NURS 6560 Midterm Study Guide – Exam Questions and Answers

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NURS 6560 Midterm Study Guide – Exam Questions and Answers

NURS 6560 – Mid-Term Review:

Pre and Post-Operative Management:

  • What is pre-operative process and why is it necessary?
  • What are the components and testing necessary in the pre-operative process?
  • What is the pre-operative management of the diabetic patient?
  • Review common surgical complications and risks
  • Identify Low risk vs. high risk procedures according the ACS.
  • Review the NSQIP guidelines for geriatric patients
  • Identify surgical complication risks as per ACS/NSQIP in chronic diseases
  • Review ACCF/AHA antiplatelet therapy guidelines
  • Post-op fevers – early vs. late (more than 24 hours post-op) – Review how to assess and manage post-op fever
  • Post op wound assessment
  • Ordering post-operative pain medications
  • TPN management with electrolytes
  • Fluid and electrolyte management in the post-op period
  • Reading/interpreting chemistry panels;
  • Review the obesity paradox

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HEENT/GI:

  • Review risk factors for throat cancers
  • Foreign Body removal risks and workup
  • Vertigo differentials and diagnosis;
  • Cholesteatoma
  • Allergic rhinitis
  • Ludwig’s angina
  • Sialadentitis
  • Common Infections of head and neck
  • Obstructive Sleep Apnea
  • Thyroid disease and parathyroid disorders
  • GERD
  • Esophagitis
  • Esophageal achalasia
  • Pharyngoesophageal (Zenker) diverticulum
  • Esophageal motility disorders
  • Barrett’s esophagus
  • Nutcracker esophagus;
  • Esophageal carcinoma
  • Esophageal perforation
  • Gastroparesis;
  • Hernias

NURS 6560 Midterm Study Guide – Exam Questions and Answers
CV:

  • CAD risks, etiology, prevention, treatment, diagnostics, and pathology
  • Endocarditis
  • Unstable angina
  • Valvular disorders – identification of murmurs, treatment and complications
  • CABG – options and complications; dysrhythmias; pulmonary edema;
  • Marfan’s syndrome
  • Thoracic aneurysms – diagnosis, treatment and complications
  • Heart transplant – indications and treatments
  • Normal carotid endarterectomy course, management after surgery, and writing post-op notes

NURS 6560 Midterm Study Guide – Exam Questions and Answers
Pulmonary:

  • VATS
  • Thoracentesis
  • Lung biopsies
  • Tietze syndrome
  • Empyema;
  • Pneumothorax;
  • Mediastinitis
  • Broncholithiasis
  • TB test interpretation and limitations;
  • All types of pneumonia;
  • Sarcoidosis
  • Lung cancer post op complications
  • PE

 
Shock:

  • Hypovolemic shock
  • Cardiogenic Shock
  • Obstructive Shock (especially in PE)
  • Distributive Shock (neurogenic and septic shock)
  • Focus on the diagnosis and treatment of different types of Shock
  • Pulmonary Artery Catheter – normal and abnormal pressures
  • ACLS standards/guidelines for treating Shock

NURS 6560 Midterm Study Guide – Exam Questions and Answers

Medicolegal Considerations and the Role of the Advanced Practice Nurse

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Medicolegal Considerations and the Role of the Advanced Practice Nurse

In this course, all Discussions will have two parts:

  • Part I will consist of a specific topic related to the Week’s content.
  • Part II will consist of a pharmacology review of approximately 250 words. Please submit each posting separately but within the same Discussion thread.

You will be assessed on your posting and responses to both parts.
As an advanced practice nurse (APN), it is essential to understand your medicolegal responsibilities as they relate to coding the services you provide to patients. Improper coding, undercoding, or overcoding can have serious implications for patients, providers, and the provider’s care setting. For this Discussion, you examine potential coding issues in case studies and consider the medicolegal responsibilities of the advanced practice nurse.
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Case Study 1

Sally Jones, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. Sally had five history and physicals to complete on admissions that came in overnight. At the beginning of her shift, she had to complete two emergency admissions and was then called to intensive care, where she spent most of the afternoon. She had to leave work early because of her husband’s retirement party. Because she knew most of the patients on her rounding list, she decided to visit each patient’s room quickly for about 10 minutes. She coded all of the visits the same way she had done the day before, with codes 99231 and 99232. Medicolegal Considerations and the Role of the Advanced Practice Nurse

