
Case Study-Mr.
M.
It is
necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding
of the pathophysiological processes of disease, the clinical manifestations and
treatment protocols, and how they affect clients across the life span.
Evaluate
the Health History and Medical Information for Mr. M., presented below.
Based on
this information, formulate a conclusion based on your evaluation, and complete
the Critical Thinking Essay assignment, as instructed below.
Health History
and Medical Information
Health
History
Mr. M., a
70-year-old male, has been living at the assisted living facility where you
work. He has no know allergies. He is a nonsmoker and does not use alcohol.
Limited physical activity related to difficulty ambulating and unsteady gait. Medical
history includes hypertension controlled with ACE inhibitors,
hypercholesterolemia, status post appendectomy, and tibial fracture status
postsurgical repair with no obvious signs of complications. Current medications
include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg
PRN, and ibuprofen 400mg PRN.
Case
Scenario
Over the
past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble
recalling the names of his family members, remembering his room number, and
even repeating what he has just read. He is becoming agitated and aggressive
quickly. He appears to be afraid and fearful when he gets aggressive. He has
been found wandering at night and will frequently become lost, needing help to
get back to his room. Mr. M has become dependent with many ADLs, whereas a few
months ago he was fully able to dress, bathe, and feed himself. The assisted
living facility is concerned with his rapid decline and has decided to order
testing.
Objective
Data
Temperature:
37.1 degrees C
BP 123/78
HR 93 RR 22 Pox 99%
Denies pain
Height:
69.5 inches; Weight 87 kg
Laboratory
Results
WBC: 19.2
(1,000/uL)
Lymphocytes
6700 (cells/uL)
CT Head
shows no changes since previous scan
Urinalysis
positive for moderate amount of leukocytes and cloudy
Protein:
7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical
Thinking Essay
In
750-1,000 words, critically evaluate Mr. M.'s situation. Include the following:
Describe
the clinical manifestations present in Mr. M.
Based on
the information presented in the case scenario, discuss what primary and
secondary medical diagnoses should be considered for Mr. M. Explain why these
should be considered and what data is provided for support.
When
performing your nursing assessment, discuss what abnormalities would you expect
to find and why.
Describe
the physical, psychological, and emotional effects Mr. M.'s current health
status may have on him. Discuss the impact it can have on his family.
Discuss
what interventions can be put into place to support Mr. M. and his family.
Given Mr.
M.'s current condition, discuss at least four actual or potential problems he
faces. Provide rationale for each.
You are
required to cite to a minimum of two sources to complete this assignment. Sources
must be published within the last 5 years and appropriate for the assignment
criteria and relevant to nursing practice.
Prepare
this assignment according to the guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This
assignment uses a rubric. Please review the rubric prior to beginning the
assignment to become familiar with the expectations for successful completion.
You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite
Technical Support articles for assistance.
NRS410 Pathophysiology And
Nursing Management of Clients Health
Week 3 Assignment
Case Study:
Mr. C.
It is
necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding
of the pathophysiological processes of disease, the clinical manifestations and
treatment protocols, and how they affect clients across the life span.
Evaluate
the Health History and Medical Information for Mr. C., presented below.
Based on
this information, formulate a conclusion based on your evaluation, and complete
the Critical Thinking Essay assignment, as instructed below.
Health History
and Medical Information
Health History
Mr. C., a
32-year-old single male, is seeking information at the outpatient center
regarding possible bariatric surgery for his obesity. He currently works at a
catalog telephone center. He reports that he has always been heavy, even as a
small child, gaining approximately 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 by
restricting dietary sodium. Mr. C. reports increasing shortness of breath with
activity, swollen ankles, and pruritus over the last 6 months.
Objective
Data:
Height: 68
inches; weight 134.5 kg
BP: 172/98,
HR 88, RR 26
3+ pitting
edema bilateral feet and ankles
Fasting
blood glucose: 146 mg/dL
Total
cholesterol: 250 mg/dL
Triglycerides:
312 mg/dL
HDL: 30
mg/dL
Serum
creatinine 1.8 mg/dL
BUN 32
mg/dl
Critical
Thinking Essay
In
750-1,000 words, critically evaluate Mr. C.'s potential diagnosis and intervention(s).
Include the following:
Describe
the clinical manifestations present in Mr. C.
Describe the
potential health risks for obesity that are of concern for Mr. C. Discuss
whether bariatric surgery is an appropriate intervention.
