Nursing Homework
Part A:
Answer the questions in the attached "Case file 1" taking into account the scenario presented.
Critical Thinking Questions
a) Why was this patient placed on immunosuppressive therapy?
b) Why was the Meckel scan ordered for this patient?
c) What are the clinical differences and treatment options for Ulcerative Colitis and Crohn's Disease? (always on boards)
d) What is prognosis for patients with IBD and what are the follow up recommendations for managing disease?
Part B:
Answer the questions in the attached "Case file 2" taking into account the scenario presented.
Critical Thinking Questions
a) Does BPH predispose this patient to cancer?
b) Why are patients with BPH at increased risk for urinary tract infections?
c) What would you expect the patient's PSA level to be after surgery?
d) What is the recommended screening guidelines and treatment for BPH?
e) What are some alternative treatments / natural homeopathic options for treatment?
Part C:
a) Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors.
b) Outline steps for prevention or health promotion for the patient and family.
Part D:
a) Discuss characteristic findings for a stroke and how it affects the lives of patients and their families.
b) Discuss the nurse's role in supporting the patient's psychological and emotional needs. Provide an example.
Part E:
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. M., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay homework, as instructed below.
Health History and Medical Information
Health History
Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.
Case Scenario
Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.
Objective Data
a) Temperature: 37.1 degrees C
b) BP 123/78 HR 93 RR 22 Pox 99%
c) Denies pain
d) Height: 69.5 inches; Weight 87 kg
Laboratory Results
a) WBC: 19.2 (1,000/uL)
b) Lymphocytes 6700 (cells/uL)
c) CT Head shows no changes since previous scan
d) Urinalysis positive for moderate amount of leukocytes and cloudy
e) Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Questions
a) Describe the clinical manifestations present in Mr. M.
b) Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
c) When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
d) Describe the physical, psychological, and emotional effects Mr. M.'s current health status may have on him. Discuss the impact it can have on his family.
e) Discuss what interventions can be put into place to support Mr. M. and his family.
f) Given Mr. M.'s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.
Format your homework according to the give formatting requirements:
a) The answer must be double spaced, typed, using Times New Roman font (size 12), with one-inch margins on all sides.
b) The response also includes a cover page containing the title of the homework, the course title, the student's name, and the date. The cover page is not included in the required page length.
c) Also include a reference page. The references and Citations should follow APA format. The reference page is not included in the required page length.
Attachment:- Case-Files.rar