NRS410 Week 1 | Nursing in Health Care - Grand canyon university

2. What

actual or potential problems can you identify? Describe at least five problems and provide the rationale for each. GC NRS410 Week 1 Assess your Knowledge of Foundational Concepts Latest 2017 May

Details:

Assess your knowledge of foundational concepts essential to the nursing management of client health by taking the interactive quiz, located in the media "Arterial Blood Gas Interpretation." http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_self-assessment-v1.1.php The quiz is designed as a tool for self-assessment. When you encounter questions that seem vaguely familiar, click on the media's study materials, which are organized by topic (e.g., anatomy, biology, chemistry, pharmacology). This media will serve as a refresher for the concepts that build upon one another in nursing practice. You will have the opportunity to retake the quiz until you achieve a passing score of 100%. Student ADA Version ofthe Arterial Blood Gas Interpretation Pre-Assessment Anatomy Backward effects of left-sided heart

failure include:

A. Pulmonary congestion

B. Jugular vein distention

C. Dependent edema in the legs

D. Bounding pulses

Anatomy In performing a physical assessment, the nurse notes the patient has a “barrel” configuration to the chest. This is

a consequence of:

A. Reduced intrapleural pressures

B. Bronchial airway expansion

C. Increased vital capacity

D. Increased residual lung volume

Anatomy Ausculation of the chest reveals

bilateral fine crackles in the bases bilaterally, indicating:

A. Right-sided heart failure

B. Left-sided heart failure

C. Pneumonia

D. Acute respiratory distress

syndrome BiologyThe signs and symptoms of anemia are all related to what common pathophysiologic feature of the condition?

A. Increased oxygen consumption by

tissues

B. Decreased blood oxygen content

C. Vasodilation

D. A shift in the oxyhemoglobin

dissociation curve BiologyIn addition to hypertension, preeclampsia is characterized

by:

A. Nausea and vomiting

B. Fatigue and lower back pain

C. Protein in the urine and edema

D. Retinal changes and rates in the

lungs BiologyCommon manifestations of bacterial pneumonia include all of

the following except:

A. Fever

B. Productive Cough

C. Tachypnea

D. Hyperinflation

BiologyClosed drainage systems work to re-expand a lung after

pneumothorax by:

A. Re-establishing the normal

negative intrapleural pressure.

B. Creating a positive pressure in

the pleural space

C. Removing excess fluid from the

pleural space so that there is room for lung expansion.

D. Pulling oxygen into distal air

sacs to re-expand lung tissue

BiologyPatients with chronic renal failure usually exhibit:

A. Bradycardia

B. Hypokalemia

C. Hypocalcemia

D. Hematomas

BiologyThe diet of a patient in end-stage kidney disease is

restricted in all of the following except:

A. Fluid

B. Potassium

C. Protein

D. Calories

Anatomy Which of the following is true of the biological functions of progesterone?

A. Progesterone is the most

important hormone associated with pregnancy.

B. Progesterone directs male sexual

characteristics.

C. Levels of progesterone increases

if the egg is not fertilized.

D. Levels of progesterone remain

stable if the egg is not fertilized. Anatomy Which of the following is true of the biological functions of testosterone?

A. Testosterone is not secreted by

the ovaries.

B. Testosterone is needed for

development of female secondary sexual characteristics.

C. Testosterone stimulates

ovulation.

D. Testosterone is needed for

development of male secondary sexual characteristics. Anatomy Which of the following is true of the biological functions of estrone?

A. Estrone is required for proper

development of male secondary sexual characteristics.

B. Level of estrogen degreases if

the egg is not fertilized.

C. Estrone is required for proper

development of female secondary sexual characteristics.

D. Estrone affects only the

reproductive organs. Biology What is the function of hemoglobin?

A. Hemoglobin is the protein in red

blood cells that is responsible for carrying oxygen to the cells of the body.

B. Hemoglobin is a lipid in red

blood cells that is responsible for carrying oxygen to the cells of the body.

C. Hemoglobin is a protein in white

blood cells that is responsible for carrying oxygen to the cells of the body.

D. Hemoglobin is a protein in red

blood cells that is not responsible for carrying carbon dioxide to the cells of the body. Biology Why is heat an effective means of sterilization?

A. Heat is an effective means of

sterilization because it destroys the proteins of microbial lifeforms, including fungi, bacteria, and viruses.

B. Heat is an effective means of

sterilization because it destroys the proteins of anaerobic microbial lifeforms, including fungi, bacteria, and viruses.

