NR 305 RN Well being Evaluation Full Course
Week 1
NR 305 Week 1 TD 1:
Wholesome Individuals Initiative
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 girl who’s in her second 12 months of nursing college. She complains of a 14-pound weight achieve since beginning college 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 cook dinner and he or she and her household like to eat meals that replicate their Hispanic heritage. She is married with two school-age kids. She is in school a complete of 15 hours per week, plus 12 hours of labs and scientific. She maintains the family primarily 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 Wholesome Individuals 2020as a information:
1. What extra data would you want to collect from Maria?
2. What are Maria’s actual and potential well being dangers?
three. Choose one among Maria’s well being dangers. What can be one cheap short-term objective for this danger?
NR 305 Week 1 TD 2:
Cultural Bias
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. Bear in mind, the desk might not embody all cultural teams. Let’s attempt to embody all of the teams listed within the dialogue, so please don’t select a gaggle that has already been accomplished. To expedite this, please use the group title within the title of your put up.
Week 2
NR 305 Week 2 TD 1:
Ache Evaluation
John, a 46-year-old African-American male presents for admission to your hospital for hemi-colectomy for colon polyps. He’s complaining of continual again ache. Affected person is on incapacity from work associated harm. Historical past of two (2) earlier again surgical procedures with reduction of numbness in RLE however ache has not been relieved. His present medicines embody Methadone, Neurontin and Norco. John states he takes Benadryl PM each evening along with his prescribed medicines. John is a smoker and smokes 1 PPD. John confides in you that he’s contemplating a spinal twine stimulator for the continual ache.
What danger components does John have for danger of opioid withdrawal throughout this hospitalization?
Is there a stigma related to being disabled and or methadone?
Does the nurse must be involved about acetaminophen use?
What are the variations in acute and continual ache?
NR 305 Week 2 TD 2:
Dietary Evaluation
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 residence. 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 conventional Vietnamese household, not like his kids, 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 cook dinner meat for only one individual.”
• Standard every day exercise is studying the Vietnamese neighborhood newspaper together with his morning tea for breakfast. He says he normally eats lunch, however can’t 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. If you weigh him, he weighs 123 kilos and is 5’eight″ tall.
Take a look at the listing of nursing diagnoses in Appendix A of your textual content. What nursing diagnoses would you select for Mr. Lei?
• What extra questions would you ask to substantiate your analysis?
• What bodily examination and laboratory findings would you anticipate Mr. Lei to have?
• What psychosocial and cultural components do you have to take into account when assessing Mr. Lei?
Week 2 Project:
Journal Article Evaluate
You’ll learn an assigned nursing article and write a critique associated to a particular matter.
This project allows to satisfy the next course outcomes:
CO #three: Make the most of efficient communication when performing a well being evaluation. (PO #three)
CO #5: Discover the skilled tasks concerned in conducting a complete well being evaluation and offering applicable documentation. (PO #6)
The physique of the paper ought to have 4 sections with these headings:
- Introduction
- Abstract of the Article
- Analysis of the Article
- Conclusion
- Use scholarly writing together with appropriate English grammar, syntax and sentence construction.
Week three
NR 305 Week three TD 1:
Basic Survey and Well being Historical past
Casey is a 17-year-old highschool pupil admitted to the ER with a compound fracture of the left leg obtained falling on the native skateboard park whereas working towards for a nationwide competitors. He has by no means been hospitalized earlier than. His mom has been notified and is on her manner. The EMTs gave him morphine and he studies his ache degree as “okay.”
• What a part of the interview and examination might be accomplished previous to his mom’s arrival?
• As you enter the room for the primary time, what do you have to observe as a part of the final survey?
• As you full his historical past, what areas are particularly essential?
• What are the essential developmental concerns for Casey?
NR 305 Week three TD 2:
The Older Grownup
Jean is a 68-year-old feminine admitted for a complete hip substitute. 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 medicines 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 could have about her social help system?
NR 305 Week three Project:
Household Genetic Historical past
You’re to acquire a household genetic historical past on a prepared, non-related, grownup participant.
This project allows to satisfy the next course outcomes:
CO #three: Make the most of efficient communication when performing a well being evaluation. (PO #three)
CO #5: Discover the skilled tasks concerned in conducting a complete well being evaluation and offering applicable documentation. (PO #6)
Week four
NR 305 Week four TD 1:
Evaluation of the Pores and skin
Describe a affected person with an irregular pores and skin symptom or group of signs corresponding to 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 targeted evaluation?
- What historical past could be related to the symptom, if any?
- What are the recognized danger components for this situation?
- What bodily examination strategies would you utilize?
- What affected person training would you give the affected person?
- Discover a nursing journal article about these signs.
