Module 02 Content

APA format

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Purpose

To use critical thinking and data collection to recognize and report complications that may impact the morbidity and mortality of clients who have sustained a traumatic insult to the urinary tract while functioning within the LPN scope of practice

Competency

Select appropriate nursing interventions for clients with disorders of the urinary system.

Instructions

Read the scenario below and answer the questions. When you see a that means a clue.

The Story

It is Friday the 13th and a full moon. You are an LPN that normally works on a medical-surgical unit, but your unit is overstaffed, and the emergency department is short staffed. The nursing supervisor asks for a volunteer to go down to be an extra pair of hands. You volunteer as tribute. When you get to the ER, you are asked to do vitals on a client in the trauma room. The client is a 24-year-old male who was stabbed multiple times to the abdomen.

The wounds appear superficial, and the client has been stable thus far. He will be going to CAT scan as soon as they can fit him in. You approach the client, who appears slightly pale with cool, clammy but is alert and talkative. The vital signs are:

97.3 (PO) P= 115 BP= 95/54 Resp rate= 24 Pain= 6/10. You notice the client voided 100 mL tea-colored urine in his urinal.

One hour later, the client becomes unconscious. His pulse is now 144, and blood pressure is 70/50. The client is taken to the OR and has a nephrectomy for a very damaged and bleeding right kidney.

Answer the following questions:

1. What were the clues in the data collection that should have alerted you and the staff that there might be a problem? (5-10 sentences)

2. Why is the urine “tea-colored?” (one sentence)

3. What are some other interventions that could have been done? (2-5 sentences)

4. Was the LPN in this scenario working within the scope of practice for an LPN? Why or why not? (5-10 sentences)

5. How did the environment of care (busy ER) contribute to the client’s deterioration? (5-10 sentences)

Format

. Standard American English (correct grammar, punctuation, etc.)

. Logical, original and insightful

. Professional organization, style, and mechanics in APA format

. Submit document through

Grammarly
to correct errors before submission

Module 03 Content

APA format

Top of Form

Purpose

To identify maladaptive breathing patterns and intervene as necessary

Competency

Explain care for the client with upper respiratory disorders.

Instructions

Read the scenarios and answer the questions that follow each. Please cite any sources using APA format.

Scenario # 1

A 45-year-old male comes to the ER unconscious. A co-worker went to check on him when he did not show up for work and found him unconscious. The client is a type one diabetic. His respirations are 36, and his breath has a “fruity” scent. His respirations are both deep and rapid. Labs are drawn, and his glucose is 1024.

· Why does this client have rapid, deep respirations and “fruity” smelling breath? (5-10 sentences)

Scenario # 2

A 94-year-old in long-term-care is terminally ill and has been placed on hospice care. Her family summons you because her breathing has become erratic. You observe periods of rapid, deep respirations followed by periods of apnea.

· What should the nurse do next? (5-10 sentences)

Scenario # 3

A 64-year-old male comes via car to the clinic where you are working. His wife reports he has been having “trouble breathing” for the past several days, but today it is much worse. The client is unable to speak and appears very anxious. His respiratory rate is 48.

· What is the priority nursing intervention? (5-10 sentences)

Scenario # 4

A 22-year-old female arrives to urgent care. Her mother reports she thinks the client is having trouble breathing and that it started after she broke up with her boyfriend. The client is crying. Her respiratory rate is 36.

· What is the most appropriate nursing intervention? (5-10 sentences)

Scenario # 5

You are the medication nurse on a medical-surgical unit. You arrive to the room of a 28- year-old female who was admitted for opiate overdose and substance abuse disorder. You find the client in bed, unresponsive with a respiratory rate of 4.

· What is the priority nursing intervention? (5-10 seconds)

Format

· Standard American English (correct grammar, punctuation, etc.)

· Logical, original and insightful

· Professional organization, style, and mechanics in APA format

· Submit document through

Grammarly
to correct errors before submission

Module 05 Content

Top of Form

Purpose

To recognize risk factors for pulmonary edema/fluid overload.

