NU636-7E Full Course Herzing University

NU636-7E Full Course Herzing University

 

NU636-7E Full Course Discussions

 

NU636-7E Unit 1 Discussion – Introduction Herzing

Discussion Prompt

• During the process of drug distribution a number of drugs are highly protein bound.
• What does this indicate and what are the clinical consequences?

 

NU636-7E Unit 2 Discussion – Diabetic Hypertensive Complications

Discussion Prompt

• Diabetic hypertensive patients have a higher risk of developing complications with an increased mortality.
• What are some of these complications and what is the ideal way to treat a diabetic hypertensive patient?

 

NU636-7E Unit 4 Discussion – Use of Statins Herzing

Discussion Prompt

• Discuss the mechanism of action and clinical indications for the use of statins, considering age, ethnicity, and economic factors.

 

NU636-7E Unit 5 Discussion – Asthma and COPD Herzing

Discussion Prompt

• Bronchial hypersensitivity and asthma have several treatment approaches. Prophylactic therapy is also crucial in many patients.
• Discuss the mechanisms of action of drugs used to treat asthma and COPD.

 

NU636-7E Unit 6 Discussion – Penicillin Hypersensitivity Herzing

Discussion Prompt

• Penicillin hypersensitivity limits your use of antimicrobials.
• How are patients managed with penicillin hypersensitivity?
• Identify the steps you would take to assist your patient?

 

NU636-7E Unit 7 Discussion – Pregnant Patient Herzing

Discussion Prompt

A patient who is 14 weeks pregnant presents with symptoms of anxiety and also indicates that she has episodes of panic attacks.

• Brainstorm the ideal treatment strategies used then discuss how to treat this patient pharmacologically?
• How do these drugs work?

 

NU636-7E Unit 8 Discussion – Case Study on Anti-depressants Herzing

The Unit 8 Case Study (in the Assignment Section) should be used as the basis for this discussion post.  

Estimated time to complete: 2 hours

Instructions:

• Complete the unit 8 assignment in a word document
• Copy and Paste it here as your response to this discussion
• Also submit it in the Unit 8 Case Study drop box in the Submit Assignments/Assessments area
• Since fluoxetine is the SSRI used in the case study, please respond to question 3 “
• What are the side effects of fluoxetine?” with both side effects and potential adverse effects of excessive doses of SSRIs.

This unit 8 discussion post does not require any peer responses and must be submitted by Tuesday at 11:59 of week 8.

 

NU636-7E Full Course Assignments

 

NU636 Unit 1 Complete Work

NU636 Unit 1 Discussion 1 – Introduction

This assessment addresses the following learning objective(s):

• Analyze how policies influence the structure and financing of health care, practice, and health outcomes.

Instructions

As a way of introducing yourselves to the instructor and your peers, please post the following:

• Your name and a description of your current position (If not employed, what are your expectations when you complete your program?)
• How do you see yourself applying knowledge from this course?
• Post a photo of yourself (self-portrait, family, or action photo)

Answer the following question:

• With regard to your professional experience, describe how you have felt either positive or negative impacts of the Patient Protection and Affordable Care Act (PPACA).

Please be sure to validate your opinions and ideas with citations and references in APA format.

The post and responses are valued at 20 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Estimated time to complete: 2 Hours

Peer Response: Unit 1, Due Sunday by 11:59 pm CT

Unit 1 Discussion 1 – Introduction

 Instructions:

• Respond to your classmate’s introduction, discuss freely.
• Reflect on your classmate’s professional experience with PPACA impacts. Do you share similar feelings? Why or why not?

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 1 Hour

 

NU636 Unit 1 Discussion 2 – Health Policy for U.S. Veterans

This assessment addresses the following learning objective(s):

• Examine the effect of legal, ethical, and regulatory processes on nursing practices (and/or change to providers), healthcare delivery, and outcomes while maintaining balance with administrative and fiscal responsibilities.

Instructions

A debate among lawmakers and healthcare advocates persists regarding the condition of the current Veteran’s Administration (VA) and its role to provide significantly better health care and shorter wait times for this growing population segment.

