NUR2349
Professional Nursing I
Module 1
Discussion
Common Hazards
Take some time to research the many hazards that you will
face as you take care of your patient. Describe one hazard that could harm you
and/or you patient in the healthcare setting. What actions can nurses take to
prevent harm to your patient or self?
NUR2349
Professional Nursing I
Module 2
Discussion
Mobility that Promotes a Healthy Lifestyle
Mobility can have either a positive or negative impact on
our patient's lives. You are the nurse of an older adult who is being
discharged and need to provide education for the promotion of safe ambulation.
How can mobility promote a healthy lifestyle?
NUR2349
Professional Nursing I
Module 4
Discussion
Daily Routine
Clinical judgment in our daily practice can influence how we
(nurses) take care of our patients. Our everyday care of our patients also
incorporate ethical care and charting. Why should nursing include
evidence-based practice into their daily routine?
NUR2349
Professional Nursing I
Module 5
Discussion
Elective Surgery
Why is surgical integrity important when dealing with
patient care?
NUR2349
Professional Nursing I
Module 7
Discussion
Sterile Precautions
When would you use standard precautions over sterile
precautions while taking care of your patient and why?
NUR2349
Professional Nursing I
Module 8
Discussion
Gas Exchange
You have had the opportunity to learn about gas exchange and
the impact it can have on the body. With this discussion you will need to think
about fluid imbalances and how this imbalance can affect the gas exchange of
your patient?
NUR2349
Professional Nursing I
Module 9
Discussion
High Tolerance due to Chronic Pain
You are caring for a patient that has a high pain tolerance
due to chronic pain and does not look like they are in pain. What would you do
if they asked for more pain medication?
NUR2349
Professional Nursing I
Module 10
Discussion
Importance of Thermoregulation
You have had the opportunity to review thermoregulation as
is pertains to the human body. With this discussion, you will need to explain
what thermoregulation is and why is it important?
NUR2349
Professional Nursing I
Module 11
Discussion
Develop Care Plans
Throughout this course, you have had the opportunity to
develop care plans and concept maps on the main topics. How has the development
of care plans and concept maps helped you understand the material and what
resources did you find most helpful?
NUR2349
Professional Nursing I
Module 1 Written
Assignment - Patient Falls Worksheet
Name:
Date:
Complete all of your lesson materials and assigned readings.
Make sure that you are focusing on:
• Common
Causes of Patient Falls
• Actions
to Prevent Falls from Occurring
You should be using complete sentences to answer the
questions. Ensure that you are using correct grammar. In addition, support your
answers using your textbook, course materials, credible internet resources, and
scholarly journals. SkyScape is a great suggestion for assistance in completion
of this assignment. All citations must be in APA format.1 Point
1. Identify
the common causes of patient falls.2 Points
2. Define
and describe actions to prevent falls from occurring.2 Points
NUR2349
Professional Nursing I
Module 02
Written Assignment - Communication Techniques Worksheet
Name:
Date:
Complete all of your lesson materials and assigned readings.
Make sure that you are focusing on:
• Communication
techniques that can be used to promote safety within the healthcare facility.
• How
communication can assist in providing optimalpatient care.
You should be using complete sentences to answer the
questions. Ensure that you are using correct grammar. In addition, support your
answers using your textbook, course materials, credible internet resources, and
scholarly journals. SkyScape is a great suggestion for assistance in completion
of this assignment. All citations must be in APA format.1 Point
1. Identify
and Describe communication techniques that can be used to promote safety within
the healthcare facility?2 Points
2. Describe
how communication can assist in providing optimal patient care?2 Points
NUR2349
Professional Nursing I
Module 03
Written Assignment - Case Study (Care Plan)
© 2012 Keith Rischer/www.KeithRN.com
Rapid Reasoning: Clostridium difficile Colitis
Chief Complaint/History of Present Illness:
Mindy Perkins is a 48 year old woman who presents to the ED
with 10-15 loose, liquid stools daily for the past
2 days. She completed a course of oral Amoxacillin seven
days ago for a dental infection. In addition to loose
stools, she complains of lower abd. pain that began 2 days
ago as well. She has not noted any blood in the
stool. She denies vomiting or fever/chills. She is on
Prednisone for Crohn’s disease as well as Pantaprazole
(Protonix) for severe GERD.
