Rasmussen NUR2790 Professional Nursing III Module 1,2 and 3 Discussion
Rasmussen NUR2790 Professional Nursing III Module 1,2 and 3 Discussion
Cancer Treatment Options
Mrs. Williams is a 27-year-old female diagnosed with breast cancer. She is currently in pharmacy school. She does not have children, but hopes to have them someday. She has been tested and has a genetic predisposition for this disease.
What treatment options does she have?
What are the advantages and disadvantages of those treatment options?
What would you tell Mrs. Williams if she decided to refuse treatment?
Mrs. Williams really wants to have children before she starts treatment. What would you educate her about? Why?
NUR2790 Professional Nursing III
Module 2 Discussion
Death and Dying
Discuss the term “clinical death,” especially with respect to when not to initiate CPR. Discuss what is meant by a “peaceful death” and a “good death,” including goals for End-Of-Life care. How would you feel if you knew your patients did not want CPR but the family insisted on it?
NUR2790 Professional Nursing III
Module 3 Discussion
Triage
Triage involves the rapid assessment and prioritization of patients. Compare the three-tiered system of triage to the Mass Casualty Incident (MCI) triage philosophy. Imagine that you are the Triage Nurse during an MCI. How will you categorize the following patients using the MCI triage philosophy? Explain your answer. Are there any ethical issues that should be considered?
10-year-old boy with massive head injury, no spontaneous breathing, BP 60 palp
22-year-old female with a close fracture of the left arm
60-year-old male with a laceration in the leg complaining of shortness of breath
15-year-old girl with glass embedded in the eyes
52-year-old male with a pulse of 30 and a blood pressure of 70/30
For your response, do you agree with your classmates’ opinions? What would you urge them to consider when making the triage determination?
NUR2790 Professional Nursing III
Module 4 Discussion
Gas Exchange
Mr. Nguyen is a 58-year-old patient that had septic shock and developed Acute Respiratory Distress Syndrome. He is orally intubated and on a mechanical ventilator. He is paralyzed and sedated.
What manifestations might you observe for a patient with ARDS?
What complications can Mr. Nguyen develop from being mechanically ventilated?
List priority nursing interventions to prevent complications associated with ventilatory support.
What interventions can be implemented specifically to prevent the development of Ventilator Acquired Pneumonia (VAP)?
You are orienting in the ICU, the nurse you are working with is not implementing the VAP interventions. What would you do?
NUR2790 Professional Nursing III
Module 5 Discussion
Artifact vs. Dysrhythmia
Describe the role of each component of the ECG in the heart’s contraction: the P wave, the PR interval, the QRS complex, the ST segment, the T wave, and the QT interval. What is the difference between artifact and dysrhythmia? How can you reduce artifacts? What are some situations that can occur if artifact is not reduced or eliminated?
You are working in the Telemetry Unit. The nurse “watching” the monitors is reading a magazine. She constantly turns off an alarm that looks a lot like Ventricular Fibrillation. She tells you that it is not a dysrhythmia, it is just artifact. What do you think about her actions? What is the worst case scenario in this situation? What would you do?