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Week 2 assignment

Assignment: Adaptive
Response

As an advanced practice nurse, you will examine patients
presenting with a variety of disorders. You must, therefore, understand how the
body normally functions so that you can identify when it is reacting to
changes. Often, when changes occur in body systems, the body reacts with
compensatory mechanisms. These compensatory mechanisms, such as adaptive
responses, might be signs and symptoms of alterations or underlying disorders.
In the clinical setting, you use these responses, along with other patient
factors, to lead you to a diagnosis.

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her
mother. Mom is concerned because Jennifer has been “running a temperature” for
the last 3 days. Mom says that Jennifer is usually healthy and has no
significant medical history. She was in her usual state of good health until 3
days ago when she started to get fussy, would not eat her breakfast, and would
not sit still for her favorite television cartoon. Since then she has had a
fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has
been giving her ibuprofen, but when the fever went up to 103.2oF today, she
felt that she should come in for evaluation. A physical examination reveals a
height and weight appropriate 2-year-old female who appears acutely
unwell. Her skin is hot and dry. The
tympanic membranes are slightly reddened on the periphery, but otherwise normal
in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates.
Anterior cervical nodes are readily palpable and clearly tender to touch on the
left side. The child indicates that her throat hurts “a lot” and it is painful
to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats
per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and
irritation of his hands. He reports that he has never had a problem like this
before, but about 2 weeks ago he noticed that both his hands seemed to be
really red and flaky. He denies any discomfort, stating that sometimes they
feel “a little bit hot,” but otherwise they feel fine. He does not understand
why they are so red. His wife told him that he might have an allergy and he
should get some steroid cream. Jack has no known allergies and no significant
medical history except for recurrent ear infections as a child. He denies any
traumatic injury or known exposure to irritants. He is a maintenance engineer
in a newspaper building and admits that he often works with abrasive solvents
and chemicals. Normally he wears protective gloves, but lately they seem to be
in short supply so sometimes he does not use them. He has exposed his hands to
some of these cleaning fluids, but says that it never hurt and he always washed
his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her
job as an administrative assistant at a local hospital. Her medical history is
significant for hypertension, which has been controlled for years with
hydrochlorothiazide. She reports that lately she is having a lot of trouble
sleeping, she occasionally feels like she has a “racing heartbeat,” and she is
losing her appetite. She emphasizes that she is not hungry like she used to be.
The only significant change that has occurred lately in her life is that her
87-year-old mother moved into her home a few years ago. Mom had always been
healthy, but she fell down a flight of stairs and broke her hip. Her recovery
was a difficult one, as she has lost a lot of mobility and independence and
needs to rely on her daughter for assistance with activities of daily living.
Martha says it is not the retirement she dreamed about, but she is an only
child and is happy to care for her mother. Mom wakes up early in the morning,
likes to bathe every day, and has always eaten 5 small meals daily. Martha has
to put a lot of time into caring for her mother, so it is almost a “blessing”
that Martha is sleeping and eating less. She is worried about her own health
though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

Review the three scenarios, as well as Chapter 6 in the
Huether and McCance text.

Identify the pathophysiology of the disorders presented in
each of the three scenarios, including their associated alterations. Consider
the adaptive responses to the alterations.

Review the examples of “Mind Maps—Dementia, Endocarditis,
and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning
Resources. Then select one of the disorders you identified from the scenarios.
Use the examples in the media as a guide to construct a mind map for the
disorder you selected. Consider the epidemiology, pathophysiology, risk
factors, clinical presentation, and diagnosis of the disorder, as well as any
adaptive responses to alterations.

Review the Application Assignment Rubric found under Course
Information

To Complete

Write a 2- to 3-page paper excluding the title page,
reference page and Mind Map that addresses the following:

For each of the three scenarios explain the pathophysiology,
associated alterations and the patients’ adaptive responses to the alterations
caused by the disease processes. You are
required to discuss all three scenarios within the paper component of this
assignment.

