NUR 2349 Full Course Work latest 2018

Week 1 discussion – Common Hazards

Take some time to research the many hazards that you will face as you take care of your patient. Describe one hazard that could harm you and/or you patient in the healthcare setting. What actions can nurses take to prevent harm to your patient or self?

Week 2 discussion – Mobility that Promotes a Healthy Lifestyle

Mobility can have either a positive or negative impact on our patient’s lives. You are the nurse of an older adult who is being discharged and need to provide education for the promotion of safe ambulation. How can mobility promote a healthy lifestyle?

Week 3 discussion – Elimination Patterns

The elimination patterns of our patients are very important to know as we continue to assess and do our care plans. How can impaired elimination affect the integumentary system?

Week 4 discussion

Daily Routine

Clinical judgment in our daily practice can influence how we (nurses) take care of our patients. Our everyday care of our patients also incorporate ethical care and charting. Why should nursing include evidence-based practice into their daily routine?

Week 5 discussion – Elective Surgery

Why is surgical integrity important when dealing with patient care?

Week 6 discussion – High Stress

What role does immunity play when caring for a patient that is experiencing a high amount of stress due to a loss?

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Week 7 discussion – Sterile Precautions

When would you use standard precautions over sterile precautions while taking care of your patient and why?

Week 8 discussion – Gas Exchange

You have had the opportunity to learn about gas exchange and the impact it can have on the body. With this discussion you will need to think about fluid imbalances and how this imbalance can affect the gas exchange of your patient?

Week 9 discussion – High Tolerance due to Chronic Pain

You are caring for a patient that has a high pain tolerance due to chronic pain and does not look like they are in pain. What would you do if they asked for more pain medication?

Week 10 discussion – Importance of Thermoregulation

You have had the opportunity to review thermoregulation as is pertains to the human body. With this discussion, you will need to explain what thermoregulation is and why is it important?

Week 11 discussion – Develop Care Plans

Throughout this course, you have had the opportunity to develop care plans and concept maps on the main topics. How has the development of care plans and concept maps helped you understand the material and what resources did you find most helpful?

NUR 2349 Full Course Work latest 2018

Module 01 Written Assignment – Patient Falls Worksheet

Your written assignment for this module is a worksheet that describes the following:

Common causes of patient falls

Actions to prevent falls from occurring

You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals. All citations must be in APA format.

Please click here to download the Patient Falls Worksheet.

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

Name:

Date:

Complete all of your lesson materials and assigned readings. Make sure that you are focusing on:

• Common Causes of Patient Falls

• Actions to Prevent Falls from Occurring

1. Identify the common causes of patient falls. 2 Points

2. Define and describe actions to prevent falls from occurring. 2 Points

Module 02 Written Assignment – Communication Techniques Worksheet

Your written assignment for this module is a worksheet that describes the following:

Communication techniques that can be used to promote safety within the healthcare facility.

How communication can assist in providing optimal patient care.

Please click here to download the Communication Techniques Worksheet.

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

Name:

Date:

Complete all of your lesson materials and assigned readings. Make sure that you are focusing on:

• Communication techniques that can be used to promote safety within the healthcare facility.

• How communication can assist in providing optimal patient care.

1. Identify and Describe communication techniques that can be used to promote safety within the healthcare facility? 2 Points

2. Describe how communication can assist in providing optimal patient care? 2 Points. NUR 2349 Full Course Work latest 2018

Module 03 Written Assignment – Case Study (Care Plan)

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 2 days. She completed a course of oral Amoxacillin seven days ago for a dental infection. In addition to loose stools, she complains of lower abd. pain that began 2 days ago as well. 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 Pantaprazole (Protonix) for severe GERD.

Past Medical History:

• Crohn’s disease

• GERD

Your Initial VS:

	WILDA Pain Scale (5^th VS)
	Words:	Crampy

	Intensity:	7/10

	Location:	Generalized throughout RLQ-LLQ

	Duration:	Persistent since onset 2 days ago

	Aggreviate:	None

	Alleviate:	None


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

Your Initial Nursing Assessment:

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, abd. soft/tender to palpation in lower abd-no rebound tenderness or guarding

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

Nursing Interventions:

• Orthostatic BP’s (ED standing order)

• Establish PIV (ED standing order)

• Initiate enteric precautions (ED standing order)

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 medical unit

Lab/diagnostic Results:

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• Stool culture for C. difficile: Positive

BMP	Current	High/Low
Sodium	132		CBC	Current	High/Low
Potassium	3.5		WBC	12.6
Creatinine	1.45		HGB	14.5
BUN	47		PLTS	188
CO2	18		Neuts. %	86
			Lymphs %	10

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

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RELEVANT data:	Rationale:
Chief complaint:

VS/assessment:

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

	RELEVANT Diagnostic results:	Rationale:

3. What is the primary problem that your patient is most likely presenting with?

4. What is the underlying cause /pathophysiology of this concern?

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

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

Nursing Interventions	Rationale:	Expected Outcome:
1.	1.	1.
2.	2.	2.
3.	3.	3.
4.	4.	4.

