Maryville NURS330 Assignments Latest 2022 May (Full)

NURS330 Individual Assessment

Week 2 Assignment

Health History Case Study

This case study provides you with the opportunity to apply what you have learned about taking a complete health history and general assessment to a simulated patient situation. You will be asked to review the case and identify abnormal findings the patient is displaying, and associate the findings with the possible causes.

You are working in an inpatient setting and admitting Sarah, a 16 year-old to your nursing unit for influenza. The patient tells you she is Jewish, living with her mother who is divorced, and a full-time student. She works part-time at a local ice cream shop and a member of her high school swim team. This is Sarah’s first hospital admission. You have no access to previous medical records. Her mother is present. You have received orders to start an IV, fluids and antibiotics.

Describe the questions you will ask you patient as you take a complete health history. What areas of the history are more important? Why?

Will you conduct this interview with her mother present?

What developmental considerations are relevant to Sarah?

What systems may be a more focused history within your complete health history?

NURS330 Individual Assessment

Week 4 Assignment

Head Assessment Case Study

This case study provides you with the opportunity to apply what you have learned about assessment of pain in the head to a simulated patient situation. You will be asked to brainstorm possible explanations for a problem the patient is having, identify abnormal findings the patient is displaying, and associate the findings with the possible causes.

Ben T., a 20-year-old, Hispanic, college student, comes into the Student Health Clinic complaining of a headache. "I've had this headache for a day or so, ever since my final exams started. It feels like someone is squeezing my head in a vise. It throbs, and I've had a runny nose that started at about the same time."  He also states, “I do not like to take any medications because I am fearful of what it can do to my body.”

Upon examination, he is visibly wincing and holding his head in his hands. You don't palpate any lesions, lumps, or tender spots on his scalp or face, including the sinus region.

nspecting his face reveals features that are the same on both sides and a normal (if somewhat pained) expression. His neck shows full range of motion: he can move his head easily and just about touch each ear to his shoulders, and he can touch his chin all the way to his chest. His neck appears the same on both sides; his lymph nodes (or other bumps) are palpable. He shows no pain or tenderness of the neck; his trachea runs right down the middle of his throat, and you cannot feel his thyroid gland. He rates his pain at 7 out of 10 being the worst possible pain.

Based on Ben's description of his headache, what red flags, if any, are present?

Write an appropriate nursing note based on Ben's subjective data.

What cultural considerations affect this patient’s care? How would you respond to his comment about his fears of taking medications?

Based on the description of the objective data about Ben, what red flags, if any, are present?

Write an appropriate nursing note regarding his head, face, and neck based on Ben's objective data.

Patients rarely present with symptoms that match the "textbook case" perfectly. What features of his account are not commonly associated with a tension headache?

Based on Ben's description of his headache, list at least two additional questions that you would like to ask so that you have additional data.

NURS330 Individual Assessment

Week 6 Assignment

Musculoskeletal and Peripheral Vascular System Assessment Case Study

This case study provides the opportunity to apply what you have learned about assessment of the musculoskeletal and peripheral vascular system to a simulated patient situation.

Ms. Edith V. is an 85-year-old, slim, white woman who lives with her daughter. Because you work as a visiting nurse, you go to her home to assess her status after her discharge from the hospital the previous day. Ms. V. had been hospitalized for an exacerbation of congestive heart failure (CHF). She has a long-standing history of diabetes mellitus, chronic arterial insufficiency, and hyperlipidemia. She also has a history of smoking a pack of cigarettes a day for 42 years. She tells you about the foot pain that accompanies the reasons for her hospital admission, which includes intensive management of a foot ulcer and evaluation of peripheral circulation.

Foot UlcerYou examine the affected limb. Experience helps you assess whether the physical findings match the subjective report, or whether the situation warrants more investigation. Look at the image to the right of Ms. M's feet.

Upon discharge, she had been given a prescription for oral lasix, which she has been taking on and off for the last 8 years. Ms. V. also has a 30-year history of rheumatoid arthritis and can ambulate around the house only with the assistance of a walker. Her daughter meets you at the door and takes you into the kitchen where her mother is sitting at the kitchen table. You ask Ms. V. how she is doing today, and she responds, "My breathing is much better now, but I'm having a lot of pain from the arthritis in my hands.”

ArthritisWhen you inspect Ms. V.'s left hand, which she tells you is causing her pain, you note that her fingers appear similar to the image to the right.

How would you describe the swelling Ms. V.'s finger joints?

What caused the pain in Ms. V.’s hands?

How would you document the general appearance of her foot (not the ulcer)? Make sure you examine all the skin in the photo, including the other foot.

Which type of ulcer is Ms. M's legion consistent with? (Chronic arterial ulcer, acute venous disease, or chronic venous ulcer?)

What patient and family education can you provide regarding the patient’s rheumatoid arthritis, arterial insufficiency, history of diabetes and life style practices of smoking?