Nursing Nur 512 Assignment wk 3
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NUR502512DusWk3.docx
NUR512AssignWeek3.docx
NUR512AssignWeek3.pages
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NUR502512DusWk3.docx
NUR 502 Discussion Week 3
1. Pulmonary Function: D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode. Case Study Questions
According to the case study information, how would you classify the severity of D.R. asthma attack?
Name the most common triggers for asthma in any given patients and specify in your answer which ones you consider applied to D.R. on the case study.
Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.
2. Fluid, Electrolyte and Acid-Base Homeostasis: Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:
Serum glucose 412 mg/dL
Serum sodium (Na+) 156 mEq/L
Serum potassium (K+) 5.6 mEq/L
Serum chloride (Cl–) 115 mEq/L
Arterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/L
Case Study Questions
Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she has?
Describe the signs and symptoms to the different types of water imbalance and described clinical manifestation she might exhibit with the potassium level she has.
In the specific case presented which would be the most appropriate treatment for Ms. Brown and why?
What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?
Based on your readings and your research define and describe Anion Gaps and its clinical significance.
Submission Instruction
You must complete both case studies
Your initial post should be at least 500 words in total, (250 words per case study), formatted and cited in current APA style with support from a minimum of 2 academic sources PER CASE STUDY that are no older than 5 years old. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature such as one intext citation from one scholarly source.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
Rubric
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This criterion is linked to a Learning OutcomeIdentification of Main Issues, Problems, and Concepts |
5 to >4.0 pts Distinguished Identifies and demonstrates a sophisticated understanding of the issues, problems, and concepts. 4 to >3.0 pts Excellent Identifies and demonstrates an accomplished understanding of most issues, problems, and concepts. 3 to >0.0 pts Fair Identifies and demonstrates an acceptable understanding of most issues, problems, and concepts. 0 pts Poor Identifies and demonstrates an unacceptable understanding of most issues, problems, and concepts. Or nothing was posted. |
5 pts |
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This criterion is linked to a Learning OutcomeUse of Citations, Writing Mechanics and APA Formatting Guidelines |
3 pts Distinguished Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors. 2 pts Excellent Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors. 1 pts Fair Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail. 0 pts Poor Ineffectively uses the literature and other resources to inform their work. Unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention. Or nothing was posted. |
3 pts |
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This criterion is linked to a Learning OutcomeResponse to Posts of Peers |
2 pts Distinguished Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each. 1 pts Fair Student constructively responded to one other post and either extended, expanded or provided a rebuttal. 0 pts Poor Student provided no response to a peer's post. |
2 pts |
NUR 512 Discussion Week 3
Reflect on your experiences as a member of a clinical team. What makes a team effective or ineffective in terms of achieving expected outcomes for the patients? (Saunders, 2014)
Currently I’m Registered Nurse working on CVIUC Step-down unit.
NUR512AssignWeek3.docx
NUR 512 Assignment
Research the role of the Nurse Practitioner.
Select and describe an Advanced Nurse Practitioner role.
Why are you becoming a Nurse Practitioner?
Find one research article, expert opinion about the Nurse Practitioner role and summarize the article.
What does the Institute Of Medicine (IOM) say about the need of Nurse Practitioners?
Identify and describe the effects that you will have as an advanced practice nurse in terms of healthcare industry and patient outcomes.
Submission Instructions:
The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The paper is to be no shorter than 4 pages; nor longer than 5 pages in length, excluding the title, abstract and references page.
Your submission will be reviewed for plagiarism with Turnitin.
Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style.
Grading Rubric
Your assignment will be graded according to the grading rubric below.
View Rubric
Essay/Paper Rubric
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Essay/Paper Rubric |
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Criteria |
Ratings |
Pts |
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Identification of Main Issues/Problems |
8 pts Distinguished Identify and demonstrate a sophisticated understanding of the issues/problems.
7 pts Excellent Identifies and demonstrate an accomplished understanding of most of issues/problems.
5 pts Fair Identifies and demonstrate an an acceptable understanding of most of issues/problems.
2 pts Poor Identifies and demonstrate an unacceptable understanding of most of issues/problems. |
/ 8 pts |
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Analysis and Evaluation of Issues/Probelms |
8 pts Distinguished Presents an insightful, thorough analysis and evaluation of issues/problems.
7 pts Excellent Presents a thorough analysis and evaluation of most of the issues/problems.
5 pts Fair Presents a superficial or incomplete analysis and evaluation of issues/problems.
2 pts Poor Presents unacceptable analysis and evaluation of issues/problems. |
/ 8 pts |
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Demonstrates a Conceptual Understanding |
8 pts Distinguished Provides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding.
7 pts Excellent Provides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding.
5 pts Fair Provides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding.
2 pts Poor Provides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding. |
/ 8 pts |
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Use of Citations to Course Readings and Additional Research/Literature |
8 pts Distinguished Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing.
7 pts Excellent Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing.
5 pts Fair Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing.
2 pts Poor Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. |
/ 8 pts |
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Writing Mechanics and APA Formatting Guidelines |
8 pts Full Marks Demonstrate a high level of clarity, precision, and attention to detail. APA style is correct and writing is free of grammar and spelling errors.
7 pts Excellent Demonstrate a high level of clarity. APA style and writing mechanics need more precision and attention to detail.
5 pts Fair Demonstrate a moderate level of clarity. APA style and writing mechanics need more precision and attention to detail.
2 pts Poor Demonstrates issues in writing and communicating clearly. APA style and writing mechanics need serious attention. |
/ 8 pts |
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Total Points: 0 |
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