This document provides content for an educational module, including instructions for learners. It discusses traumatic injuries to the urinary tract, interventions for related disorders, and a case study scenario. The scenario describes an unstable male stab victim who develops a bleeding kidney. Learners are asked to identify clues that signaled problems, explain discolored urine, suggest interventions, determine if the actions were within the LPN's scope of practice, and how the emergency department environment impacted the outcome.

1. Module 02 Content
APA format
Top of Form
Purpose
To use critical thinking and data collection to recognize and
report complications that may impact the morbidity and
mortality of clients who have sustained a traumatic insult to the
urinary tract while functioning within the LPN scope of practice
Competency
Select appropriate nursing interventions for clients with
disorders of the urinary system.
Instructions
Read the scenario below and answer the questions. When you
see a that means a clue.
The Story
It is Friday the 13th and a full moon. You are an LPN that
normally works on a medical-surgical unit, but your unit is
overstaffed, and the emergency department is short staffed. The
nursing supervisor asks for a volunteer to go down to be an
extra pair of hands. You volunteer as tribute. When you get to
the ER, you are asked to do vitals on a client in the trauma
room. The client is a 24-year-old male who was stabbed
multiple times to the abdomen.
The wounds appear superficial, and the client has been stable
thus far. He will be going to CAT scan as soon as they can fit
him in. You approach the client, who appears slightly pale with
cool, clammy but is alert and talkative. The vital signs are:
97.3 (PO) P= 115 BP= 95/54 Resp rate= 24 Pain= 6/10. You
notice the client voided 100 mL tea-colored urine in his urinal.

2. One hour later, the client becomes unconscious. His pulse is
now 144, and blood pressure is 70/50. The client is taken to the
OR and has a nephrectomy for a very damaged and bleeding
right kidney.
Answer the following questions:
1. What were the clues in the data collection that should have
alerted you and the staff that there might be a problem? (5-10
sentences)
2. Why is the urine “tea-colored?” (one sentence)
3. What are some other interventions that could have been
done? (2-5 sentences)
4. Was the LPN in this scenario working within the scope of
practice for an LPN? Why or why not? (5-10 sentences)
5. How did the environment of care (busy ER) contribute to the
client’s deterioration? (5-10 sentences)
Format
. Standard American English (correct grammar, punctuation,
etc.)
. Logical, original and insightful
. Professional organization, style, and mechanics in APA format
. Submit document through
Grammarly to correct errors before submission
Module 03 Content
APA format
Top of Form
Purpose
To identify maladaptive breathing patterns and intervene as
necessary

3. Competency
Explain care for the client with upper respiratory disorders.
Instructions
Read the scenarios and answer the questions that follow each.
Please cite any sources using APA format.
Scenario # 1
A 45-year-old male comes to the ER unconscious. A co-worker
went to check on him when he did not show up for work and
found him unconscious. The client is a type one diabetic. His
respirations are 36, and his breath has a “fruity” scent. His
respirations are both deep and rapid. Labs are drawn, and his
glucose is 1024.
· Why does this client have rapid, deep respirations and “fruity”
smelling breath? (5-10 sentences)
Scenario # 2
A 94-year-old in long-term-care is terminally ill and has been
placed on hospice care. Her family summons you because her
breathing has become erratic. You observe periods of rapid,
deep respirations followed by periods of apnea.
· What should the nurse do next? (5-10 sentences)
Scenario # 3
A 64-year-old male comes via car to the clinic where you are
working. His wife reports he has been having “trouble
breathing” for the past several days, but today it is much worse.
The client is unable to speak and appears very anxious. His
respiratory rate is 48.
· What is the priority nursing intervention? (5-10 sentences)
Scenario # 4
A 22-year-old female arrives to urgent care. Her mother reports
she thinks the client is having trouble breathing and that it
started after she broke up with her boyfriend. The client is

