NRS 410V Module 5: Chronic Disease Management Case scenario Assignment
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.
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Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.
NRS 410V Module 5 Chronic Disease Management Case scenario Assignment
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 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.
NRS 410V Module 5: Chronic Disease Management Case scenario Assignment
Case Scenario 2
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 sleep apnea and high blood pressure, which he tries to control with sodium restriction. He currently works at a catalog telephone center.
Objective Data
1.Height: 68 inches; Weight 134.5 kg
2.BP: 172/96, HR 88, RR 26
3.Fasting Blood Glucose: 146/mg/dL
4.Total Cholesterol: 250mg/dL
5.Triglycerides: 312 mg/dL
6.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:
1.Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
2.Ranitidine (Zantac) 300 mg PO at bedtime.
3.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.
1.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.)
2.What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.
NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment
NRS 410V Module 5 Assignment: Evidence-Based Practice Project – Paper on Diabetes
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.
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:
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Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:
- A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
- A descriptive discussion of …….. is supported by sound research.
- APA format is not required for this assignment, solid academic writing is expected, and in-text citations & references required.
NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment
NRS 410V Week 4 Assignment: Case Study of Patient Sallie Mae Fisher
Essay Portion: After viewing the home visit, write an essay of 500-750-words in which you do the following:
- Identify, prioritize, and describe at least four problems.
- Provide substantiating evidence (assessment data) for each problem identified.
- Identify and describe at least four medical and/or nursing interventions.
- Discuss your rationale for the interventions identified.
NRS 410V Module 5: Chronic Disease Management Case scenario Assignment
Prepare this step of the assignment according to the APA guidelines Abstract 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 ________.”
NRS-410V: Pathophysiology and Nursing Management of Clients Health
NRS 410V Week 3 Assignment: Case Study: Anemia
NRS 410V Week 3 Assignment: Case Study: Heart Failure
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.
NRS 410V Module 5: Chronic Disease Management Case scenario Assignment
NRS 410V Week 2 Assignment: Approach to Care of Cancer
Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:
- Describe the diagnosis and staging of cancer.
- Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
- Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.
NRS-410V: Pathophysiology and Nursing Management of Clients Health paper
- Question: Which of the following is true of the biological functions of progesterone?
- Question: Which of the following is true of the biological functions of testosterone?
- Question: In performing a physical assessment, the nurse notes the patient has a â€oebarrel― configuration to the chest. This is a consequence of:
- Question: Which of the following is true of the biological functions of estrone?
- Question: Ausculation of the chest reveals bilateral fine crackles in the bases bilaterally, indicating:
- Question: The signs and symptoms of anemia ……. pathophysiologic feature of the condition?
- Question: What is the function of hemoglobin?
- Question: Common manifestations of bacterial pneumonia include all of the following except:
- Question: Patients with chronic renal failure usually exhibit:
- Question: In addition to hypertension, pre-eclampsia is characterized by:
- Question: What is the physiological function of gluconeogenesis?
- Question: List the enzymes whose levels are elevated in the blood serum following an MI.
- Question: The oxyhemoglobin dissociation curve represents the relationship between the:
- Question: The normal pH range for blood is:
- Question:A calculated ABG value that indicates excess or insufficiency of sodium bicarbonate in the system is:
- Question: Interpret the following ABG results….pH 7.38 pCOâ‚‚ 38 HCO₃ 24
- Question: Interpret the following ABG results….pH 7.33 pCOâ‚‚ 60 HCO₃ 34
- Question: The kidneys compensate for acid-base imbalances by excreting or retaining:
- Question: Interpret the following ABG results….pH 7.48 pCOâ‚‚ 42 HCO₃ 30
- Question: Interpret the following ABG results….pH 7.48 pCOâ‚‚ 28 HCO₃ 20
- Question: How do sulfa drugs selectively kill bacteria while causing no harm to humans?
- Question: The purposes of epinephrine injection include all of the following except:
- Question: …….. glycogen metabolism is stimulated by insulin?
- Question: Your patient is interested in trying medication to improve low mood/depression. All of the following medications might be appropriate except:
- Question: Therapeutic interventions focused on increasing the oxygen supplied to the heart and decreasing the hearts demand for oxygen include:
NRS 410V Week 5 Assignment Benchmark: Evidence-Based Practice Project – Diabetes
NRS-410V Week 5 Assignment: Evidence-Based Practice Project-Intervention Presentation (Diabetes)
NRS 410V Module 5 Assignment: Evidence-Based Practice Project – Paper on Diabetes
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.
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 that includes the following:
- A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
- A descriptive discussion of …….. is supported by sound research.
- APA format is not required for this assignment, solid academic writing is expected, and in-text citations & references required.
NRS 410V Week 5 Topic 5: Mandatory Discussion Question
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 sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center. NRS-410V: Pathophysiology and Nursing Management of Clients Health Assignment
Objective Data: (1) Height: 68 inches (5’ 6”); Weight 134.5 kg (296lbs) (2) BMI 47.8 (3) BP: 172/96, HR 88, RR 26 (4) Fasting Blood Glucose: 146/mg/dL (5) Total Cholesterol: 250mg/dL (6) Triglycerides: 312 mg/dL (7) 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:
- Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
- Ranitidine (Zantac) 300 mg PO at bedtime.
- 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.
NRS-410V: Pathophysiology and Nursing Management of Clients Health Essay Assignment
