NU621-8D Full Course Herzing University

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NU621-8D Full Course Herzing University

Discussion Question/Prompt

You are seeing a young couple who want to have children. The husband tells you he was at the recent Summer Olympics in Rio and since his return, his wife is reluctant to have intercourse. When they do make love, she will only have intercourse if he wears a condom. The wife tells you she is afraid he may have been exposed to the Zika virus and she does not want to take the chance they might have a baby with microcephaly.

·         Describe how the Zika virus is transmitted.

·         Discuss the pathophysiology of microcephaly and how the Zika virus causes microcephaly.

·         What is the risk of microcephaly from the Zika virus for this couple?

·         Describe the information and counseling/education you would give this couple, including the risk of transmission.

·         Relate this to the information presented this week.

·         Provide rationale for your answer, including current evidence from the literature to support your position.

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:

·         Do you agree with your peers’ ideas for counseling patients?

·         Take an opposing view to a peer and present a logical argument supporting the opposite opinion.

·         Share your thoughts on how you support their opinion and explain why.

·         Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Discussion Question/Prompt

A 42 year old African American female with pain in her hands and knees and a flat red rash on the cheeks of her face presents to your office. She states she has noticed these symptoms over the past 8 years or so and attributed them to her exercise routines and being out in the sun. She always uses sunscreen but the rash still occurs now and then.  The medical history is positive for hypertension. The medications she takes for the hypertension changed a few years ago from hydralazine to lisinopril but there has been no difference in the reported symptoms after this change. You order labs and diagnose her with systemic lupus erythematosus.

·         Differentiate the underlying pathophysiologic mechanisms of chronic systemic lupus erythematosus (SLE) and transient lupus-like syndrome.

·         Discuss the history and labs that would help diagnose and differentiate SLE.

·         Describe how you would differentiate SLE from Fibromyalgia.

·         Provide information for patient education for this patient.

·         Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position.

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:

·         Expand on the information provided by your colleagues.

·         Suggest some different education strategies or alternatives to what your peers have offered in patient education.

·         Share your thoughts on how you support their approach and explain why.

·         Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Discussion Question/Prompt

Six months ago, your 42 year old female patient was diagnosed with hyperthyroidism and received appropriate treatment. Her most recent thyroid tests revealed she is now hypothyroid.

·         Describe the pathophysiology of hyperthyroidism.

·         Explain the signs/symptoms you would expect this patient to manifest and correlate them with the pathophysiology you described.

·         Provide details of the tests done to confirm the diagnosis of hyperthyroidism.

·         Discuss the treatment she would receive for hyperthyroidism.

·         Describe why she is now hypothyroid.

·         Compare the signs/symptoms she would manifest with hypothyroidism with those she displayed for hyperthyroidism.

Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position.

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:

·         Do you agree with your peers’ treatment plan?

·         Take an opposing view to a peer and present an alternative approach.

·         Share your thoughts on how you support their opinion and explain why.

·         Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Discussion Question/Prompt

You are seeing a husband and wife for routine yearly physicals. You want to discuss health promotion activities with them, including self breast exam (SBE) and mammography for the wife and prostate self exams for the husband. The wife states she is embarrassed to admit she has never done a breast self exam or had a mammogram and didn’t think they were useful anyway. The husband tells you he read in the magazine in your waiting room that blood tests to check for prostate cancer don’t need to be done anymore.

·         Provide evidence-based information to the wife about the recommendations for SBE and mammography and your recommendations to her based on the evidence. 

·         Describe changes in her breasts that should be reported to her health care provider.

·         Critique the use of serum prostate-specific antigen (PSA)to diagnose prostate cancer. 

·         Provide your evidenced-based recommendations to the husband for PSA testing. 

·         Provide at least one reference source that is different from your colleagues to help expand their knowledge.

Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position and suggestions.

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:

·         Do you agree with your peers’ recommended treatment plan?

·         Take an opposing view to a peer and present an alternative plan.

·         Share your thoughts on how you support their opinion and explain why.

·         Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Discussion Question/Prompt

One of your favorite patients is a 68 year old male who has Stage 3 Chronic Kidney Disease (CKD). He tells you he has no appetite, is losing weight, cannot sleep more than 3 hours at night, and bruises easily.

·         Identify the fluid and electrolyte changes in chronic kidney disease.

·         Explain which disturbances your patient may be experiencing.

·         Describe the impact of Chronic Kidney Disease on 2 other systems and interventions that will minimize these complications.

·         Give examples from your practice.

