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Pathophysiology System Disorder Template

Student Name: Nursing

Disorder/Disease process:

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For this week’s written assignment you are a manager at, Ad It Up, a mid-size marketing firm. Over the last five years you notice that issues relating to unethical practices seem to be on the rise. From minor issues, such as employees calling in sick when they should have used a personal/vacation day, to more serious issues, such as the inflation of hours billed to clients, the incidences are trending at a higher rate. In an attempt to curb these actions, the company decides to take a stronger stance and terminate those employees flagged as being unethical.

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Along with a heightened emphasis on training, a revision of the code of ethics, and stricter enforcement of the policies, you have been tasked with hiring three entry-level marketing employees to replace some of the terminated employees. The company wants to attract employees who are not only talented, but are ethical. You need to create a help wanted ad that spells out the various virtues that you are seeking in an employee.

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Create a 1-page, help-wanted ad for an entry level marketing person. In your ad, provide the following details:

1. 1. Attention grabbing title
   2. A brief summary of the entry-level marketing position
   3. A list of the desired virtues applicants should possess. For this part, you will need to provide and explain five of the virtues covered in this week’s materials.
   4. Instructions for applying for the job.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

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Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

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Submission

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Rapid Reasoning: Clostridium difficile Colitis

Chief Complaint/History of Present Illness:

Mindy Perkins is a 48-year-old woman who presents to the ED with 10-15 loose, liquid stools daily for the past two days. She completed a course of oral Amoxicillin seven days ago for a dental infection. In addition to loose stools, she complains of lower abdominal pain that began two days prior. She has not noted any blood in the stool. She denies vomiting or fever/chills. She is on Prednisone for Crohn’s disease as well as Pantoprazole (Protonix) for severe GERD.

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Past Medical History:

• Crohn’s disease
• GERD

Your Initial VS:

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Your Initial Nursing Assessment:

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T: 100.2 (o)

P: 92

R: 20

BP: 122/78

O2 sats: 98% RA

Ortho BP’s:  Lying: 122/78 HR: 92

Standing: 120/70 HR: 114

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GENERAL APPEARANCE: appears weak and uncomfortable. Easily fatigued RESP: breath sounds clear with equal aeration bilat., non-labored

CARDIAC: pink, warm & dry, S1S2, no edema, pulses 3+ in all extremities NEURO: alert & oriented x4

GI/GU: active BS in all quads, abdominal soft/tender to palpation in lower abdomen-no rebound tenderness or guarding

MISC: Lips dry, oral mucosa tacky with no shiny saliva present in the mouth

Nursing Interventions:

• Orthostatic BP’s (ED standing order)
• Establish PIV (ED standing order)
• Initiate enteric precautions (ED standing order)

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Physician Orders:

• 0.9% NS 1000 mL IV bolus
• Hydromorphone (Dilaudid) 1 mg IVP
• Stool culture for C. difficile
• BMP, CBC
• Vancomycin 250 mg PO

o 1000 mg/20 mL…determine dosage to administer                            

• Admit to the medical unit

Lab/diagnostic Results:

• Stool culture for C. difficile: Positive

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1. What data from the chief complaint, VS & nursing assessment is RELEVANT that must be recognized as clinically significant to the nurse?

2. What lab/diagnostic results are RELEVANT that must be recognized as clinically significant to the nurse?

3. What is the most likely primary problem for this patient?

4. What is the underlying cause /pathophysiology of the primary problem?

5. What nursing priority will guide your plan of care?

6.What interventions will you initiate based on this priority?

7. What is the relationship between the following nursing interventions/physician orders and your patient’s primary medical problem?

8. What body system(s) will you most thoroughly assess based on the patient’s chief complaint and primary/priority concern?

9. What is the worst possible complication to anticipate? (start with A-B-C priorities)

10. What nursing assessment(s) will you need to initiate to identify and respond to quickly if this complication develops?

