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2025 Helping a Client craft or develop a psychiatric advance directive for when he or
by adminMENTAL HEALTH 2025
Helping a Client craft or develop a psychiatric advance directive for when he or she can no longer care for themselves is a part of the WRAP model of recovery. Why would having a psychiatric advance directive be important? What ethical and personal issues may arise for the client if they do not have a psychiatric advance directive? How can nurses help clients make decisions regarding making these types of decisions ?
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2025 Learning Objective 1 Identify the epidemiology and etiology of cancer a What
by adminAdult Health 2 2025
Learning Objective #1: Identify the epidemiology and etiology of cancer. a. What are the top three cancers in men and women? b. Compare the characteristics of malignant and benign cancer cells. c. What are the broad categories of cancer-causing agents? Identify examples of each. Learning Objective #2: Describe the health promotion, diagnosis, and spread of cancer. a. Define primary, secondary, and tertiary prevention. b. What are primary prevention recommendations for nutrition and physical activity? c. What are the cancer screening recommendations for breast, colon, and lung cancer? d. How is the TNM staging and grading system interpreted? e. What is metastasis and how does it primarily occur? Learning Objective #3 : Describe the management of patients undergoing of surgery for cancer treatment. a. What are the types of surgeries in cancer treatment and the goal of each? b. What are the post-operative concerns, regardless of type? Learning Objective #4 : Describe the management of patients undergoing radiation. a. What is the difference between external and internal radiation? b. When do localized, early systemic, and late/chronic systemic effects occur and usually resolve? c. What are common systemic effects (early and late/chronic) of radiation therapy? d. What are the most common localized effects, depending on the area of radiation? e. How do healthcare workers and caregivers protect themselves from the effects of internal radiation therapy? Learning Objective #5 : Describe the management of patients undergoing of chemotherapy. c. What are the routes of chemotherapy administration and most common side effects? d. What are the precautions a healthcare worker should take when caring for a patient receiving chemotherapy? e. Describe the prevention, signs/symptoms, and interventions for chemotherapy extravasation. f. Describe the types, timing, desensitization procedures, and priority intervention for hypersensitivity reactions. Learning Objective #6 : Identify assessment and nursing management of patients with cancer and with oncologic emergencies. a. What are the nursing interventions and rationales for patients with the following nursing diagnoses: i. Risk for infection r/t myelosuppression ii. Risk for impaired skin integrity: erythematous and wet desquamation reactions to radiation therapy iii. Impaired oral mucous membrane r/t stomatitis iv. Imbalanced nutrition r/t nausea and vomiting v. Imbalanced nutrition r/t anorexia or malabsorption vi. Risk for bleeding b. Explain the patho/causes, signs/symptoms, and interventions for hypercalcemia, tumor lysis syndrome, and superior vena cava syndrome. Lung Cancer, Brunner and Suddarth, Chapters 20 and 23 Reading: · Bronchoscopy, pp 505-506 · Chest Tumors (lung cancer only), pp 620-624 Charts/Tables/Figures: None Learning Objective #7 : Describe bronchoscopy and related nursing implications. Learning Objective #8 : Discuss the health assessment and nursing management of patients at risk for or with lung cancer. a. What are the types of lung cancer, risk factors, and prevention? b. What are the major clinical manifestations of lung cancer? c. How do you calculate a pack year history? d. What are the major nursing interventions for relieving breathing problems? Colorectal Cancer, Brunner and Suddarth, Chapter 47 Reading: · Nursing Management of the Patient Requiring an Ostomy, pp 1336-1342 · Colorectal Neoplasms, pp 1342-1350 Charts/Tables/Figures: · Chart 47-9, Risk Factors · Table 47-6, Potential Complications and Nursing Interventions after Colorectal Surgery · Chart 47-7, Patient Undergoing Ostomy Surgery Learning Objective #9 : Identify the responsibilities of the nurse in meeting the needs of the patient with an intestinal diversion. Learning Objective #10 : Apply the nursing process as a framework for care of the patient with colorectal cancer. · What are the major risk factors for colon cancer? · Describe pre-test patient education for fecal occult blood tests and colonoscopy. · What are the most common signs and symptoms of colorectal cancer? · How do colorectal cancer