Nrs 410 topic 1 mandatory discussion question

NRS 410 Topic 1 Mandatory Discussion Question
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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.
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NRS 410 Topic 2 Assignment Approach to Care
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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.
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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.
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NRS 410 Topic 3 Case Study One
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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.” 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.
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NRS 410 Topic 3 Case Study Two
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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).
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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.
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NRS 410 Topic 4 Assignment Collaborative Learning
Community Home Visit with Sallie Mae Fishe
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This is a CLC assignment. As a group, observe the simulated “Home Visit
With Sallie Mae Fisher” video
(.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.ph
p”
title=”http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410
v_vp01Alt.php”>http://lc.gcumedia.com/zwebassets/courseMaterialPa
ges/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
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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.
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NRS 410 Topic 5 Assignment Benchmark – Evidence-Based
Practice Project—Paper on Diabetes

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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.
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NRS 410 Topic 5 Evidence-Based Practice Project—
Intervention Presentation on Diabetes

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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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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.
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NRS 410 Week 1 Assess your Knowledge of Foundational
Concepts
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Assess your knowledge of foundational concepts essential to the
nursing management of client health by taking the interactive quiz,
located in the media “Arterial Blood Gas Interpretation.”
http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_self
-assessment-v1.1.php The quiz is designed as a tool for self-assessment.
When you encounter questions that seem vaguely familiar, click on the
media’s study materials, which are organized by topic (e.g., anatomy,
biology, chemistry, pharmacology). This media will serve as a refresher
for the concepts that build upon one another in nursing practice. You
will have the opportunity to retake the quiz until you achieve a passing
score of 100%. Once completed, please save your results and submit to
the instructor.

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Nrs 410 topic 1 mandatory discussion question

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