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Written Assignment 1 Explain principles of care for clients with oncological disorders. Scenario Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a single mother of three teenagers and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and thought that she felt a lump in her right breast during a self-breast exam around that same time. She stated, “I am very busy with my children; I haven’t had time to get it checked out.” She has recently been experiencing right nipple pain. Anna has a positive family history of breast cancer; both her mother and grandmother have been treated for breast cancer. Anna has never had a mammogram. During the breast examination, the practitioner palpated a lump in Anna’s right breast. No discharge from the nipple was observed. Anna’s right breast was tender upon palpation. No abnormalities were found in the left breast. Based on the physical findings Anna will undergo a diagnostic mammogram. Instructions In a 2-page paper, describe the care that Anna would require and address the questions below. What risk factors does Anna have that could predispose her to the development of cancer?
What signs and symptoms could indicate that Anna has developed cancer?
Based on Anna’s risk factors and presenting problems, identify three care strategies that you would use to provide quality care to Anna. Provide rationale to explain why you chose these strategies.
Written Assignment 2 Competency Evaluate responses to nursing interventions for clients with endocrine disorders. Scenario You are working as a nurse supervisor. You are finding a lot of new nurses are unfamiliar with certain endocrine disorders. You have decided to put together a guide for these nurses to educate them on different endocrine diseases and provide them with ways to provide quality multidimensional care. Instructions Compare and contrast two endocrine disorders within the guide. Include the following information: Identify and compare the causes and diagnostic tests.
Identify and compare the signs and symptoms of the disorder.
Describe the nurses’ role in caring for a patient that suffers from this disorder to include the multidimensional aspects of nursing care.
Identify how you will evaluate responses to the interventions taken for each disorder.
Written Assignment 3 Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances. Scenario Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas. Tony’s ABG results: pH 7.28 PaCO2 – 55 mm Hg PaO2 – 70 mm Hg HCO3 – 30 mEq/L Instructions In a 1-2 page Word document: Determine Tony’s acid-base imbalance
Describe possible causes of the imbalance
Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance
List the multidimensional care strategies that are appropriate for the care of Tony
Written Assignment 4 Competency Select appropriate nursing interventions for clients with lower gastrointestinal disorders. Scenario Patient and family education is important in increasing adherence. To provide education to patient and families, you are going to create a poster about a gastrointestinal disorder that will be displayed in a physician’s office. Instructions Please be sure to include the following in your poster design. Overview of the disorder
Causes of the disorder
Diagnostic tests to diagnosis the disorder
Multidimensional nursing care interventions for the disorder
Requirements: .doc file