Case Study 2

Lisa Smith, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. It took her 50 minutes to see 10 of her patients and 30 minutes to see each of the remaining patients on her list. She used the same code for all visits—99233. Medicolegal Considerations and the Role of the Advanced Practice Nurse
To prepare:

  • Select one of the provided case studies.
  • Review the patient documentation given for the case. Think about medicolegal considerations and the responsibilities of the advanced practice nurse.
  • Consider the medical codes selected by the advanced practice nurse. Reflect on how the selections might impact clinical practice and billing. Think about how the impact might differ from primary to acute care settings. Medicolegal Considerations and the Role of the Advanced Practice Nurse

By Day 3

Post a brief description of the patient documentation given for the case study you selected. Explain any medicolegal considerations, including the role and responsibilities of the advanced practice nurse. Then, explain how medical coding might impact clinical practice and billing, as well as how implications might differ from primary to acute care settings.
Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days who selected a different case study than you. Share additional insights or alternative perspectives.

Discussion Part II: Pharmacology

Read the following articles to enhance your knowledge on commonly prescribed medications:

River-Bou, W. & Brown, D. (2014). Thrombolytic Therapy. Retrieved from http://emedicine.medscape.com/article/811234-overview

Thrombolytics are used for AMI, DVT, acute peripheral arterial occlusion, occlusion of indwelling catheters, pulmonary embolism, and stroke. Medicolegal Considerations and the Role of the Advanced Practice Nurse
All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.

  • Activase
  • Retavase
  • Urokinase
  • Streptokinase
  • TNKase
  • Anistreplase.

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.

By Day 3

For this Discussion, address 1 of the following options:

Option 1

Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose. Medicolegal Considerations and the Role of the Advanced Practice Nurse

Option 2

Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3

Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication.

Medicolegal Considerations and the Role of the Advanced Practice Nurse

Although your roles and responsibilities may differ based on your practice setting (think emergency department versus inpatient hospital setting or outpatient specialty medicine clinic), they may also vary depending on the state in which you practice. Because each state has its own laws and regulations that determine the scope of practice for advanced practice nurses, it is your responsibility to understand your own state’s guidelines. This Assignment involves locating the Nurse Practice Act for your state and reviewing practice guidelines, licensing requirements, and the certification process.
To prepare:

  • Locate the Nurse Practice Act for your state, as well as any other state legislation that outlines practice for Advanced Practice Registered Nurses (APRNs). Reflect on the definition and scope of practice of the APRN according to your state. Medicolegal Considerations and the Role of the Advanced Practice Nurse
  • Consider which state board is responsible for licensure of APRNs. Determine whether your state requires nursing board approval, board of medicine approval, or joint board approval for APRN practice.
  • Consider the DEA (Drug Enforcement Administration) Drug Schedule categories approved for APRN prescribing. Think about how this might impact your clinical practice.
  • Research the national certifying board options and application processes for the Adult Geriatric Acute Care Nurse Practitioner. Think about which exams are recognized by your state board and which board options best suit your professional needs.

To Complete:
Address the following in a 1- to 2-page paper:

  • Explain the definition and scope of practice for APRNs according to the Nurse Practice Act in your state.
  • Identify the state board that is responsible for licensure of APRNs.
  • Identify the DEA Drug Schedule categories approved for APRN prescribing in your state. Explain whether this might impact your clinical practice, and if so, explain how.
  • Identify which national certifying board options are recognized by your state board. Explain which options best suit your professional needs and why. Describe the application processes for these options. Medicolegal Considerations and the Role of the Advanced Practice Nurse

By Day 7

This Assignment is due.

Note: You must include references to support your paper. The School of Nursing also requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting. Medicolegal Considerations and the Role of the Advanced Practice Nurse

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the following naming convention: “WK1Assgn+lastname+first initial”.
  • Click the Week 1 Assignment link.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.
  • Click on the Submit button to complete your submission.

