SU NSG3012 2022 January Discussions Latest (Full)

NSG3012 Principles of Assessment for RN

Week 1 Discussion

TASK  Post your initial response to one of the scenarios below.

Scenario 1

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?

Scenario 2

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.

Scenario 3

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?

 

NSG3012 Principles of Assessment for RN

Week 2 Discussion

TASK

Post your initial response to one of the scenarios below.

Causes, Symptoms, and Treatments

Using the South University Online Library, the Internet and your textbook, research the causes, symptoms, recommended diagnostic tests, possible treatments, and expected outcomes for disorders in the following systems:

Head and neck

Oropharynx

Eye and the visual system

Scenario 1

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 are the possible causes of these symptoms?

What specific diagnostic testing would you recommend? Why?

What conditions should be ruled out? Why?

How would you distinguish between these conditions?

Scenario 2

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 exam on this patient, you find the margins of the optic disc are blurred and indistinct.What further testing would be required? Why?

What is the foremost cause of this clinical finding?

 

NSG3012 Principles of Assessment for RN

Week 3 Discussion

TASK

Post your initial response to one of the scenarios below.

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?

NSG3012 Principles of Assessment for RN

Week 4 Discussion

TASK

Post your initial response to one of the scenarios below.

Male & Female Reproductive System

Using the South University Online Library, the Internet and your textbook, research the conditions affecting the male and female reproductive systems.

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? Why?

What are some of the expected medical surgical interventions?

What further assessment will be needed?

What pharmaceutical drugs are approved treatments for breast cancer patients?

Scenario 2:

Mr. B is a 77-year-old African American man who complains of difficulty urinating.

What could be the underlying cause of these symptoms?

What are his risk factors?

What laboratory tests would be needed to confirm possible differential diagnoses?

What interventions would you expect?

 

 

 

 

 

NSG3012 Principles of Assessment for RN

Week 5 Discussion

TASK

Post your initial response to one of the scenarios below.

Musculoskeletal and Neurologic System

Using the South University Online Library, the Internet, and your textbook research the conditions affecting the musculoskeletal and the neurologic systems.

Scenario 1

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 could be the underlying cause of her pain and her abnormal lab values?

What other assessments would be helpful?

What interventions might be considered?

Scenario 2

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?

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