NUR2571 Complete Course Latest 2021 July (Full)

NUR2571 Professional Nursing II

Module 1 Discussion

Clinical Judgment

Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.

Keeping that in mind, answer the following scenario:

You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:

RN with 12 years of Trauma ED experience

New RN with 6 months ED experience

RN from the Medical Surgical floor with 8 years of experience

The following patients are in the ED, which patient will you give to each of the nurses and why?

A 76-year-old client who was involved in a motor vehicle accident and has hematuria.

A 38-year-old client with kidney stones complaining of severe pain.

A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.

An 80-year-old client that has not had a bowel movement for 4 days.

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers’ posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

 

NUR2571 Professional Nursing II

Module 2 Discussion

Case Study: Hyperkalemia

Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions:

What interventions do expect to be ordered for Mr. Sweet? Why?

What type of acid-base disturbance does he have?

What do you think is Mr. Sweet’s Medical Diagnosis?

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers’ posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

 

NUR2571 Professional Nursing II

Module 3 Discussion

Case Scenario: Tuberculosis item options

Directions:

Wilson is a 36-year-old migrant worker. He was admitted to the Hospital with a cough, unintended weight loss, and night sweats. He is staying with 6 friends in a one bedroom apartment near the strawberry field where he works. The ED physician suspects Tuberculosis (TB).

What diagnostic testing will the Provider order to confirm a diagnosis of TB?

What Isolation precautions do you expect to be put in place and why?

Describe the recommended treatment regimen for TB, including the rationale for combination drug therapy.

Identify the reason compliance to medication therapy is often a concern in the patient with TB.

What should be done for Wilson’s 6 roommates?

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers’ posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

 

NUR2571 Professional Nursing II

Module 4 Discussion

SBAR Reporting

Think of a situation from clinical when the Provider needed to be informed of a change in patient condition. Using ISBARR

I-Introduce Yourself: Introduce yourself and your role in the patient’s care State the unit you are calling from when speaking with a physician over the phone

S-Situation Specify the patient’s name and current condition or situation. Explain what has happened to trigger this conversation Patient name: ____________________________ Room: ___________ Sex/Age: ___________ Diagnosis: ____________________________________________________________________

B-Background: State the admission date of the patient, his or her diagnosis, and pertinent medical history. Give a brief synopsis of what’s been done so far (e.g., lab test) History: Allergies: Labs:

A-Assessment: Give a summary of the patient’s condition. Explain what you think the problem is or say, “I’m not sure what the problem is, but the patient is deteriorating”. Expand upon your statement with specific signs and symptoms. Current VS: T: ______ P: _____ BP: ____/_____, RR: _____, O2Sat______ @ _________(O2) Heart Rhythm: ___________________________ Lugs sounds: ____________________ Blood Sugar: ____________ LOC: __________________

R-Recommendation Explain what you would like to see done (e.g., lab tests, treatments, or “I need you to see the patient now”) State any new treatments or changes ordered (e.g., monitoring and frequency or when to re-notify the physician if there is no improvement in the patient)

R-Read Back: repeat any orders received back to the prescriber for accuracy.

 

ISBARR for Nurses.docx

write what you would report to the Provider. You can use the ISBARR form for guidance.

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers’ posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

NUR2571 Professional Nursing II

Module 5 Discussion

Patient Teaching: Anticoagulants

Directions:

Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin.

Can Sandra be placed on Coumadin and Heparin at the same time? Explain your answer.

Develop 3 teaching points important for Sandra to know about her medications regimen.

What questions would you ask Sandra to verify that she understand the 3 teaching points?

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers’ posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

 

NUR2571 Professional Nursing II

Module 7 Discussion

Type 1 and Type 2

Compare and contrast risk factors, age of onset, pathophysiology and clinical manifestations of Type 1 and Type 2 Diabetes. What do you think is the most important topic that must be taught to the diabetic patient and why?

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers’ posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

NUR2571 Professional Nursing II

Module 8 Discussion

The Older Adult

A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief.

Develop a Plan of Care for this patient that includes:

2 Nursing Diagnosis

2 goals for each Nursing Diagnosis

Interventions with rationales

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers’ posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

 

NUR2571 Professional Nursing II

Module 10 Discussion

Bariatric Surgery Patient

EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5’6” and 265 pounds. She has a history of Diabetes and hypertension, she is not on medications at the time.

What client education topics are important to reinforce for this client?

How will this client’s diet be advanced?

What complications can occur after this surgery?

What is Dumping Syndrome and what are some interventions to help prevent its development?

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Each initial discussion post should be a minimum of 2 paragraphs with 5 sentences per paragraph

Initial discussion posts are due on Tuesday 2359 of the week they are assigned

2 Responses to your peers’ posts are due on Saturday 2359 of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each discussion post (initial and response) should have a minimum of 1 citation and reference

 

NUR2571 Professional Nursing II

Module 1 Assignment

Bowel and Urinary Disorders

Complete the comparison tables on urinary disorders and bowel disorders.