·         Provide suggestions for your colleagues that will assist them in the care and education of their patients with CKD.

Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position and suggestions.

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:

·         Do you agree with your peers’ approach to patient education?

·         Take an alternate view and offer some different methods for educating patients about this issue.

·         Share your thoughts on how you support their opinion and explain why.

·         Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Discussion Question/Prompt

Watch the video on “Asthma” and address the following in your discussions.

·         Post your answers to the questions in the video and include your rationale for choosing your answers.

·         Cite sources to support your comments.

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:

·         Comment on at least 2 answers and rationale given by your colleagues that differ from yours.

·         Take an opposing view to a peer and present a logical argument supporting the opposite opinion.

·         Share your thoughts on how you support their opinion and explain why.

·         Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Discussion Question/Prompt

One of your patients is a 5 year old boy who was diagnosed with leukemia 3 months ago. Although he is receiving excellent care by a pediatric hematologist/oncologist, his parents trust you since you have taken care of him since he was born. They are very anxious and have many questions

·         Explain which type of leukemia he is most likely to have, its pathophysiology, how he contracted it, and his prognosis.

·         Discuss treatment options for this child with your colleagues.

·         Include how you will teach the parents about their role in his care.

·         Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position. 

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:

·         Comment on at least 2 peer responses and suggest alternative treatment options to those presented.

·         Take an opposing view to a peer and present a logical argument supporting the opposite opinion.

·         Share your thoughts on how you support their opinion and explain why.

·         Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Discussion Question/Prompt

·         Describe three neurologic disorders associated with alterations in motor function.

·         Explain the underlying pathophysiologic mechanisms, and the manifestations associated with each you would expect your patients to present.

·         Present the genetic factors that may contribute to one of the chosen diseases.

·         Provide a plan for educating your colleagues and patients about one of your chosen diseases.

Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position.

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:

·         Comment on at least 2 answers and explain how your answers compare. What are the similarities and differences?

·         Provide an alternate education plan for a peer’s chosen diseases.

·         Share your thoughts on how you support their opinion and explain why.

·         Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Discussion Question/Prompt

·         Present your group’s poster project as an attached file to this discussion.

·         Post your group’s discussion questions that you created in Unit 3 Midterm Evaluation activity.

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.

·         Respond to two group’s discussion questions with substantive responses of 250-300 words for each question.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Discussion Question/Prompt

The parents of a 10-day old infant boy have brought their son for an office visit and are extremely anxious. They report that the delivery was uneventful and he was discharged without incident. He was well, happy, and eating fine until 2 days ago. While he was taking his formula, he suddenly turned a “grayish color”, had difficulty breathing, was unable to continue eating, and took a long time to calm down. Since then, he has not been eating because these same symptoms happen every time he tries to eat. These even occur when he cries.

·         Present your initial diagnosis and include the pathophysiologic explanation to support it.

·         Also discuss why this infant was asymptomatic for the first week of life.

·         Discuss interventions for this infant, including education for his parents.

·         Expand on the care plans proposed by your colleagues.

Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position.

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:

·         Comment on at least 2 peer responses and explain why you agree with their diagnosis.

·         Take an opposing view to a peer and present a logical argument supporting a different opinion.

·         Share your thoughts on how alternate interventions that could also be used in this case.

·         Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Discussion Question/Prompt

·         Share the PPT poster from your genetic research project in this discussion area for your peers review.

·         Each Team will post the 2 multiple choice questions they wrote for their assigned topic, along with their responses to those questions, and the rationale for their answers.

·         Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position.

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:

·         Comment about the answers, information, and rationale presented by at least 2 other Teams.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Unit 8 Discussion

Reflection

Please respond to the following questions based upon these course objectives:

1.       Integrate nursing and related sciences into the delivery of advanced nursing care to diverse populations. (AACNI.1)

2.       Incorporate current and emerging genetic/genomic evidence in providing advanced nursing care to individuals, families, and communities while accounting for patient values and clinical judgment. (AACN I.2)

3.       Compare normal anatomy and physiology to alterations in function and regulation of body organs and systems in response to stressors. (AACN I.1)

Please answer the following questions with supporting examples and full explanations.

1.       For each of the learning objectives, provide an analysis of how the course supported each objective.

2.       Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.

Provide evidence (citations and references) to support your statements and opinions. Responses to these questions are due by Tuesday at midnight.

All references and citations should in APA format.

 

 

Critical Thinking Topic

Purpose: You are working in Pulmonology/Immunology practice. One of your new patients is a 20 year old man who has undergone allergy testing and found to be allergic to pollen and grasses. He is to start an immunotherapy program today.

