Multidimensional Care 3 – 2025 Competency Prioritize nursing care strategies for clients with cardiovascular disorders Scenario Cardiac disease a

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Multidimensional Care 3 – 2025

 

Competency

Prioritize nursing care strategies for clients with cardiovascular disorders.

Scenario

Cardiac disease a one of the leading causes of death in the United States. Since it is so prevalent, you want to ensure your co-workers are fully prepared to care for patients. You are hosting a lunch to provide a refresher on heart disease and how to care for patients. During the lunch, you will present a PowerPoint Presentation to your co-workers.

Instructions

Choose one of the cardiac diseases that we covered in the last two modules. Within your presentation include:

  • Provide a detailed overview of the disease process
  • Diagnosis
  • Treatment
  • Multidimensional care including risk reduction, health promotion, and nursing interventions specific to the disease process

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

Evolution of Nursing Theories cont. – 2025 1 State the provided question or statement to be addressed Write your response to the stated

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Evolution of Nursing Theories cont. – 2025

1. State the provided question or statement to be addressed.

Write your response to the stated question or statement using APA format.

2. State the provided question or statement to be addressed.

Write your response to the stated question or statement using APA format.

Module Two Discussion Questions: 

Module Two Discussion questions (listed below) are stated broadly to incorporate synthesis of information from the textbook as well as additional professional literature (research based, peer-reviewed, and such). The hope is to expand the mind to explore and share great exploratory thoughts based on literature at a graduate level.

The focus is to open with a broad base of how nursing diagnosis, nursing therapeutic taxonomies, evolution of nursing theories, and evidence-based practice connect and further nursing knowledge as well as the discipline of nursing (question one [1]). To thoroughly answer question one, use current professional literature.

After a broad discussion tying in nursing theory, move to discussion of grand theories (questions two [2]and three [3]). After discussion of grand theories move to discussion of middle-range theories (question four [4]), and comparison of grand and middle-range nursing theories (questions five [5], and six [6]) . To thoroughly answer questions two through six, use current professional literature and required textbooks.

If accessing the original source of a nursing theory, the year of the nursing theory creation may be older than “within the last three to five years.” The original source (older than within the last three to five years) of nursing theory may count as one professional source. The additional number of required professional literature needs to be within the last three to five years.

Please write thorough responses to each of the six questions listed below for Module 2 Discussion Board:

1. Identify how the development of nursing diagnosis and nursing therapeutic taxonomies contribute to advancing nursing knowledge. Identify how the support for evidence-based practice is an indication of progress in the nursing discipline.

2. Describe grand nursing theory. After describing grand nursing theory, explain two (2) examples of grand nursing theories.

3. Discuss the impact of grand nursing theories on patient care.

4. Describe middle range nursing theory. After describing middle range nursing theory, explain two (2) examples of middle range nursing theories.

5.  Describe how middle range nursing theory differs from grand nursing theory.

6. Discuss the impact of middle range nursing theories as compared to grand nursing theories on patient care.

RUA Concept Map – 2025 NR226 RUA Concept Map Grading Rubric NR226 RUA Concept Map Grading Rubric Criteria Ratings Pts This criterion

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RUA Concept Map – 2025

 

NR226 RUA Concept Map Grading Rubric

NR226 RUA Concept Map Grading Rubric

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Introduction of Disease (10 points/10%)

1.Age
2.Medical diagnosis
3.Brief review of underlying pathophysiology
*List what functional changes are happening
*List process that initiated and maintained disorder or disease

Case Study 4 – 2025 Detached Retina Mr Gray a 65 year old man was in an automobile accident in which he suffered a concussion

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Case Study 4 – 2025

 

  1. Detached Retina

Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussion. Soon after he was released, he noticed what he described as a “gray spot” in his field of vision. At first he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. He didn’t report any pain with the problem. On calling his physician, he was advised to go to the nearest hospital immediately. A detached retina was diagnosed.

After treatment, he regained most of his normal sight back. Five years later, he began having problems again. The central area of his visual field was becoming blurred, and he was losing his depth perception. An initial eye examination revealed neovascularization in both eyes.

