Posted: December 30th, 2021

DEVRY NR305 all WEEKs discussions [ week 1 to week 7 ]

week 1Healthy Individuals Initiative (graded)As the college nurse working in a university well being clinic, you see many alternatives to advertise well being. Maria is a 40-year-old Hispanic lady who’s in her second 12 months of nursing faculty. She complains of a 14-pound weight achieve since beginning faculty and is afraid of what it will do to each her look and well being if the development continues. After doing her historical past, you be taught that she is a superb prepare dinner and she or he and her household like to eat meals that mirror their Hispanic heritage. She is married with two school-age youngsters. She is at school a complete of 15 hours per week, plus 12 hours of labs and medical. She maintains the family basically by herself and does all of the purchasing, cooking, cleansing, and chauffeuring of the kids. She states that she is fortunate to get 6 hours of sleep per evening, however that’s okay along with her. She lives 1hour from campus and commutes every day. Utilizing .healthypeople.gov/”>Wholesome Individuals 2020as a information:What further info would you want to assemble from Maria?What are Maria’s actual and potential well being dangers?Choose one in all Maria’s well being dangers. What could be one cheap short-term purpose for this threat?Cultural Bias (graded)Understanding cultural phenomena is crucial to the completion of an correct well being evaluation. Please select a cultural group from Desk four.1 out of your textual content and describe the cultural variations pertinent to that group. Keep in mind, the desk could not embrace all cultural teams. Let’s attempt to embrace all of the teams listed within the dialogue, so please don’t select a bunch that has already been accomplished. To expedite this, please use the group title within the title of your submit.week 2Pain Evaluation (graded)John, a 46-year-old African-American male presents for admission to your hospital for hemi-colectomy for colon polyps. He’s complaining of persistent again ache. Affected person is on incapacity from work associated harm. Historical past of two (2) earlier again surgical procedures with aid of numbness in RLE however ache has not been relieved. His present drugs embrace Methadone, Neurontin and Norco. John states he takes Benadryl PM each evening along with his prescribed drugs. John is a smoker and smokes 1 PPD. John confides in you that he’s contemplating a spinal wire stimulator for the persistent ache.What threat components does John have for threat of opioid withdrawal throughout this hospitalization?Is there a stigma linked to being disabled and or methadone?Does the nurse must be involved about acetaminophen use?What are the variations in acute and persistent ache?Dietary Evaluation (graded)Yulang Lei, an 82-year-old Vietnamese man, was admitted to your flooring with dehydration and a urinary tract an infection following a fall at dwelling. He’s alert and oriented, however weak. He seems frail. His admission historical past consists of the next.He lives alone; his spouse died 6 months in the past.He states he ran a standard Vietnamese household, not like his youngsters, who’re married and have now moved away.His spouse did all of the cooking and he hasn’t had a lot of an urge for food since she died. He eats rice and a few greens, however not often “bothers to prepare dinner meat for only one individual.”Common day by day exercise is studying the Vietnamese group newspaper along with his morning tea for breakfast. He says he normally eats lunch, however cannot keep in mind what he normally eats. He has rice and some greens for dinner.You discover that his garments match very loosely. He states he weighed 140 kilos at his physician’s workplace 5 months in the past. While you weigh him, he weighs 123 kilos and is 5’eight” tall.Take a look at the record of nursing diagnoses in Appendix A of your textual content. What nursing diagnoses would you select for Mr. Lei?What further questions would you ask to substantiate your prognosis?What bodily examination and laboratory findings would you anticipate Mr. Lei to have?What psychosocial and cultural components must you take into account when assessing Mr. Lei?Normal Survey and Well being Historical past (graded)Casey is a 17-year-old highschool scholar admitted to the ER with a compound fracture of the left leg obtained falling on the native skateboard park whereas training for a nationwide competitors. He has by no means been hospitalized earlier than. His mom has been notified and is on her approach. The EMTs gave him morphine and he studies his ache stage as “okay.”What a part of the interview and examination may be accomplished previous to his mom’s arrival?As you enter the room for the primary time, what must you observe as a part of the final survey?As you full his historical past, what areas are particularly vital?What are the vital developmental concerns for Casey?The Older Grownup (graded)Jean is a 68-year-old feminine admitted for a complete hip alternative. In her interview you be taught that she has a historical past of obstructive sleep apnea (OSA) with a neck circumference of 16 inches and snores a lot of the evening. She is 5’7” and weighs 265 kilos. She states she is sleepy all through the day. Her different medical historical past consists of: hypertension handled with angiotensin II receptor blockers (ARB), Diabetic with an Hgb A1c over eight%. Hypercholesteremia handled with a Statin drug. Coronary Artery Illness (CAD) with a historical past of a drug eluting cardiac stent positioned 14 months in the past and at present on Plavix and ASA. Historical past of gastroesophageal reflux illness (GERD) and is on Prilosec. Her husband has a historical past of cerebral vascular accident (CVA) a number