NR 305 Discussions Week 1-8 Health Assessment

Oder 100% plagiarism free essay on NR 305 Discussions Week 1-8 Health Assessment

NR 305 Discussions Week 1-8 Health Assessment

NR 305 Week 1 Discussion Topic Healthy People Initiative

As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic 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……Using Healthy People 2020 and your text as a guide, answer the following questions.

1. What additional information would you like to gather from Maria?
2. What are Maria’s real and potential health risks?
3. Why is Maria’s culture important when obtaining the health assessment?
4. Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?
6. • Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.
   • …. if any, concerns related to Millie’s skin and nutritional status do you have?
   • What nursing interventions will you include in the plan of care to address these concerns?
   • What teaching strategies will you use to educate Millie and Fred on the new medications?
   • Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.
     NR 305 Week 2 Assignment Family Genetic HistoryThis assignment is to help you gain insight regarding the influence of genetics on an individual’s health and risk fordisease. You are to obtain a family genetic history on a willing,non related, adult participant.
     1. Family Genetic History
     2. Evaluation of family genetic history
     3. Planning for future wellness
        

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     NR 305 Week 2 Discussion Topic General Survey/Skin/Nutrition

     Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.

     Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and ____ Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs). ……Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.

     NR 305 Discussions Week 1-8 Health Assessment

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   Week 3 Discussions Topic 

   Randy Adams is a 38-year-old male patient of Dr. Joseph Reynolds who was admitted yesterday morning for 24-hour observation for mild concussion following a motor vehicle accident,,,,,,,,,,,referred him for consultations to both a neurologist and to a behavioral health specialist. Based on the above please discuss the following.

   1. Pathophysiology of concussive injuries and treatment
   2. Neurological assessment tools used in your current practice setting (if not presently working, please describe one used during prior employment or schooling)
   3. Current best practices associated with post-traumatic stress disorder (PTSD)
   4. Nursing interventions you would include in this patient’s plan of care

   NR 305 Week 4 Discussion Topic Assessment of Cardiac Status

   Esther Jackson is a 56-year-old black female who is 1-day post-op following a left radical mastectomy. ………With the patient appearing to be in no visible distress, you proceed on to the next patient’s room for report.
   Approximately 1 hour later, you return to Ms. Jackson’s room with her morning pills and find her slumped over the bedside stand in tears.…………..stating that she is starting to feel sick to her stomach.
   Just then the nursing assistant comes into the patient’s room to record Ms. Jackson’s vital signs, you take this opportunity………T 37, R 18, and BP 132/54, but states she couldn’t get the patient’s pulse because “it is all over the place.” Please address the following questions related to the scenario.

   NR 305 Discussions Week 1-8 Health Assessment

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   1. What do you suspect is the cause of the patient’s symptoms?
   2. Describe the course of action that you will take to confirm this suspicion and prevent further decline.
   3. What further assessments, lab values, and tests will likely be ordered for this patient and how often? If testing is to be completed more than once, please explain the rationale for doing so.
   4. While you are caring for this patient, how will you ensure that the needs of your other patients are being met?

   NR 305 Week 5 Discussion Topic

Please review the video on the assignments page under the discussion section as it will provide you with an opportunity to immerse yourself in the role of a nurse addressing tobacco use during routine patient care ………………………..preparation to abstinence; abstinence to maintenance. Every stage requires a different strategy by a nurse. After watching the video, and reflecting on the information presented, address each of the following questions.

NR 305 Discussions Week 1-8 Health Assessment

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1. What are the common symptoms associated with an exacerbation of COPD?
2. What assessment techniques will you use to assess Mary?
3. Identify smoking strategies that would be appropriate for each of the encounters that Mary had with the nurse throughout the video that could have been used to assist Mary in quitting smoking.
4. Find a resource in your community that could assist Mary. Start by searching the Internet for your local health department’s website. What services are available to Mary? Briefly describe the services that the state quit line provides. Does it meet the 4 As? Is it accessible, acceptable, affordable, or available for Mary?
5. What will you do to follow-up on Mary’s smoking cessation process?

NR 305 Week 6 Discussion Topic Assessment of the Abdomen & Genitourinary System

NR 305 Discussions Week 1-8 Health Assessment

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Amira is a 27-year-old Syrian refugee who has been residing in a local homeless shelter since her arrival here in the United States 4 weeks ago———shelter employee states that she has recently stopped eating and has not looked well for the past couple of days. Based on the limited information provided, please answer the following questions.

1. How will you prioritize your care of Amira, what assessments will you complete, and in what order? Please provide rationale for choosing this order.
2. Are there any cultural beliefs/practices that must be taken into consideration when planning her care?
3. Considering her symptoms of abdominal pain and bleeding, is it possible that her status as a homeless refugee is a causative or contributing factor to her illness? Please provide rationale for your response.

NR-305 Week 7 Discussion Topic Assessment of the Musculoskeletal System and Pain

NR 305 Discussions Week 1-8 Health Assessment

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Fred is an 83-year-old male who is being ….. to the medical-surgical unit status post fall. He is alert and oriented and reports that while ____ Fred is rating his pain at 6/10. He has multiple bruises from his jawbone to his knee as well as a slight rotation of his right leg. Past medical history includes: myocardial infarction (MI) x 2,—– sleep apnea, and degenerative joint disease. Medications include: aspirin, Plavix, Lopressor, Lisinopril, and Metformin. After reviewing the above scenario please answer the following questions.

Based on the information provided, how will you prioritize your care, what assessments will you include and in what order? Please provide rationale for your response.

Considering this patient’s age, injury, past medical history, and list of current medications, what, if any, concerns do you have related to his potential need for surgery?

Should surgery to repair his right femur ….. : what type of clearance and pre-op orders would you anticipate receiving related to his diet, meds, lab work, and so on?

NR 305 Week 8 Discussion Topic Rapid Assessment of a Client

Please choose one of the patient scenarios below. Next, complete a rapid assessment, and provide a SBAR report to a classmate. Remember to include all concepts of patient safety, standard precautions, and professional standards.

• You are in the process of admitting Ashley, a27 year old who is 28 weeks pregnant with her first child, to the obstetric unit for complaints ofheadache, dizziness, and swelling of her lower extremities when she suddenly begins seizing.
  

  NR 305 Discussions Week 1-8 Health Assessment

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