nsg6005 full course latest 2017

Week 1 – Assignment 2
Discussion

Select one of the two questions from the discussion
questions listed below. By Week 1, 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

Interview a pharmacist and ask for his or her thoughts on
your role as an APN. Ask the pharmacist to share his or her opinion about how
well prepared APNs should be for this responsibility and what suggestions he or
she may have for your future success. In your response, talk about who the
pharmacist was, what was his or her educational background, and where he or she
works and list the questions you asked. Reflect upon his or her words and ideas
and discuss how you feel about his or her opinion and how this might help you
in your future role.

Discussion Question 2

Informatics has provided multiple avenues for APNs to
improve their practice. Identify one electronic source that can help you
prescribe medications. Name the source and explain why this will be helpful to
you in the clinical setting. List the types of information this resource
provides and its limitations. Is there a cost associated with its use? If so,
does the cost seem reasonable? Discuss the limitations, if any, the program
has. Discuss why this program seems useful for you.

Week 2 – Assignment 1
Discussion

Select one of the two questions from the discussion
questions listed below. By Week 2, 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

Many patients ask for nonprescription medications to use for
various health problems, such as insomnia, depression, pain, memory, and
anxiety. Select one patient complaint (for example, insomnia) and review the
major herbs that have been recommended for treatment. Go to the South
University Online Library and locate at least one peer-reviewed research
article designed to study the effects of one of these substances. Describe the
study and results and explain how this would influence your action as an APN.

Discussion Question 2

Go to the Internet and locate the website for any medication
of interest to you. Go to the prescribing directions and locate the section
that reports the pharmacology of the medication. Describe the information presented
on pharmacodynamics and pharmacokinetics of that drug. Explain all of the areas
that are reported in this document, including enzyme activity; medication onset
and duration of action; area under the curve; and absorption and distribution,
including maximal plasma concentrations. Describe if the medication should be
taken with or without food and why. To adequately respond to this question, you
must look at the package insert from the company; no other sources will contain
the extent of information you need.

Week 3 – Assignment 1
Discussion

Select one of the two questions from the discussion
questions listed below. By Week 3, 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

CF is a sixty-year-old African American male who presents as
a new patient for initial evaluation and follow-up. He has been diagnosed with
hypertension for the last twelve years and Type 2 diabetes for the same period
of time. His current blood pressure is 162/90, with a pulse of 76. His body
mass index (BMI) is 32. He is currently taking Maxzide 37.5/25 mg every
morning. This is the only antihypertensive medication he has taken.

For this question, focus on the treatment of hypertension.
Discuss the influences of his age, gender, and ethnicity on hypertensive
medications. On the basis of an analysis of those factors, provide one option
for improvement of his blood pressure and provide a clear and specific
justification for that choice. Be sure to include dosage and scheduling.
Include highlights of patient teaching and/or recommendations for any lifestyle
changes. Support your decisions with at least one reference to a published
clinical guideline and one peer-reviewed publication.

Discussion Question 2

MT is a fifty-six-year-old obese (BMI 31.5) Caucasian female
with a significant family history of cardiovascular disease. She has uncontrolled
hypertension and is currently taking metoprolol 50 mg twice daily. She has
dyslipidemia and is taking exetimibe 10 mg daily and garlic. Her current
cholesterol is 240 mg/dL, HDL is 41 mg/dL, LDL is 163 mg/dL, and triglycerides
are 183 mg/dL. Her blood pressure today is 174/94, and her pulse is 90.

Review the medications she is taking for hypertension and
dyslipidemia. Evaluate the efficacy of these medications. Review them in terms
of her age, gender, and ethnicity. Suggest any changes you would recommend,
with clear justification for those choices. 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.

Week 4 -Assignment 1
Discussion

Select one of the two questions from the discussion
questions listed below. By Week 4, 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

SE is a twenty-two-year-old Caucasian woman who was
diagnosed with asthma at age seven. According to her medical record, she has
“mild persistent” asthma. Today, she reports that she has been using
her albuterol metered-dose inhaler (MDI) approximately three to four days per
week over the last two months. Over the past week, she admits to using
albuterol once daily. She has been awakened by a cough three nights during the
last month. She states she especially becomes short of breath when she
exercises. However, she also admits that the shortness of breath is not always
brought on by exercise. She also has a fluticasone MDI, which she uses
“most days of the week.” She has been hospitalized twice in the last
year for poorly controlled asthma and has been to the emergency department (ED)
three times in the last six months for the same problem. Her lab work is all
within normal limits, with the exception of a positive human chorionic
gonadotropin (HCG). Answer the following questions:

What information in the case study suggests that her asthma
is not well controlled?

