GCU NRS410 Full Course<\/p>\n
Week 1
\nDiscussion<\/p>\n
The case scenario provided will be used to answer the
\ndiscussion questions that follow.<\/p>\n
Case Scenario<\/p>\n
Ms. G., a 23-year-old diabetic, is admitted to the hospital
\nwith a cellulitis of her left lower leg. She has been applying heating pads to
\nthe leg for the last 48 hours, but the leg has become more painful and she has
\ndeveloped chilling.<\/p>\n
Subjective Data<\/p>\n
Complains of pain and heaviness in her leg.<\/p>\n
States she cannot bear weight on her leg and has been in bed
\nfor 3 days.<\/p>\n
Lives alone and has not had anyone to help her with meals.<\/p>\n
Objective Data<\/p>\n
Round, yellow-red, 2 cm diameter, 1 cm deep, open wound
\nabove medial malleolus with moderate amount of thick yellow drainage<\/p>\n
Left leg red from knee to ankle<\/p>\n
Calf measurement on left 3 in > than right<\/p>\n
Temperature: 38.9 degrees C<\/p>\n
Height: 160 cm; Weight: 83.7 kg<\/p>\n
Laboratory Results<\/p>\n
WBC 18.3 x 10\u00b9\u00b2 \/ L; 80% neutrophils, 12% bands<\/p>\n
Wound culture: Staphylococcus aureus<\/p>\n
Critical Thinking Questions<\/p>\n
What clinical manifestations are present in Ms. G and what
\nrecommendations would you make for continued treatment? Provide rationale for
\nyour recommendations.<\/p>\n
Identify the muscle groups likely to be affected by Ms. G\u2019s
\ncondition by referring to \u201cARC: Anatomy Resource Center.\u201d<\/p>\n
What is the significance of the subjective and objective
\ndata provided with regard to follow-up diagnostic\/laboratory testing,
\neducation, and future preventative care? Provide rationale for your answer.<\/p>\n
What factors are present in this situation that could delay
\nwound healing, and what precautions are required to prevent delayed wound
\nhealing? Explain.<\/p>\n
NRS410 Path
\nPhysiology and Nursing Management of Client\u2019s Health<\/p>\n
week 2 [Essay writing service – your education, our expertise: Get any assignment done with our professional essay writers before your deadlines – Zero AI, Human experts and Fast delivery.]
\nDiscussion<\/p>\n
The American Cancer Society (ACS) is a nationwide,
\ncommunity-based, voluntary health organization dedicated to eliminating cancer
\nas a major health problem. Together with its supporters, ACS is committed to
\nhelping people stay well and get well by finding cures and by fighting back.<\/p>\n
Critical Thinking Questions:<\/p>\n
Imagine that a family friend or colleague has just been
\ndiagnosed with cancer. Explain how the American Cancer Society might provide
\neducation and support. What ACS services would you recommend and why?<\/p>\n
According to statistics published by the American Cancer
\nSociety, there will be an estimated 1.5 million new cancer cases diagnosed each
\nyear over the next decade. What factors contribute to the yearly incidence and
\nmortality rates of various cancers in Americans? What changes in policy and
\npractice are most likely to affect these figures over time<\/p>\n
Select a research program from among those funded by the
\nAmerican Cancer Society. Describe the program and discuss what impact the
\nresearch will have on the prevention or treatment of cancer.<\/p>\n
NRS410 Path
\nPhysiology and Nursing Management of Client\u2019s Health<\/p>\n
Week 3
\nDiscussion<\/p>\n
Use the following Case Scenario, Subjective Data, and
\nObjective Data to answer the Critical Thinking Questions.<\/p>\n
Case Scenario<\/p>\n
Mrs. J. is a 63-year-old woman who has a history of
\nhypertension, chronic heart failure, and sleep apnea. She has been smoking two
\npacks of cigarettes a day for 40 years and has refused to quit. Three days ago,
\nshe had an onset of flu with fever, pharyngitis, and malaise. She has not taken
\nher antihypertensive medications or her medications to control her heart
\nfailure for 4 days. Today, she has been admitted to the hospital ICU with acute
\ndecompensated heart failure.<\/p>\n
Subjective Data<\/p>\n
Is very anxious and asks whether she is going to die.<\/p>\n
Denies pain but says she feels like she cannot get enough
\nair.<\/p>\n
Says her heart feels like it is \u201crunning away.\u201d<\/p>\n
Reports that she is so exhausted she cannot eat or drink by
\nherself.<\/p>\n
Objective Data<\/p>\n
Height 175 cm; Weight 95.5 kg<\/p>\n
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90\/58<\/p>\n
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS
\nand faint; all peripheral pulses are 1+; bilateral jugular vein distention;
\ninitial cardiac monitoring indicates a ventricular rate of 132 and atrial
\nfibrillation<\/p>\n
Respiratory: Pulmonary crackles; decreased breath sounds
\nright lower lobe; coughing frothy blood-tinged sputum; SpO2 82%<\/p>\n
Gastrointestinal: BS present: hepatomegaly 4 cm below costal
\nmargin<\/p>\n
Critical Thinking Questions<\/p>\n
What nursing interventions are appropriate for Mrs. J. at
\nthe time of her admission? Drug therapy is started for Mrs. J. to control her
\nsymptoms. What is the rationale for the administration of each of the following
\nmedications?<\/p>\n
IV furosemide (Lasix)<\/p>\n
Enalapril (Vasotec)<\/p>\n
Metoprolol (Lopressor)<\/p>\n
IV morphine sulphate (Morphine)<\/p>\n
Describe four cardiovascular conditions that may lead to
\nheart failure and what can be done in the form of medical\/nursing interventions
\nto prevent the development of heart failure in each condition.<\/p>\n
Taking into consideration the fact that most mature adults
\ntake at least six prescription medications, discuss four nursing interventions
\nthat can help prevent problems caused by multiple drug interactions in older
\npatients. Provide rationale for each of the interventions you recommend.<\/p>\n","protected":false},"excerpt":{"rendered":"
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