NUR643E Advanced Health Assessment for Nurse Educators: All Course Discussions Solution

NUR643E Advanced Health Assessment for Nurse Educators

Week 1 Discussion

DQ1 You are working with a nursing student who is introducing herself to a Native American patient to establish rapport. The nursing student is trying to make eye contact and puts her hand on the shoulder of the patient to get his attention. What situation could arise with this approach?  How would you handle this situation? Defend rationale with references.

DQ2 While completing a health assessment, you notice that there are indications that the patient may have been cutting herself. You inquire about the marks and she indicates that she scratched her wrist when she tried to break her fall. How do you handle this information? How can you incorporate your Christian worldview to help in providing quality care? What are the key elements to accurately obtaining the needed information for effective treatment?

NUR643E Advanced Health Assessment for Nurse Educators

Week 2 Discussion

DQ1 As an instructor, you are working with a nursing student in the second year of a 4-year nursing program. The student does not perform an ear exam correctly. How would you explain the appropriate technique to examine the ears?

DQ2 You are working the triage desk of the ED. A client presents with sudden loss of vision of the right eye after a head collision during a volleyball game. What would your assessment include? What could be initial problems and would they warrant emergent intervention?

NUR643E Advanced Health Assessment for Nurse Educators

Week 3 Discussion

DQ1 Select one pulmonary, cardiac, peripheral vascular, or lymphatic system disorder. Discuss the clinical characteristics and identify the appropriate laboratory, imaging, and other diagnostic and screening tools that apply to this disorder. Explain why these tests or tools were chosen as appropriate to the conditions. Select different topics from that of your classmates.

DQ2 You are called to the bedside of a critical patient as a rapid response team member. Upon initial inspection the patient is cyanotic, has labored breathing, and is not responding well. Develop an SBAR (situation, background, assessment, recommendation) for this patient. Use references to substantiate your approach to this clinical scenario.

NUR643E Advanced Health Assessment for Nurse Educators

Week 4 Discussion

DQ1 As an instructor, you are working with a nursing student to develop a problem-focused exam involving the musculoskeletal system and extremities.  Formulate potential questions to support the student in soliciting specific information about the patient related to past history, drugs that may adversely affect the musculoskeletal system, family history, psychosocial profile, and provide rationale.

DQ2 The goal of a complete musculoskeletal assessment is to detect risk factors, potential problems, or musculoskeletal dysfunction early and then to plan appropriate interventions, including teaching health promotion and disease prevention, and implementing treatment measures. By doing so, you can play a signi?cant role in preventing pain and dysfunction in your patients. Describe a plan to provide patient teaching that incorporates health promotion and disease prevention. Provide rationale.

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NUR643E Advanced Health Assessment for Nurse Educators

Week 5 Discussion

DQ1 Differentiate between the appearances of skin lesions in relation to cancerous versus noncancerous.

DQ2 A patient presents with abdominal discomfort to the point of being in the fetal position. What questions need to be asked of this patient? What examination techniques would you perform for this patient?

NUR643E Advanced Health Assessment for Nurse Educators

Week 6 Discussion

DQ1 A patient is experiencing delirium after the initiation of a new medication. What are questions you want answered as well as physical findings would you be looking for?

DQ2 Choose a special population and detail the approach to history taking and physical examination with the patient and/or family member.

NUR643E Advanced Health Assessment for Nurse Educators

Week 7 Discussion

DQ1 A patient presents with heaviness in their chest and diaphoretic. What steps will you take in providing a proper assessment?

DQ2 A patient calls out on the call system and requests pain medication. We know that a patient is to rate their pain on a scale. If the pain is unrelated to the admission diagnosis, what steps will you take in providing a proper assessment?

NUR643E Advanced Health Assessment for Nurse Educators

Week 8 Discussion

DQ1 You walk into a patient’s room and find him unconscious because he does not greet you when you walk in. What are some of your initial assessment techniques that need to be employed and why?

DQ2 You just reviewed the morning laboratory report for a patient in critical care. You noted that the potassium level is 6.5 mEq/L. What are areas you need to be assessing the patient to monitor for complications from hyperkalemia? Explain your approach in a head to toe assessment.