C. Heat is an effective means of

sterilization because it destroys the lipids of microbial lifeforms, including fungi, bacteria, and viruses. D. Both (B) and (C).

Chemistry:

List the enzymes whose levels are elevated in the blood serum following an MI.

A. CPK, LDH, AST, and SGOT

B. LDH, AST, and SGOT

C. CRE, AST, and ALT

D. None of the above

Chemistry What is the physiological function of gluconeogenesis?

A. Gluconeogenesis is production of

glucose from noncarbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.

B. Gluconeogenesis is production of

glucose from noncarbohydrate molecules in times when blood glucose levels are high. This ensures proper function of brain and white blood cells, which only use glucose as fuel.

C. Gluconeogenesis is production of

glucose from carbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.

D. None of the above

Chemistry What effect does glycogen metabolism have on glucose levels?

A. Glycogen metabolism traps glucose

within liver cells and increases storage of glucose in the form of glycogen. These processes decrease blood glucose levels.

B. Glycogen metabolism traps glucose

within liver cells and increases storage of glucose in the form of glycogen. These processes increase blood glucose levels.

C. Glycogen metabolism releases

glucose within liver cells and increases storage of glucose in the form of glycogen. These processes decrease blood glucose levels.

D. None of the above

Chemistry Carbon monoxide binds tightly to the heme groups of hemoglobin and myoglobin. How does this affinity reflect the toxicity of carbon monoxide?

A. Since carbon monoxide binds the

heme groups of hemoglobin, it is easily removed or replaced by oxygen. As a result, the effects of oxygen enhancement result in what divers call the “bends.”

B. Because carbon monoxide binds the

heme groups of hemoglobin, it is easily removed or replaced by oxygen. As a result, the effects of oxygen deprivation result in suffocation.

C. Because carbon monoxide binds

tightly to the heme groups of hemoglobin, it is not easily removed or replaced by oxygen. As a result, the effects of oxygen deprivation result in suffocation.

D. None of the above

Pathophysiology Which of the following may be a reason to order an ABG on a patient?

A. The patient suddenly develops

shortness of breath

B. An asthmatic is starting to show

signs of tiring

C. A diabetic has developed

Kussmaul’s respirations

D. All of the above

Pharmacology How do sulfa drugs selectively kill bacteria while causing no harm to humans?

A. Folic acid is a vitamin required

for the synthesis of a coenzyme needed to make the amino acid methionine and the purine and pyrimidine nitrogenious bases for DNA and RNA and folic acid is produced by humans.

B. Sulfa drug binds to the enzyme,

no product is formed, folic acid is made and the biosynthesis of methionine and nitrogenous bases increases.

C. Humans are not harmed because

they do not synthesize their own folic acid. It is obtained in the diet.

D. None of the above

Pharmacology What occurs when glycogen metabolism is stimulated by insulin?

A. Insulin stimulates glycogen

synthase, the first enzyme in glycogen synthesis.

B. Insulin stimulates glycogen

synthase, the first enzyme in glycogen synthesis. It also stimulates removal of glucose from the bloodstream into cells and phosphorylation of glucose by the enzyme glucokinase.

C. Insulin stimulates glycogen

synthase, the first enzyme in glycogen synthesis. It also stimulates uptake of glucose from the bloodstream into cells and phosphorylation of glucose by the enzyme glucokinase.

D. All of the above

Pharmacology What is the medical application of

cortisone? Cortisone is used to treat:

A. Rheumatoid arthritis, asthma,

gastrointestinal disorders, and a variety of skin conditions.

B. Kidney disease, high blood

pressure, and osteoporosis.

C. Muscle disorders, tuberculosis,

and thyroid disorder.

D. All of the above

Anatomy Oxygen saturation is likely to be

lowest when an asthmatic with a diagnosis of pneumonia is positioned:

A. In a high Fowler position

B. Lying on the left side

C. Lying on the right side

D. Lying supine with the head of the

bed flat Chemistry Laboratory test results indicative

of thrombocytopenia, in addition to a low platelet count, would be:

A. Increased PT

B. Prolonged bleeding time and poor

clot retraction.