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

Nsg. Interventions/MD orders:	Rationale:	Expected Outcome:
Orthostatic BP’s
(ED standing order)
Establish PIV
(ED standing order)
Initiate enteric precautions
(ED standing order)
0.9% NS 1000 mL IV bolus
Hydromorphone (Dilaudid) 1 mg
IVP
Stool culture for C. difficile
BMP
CBC
Vancomycin 250 mg po
Admit to medical unit

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? NUR 2349 Full Course Work latest 2018

Module 04 Written Assignment – Improving Patient Care Worksheet

Your written assignment for this module is a worksheet that describes the following:

An example of an evidence-based practice (EBP) project

How EBP projects can improve patient care

Please click here to download the Improving Patient Care Worksheet.

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

Name:

Date:

Complete all of your lesson materials and assigned readings. Make sure that you are focusing on:

• An example of an evidence-based practice (EBP) project

• How EBP projects can improve patient care

1. Give an example of an evidence-based practice (EBP) project that you have either been a part of or have knowledge regarding. 2 Points

2. Describe how the EBP project can improve patient care. 2 Points

Module 05 Written Assignment- Care Plan

You are the nurse receiving report on your patient that was admitted as an emergency earlier in the day. A 64-year-old female underwent a right colectomy. The right side of her colon was removed due to cancer. She has a history of smoking & no other health problems. She is currently being transferred to you in PACU. She has a midline incision with a Penrose drain, a stab wound w/ a Jackson Pratt drain to incision. She also has a NG tube, attached to intermittent suction. She is alert, riented and can move all 4 extremities. BP is 110/68, Respiratory rate is 14, O2 stats are at 93% w/ additional oxygen given via nasal cannula.

All labs are normal. You are asked to change the dressings daily and document the drainage. What precautions will you take to prevent this patient from obtaining a nosocomial infection?

Please answer the questions and develop a care plan for a patient that will be having an elective surgery. Please use the provided format for building your care plan. You will need to use your nursing reference materials as you build this care plan.

Go to ATI website for care plan – go to integration materials – scroll down to active learning templates – choose systems disorder

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

Module 06 Written Assignment – Stress and Immunity

Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

What are the different types of immunities and give an example of each

Describe how stress impacts the immunity of a person

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

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

Module 07 Written Assignment – C-Diff

Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

You are caring for a patient with c-diff as part of your workload assignment. Discuss what c-diff is and how it is transmitted (how you can get it)?

What actions will you take as a nurse to protect yourself and the other patients on the unit when taking care of your patient?

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

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

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Module 08 Written Assignment – Fluid Imbalances

Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

Describe what a fluid and electrolyte imbalance is and how this is important to the function of the body?

Pick a fluid or electrolyte imbalance and describe how the patient would present, in addition to the treatment (nursing and expected medical)?

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates. NUR 2349 Full Course Work latest 2018

Module 09 Written Assignment – Differences between Acute and Chronic Pain Worksheet

Your written assignment for this module is a worksheet that describes the following:

The differences between acute and chronic pain

Reasons that a patient would experience acute versus chronic pain and patient presentation examples of each.

Please click here to download the Differences between Acute and Chronic Pain Worksheet.

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

Name:

Date:

Complete all of your lesson materials and assigned readings. Make sure that you are focusing on:

• The differences between acute and chronic pain

• Reasons that a patient would experience acute versus chronic pain and patient presentation examples of each.

1. Describe the difference between acute and chronic pain? 1 Points

2. List some reasons that a patient would experience acute versus chronic pain and give the patient presentation for each example? 3 Points

Module 10 Written Assignment – Hypothermia and Hyperthermia Worksheet

Your written assignment for this module is a worksheet that describes the following:

The difference between hypothermia and hyperthermia and the impact to the patient?

Patient education for client and family in order to avoid extreme temperature variations?

Please click here to download the Hypothermia and Hyperthermia Worksheet.

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

Name:

Date:

Complete all of your lesson materials and assigned readings. Make sure that you are focusing on:

• The difference between hypothermia and hyperthermia and the impact to the patient?

• Patient education for client and family in order to avoid extreme temperature variations?

1. What is the difference between hypothermia and hyperthermia and how does each one impact the patient? 2 Points

2. What education can you give to your patient and family to avoid the extreme temperature variations? 2 Points. NUR 2349 Full Course Work latest 2018

Module 11 Written Assignment-Comprehensive Final

Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

What did you learn from this course that you did not already know?

How will you apply what you learned to your patient care?

You should include a minimum of 2 references. Include a title page, in-text citations, and a reference page in APA format.

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

NUR 2349 Full Course Work latest 2018