NSG3012 Week 5 Discussion Latest

NSG3012 Week 5 Discussion Latest

NSG3012 Week 5 Discussion Latest

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

Post your initial response to the Discussion Area for this assignment by the due date assigned.

Use your course and text readings and outside sources to support your work. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to your classmates’ postings as early in the week as possible.

• Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning. Complete your participation in this assignment by the end of the week.

Musculoskeletal and Neurologic System

Research the conditions affecting the musculoskeletal and neurologic systems using the South University Online Library or the Internet. Based on your research and understanding, respond to one of the following scenarios:

Scenario 1

A 58-year-old female is admitted for a workup complaining of neck and low back pain. During admission, you discover she underwent a renal transplant six years ago. The patient also had blood work collected. When you review the findings, you notice that her serum calcium is elevated at 13.9 (Normal values range from 8.5 to 10.2 mg/dl), her CBC shows a hematocrit of 33%, and hemoglobin of 11.1 g/dl (normal adult female hematocrit Range: 37-47%, normal adult female hemoglobin range: 12-16 g/dl).

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• What does this mean, and what could be the underlying cause of her pain and abnormal lab values?
• What other assessments would be helpful?

Scenario 2

A 12-year-old female is admitted with severe pain in her spine. While checking the history, the patient and her mother stated that the patient was treated for an upper respiratory infection several weeks ago. The infection subsided after several days of taking antibiotics.

However, several days later, the child complained of joint swelling and pain in her right elbow, which subsided, but then seemed to migrate to her left knee. A week later, today, the child complained of worsening back pain. The mother has been treating the pain with over-the-counter pain medication and heat and ice packs, but this did not help.

• What are the pain’s possible causes, and how would you proceed?

Scenario 3

A 33-year-old Hispanic male is admitted and complains of a tingling sensation in his left leg, vertigo, and loss of balance. When you begin to perform intake history, you notice that his speech is slurred, his teeth need repair, and he seems very drowsy.

• What other findings may you find in this individual?
• What would you think is the underlying cause of this patient’s complaint?
• How would you proceed with your assessment specifically for this patient?

Scenario 4

A patient is admitted to the unit. He is a diabetic on chronic hemodialysis. He has an Arteriovenous (A-V) graft, which is annulated each time he undergoes dialysis treatments. You notice an area on his graft arm that is red and warm to the touch.

He states that he has had this on his arm for several weeks. He asked the dialysis staff about the area, but they told him to apply warm compresses to the site. The staff at the dialysis center continues to use the graft, but they are careful to avoid the area when they cannulate for his treatments. The patient presents with extreme low back pain, fever, nausea, and swelling of his lower extremities.

On checking his fasting serum glucose, you notice that the reading is 159 (Normal fasting blood glucose range 64 to 110 mg/dl), and his white blood cell count is 36,000 (normal range is 4,500-10,000 white blood cells/mcl). He states that his sugars were normally well controlled, but he seems to require more insulin in the past ten days.

• How would you proceed with this patient?
• What could be the underlying problem?

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.