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NURS 6501 Advanced Pathophysiology Week 1 Discussion Alterations in Cellular Processes Hello Professor and colleagues,

The role genetics plays in the disease

Genetics plays a significant role in substance abuse and addiction. Research has consistently shown that genetic factors contribute...

A 17-year-old male high school junior comes to the clinic to establish care. He recently moved from a relatively urban area to a very rural area and has just started his junior year in a new school. The mother states that she has noticed that her son has been frequently washing his hands and avoids contact with any dirty or soiled object. He uses paper towels or napkins over the knob on a door when opening it. According to the mother, this behavior has just appeared since moving.

A 17-year-old male high school junior comes to the clinic to establish care. He recently moved from a relatively urban area to a very rural area and has just started his junior year in a new school. The mother states that she has noticed that her son has been frequently washing his hands and avoids contact with any dirty or soiled object. He uses paper towels or napkins over the knob on a door when opening it. According to the mother, this behavior has just appeared since moving. The patient, upon close questioning, admits that he is “grossed out” by some of the boys in the boys’ room since they use the toilet and do not wash their hand afterwards. He is worried about all the germs the boys are carrying around. Past medical history is noncontributory. Social history -lives with parents and 2 siblings in a house in a new town. Is an honors student. Based on these behaviors, The APRN thinks the patient has obsessive-compulsive disorder (OCD).

Scenario 4: Hypothyroidism A patient  walked into your  clinic today with the following complaints: Weight gain (15 pounds), however has a decreased appetite with extreme fatigue,  cold intolerance, dry skin, hair loss, and falls asleep watching television. The patient also tearfulness with depression, and with an unknown cause and has noted she is more forgetful.  She does have blurry vision.

Scenario 3: Type II DM A 55-year-old male presents with complaints of polyuria, polydipsia, polyphagia, and weight loss. He also noted that his feet on the bottom are feeling “strange” “like ants crawling on them” and noted his vision is blurry sometimes. He has increased an increased appetite, but still losing weight. He also complains of “swelling” and enlargement of his abdomen.

Scenario 3: Type II DM

A 55-year-old male presents with complaints of polyuria, polydipsia, polyphagia, and weight loss. ...

Scenario 2: Type 1 Diabetes A 14-year-old girl is brought to the pediatrician’s office by his parents who are concerned about their daughter’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with her school activities. She had been seemingly healthy until about 4 months ago when her parents started noticing these symptoms. She admits to sleeping more and gets tired very easily. PMH: noncontributory.

    Explain the pathophysiology of the three P’s for (polyuria, polydipsia, polyphagia)” with the given diagnosis of Type I DM.

A 64-year-old woman with moderately severe COPD comes to the pulmonary clinic for her quarterly checkup. The APRN reviewing the chart notes that the patient has lost 5% of her body weight since her last visit. The APRN questions the patient and patient admits to not having much of an appetite and she also admits to missing some meals because it “takes too much work” to cook and consume dinner.

Scenario 5:  COPD A 66-year-old female with a 50 pack/year history of cigarette smoking had a CT scan and was diagnosed with emphysema.  He asks if this means he has chronic obstructive pulmonary disease (COPD). Question: There is a clear relationship between emphysema and COPD, explain the pathophysiology of emphysema and the relationship to COPD.

Scenario 4: Deep Venous Thrombosis (DVT) A 81-year-old obese female patient who 48 hours post-op left total hip replacement. The patient has had severe nausea and vomiting and has been unable to go to physical therapy. Her mucus membranes are dry. The patient says the skin on her left leg is too tight. Exam reveals a swollen, tense, and red colored calf. The patient has a duplex ultrasound which reveals the presence of a deep venous thrombosis (DVT). Question:

Scenario 2: Pleural Friction Rub A 35-year-old female with a positive history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 5-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.

NURS 6051 Knowledge Check: Cardiovascular And Respiratory Disorders Scenario 1: Myocardial Infarction

CC: “I woke up this morning at 6 a.m. with numbness in my left arm and pain in my chest. It feels tight right here (mid-sternal).” “My dad had a heart attack when he was 56-years-...

Summary of Strategies Used To Address the Organizational Impact of Nursing Shortage

The articles selected provide various strategies for addressing nurse shortages. According to Wada (2020),higher wages attract and retain nurses leading to a low turnover rate. Additionally, improv...

Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcemen...

Evidence Based Project Part 1 Identifying Research Methodologies

Opioid use in pregnancy is becoming common despite the health risk factors it presents to both the child and the pregnant mother. There is need to offer educational interventions...

Evidence-Based Project, Part 3: Critical Appraisal of Research

Heart failure (HF), especially among the elderly patients who are 65 years and above, is a complex Read More

Ethical and Legal Implications of Prescribing Drugs

Across the United States,Read More

NU 451 Healthcare Reimbursement Paper Unit 4 Assessment Healthcare Reimbursement Paper

NU 451 Healthcare Reimbursement Paper

Unit 4 Assessment

Healthcare Reimbursement Paper

NURS 6512 Assessment Tools and Diagnostic Tests in Adults and Children Case Example Solution 2

NURS 6512 Assessment Tools and Diagnostic Tests in Adults and Children Case Example Solution 2

NURS 6512 Assessment Tools and Diagnostic Tests in Adults and Children Case Example Solution 1 Assessment of Nutrition in Children Example Approach

NURS 6512 Assessment Tools and Diagnostic Tests in Adults and Children Case Example Solution 1

Assessment of Nutrition in Children Example Approach