Assignment Description:

1.       Describe the pathophysiologic changes to the immune system when exposed to allergens and the clinical manifestations of these changes.

2.       Formulate a care plan for the treatments to be given. Include information you would give for him to educate him about why he has the symptoms he experiences, a description of the program and what he can expect, how long it will take, and long-term expectations.

Requirements:

·         Provide a complete care plan to include the topics suggested (40 points)

·         Justify ideas and responses by using appropriate examples and references from texts, Web sites, and other references. (10 points)

·         Use APA 6th edition style guidelines consistently and accurately. Used correct spelling and grammar. Submitted on time. (10 points)

 

 

Assignment Objectives: 

·         Describe the pathophysiologic manifestations of the disease(s).

·         Identify and select appropriate interventions including diagnostic tests and nursing interventions. 

·         Analyze physiological and psychological responses to illness and treatment modalities 

Purpose: Examine case studies related to endocrine system and answer the assigned questions. This assignment should help refine your clinical/critical thinking skills. 

Assignment Description: Answer the questions related to each of the patients provided. Your answer must follow APA 6th edition format. Submit the answer in the assignment area of your course. 
   
Patient 1 – The parents of an 11 year old girl bring her for an office visit. She has been developing normally and has been healthy and active. Her parents report that for the past several weeks, she has been feeling tired and weak, drinking more fluids than normal, and has been urinating so much she has wet the bed at night. Two days ago, they noticed that her breath smelled “like fruit” and she lost 8 pounds these last weeks. Yesterday she began breathing fast and deep.

a. Present your initial diagnosis.

b. Describe the pathophysiologic explanation(s) to support your diagnosis and the clinical symptoms presented.

c. List the test(s) you would perform to confirm your diagnosis, the rationale for each test ordered, and the results you would expect if your diagnosis is correct.

d. Describe your recommended treatment(s) and the rationale to support your recommendation(s).

Patient 2– A  45 year old man is being seen because he has been experiencing vision changes, a burning sensation in his feet, and decreasing amounts of urine when he uses the bathroom. He has a long-standing history of hypertension and hyperlipidemia. Your physical exam reveals retinal hemorrhages in both eyes, and decreased sensation to moderate touch in the soles of his feet. A spot urinalysis shows microalbuminuria and a stat Basic Metabolic Profile (BMP) shows decreased Glomerular Filtration Rate (GFR).

a. Present your initial diagnosis.

b. Describe the pathophysiologic processes related to your diagnosis that explain the signs/symptoms, and lab results obtained.

c. State the effect of his symptoms on his life expectancy and the rationale for your answer.

 

Assignment Objectives: 

·         Identify and select appropriate interventions including diagnostic tests and nursing interventions. 

·         Analyze physiological and psychological responses to illness and treatment modalities

Purpose: Examine case study related to hematologic disease and answer the assigned questions. This assignment should help refine your clinical/critical thinking skills.

Assignment Description: 

·         Answer the questions in the grading criteria related to each of the patients provided.

·         Your answer must follow APA 6th edition format.

·         Submit the answer to this assignment area.

A 70 year old male patient describes symptoms he has noticed in the past 3 days: easily fatigued, severe shortness of breath, being so weak he sleeps all the time, and bright red blood in the toilet with bowel movements.

Your assessment reveals cool skin, pale oral mucosa and conjunctivae, positive hemoccult test, and a Hgb of 5 g/dL. You diagnose him with a gastrointestinal bleed. He will require a blood transfusion.

He has Blood Type B+.

1.       Identify the type of anemia he has.

2.       Describe which blood types he can receive safely and why these are compatible with his Type B+.

3.       Describe the blood types he cannot receive and why they are incompatible with Type B+.

4.       Explain the transfusion reactions he may experience if he receives incompatible blood products.

 

An 80 year old, frail woman living in a nursing home finishes her dinner and goes to the common room to play dominoes. She vomits and aspirates some of the vomit. She appears to be fine after she stops coughing. She is able to return to her previous level of functioning. Three days later, she reports having a very hard time breathing. She is given oxygen via nasal cannula, which only slightly eases her distress. Over the next 48 hours, her dyspnea worsens and she is sent to the hospital. A chest xray shows bilateral infiltrates and poor aeration. Within hours, she is placed on a ventilator with the diagnosis of Acute Respiratory Distress Syndrome (ARDS).

a. Describe the pathophysiologic processes of ARDS and relate them to this patient.

b. State which direction the oxyhemoglobin dissociation curve would shift in this patient and give rationale for your choice.

c. Relate how you would change the events described to minimize the chances that she would develop ARDS.