11. What is the patient likely experiencing/feeling right now in this situation?

12. What can you do to engage yourself with this patient’s experience and show that they matter to you as a person?

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Purpose of Assignment

• Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evidence-based practice in the care of diverse clients during pregnancy.
• Differentiate the various components of basic physiological needs as it relates to pregnancy and health practices, including but not limited to associated concepts of.NURSING
• Evaluate data and information gathered during client care, simulated scenarios, and/or case studies related to promoting nutritional health during pregnancy, nursing care strategies to address the common discomforts of pregnancy, essential components and standards of prenatal care, fetal growth and development stages in order to determine knowledge and wisdom gained through critical thought processes to optimize client outcomes and quality improvement.NURSING
• Demonstrate a basic understanding of communication practices necessary for client-centered care and interdisciplinary collaboration in terms of knowledge, skills, and attitudes.NURSING

Competency

Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.

Scenario

You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

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Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

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Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

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Social history:

• (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years
• (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use
• Abusive partner with first pregnancy, states she has a new partner x 4 years
• Depression, currently not taking meds for treatment (tx)

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Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

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Instructions

Write a two to three-page analysis of this scenario that answers the following questions:

1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?
2. Document the considerations of yourself as the professional nurse in regard to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.
3. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?
4. What concerns should be discussed with Ms. Jones before she leaves her appointment?

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Each answer to your question should include the following:

• A correct answer with thorough development of the topic
• Gives clinical examples
• Include evidence from scholarly sources
• Appropriate use of medical terminology

Format

• Standard American English (correct grammar, punctuation, etc.)
• Logical, original, and insightful
• Professional organization, style, and mechanics in APA format
• 0 Plagiarism apa format scholarly reference only please

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Module 05 Mini Case Studies – Pulmonary Edema

Purpose:

To recognize risk factors for pulmonary edema/fluid overload.

Competency:

Explain care for the client with lower respiratory disorders.

Instructions:

Read the scenarios below and answer the questions. If you use sources, cite them using APA format.

Case # 1

An elderly woman comes into the ER with severe dehydration after spending the day at the beach. The client is weak and feels like she is going to faint. An IV is started, and the RN hangs 0.9%, Normal Saline. There are no IV pumps available. The client begins to feel better after 500 mL are infused, and the rest of the IV bag is infused. The client begins to have difficulty breathing. Auscultation of the lungs reveals crackles to ½ of the lower lung fields. The provider diagnoses pulmonary edema, and the client is treated with Lasix. She is stabilized but needs to be admitted to the ICU.Nursing

Question # 1: What nursing action could have prevented the client from having pulmonary edema? (5-10 sentences)

Question # 2: What makes this client at risk for pulmonary edema? (5-10 sentences)

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Case # 2

A 22-year-old special-needs client comes to the ER with fever and difficulty breathing. The client weighs 66 LBS. The client is admitted with pneumonia and IV fluids, antibiotics, and respiratory treatments are started. The client is dehydrated, so she receives several bags of IV fluids over three days. On the third day, the client has worsening shortness of breath, and an X-ray is ordered which shows pulmonary edema. An echocardiogram is ordered. It shows normal cardiac function. The client is given Lasix, and the shortness of breath resolves.

Question # 3: How did the client’s size (body weight) put her at risk for pulmonary edema? (5-10 sentences)

Question # 4: How could pulmonary edema have been prevented in this client? (5-10 sentences)

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Case # 3

A 32-year-old male with a history of cardiomyopathy is admitted to the medical-surgical floor with a diagnosis of flu. The client has a high fever and receives multiple bags of 0.9%NS. One day into the admission the client develops severe shortness of breath. An X-ray shows pulmonary edema.Nursing

Question # 5: What puts this client at risk for pulmonary edema? (5-10 sentences)

Format

Standard American English (correct grammar, punctuation, etc.)

Logical, original, and insightful

Professional organization, style, and mechanics in APA formatNursingNursing