Medicolegal Considerations and the Role of the Advanced Practice Nurse

Rubric

Excellent Good Fair Poor
Quality of Work Submitted:
The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.
27 (27%) – 30 (30%)
Assignment exceedsexpectations. All topics are addressed with a minimum of 75% containing exceptionalbreadth and depth about each of the assignment topics. Medicolegal Considerations and the Role of the Advanced Practice Nurse
24 (24%) – 26 (26%)
Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.
21 (21%) – 23 (23%)
Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.
0 (0%) – 20 (20%)
Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.
Quality of Work Submitted:
The purpose of the paper is clear.
5 (5%) – 5 (5%)
A clear and comprehensive purpose statement is provided which delineates all required criteria.
4 (4%) – 4 (4%)
Purpose of the assignment is stated, yet is brief and not descriptive.
3.5 (3.5%) – 3.5 (3.5%)
Purpose of the assignment is vague or off topic.
0 (0%) – 3 (3%)
No purpose statement was provided.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:Understand and interpret the assignment’s key concepts.
9 (9%) – 10 (10%)
Demonstrates the ability to critically appraise and intellectually explore key concepts.
8 (8%) – 8 (8%)
Demonstrates a clear understanding of key concepts.
7 (7%) – 7 (7%)
Shows some degree of understanding of key concepts.
0 (0%) – 6 (6%)
Shows a lack of understanding of key concepts, deviates from topics.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.
18 (18%) – 20 (20%)
Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view.
16 (16%) – 17 (17%)
Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.
14 (14%) – 15 (15%)
Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.
0 (0%) – 13 (13%)
Includes and integrates specific information from 0 to 1 resoruce to support major points and point of view.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.
18 (18%) – 20 (20%)
Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.
16 (16%) – 17 (17%)
Summarizes information gleaned from sources to support major points, but does not synthesize.
14 (14%) – 15 (15%)
Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.
0 (0%) – 13 (13%)
Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.
Written Expression and FormattingParagraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity. Medicolegal Considerations and the Role of the Advanced Practice Nurse
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time.
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 60%- 79% of the time.
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time.
Written Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and FormattingThe paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.
5 (5%) – 5 (5%)
Uses correct APA format with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors. Medicolegal Considerations and the Role of the Advanced Practice Nurse
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100

Medicolegal Considerations and the Role of the Advanced Practice Nurse

State Regulations for Advanced Practice Nurses

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Assignment: State Regulations for Advanced Practice Nurses

Although your roles and responsibilities may differ based on your practice setting (think emergency department versus inpatient hospital setting or outpatient specialty medicine clinic), they may also vary depending on the state in which you practice. Because each state has its own laws and regulations that determine the scope of practice for advanced practice nurses, it is your responsibility to understand your own state’s guidelines. This Assignment involves locating the Nurse Practice Act for your state and reviewing practice guidelines, licensing requirements, and the certification process.
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To prepare:

  • Locate the Nurse Practice Act for your state, as well as any other state legislation that outlines practice for Advanced Practice Registered Nurses (APRNs). Reflect on the definition and scope of practice of the APRN according to your state.
  • Consider which state board is responsible for licensure of APRNs. Determine whether your state requires nursing board approval, board of medicine approval, or joint board approval for APRN practice.
  • Consider the DEA (Drug Enforcement Administration) Drug Schedule categories approved for APRN prescribing. Think about how this might impact your clinical practice.
  • Research the national certifying board options and application processes for the Adult Geriatric Acute Care Nurse Practitioner. Think about which exams are recognized by your state board and which board options best suit your professional needs. Assignment: State Regulations for Advanced Practice Nurses

To Complete:
Address the following in a 1- to 2-page paper:

  • Explain the definition and scope of practice for APRNs according to the Nurse Practice Act in your state.
  • Identify the state board that is responsible for licensure of APRNs.
  • Identify the DEA Drug Schedule categories approved for APRN prescribing in your state. Explain whether this might impact your clinical practice, and if so, explain how. Assignment: State Regulations for Advanced Practice Nurses
  • Identify which national certifying board options are recognized by your state board. Explain which options best suit your professional needs and why. Describe the application processes for these options.

By Day 7

This Assignment is due.

Note: You must include references to support your paper. The School of Nursing also requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting. Assignment: State Regulations for Advanced Practice Nurses

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the following naming convention: “WK1Assgn+lastname+first initial”.
  • Click the Week 1 Assignment link.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.
  • Click on the Submit button to complete your submission. Assignment: State Regulations for Advanced Practice Nurses Assignment: State Regulations for Advanced Practice Nurses

Assignment: State Regulations for Advanced Practice Nurses Rubric

 

