Part 1: Pathophysiology
Case 1: Urinary Function (Three paragraphs)
Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder. As the night went on, he still felt “very bad,” so he took some Pepto-Bismol to help his stomach feel better. Soon after that, he started to feel sore and hot. At the time, his temperature was 100. 5°F. He has continued to feel sick, throw up, and have a fever. He hasn’t been able to eat anything solid or drink anything. He has had 5–6 watery bowel movements since yesterday. He hasn’t seen any blood in the bowel movements. His wife took him to the emergency room because when he tried to stand up, he felt weak and dizzy. His wife says he hasn’t traveled recently or used antibiotics, laxatives, or too much caffeine. She also says he doesn’t have an eating disorder.
The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI).
1. Name the possible types of Acute Kidney Injury (One paragraph)
a. Link the clinical manifestations described to the different types of Acute Kidney injury.
2. Create a list of risk factors the patient might have (One paragraph)
a. Explain why.
Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease.
3. Describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved (One paragraph)
Case 2: Reproductive Function (Three paragraphs)
Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days.
Microscopic Examination of Vaginal Discharge
(-) yeast or hyphae
(-) flagellated microbes
(+) white blood cells
(+) gram-negative intracellular diplococci
According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge
1. What is the most probably diagnosis for Ms. P.C.? (One paragraph)
a. Explain why you get to that diagnosis.
Based on the vaginal discharged described and the microscopic examination of the sample
2. Could you suggest which would be the microorganism involved? Explain (One paragraph)
3. Name the criteria you would use to recommend hospitalization for this patient (One paragraph)
Part 2: Nursing Role Transition
1. Describe the scope of practice for the advanced practice nurse in Texas (Two paragraphs).
2. How does it compare to Florida? (Two paragraphs)
3. Describe one advantage of texas and one advantage of Florida for the advanced practice nurse (One paragraph)
4. Describe one disadvantage of texas and one disadvantage of Florida for the advanced practice nurse (One paragraph)
Part 3: Critical thinking in nursing
Watch the movie, Pearl Harbor. When the base is attacked by the bombs, the nurses/doctors and medical personnel play an important role in trying to save as many people as possible.
1. Describe how they used Maslow’s hierarchy of needs when tending to the patients (One paragraph)
2. Give supporting evidence to your answer and discuss a minimum of 5 patients seen (Two paragraphs)
Parts 4 and 5 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.
Part 4: Biology Lab and nursing
Check
https://www.youtube.com/watch?v=ZiULxLLP32s
https://www.youtube.com/watch?v=3gmTAG-rosE
1. How important do you think protists are for kelp forests and coral reefs? (Two paragraphs)
2. What do you think would happen if protists were removed from these ecosystems? (One paragraph)
Part 5: Biology Lab and nursing
Check
https://www.youtube.com/watch?v=ZiULxLLP32s
https://www.youtube.com/watch?v=3gmTAG-rosE
1. How important do you think protists are for kelp forests and coral reefs? (Two paragraphs)
2. What do you think would happen if protists were removed from these ecosystems? (One paragraph)
Parts 6 and 7 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.
Part 6: Facilitative Communication and Helping Skills
You have learned about you learned about being a professional, advocating for change, maintaining respectful relationships with colleagues, using supervision and consultation, engaging in career-long learning, and maintaining professional relationships.
Respond to the following:
1. Explain why it is important to advocate for change and engage in career-long learning (One paragraph)
2. Explain the difference between a supervisor and a consultant and describe how each can be helpful. (One paragraph)
3. Describe how professional and personal relationships differ, including four unique aspects of a client–practitioner relationship. (One paragraph)
Part 7: Facilitative Communication and Helping Skills
You have learned about you learned about being a professional, advocating for change, maintaining respectful relationships with colleagues, using supervision and consultation, engaging in career-long learning, and maintaining professional relationships.
Respond to the following:
1. Explain why it is important to advocate for change and engage in career-long learning (One paragraph)
2. Explain the difference between a supervisor and a consultant and describe how each can be helpful. (One paragraph)
3. Describe how professional and personal relationships differ, including four unique aspects of a client–practitioner relationship. (One paragraph)
Part 8: Community nursing
Lorrie is 16 years old and 75 pounds overweight. Her father is a school bus driver who was recently diagnosed with type 2 diabetes and cardiovascular disease. Her mother works for a sewing company. She is overweight with high LDL levels. She is taking two antihypertensive medications at present time. At a recent health science fair at Lorrie’s school, a student-led screening clinic documented Lorrie’s blood pressure at 140/92 mm Hg. The family immigrated from Honduras 5 years ago and they do not have health insurance.
During health science fair, the following data was recorded: 55% of the students with BMI 25.0 to <30 and 15% of the students with BMI 30.0 or higher.
Consider yourself a community health nurse**************
1. Introduction (One paragraph)
2. Is obesity a major health issue in the United States? why? (One paragraph)
3. According to the National Health and Nutrition Examination Survey (NCHS, CDC; BRFSS, 2012), how is obesity defined? (One paragraph)
4. What is your role as a community nurse? (Write in the first person) (One paragraph)
5. What risk factors should be explored for Lorrie’s family for cardiovascular disease? (One paragraph)
a. Describe two social determinants of health in this case.
b. Incorporate the concepts of health promotion and risk reduction.
6. Selec and apply an of the behavioral change models to address health promotion and risk reduction in this case and explain it (One paragraph)
a. Explain why you selected these model
Public health nurses use statistics to demonstrate the need for obesity program development and community interventions. According to the most recent CDC data:
7. What data were identified about obesity in children and adults? (One paragraph)
8. Is there a necessity to plan a community nursing intervention? (two paragraphs)
a. How will you do that?
b. Will you work alone or in collaboration/teamwork?
c. Will you look for funding? How?
9. If you will do a community intervention. How would you evaluate the community-level intervention(s)? (One paragraph)
10. Will you use social marketing to change health behaviors or beliefs, social or cultural norms, or community standards to improve health or benefit society. Which resources will you use? (One paragraph)
11. Describe 3 research studies that support any of the above (1 through 9) (One paragraph)