C. Increased aPTT

D. Decreased RBC count. Pharmacology The purposes of epinephrine

injection include all of the following except:

A. Stabilizing mast cell membranes. B. Relaxing bronchial smooth muscle.

C. Supporting arterial blood

pressure. D. Blocking histamine receptors. PharmacologyTherapeutic interventions focused on increasing the oxygen

supplied to the heart and decreasing the heart’s demand for oxygen include:

A. Antiplatelet drugs

B. Anticoagulants

C. Morphine sulphate

D. Thrombolytic drugs

PharmacologyAn intervention that would contribute toward the healing of

a peptic ulcer is:

A. Steroid administration

B. Blocking or neutralizing of acid

secretion

C. Surgical removal of the ulcer

D. Intravenous nutritional support

PharmacologyAspirin and NSAIDs are causative factors for the development

of peptic ulcer disease because they:

A. Increase acid secretion

B. Allow proliferation of H. pylori

C. Damage the mucosal barrier

D. Alter platelet aggregation

PharmacologyYour patient is interested in trying medication to improve low mood/depression. All of the following medications might be appropriate

except:

A. Selective serotonin reuptake

inhibitors

B. Amitriptyline

C. Serotonin and norepinephrine

reuptake inhibitors

D. Benzodiazepines

GC NRS410

Week 2 Approach to Care Assignment Latest 2017 May

Details:

Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following

in your paper:

• Describe the diagnosis and staging of cancer.
• Describe at least three complications of cancer, the

side effects of treatment, and methods to lessen physical and psychological effects.

• Prepare this assignment according to the APA guidelines

found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the

rubric to grade the assignment; therefore, students should review the rubric

prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

GC NRS410

Week 3 Case Study 1 Latest 2017 May

Details:

In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are required to submit this assignment to Turnitin. Case Study 1 Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:

Hemoglobin = 8 g/dl Hematocrit = 32% Erythrocyte count = 3.1 x 10/mm RBC smear showed microcytic and hypochromic cells Reticulocyte count = 1.5% Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

GC NRS410

Week 3 Case Study 2 Latest 2017 May

Details:

In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. Case Study 2 Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Question

Considering Mr. P’s condition and

circumstance, write an essay of 500-750 words that includes the following:

· Describe your approach to care. · Recommend a treatment plan. · Describe a method for providing both the patient and family with education and explain your rationale. · Provide a teaching plan (avoid using terminology that the patient and family may not understand).

GC NRS410

Week 4 Collaborative Learning Community: Home Visit with Sallie Mae Fisher

Details:

This is a CLC assignment. As a group, observe the simulated "Home Visit With Sallie Mae Fisher" video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php). Refer to "Sallie Mae Fisher's Health History and Discharge Orders" for specifics related to the case study used to inform the assignment. Using "Home Visit With Sallie Mae Fisher" and "Sallie Mae Fisher's Health History and Discharge

Orders," complete the following components of this assignment:

Essay Portion After viewing the home visit, write

an essay of 500-750-words in which you do the following:

Identify, prioritize, and describe at least four problems. Provide substantiating evidence (assessment data) for each problem identified. Identify and describe at least four medical and/or nursing interventions. Discuss your rationale for the interventions identified. Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Scripted Dialogue Portion Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae's physiological, psychosocial, educational, and spiritual needs when developing your dialogue. Your dialogue should resemble a

script. The following is an example of a few sentences from a scripted dialogue:

Nurse: "Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________." APA format is not required for this part of the assignment, but solid academic writing is expected. Refer to "Home Visit With Sallie Mae Fisher Grading Criteria." Entire Assignment You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin. Sallie Mae Fisher’s Health Historyand Discharge Orders Sallie Mae Fisher Health History Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain. Ms. Fisher is recently widowed and lives alone. She has a daughter, Thelma Jean, who lives in town but works full time and has family issues of her own. Therefore, family support is limited. Hospital Discharge Instructions · Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety. · Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O2 at 2 liters per nasal prongs PRN.

· Prescriptions given at discharge:

o Digoxin 0.25 mg once a day o Lasix 80 mg twice a day o Calan 240 mg once a day · Order written to continue other home meds. Sallie Mae’s Home Medication List · Zocar 50 mg once a day · Minipres 1 mg once a day · Vasotec 10 mg twice a day · Prilosec 20 mg once a day · Furosemide 40 mg once a day · Effexor 37.5 mg at bedtime · Lanoxin 0.125 mg every other day · Multivitamin once a day · Potassium 40 mEq once a day · Ibuprofen 400 mg q 4 hours as needed for pain · Darvocet N 100 mg q 4 hours as needed for pain · Nitroglycerin ointment, apply 1 inch every day GC NRS410 Week 5 Evidence-Based Practice Project—Intervention Presentation on Diabetes

Details:

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or

children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes

the following: