GC NRS410 WEEK 1 DISCUSSION LATEST 2016 APRIL

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.
What clinical manifestations are present in Ms. G and what
recommendations would you make for continued treatment? Provide rationale for
your recommendations.
2.
Identify the muscle groups likely to be affected by Ms. G’s
condition by referring to “ARC: Anatomy Resource Center.”
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.
What factors are present in this situation that could delay wound
healing, and what precautions are required to prevent delayed wound healing?
Explain.

GC NRS410 WEEK 2 DISCUSSION LATEST 2016 APRIL

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.
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.
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.
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.

GC NRS410 WEEK 3 DISCUSSION LATEST 2016 APRIL

Use the following Case
Scenario, Subjective Data, and Objective Data to answer the Critical Thinking
Questions.
Case
Scenario
Mrs. J. is a 63-year-old
woman who has a history of hypertension, chronic heart failure, and sleep
apnea. She has been smoking two packs of cigarettes a day for 40 years and has
refused to quit. Three days ago, she had an onset of flu with fever,
pharyngitis, and malaise. She has not taken her antihypertensive medications or
her medications to control her heart failure for 4 days. Today, she has been
admitted to the hospital ICU with acute decompensated heart failure.
Subjective
Data
1.
Is very anxious and asks whether she is going to die.
2.
Denies pain but says she feels like she cannot get enough air.
3.
Says her heart feels like it is “running away.”
4.
Reports that she is so exhausted she cannot eat or drink by
herself.
Objective
Data
1.
Height 175 cm; Weight 95.5 kg
2.
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
3.
Cardiovascular: Distant S1, S2, S3, S4 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
4.
Respiratory: Pulmonary crackles; decreased breath sounds right
lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
5.
Gastrointestinal: BS present: hepatomegaly 4 cm below costal
margin
Critical
Thinking Questions
What nursing interventions
are appropriate for Mrs. J. at the time of her admission? Drug therapy is
started for Mrs. J. to control her symptoms. What is the rationale for the
administration of each of the following medications?
1.
IV furosemide (Lasix)
2.
Enalapril (Vasotec)
3.
Metoprolol (Lopressor)
4.
IV morphine sulphate (Morphine)
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 rationale for each of the
interventions you recommend.

GC NRS410 WEEK 4 DISCUSSION LATEST 2016 APRIL

Max Points: 20.0
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.

GC NRS410 WEEK 5 DISCUSSION LATEST 2016 APRIL

Max Points: 20.0

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 high blood pressure, which he tries to control with sodium
restriction and sleep apnea. He current works at a catalog telephone center.
Objective
Data

Height:
68 inches; Weight 134.5 kg
BP:
172/96, HR 88, RR 26
Fasting
Blood Glucose: 146/mg/dL
Total
Cholesterol: 250mg/dL
Triglycerides:
312 mg/dL
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: (a) Magnesium hydroxide/aluminum hydroxide
(Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at
bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) 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.

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).
What
actual or potential problems can you identify? Describe at least five
problems and provide the rationale for each.

GC NRS410 WEEK 2 ASSIGNMENT
LATEST 2016 APRIL
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.
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.

GC NRS410 WEEK 3 CASE STUDY
1 ASSIGNMENT LATEST 2016 APRIL
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 Turnitin.

Case Study 1
Case
Study 1
Ms. A. is an apparently
healthy 26-year-old white woman. Since the beginning of the current golf
season, Ms. A has noted increased shortness of breath and low levels of energy
and enthusiasm. These symptoms seem worse during her menses. Today, while
playing in a golf tournament at a high, mountainous course, she became
light-headed and was taken by her golfing partner to the emergency clinic. The
attending physician’s notes indicated a temperature of 98 degrees F, an
elevated heart rate and respiratory rate, and low blood pressure. Ms. A states,
“Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take
1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.†During
the summer months, while playing golf, she also takes aspirin to avoid
“stiffness in my joints.â€
Laboratory values are as
follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x
10/mm
RBC smear showed microcytic
and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values
were within normal limits.
Question
Considering the
circumstances and the preliminary workup, what type of anemia does Ms. A most
likely have? In an essay of 500-750 words, explain your answer and include
rationale.

GC NRS410 WEEK 3 CASE STUDY
2 ASSIGNMENT LATEST 2016 APRIL

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 Turnitin.

Case Study 2
Case
Study 2
Mr. P is a 76-year-old male
with cardiomyopathy and congestive heart failure who has been hospitalized
frequently to treat CHF symptoms. He has difficulty maintaining diet
restrictions and managing his polypharmacy. He has 4+ pitting edema, moist
crackles throughout lung fields, and labored breathing. He has no family other
than his wife, who verbalizes sadness over his declining health and over her
inability to get out of the house. She is overwhelmed with the stack of medical
bills, as Mr. P always took care of the financial issues. Mr. P is despondent
and asks why God has not taken him.
Question
Considering Mr. P’s
condition and circumstance, write an essay of 500-750 words that includes the
following:
· Describe your approach to
care.
· Recommend a treatment
plan.
· Describe a method for
providing both the patient and family with education and explain your
rationale.
· Provide a teaching plan
(avoid using terminology that the patient and family may not understand).

GC NRS410 WEEK 4 assignment LATEST
2016 APRIL
Details:

This is a CLC assignment.
As a group, observe the
simulated “Home Visit With Sallie Mae Fisher” video (.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php” title=”http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php”>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 Turnitin. Refer to the directions in the Student Success
Center. Only Word documents can be submitted to Turnitin.

Sallie Mae
Fisher’s Health History
and
Discharge Orders
Sallie Mae Fisher Health History
Ms. Fisher is an 82-year-old female
with a history of chronic congestive heart failure (CHF), atrial fibrillation,
and hypertension. During the last 6 months, she has been hospitalized four
times for exacerbation of her CHF. She was discharged home last Saturday from
the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight
gain, and chest pain.
Ms. Fisher is recently widowed and
lives alone. She has a daughter, Thelma Jean, who lives in town but works full
time and has family issues of her own. Therefore, family support is limited.
Hospital Discharge Instructions
· Mountain Top Home Health to
evaluate cardio-pulmonary status, medication management, and home safety.
· Medical Equipment Company to
deliver oxygen concentrator and instruct patient in use. O2 at
2 liters per nasal prongs PRN.
· Prescriptions given at discharge:
o Digoxin 0.25 mg once a day
o Lasix 80 mg twice a day
o Calan 240 mg once a day
· Order written to continue other
home meds.
Sallie Mae’s Home Medication List
· Zocar 50 mg once a day
· Minipres 1 mg once a day
· Vasotec 10 mg twice a day
· Prilosec 20 mg once a day
· Furosemide 40 mg once a day
· Effexor 37.5 mg at bedtime
· Lanoxin 0.125 mg every other day
· Multivitamin once a day
· Potassium 40 mEq once a day
· Ibuprofen 400 mg q 4 hours as
needed for pain
· Darvocet N 100 mg q 4 hours as
needed for pain
· Nitroglycerin ointment, apply 1
inch every day

GC NRS410 WEEK 5 assignment LATEST
2016 APRIL
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.

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.
A brief summary of the research conducted in the Evidence-Based
Project – Paper on Diabetes.
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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