nsg3012 week 5 discussion latest 2018 latest february

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.

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