Describe the complications that the patient might have on his Hematologic system
Case 1: Urinary Function (Three paragraphs)
Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder.
The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI).
1. Name the possible types of Acute Kidney Injury (One paragraph)
a. Link the clinical manifestations described to the different types of Acute Kidney injury.
2. Create a list of risk factors the patient might have (One paragraph)
a. Explain why.
Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease.
3. Describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved (One paragraph)
Case 2: Reproductive Function (Three paragraphs)
Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days.
Microscopic Examination of Vaginal Discharge
(-) yeast or hyphae
(-) flagellated microbes
(+) white blood cells
(+) gram-negative intracellular diplococci
According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge
1. What is the most probably diagnosis for Ms. P.C.? (One paragraph)
a. Explain why you get to that diagnosis.
Based on the vaginal discharged described and the microscopic examination of the sample
2. Could you suggest which would be the microorganism involved? Explain (One paragraph)
3. Name the criteria you would use to recommend hospitalization for this patient (One paragraph)
Part 2: Nursing Role Transition
1. Describe the scope of practice for the advanced practice nurse in Texas (Two paragraphs).
2. How does it compare to Florida? (Two paragraphs)
3. Describe one advantage of texas and one advantage of Florida for the advanced practice nurse (One paragraph)
4. Describe one disadvantage of texas and one disadvantage of Florida for the advanced practice nurse (One paragraph)
Part 3: Critical thinking in nursing
Watch the movie, Pearl Harbor. When the base is attacked by the bombs, the nurses/doctors and medical personnel play an important role in trying to save as many people as possible.
1. Describe how they used Maslow’s hierarchy of needs when tending to the patients (One paragraph)
2. Give supporting evidence to your answer and discuss a minimum of 5 patients seen (Two paragraphs)
Parts 4 and 5 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.