Directions:

Choose a medication type from the following list, note why the medication is used, and consider adverse effects. Invent a scenario where giving this medication could result in an ethical or legally charged situation. Try not to choose a category that has been well addressed by your peers.

1. Bethanaechol / cholinergics: Consider risks of inducing urgency or bradycardia in a clients with dementia issues
2. Benztropine /anticholinergics: Consider harms that can occur with comorbidities like glaucoma or BPH
3. Albuterol /adrenergics: Consider harms that can occur is asthmatic children are in charge of their own inhalers
4. Atenolol/ beta blockers: Consider harms that could occur if heart rate was low or patient was asthmatic
5. Lorazepam /benzodiazepines: Consider vulnerability issues related to sedation and induction of memory loss
6. Oxycodone / opiates: Consider addiction, drug seeking and patient vulnerability in impaired nurses
7. Amitriptylline /tricyclics: Consider vulnerability issues with risk of suicidal overdose given anticholinergic effects
8. Phenelzine /MAOIs: Consider consequences of nonadherence to dietary restrictions on these medications
9. Haloperidol / neuroleptics: Consider risks of chemical sedation, especially long term risks
10. Lithium: Consider risks of mismanagement by clients whose behaviors are unpredictable
11. Phenytoin / antiepileptics: Consider risks of Class D in young women vs risks of going without anti-epileptics
12. Secobarbital / barbituates: Consider risks related to availability of barbituates to teens via the internet
13. Kava or Valerian: Consider risks of availability of compounding poorly controlled over the counter sedatives
14. Sumatriptan / triptans: Consider risks of cerebral ischemia when giving vasoconstrictors for migraine control
15. Cyclobenzaprine for back spasms: Consider risks of impaired function when nurses take muscle relaxants
16. Prednisone / steroids: Consider long term effects, when other immune suppressors are too expensive to access.
17. Aspirin / NSAIDs: Consider vulnerability of elders due to over the counter, affordable nature of this analgesic

Please make your initial post by midweek, and respond to at least one other student’s post by the end of the week.

Please check the Course Calendar for specific due dates.

Identify multidimensional nursing care strategies for clients with reproductive system disorders.

Scenario

You work in a gynecological office, and your office has been asked to participate in a women’s health fair. The focus of the fair is health promotion. Preventative screening for female reproductive disorders is vital to identify and treat rapidly to produce the best patient outcomes. Preventative screening includes mammogram and Pap smear and should be performed based on recommended age and associated risk factors. To promote preventative screening, your office will be creating brochures to distribute at the health fair.

Instructions

Design a women’s health brochure by choosing one of the female reproductive disorders covered in this module. In the brochure, include the following:

• Overview      of the disease including disease process, signs and symptoms, and risk      factors
• Preventative      screening
• Diagnostics      tests
• Treatment
• Multidimensional      nursing care interventions

Describe the Punnett Square and what it used to predict. What are the limitations of the Punnett Square?

Mom is a carrier for hemophilia but does not have the disease.
Dad does not have hemophilia

Using the Punnett Square, answer the following questions:

• What is the probability a female offspring developing hemophilia?
• What is the probability of a female offspring being a carrier for hemophilia?
• What is the probability of a male offspring developing hemophilia?
• What is the probability of a male offspring being a carrier developing hemophilia?
• What is the probability of any offspring developing hemophilia?
• Explain why only some offspring would develop the disease?
• If this were about Cystic Fibrosis, how would the responses be different to the questions in the Initial Post? Give a detailed explanation supporting your response. 
• Down Syndrome is another genetic disorder. Why is the Punnett Square not a good tool for predicting if offspring will have Down Syndrome? Why does the risk for Down’s Syndrome increase with maternal age?

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

1. Describe the diagnosis and staging of cancer.
2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
3. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.
4. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?
5. Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.
6. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to a minimum of four 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. 

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN-BSN

2.1: Incorporate liberal arts and science studies into nursing knowledge.

3.1 Utilize the nursing process to provide safe and effective care for patients across the life span.

To support your work, use your course and text readings as well as the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations, such as the arthritis foundation or the diabetic foundation, are not acceptable resources for your scholarly work.

Discussion Prompt

Case Study
Anna Sanchez, a 21-year-old nursing student, comes to her nurse practitioner in December with a 5-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. She gets frequent “colds” every spring and fall.

Physical Examination

• Vital Signs: Afebrile; respiratory rate, pulse, and blood pressure all normal
• Skin: Flaking erythematous rash on the flexor surfaces of both arms
• Head, Eyes, Ears, Nose, and Throat: Tender over maxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous with clear postnasal drainage (NOTE: Nasal polyps are common in allergic rhinitis. They are edematous protrusions of the mucosa that are infiltrated with neutrophils, eosinophils, and plasma cells.)
• Lungs: Clear to auscultation and percussion

Initial Post: Answer the following questions about Anna Sanchez and her condition.

1. What evidence suggests that Anna does not have an acute severe infection?
2. If Anna has allergic rhinitis, what type of hypersensitivity reaction is involved?
3. A skin test indicates that Anna is allergic to cat dander. Two months ago, Anna’s roommate brought home a cat. Why didn’t Anna’s symptoms start when the cat entered the household, rather than 3 weeks later?
4. What class of antibodies bind to the mast cells?
5. What physiological mechanisms caused the redness of Anna’s nasal mucosa?
6. What mechanisms caused Anna’s clear postnasal drainage?

Go back into your own initial post.

• Identify what diagnostic testing or additional information you might need to establish a diagnosis.
• Identify what you believe is the correct diagnosis for the patient in the case study with the rationale for your response.
• Identify why the differential diagnoses left by your peers are or are not the correct diagnosis and support this with evidence from research and from the case posted by your peers.