It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

RUBRIC

Attempt Start Date: 07-Sep-2020 at 12:00:00 AM

Due Date: 13-Sep-2020 at 11:59:59 PM

Maximum Points: 120.0

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1. Imagine you are the president of a Fortune 500 Company. You started out as a secretary right out of high school and worked your way to the top. The vice president and CEO are always at odds. As an expressive leader, how do you resolve this social dilemma and restore order in the leadership positions between these two officers?

2. Name the three types of formal organizations and explain how each is different. Also, explain a time when you were involved in one of these types of organizations and the positives/negatives it had within it.

3. You decided to run for public office. Although you have little-to-no experience with elections, holding office, or campaigning, you feel you can be successful since you helped a friend who served in a public office seat last term. Explain how this is a characteristic of Weber’s Ideal Bureaucracy and what you will do to prove your competence under these characteristics.

4. As creative manager of a small group of employees in the advertising department, you notice one of your designers has withdrawn from the meetings offering no input. This employee’s alienation concerns you. What would you do to socialize this employee and engage them into their job?

Two nursing students cheated on several assignments.  Although the evidence is irrefutable, both students deny cheating.  Discuss these students in terms of virtue ethics.  

1. Do these students have integrity? 
2. Do these students have the character to become good nurses?
3. Should the instructor allow them another chance?

SCHOLARLY NURSING ARTICLE>>> NO PLAGIARISM>>>>use article attached…APA format

Instructions
Plays are meant to be performed, rather than read. The purpose of dramatic arts often extends far beyond the words written on a page; staging, lighting, costumes intonation, expression, and audience experience are all part of the experience of a theatrical production. To develop your understanding of the cultural role of the dramatic arts, you will view a production of a play this week and write a reflection to explain your viewing experience. Choose a play that you would like to view and find a version online, YouTube, DVD or iTunes, Amazon, Netflix, etc. You can also choose to see a play live if you prefer.

Play Suggestions:

• A Midsummer Night’s Dream
• Romeo and Juliet
• As You Like It
• Taming of the Shrew
• The Tempest
• Much Ado About Nothing
• The Comedy of Errors
• Macbeth
• King Lear

If you have another idea, please ask your instructor to approve it.

Then, select and address one of the following options:

Option 1: Write an analysis of the play that you viewed. Include at least one quote from the play in your essay. In your essay, address the following:

• Identify the performance that you have selected.
• Describe the staging, lighting, costumes, and characters of the performance. How do these match or revise the written version of the play? You do not need to read the entire play, but you should skim the text.
• What type of mood and tone does the performance create? How?
• What parts of the play are easier to understand through performance? What are some details that stood out through performance?
• What are your feelings about this performance? What did you take away from viewing it?

Option 2: Find an adaptation or transformation of a play. Choose an adaptation with some significant differences from the original, such as transposed plots and characters into a variety of different settings and historical contexts. Here are some examples:

• A Midsummer Night’s Dream – A Midsummer Night’s Dream (1999) or A Midsummer Night’s DREAM (2018)
• Romeo and Juliet – Romeo + Juliet (1996) or West Side Story (1961) or Romeo Must Die (2000)
• As You Like It – As You Like It (2006)
• Taming of the Shrew – 10 Things I Hate About You (1999) or Kiss Me, Kate (1948)
• Much Ado About Nothing – Much Ado About Nothing (2012)
• The Comedy of Errors – The Bomb-itty of Errors (2012)
• King Lear – A Thousand Acres (1997)
• Othello – O (2001)
• Hamlet – The Lion King (2019 or 1994) or Hamlet (2000)
• Twelfth Night – She’s the Man (2006)

If you have another idea, please ask your instructor to approve it.

Watch the original version and the adapted version. In your essay, address the following:

• How is the adaptation the same as the original? Discuss plot, characters, theme, conflict, language, etc.
• How does the adaptation differ from the original? Discuss setting, time period, characters, plot, language, etc.
• Does the original story translate well in the adaptation? Why or why not? Did the adaptation work in a different setting, time period, etc. Why or why not?
• Why do you think Shakespeare’s plays are adapted so often?

Writing Requirements (APA format)

• Length: 1.5-2 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 1 source)

Grading
This activity will be graded based on the W4 Essay Grading Rubric.

Course Outcomes (CO): 1, 2, 3, 4