You (the LPN) are working in an urgent care center on a team with an RN, Physician, and NP. You receive a client (54 year-old-male) who is complaining of acute lower back pain that began four hours ago. The client has no previous history of back pain and denies any recent injury. The client has a history of hypertension and Marfan Syndrome. You perform data collection, and the client’s vital signs are: 174/90, 112, 24, 98.0 PO. You note that the client’s skin is cool and clammy. The RN performs an assessment and notes a pulsatile mass in the client’s abdomen. His lungs are clear, and his pulse is regular. The physician orders two large bore IV’s to be inserted but no IV fluids and nitroglycerine to lower his blood pressure.

Answer the following questions:

Question # 1: What is the significance of the client’s history of Marfan Syndrome? (5-10 sentences)

Question # 2: What vital sign(s) should the LPN immediately report? Why? (5-10 sentences)

Question # 3: What is the significance of the “pulsatile mass” (5-10 sentences)

Question # 4: Why did the physician order IV’s but no IV fluids? (3 sentences)

Question # 5: Why does the client need to have his blood pressure lowered? (3 sentences)

 

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

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored.

Include the following in your presentation:

1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

 

Assignment Content

1. Resource: Annotated Bibliography Template

   Finalize your sustainability initiative by combining parts 1 through 5 of the sustainability initiative assignments:

   • Sustainability initiative proposal
   • Analysis of the costs and benefits associated with your initiative
   • Evaluation of how your initiative will improve patient care and outcomes
   • Evaluation of how your initiative will reduce waste
   • Suggestions for community partnerships and education programs
   • Petition to the leadership for resources to enact the initiative
   • Compile a 6- to 8-page paper of your sustainability initiative. Include diagrams, flowcharts, and other visuals that support your initiative.

     Create an annotated bibliography that contains each article you identified in the Weeks Two through Five Article Search assignments and include it in your paper.

     Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

     Format your assignment according to APA guidelines.

      

Module 1 Assignment: Case Study Analysis

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (2-page case study analysis)

Develop a 2-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems.

By Day 7 of Week 2

Submit your Case Study Analysis Assignment by Day 7 of Week 2.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

  

Case Study Diabetes

02/07/2021

Patient A.B. a 69-year-old White mail visited his local clinic for a checkup as lately he was feeling lethargic and has gained 22 lbs in the past year. He also has episodes of nocturia. He has being diagnosed with Type 2 diabetes for 5 years. However, he was diagnosed with Borderline diabetes since 1997, but never took it seriously and made no lifestyle changes. He has symptoms of hyperglycemia for the past 2 years. He does not check his glucose daily. He has never had a foot examination.

AB carbohydrate intake daily most times consists of eating at least three slices of bread with each meal and eating pasta meals at least 3 times a week. He likes his wife to cook Italian meals no less than 3-4 times a week. He drinks a glass of red wine with dinner every day. He stopped smoking 10 years ago. He exercises on occasion, maybe once or twice a month.

A.B. takes Atorvastatin 10mg daily. Glyburide 2.5mg daily. However, he reports he stopped taking the Glyburide about 6 months ago as it was making him feel dizzy whenever he took it. He has not notified his PCP about not taking the Glyburide.

Physical Examination

Constitutional: Alert and oriented to person, place, time and situation. He is well groomed.  He is 5 feet 2 inches and weighs 178 pounds.

Eyes: Pupils round, reactive to light. EOM intact. Fundi clear.

Hearing: No deficit noted

Mouth: Mucosa moist. Upper and lower dentures.

Heart: Rate and rhythm regular. No murmur.

Lungs: Clear to auscultation

Neurological assessment: Diminished vibrating sense to the forefoot, absent ankle reflexes. Monofilament felt only above the ankle.

Vascular: No carotid bruits. Femoral, popliteal and dorsalis pedalis pulses 2+ bilaterally.

His Immunization is updated. He has erectile dysfunction and takes Sildenafil.

Vital signs: BP= 150/87, P= 88, RR= 20, T= 97.8, Oxygen Sat= 98%

Laboratory Results:

Glucose (fasting) = 178mg/dl

Creatinine = 1.0mg/dl

Blood Urea Nitrogen = 18mg/dl

Sodium = 141 mg/dl

Potassium = 4.3 mg/dl

Total Cholesterol = 162 mg/dl

HDL Chol = 43mg/dl

LDL Chol = 84 mg/dl

Triglycerides = 177 mg/dl

AST = 14 IU/L

ALT = 19 IU/L

Alkaline Phosphatase = 56 IU/L

A1C = 8.1%

a) Nursing Plan for A.B.

b) No less than three nursing diagnoses

c) Fully developed care plan

d) What is the priority nursing education this patient needs with rationale?

e) Nursing interventions

Remember no less than 2 references.