NR305 Week 1 DIscussion DQ 1 & DQ 2 Latest 2016 Jan.
Healthy People Initiative
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)
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.
NR305 Week 2 DIscussion DQ 1 & DQ 2 Latest 2016 Jan.
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?
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.
· What are Red’s
· What are your concerns
for this patient?
· What is the cause of
· What information do you
· What are you going to do
· What is Red
NR305 Week 3 DIscussion DQ 1 & DQ 2 Latest 2016 Jan.
General Survey and Health
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
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
NR305 Week 4 DIscussion DQ 1 & DQ 2 Latest 2016 Jan.
Assessment of the Skin
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)
characteristics of the lymph nodes associated with the disease states listed