of years in the past.What drugs ought to she take pre-op and what ought to she maintain?Ought to Jean be allowed to proceed ASA pre-operatively?Ought to cardiology be consulted on this matter?What are Jean’s dangers for diabetes issues? What considerations do you have got about her social assist system?week 4Assessment of the Pores and skin (graded)Describe a affected person with an irregular pores and skin symptom or group of signs resembling a rash, an itch, redness, a lesion, or wounds. Don’t restrict your self to those examples.What questions would you ask as a part of your centered evaluation?What historical past is likely to be related to the symptom, if any?What are the recognized threat components for this situation?What bodily examination strategies would you utilize?What affected person schooling would you give the affected person?Discover a nursing journal article about these signs.Evaluation of the Head and Neck (graded)Select one space of the top and neck after which choose a typical grievance (symptom or group of signs) sufferers could have in that space. For instance, chances are you’ll choose complications, earaches, ringing within the ears (tinnitus), sinus drainage and ache, sore throat and cough, and so forth. Don’t restrict your self to those examples.What questions would you ask as a part of your centered evaluation?What historical past could be related to the symptom?What are the danger components for this situation?What bodily examination strategies would you utilize?What affected person schooling would you give the affected person?Discover a nursing journal article about this symptom or situation.unit 5Assessment of the Stomach (graded)Describe a affected person with an belly symptom or group of signs, resembling bloating, flatus, and eructation; constipation; nausea and vomiting; diarrhea; or belly ache. Don’t restrict your self to those examples. Keep in mind that there are differing kinds and places of belly ache.What questions would you ask as a part of your centered evaluation?What historical past is likely to be related to the symptom, if any?What are the recognized threat components for this situation?What bodily examination strategies would you utilize?What affected person schooling would you give the affected person?Discover a nursing journal article about these signs.Evaluation of the Genitourinary System (graded)Describe a affected person with a genitourinary symptom or group of signs; resembling incontinence, burning on urination, irregular menses, ache within the scrotum, erectile dysfunction, and so forth. Don’t restrict your self to those; for instance, there are several types of incontinence.What questions would you ask as a part of your centered evaluation?What historical past is likely to be related to the symptom, if any?What are the recognized threat components for this situation?What bodily examination strategies would you utilize?What affected person schooling would you give to the affected person?Discover a nursing journal article about these signs.unit 6Assessment of Cardiac Standing (graded)Describe a affected person with a cardiac symptom or group of signs, resembling palpitations, hypertension, hypotension, tachycardia, or bradycardia. Don’t restrict your self to those examples.What questions would you ask as a part of your centered evaluation?What historical past is likely to be related to the symptom, if any?What are the recognized threat components for this situation?What bodily examination strategies would you utilize?What affected person schooling would you give to the affected person?Discover a nursing journal article about this symptom or situation.Evaluation of Respiratory Standing (graded)Select one space of the respiratory system after which choose a typical grievance (symptom or group of signs) sufferers could have in that space. For instance, chances are you’ll choose wheezes, pulmonary congestion, absence of breath sounds on one aspect, productive cough, and so forth. Don’t restrict your self to those examples.What questions would you ask as a part of your centered evaluation?What historical past could be related to the symptom?What are the danger components for this situation?What bodily examination strategies would you utilize? What affected person schooling would you give the affected person?Discover a nursing journal article about this symptom or situation.unit 7Assessing the Musculoskeletal System (graded)Describe a affected person with a musculoskeletal symptom or group of signs, resembling joint ache, again ache, neck ache, and so forth. Don’t restrict your self to those examples. Keep in mind: There are differing kinds and places of joint ache.What questions would you ask as a part of your centered evaluation?What historical past is likely to be related to the symptom, if any?What are the recognized threat components for this situation?What bodily examination strategies would you utilize?What affected person schooling would you give the affected person?Discover a nursing journal article about these signs.unit 7Assessing the Nervous System (graded)Select one frequent grievance (symptom or group of signs) associated to the neurological system. For instance, chances are you’ll choose syncope, hand tremors, seizures, proper/left-sided weak point or paralysis, abnormalities of gait or posture, modifications in psychological standing, and so forth. Don’t restrict your self to those examples.What questions would you ask as a part of your centered evaluation?What historical past could be related to the symptom?What are the danger components for this situation?What bodily examination strategies would you utilize?What affected person schooling would you give to the affected person?Discover a nursing journal article about this symptom or situation.

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