NUR 660 Week 12 Discussion 1: Case Study Discussion – Gastrointestinal Disorders

March 8, 2022
Want your Assignment Done? Order NOw you can do it easy.

NUR 660 Week 12 Discussion 1: Case Study Discussion – Gastrointestinal Disorders

NUR 660 Week 12 Discussion 1: Case Study Discussion – Gastrointestinal Disorders

It is understood that thoughtful responses to your topic question(s) will take some time and thought. Please organize your thoughts before creating your initial post.
Based on your assigned team, create an initial post by answering all questions in your team’s case study, making sure to address all components of all questions.
By Day 3, post your initial response to your assigned part of the case study as a reply to the appropriate discussion thread. Please be sure to number the questions addressed and include all components of each question in your response. Each initial response must have a reference, including at least two scholarly references other than your textbook or course materials. Your post should comprehensively address the questions posed.
________________________________________
Team A: Gastroenteritis
Week 12 Discussion Team A Worksheet (Word)
Baby K., age 14 months, has vomiting and diarrhea and is crying continuously because of what appears to be severe abdominal pain. As part of your history, you discover Baby K. had some milk custard that may not have been properly stored. The most likely diagnosis is gastroenteritis, secondary to Staphylococcus aureus from the milk custard.
• Briefly describe how S. aureus in the custard could cause vomiting and diarrhea.
• What fluid and electrolyte imbalances would you expect in Baby K.? Please describe how at least one fluid and one electrolyte imbalance could develop in this situation.
• Describe the signs of dehydration that can be expected in a child of this age. What about in an older child?
• Explain the process and factors involved by which a young child can quickly develop vascular collapse if vomiting and diarrhea are severe.
• Explain why water alone would not be adequate treatment for Baby K.
• What other gastrointestinal conditions could cause vomiting and diarrhea in a young child? How will you definitively determine what condition is causing her symptoms?
________________________________________
Team B: Peptic Ulcer and Peritonitis
Week 12 Discussion Team B Worksheet (Word)
Ms. X., age 76, has been admitted to the emergency department with severe generalized abdominal pain and vomiting. No significant findings were immediately evident to indicate a cause, so she was admitted. Six hours later, Ms. X.’s blood pressure began to drop, and her pulse was rapid but thready. Exploratory abdominal surgery revealed a perforated gastric ulcer and peritonitis.
• Describe the process by which an ulcer develops. Are ulcers limited to the stomach or can they occur elsewhere in the GI system? If so, where?
• Suggest several possible factors contributing to ulcer formation. What questions would you want to as Ms. X. to determine her risk for gastric ulcers?
• Explain why peptic ulcer may not be diagnosed in an early stage of development. In other words, why were there not any initial significant findings?
• During her admission, Ms. X. continued to decompensate, and developed bacterial peritonitis. Describe the process of perforation of an ulcer and how this can lead to complications, including bacterial peritonitis.
• Explain why Ms. X. showed signs of shock. Which type of shock would you expect?
• Ms. X. was given antibiotics, intravenous fluids, and intravenous alimentation (total parenteral nutrition). Explain how each of these treatments functions to return Ms. X. to a more homeostatic state.
________________________________________
NUR 660 Week 12 Discussion 1: Case Study Discussion – Gastrointestinal DisordersTeam C: Hepatitis B and Cirrhosis
Week 12 Discussion Team C Worksheet (Word)
You are caring for J.B., age 35, who has had chronic hepatitis B for nine years. The origin of his acute infection was never ascertained. He is not married, lives alone, and sometimes has trouble managing his disease.
• Describe the pathophysiology of acute hepatitis B infection. How is this different from chronic hepatitis B infection?
• If J.B. had known about his exposure at the time, could any treatment measures have been undertaken at the time?
• Describe two signs of the preicteric stage and three signs of the icteric stage of acute hepatitis B infection. In which of the stages could J.B. transmit the virus? Be sure to include discussion of the mode of transmission.
• What serum markers remain high when chronic hepatitis B is present?
• Explain how cirrhosis develops from chronic hepatitis B. Why is the early stage of cirrhosis relatively asymptomatic?
J.B.’s cirrhosis is now well advanced. He has developed ascites, edema in the legs and feet, and esophageal varices. His appetite is poor, he is fatigued, and he has frequent respiratory and skin infections. Jaundice is noticeable. He has been admitted with hematemesis and shock resulting from ruptured esophageal varices.
• Explain why each of the following events occur: (1) excessive bleeding from trauma, (2) increased serum ammonia levels, and (3) hand-flapping tremors and confusion.
________________________________________
Reply Posts
Review all your peers’ posts, as they will help you prepare for the quiz this week. Select posts from two peers that addressed a case study from a different team than you. For example, students from Team A reply to one post from Team B and one post from Team C. Each reply must use at least one scholarly reference other than your textbook.
Thinking about your population-specific NP track and anticipated practice area:
• Identify and explain two “pearls of wisdom” or “key concepts/ideas” you learned from reading your peers’ responses.
• Describe a patient you might encounter in your future practice where you could apply the information learned in your peer’s post.
Please refer to the Grading Rubric for details on how this activity will be graded.
Posting to the Discussion Forum
1. Select the appropriate Thread.
2. Select Reply.
3. Create your post.
4. Select Post to Forum.
Discussion Question Rubric
Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.
Note: The value of each of the criterion on this rubric represents a point range. (example: 17-0 points)
Discussion Question Rubric – 100 Points