Excellent Good Fair Poor
Quality of Work Submitted:
The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.
27 (27%) – 30 (30%)
Assignment exceedsexpectations. All topics are addressed with a minimum of 75% containing exceptionalbreadth and depth about each of the assignment topics.
24 (24%) – 26 (26%)
Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.
21 (21%) – 23 (23%)
Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.
0 (0%) – 20 (20%)
Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.
Quality of Work Submitted:
The purpose of the paper is clear.
5 (5%) – 5 (5%)
A clear and comprehensive purpose statement is provided which delineates all required criteria.
4 (4%) – 4 (4%)
Purpose of the assignment is stated, yet is brief and not descriptive.
3.5 (3.5%) – 3.5 (3.5%)
Purpose of the assignment is vague or off topic.
0 (0%) – 3 (3%)
No purpose statement was provided.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:Understand and interpret the assignment’s key concepts.
9 (9%) – 10 (10%)
Demonstrates the ability to critically appraise and intellectually explore key concepts.
8 (8%) – 8 (8%)
Demonstrates a clear understanding of key concepts.
7 (7%) – 7 (7%)
Shows some degree of understanding of key concepts.
0 (0%) – 6 (6%)
Shows a lack of understanding of key concepts, deviates from topics.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.
18 (18%) – 20 (20%)
Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view. Assignment: State Regulations for Advanced Practice Nurses
16 (16%) – 17 (17%)
Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.
14 (14%) – 15 (15%)
Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.
0 (0%) – 13 (13%)
Includes and integrates specific information from 0 to 1 resoruce to support major points and point of view.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.
18 (18%) – 20 (20%)
Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.
16 (16%) – 17 (17%)
Summarizes information gleaned from sources to support major points, but does not synthesize. Assignment: State Regulations for Advanced Practice Nurses
14 (14%) – 15 (15%)
Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.
0 (0%) – 13 (13%)
Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.
Written Expression and FormattingParagraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity. Assignment: State Regulations for Advanced Practice Nurses
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time.
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 60%- 79% of the time.
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time.
Written Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors. Assignment: State Regulations for Advanced Practice Nurses
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and FormattingThe paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.
5 (5%) – 5 (5%)
Uses correct APA format with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100

Assignment: State Regulations for Advanced Practice Nurses

NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

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NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Conditions of the Eye, Ear, Nose, and Throat

Symptoms of eye, ear, nose, and throat (EENT) conditions are among the most common complaints for patients. When patients with EENT conditions reach the level of acuity necessary for inpatient care, proper diagnosis can be challenging, because many EENT symptoms can be associated with multiple conditions. As the advanced practice nurse, you must be able to differentiate symptoms and recognize typical and atypical presentations of EENT conditions.

This week, you will examine limitations and challenges of clinical practice. Then, as you study patient presentations of EENT conditions in acute care settings, you will explore strategies for assessing, diagnosing, and treating patients with these conditions. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Learning Objectives

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By the end of this week, students will:
  • Analyze limitations and challenges of clinical practice
  • Evaluate patients with eye, ear, nose, and throat conditions
  • Develop differential diagnoses for patients with eye, ear, nose, and throat conditions
  • Develop treatment plans for patients with eye, ear, nose, and throat conditions

Photo Credit: Ariel Skelley/Blend Images/Getty Images

Learning Resources

Required Readings

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F.A. Davis Company.
 

  • Section 5, “Head: Eyes, Ears, Nose, and Mouth”
    • Chapter 68, “Audiometry Testing”
    • Chapter 70, “Tympanometry”
    • Chapter 71, “Visual Function: Evaluation (Snellen, Illiterate E) Procedures—Eyes”
    • Chapter 76, “Eyebrow Laceration Repair”
    • Chapter 77, “Eyelid Eversion Procedures: Ears/Nose”
    • Chapter 79, “Cerumen Impaction Removal: Irrigation of the Ear and Curette Technique”
    • Chapter 80, “Ear Piercing”
    • Chapter 88, “Tooth Avulsion and Fracture”

Papadakis, M. A., McPhee, S. J., & Rabow, M. W. (2018). Current medical diagnosis & treatment (57th ed.). New York, NY: McGraw Hill. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

  • Chapter 7, “Disorders of the Eyes & Lids” (pp. 170-204)
  • Chapter 8, “Ear, Nose, & Throat Disorders” (pp. 205-245)

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F.A. Davis Company.
 