Must be HAND WRITTEN

Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

Medication you would administer

Comparison of Urinary Elimination Disorders:

	Stress Incontinence	Benign Prostatic Hypertrophy	Pyelonephritis
Pathophysiology
Etiology
Clinical Manifestations
Interventions

Comparison of Bowel Elimination Disorders:

	Diarrhea	Bowel Obstruction	Hemorrhoids
Pathophysiology
Etiology
Clinical Manifestations
Interventions

 

NUR2571 Professional Nursing II

Module 2 Assignment  

Fluid/electrolyte disturbances and ABG interpretation

Complete the Fluid disturbance table and answer the following ABGs (Arterial Blood Gases).

Must be HAND WRITTEN

Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

Medication you would administer

Comparison of Fluid Deficit and Fluid Overload

	Fluid Deficit	Fluid Overload
Definition
Causes/Risk Factors
Clinical Manifestations (including laboratory data)
Collaborative Management (Interventions)

 

Interpret the following Arterial Blood Gases

1. pH 7.33 PaCO2 60 HCO3 34

A. Normal ABG values

B. Respiratory acidosis without compensation

C. Respiratory acidosis with partial compensation

D. Respiratory acidosis with full compensation

2. pH 7.48 PaCO2 42 HCO3 30

A. Metabolic acidosis without compensation

B. Respiratory alkalosis with partial compensation

C. Respiratory alkalosis with full compensation

D. Metabolic alkalosis without compensation

3. pH 7.38 PaCO2 38 HCO3 24

A. Respiratory alkalosis

B. Normal

C. Metabolic Alkalosis

D. None of the above

4. pH 7.21 PaCO2 60 HCO3 24

A. Normal

B. Respiratory acidosis without compensation

C. Metabolic acidosis with partial compensation

D. Respiratory acidosis with complete compensation

5. pH 7.48 PaCO2 28 HCO3 20

A. Respiratory alkalosis with partial compensation

B. Respiratory alkalosis with complete compensation

C. Metabolic alkalosis without compensation

D. Metabolic alkalosis with complete compensation

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

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:

NUR2571 Professional Nursing II

Module 3 Assignment  

Respiratory Disease

Complete the Respiratory Diseases comparison table.

Must be HAND WRITTEN

Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

Medication you would administer

Comparison of Respiratory Disorders:

	Asthma	Emphysema	Chronic Bronchitis	Pneumonia
Pathophysiology
Etiology/Population at Risk
Clinical Manifestations including Laboratory data
Typical Nursing Diagnosis
Interventions

 

NUR2571 Professional Nursing II

Module 4 Assignment  

Concept Map-Hypertension

Develop and

Concept Map

using the form provided, on the following patient. Include Diagnostic data and medical orders that you expect to be ordered on the patient.

Must be HAND WRITTEN

Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

Medication you would administer

T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.

Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.

Objective data: T 98.6°F(37°C), AP 78 beats/min, R 16 breaths/min, BP 142/92 mm Hg, Wt 190 lbs (optimum weight 160). No edema noted in hands, feet, or legs.

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

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

Need Help?

To submit a new assignment:

On the Assignments tab within the module, click on the desired module assignment. A new screen will open that displays the Assignment Information, Assignment Submission and the Add Comments fields. After reviewing the Assignment Information, choose the Browse My Computer button under the Assignment Submission field to select and upload your assignment.

After uploading your assignment, you will have the option to add a comment. Once your comment, if any, has been added, click Submit at the top or bottom of the screen to submit your completed assignment.

 

 

NUR2571 Professional Nursing II

Module 5 Assignment  

Medications affecting Coagulation

Assignment Content

Please go through and fill out the table on Medications affecting Coagulation.

Must be HAND WRITTEN

Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

Medication you would administer

Medications affecting coagulation

	Coumadin	Heparin	Lovenox
Mode of Action
Indications
Dosage/Route
Side Effects
Labs to Monitor
Antidote
Patient teaching

 

NUR2571 Professional Nursing II

Module 6 Assignment  

Inflammatory Diseases

Complete the comparison table for Inflammatory Diseases.

Must be HAND WRITTEN

Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

Medication you would administer

Comparison of Inflammatory Disease:

	Rheumatoid Arthritis	Systemic Lupus Erythematosus	Ulcerative Colitis
Pathophysiology
Etiology
Clinical Manifestations
Common Laboratory Tests
Treatment

 

NUR2571 Professional Nursing II

Module 7 Assignment  

Acute Complications of Diabetes

Fill out the Table below comparing the Acute Complications of Diabetes.

Must be HAND WRITTEN

Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

Medication you would administer

Comparison of Acute Complications of Diabetes:

	Hypoglycemia	Diabetic Ketoacidosis	Hyperosmolar Hyperglycemic Nonketotic syndrome
Clinical Manifestations
Diagnostic Data
Interventions
Patient Teaching

 

 

 

NUR2571 Professional Nursing II

Module 8 Assignment  

Otitis Media

An 8-year-old girl comes to your ambulatory care clinic