What factors could possibly lead to this?

How would you classify the symptoms based upon the National
Institutes of Health (NIH) guidelines?

With the recognition that she is pregnant, how would you
alter her treatment for asthma?

Support your responses with guidelines, including the NIH
guidelines, for management of asthma during pregnancy. Use other peer-reviewed
articles as needed to support specific aspects of your plan.

Discussion Question 2

TJ is a fifty-five-year-old police officer who presents to
the clinic with complaints of epigastric pain for two weeks. He has been taking
over-the-counter (OTC) Zantac without relief. He was diagnosed about a year ago
with a bleeding ulcer, and he expresses concerns that the current symptoms
remind him of that event. At that time, he was given “multiple prescriptions”
for his stomach, but he did not complete the course of therapy because he began
to feel better. He also has osteoarthritis in his wrists and hips, for which he
takes OTC NSAIDs. He smokes one to two packs per week and drinks an average of one
alcoholic beverage daily. His vital signs and blood work are all within normal
limits. Answer the following questions:

What additional testing would you suggest at this point?

Describe any and all variables that could be contributing to
his symptoms.

What alterations would you suggest in his treatment? Be sure
to consider additional diagnoses and whether prophylaxis would be appropriate
for NSAID-induced ulcers.

Support your responses with guidelines you locate in the
literature and peer-reviewed articles as needed to support your ideas.

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.

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.

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?

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?

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?

Week 8 – Assignment 1
Discussion

Select one of the two questions from the discussion
questions listed below. By Week 8, 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

There are multiple issues to consider in caring for someone
with diabetes II. Your course textbook lists these as:

Race and Ethnic Group

Obesity

Coronary Artery Disease and Heart Failure

Hyperlipidemia

Hypertension

Nephropathy

Neuropathy

Retinopathy

From this group, select two specific issues and explain the
importance of that variable in the treatment of diabetes. Explain how a
provider needs to approach the patient and how these considerations would
influence the selection of agents for the treatment of diabetes and related
complications.

Discussion Question 2

AG is a sixty-nine-year-old male who presents for an initial
visit with a complaint of blurred vision, fatigue, and lack of energy. He is
currently being treated for hypertension, hypothyroidism, and gouty arthritis.
He is currently retired and married, with three adult children. His vital signs
are unremarkable, with a body mass index (BMI) of 30. His current medications
include lisinopril 20 mg daily, allopurinol 300 mg daily, and levothyroxine
0.088 mg daily.

As per his blood work today, his A1c level is 7.8%, his
fasting blood sugar is 202, his total cholesterol is 180 mg/dL, his
high-density lipoprotein (HDL) is 27 mg/dL, his low-density lipoprotein (LDL)
is 193 mg/dL, and his triglycerides are 302 mg/dL. Answer the following
questions:

What additional blood work would you like to complete at
this point? Is there any additional information that should be collected from
the patient?

Evaluate the current therapy and make recommendations
concerning any needed changes.

What lifestyle modifications or changes do you think would
be appropriate for this patient?

Week 9 – Assignment 1
Discussion

Select one of the two questions from the discussion
questions listed below. By Week 9, 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. In addition to your textbook, consult the Sanford
Guide to help you identify appropriate treatment for specific infections.

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

JT is a fifty-five-year-old man with a three-day history of
worsening shortness of breath, fever, chills, right-sided chest pain, and
productive cough. He states that the initial symptoms started approximately one
week ago. He has been taking over-the-counter (OTC) medications to control the
fever and the cough. He comes in today because he feels that he is getting
worse. He is coughing up rust-colored mucus, and the chest pain has started to
make breathing even more difficult. His physical exam is normal, with the
exception of tachypnea, labored breathing, coarse rhonchi through the right
lung field, and decreased breath sounds on the right. Answer the following
questions:

What additional laboratory or radiological tests would be
indicated and why? What would you expect to find?

What is your diagnosis?

What medication would be given and for what period of time?

Discussion Question 2

LN is a twenty-six-year-old married woman who presents at
the clinic with symptoms of dysuria, frequency, and urgency. Further history
yields two days of these symptoms but no fever, chills, or flank pain. She
describes a burning discomfort during and immediately following urination and
feeling the need to void every half hour. There is no vaginal discharge,
itching, or odor. She is not using birth control at this time. She requests “a
urine culture and some sulfa pills.” When asked to explain, she says she has
had many “bladder infections” over the past three years and “sulfa pills
usually work.” She was evaluated approximately five years ago with an IV
pyelography and cystogram, and “nothing was wrong.” All her vital signs are
normal. Answer the following questions:

What additional information would you like to collect?