Construct one mind map on a selected disorder presented in
one of the scenarios. Your Mind Map must include the epidemiology,
pathophysiology, risk factors, clinical presentation, and diagnosis of the
disorder, as well as any adaptive responses to alterations.

By Day 7

This Assignment is due.

Note: The School of Nursing requires that all papers
submitted include a title page, introduction, summary, and references. The
Sample Paper provided at the Walden Writing Center provides an example of those
required elements (available at http://writingcenter.waldenu.edu/57.htm). All
papers submitted must use this formatting

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the naming convention
“WK2Assgn+last name+first initial.(extension)” as the name.

Click the Week 2 Assignment Rubric to review the Grading
Criteria for the Assignment.

Click the Week 2 Assignment link. You will also be able to
“View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK2Assgn+last name+first
initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the
checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

Week 4 assignment

Assignment: Disorders
of the Veins and Arteries

Advanced practice nurses often treat patients with vein and
artery disorders such as chronic venous insufficiency (CVI) and deep venous
thrombosis (DVT). While the symptoms of both disorders are noticeable, these
symptoms are sometimes mistaken for signs of other conditions, making the
disorders difficult to diagnose. Nurses must examine all symptoms and rule out
other potential disorders before diagnosing and prescribing treatment for
patients. In this Assignment, you explore the epidemiology, pathophysiology,
and clinical presentation of CVI and DVT.

To Prepare

Review the section “Diseases of the Veins” (pp. 598-599) in
Chapter 23 of the Huether and McCance text. Identify the pathophysiology of
chronic venous insufficiency and deep venous thrombosis. Consider the
similarities and differences between these disorders.

Select a patient factor different from the one you selected
in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think
about how the factor you selected might impact the pathophysiology of CVI and
DVT. Reflect on how you would diagnose and prescribe treatment of these
disorders for a patient based on the factor you selected.

Review the “Mind Maps—Dementia, Endocarditis, and
Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning
Resources. Use the examples in the media as a guide to construct two mind
maps—one for chronic venous insufficiency and one for venous thrombosis.
Consider the epidemiology and clinical presentation of both chronic venous
insufficiency and deep venous thrombosis.

To Complete

Write a 2- to 3-page paper that addresses the following:

Compare the pathophysiology of chronic venous insufficiency
and deep venous thrombosis. Describe how venous thrombosis is different from
arterial thrombosis.

Explain how the patient factor you selected might impact the
pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe
treatment of these disorders for a patient based on the factor you selected.

Construct two mind maps—one for chronic venous insufficiency
and one for deep venous thrombosis. Include the epidemiology, pathophysiology,
and clinical presentation, as well as the diagnosis and treatment you explained
in your paper.

By Day 7

The Assignment is due.

Note: The School of Nursing requires that all papers
submitted include a title page, introduction, summary, and references. The
Sample Paper provided at the Walden Writing Center provides an example of those
required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers
submitted must use this formatting.

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the naming convention
“WK4Assgn+last name+first initial.(extension)” as the name.

Click the Week 4 Assignment Rubric to review the Grading
Criteria for the Assignment.

Click the Week 4 Assignment link. You will also be able to
“View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK4Assgn+last name+first
initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the
checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

Week 6 assignment

Assignment: Asthma

Complications of asthma can be sudden. Consider the case of
Bradley Wilson, a young boy who had several medical conditions. He appeared in
good health when he went to school, returned home, and ate dinner. However,
when he later went outside to play, he came back inside wheezing. An ambulance
took him to the hospital where he was pronounced dead (Briscoe, 2012). In
another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the
middle of the night and ran to her grandfather’s bedroom to tell him she
couldn’t breathe. By the time paramedics arrived, she had passed out and was
pronounced dead at the hospital (Glissman, 2012). These situations continue to
outline the importance of recognizing symptoms of asthma and providing
immediate treatment, as well as distinguishing minor symptoms from serious,
life-threatening symptoms. Since these symptoms and attacks are often induced
by a trigger, as an advanced practice nurse, you must be able to help patients
identify their triggers and recommend appropriate treatment options. For this
reason, you need to understand the pathophysiological mechanisms of chronic
asthma and acute asthma exacerbation.

