NSG 6005 Week 2 Assignment 1 & 2

NSG 6005 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 .

NSG 6005 Week 2 Assignment 1 & 2: 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 .

NSG 6005 Week 2 Assignment 1 & 2: 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 .

NSG 6005 Week 2 Assignment 2 Quiz

1 .Question :A patient’s nutritional intake and lab work reflect hypoalbuminemia .This is critical to prescribing because:

• Distribution of drugs to target tissue may be affected
• The solubility of the drug will not match the site of absorption
• There will be less free drug available to generate an effect
• Drugs bound to albumin are readily excreted by the kidney

Question 2 .Drugs that have a significant first-pass effect:

• Must be given by the enteral (oral) route only
• Bypass the hepatic circulation
• Are rapidly metabolized by the liver and may have little if any desired action
• Are converted by the liver to more active and fat-soluble forms

Question 3 .An advantage of prescribing a sublingual medication is that the medication is:

• Absorbed rapidly
• Excreted rapidly
• Metabolized minimally
• Distributed equally

Question 4 .Which one of the following statements about bioavailability is true?

• Bioavailability issues are especially important for drugs with narrow therapeutic ranges or sustained release mechanisms .
• All brands of a drug have the same bioavailability .
• Drugs that are administered more than once a day have greater bioavailability than drugs given once daily .
• Combining an active drug with an inert substance does not affect bioavailability .

Question 5 .The route of excretion of a volatile drug will likely be:

• The kidneys
• The lungs
• The bile and feces
• The skin

NSG 6005 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:

1. What additional laboratory or radiological tests would be indicated and why? What would you expect to find?
2. What is your diagnosis?
3. 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:

1. What additional information would you like to collect?
2. What is your working diagnosis?
3. What are the contributing factors to this potential diagnosis?
4. What treatment would you implement and why?
5. What type of follow-up would you recommend?

NSG 6005 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?

NSG 6005 Week 9 Assignment 2 Latest SU

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.