• Discuss how state and federal policies are (or are not) addressing Veteran healthcare needs.
• In your personal opinion: Do you advocate for privatization of the VA healthcare system? Please exapain why or why not.

Please be sure to validate your opinions and ideas with citations and references in APA format.

The post and responses are valued at 20 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Estimated time to complete: 2 Hours

 

NU636 Unit 1 Assignment – Examine Knowledge Framework

This assessment addresses the following learning objective(s):

• Examine the effect of legal, ethical, and regulatory processes on nursing practices (and/or change to providers), healthcare delivery, and outcomes while maintaining balance with administrative and fiscal responsibilities.

Instructions

The healthcare industry is made up of diverse people and teams. This includes individuals who create policies, groups who lobby for legislation, and the people and teams who implement and follow laws and policies. For this assignment, you will reflect on your role, past, present, and future, regarding health policies. While research is encouraged for this assignment, in-text citations are not necessary. The purpose of this assignment is to provide your instructor with your knowledge framework and allow you to reflect on your knowledge and identify biases.

In an introductory paragraph, briefly summarize your scope of knowledge regarding health policy, both state/federal, and organizational policies.

In a second paragraph, explain why you wish to develop a deeper understanding of the policy creation, implementation, and assessment process. For example, how will understanding health policy improve your professional practice?

In a closing paragraph, address the following questions:

• What biases/strong opinions do you have regarding health policy (state, federal, organizational policies)?
• What caused those biases/opinions to develop (personal experiences, patient interactions, etc.)?
• How will you respectfully maintain or evolve your bias/opinions as you advance in this course, and your career?
• What is your primary source of information for staying up-to-date on state and federal health policy (names of publications, websites, organization-disseminated information, etc.)?

APA style should be followed throughout this assignment. Please include a title page.

Research is encouraged, but references and in-text citations are not required.

NU636-7E Unit 1 Assignment – Case Study: Polypharmacy Herzing

Instructions

Estimated time to complete: 2 hours

Case Study

Mrs. A is a 71 year old widow with CCF and osteoarthritis who has recently been exhibiting quite unusual behavior. Her daughter is concerned about her mother’s ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs. A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behavior constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly moldy. Her prescribed medications are:

• Furosemide 40 mg daily in the morning
• Digoxin 250 micrograms daily
• Paracetamol 500 mg, 1-2 tablets 4-hourly PRN
• Piroxicam 20 mg at night
• Mylanta suspension, 20 ml PRN
• Coloxyl 120 mg, 1-2 tablets at night

Assignment Questions

1. Critically discuss this case study in terms of the problematic nature of this patient’s pharmacological management.
2. Outline some pharmacokinetic changes in the geriatric population that may affect drug disposition.
3. Outline how changes in renal and hepatic function may affect treatment strategies.
4. In the drug regimen presented above – discuss potential side effects and potential interactions, if any?
5. Your response should include a discussion of the problems of polypharmacy as it is related to this case study and the assessment/management and educational strategies which could have been implemented to improve the outcome of Mrs. A.

Instructions

• Prepare and submit a 3-4 page paper [total] in length (not including APA format).
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to the Submit Assignments/Assessments area:
  • Case Study: Polypharmacy

 

NU636-7E Unit 2 Assignment – Cardiac Impact Herzing

Instructions

1.  Health Interview Survey (NHIS) were findings that 38% of adults use CAM [complementary and alternative medical] health care modalities.
2. Construct a professional paper that outlines how the use of the following CAM health care modalities impacts the cardiovascular system.
   • Ginseng
   • Hawthorn
   • L-Arginine
   • St. John’s Wort
3. For each of the modalities the discussion must include:
   • effect on the cardiovascular system
   • anticipated benefits
   • any identified risks or adverse effects
   • relative patient education
   • supporting reference from scholarly literature.

