nsg3012 full course (Discussions+Projects) 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?

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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.
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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
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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.

Week
2 project

Tympanic Membrane and Thyroid Gland

Using the South University Online Library
or the Internet, research the tympanic membrane and the thyroid gland. Based on
your findings, create a 5- to 6-page Microsoft Word document that includes:

Information about a minimum of two health
assessment histories.

The possible findings for the tympanic
membrane.

Information on how to examine the thyroid
gland using both the anterior and posterior methods.

A concise note in the subjective,
objective, assessment, and plan (SOAP) format with each patient’s encountered
findings.

For a review of SOAP notes:

SOAP Documentaion

Information about laboratory tests that may
be used for screening clients and the expected normal levels for each test.

Support your responses with examples.

On a separate references page, cite all
sources using APA format.

Use this APA Citation Helper as a
convenient reference for properly citing resources.

This handout will provide you the details
of formatting your essay using APA style.

You may create your essay in this
APA-formatted template.

Submission Details:

Name your document
SU_NSG3012_W2_A2_LastName_FirstInitial.doc.

Submit your document to the Submissions Area by the due date assigned.

Week
4 Project

Head-to-Toe Assessment

For this assignment, perform a complete
head-to-toe assessment on one of your chosen participants. Your analysis should
include the following:

Topical headings to delineate systems.

For any system for which you do not have
equipment, explain how you would do the assessment.

Detailed review of each system with normal
and abnormal findings, along with normal laboratory findings for client age.

An analysis of age-specific risk reduction,
health screen, and immunizations.

Your expectation of normal findings and
what might indicate abnormal findings in your review of systems.

The differential diagnosis (disease)
associated with possible abnormal findings.

A plan of care (including nursing
diagnosis, interventions, evaluation).

Client and age-appropriate evidenced based
practice strategies for health promotion.

Pharmacological treatments that can be used
to address health issues for this client.

Provide your answers in a 6- to 7-page
Microsoft Word document.

Support your responses with examples.

On a separate references page, cite all
sources using APA format.

Use this APA Citation Helper as a
convenient reference for properly citing resources.

This handout will provide you the details
of formatting your essay using APA style.

You may create your essay in this
APA-formatted template.

Submission Details:

Name your document
SU_NSG3012_W4_A2_LastName_FirstInitial.doc.

Submit your document to the Submissions Area
by the due date assigned.

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