Past Medical History:
? Crohn’s disease
? GERD
WILDA Pain Scale (5th VS)
|
T:100.2
(o)
|
|
Words:
|
Crampy
|
|
P:92
|
|
Intensity:
|
7/10
|
|
R:20
|
|
Location:
|
Generalized throughout RLQ-LLQ
|
|
BP:122/78
|
|
Duration:
|
Persistent since onset 2 days ago
|
|
O2 sats:98% RA
|
|
Aggreviate:
|
None
|
|
Ortho BP’s:Lying:
122/78 HR: 92
|
|
Alleviate:
|
None
|
|
Standing: 120/70 HR: 114
|
|
|
|
|
Your Initial Nursing Assessment:
GENERAL APPEARANCE: appears weak and uncomfortable. Easily
fatigued
RESP: breath sounds clear with equal aeration bilat.,
non-labored
CARDIAC: pink, warm & dry, S1S2, no edema, pulses 3+ in
all extremities
NEURO: alert & oriented x4
GI/GU: active BS in all quads, abd. soft/tender to palpation
in lower abd-no rebound tenderness orguarding
MISC: Lips dry, oral mucosa tacky with no shiny saliva
present in mouth
Nursing Interventions:
? Orthostatic BP’s (ED standing
order)
? Establish PIV (ED standing order)
? Initiate enteric precautions (ED standing
order)
Physician Orders:
? 0.9% NS 1000 mL IV bolus
? Hydromorphone (Dilaudid) 1 mg IVP
? Stool culture for C. difficile
? BMP, CBC
? Vancomycin 250 mg po
o 1000 mg/20 mL…determine dosage to administer
? Admit to medical unit
Lab/diagnostic Results:
? Stool culture for C. difficile:
Positive
BMP
|
Current
|
High/Low
|
Sodium
|
132
|
|
Potassium
|
3.5
|
|
Creatinine
|
1.45
|
|
BUN
|
47
|
|
CO2
|
18
|
|
|
|
|
CBC
|
Current
|
High/Low
|
WBC
|
12.6
|
|
HGB
|
14.5
|
|
PLTS
|
188
|
|
Neuts.
%
|
86
|
|
Lymphs
%
|
10
|
|
1. What data from the chief complaint, VS & nursing
assessment is RELEVANT that must be
recognized as clinically significant to the nurse?
RELEVANT data:
Chief complaint:
VS/assessment:
Rationale:
2. What lab/diagnostic results are RELEVANT that must be
recognized as clinically significant to the
nurse?
RELEVANT Diagnostic results: Rationale:
3. What is the primary problem that your patient is most
likely presenting with?
4. What is the underlying cause /pathophysiology of this
concern?
© 2012 Keith Rischer/www.KeithRN.com
5. What nursing priority will guide your plan of care?
6.What interventions will you initiate based on this
priority?
Nursing Interventions
1.
2.
3.
4.
Rationale:
1.
2.
3.
4.
Expected Outcome:
1.
2.
3.
4.
7. What is the relationship between the following nursing interventions/physician
orders and your
patient’s primary medical problem?
Nsg. Interventions/MD orders:
Orthostatic BP’s
(ED standing order)
Establish PIV
(ED standing order)
Initiate enteric precautions
(ED standing order)
0.9% NS 1000 mL IV bolus
Hydromorphone (Dilaudid) 1 mg
IVP
Stool culture for C. difficile
BMP
CBC
Vancomycin 250 mg po
Admit to medical unit
Rationale: Expected Outcome:
© 2012 Keith Rischer/www.KeithRN.com
8. What body system(s) will you most thoroughly assess based
on the patient’s chief complaint and
primary/priority concern?
9. What is the worst possible complication to anticipate?
(start with A-B-C priorities)
10. What nursing assessment(s) will you need to initiate to
identify and respond to quickly if this
complication develops?
11. What is the patient likely experiencing/feeling right
now in this situation?
12. What can you do to engage yourself with this patient’s
experience, and show that they matter to
you as a person?
NUR2349
Professional Nursing I
Module 04
Written Assignment - Improving Patient Care Worksheet
Name:
Date:
Complete all of your lesson materials and assigned readings.
