Nur 2115| NUR 2115 – 2115 Rasmussen College – Wausau Campus

[Unlocked Solution] Nur 2115| NUR 2115 – 2115 Rasmussen College – Wausau Campus

Comprehensive Plan of CareThe patient that I have been working with at Rennes health and rehab center does have anextensive medical history. The patient’s medical history includes anemia, acute cystitis, acutekidney injury, coagulopathy, elevated IRN, falls, hypertension, lipedema, atrial fibrillation,cerebral artery occlusion with cerebral infarction, arthritis, dementia with delusions, neuropathy,bilateral lower extremity edema and overweight. The patient had reduced bodily function whichresults in urinary incontinence, impaired dentition, impaired memory, decreased physicalmobility, & impaired transferability (Doenges, Murr, & Moorhouse, 2016). The patient was puton a soft food diet and thickened liquids to prevent aspiration.Upon assessment, the student nurse concluded the main concern for this patient is self-care deficit and ineffective health management evidenced by the reduced bodily functions mentioned above (Doenges, Murr, &Moorhouse, 2016). This was all obtained through the chart in the medical history section due to patient being a poor historian. The patient was unable to tell any family history and there wasnothing in the chart about family members other than she was widowed. The summary of the patient’s lab results are as follows.

[Unlock Solution] Adrenergic – cells that act on sympathetic nervous system, release epinephrine and norepinephrine

Sympathomimetics, agonists1.Stimulators: increased HR, increased BP, blood vessel constriction (ex: albuterol)2.Blockers: decrease HR, decreased BP, vasodilation (ex: metoprolol)Cholinergic – cells that act on parasympathetic nervous system, stimulated by Ach. Ach (acetylcholine) isa neurotransmitter located in parasympathetic nerve endingsParasympatho mimetics, agonists1. Muscarinic: stimulates smooth muscle and decreases HR2.Nicotinic: skeletal muscle strength and toneSE of direct acting cholinergicNursing Actions(think of what diseases mightnecessitate further action)HypotensionMonitor BPBlurred visionMonitor eyesBradycardiaMonitor HRIncreased salivationMonitor mucous membranesIncreased gastric secretionsMonitor epigastric pain/burningAbdominal crampsMonitor GI/GUBronchoconstriction Monitor RR.

[Unlock Solution] Rasmussen College, Ocala-NURNUR 2115-Glucose Regulation

What Exactly is Glucose?It is a type of sugar your body gets from the foods you consume, also know as your blood sugar.This sugar is converted into the main source of energy for the body.Glucose is broken down from the carbohydrates you consume (i.e. breads, potatoes, and fruits)The acids in your esophagus and stomach break down the foods and glucose is secreted Upon release the glucose travels into your intestines, from the intestines it is absorbed into your blood streamWhen it enters your blood stream the hormone insulin helps the glucose enter into your cells.

[Unlock Solution] Rasmussen College-NUR-NUR-2115-Jspriggs-Module-02-101417

Teamwork & CollaborationTeamwork and collaboration are an essential part to the promotion of care coordination and care management. A Breakdown in any part of QSEN and effective management of care results in further breakdowns in all other parts. However, without teamwork and collaboration, we would not be delivering patient-centered care based on evidence-based practice and the safety of not only the patient, but the health care providers could be at risk. At the foundation of teamwork and collaboration is effective communication between different members of a team. No matter what department a member is from, there really should not be a distinction between the departments since all health care providers are all working for the same outcome; which is effective patient-centered care. Studies show that communication.

[Unlock Solution] Rasmussen College, Ocala-NURNUR 2115-MMARTIN-Module 01

Module 01 Written Assignment Roles of the Professional Nurse_0

The role and functions of a professional nurse is a demanding role that requires a lot of critical thinking skills as well as a lot of compassion and dedication. Some of the strengths that I possess to some of the roles that are used to care for patients are being able to be an essential caregiver. Being a caregiver allows me to care for a patient, while being their teacher, counselor and leader. It allows me to look at every aspect of the patient and see what the best way is to care for them to address their every need. Another strength that I possess is a communicator. Being able to allow the patient to express their feeling and provide support as well as explain to them what is about to take place and what to expect is another strength that I possess. Being a teacher.

[Unlock Solution] Rasmussen CollegeNURNUR 2115JCampbell_Course Project-2

Rasmussen College, NUR2115- Fundamentals of Professional Nursing,Course ProjectStudent Name _John Campbell____Date ___08/04/2019___Clinical Site/Unit: ___GCV___Clinical Site Instructor:_Stephanio_____Patient Initials:LBGender:MAge:70Weight:249 LBSHeight:5’9”Allergies and Reactions:No Known AllergiesCode status:Full Code/CPRAdvance Directive on Chart: Living WillSocial History:Smoking – Former 1 pack/day; patient states he is a “social smoker”Alcohol – 8.4 oz/week – liquor; 2-4 drinks daily – beerUses glasses, hearing aid (right ear), Speech – no problems/clear, Assistance devices – cane, walker, wheelchairLives at home with wife. Currently at Gulf Coast Village for rehabilitationMarital Status:MarriedCultural Background:White, not of Hispanic Origin, ChristianPrimary Language:EnglishPast Medical/Surgical History: Hemiarthroplasty with insert prosthesis, chronic narcoticdependence, intertro-chanteric fracture of femur, abnormal urinalysis, alcoholism, hypertension, hyponatremia, obesity, peripheral artery disease, prostate cancer, thrombocytopenia, tobacco abuse disorder, back surgery L4-L5, eye surgery, removal of 1/3 of right kidney, kneere placement, amputation of fifth digit on left foot, vascular surgery – thrombectomy. Family Health History:Stroke – Mother, Cancer – Mother (colon), Alzheimer’s – Mother,Alzheimer’s – Father, Cancer – Father, Sister – well, Cancer – Brother (prostate), Diabetes -BrotherFund 2115 Course Project, Revised 1/191

