Solution Nursing Roles Case Study MSN 570 Concorde Career College Wk 5

Nursing Roles Question Description

A two-year-old presents for a well child exam.  It is determined the child has undescended testes.

1. Cryptorchidism occurs in 3% of term infants. Discuss this condition.
2. Is this condition congenital? Why or why not?
3. Consider testicular cancer. What kind of connection do these conditions share?  If none discuss the pathophysiology of testicular cancer.

A 33-year-old obese female suffers from amenorrhea and infertility. After a thorough work up PCOS is diagnosed.

1. Discuss 2 additional symptoms associated with PCOS in terms of pathophysiological principles.
2. How does Metformin contribute to treatment?
3. How does progesterone aid in treatment?
4. How is infertility a symptom of PCOS?

A 16-year-old male presents with delayed pubertal signs and social immaturity. His lab values show low testosterone.  He was administered GnRH and no LH was produced. HCG was administered which restored testosterone to normal levels.

1. Discuss male hypogonadism.
2. Explain hormone administration.
3. Is there a problem with the hypothalamus?  Why or why not?

A 22-year-old presents with vaginal discharge, characteristic of green, frothy, odorous upon exam.  The diagnosis is Trichimonas Vaginosis.

1. Discuss the pathogen and it’s proliferation.
2. Discuss male partner treatment.  How does metronidazole target the urethral canal?
3. Co-infections are common with STIs. What is the pathogenesis of Chlamydia Infection?

Nursing References

• AACN (American Association of Colleges of Nursing). 1986. Essentials of College and University Education for Professional Nursing: Final Report. Washington, DC: AACN.
• AACN. 1991. Nursing Education’s Agenda for the 21st Century. Washington, DC: AACN.
• AACN. 1994. Certification and Regulation of Advanced Practice Nurses: Position Statement. Washington, DC: AACN.
• AACN. 1995. AACN 1994– 1995 Enrollment and Graduations Baccalaureate and Graduate Programs in Nursing. Washington, DC: AACN.
• ACHNE (Association of Community Health Nursing Educators). 1991. Essentials of Master’s Nursing Education for Advanced Community Health Nursing. Lexington, KY: ACHNE.
• ACHNE. 1992. Essentials of Baccalaureate Nursing Education for Entry Level Practice in Community Health Nursing. Skokie, IL: ACHNE.
• Aiken, L.H. and Salmon, M.E. 1994. Health care work force priorities: What should nursing do now? Inquiry 31:318–29. [PubMed]
• Amler, R.W., and Lybarger, J.A. 1993. Research program for neurotoxic disorders and other adverse health outcomes at hazardous chemical sites in the United States of America. Environmental Research 61(2):279–84. [PubMed]
• ANA (American Nurses Association). 1980. A Conceptual Model of Community Health Nursing. Kansas City, MO: ANA.
• ANA. 1986. Standards of Community Health Nursing Practice. Kansas City, MO: ANA.
• ANA. 1991. Nursing Agenda for Health Care Reform. Washington, DC: ANA.
• Anderson, E.T., and McFarlane, J.M. 1995. Community as Partner: Theory and Practice of Nursing. Philadelphia: J.B. Lippincott.
• APHA (American Public Health Association). 1980. The Definition and Role of Public Health Nursing in the Delivery of Health Care: A Statement of the Public Health Nursing Section. Washington, DC: American Public Health Association.
• Ashford, N.A. 1994. Monitoring the worker and the community exposure and disease: Legal and ethical considerations in the U.S. Clinical Chemistry 40(7):1426–37. [PubMed]
• ATS (American Thoracic Society). 1990. Environmental controls and lung disease. American Review of Respiratory Disease 142:915. [PubMed]
• ATSDR. 1988. The Nature and Extent of Lead Poisoning in Children in the U.S.: A Report to Congress. Atlanta: Department of Health and Human Services.
• ATSDR. 1991. Case Studies in Environmental Medicine (No. 16)—Nitrate/Nitrite Toxicity. Atlanta: Department of Health and Human Services.
• ATSDR. 1992. Case Studies in Environmental Medicine (No. 26)—Taking an Exposure History. Atlanta: Department of Health and Human Services.
• Baldwin, D., Johnson, J., and Hill, P. 1994. Student satisfaction with classroom use of computer-assisted instruction. Nursing Outlook 42:188–92. [PubMed]
• Barnes, D., Eribes, C., Juarbe, T., Nelson, M., Proctor, S., Sawyer, L., Shaul, M., and Meleis, A.I. 1995. Primary health care and primary care: A confusion of philosophies. Nursing Outlook 43(1):7–16. [PubMed]
• Bellack, J.P., Musham, C., Hainer, A., Graber, D.R., and Holmes, D. 1995. Environmental Health Competencies: A Survey of U.S. Nurse Practitioner Programs. Unpublished Report. Charleston: Medical University of South Carolina.
• BLS (Bureau of Labor Statistics). 1995. Work injuries and illnesses by selected characteristics, 1993. Washington, DC: Department of Labor News, April 26.
• BLS. 1995. National Census of Fatal Occupational Injuries, 1993. Washington, DC: Department of Labor, May 15.
• Boex, J.R., Gary, M., Edwards, J., Marder, W., and Politzer, R. 1993. Primary Care Practitioners: Analyses of Competencies, Costs, and Quality of Care and the Effect of Training Upon Their Supply. Ann Arbor, MI: W.K. Kellogg Foundation.

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