4. crying. Her respiratory rate is 36.
· What is the most appropriate nursing intervention? (5-10
sentences)
Scenario # 5
You are the medication nurse on a medical-surgical unit. You
arrive to the room of a 28- year-old female who was admitted
for opiate overdose and substance abuse disorder. You find the
client in bed, unresponsive with a respiratory rate of 4.
· What is the priority nursing intervention? (5-10 seconds)
Format
· Standard American English (correct grammar, punctuation,
etc.)
· Logical, original and insightful
· Professional organization, style, and mechanics in APA format
· Submit document through
Grammarly to correct errors before submission
Module 05 Content
Top of Form
Purpose
To recognize risk factors for pulmonary edema/fluid overload.
Competency
Explain care for the client with lower respiratory disorders.
Instructions
Read the scenarios below and answer the questions. If you use
sources, site them using APA format.
Case # 1
An elderly woman comes into the ER with severe dehydration
after spending the day at the beach. The client is weak and feels
like she is going to faint. An IV is started, and the RN hangs

5. 0.9% Normal Saline. There are no IV pumps available. The
client begins to feel better after 500 mL’s are infused, and the
rest of the IV bag is infused. The client begins to have
difficulty breathing. Auscultation of the lungs reveals crackles
to ½ of the lower lung fields. The provider diagnoses pulmonary
edema, and the client is treated with Lasix. She is stabilized but
needs to be admitted to the ICU.
Question # 1: What nursing action could have prevented the
client from having pulmonary edema? (5-10 sentences)
Question # 2: What makes this client at risk for pulmonary
edema? (5-10 sentences)
Case # 2
A 22-year-old special-needs client comes to the ER with fever
and difficulty breathing. The client weighs 66 LBS. The client
is admitted with pneumonia and IV fluids, antibiotics, and
respiratory treatments are started. The client is dehydrated, so
she receives several bags of IV fluids over three days. On the
third day, the client has worsening shortness of breath, and an
X-ray is ordered which shows pulmonary edema. An
echocardiogram is ordered. It shows normal cardiac function.
The client is given Lasix, and the shortness of breath resolves.
Question # 3: How did the client’s size (body weight) put her at
risk for pulmonary edema? (5-10 sentences)
Question # 4: How could pulmonary edema have been prevented
in this client? (5-10 sentences)
Case # 3
A 32-year-old male with a history of cardiomyopathy is
admitted to the medical-surgical floor with a diagnosis of flu.
The client has a high fever and receives multiple bags of
0.9%NS. One day into the admission the client develops severe
shortness of breath. An X-ray shows pulmonary edema.
Question # 5: What puts this client at risk for pulmonary
edema? (5-10 sentences)

6. Format
· Standard American English (correct grammar, punctuation,
etc.)
· Logical, original, and insightful
· Professional organization, style, and mechanics in APA format
· Submit document through
Grammarly to correct errors before submission.
· APA citation
Bottom of Form
Module 06 Content
Top of Form
Purpose
To work with a team of professionals, select appropriate nursing
interventions within the LPN scope of practice, and recognize
serious complications.
Competency
Explain care for the client with lower respiratory disorders.
Instructions
Read the case study below and answer the questions. Site any
sources using APA format.
The Story
You are an LPN working in a community health clinic on a team
of professionals that includes a medical assistant, RN, and nurse
practitioner. The clinic is just opening for the day on a day that
is particularly hot and humid. A woman runs into the clinic with
an older gentleman yelling “he can’t breathe.” The client
appears flushed (reddened skin), is unable to speak, and appears
very short of breath. The client’s wife tells you that he has
“emphysema” and refuses to put the air conditioning on in their
home because he is afraid the electric bill will be too high. She
also tells you that he ran out of his medications, including his

7. inhalers and prednisone, almost 2 weeks ago. The client has a
respiratory rate of 44 and an O2 Sat. of 84% on room air. His
blood pressure is 168/100.
Question 1: List two nursing interventions that should be done
immediately. (2-3 sentences)
Question 2: What environmental factor(s) do you think
contributed to the client’s current situation? (2-3 sentences)
Question 3: What danger could the client face by abruptly
stopping prednisone? (5-10 sentences)
Question 4: Explain why compliance is important in managing
chronic diseases such as COPD? (5-10 sentences)
Question 5: After this client is stabilized and his breathing
improves. What should be addressed with him on his next clinic
visit? (5-10 sentences)
Format
· Standard American English (correct grammar, punctuation,
etc.)
· Logical, original, and insightful
· Professional organization, style, and mechanics in APA format
· Submit document through
Grammarly to correct errors before submission.
· APA Citation
MHBottom of Form
Module 03 Content: FAQ for Family Member
Top of Form
Purpose of Assignment: To differentiate between substance
abuse and addiction disorders by demonstrating an
understanding of the disease processes and providing an

