NUR2571 Discussions Latest 2021 July (Full)

NUR2571 Professional Nursing II

Module 1 Discussion

Clinical Judgment

Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.

Keeping that in mind, answer the following scenario:

You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:

RN with 12 years of Trauma ED experience

New RN with 6 months ED experience

RN from the Medical Surgical floor with 8 years of experience

The following patients are in the ED, which patient will you give to each of the nurses and why?

A 76-year-old client who was involved in a motor vehicle accident and has hematuria.

A 38-year-old client with kidney stones complaining of severe pain.

A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.

An 80-year-old client that has not had a bowel movement for 4 days.

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers' posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

NUR2571 Professional Nursing II

Module 2 Discussion

Case Study: Hyperkalemia

Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions:

What interventions do expect to be ordered for Mr. Sweet? Why?

What type of acid-base disturbance does he have?

What do you think is Mr. Sweet's Medical Diagnosis?

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers' posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

NUR2571 Professional Nursing II

Module 3 Discussion

Case Scenario: Tuberculosis item options

Directions:

Wilson is a 36-year-old migrant worker. He was admitted to the Hospital with a cough, unintended weight loss, and night sweats. He is staying with 6 friends in a one bedroom apartment near the strawberry field where he works. The ED physician suspects Tuberculosis (TB).

What diagnostic testing will the Provider order to confirm a diagnosis of TB?

What Isolation precautions do you expect to be put in place and why?

Describe the recommended treatment regimen for TB, including the rationale for combination drug therapy.

Identify the reason compliance to medication therapy is often a concern in the patient with TB.

What should be done for Wilson's 6 roommates?

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers' posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

NUR2571 Professional Nursing II

Module 4 Discussion

SBAR Reporting

Think of a situation from clinical when the Provider needed to be informed of a change in patient condition. Using ISBARR

ISBARR for Nurses.docx

write what you would report to the Provider. You can use the ISBARR form for guidance.

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers' posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

NUR2571 Professional Nursing II

Module 5 Discussion

Patient Teaching: Anticoagulants

Directions:

Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin.

Can Sandra be placed on Coumadin and Heparin at the same time? Explain your answer.

Develop 3 teaching points important for Sandra to know about her medications regimen.

What questions would you ask Sandra to verify that she understand the 3 teaching points?

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers' posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

NUR2571 Professional Nursing II

Module 7 Discussion

Type 1 and Type 2

Compare and contrast risk factors, age of onset, pathophysiology and clinical manifestations of Type 1 and Type 2 Diabetes. What do you think is the most important topic that must be taught to the diabetic patient and why?

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers' posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

NUR2571 Professional Nursing II

Module 8 Discussion

The Older Adult

A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, "My other doctor says I should have my eyes looked at by an expert. It's been a while, and my eyes seem to be acting up lately. I can't see so good anymore." The client states that she takes medication for "sugar" and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. "I was a seamstress for many years and quit when I couldn't see to thread the needles anymore-just in time too. These new materials are too hard to work with!" Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel "dry and scratchy," with the left eye being worse than the right. Admits to rubbing eyes but without relief.

Develop a Plan of Care for this patient that includes:

2 Nursing Diagnosis

2 goals for each Nursing Diagnosis

Interventions with rationales

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers' posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

NUR2571 Professional Nursing II

Module 10 Discussion

Bariatric Surgery Patient

EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5'6'' and 265 pounds. She has a history of Diabetes and hypertension, she is not on medications at the time.

What client education topics are important to reinforce for this client?

How will this client's diet be advanced?

What complications can occur after this surgery?

What is Dumping Syndrome and what are some interventions to help prevent its development?

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers' posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference