nsg3012 all week discussions latest 2018 latest february

Week 1 discussion.

Physical Assessment

Using the South University Online Library or the Internet,
research the various aspects of physical assessment. Based on your research and
understanding, respond to one of the following:

You are admitting a 27-year-old woman to your unit for
work-up of weight loss. While conducting an admission interview, you learn that
she has recently lost her job and has a strong family history of depression and
suicide. How would you construct your interview? What measures would you take
with the information you have gathered? Why?

You are admitting a 12-year-old child to your unit. The mother
states that the child has a history of unexplained blackout episodes,
headaches, sleep disturbances, and is presently exhibiting tremors. What is the
most likely cause of these symptoms? What actions would you take during the
interview process? Explain.

A young 33-year-old man is admitted to your unit with a
chief complaint of “tiredness and morning headaches” even after
sleeping. How you would perform a comprehensive analysis of symptoms? What are
the possible causes of the symptoms? What examinations would be crucial to
determine the cause of his problems? Why?

Citations should conform to APA guidelines. You may use this
APA Citation Helper as a convenient reference for properly citing resources or
connect to the APA Style website through the APA icon below.

Week 2 discussion

Causes, Symptoms, and Treatments

Using the South University Online Library or the Internet,
research the causes, symptoms, recommended tests, possible treatments, and expectations
for the following:

Head and neck

Oropharynx

Eye and the visual system

Based on your research and understanding, read and respond
to one of the following scenarios:

A 50-year-old woman is admitted with chief complaints of
headache and decreased range of motion in her neck. She also complains of
vertigo, hearing loss in one ear, profuse sweating, and uncontrollable eye
movements. Her past medical history indicates that she was in a motor vehicle
accident three days before her admission.

What specific diagnostic examinations would you recommend?
Why?

What conditions should be ruled out? Why?

How would you distinguish between these conditions? What are
the possible causes of these symptoms?

While interviewing and examining a 17-year-old male, you
discover a white patch on his buccal mucosa and slanting palpebral fissures in
his eyes. He also states during the interview that he plays baseball and is
hoping to earn an athletic scholarship to college.

What do you suspect? What kind of client teaching is
appropriate in this situation?

Discuss appropriate educational materials for health
promotion and disease prevention

When would slanting palpebral fissures be normal?

While performing a retinal examination on this patient, you
discover that the margins of the optic disc become blurred and indistinct. What
further testing would be required? Why?

What is the foremost cause of this clinical finding?

Citations should conform to APA guidelines. You may use this
APA Citation Helper as a convenient reference for properly citing resources or
connect to the APA Style website through the APA icon below.

Week 3 discussion

Breathing, Heart, and Lungs

An anxious patient is having rapid and shallow breathing.
After a few moments, he complains of a tingling sensation.

What could be the causes of this tingling sensation?

What are the various patterns of respiration and their
significance?

Ethnicity and culture influence risk factors for heart
disease. Do you agree? Why or why not?

What is the technique of percussion and palpation of the
chest wall for tenderness, symmetry, bulges, fremitus, and thoracic expansion?
Explain.

Would you anticipate hearing hyper-resonance on a patient
with a history of tobacco use? Why or why not?

What are the mechanics of breathing with reference to lung
borders and the anatomical structure of the lungs and diaphragm?

Citations should conform to APA guidelines. You may use this
APA Citation Helper as a convenient reference for properly citing resources or
connect to the APA Style website through the APA icon below.

Week 4 discussion

The discussion assignment provides a forum for discussing
relevant topics for this week based on the course competencies covered.

For this assignment, make sure you post your initial
response to the Discussion Area by the due date assigned.

To support your work, use your course and text readings and
also use outside sources. As in all assignments, cite your sources in your work
and provide references for the citations in APA format.

Start reviewing and responding to the postings of your
classmates as early in the week as possible. Respond to at least two of your
classmates. Participate in the discussion by asking a question, providing a
statement of clarification, providing a point of view with a rationale,
challenging an aspect of the discussion, or indicating a relationship between
two or more lines of reasoning in the discussion. Complete your participation
for this assignment by the end of the week.

Male & Female Reproductive System

Using the South University Online Library or the Internet,
research the conditions affecting the male and female reproductive systems.
Based on your research and understanding, respond to one of the following
scenarios:

Scenario 1:

Mrs. Smith is a 50 year old Caucasian woman who has 4
children ages 17, 15, 13, and 10. She was 33 with the birth of her first child.
Her BMI is 25. She has no personal or family history of breast cancer. She
lives with her husband in a suburban community. She is an elementary school
teacher who is working part-time as a substitute so she can be home with her
children. She has been healthy with no previous medical history. One year ago
she noted a small palpable lump in her right breast about the size of an
almond. Because she has been healthy she assumed it was nothing and ignored it.
Over the last month she has noted that this lump has been increasing in size.
Her health insurance would be expiring in the next month so she reluctantly
decided to have a mammogram. She called for an appointment and they were unable
to see her for another 2 months.