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 660 Week 12 Discussion 1: Case Study Discussion – Gastrointestinal Disorders

Criteria Exemplary
Exceeds Expectations Advanced
Meets Expectations Intermediate
Needs Improvement Novice
Inadequate Total Points
Quality of Initial Post Provides clear examples supported by course content and references.
Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.
All instruction requirements noted.
40 points Components are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints.
Meets all requirements within the discussion instructions.
Cites two references.
35 points Components are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development.
Is missing one component/requirement of the discussion instructions.
Cites one reference, or references do not clearly support content.
Most instruction requirements are noted.
31 points Absent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.
Demonstrates incomplete understanding of content and/or inadequate preparation.
No references cited.
Missing several instruction requirements.
Submits post late.
27 points 40
Peer Response Post Offers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation.
All instruction requirements noted.
40 points Evidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post.
Response is supported by course content and a minimum of one scholarly reference per each peer post.
All instruction requirements noted.
35 points Lacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight.
Missing reference from one peer post.
Partially followed instructions regarding number of reply posts.
Most instruction requirements are noted.
31 points Post is primarily a summation of peer’s post without further synthesis of course content.
Demonstrates incomplete understanding of content and/or inadequate preparation.
Did not follow instructions regarding number of reply posts.
Missing reference from peer posts.
Missing several instruction requirements.
Submits post late.
27 points 40
Frequency of Distribution Initial post and peer post(s) made on multiple separate days.
All instruction requirements noted.
10 points Initial post and peer post(s) made on multiple separate days.
8 points Minimum of two post options (initial and/or peer) made on separate days.
7 points All posts made on same day.
Submission demonstrates inadequate preparation.
No post submitted.
6 points 10
Organization Well-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.
5 points Organized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.
4 points Poor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.
Purpose statement is noted.
3 points Illogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.
Demonstrates incomplete understanding of content and/or inadequate preparation.
No purpose statement.
Submits assignment late.
2 points 5
APA, Grammar, and Spelling Correct APA formatting with no errors.
The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).
Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.
There are no spelling, punctuation, or word-usage errors.
5 points Correct and consistent APA formatting of references and cites all references used. No more than two unique APA errors.
The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.
There are minimal to no grammar, punctuation, or word-usage errors.
4 points Three to four unique APA formatting errors.
The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.
Multiple grammar, punctuation, or word usage errors.
3 points Five or more unique formatting errors or no attempt to format in APA.
The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).
The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.
Grammar and punctuation are consistently incorrect. Spelling errors are numerous.
Submits assignment late.
2 points 5
Total Points 10

Did you find apk for android? You can find new Free Android Games and apps.
PLACE THIS ORDER OR A SIMILAR ORDER WITH ALL NURSING ESSAYS TODAY AND GET AN AMAZING DISCOUNT  ordernowcc-blue
Posted in nursing by Clarissa