To Prepare

Review “Asthma” in Chapter 27 of the Huether and McCance
text. Identify the pathophysiological mechanisms of chronic asthma and acute
asthma exacerbation. Consider how these disorders are similar and different.

Select a patient factor different from the one you selected
in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think
about how the factor you selected might impact the pathophysiology of both
disorders. Reflect on how you would diagnose and prescribe treatment of these
disorders for a patient based on the factor you selected.

Review the “Mind maps—Dementia, Endocarditis, and
Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning
Resources. Use the examples in the media as a guide to construct two mind
maps—one for chronic asthma and one for acute asthma exacerbation. Consider the
epidemiology and clinical presentation of both chronic asthma and acute asthma
exacerbation.

To Complete

Write a 2- to 3-page paper that addresses the following:

Describe the pathophysiological mechanisms of chronic asthma
and acute asthma exacerbation. Be sure to explain the changes in the arterial
blood gas patterns during an exacerbation.

Explain how the factor you selected might impact the
pathophysiology of both disorders. Describe how you would diagnose and
prescribe treatment for a patient based on the factor you selected.

Construct two mind maps—one for chronic asthma and one for
acute asthma exacerbation. Include the epidemiology, pathophysiology, and
clinical presentation, as well as the diagnosis and treatment you explained in
your paper.

By Day 7

This Assignment is due.

Note: The School of Nursing requires that all papers
submitted include a title page, introduction, summary, and references. The
Sample Paper provided at the Walden Writing Center provides an example of those
required elements (available at http://writingcenter.waldenu.edu/57.htm). All
papers submitted must use this formatting.

Reference

Briscoe, K. (2012, May 12). Thetford: mother of Bradley
Wilson, who died of asthma attack, told there was nothing she could have done.
East Anglian Daily Times. Retrieved from
http://www.eadt.co.uk/news/thetford_mother_of_bradley_wilson_who_died_of_asthma_attack_told_there_was_nothing_she_could_have_done_1_1375128

Glissman, B. (2012, May 21). Girl’s death puts focus on
asthma’s broader grip. Omaha World-Herald. Retrieved from
http://www.omaha.com/article/20120521/LIVEWELL01/305219975

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the naming convention
“WK6Assgn+last name+first initial.(extension)” as the name.

Click the Week 6 Assignment Rubric to review the Grading
Criteria for the Assignment.

Click the Week 6 Assignment link. You will also be able to
“View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK6Assgn+last name+first
initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the
checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

Week 8 assignment

Gastrointestinal
Tract: Disorders of Motility

Jamie is a 3-month-old female who presents with her mother
for evaluation of “throwing up.” Mom reports that Jamie has been throwing up
pretty much all the time since she was born. Jamie does not seem to be sick. In
fact, she drinks her formula vigorously and often acts hungry. Jamie has normal
soft brown bowel movements every day and, overall, seems like a happy and
contented baby. She smiles readily and does not cry often. Other than the fact
that she often throws up after drinking a bottle, she seems to be a very
healthy, happy infant. A more precise history suggests that Jamie does not
exactly throw up—she does not heave or act unwell—but rather it just seems that
almost every time she drinks a bottle she regurgitates a milky substance. Mom
thought that she might be allergic to her formula and switched her to a
hypoallergenic formula. It didn’t appear to help at all, and now Mom is very
concerned.

Cases like these are not uncommon. The mother was concerned
and thinking her daughter may have an allergy; she changed to a different
formula. However, sometimes babies have immature GI tracts that can lead to
physiology reflux as they adapt to normal life outside the uterus. Parents
often do not consider this possibility, prompting them to change formulas
rather than seeking medical care. As in the case study above, GI alterations
can often be difficult to identify because many cause similar symptoms. This
same issue also arises with adults—adults may present with symptoms that have
various potential causes. When evaluating patients, it is important for the
advanced practice nurse to know the types of questions he or she needs to ask
to obtain the appropriate information for diagnosis. For this reason, you must
have an understanding of common GI disorders such as gastroesophageal reflux
disease (GERD), peptic ulcer disease (PUD), and gastritis.