After waiting 2 months, her mammogram confirmed a 5 cm mass.
She then had an ultrasound guided biopsy. This biopsy confirmed the presence of
cancer cells. An additional biopsy confirmed the presence of cancer cells in 3
of her lymph nodes most proximal to the tumor.

What are the primary concerns for the patient right now?

What is the rationale for these concerns?

What are some of the expected medical surgical
interventions?

What is the worst possible complication to anticipate?

What further assessment will be needed if complications
develop?

What pharmaceutical drugs are approved treatments for breast
cancer patients?

Discuss the advantages and disadvantages of the selected
drugs, and include safety issues.

Scenario 2:

A 44-year-old obese female is admitted to the emergency room
with fever and severe abdominal pain on the upper right side that radiates to
the scapula. She states that she feels nauseated. She states that the pain
began at a friend’s house during a party and is becoming more severe. You can see
that she is quite uncomfortable.

What could be the underlying cause of these symptoms?

What examinations would you perform? Why?

What laboratory tests would be needed to confirm possible
differential diagnoses?

What pharmaceutical drugs are approved for treating the
diagnosis that you concluded for this case?

Citations should conform to APA guidelines. You may use this
APA Citation Helper as a convenient reference for properly citing resources or
connect to the APA Style website through the APA icon below.

Week 5 discussion

The discussion assignment provides a forum for discussing
relevant topics for this week based on the course competencies covered.

For this assignment, make sure you post your initial
response to the Discussion Area by the due date assigned.

To support your work, use your course and text readings and
also use outside sources. As in all assignments, cite your sources in your work
and provide references for the citations in APA format.

Start reviewing and responding to the postings of your
classmates as early in the week as possible. Respond to at least two of your
classmates. Participate in the discussion by asking a question, providing a
statement of clarification, providing a point of view with a rationale, challenging
an aspect of the discussion, or indicating a relationship between two or more
lines of reasoning in the discussion. Complete your participation for this assignment
by the end of the week.

Musculoskeletal and Neurologic System

Using the South University Online Library or the Internet,
research the conditions affecting the musculoskeletal and the neurologic
systems. Based on your research and understanding, respond to one of the
following scenarios:

A 58-year-old female is admitted for a work up for a
complaint of neck and low back pain. During admission, you discover that she
underwent a renal transplant six years ago. The patient also had blood work
collected. When you review the findings, you notice that her serum calcium is
elevated at 13.9 (Normal values range from 8.5 to 10.2 mg/dl), her CBC shows a
hematocrit of 33%, and hemoglobin of 11.1 g/dl (normal adult female hematocrit
Range: 37-47%, normal adult female hemoglobin range: 12-16 g/dl).

What does this mean and what could be the underlying cause
of her pain and her abnormal lab values?

What other assessments would be helpful?

A 12-year-old female is admitted with severe pain in her
spine. While checking history, the patient and her mother state that several
weeks ago the patient was treated for an upper respiratory infection. The
infection subsided after several days of taking antibiotics. However, several
days later, the child complained of joint swelling and pain in her right elbow,
which subsided, but then seemed to migrate to her left knee. A week later,
today, the child began to complain of worsening back pain. The mother has been
treating the pain with over the counter pain medication and heat and ice packs,
but this did not seem to help.

What are the possible causes of the pain and how you would
proceed?

A 33-year-old Hispanic male is admitted and complains of a
tingling sensation in his left leg, vertigo, and loss of balance. When you
begin to perform intake history, you notice that his speech is slurred, his
teeth are in need of repair, and he seems to be very drowsy.

What other findings may you find in this individual?

What would you think is the underlying cause of this
patient’s complaint?

How would you proceed with your assessment specifically for
this patient?

A patient is admitted to the unit. He is a diabetic on
chronic hemodialysis. He has an Arteriovenous (A-V) graft, which is annulated
each time he undergoes dialysis treatments. You notice an area on his graft arm
that is red and warm to the touch. He states that he has had this on his arm
for several weeks. He asked the dialysis staff about the area, but they told
him to apply warm compresses to the site. The staff at the dialysis center
continues to use the graft, but they are careful to avoid the area when they
cannulate for his treatments. Now the patient presents with extreme low back
pain, fever, nausea, and swelling of his lower extremities. On checking his
fasting serum glucose, you notice that the reading is 159 (Normal fasting blood
glucose range 64 to 110 mg/dl), and his white blood cell count is 36,000
(normal range is 4,500-10,000 white blood cells/mcl). He states that his sugars
were normally well controlled, but in the past ten days he seems to be
requiring more insulin.

How would you proceed with this patient?

What could be the underlying problem?

Citations should conform to APA guidelines. You may use this
APA Citation Helper as a convenient reference for properly citing resources or
connect to the APA Style website through the APA icon below.

Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.