Assess each
of Mr. C.'s functional health patterns using the information given. Discuss at
least five actual or potential problems can you identify from the functional
health patterns and provide the rationale for each. (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.)
Explain the
staging of end-stage renal disease (ESRD) and contributing factors to consider.
Consider
ESRD prevention and health promotion opportunities. Describe what type of
patient education should be provided to Mr. C. for prevention of future events,
health restoration, and avoidance of deterioration of renal status.
Explain the
type of resources available for ESRD patients for nonacute care and the type of
multidisciplinary approach that would be beneficial for these patients.
Consider aspects such as devices, transportation, living conditions,
return-to-employment issues.
You are
required to cite to a minimum of two sources to complete this assignment.
Sources must be published within the last 5 years and appropriate for the
assignment criteria and relevant to nursing practice.
Prepare
this assignment according to the guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This
assignment uses a rubric. Please review the rubric prior to beginning the
assignment to become familiar with the expectations for successful completion.
You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite
Technical Support articles for assistance.
NRS410 Pathophysiology And
Nursing Management of Clients Health
Week 4 Assignment
Benchmark -
Nursing Process: Approach to Care
The nursing
process is a tool that puts knowledge into practice. By utilizing this
systematic problem-solving method, nurses can determine the health care needs
of an individual and provide personalized care.
Write a
paper (1,750-2,000 words) on cancer and approach to care based on the
utilization of the nursing process. Include the following in your paper:
Describe
the diagnosis and staging of cancer.
Describe at
least three complications of cancer, the side effects of treatment, and methods
to lessen physical and psychological effects.
Discuss
what factors contribute to the yearly incidence and mortality rates of various
cancers in Americans.
Explain how
the American Cancer Society (ACS) might provide education and support. What ACS
services would you recommend and why?
Explain how
the nursing process is utilized to provide safe and effective care for cancer
patients across the life span. Your explanation should include each of the five
phases and demonstrate the delivery of holistic and patient-focused care.
Discuss how
undergraduate education in liberal arts and science studies contributes to the
foundation of nursing knowledge and prepares nurses to work with patients
utilizing the nursing process. Consider mathematics, social and physical
sciences, and science studies as an interdisciplinary research area.
You are
required to cite to a minimum of four sources to complete this assignment.
Sources must be published within the last 5 years and appropriate for the
assignment criteria and relevant to nursing practice.
Prepare
this assignment according to the guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This
assignment uses a rubric. Please review the rubric prior to beginning the
assignment to become familiar with the expectations for successful completion.
You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite
Technical Support articles for assistance.
Benchmark
Information
This
benchmark assignment assesses the following programmatic competencies:
RN-BSN
2.1:
Incorporate liberal arts and science studies into nursing knowledge.
3.1 Utilize
the nursing process to provide safe and effective care for patients across the
life span.
NRS410 Pathophysiology And
Nursing Management of Clients Health
Week 5 Assignment
CLC -
Evidence-Based Practice Project: Intervention Presentation on Diabetes
This is a
Collaborative Learning Community (CLC) assignment.
As a group,
identify a research or evidence-based article published within the last 5 years
that focuses comprehensively on a specific intervention or new treatment tool
for the management of diabetes in adults or children. The article must be
relevant to nursing practice.
Create a
10-15 slide PowerPoint presentation on the study's findings and how they can be
used by nurses as an intervention. Include speaker notes for each slide and
additional slides for the title page and references.
Include the
following:
Describe
the intervention or treatment tool and the specific patient population used in
the study.
Summarize
the main idea of the research findings for a specific patient population. The
research presented must include clinical findings that are current, thorough,
and relevant to diabetes and nursing practice.
Provide a
descriptive and reflective discussion of how the new tool or intervention can
be integrated into nursing practice. Provide evidence to support your
discussion.
Explain why
psychological, cultural, and spiritual aspects are important to consider for a
patient who has been diagnosed with diabetes. Describe how support can be
offered in these respective areas as part of a plan of care for the patient.
Provide examples.
You are
required to cite to a minimum of two sources to complete this assignment.
Sources must be published within the last 5 years and appropriate for the assignment
criteria and relevant to nursing practice.
While APA
style is not required for the body of this assignment, solid academic writing
is expected, and documentation of sources should be presented using APA
formatting guidelines, which can be found in the APA Style Guide, located in
the Student Success Center.
This
assignment uses a rubric. Please review the rubric prior to beginning the
assignment to become familiar with the expectations for successful completion.
You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite
Technical Support articles for assistance.