• Instructions

  • Prepare and submit a minimum of a 6 page paper pages [excluding title and reference pages].
  • Format consistent with APA style without an abstract page.
  • Answer all the questions above.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to this assignment area:
    • Assignment: Cardiac Impact

Estimated time to complete: 2 hours

 

NU636-7E Unit 3 Assignment – Case Study: Antiarrhythmic Herzing

Instructions

Case Study

A 70 year old male patient develops a large anterior wall myocardial infarction. He is currently being managed with oxygen, aspirin, nitrates and a beta blocker.

He develops recurrent episodes of ventricular tachycardia and remains conscious however has dizzy spells and also becomes diaphoretic and hypotensive. An IV bolus of lidocaine is given followed by IV lidocaine infusion.

Assignment Questions

1. Which class of antiarrhythmics does lidocaine fall under?
2. What is the mechanism of action of lidocaine?
3. Why is lidocaine indicated in this patient
4. What are the side effects of lidocaine?

Instructions

• Prepare and submit a 3-4 page paper [total] in length (not including APA format).
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to this assignment area:
  • Case Study: Antiarrhythmic

Estimated time to complete: 2 hours

 

NU636-7E Unit 3 Assignment – Case Study: Diuretics Herzing

Instructions

Case Study

A 70 year old man with a history of myocardial infarction presents to the ER with shortness of breath and chest pain. Over the past 2 weeks he has developed increasing dyspnea with exertion and swelling in the limbs. Over the past 3 days he has found the need to elevate his head while sleeping to reduce the incidence of coughing and shortness of breath. At the moment he uses 4 pillows.

In the ER while sitting upright he seems to be in respiratory distress and is tachycardic with a blood pressure of 195/112. JVD is predominant. Upon auscultation of the lungs rales are heard bilaterally and he has pitting edema of both lower legs up to his knees.

Chest x-ray confirms pulmonary edema and he is immediately place on oxygen.

He is currently on hydrochlorothiazide, metoprolol and enalapril.

Assignment Questions

1. What would be the anticipated diagnosis for a patient with the clinical presentation in the case above? Correlate the symptoms noted with the pathophysiology of the condition you identified.
2. What pharmacologic agent would be anticipated as the first management step for this patient and why?
3. Explore and describe any potential interactions of the anticipated pharmacologic agent and the patient’s existing pharmacologic management.

Instructions

• Prepare and submit a 3-4 page paper [total] in length (not including APA format).
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to this assignment area:
  • Case Study: Diuretics

Estimated time to complete: 2 hours

 

NU636-7E Unit 4 Assignment – Case Study: Hyperlipidemia Herzing

Case Study

A 70 year old hypertensive and diabetic male is taking an ACE inhibitor and a thiazide for his hypertension.

For his type II diabetes he is taking metformin.

Both his hypertension and blood glucose are within normal range.

Routine blood work reveals normal renal function and liver enzymes. His total cholesterol and low density lipoprotein (LDL) is elevated.

To reduce the risk of coronary artery disease he is commenced on a HMG-CoA reductase inhibitor.

Assignment Questions

1. What drugs fall under a HMG-CoA reductase inhibitor.
2. What is the mechanism of action of this drug.
3. What effect will this drug have on total LDL and cholesterol levels.
4. What are the common adverse effects and drug interactions?

Instructions

• Prepare and submit a 3-4 page paper [total] in length (not including APA format).
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to this assignment area:
  • Case Study: Hyperlipidemia

Estimated time to complete: 2 hours

 

NU636-7E Unit 4 Assignment – Case Study: Gastrointestinal Herzing

Case Study

A 60 year old woman with a 10 year history of Type II diabetes presents with multiple complications including retinopathy, peripheral neuropathy and declining renal function.

She has not had the urge to eat as of recently she feels “full” after a few bites. The incidence of nausea and feeling bloated occurs at least twice a day and even after a glass of water she feels bloated. She also complains of fatigue and not been able to keep up with daily chores.

A radiographic gastric emptying study shows a prolonged gastric emptying time.

Assignment Questions

1. What is the typical diagnosis for a patient who presents with this clinical picture?
2. What is the likely pathophysiologic process responsible for the presenting symptom? Support your response with a credible source.
3. What is the class of the drug used to treat the pathophysiolog?. Discuss the pharmacologic management plan for this patient.
4. Outline the mechanism of action and any possible contraindications of the pharmacologic management plan that you identified for the patient.