  • Question 1:  Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition.
  • Question 2: Discuss the treatments available for the patient.
  • Question 3: Relate the symptoms and signs to those of macular degeneration.
  • Question 4: Discuss the treatment available and the prognosis for recovering his normal vision.

Resources to assist you:

https://www.youtube.com/watch?v=3m__6QS8U_8

https://www.youtube.com/watch?v=hZe7VxtuQB0

https://www.youtube.com/watch?v=ozZQIZ_52YY

  1. Cardiovascular Accident

Mr. Quinn, age 64 years, developed a severe headache several hours ago that has not responded to acetaminophen. Now his speech is slurred, and his right arm and the right side of his face feel numb. He is very anxious and is transported to the hospital. Mr. Quinn has a history of smoking and arteriosclerosis, and there is family history of CVA and diabetes. Assessment at the hospital indicated weakness on the right side, including facial asymmetry and a blood pressure of 220/110 Hg mm. A CT scan showed damaged tissue on the left side of the brain, and an angiogram indicated narrowing of the carotid arteries and middle cerebral arteries, with occlusion of the left middle cerebral artery.

  • Question 1:  Discuss the pathophysiology related to CVA due to thrombus vs. embolus. Describe the stages in the development of an atheroma.
  • Question 2: Explain the predisposing factors in this case, and relate Mr. Quinn’s initial signs to the pathological changes.
  • Question 3: Discuss the treatments available after first aid for stroke patients and the patient’s prognosis.

Resources to help you:

https://www.youtube.com/watch?v=QIAI6KOwKII&t=16s

https://www.youtube.com/watch?v=U8s427-tv58

https://www.youtube.com/watch?v=qCvV11R2lgg&t=7s

  1. Parkinson Disease

Mr. Nimmo, age 66, has noticed excessive fatigue, muscle aches, and weakness in his legs for some time. His hands were shaking slightly, although his wife reported that the shaking appeared to stop when he fell asleep. Some unintentional head movements were also apparent. He remembers that his grandfather died in his mid-60s after suffering for years from a condition with similar symptoms. After several tests and the elimination of some other neuromuscular conditions, a diagnosis of Parkinson’s disease was made for Mr. Nimmo.

  • Question 1: Discuss the pathophysiology of Parkinson’s disease and how it differs from other neuromuscular conditions affecting older adults.
  • Question 2: Discuss the usual progression of the disease as the pathophysiology develops further. Indicate additional manifestations that will be noticeable.
  • Question 3: Describe the complications that frequently develop, including the rationale for each and the early indications of each problem.
  • Question 4: Discuss the treatments available to this patient.

fluid – 2025 Fluid and Electrolytes Balance and Disturbance 1 Mrs Dean is 75 year old woman admitted to the hospital for a small bowel

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fluid – 2025

Fluid and Electrolytes: Balance and Disturbance

1. Mrs. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. (Learning Objective 4)

  1. What are possible causes of a low potassium level?
  2. What action should the nurse take in relation to the serum potassium level?
  3. What clinical manifestations might the nurse assess in Mrs. Dean? 

2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and tenting of skin. The physician orders an IV to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas. (Learning Objective 7)

The following results are returned from the laboratory:

Sodium (Na+)  150

Potassium (K+)  5.5

Chloride (Cl¯)  110

BUN    42

Creatinine   0.8

Glucose   86

pH   7.32

PaCO2    35

HCO3¯    20

PaO2    90

O2 Sat    98%

  1. What is your interpretation of this arterial blood gas sample?
  2. Explain the high potassium in this patient.
  3. Calculate the patient’s anion gap:
  4. What is the interpretation of this anion gap? 

epidemiologic methods – 2025 Visit the Healthy People 2030 website Topics and Objectives page Links to an external site Links to an

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epidemiologic methods – 2025

