Healthy People Initiative (graded)
As the school nurse working in a college health clinic, you see
many opportunities to promote health. Maria is a 40-year-old Hispanic woman who
is in her second year of nursing school. She complains of a 14-pound weight
gain since starting school and is afraid of what this will do to both her
appearance and health if the trend continues. After doing her history, you
learn that she is an excellent cook and she and her family love to eat foods
that reflect their Hispanic heritage. She is married with two school-age
children. She is in class a total of 15 hours per week, plus 12 hours of labs
and clinical. She maintains the household essentially by herself and does all
the shopping, cooking, cleaning, and chauffeuring of the children. She states
that she is lucky to get six hours of sleep per night, but that is okay with
her. She lives one hour from campus and commutes each day. Using.healthypeople.gov/”>Healthy People 2020and your text as a guide:
additional information would you like to gather from Maria?
are Maria’s real and potential health risks?
is Maria’s culture important when obtaining the health assessment?
one of Maria’s health risks. Would you classify Maria’s problem as
first-level priority, second-level priority, third-level priority, or a
collaborative problem? What would be one reasonable short-term goal for
Cultural Bias (graded)
Understanding cultural phenomena is essential to the completion of
an accurate and holistic health assessment. Please review a cultural group from
Table 2-3 (p. 20) from your text and describe the cultural differences
pertinent to that group (you may have to do some additional searching).
Remember, the table may not include all cultural groups. Let’s try to include
all the countries within the groups listed in the discussion, so please do not
choose a group that has already been done. To expedite this, please use the
group name in the title of your post.
Devry NR305 Week 2 Discussion DQ 1 & DQ 2 Latest
Pain Assessment: The Fifth Vital Sign (graded)
John, a 46-year-old African American male presents for admission
to your hospital for hemi colectomy for colon polyps. He is complaining of
chronic back pain. Patient is on disability from work-related injury. History
of two previous back surgeries with relief of numbness in RLE, but pain has not
been relieved. His current medications include Methadone, Neurontin, and Norco.
John states he takes Tylenol PM every night in addition to his prescribed
medications. John is a smoker and smokes 1 PPD. John confides in you that he is
considering a spinal cord stimulator for the chronic pain.
risk factors does John have for risk of opioid withdrawal during this
there a stigma connected to being disabled and/or methadone?
the nurse need to be concerned about acetaminophen use?
are the differences in acute and chronic pain?
Nutritional Assessment (graded)
Red Yoder is an 80-year-old farmer who lives alone in the
farmhouse where he grew up. It is located 20 miles outside of town. Red has
been a widower for 10 years. Red rarely cooks for himself and mainly eats
packaged or processed foods. His son, Jon, manages the farm now, but Red is
still involved in the decision making. Red’s current medical problems include
insulin-dependent diabetes complicated by an open foot wound. He also has some
incontinence and difficulty sleeping.
Red is awaiting a visit from the home health nurses. He relates
that he has an open wound on his big toe that developed after walking in a new
pair of shoes. When his daughter-in-law, Judy, saw the wound, she called the
family doctor, who suggested a visit by the wound care nurse, who works with
the home health agency. Red agreed as long as his VA benefits cover the costs.
Red is aware that his son and daughter-in-law have concerns about him living
alone, but Red insists that while he needs a little help from Jon and Judy at
times, he is still capable of caring for himself.
are Red’s strengths?
are your concerns for this patient?
is the cause of your concern?
information do you need?
are you going to do about it?
is Red experiencing?
Devry NR305 Week 3 Discussion DQ 1 & DQ 2 Latest
General Survey and Health History (graded)
Casey is a 17-year-old high school student admitted to the ER with
a compound fracture of the left leg obtained when falling at the local
skateboard park while practicing for a national competition. He has never been
hospitalized before. His mother has been notified and is on her way. The EMTs
gave him morphine and he reports his pain level as “okay.”
part of the interview and examination can be done prior to his mother’s
you enter the room for the first time, what should you observe as part of
the general survey?
you complete his history, what areas are especially important?
are the important developmental considerations for Casey?