Instructions

• Prepare and submit a 3-4 page paper [total] in length (not including APA format).
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to this assignment area:
  • Case Study: Gastrointestinal

Estimated time to complete: 2 hours

 

NU636-7E Unit 5 Assignment – Case Study: Acute Joint Inflammation Herzing

Case Study

Mr. Y is a 47 year old, mixed race [Asian/African ethnicity], male patient who presented to your office with severe right great toe pain. Onset of the pain was 2 days ago. Mr. Y denies any known trauma to his right foot or his great toe on that foot. His right great toe is red and became so swollen in the last day that he cannot put on his shoe.

Mr. Y has a history of hypertension for which he is taking HCTZ 25mg daily, Metopralol 50 mg twice daily, and Lisinopril 10 mg daily. He denies any other medical problems.

Results of the lab tests that were ordered:

Sed rate – 93; Glucose, random – 117 mg/dl; Hgb – 13.4 gm/dl; WBC – 8200/ccm with normal diff; Serum uric acid – 10.9 mg/dl; Serum creatinine – 1.2 mg/dl

Assignment Questions

1. Based on presenting symptoms and lab findings, what is most likely diagnosis that will be made for Mr. Y?
2. What is the anticipated pharmacologic plan for managing Mr. Y’s acute pain? Provide a justification for the plan including a citation from a peer-reviewed source.
3. What is the anticipated pharmacologic plan for long-term management of Mr. Y’s diagnosis? Provide a justification for the plan including a citation from a peer-reviewed source.
4. Identify the key elements of the education plan that would be appropriate for the patient about the acute and chronic pharmacologic plans you identified above.

Instructions

• Prepare and submit a 3-4 page paper [total] in length (not including APA format).
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to this assignment area:
  • Case Study: Acute Joint Inflammation

 

NU636-7E Unit 5 Assignment – Case Study: Rheumatoid Arthritis Herzing

Case Study

A 50 year old woman has had rheumatoid arthritis for 3 years and has been taking multiple NSAID’s. She has taken corticosteroids a few times during flare ups.

The disease seems to be progressing with stiffness and swelling in her hands and wrists. Examination reveals rheumatoid nodules, synovitis of both wrists and metacarpo-phalangeal joints. This is an indication of an acute exacerbation of rheumatoid arthritis. She is prescribed methotrexate with sulfasalazine and a short course of prednisone.

Assignment Questions

1. What is the mechanism of action of prednisone?
2. What is the concern with chronic treatment with glucocorticoids?
3. What is the mechanism of action of methotrexate and sulfasalazine.
4. What are the side effects of methotrexate and sulfasalazine

Instructions

• Prepare and submit a 3-4 page paper [total] in length (not including APA format).
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to the Submit Assignments/Assessments area:
  • Case Study: Rheumatoid Arthritis

 

NU636-7E Unit 6 Assignment – Antibiotic Stewardship Herzing

CDC Antibiotic Stewardship Initiative Discussion Paper

Construct a professional paper that outlines the advanced practice role – as a nurse educator, a nurse leader, or a nurse practitioner – to advance the CDC’s antibiotic resistance initiative.

Assignment Requirements

1. Introduction that identifies your advanced practice role and your view of how that role will be able to impact the antibiotic resistance dilemma. Support your discussion with at least two references from the literature.
2. Review the CDC’s goals and identify one of the CDC’s key strategies that you will be able to promote/support in your advanced practice role. Support your discussion with at least two references from the literature.
3. Discuss three activities/actions that you will develop to support the promotion of the key strategy that you identified in item 2 above. Each action/activity needs to be well designed and supported with at least one reference from the literature. For example, if you are a:
   • nurse educator student – in what course(s) will you be able to promote your identified key strategies, be specific about what that would look like using example lesson plan(s), identify any active learning strategies you will utilize, etc., and provide justification for your strategies, etc.
   • nurse leader student – what program(s) and activities will you engage with relative to your organization, be that existing programs or creation of new programs, reporting mechanisms, development of collaborative committees, etc., and provide justification for your strategies, etc.
   • nurse practitioner student – what prescribing practices, patient education practices, monitoring programs, etc., will you engage with, and provide justification for your strategies, etc.