Visit the Healthy People 2030 website, Topics and Objectives page (Links to an external site.)  (Links to an external site.) and explore some topics of interest to you. Discuss how epidemiologic methods are used to evaluate Healthy People 2020 objectives. Give an example. The example can be one you created or one from an actual study. Include the primary goal/purpose of the descriptive or analytical study, design type in the category chosen, uses of analytic or descriptive type, at least one advantage and disadvantage of the design type.

https://health.gov/healthypeople

Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation/PRAC 6635: Psychopathology and Diagnostic Reasoning Practicu – 2025 Comprehensive psychiatric evaluations are a way to reflect on your practicum experiences and connect the experiences to

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Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation/PRAC 6635: Psychopathology and Diagnostic Reasoning Practicu – 2025

 

Comprehensive psychiatric evaluations are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will document information about a patient that you examined during the last 5 weeks, using the Comprehensive Psychiatric Evaluation Template provided. You will then use this note to develop and record a case presentation for this patient.

To Prepare

  • Select a patient that you examined during the last 5 weeks. Review prior resources on the disorder this patient has. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
  • Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning Resources. There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain. All psychiatric evaluations must be signed, and each page must be initialed by your Preceptor. When you submit your document, you should include the complete Comprehensive Psychiatric Evaluation as a Word document, as well as a PDF/images of each page that is initialed and signed by your Preceptor. You must submit your document using SafeAssign. Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Late Policies.

Management of Patients With Hematologic Neoplasms – 2025 Case Study Chapter 34 Management of Patients With Hematologic Neoplasms 1 John King 60 years of age is a male

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Management of Patients With Hematologic Neoplasms – 2025

Case Study, Chapter 34, Management of Patients With Hematologic Neoplasms

1. John King, 60 years of age, is a male patient who is admitted with the diagnosis of multiple myeloma. He presents with a spinal fracture of the fifth lumbar vertebrae. The patient is scheduled for a vertebroplasty of the spinal fracture. The patient is to remain on bed rest and should be log rolled. Osteolytic lesions are seen in x-rays of the skull, vertebrae, and ribs. The patient has hypercalcemia. The patient’s uric acid level is elevated. The patient has orders for zoledronic acid (Zometa), thalidomide (Thalomid), allopurinol (Zyloprim), calcitonin, ibuprofen, and Vicodin. (Learning Objective 5)

  1. What nursing management should the nurse provide the patient?
  2. Explain the indication and action of the various medications ordered to treat the patient’s symptoms.

2. Susan Clare, age 38, is admitted to the medical oncology unit with acute myeloid leukemia (AML). She has many areas of ecchymosis and petechiae on her skin, as well as generalized pallor. She states she has lost 15 pounds in the last 2 months, and often has a low-grade fever. On physical assessment, you find her liver and spleen to be enlarged on palpation. (Learning Objective 3)

  1. What laboratory results would you anticipate due to her ecchymosis and petechia?
  2. Why would it be important to inspect her gums and teeth?
  3. Why is her liver enlarged?

Reflection on Learning – 2025 Requirements Reflection write 1 2 paragraphs reflecting on your learning for the week Guiding questions are provided or you may

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Reflection on Learning – 2025

Requirements: 

Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week. 

You will need to post your reflection here before you are able to see other students’ posts.

Some possible areas to explore:

  • In your experience, how have changes in healthcare affected nurses’ ability to provide person-centered, holistic care?
  • As you think ahead to your future practice as an NP, which of the concepts covered this week resonates most with you? Why?
  • How do you anticipate that the concept of cultural humility will affect your practice?

Week 6 journal assignment – 2025 A nurse on a medical surgical unit has made the same medication error two days in a

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Week 6 journal assignment – 2025

A nurse on a medical/surgical unit has made the same medication error two days in a row. As the nurse manager, describe how you would decide whether this is a systems problem, or a problem related to the individual nurse. In either case, explain how you (the manager) should correct the problem.

This is shared only with your instructor.  Minimum 250  words.  

  • No title page needed
  • One full page typed and double spaced is equivalent to 250 words (your minimum required)
  • References and citations should be scholarly, peer-reviewed (no blogs, WIKI, or other school of nursing website) written in Current APA Style