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NURSING – 2025
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Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.
For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Case Study – 2025 Case Studies 1 Knee Injury A 15 year old gymnast has noted knee pain that has become
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Case Study – 2025
Case Studies
1- Knee Injury
A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable.
Studies and Results:
Routine laboratory values: Within normal limits (WNL)
Long bone (femur, fibula, and tibia) X-ray: No fracture
Arthrocentesis with synovial fluid analysis
Appearance: Bloody (normal: clear and straw-colored)
Mucin clot: Good (normal: good)
Fibrin clot: Small (normal: none)
White blood cells (WBCs) <200 WBC/mm3 (normal: <200 WBC/mm3)
Neutrophils <25% (WNL)
Glucose 100 mg/dL (normal: within 10 mg/dL of serum glucose level)
Magnetic resonance imaging (MRI) of the knee Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tears
Arthroscopy Tear in posterior aspect of medial meniscus
Diagnostic Analysis
The radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful.
Critical Thinking Questions
1. One of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching?
2. Why is glucose evaluated in the synovial fluid analysis?
3. What are special tests used to differentiate type of Tendon tears in the knee ? Explain how they are performed (Always on boards)
2-Testicular Cancer
A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old.
Studies and Results
Routine laboratory studies: Within normal limits (WNL)
Ultrasound the testicle: Solid mass, right testicle associated with calcifications
HCG (human chorionic gonadotropin): 550mIU/mL (normal: <5)
CT scan of the abdomen: Enlarged retroperitoneal lymph nodes
CT scan of the chest: Multiple pulmonary nodules
Diagnostic Analysis
At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.
Critical Thinking Questions
1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer?
2. What might be the side effects of cytotoxic chemotherapy?
3. What was the purpose of preserving his sperm before chemotherapy?
4. Is this young man’s age typical for the development of testicular carcinoma?
Wk 8 Journal Entry – 2025 AssiAssignment 1 Practicum Week 8 Journal Entry Learning Objectives Students will Develop effective documentation skills for group therapy
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Wk 8 Journal Entry – 2025
AssiAssignment 1: Practicum – Week 8 Journal Entry
Learning Objectives
Students will:
Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.
Then, in your Practicum Journal, address the following:
Learning Objectives
Students will:
Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.
Then, in your Practicum Journal, address the following:
In A Paper Of 500-750 Words, Clearly Identify The Clinical Problem And How It Can Result In A Positive Patient Outcome. – 2025 A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or
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In A Paper Of 500-750 Words, Clearly Identify The Clinical Problem And How It Can Result In A Positive Patient Outcome. – 2025
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
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. Please refer to the directions in the Student Success Center.