Discussion

• Instructions:
  
  • Please review Canvas PowerPoints, audios, and read the textbook prior.
  • Read the questions/scenarios and answer the following questions.
  • Watch for grammar and sentence structure.There must be a minimum of ONE (1) paragraph (five to ten complete sentences) per question.
    
    • Avoid using bullet points when answering the questions.
    • Ten (10) points will be deducted for improper grammar and sentence structure.
  • Please save and post your answers on the Discussion Board. DO NOT attach a file.
  • Please review and discuss the questions/scenarios listed below.
  • You will need to INDIVIDUALLY post your response prior to seeing other posts. I will read/grade the first discussion posted.
  • Please cite your source(s) and include your reference(s). Reference(s) must be from a credible source (i.e textbook, peer-reviewed articles, etc.). 
    
    • Ten (10) points will be deducted for missing or non-credible reference(s).
  • *To receive FULL points, you must come back to review and respond on a different day from the initial discussion post to at least TWO (2)of your classmate's responses.  
    
• (12.5 points for each response - total of 25 points).
• There should be a minimum of ONE (1) paragraph (five to ten complete sentences) per response. 
  
  • Avoid using bullet points when answering the questions.
  • Ten (10) points will be deducted for improper grammar and sentence structure.
• Peer responses must provide thoughtful feedback, share relevant insights, and add new information to deepen the discussion.
• **“Yes”, “No”, “You are right”, “I agree”,” I disagree,” etc… ARE NOT valid entries for grading and points will be deducted. Your responses cannot be a duplicate from a previous posting or pasted from another material.

Discussion Topics (75 points):

Scenario #1

Eric is admitted for acute confusion and has a history of alcohol abuse. Lactulose is listed on the patient’s MAR. However, Eric is having regular bowel movements. As a nurse, you ask yourself, “Why is lactulose ordered for this patient?”

• How would you address this concern?
• What will you assess for? Explain your answer.

Scenario #2

An 11-month-old who drinks 8-ounce bottles of whole 5 - 6 times a day, is diagnosed with iron-deficiency anemia. 

• What are the contributing factors to iron-deficiency anemia? Discuss the measures to change these factors.
• What should the nurse teach the parents about ferrous sulfate therapy? Be specific.

Scenario #3

Mary is diagnosed with leukemia. She will be starting doxorubicin for chemotherapy.

• What is the mechanism of action of this medication?
• Discuss the adverse effects.
• What will the nurse monitor during Mary’s chemotherapy regimen?

Scenario #4

Ronald has become more anemic because of a lack of erythrocyte production. He is prescribed epoetin alfa to maintain his erythrocyte count. the provider ordered baseline laboratory tests. the patient is tired of "being jabbed" and asks the nurse why these tests have to be done.

• Describe the rationale for each laboratory test in a way the patient can understand.
  • BUN/creatinine
  • Hemoglobin
  • Hematocrit
  • Ferritin
• What adverse effects should the nurse assess in this patient?
• The nurse is reviewing the laboratory results for this patient? Hemoglobin is 13.5 g/dL. What should the nurse do?

Scenario #5

Lynn takes sucralfate for gastric ulcers. She states that she takes her medication with food; however, she still experiences severe abdominal pain after her meals.

• What is causing her abdominal pain?
• How could this issue be resolved?