Rasmussen NUR2790 Professional Nursing III Module 6,7,8,9,10 and 11 Discussion
NUR2790 Professional Nursing III
Module 6 Discussion
Prevention of Shock
Your patient is a 42-year-old female that arrives in the ED with complaints of fever and not feeling well. She is currently undergoing chemotherapy for bladder cancer. She has an indwelling urinary catheter with scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa.
What type of shock is she experiencing?
What interventions do you anticipate the doctor will order?
What can you teach this patient about prevention of infection?
The doctor orders Bactrim. What should you be concern about? Why?
NUR2790 Professional Nursing III
Module 7 Discussion
Modifiable vs. Unmodifiable Risk Factors
Choose a subject (it can be a former patient, a family member, or yourself) and identify modifiable and nonmodifiable risk factors. Identify methods to prevent Coronary Artery Disease (CAD) in the subject. What can you recommend to your classmates subjects?
NUR2790 Professional Nursing III
Module 8 Discussion
The Patient with Chronic Renal Failure
Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of hypertension and uncontrolled type 1 diabetes (since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently receiving hemodialysis three times per week for three hours. He is in the hospital because he went into DKA a few days ago when he had a stomach virus. He is asking you about renal transplantation.
What are the criteria to be placed in the transplant list?
What options for transplantation does Mr. Rojas have?
What recommendations can you give Mr. Rojas on treatment compliance?
What other renal replacement therapies could Mr. Rojas be educated about?
What are their advantages and disadvantages?
NUR2790 Professional Nursing III
Module 9 Discussion
Brain Death: Ethical Considerations
Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing a really bad headache as her boyfriend was driving her to the university. He thought she was sleeping and by the time they got to the school, 45 minutes later, she was not waking up. She was diagnosed with a cerebral aneurysm and you are taking care of her in the Neurological ICU.
What testing do you expect to be performed to diagnose brain death?
What is the procedure when a patient is determined to be brain dead?
Who should approach the family about organ donation?
The family is approached about organ donation. The patient indicated on her driver’s license that she wanted to be an organ donor. Her mother refuses to consent for organ donation.
Do you think donation should happen anyway? Why or why not?
What will be the ethical consequences of your decision?
NUR2790 Professional Nursing III
Module 10 Discussion
Ethical Dilemma
For patients with liver failure due to cirrhosis liver, transplantation may be the only possible treatment.
How is the care for the patient undergoing liver transplantation different from the care of a regular surgical patient?
What patient teaching is needed after a patient receives a liver transplant?
Should the patient with alcoholic cirrhosis be a candidate for a liver transplant?
Should government funds be used in the care of patients with cirrhosis who continue to consume alcohol?
NUR2790 Professional Nursing III
Module 11 Discussion
Caring for Self!
You have learned a lot during your training to become a Registered Nurse. At this point in your education, where do you see yourself as a nurse? What unit would you like to work in and why?
To be able to care for patients, you must be able to care for yourself. What are some practices you plan to implement to help you care for yourself and why?