Competency

Explain care for the client with lower respiratory disorders.

Instructions

Read the scenarios below and answer the questions. If you use sources, site them using APA format.

Case # 1

An elderly woman comes into the ER with severe dehydration after spending the day at the beach. The client is weak and feels like she is going to faint. An IV is started, and the RN hangs 0.9% Normal Saline. There are no IV pumps available. The client begins to feel better after 500 mL’s are infused, and the rest of the IV bag is infused. The client begins to have difficulty breathing. Auscultation of the lungs reveals crackles to ½ of the lower lung fields. The provider diagnoses pulmonary edema, and the client is treated with Lasix. She is stabilized but needs to be admitted to the ICU.

Question # 1: What nursing action could have prevented the client from having pulmonary edema? (5-10 sentences)

Question # 2: What makes this client at risk for pulmonary edema? (5-10 sentences)

Case # 2

A 22-year-old special-needs client comes to the ER with fever and difficulty breathing. The client weighs 66 LBS. The client is admitted with pneumonia and IV fluids, antibiotics, and respiratory treatments are started. The client is dehydrated, so she receives several bags of IV fluids over three days. On the third day, the client has worsening shortness of breath, and an X-ray is ordered which shows pulmonary edema. An echocardiogram is ordered. It shows normal cardiac function. The client is given Lasix, and the shortness of breath resolves.

Question # 3: How did the client’s size (body weight) put her at risk for pulmonary edema? (5-10 sentences)

Question # 4: How could pulmonary edema have been prevented in this client? (5-10 sentences)

Case # 3

A 32-year-old male with a history of cardiomyopathy is admitted to the medical-surgical floor with a diagnosis of flu. The client has a high fever and receives multiple bags of 0.9%NS. One day into the admission the client develops severe shortness of breath. An X-ray shows pulmonary edema.

Question # 5: What puts this client at risk for pulmonary edema? (5-10 sentences)

Format

· Standard American English (correct grammar, punctuation, etc.)

· Logical, original, and insightful

· Professional organization, style, and mechanics in APA format

· Submit document through

Grammarly 
to correct errors before submission.

· APA citation

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Module 06 Content

Top of Form

Purpose

To work with a team of professionals, select appropriate nursing interventions within the LPN scope of practice, and recognize serious complications.

Competency

Explain care for the client with lower respiratory disorders.

Instructions

Read the case study below and answer the questions. Site any sources using APA format.

The Story

You are an LPN working in a community health clinic on a team of professionals that includes a medical assistant, RN, and nurse practitioner. The clinic is just opening for the day on a day that is particularly hot and humid. A woman runs into the clinic with an older gentleman yelling “he can’t breathe.” The client appears flushed (reddened skin), is unable to speak, and appears very short of breath. The client’s wife tells you that he has “emphysema” and refuses to put the air conditioning on in their home because he is afraid the electric bill will be too high. She also tells you that he ran out of his medications, including his inhalers and prednisone, almost 2 weeks ago. The client has a respiratory rate of 44 and an O2 Sat. of 84% on room air. His blood pressure is 168/100.

Question 1: List two nursing interventions that should be done immediately. (2-3 sentences)

Question 2: What environmental factor(s) do you think contributed to the client’s current situation? (2-3 sentences)

Question 3: What danger could the client face by abruptly stopping prednisone? (5-10 sentences)

Question 4: Explain why compliance is important in managing chronic diseases such as COPD? (5-10 sentences)

Question 5: After this client is stabilized and his breathing improves. What should be addressed with him on his next clinic visit? (5-10 sentences)

Format

· Standard American English (correct grammar, punctuation, etc.)

· Logical, original, and insightful

· Professional organization, style, and mechanics in APA format

· Submit document through

Grammarly
to correct errors before submission.

· APA Citation

MHBottom of Form

Module 03 Content: FAQ for Family Member

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Purpose of Assignment: To differentiate between substance abuse and addiction disorders by demonstrating an understanding of the disease processes and providing an educational tool for client and family.