s/s differ by location of the tumor? · What are the pre-operative interventions for a patient undergoing intestinal diversion? · What are the post-op nursing assessments and interventions, including identification of the following complications? o paralytic ileus o mechanical obstruction o peritonitis o infection o wound dehiscence · What discharge assessments and teaching with regard to self-care of ostomy, diet, and expected fecal drainage (appearance/timing based on ostomy location)? Breast Cancer, Brunner and Suddarth, Chapter 58 · Breast Assessment, pp 1720-1727 · Malignant Conditions of the Breast, pp 1730-1740 · Nursing Management, pp 1742-1744 Charts/Tables/Figures: · Chart 58-1, Abnormal Assessment Findings During Inspection · Chart 58-2, BSE Patient Education · Table 58-2, Comparisons of Various Breast Masses (focus on difference between benign and malignant) · Table 58-3, Risk Factors for Breast Cancer · Chart 58-5, Hand and Arm Care after ALND · Chart 58-6, Patient Education for Drainage Devices · Chart 58-7, Patient Education for Arm Exercises · Table 58-5, Comparing SLNB and ALND Learning Objective #11 : Identify the risk factors and health promotion for breast cancer. Learning Objective #12 : Compare and contrast the characteristics of benign and malignant breast disorders, diagnostic imaging, and surgical biopsy types for breast cancer. a. What are the characteristics of benign vs. malignant breast disorders? b. For what purpose is each diagnostic test used, including c. What are the pre-op, immediate post-op, and discharge instructions following breast biopsy? Learning Objective #13 : Use the nursing process as a framework for care of the patient undergoing surgery for the treatment of breast cancer. a. Differentiate between the three types of mastectomy surgical treatments and the two lymph node dissection methods. b. What are the assessments needed to identify post-op complications following mastectomy? c. What are the important patient education points to make for drain care following mastectomy? d. What precautions should be enforced after surgery and discharge to reduce the risk of lymphedema? Learning Objective #14 : Explain the purpose, mechanism of action, side effects, and administration considerations for common breast cancer medications (pegfilgrastim, filgrastim, neupogen, tamoxifen and aromatase inhibitors).
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2025 Learning Objective 1 Describe the pre intra and post procedure nursing actions for a lumbar puncture including any contraindications
by adminAdult Health 2 2025
Learning Objective #1: Describe the pre-, intra-, and post-procedure nursing actions for a lumbar puncture, including any contraindications to the procedure. Brunner and Suddarth Chapter 66 Reading : · altered level of consciousness, pp. 1972-1979 · increased intracranial pressure, pp. 1979-1989 · intracranial surgery 1989-1996 Charts/Tables/Figures · Figure 66-1, Posturing · Table 66-1, Assessment of unconscious patient · Figure 66-6, Neuro flow sheet · Table 66-2, IICP with interventions Learning Objective #1 : Use the nursing process as a framework for care of the multiple needs of the patient with altered level of consciousness. a. What are the focused assessments for patients with altered LOC? b. List the specific nursing interventions common to patients with altered LOC. c. How do nurses compensate for the patient’s loss of protective reflexes? d. Discuss dignity and privacy considerations for patients with altered LOC. e. How can a nurse support the family of a patient with altered LOC? Learning Objective #2 : Differentiate between the early and late clinical manifestations of increased intracranial pressure. a. Define intracranial pressure (ICP) and note the general causes and pathologic effects of increased ICP. b. Explain the Monro–Kellie doctrine and the compensatory mechanisms that affect and maintain ICP. c. Define autoregulation and explain the cerebral responses to increased ICP to maintain blood flow. d. What are the early and late signs and symptoms of increased ICP? e. What is Cushing’s triad? f. Why is it important to detect subtle changes in patient assessment findings early? g. Define and describe the herniation of brain tissues. h. Define and describe projectile vomiting, Cheyne–Stokes breathing, and pupillary changes as they relate to ICP. Learning Objective #3 : Apply the nursing process as a framework for care of the patient with increased intracranial pressure. a. What are the focused assessments for a patient with increased ICP? b. Describe ICP monitoring, including ICP waveforms, positioning of the monitoring system, and importance of aseptic technique when manipulating the monitoring system. c. What are the nursing diagnoses common to all patients with increase ICP? d. List the collaborative