Instructions

• Prepare and submit a minimum of a 6 page paper pages [excluding title and reference pages].
• Format consistent with APA style without an abstract page.
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to this assignment area:
  • Assignment: Antibiotic Stewardship

 

NU636-7E Unit 6 Assignment – Case Study: HIV Herzing

Case Study

Linda is a 28-year-old female in a discordant relationship with her boyfriend of 1 year. Linda is 12 weeks pregnant based on her last menstrual period. She is engaged in HIV-care and is naïve to antiretroviral therapy (ART) because her CD4 cell count is 538 per mm3 and viral load is 8,300. No tobacco, alcohol, or illegal or illicit drug use.

Physical examination: Normal, healthy 28-year-old gravid female. She is overweight with a body mass index of 28.2.

Laboratory and other tests: Genotype is pan-sensitive without HIV mutations. Ultrasound at her 2-day follow-up estimates she is 15 weeks pregnant.

Assignment Questions

1. What are the Public Health Service Panel on Antiretroviral Guidelines for Adults and Adolescents guidelines for HIV-positive pregnant females regarding starting ART? What antiretroviral medications are recommended as first line? Which drugs should be avoided? Provide a rationale for all answers.
2. What education does Linda need regarding her medication?
3. Are there any risks to the baby during labor?
4. What should be done for the baby at birth if he/she tests positive for HIV? What will the providers need to do in terms of monitoring the baby?

Instructions

• Prepare and submit a 3-4 page paper [total] in length (not including APA format).
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to the Submit Assignments/Assessments area:
  • Case Study: HIV Patient

 

NU636-7E Unit 7 Assignment – Case Study: Breast Cancer Herzing

Case Study

Mrs. V is a 47 year old white female who noted a lump near the lower, outer edge of her right breast. After undergoing work up, Mrs. V. was diagnosed with breast cancer. She underwent a right mastectomy without surgical reconstruction.

The pathology report relative to the patient’s tumor revealed the tumor was estrogen receptor positive.

Assignment Questions

1. What chemotherapeutic agent would be anticipated for this patient’s treatment plan? Support your discussion with a reference from a scholarly source.
2. Discuss the mechanism of action for the anticipated chemotherapeutic agent. Support your discussion with a reference from a scholarly source.
3. Discuss what the anticipated side effects of the chemotherapeutic agent are. Support your discussion with a reference from a scholarly source.
4. Anticipating the potential side effects of the treatment plan, what are the key elements to include in the patient education plan? Support your discussion with a reference from a scholarly source.

Instructions

• Prepare and submit a 3-4 page paper [total] in length (not including APA format).
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to the Submit Assignments/Assessments area:
  • Case Study: Breast Cancer

 

NU636-7E Unit 8 Assignment – Case Study: Antidepressants Assignment and Discussion Response

Case Study

A 40 year old woman presents with fatigue. She reports feeling ‘very run down’ for the past three months. She has no interest in participating in her usual activities and sporting events. She reports sleeping problems and low appetite. She is constantly feeling low and has frequent crying spells.

Her physical examination is normal and thyroid function is normal.

She is diagnosed with major depression and is referred for counseling and started on fluoxetine.

Assignment Questions

1. What is the mechanism of action of fluoxetine?
2. Why is fluoxetine the drug of choice?
3. What are the side effects of fluoxetine? (include both the side effects and the potential adverse effects of excessive doses of SSRIs.)
4. What are the risks of abruptly discontinuing fluoxetine?

Instructions

• Prepare and submit a 3-4 page paper [total] in length (not including APA format).
• Answer all the questions above.
• Support your position with examples.
• Please review the rubric to ensure that your assignment meets criteria.
• Submit the following documents to this assignment area:
  • Case Study: Antidepressants