Devry NR305 Week 1,2,3 & 4 Discussion DQ 1 & DQ 2 Latest 2015 November

Devry NR305 Week 1 Discussion DQ 1
& DQ 2 Latest 2015 November

DQ 1

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:

What
additional information would you like to gather from Maria?
What
are Maria’s real and potential health risks?
Why
is Maria’s culture important when obtaining the health assessment?
Pick
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
this risk?

DQ 2

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 2015 November
DQ 1

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.

What
risk factors does John have for risk of opioid withdrawal during this
hospitalization?
Is
there a stigma connected to being disabled and/or methadone?
Does
the nurse need to be concerned about acetaminophen use?
What
are the differences in acute and chronic pain?

DQ 2

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 strengths?
What
are your concerns for this patient?
What
is the cause of your concern?
What
information do you need?
What
are you going to do about it?
What
is Red experiencing?

Devry NR305 Week 3 Discussion DQ 1
& DQ 2 Latest 2015 November
DQ 1

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.”

What
part of the interview and examination can be done prior to his mother’s
arrival?
As
you enter the room for the first time, what should you observe as part of
the general survey?
As
you complete his history, what areas are especially important?
What
are the important developmental considerations for Casey?

DQ 2
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.

How
much, if any, functional decline has occurred while Red was hospitalized
and how will this affect his recovery?
What
are the risks and benefits of Red living with Jon and Judy?
What
are the risks or benefits of Red living at home after discharge? If
services are in place, would it be considered a safe discharge?
Considering
all aspects of aging, what are the best and appropriate options for Red at
this time?

Devry NR305 Week 4 Discussion DQ 1
& DQ 2 Latest 2015 November
DQ 1

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.
Subjective Data

Pain
level is a 5/10 location = right forearm, aching
Retired
foreman at a local industrial plant

Objective Data

Vital
signs: BP 150/68, T 37 degrees Centigrade, P 80, R 16
Swelling
and reddened right forearm, warm to touch
+
pulses, brachial and radial (R)
+2
capillary refill fingers right hand

What
other assessments should be included for this patient?
From
your readings, what is the most probable cause of the swelling?
What
is your nursing diagnosis?
What
would be included in the nursing care plan?
What
interventions might be included in the plan of care for this patient?

DQ 2

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.)

Acute
infection
Chronic
inflammation
Cancer

 

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