NRS 410V Grand Canyon Entire Course

NRS 410V Grand Canyon Entire Course

NRS410V

NRS 410 Grand Canyon Week 1 Discussion
The case scenario provided will be used to answer the discussion questions that follow. Case Scenario
Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.
Subjective Data

  • Complains of pain and heaviness in her leg.

  • States she cannot bear weight on her leg and has been in bed for 3 days.

  • Lives alone and has not had anyone to help her with meals.

Objective Data

  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate
    amount of thick yellow drainage

  • Left leg red from knee to ankle

  • Calf measurement on left 3 in > than right

  • Temperature: 38.9 degrees C

  • Height: 160 cm; Weight: 83.7 kg

Laboratory Results

  • WBC 18.3 x 10″ / L; 80% neutrophils, 12% bands

  • Wound culture: Staphylococcus aureus

Critical Thinking Questions

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.

  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC:
    Anatomy Resource Center.”

  3. What is the significance of the subjective and objective data provided with regard to follow-up
    diagnostic/laboratory testing, education, and future preventative care?Provide rationale for your answer.
  4.  What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

RS 410 Grand Canyon Week 2 Discussion
The American Cancer Society (ACS) is a nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem. Together with its supporters, ACS is committed to helping people stay well and get well by finding cures and by fighting back. Critical Thinking Questions:

  1. Imagine that a family friend or colleague has just been diagnosed with cancer. Explain how the American Cancer Society might provide education and support. What ACS services
    would you recommend and why?

  2.  according to statistics published by the American Cancer Society, there will be an estimated 1.5
    million new cancer cases diagnosed each year over the next decade. What factors contribute to the yearly incidence and mortality rates of various cancers in Americans? What changes in policy and practice are most likely to affect these figures over time

  3. Select a research program from among those funded by the American Cancer Society. Describe the program and discuss what impact the research will have on the prevention or treatment of cancer.

NRS 410 Grand Canyon Week 3 Discussion
Use the following Case Scenario,Subjective Data, and Objective Data to answer the Critical Thinking Questions.Case Scenario Mrs. 3. is a 63-year-old woman who as a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise.
She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.
Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is so
    exhausted she cannot eat or drink by herself. Objective Data

  1. Height 175 cm; Weight 95.5 kg

  2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58

  3. Cardiovascular: Distant S1, 52, 53, 54 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a entricular rate of 132 and atrial fibrillation

  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy
    blood-tinged sputum; 5p02 82%

  5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin


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