Rasmussen College, NUR2115- Fundamentals of Professional Nursing,Course ProjectMedication ReconciliationList each medication your patient takes.Complete an ATI drug card for7of the major medications pertaining to your patient’s medicaldiagnosis or current condition. (ex:antihypertensive, antiplatelet, antibiotic, ect.)MedicationDosageRouteFrequencyRoutine/PRNEliquis2.5 mg

POOnce dailyLipitor10 mgPOOnce dailyHydrocodone10 mgPOQ 4 hoursAcetaminophen325 mgPOQ 4 hoursLisinopril10 mgPOOnce daily Albuterol108 mcg/act Inhaled2-3 times dailyAmlodipine10 mgPOOnce dailyFund 2115 Course Project, Revised 1/192

Rasmussen College, NUR2115- Fundamentals of Professional Nursing,Course ProjectPathophysiologyProvide APA format documentation for each sectionMedical Diagnosis.

[Unlock Solution] Rasmussen College-NUR-NUR 2115-Pathophysiology Form -Lab

Pathophysiology of Lung Cancer2NUR 2115 Fundamentals of NursingPathophysiology FormDiagnosisLung CancerPathophysiology: The functional changes associated with corresulting from disease or injury.(this is not a definition-try to find out what is happening in the tissue/cells) Lung cancer develops by a combination of three factors: genetics, environmental exposure, and cigarette smoking. Genetic susceptibility, especially among first degree relatives combines with exposure to carcinogens and the healthy cells in the epithelium of the lungs become mutated. There are two types of lung cancer: Small Cell Lung Cancer (SCLC) and Non Small Cell Lung Cancer (NSCLC). SCLC is the most related to cigarette smoking. SCLC forms centrally located tumors only that grow at a rapid pace. Central tumor growth causes distal obstruction and infection of the pulmonary neuroendocrine cells located at the divide of small airways. These cells are responsible for creating neurotransmitters, growth factors, and vasoactive substances. Although they grow at a rapid pace, tumors of SCLC are the most responsive to chemotherapy. NSCLC forms centrally and peripherally located tumors that are less metastatic. These tumors irritate airways and cause pleural infiltration. NSCLC affects the epithelial cells and is split into three types: Squamous Cell Carcinoma, Adenocarcinoma, and Large.

[Unlock Solution] NUR 2115 – 2115 College of Central Florida-NUR-NUR 2115-KC_journal2_071815

My daily routine at my job was to open up the office and prep the rooms before our patients start arriving. When I got there, my boss was already there and seemed to be in a bad mood. Since I was the first one there, he decided to take out some of his frustration on me and verbalize everything he was upset about even though I had nothing to do with it. This kind of started my morning out rotten. I had gotten a little upset but just tried to brush it off and try to make the rest of the day better. Luckily for me, my day just worsened. Anything that could have been thrown at me that day, was and little by little continued to build up on me. I was starting to feel so overwhelmed, that when a coworker came to me for help I just could not hold it any longer, I ran to the bathroom and just started crying my eyes out. All I wanted to do is be alone

[Unlock Solution] NURSING NUR2115 – Fundamentals of Nursing Rasmussen College, Bloomington-Rasmussen College, Bloomington-NURSINGNURSING NUR2115-Health Care Lab values Rasmussen

Substance What it is? Normal Value Hypo-low result what it may meanHyper-high result whatit may meanGlucose Sugar in the blood70-99 mg/dl Hypoglycemia, excess insulin, liver disease, adrenal insufficiency.Hyperglycemia, excessglucose, Diabetes, pre-diabetes, pancreatitis, hyperthyroidismSodium An electrolyte and mineral136-144mEq/LHyponatremia-low sodium, use of diuretics, diarrhea, adrenal insufficiencyHypernatremia-excess sodium, Kidney dysfunction, dehydration, Cushing’sSyndromePotassium An electrolyte and mineral3.7-5.2 mEq/L Hypokalemia-low potassium use of diuretics or corticosteroids (such as prednisone or cortisone)Hyperkalemia-high potassium Acute or chronic renal failure, Addison’s Disease, Diabetes, DehydrationChloride An electrolyte96-106 mmol/LEmphysema, chronic lungdiseasesDehydration, Cushings syndrome, kidney diseaseCarbon Dioxide Gaseous waste product frommetabolism20-29 mmol/L Kidney disease, certain toxic exposures, severe infectionLung Diseases, including COPDBUN-blood urea nitrogenA waste product formed in the liver and carried to the kidneys, filtered out of blood excreted through urine 7-20 mg/dl Malnutrition Liver or Kidney disease, heart failureCreatinine A chemical waste produced by muscle metabolism 0.8-1.4 mg/dl Low muscle mass, malnutritionChronic or temporary decrease in kidney functionBUN/Creatinine RatioRatio 10:1-20:1 Malnutrition Blood in bowels, Kidney obstruction, dehydration.

NURSING NUR2115 – Fundamentals in Nursing Rasmussen College

NURSING |NURSING NUR-2115-bmongelut_pain-assessment_090317|Rasmussen College

Pain AssessmentI did my pain assessment on my brother in law. The characteristics of his pain that he has is sharp and stabbing. The onset of the pain happens when he is on his feet a lot during the day when he is at work. It is located in his right knee. The pain will usually last him anywhere between 6-8 hours after he is done working. The thing that makes his pain worse is when he leaves it bent without moving it. The pain does not travel anywhere down his leg or up his leg.