Make sure that you are focusing on:
• An
example of an evidence-based practice (EBP) project
• How EBP
projects can improve patient care
You should be using complete sentences to answer the
questions. Ensure that you are using correct grammar. In addition, support your
answers using your textbook, course materials, credible internet resources, and
scholarly journals. SkyScape is a great suggestion for assistance in completion
of this assignment. All citations must be in APA format.1 Point
1. Give an
example of an evidence-based practice (EBP) project that you have either been a
part of or have knowledge regarding.2 Points
2. Describe
how the EBP project can improve patient care.2 Points
NUR2349
Professional Nursing I
Module 05
Written Assignment- Care Plan
You are the nurse receiving report on your patient that was
admitted as an emergency earlier in the day. A 64-year-old female underwent a
right colectomy. The right side of her colon was removed due to cancer. She has
a history of smoking & no other health problems. She is currently being
transferred to you in PACU. She has a midline incision with a Penrose drain, a
stab wound w/ a Jackson Pratt drain to incision. She also has a NG tube,
attached to intermittent suction. She is alert, riented and can move all 4
extremities. BP is 110/68, Respiratory rate is 14, O2 stats are at 93% w/
additional oxygen given via nasal cannula.
All labs are normal. You are asked to change the dressings
daily and document the drainage. What precautions will you take to prevent this
patient from obtaining a nosocomial infection?
Please answer the questions and develop a care plan for a
patient that will be having an elective surgery. Please use the provided format
for building your care plan. You will need to use your nursing reference
materials as you build this care plan.
Go to ATI website for care plan - go to integration
materials - scroll down to active learning templates - choose systems disorder
NUR2349
Professional Nursing I
Module 06
Written Assignment - Stress and Immunity
Your written assignment for this module should be a 1-2 page
paper (not including title page and reference page) that describes the
following:
What are the different types of immunities and give an
example of each
Describe how stress impacts the immunity of a person
You should include a minimum of 3 scholarly references.
Include a title page, in-text citations, and a reference page in APA format.
NUR2349
Professional Nursing I
Module 07
Written Assignment - C-Diff
Your written assignment for this module should be a 1-2 page
paper (not including title page and reference page) that describes the
following:
You are caring for a patient with c-diff as part of your
workload assignment. Discuss what c-diff is and how it is transmitted (how you
can get it)?
What actions will you take as a nurse to protect yourself
and the other patients on the unit when taking care of your patient?
You should include a minimum of 3 scholarly references.
Include a title page, in-text citations, and a reference page in APA format.
NUR2349
Professional Nursing I
Module 08
Written Assignment - Fluid Imbalances
Your written assignment for this module should be a 1-2 page
paper (not including title page and reference page) that describes the
following:
Describe what a fluid and electrolyte imbalance is and how
this is important to the function of the body?
Pick a fluid or electrolyte imbalance and describe how the
patient would present, in addition to the treatment (nursing and expected
medical)?
You should include a minimum of 3 scholarly references.
Include a title page, in-text citations, and a reference page in APA format.
NUR2349
Professional Nursing I
Module 09
Written Assignment - Differences between Acute and Chronic Pain Worksheet
Name:
Date:
Complete all of your lesson materials and assigned readings.
Make sure that you are focusing on:
• The
differences between acute and chronic pain
• Reasons
that a patient would experience acute versus chronic pain and patient
presentation examples of each.
You should be using complete sentences to answer the
questions. Ensure that you are using correct grammar. In addition, support your
answers using your textbook, course materials, credible internet resources, and
scholarly journals. SkyScape is a great suggestion for assistance in completion
of this assignment. All citations must be in APA format.1 Point
1. Describe
the difference between acute and chronic pain?1Points
2. List some
reasons that a patient would experience acute versus chronic pain and give the
patient presentation for each example?3Points
NUR2349
Professional Nursing I
Module 10
Written Assignment - Hypothermia and Hyperthermia Worksheet
Name:
Date:
Complete all of your lesson materials and assigned readings.
Make sure that you are focusing on:
• The
difference between hypothermia and hyperthermia and the impact to the patient?
• Patient
education for client and family in order to avoid extreme temperature
variations?
You should be using complete sentences to answer the
questions. Ensure that you are using correct grammar. In addition, support your
answers using your textbook, course materials, credible internet resources, and
scholarly journals. SkyScape is a great suggestion for assistance in completion
of this assignment. All citations must be in APA format.1 Point
1. What is
the difference between hypothermia and hyperthermia and how does each one
impact the patient?2Points
2. What
education can you give to your patient and family to avoid the extreme
temperature variations?2Points
NUR2349
Professional Nursing I
Module 11
Written Assignment-Comprehensive Final
Your written assignment for this module should be a 1-2 page
paper (not including title page and reference page) that describes the
following:
What did you learn from this course that you did not already
know?
How will you apply what you learned to your patient care?
You should include a minimum of 2 references. Include a
title page, in-text citations, and a reference page in APA format.