NR 305 Week four TD 2:
Evaluation of the Head and Neck
Select one space of the pinnacle and neck after which choose a typical criticism (symptom or group of signs) sufferers might have in that space. For instance, you might 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 targeted evaluation?
- What historical past can be related to the symptom?
- What are the danger components for this situation?
- What bodily examination strategies would you utilize?
- What affected person training would you give the affected person?
- Discover a nursing journal article about this symptom or situation.
NR 305 Week four Course Challenge Milestone 1:
Well being Historical past Project
You’ll receive a well being historical past on a prepared, non-related, grownup participant with a purpose to generate written documentation that’s clear and correct.
This project allows to satisfy the next course outcomes:
CO #three: Make the most of efficient communication when performing a well being evaluation. (PO #three)
CO #four: Determine instructing/studying wants from the well being historical past of a person. (PO #2)
CO #5: Discover the skilled tasks concerned in conducting a complete well being evaluation and offering applicable documentation. (PO #6)
Week 5
NR 305 Week 5 TD 1:
Evaluation of the Stomach
- Describe a affected person with an belly symptom or group of signs, corresponding to bloating, flatus, and eructation; constipation; nausea and vomiting; diarrhea; or belly ache. Don’t restrict your self to those examples. Do not forget that there are differing kinds and places of belly ache.
- What questions would you ask as a part of your targeted evaluation?
- What historical past could be related to the symptom, if any?
- What are the recognized danger components for this situation?
- What bodily examination strategies would you utilize?
- What affected person training would you give the affected person?
- Discover a nursing journal article about these signs.
NR 305 Week 5 TD 2:
Evaluation of the Genitourinary System
Describe a affected person with a genitourinary symptom or group of signs; corresponding to 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 various kinds of incontinence.
- What questions would you ask as a part of your targeted evaluation?
- What historical past could be related to the symptom, if any?
- What are the recognized danger components for this situation?
- What bodily examination strategies would you utilize?
- What affected person training would you give to the affected person?
- Discover a nursing journal article about these signs.
Week 6
NR 305 Week 6 TD 1:
Evaluation of Cardiac Standing
Describe a affected person with a cardiac symptom or group of signs, corresponding to palpitations, hypertension, hypotension, tachycardia, or bradycardia. Don’t restrict your self to those examples.
- What questions would you ask as a part of your targeted evaluation?
- What historical past could be related to the symptom, if any?
- What are the recognized danger components for this situation?
- What bodily examination strategies would you utilize?
- What affected person training would you give to the affected person?
- Discover a nursing journal article about this symptom or situation.
NR 305 Week 6 TD 2:
Evaluation of Respiratory Standing
Select one space of the respiratory system after which choose a typical criticism (symptom or group of signs) sufferers might have in that space. For instance, you might 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 targeted evaluation?
- What historical past can be related to the symptom?
- What are the danger components for this situation?
- What bodily examination strategies would you utilize? What affected person training would you give the affected person?
- Discover a nursing journal article about this symptom or situation.
NR 305 Week 6 Course Challenge Milestone 2:
Nursing Prognosis and Care Plan Project
Exercise will likely be a continuation of the Milestone 1: Well being Historical past that you simply submitted in Week four. On this a part of the project you’ll take the data you gathered, analyze the info, and develop a nursing care plan.
The project allows to satisfy the next course outcomes:
CO #three: Make the most of efficient communication when performing a well being evaluation. (PO #three)
CO #four: Determine instructing/studying wants from the well being historical past of a person. (PO #2)
CO #5: Discover the skilled tasks concerned in conducting a complete well being evaluation and offering applicable documentation. (PO #6)
Week 7
NR 305 Week 7 TD 1:
Assessing the Musculoskeletal System
• Describe a affected person with a musculoskeletal symptom or group of signs, corresponding to joint ache, again ache, neck ache, and so forth. Don’t restrict your self to those examples. Bear in mind: There are differing kinds and places of joint ache.
What questions would you ask as a part of your targeted evaluation?
What historical past could be related to the symptom, if any?
What are the recognized danger components for this situation?
What bodily examination strategies would you utilize?
What affected person training would you give the affected person?
Discover a nursing journal article about these signs.
NR 305 Week 7 TD 2:
Assessing the Nervous System
Select one frequent criticism (symptom or group of signs) associated to the neurological system. For instance, you might choose syncope, hand tremors, seizures, proper/left-sided weak spot or paralysis, abnormalities of gait or posture, adjustments in psychological standing, and so forth. Don’t restrict your self to those examples.
What questions would you ask as a part of your targeted evaluation?
What historical past can be related to the symptom?
What are the danger components for this situation?
What bodily examination strategies would you utilize?
What affected person training would you give to the affected person?
Discover a nursing journal article about this symptom or situation.