 

Assignment Objectives: 

·         Identify and select appropriate interventions including diagnostic tests and nursing interventions. 

·         Analyze physiological and psychological responses to illness and treatment modalities

Purpose: Examine case studies related to neurologic disease and answer the assigned questions. This assignment should help refine your clinical/critical thinking skills.

Assignment Description: 

·         Describe the pathophysiology of extradural and subdural hematomas.

·         Identify the surgical emergency and provided rationale for the choice.

·         Describe the most likely type of head injury and outline an approriate treatment plan.

·         Your answer must follow APA 6th edition format.

·         Submit the answer to this assignment area.

Patient 1 – Two individuals come to the emergency department with head injuries. One, 25 years old, has just been in a motor vehicle accident (MVA) and has a temporal lobe injury. The other, 65 years old, has increasing confusion after a fall that happened earlier in the week.

a. Differentiate the pathophysiology of extradural hematoma and subdural hematoma.

b. Identify the patient in the above scenario requiring immediate emergency surgical intervention and provide rationale for your choice.

Patient 2 – An 38 year old was driving his 1970 Chevy Corvette to a Milwaukee Brewers baseball game when a deer jumped out in front of him on the highway. He swerved his car and hit a telephone pole instead. His head hit the windshield and he suffered severe head trauma.

a. Describe the most likely specific type of head injury he suffered.

b. Outline the treatment plan for this patient.

 

This final project will require you to work in groups of two or three. This project will involve researching a genetic topic that will be pre-assigned to the group and presenting the findings in a poster presentation format in discussion area for this week along with the previous questions developed in Week 3-midterm evaluation.

Topics for this Assignment include:

·         Autism

·         Breast Cancer

·         Down Syndrome

·         Marfan Syndrome

·         Neurofibromatosis

·         Prostate Cancer

·         Sickle Cell Disease

·         Colon Cancer,

·         Turner Syndrome

·         Duchenne Muscular Dystrophy

This area of research was chosen due to it’s importance to your current and future practice as an advanced practice nurse. The project will require your group to research the topic including background information such as cause, incidence, mortality, morbidity, pathophysiology with special attention to the  genetic components, as well as address the importance of the topic locally and/or nationally.

·         Your sources should be at least 6-10 articles from nursing or health-care related professional, peer reviewed journals.

·         The journals should also be within the last 5 years unless the article is one that is the “gold standard” for that area.

·         Your textbook should be included as one of your resources.

·         Include a References list at the end of your submitted work and please remember to use proper APA formatting for citations.

·         Your group will  submit a Power Point Poster Presentation.

·         The template for the PowerPoint Poster is attached for your use.

Powerpoint Poster template Download Powerpoint Poster template

ONE submission per group will be accepted and graded. Please review the grading rubric.

Each member of the group will receive the same grade.

 

Assignment Objectives: 

·         Identify and select appropriate interventions including diagnostic tests and nursing interventions. 

·         Analyze physiological and psychological responses to illness and treatment modalities

Purpose: Examine case studies related to cardiovascular disease and answer the assigned questions. This assignment should help refine your clinical/critical thinking skills.

Scenario

A 72 year old male patient is being seen for a hospital follow-up visit. He was discharged 1 week ago after a 3-day stay for an exacerbation of congestive heart failure. He has a history of CAD and dilated cardiomyopathy, with a left ventricular ejection fraction (LVEF) of 0.30 (30%). You note he has been hospitalized for the same problem 3 times in the last 8 weeks. While performing his history and physical, you learn he has not been taking his diuretic as directed because it makes him go to the bathroom all the time and it disrupts his sleep. He also is not taking the prescribed beta blocker because it makes him sleepy.

Assignment Description: 

·         Identify type of heart failure present.

·         Describe the pathophysiologic alterations that occur with this type of heart failure.

·         Develop a Heart Failure Checklist to promote compliance with evidence-based treatment and management of Heart Failure.

·         Included recommended topics:

o    2013 Guidelines for Management of Heart Failure,

o    medications, interventions, counseling, patient education, follow up, and referrals

o    other topics as appropriate.

o    Describe how compliance with prescribed regimen might prevent heart failure exacerbations and hospital admission/readmission. Your answer must follow APA 6th edition format. Submit the answer in the assignment area of your course.

 

 

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