problems, planning considerations, and goals common to patients with increased ICP. e. What actions would increase ICP. Consider positioning and breathing patterns. f. What are the interventions to prevent further increases in ICP? Consider fluid administration and I/Os, also. g. Discuss the treatment of SIADH and diabetes insipidus as it relates to a patient with ICP. Learning Objective #4 : List specific nursing interventions for patients undergoing intracranial surgery. Consider strategies to reduce cerebral edema and to prevent increasing ICP. Brunner and Suddarth Chapter 67 Reading : · Entire chapters Charts/Tables/Figures · Table 67-1, Comparison of Major Types of Strokes · Figure 67-1, Patho of ischemic stroke · Table 67-2, Neuro deficits of stroke · Table 67-3, Comparison of L and R side stroke · Chart 67-2, Modifiable Risk Factors for Ischemic stroke · Chart 67-3, Criteria for tPA · Table 67-4, NIHSS · Figure 67-2, Carotid Endarectomy · Chart 67-4, Assist devices · Chart 67-5, Communication with the Patient with Aphasia · Chart 67-6, Home care for stroke patient Learning Objective #1 : Compare the various types of cerebrovascular accidents (strokes), their causes, clinical manifestations, medical and nursing management. a. Define stroke. Explain the use and reason for the term brain attack in describing stroke to the public. List the major types of stroke. b. Describe ischemic stroke. List the types of ischemic strokes. c. Describe the cascade of events and processes contributing to brain injury in ischemic stroke. d. Describe the potential clinical manifestations of ischemic stroke, recognizing the location and size of the affected area and available collateral circulation. Use and define the medical terms associated with the manifestations. e. Describe transient ischemic attack (TIA) and its manifestations and causes. Why is it important to evaluate and treat TIA? f. Describe the carotid endarterectomy. What are the indications for the procedure and what does it help prevent? g. Discuss preventive measures and secondary prevention of stroke for persons who have experienced TIAs or stroke. Discuss the medications in the detail. h. Explain the medical management of stroke, emphasizing the need for prompt diagnosis and treatment, including diagnostic evaluation of stroke via imaging and standardized assessment tools. i. What are the criteria for the administration of tissue plasminogen activator (t-PA) therapy? j. What ongoing assessments/monitoring while a patient is receiving t-PA? k. Describe t-PA action, administration, dosage, potential side effects. l. Describe other therapies used for the acute management of the patient experiencing a ischemic stroke. m. Discuss the assessment of patients recovering from an ischemic stroke, including the acute phase and rehabilitation. n. Describe hemorrhagic stroke, including its causes, pathophysiology, clinical manifestations. o. What are the nursing interventions for hemorrhagic stroke? p. Discuss the home care and patient and family education for a patient who has had a stroke. List and discuss the essential elements for developing a teaching plan. Brunner and Suddarth Chapter 68 Reading : Head injuries and brain injury, pp 2033-2048 Charts/Tables/Figures · Chart 68-1, Preventing Head and Spinal Cord Injuries · Figure 68-1, Patho · Figure 68-3, Types of bleeds · Chart 68-2, Glasgow Coma Scale · Table 68-1, Assessment · Chart 68-5, Controlling ICP · Chart 68-6, Home care for patient with TBI Learning Objective #1 : Use the nursing process as a framework for the care of patients with traumatic brain injury. a. Compare and contrast the location, pathophysiology, symptoms, time frames, and treatment of epidural hematoma; acute, subacute, and chronic subdural hematoma; and intracerebral hemorrhage. b. Explain the assessment of patients with brain injury, including the use of the Glasgow Coma Scale. c. List specific nursing diagnoses common to patients with brain injury. d. What are the collaborative problems, planning considerations, and goals for patients with brain injury? e. What are the specific nursing interventions for patients with brain injury, including interventions for agitated patients and measures to prevent increased ICP?
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2025 A minimum of 2 paragraphs is required for all posts initials and replies Support all
by adminReplies For Peers. Need ONE Response Per Each Discussion Total 6 Responses. 2 Paragraphs AND 2 Cited Peer Review References Within 5 Years Of Publication 2025
A minimum of 2 paragraphs is required for all posts (initials and replies). Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years). Points will be deducted if the above points are not addressed so please be mindful of the information posted.
Nursing Assignment Help 2025