NSG 6005 Week 5 Assignment 1 & 2
NSG 6005 Week 5 Assignment 1 & 2
NSG 6005 Week 5 Assignment 1 Discussion Latest SU
NSG 6005 Week 5 Assignment 1 Discussion – Select one of the two questions from the discussion questions listed below .By Week 5, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .
Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .
LOOKING FOR NURSING ESSAY HELP? GET A NURSING CUSTOM ESSAY
NSG 6005 Week 5 Assignment: Discussion Question 1
GF is a forty-one-year-old woman who arrives for her first visit at the clinic .She reports that she has been feeling sad and depressed, with crying spells, trouble sleeping, increased appetite, impaired concentration, and fatigue .She has experienced depression in the past but was able to overcome the symptoms without medication .Upon physical exam, she appears to be poorly groomed and with minimal facial expression .She is slow to respond to questions .She admits to being very anxious and worried about “everything .” She denies any current suicidal ideation .However, she expresses concerns about the future and that it may not be an improvement .She has tried over-the-counter medications to help with sleep, but they have not been effective .Answer the following questions:
- What additional information would you like before making a decision about what to do with GF?
- What approach would you suggest for this patient? Which of her symptoms would concern you and require intervention?
- Does she need to be referred to another provider, or can she be managed in a primary care setting?
- Are there any nonpharmacological strategies that might be appropriate for her?
For medications, include dosages and schedules .Include highlights of patient teaching and/or lifestyle alterations .Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication .
NSG 6005 Week 5 Assignment: Discussion Question 2
ST is a twenty-five-year-old male who presents to the clinic with a major complaint of insomnia .He has been experiencing problems sleeping for the past month .He has been “borrowing” medication from his mother and friends, such as diazepam and alprazolam, and he finds that these are helpful in allowing him to sleep .He was also diagnosed with asthma at the age of ten .He has been using an inhaler, as needed, but he cannot recall the name of the inhaler .He is currently working part-time through a temporary agency, and he has not been able to find any full-time work .Answer the following questions:
- What additional information would you like to obtain from ST?
- What are the possible reasons for his insomnia?
- What are the possible strategies you can use to help him with the insomnia?
LOOKING FOR NURSING ESSAY HELP? GET A NURSING CUSTOM ESSAY
NSG 6005 Week 5 Assignment 2 Quiz
1 .Question : Jake, a forty-five-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance .He was treated with intramuscular (IM) long-acting haloperidol .Besides being monitored for his schizophrenia symptoms, the patient should be assessed by his primary care provider:
- For excessive weight loss
- With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS) symptoms
- Monthly for tolerance to the haloperidol
- Only by the mental health provider as most nurse practitioners in primary care do not care for mentally ill patients
Question 2 Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her obesity .A trial of phentermine is prescribed .Prescribing precautions include understanding that:
- Obesity is a contraindication to prescribing phentermine .
- Anorexiants may cause tolerance and should only be prescribed for six months .
- Patients should be monitored for postural hypotension .
- Renal function should be monitored closely while the patient is on anorexiants .
Question 3 .Cara is taking levetiracetam (Keppra) to treat seizures .Routine education for levetiracetam includes reminding her:
- To not abruptly discontinue levetiracetam due to the risk of withdrawal seizures
- To wear a sunscreen due to photosensitivity from levetiracetam
- To get an annual eye exam while on levetiracetam
- To report weight loss if it occurs
Question 4 .A nineteen-year-old male was started on risperidone .Monitoring for risperidone includes observing for common side effects, including:
- Bradykinesia, akathisia, and agitation
- Excessive weight gain
- Hypertension
- Potentially fatal agranulocytosis
Question 5 .Prior to starting antidepressants, patients should have laboratory testing to rule out:
- Hypothyroidism
- Anemia
- Diabetes mellitus
- Low estrogen levels
NSG 6005 Week 6 Assignment 1 Discussion
Assignment 1: Discussion Questions
Select one of the two questions from the discussion questions listed below .By Week 6, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .
Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .
Discussion Question 1
MP is a sixty-five-year-old male who has recently retired .He is coming in today for a complaint about pain in his back, knees, and hips .He reports that he has been experiencing this pain for the past six months, and he has been able to control the symptoms with OTC Advil .He describes the pain as stiffness and occasional shooting and aching pains radiating all over .He denies any swelling of his joints .However, the OTC medications are not working well, and he is here to see whether there are any other options he might try .On physical exam, he has tenderness on palpation on the right and left hips and both knees are positive for crepitus .All blood work is within normal limits .Answer the following questions:
- What additional information would you like to have? Does MP need any additional testing?
- What possible issues could contribute to his symptoms?
- He asks about injections to both knees to increase his comfort .How would you respond to that?
- What would your treatment plan be?
For medications, include dosages and schedules .Include highlights of patient teaching and/or lifestyle alterations .Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication .
Discussion Question 2
EP is a twenty-five-year-old African American female who has just moved to town and comes to the clinic for her first visit .She has been diagnosed with fibromyalgia .She reports that her previous primary care physician (PCP) was treating her with opiates only .She has been taking hydrocodone/ibuprofen 7 .5 mg/200 mg four times daily but notes that this is not helping her .She is asking you for a refill of this medication and any additional treatment you can advise .On physical exam, she is in moderate distress and reports pain when being touched .Answer the following questions:
- How would you validate the diagnosis of fibromyalgia?
- How would you handle EP’s request for ongoing hydrocodone? Locate any evidence of the efficacy of this treatment for fibromyalgia .
- Assuming that the diagnosis is , what would your treatment plan be?
- Would you recommend any nontraditional therapies?
NSG 6005 Week 7 Assignment 1 Discussion
Select one of the two questions from the discussion questions listed below .By Week 7, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .
Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .
Discussion Question 1
EP is a fifty-year-old woman who reports experiencing two to three hot flashes per day, occasionally associated with insomnia .She also states she is awakened from sleep about two to three times per week, needing to change her bedclothes and linens due to sweating .Her symptoms began about three months ago, and over that time, her symptoms have worsened to the point where they have become very bothersome .She is concerned about starting any hormonal treatment because she has read news stories that the medication is not safe .She has been successfully treated for depression and is currently doing well on paroxetine .Her current medications include omeprazole 20 mg daily, paroxetine 20 mg, Synthroid 0 .075 mg daily, and hydrochlorothiazide 25 mg daily .Her physical exam is normal; her blood pressure is 128/86, her pulse is 78, and her body mass index (BMI) is 30 .5 .Answer the following questions:
- Is there any additional information you would want to collect?
- What are the variables you would take into account before deciding how to help her?
- What treatment will you recommend?
- What nonpharmacological treatment would you suggest?
For medications, include dosages and schedules .Include highlights of patient teaching and/or lifestyle alterations .Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication .
Discussion Question 2
VG is a thirty-one-year-old female who comes in for a routine follow-up .She reports that she has been feeling excessive fatigue over the last month .She also notes that she is having some problems at work, not only because of her fatigue but also because of difficulty concentrating .She also notes that she has gained 10 pounds over the last month, and she is unable to identify the cause of the weight gain .She also notes that her periods are a little heavier and more irregular .She is currently taking daily ferrous sulfate and over-the-counter calcium .According to her medical record, she had a TSH level of 4 .2 mIL/L about a year ago .Although this is slightly elevated, no further follow-up was deemed necessary at the time .Repeat blood work today reveals a TSH level of 9 .8 mIL/L and a free T4 of 0 .72 ng/dL .Answer the following questions:
- What additional findings on the physical exam would you look for?
- What implication does the previous TSH level have?
- What therapy would you institute?
- If VG becomes pregnant, what adjustment, if any, would be needed in her thyroid medication?