To Prepare

Review this week’s media presentation on the gastrointestinal
system.

Review Chapter 35 in the Huether and McCance text. Identify
the normal pathophysiology of gastric acid stimulation and production.

Review Chapter 37 in the Huether and McCance text. Consider
the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer
disease (PUD), and gastritis. Think about how these disorders are similar and
different.

Select a patient factor different from the one you selected
in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider
how the factor you selected might impact the pathophysiology of GERD, PUD, and
gastritis. Reflect on how you would diagnose and prescribe treatment of these
disorders for a patient based on this factor.

Review the “Mind Maps—Dementia, Endocarditis, and
Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning
Resources. Use the examples in the media as a guide to construct a mind map for
gastritis. Consider the epidemiology and clinical presentation of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

Describe the normal pathophysiology of gastric acid
stimulation and production. Explain the changes that occur to gastric acid
stimulation and production with GERD, PUD, and gastritis disorders.

Explain how the factor you selected might impact the
pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose
and prescribe treatment of these disorders for a patient based on the factor
you selected.

Construct a mind map for gastritis. Include the epidemiology,
pathophysiology, and clinical presentation, as well as the diagnosis and
treatment you explained in your paper.

By Day 7

This Assignment is due.

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the naming convention
“WK8Assgn1+last name+first initial.(extension)” as the name.

Click the Week 8 Assignment 1 Rubric to review the Grading
Criteria for the Assignment.

Click the Week 8 Assignment 1 link. You will also be able to
“View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK8Assgn1+last name+first
initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the
checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

Week 10 assignment

The Pathophysiology of Disorders

During the last 5 weeks, you have explored various body
systems: neurological, cardiovascular, respiratory, and hematological. These
four systems work together along with other body systems to complete a myriad
of functions. For this reason, when disorders occur within one body system, it
can create potentially devastating effects throughout the entire body. For
instance, Parkinson’s disease is a disorder of the central nervous system, yet
its alterations actually affect multiple body systems from the cardiovascular
system to the gastrointestinal system. In this Assignment, you examine
alterations associated with disorders, as well as the impact of the alterations
on multiple body systems.

To Prepare

From the list below, select a disorder of interest to you:

Alzheimer’s disease

Asthma in children

Chronic obstructive pulmonary disease (COPD)

Congestive heart failure

Hepatic disease (liver disease)

Hypertension

Hyperthyroidism and hypothyroidism

Seizures

Sepsis

Identify alterations associated with your selected disorder.
Consider the pathophysiology of the alterations. Think about how these
alterations produce pathophysiological changes in at least two body systems.

Reflect on how patient factors such as genetics, gender,
ethnicity, age, and behavior might impact the pathophysiology of the
alterations you identified, as well as the diagnosis and treatment of your
selected disorder.

Review the “Mind maps—Dementia, Endocarditis, and
Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning
Resources. Use the examples in the media as a guide to construct a mind map for
the disorder you selected. Consider the epidemiology and clinical presentation
of your selected disorder.

To Complete

Develop a 5- to 10-slide PowerPoint presentation that
addresses the following:

Describe your selected disorder, as well as associated
alterations. Explain the pathophysiology of the alterations, including changes
that occur in at least two body systems.

Explain how genetics, gender, ethnicity, age, and behavior
might impact the pathophysiology of the alterations you identified, as well as
diagnosis and treatment of your selected disorder.

Construct a mind map for the disorder you selected. Include
the epidemiology, pathophysiology of alterations, risk factors, and clinical
presentation, as well as the diagnosis and treatment of the disorder.

By Day 7

Submit the Pathophysiology of Disorders Assignment. This
Assignment was presented in Week 8 and is due.

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the naming convention
“WK10Assgn+last name+first initial.(extension)” as the name.

Click the Week 10 Assignment Rubric to review the Grading
Criteria for the Assignment.

Click the Week 10 Assignment link. You will also be able to
“View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK10Assgn+last name+first
initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the
checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

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