What is your working diagnosis?

What are the contributing factors to this potential
diagnosis?

What treatment would you implement and why?

What type of follow-up would you recommend?

Week 10 – Assignment
1 Discussion

Select one of the two questions from the discussion
questions listed below. By Week 10, 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

SJ is a sixteen-month-old boy who is brought to the clinic
with a one-day history of tugging at his right ear and crying and a two-day
history of decreased appetite, decreased playfulness, and difficulty sleeping.
His mother has documented a fever, so she has been giving him 5 mL of ibuprofen
every twelve hours. He was diagnosed with acute otitis media (AOM) at the age
of four months; he has had the same diagnosis three times since. On physical
exam, his vital signs are normal with the exception of a temperature of 102°F.
His weight is 10 kg. Both tympanic membranes (TMs) are erythematous, with the
right one more than the left one. The right TM is bulging with limited mobility,
copious cerumen, and purulent fluid behind the TM. The left TM appears normal.
The right TM landmarks are difficult to visualize. Answer the following
questions:

Of the information provided, what data support the diagnosis
of AOM and what would be inconclusive?

How would you distinguish AOM and otitis media with effusion
(OME)?

What treatment would you suggest?

What types of cautions or instructions would you provide to
his mother?

Discussion Question 2

Administration of ophthalmological medications requires some
explanation. What are the important points that you would review with a patient
when teaching how to instill ophthalmic drops and when teaching how to instill
ointment? What are the differences you would need to consider if the patient
was a child or if the patient is a geriatric patient? Search the literature to
see whether you are able to locate any guidelines to support this teaching.

Week 9 – Assignment 2

Assignment 2: Evidence-Based Pharmacology Paper

The purpose of this assignment is to provide an opportunity
for you to review an area of interest and apply the concepts you have learned
in this course to a patient situation. In clinical decision making, you must
combine knowledge and evidence to make a good decision. Using critical thinking
and reading skills, you will meet multiple objectives for this assignment.

Criteria

Synthesize relevant information, including research related
to the diagnosis and treatment of the selected disorder.

Recognize the assumptions inherent in the current literature
and identify any unstated or missing information.

Develop and justify various approaches to the stated
problem, including nonpharmacological and pharmacological treatment.

Clearly articulate at least two approaches to the treatment
of the condition.

Defend the choice of the treatment option. This must include
a reflection on the availability of peer-reviewed information and your analysis
of the credibility of that information.

Create a plan for follow-up and referral if needed.

The following are examples of disease states that you might
want to study. These are just examples. You can select whatever area is of
interest to you.

Asthma

Chronic Obstructive Pulmunory Disease (COPD)

Hypertension

Diabetes Mellitus Type II

Major Depression

Migraine Headaches

Pneumonia

Tuberculosis

Human Immunodeficiency Virus (HIV)

Hyperlipidemia

Submit your answers in a Microsoft Word document of 10–15
pages. Include peer-reviewed references in APA format. Be sure to review the
directions and grading criteria to assure that you will cover the content well.

Name your document as
SU_NSG6005_W9_A2_LastName_FirstInitial.doc.

Submit your documents to the W9 Assignment 2 Dropbox by
Wednesday, September 27, 2017.

Week 1 Assignment 3 Quiz

Question 1. The U.S. Food and Drug Administration (FDA) regulates:

Prescribing of drugs by MDs and NPs

The official labeling for all prescriptions and over-the-counter drugs

Off-label recommendations for prescribing

Pharmaceutical educational offerings

Question 2. The U.S. Drug Enforcement Administration (DEA):

ters the manufacturers of, and those who are prescribers of controlled substances.

Regulates NP prescribing at the state level

Sanctions providers who prescribe drugs off-label

Provides prescribers with a number they can use for insurance billing

Question 3. Precautions that should be taken when prescribing controlled substances include:

Faxing the prescription for a Schedule II drug directly to the pharmacy

Using tamper-proof papers for all prescriptions written for controlled drugs

Keeping any presigned prescription pads in a locked drawer in the clinic

Using only numbers to indicate the amount of drug to be prescribed

Question 4. Alterations in drug metabolism among Asians may lead to:

Slower metabolism of antidepressants, requiring lower doses

Faster metabolism of neuroleptics, requiring higher doses

Alt

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