The Older Adult (graded)
As you recall, our older patient, Red Yoder, with whom you met in
Week 2, is preparing for discharge from the hospital since his wound required
intravenous antibiotics and wound care. Jon (Red’s son) thinks that Red should
move in with him for now, but Red is sure he is able to care for himself and
insists that his confusion was due to the fact that he did not have his glasses
or hearing aids for the last week. You have identified discharge teaching needs
for him. This morning, however, in report the night nurse has shared “Patient
is alert and oriented; vital signs stable. Fasting blood sugar this morning is
118. Red had his usual night of sleep. He was up several times to go to the
bathroom. Since his catheter was removed yesterday, he has urgency
incontinence. He is able to ambulate to the bathroom, but he is weak.” You
administer his AM medications and note that he has some difficulty grasping the
water cup and needs assistance holding it. Mr. Yoder states he needs to go to
the bathroom and when you assist him up to his feet, he seems a bit unsteady.
He takes several steps and tells you he needs to sit down.
much, if any, functional decline has occurred while Red was hospitalized
and how will this affect his recovery?
are the risks and benefits of Red living with Jon and Judy?
are the risks or benefits of Red living at home after discharge? If
services are in place, would it be considered a safe discharge?
all aspects of aging, what are the best and appropriate options for Red at
Devry NR305 Week 4 Discussion DQ 1 & DQ 2 Latest
Assessment of the Skin (graded)
William Smaile is a 65-year-old man who presents to his general
practitioner’s office with complaint of right forearm swelling, redness, and
pain. He was recently discharged from the hospital where he had been receiving
intravenous antibiotics for a respiratory infection.
level is a 5/10 location = right forearm, aching
foreman at a local industrial plant
signs: BP 150/68, T 37 degrees Centigrade, P 80, R 16
and reddened right forearm, warm to touch
pulses, brachial and radial (R)
capillary refill fingers right hand
other assessments should be included for this patient?
your readings, what is the most probable cause of the swelling?
is your nursing diagnosis?
would be included in the nursing care plan?
interventions might be included in the plan of care for this patient?
Assessment of the Head, Neck, and Regional Lymphatics (graded)
Describe the characteristics of the lymph nodes associated with the
disease states listed below: (Choose one.)
Devry NR305 Week 5 Discussion DQ 1 & DQ 2 Latest
Assessment of the Abdomen (graded)
Kevin Valeri is a 64-year-old man who presents to the
gastroenterologist’s office with constipation and abdominal bloating.
level is a 4/10 location = right lower abdomen
he has been going to the bathroom with the help of laxatives, but not
having regular movements
is decreased, some nausea
depression, anxiety, chronic constipation
signs: T 37 degrees Centigrade, P 64, R 16, BP 124/58
sounds hypoactive in all four quadrants
Lamictal 200mg daily, Lexapro 10 mg daily
= 210 lbs, last visit weight = 195
other assessments should be included for this patient?
questions should the nurse ask with regard to the abdominal pain?
the readings, subjective data, and objective data, what is the most
probable cause of the abdominal pain?
should be included in the plan of care?
interventions should be included in the plan of care for this patient?
Assessment of the Genitourinary System (graded)
Choose one topic and respond:
three ways of creating an environment that provides psychological comfort
for both patient and practitioner when conducting an examination and
assessment of the Genitourinary system.
medications that can affect the sexual performance of an aging adult male,
possibly resulting in withdrawal from sexual activity.
circumcision and the arguments for and against it. Discuss its associated
Devry NR305 Week 6 Discussion DQ 1 & DQ 2 Latest
Assessment of Cardiac Status (graded)
Georgina Graves is a 42-year-old female who presents to the
provider’s office with fatigue.
none, (except gynecological issues)
family history of heart disease
started about 2 months ago, getting worse
with rest, exacerbated with activity
shortness of breath on exertion
signs: T 37 P 100 R 18 BP 110/54
Sat = 94%
= cool to touch
= heart rate regular, positive peripheral pulses, ECG = intermittent
complete left bundle branch block (New Finding)
Medications: Premarin 0.3 mg po/day
other questions should the nurse ask about the fatigue?
other assessments would be necessary for this patient?
are some causes of fatigue?
should be included in the plan of care?
on the readings, what is the most likely cause of fatigue for this