Instructions:

Select a substance abuse disorder to create a Frequently Asked Questions (FAQs) to educate a client and/or family member regarding the disorder. You may select from the following:

· Alcohol

· Inhalants

· Caffeine

· Hallucinogenic

· Stimulants

· Opioids

· Sedatives

· Cannabis

· Tobacco

The goal of the FAQ is to provide answers to frequently asked questions and to help an individual understand the following:

· Describe signs and symptoms (behavioral and physical) of addiction

· Signs and symptoms of the selected substance abuse disorder

· Available treatment/therapy options

· Resources for the client and individual family members

· Interventions/actions to help individual family member with the disorder

· Reference list for any sources used for the creation of the FAQ

The FAQ should be written in such a way that the client and family members can easily understand the provided information. Resources from local community should be provided, research support offered near you.

Format:

· Standard American English (correct grammar, punctuation, etc.)

· Logical, original and insightful

· Professional organization, style, and mechanics in APA format

· Submit document through Grammarly to correct errors before submission.

· APA Format

Module 05 Content: Suicide Precaution Policy

Top of Form

Purpose of Assignment:

To demonstrate understanding of creating a therapeutic and safe environment for a suicidal client.

Instructions:

This assignment will use a word document to create a policy outline. Clearly identify sections of the policy based upon the listed expectations.

Content:

You are working on a newly opened observation unit in the hospital. Recently there has been an overflow of suicidal clients awaiting placement at the psychiatric facility. The staff recognizes there is not a fully developed policy on how to safely care for a suicidal client. Working together with case management and other staff nurses, you have been asked to create policy recommendations. Your recommendations should include:

· How to create a safe environment

· Considerations or actions needed when a client is admitted or discharged

· Considerations or actions during the client’s admission (length of stay)

· Identify allowable and restricted personal items for the client

· Expectations of client monitoring

· Describe the requirements of how the client is to be monitored, how often, and by whom.

· Nursing Considerations

· Expectations of nursing interactions when dealing with suicidal client

· Required documentation expectations

· Describe the roles of CNA, LPN, RN

Format:

· Standard American English (correct grammar, punctuation, etc.)

· Logical, original and insightful

· Professional organization, style, and mechanics in APA format

· Submit document through

Grammarly
to correct errors before submission.

· APA ciation

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Module 08 Discussion – Schizophrenia Case Study

Directions: (apa ciation)

Watch the following video featuring an interview between a mental health clinician and Chase, a college student who is having a psychotic episode. Click

here
. (https://video-alexanderstreet-com.eu1.proxy.openathens.net/watch/chase-core-video-schizophrenia-part-i-psychotic-episode)

Address the following

· Identify the positive and negative symptoms of schizophrenia of the active psychotic state Chase is experiencing.

· During the interview, how do you believe the interviewer handled the conversation?

· How would you feel interacting with this client?

Module 09 Written Assignment – Crisis: Community Resources Pamphlet

Purpose of Assignment: To demonstrate an understanding of recognizing a client in crisis as well as providing education of crisis intervention techniques, including effective coping mechanisms, for a client in crisis.

Instructions:

This assignment will require the development of an educational pamphlet. Word or Publisher may be used to create/format the pamphlet.

Content:

As part of the outpatient clinic’s client educational tools, you have been asked to create a supplemental tool for clients who may be experiencing a crisis. In the form of a pamphlet, provide information regarding the following:

1. Describe types of crises

2. Signs and symptoms of those experiencing a crisis including a description of the levels of anxiety

3. Describe coping mechanisms including examples of positive and negative coping styles

4. Identify resources

· Available community resources

· Identify possible support systems

Format:

· Standard American English (correct grammar, punctuation, etc.)

· Logical, original and insightful

· Professional organization, style, and mechanics in APA format

· Submit document through

Grammarly
to correct errors before submission.

· Create an educational pamphlet

· APA citation

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