8. educational tool for client and family.
Instructions:
Select a substance abuse disorder to create a Frequently Asked
Questions (FAQs) to educate a client and/or family member
regarding the disorder. You may select from the following:
· Alcohol
· Inhalants
· Caffeine
· Hallucinogenic
· Stimulants
· Opioids
· Sedatives
· Cannabis
· Tobacco
The goal of the FAQ is to provide answers to frequently asked
questions and to help an individual understand the following:
· Describe signs and symptoms (behavioral and physical) of
addiction
· Signs and symptoms of the selected substance abuse disorder
· Available treatment/therapy options
· Resources for the client and individual family members
· Interventions/actions to help individual family member with
the disorder
· Reference list for any sources used for the creation of the FAQ
The FAQ should be written in such a way that the client and
family members can easily understand the provided information.
Resources from local community should be provided, research
support offered near you.
Format:
· Standard American English (correct grammar, punctuation,
etc.)

9. · Logical, original and insightful
· Professional organization, style, and mechanics in APA format
· Submit document through Grammarly to correct errors before
submission.
· APA Format
Module 05 Content: Suicide Precaution Policy
Top of Form
Purpose of Assignment:
To demonstrate understanding of creating a therapeutic and safe
environment for a suicidal client.
Instructions:
This assignment will use a word document to create a policy
outline. Clearly identify sections of the policy based upon the
listed expectations.
Content:
You are working on a newly opened observation unit in the
hospital. Recently there has been an overflow of suicidal clients
awaiting placement at the psychiatric facility. The staff
recognizes there is not a fully developed policy on how to
safely care for a suicidal client. Working together with case
management and other staff nurses, you have been asked to
create policy recommendations. Your recommendations should
include:
· How to create a safe environment
· Considerations or actions needed when a client is admitted or
discharged
· Considerations or actions during the client’s admission (length
of stay)
· Identify allowable and restricted personal items for the client
· Expectations of client monitoring

10. · Describe the requirements of how the client is to be
monitored, how often, and by whom.
· Nursing Considerations
· Expectations of nursing interactions when dealing with
suicidal client
· Required documentation expectations
· Describe the roles of CNA, LPN, RN
Format:
· Standard American English (correct grammar, punctuation,
etc.)
· Logical, original and insightful
· Professional organization, style, and mechanics in APA format
· Submit document through
Grammarly to correct errors before submission.
· APA ciation
Bottom of Form
Module 08 Discussion - Schizophrenia Case Study
Directions: (apa ciation)
Watch the following video featuring an interview between a
mental health clinician and Chase, a college student who is
having a psychotic episode. Click
here. (https://video-alexanderstreet-
com.eu1.proxy.openathens.net/watch/chase-core-video-
schizophrenia-part-i-psychotic-episode)
Address the following
· Identify the positive and negative symptoms of schizophrenia
of the active psychotic state Chase is experiencing.
· During the interview, how do you believe the interviewer
handled the conversation?
· How would you feel interacting with this client?
Module 09 Written Assignment - Crisis: Community Resources

11. Pamphlet
Purpose of Assignment: To demonstrate an understanding of
recognizing a client in crisis as well as providing education of
crisis intervention techniques, including effective coping
mechanisms, for a client in crisis.
Instructions:
This assignment will require the development of an educational
pamphlet. Word or Publisher may be used to create/format the
pamphlet.
Content:
As part of the outpatient clinic’s client educational tools, you
have been asked to create a supplemental tool for clients who
may be experiencing a crisis. In the form of a pamphlet, provide
information regarding the following:
1. Describe types of crises
2. Signs and symptoms of those experiencing a crisis including
a description of the levels of anxiety
3. Describe coping mechanisms including examples of positive
and negative coping styles
4. Identify resources
· Available community resources
· Identify possible support systems
Format:
· Standard American English (correct grammar, punctuation,
etc.)
· Logical, original and insightful
· Professional organization, style, and mechanics in APA format
· Submit document through
Grammarly to correct errors before submission.
· Create an educational pamphlet

12. · APA citation
Bottom of Form