  • Chapter 5, “EENT Imaging” (pp. 105–123)

American Association for Clinical Chemistry. (2014b). Lab tests online: Test index. Retrieved from http://labtestsonline.org/map/aindex

Family Practice Notebook. (2014). Nasal packing. Retrieved from http://www.fpnotebook.com/ent/Procedure/NslPckng.htm

Johns Hopkins Medicine. (2007). Understanding your audiogram. Retrieved from http://www.hopkinsmedicine.org/hearing/hearing_testing/understanding_audiogram.html

University of Texas Medical Branch. (n.d.). Tympanometry. Retrieved Noveember 25, 2014, from http://www.utmb.edu/pedi_ed/aom-otitis/tympanometry/tympanometry.htm

Overgaard, C. B., & Dzavik, V. (2008). Inotropes and Vasopressors: Review of Physiology and Clinical Use in Cardiovascular Disease. Circulation , 118: 1047-1056. Copyright 2008 by Llippincott Williams & Wilkins – Journals. Reprinted by permission of Llippincott Williams & Wilkins – Journals via the Copyright Clearance Center.

Document: Midterm Exam Study Guide

Required Media

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

MDforAll. (2010, September 11). Frontal sinus transillumination [Video file]. Retrieved from http://www.youtube.com/watch?v=8Lo3bENDqzs

MDforAll. (2010, September 11). Maxillary sinus transillumination [Video file]. Retrieved from http://www.youtube.com/watch?v=Z-CYWdc73IQ. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Optional Resources

Godara, H., Hirbe, A., Nassif, M., Otepka, H., & Rosenstock, A. (2014). The Washington manual of medical therapeutics (34th ed.). Baltimore, MD: Lippincott Williams & Wilkins.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F.A. Davis.

The nursing field requires professionals to be committed to life-long learning and growth. Because a large part of this learning and growth is achieved through clinical experiences, it is invaluable for advanced practice nurses to be able to apply knowledge recently gained from clinical experiences to new situations. By collaborating with colleagues and sharing these experiences and knowledge, advanced practice nurses can further enhance their professional competency.
This week in order to demonstrate collaborative learning; discuss a situation in your acute hospital experience of a collaboration that occurred. Reflect on the experience and the impact it had on your care of this patient. How will this experience possibly impact you in your future practice with these type of patients? What are some limitations and challenges you encountered during this clinical experience?
To prepare:

  • Reflect on this week’s clinical experiences.
  • Consider one limitation or challenge you encountered.
  • Think about how you overcame this limitation or challenge and how this might impact your future practice in acute care settings.

By Day 3

Post a description of at least one limitation or challenge you encountered during your clinical experience this week. Explain how you overcame this limitation or challenge and how this might impact your future practice. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
Read a selection of your colleagues’ responses.

By Day 6

Respond to two colleagues by sharing additional insights or alternative perspectives.

Discussion Part II: Pharmacology

To Prepare:
Read the following article to enhance your knowledge on commonly prescribed medications:

Overgaard, C. B., & Dzavik, V. (2008). Inotropes and Vasopressors: Review of Physiology and Clinical Use in Cardiovascular Disease. Circulation, 118: 1047-1056. Copyright 2008 by Llippincott Williams & Wilkins – Journals. Reprinted by permission of Llippincott Williams & Wilkins – Journals via the Copyright Clearance Center.

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.
Antiemetic:

  • Zofran
  • Kytril
  • Phenergan;

Positive Inotropes:

  • Digoxin

Catecholamines:

  • Dobutamine
  • Dopamine
  • Epinephrine
  • Norepinephrine
  • Vasopressin

Nitroglycerine;

  • Amrinone
  • Midodrine
  • Milrinone

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.

By Day 3

For this Discussion, address 1 of the following options:

Option 1

Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.

Option 2

Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3

Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference.

Submission and Grading Information

Grading Criteria

Week 3 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 3 Discussion

Assignment: Assessing, Diagnosing, and Treating EENT Conditions

Many EENT conditions have common symptoms and are often the result of underlying health disorders. Therefore, to ensure proper diagnosis, it is essential for advanced practice nurses to perform comprehensive assessments when patients present with EENT complaints. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat patients presenting with EENT conditions.
To prepare:

  • Review this week’s Learning Resources. Consider how to assess, diagnose, and treat conditions of the eye, ear, nose, and throat.
  • Review this week’s i-Human case studies. Based on the patient information provided, think about the health history you would need to collect from the patient
  • Consider what physical exams and diagnostic tests would be appropriate to help you gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
  • Identify three to five possible conditions to consider in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Reflect on a treatment plan for the patient that includes health promotion and patient education strategies.

To complete:
As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 1 Learning Resources.
NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

iHuman_Evaluation_Criteria_Rubric

 

Novice Competent Proficient
HPI statement
0 (0%) – 5 (5%)
Poorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skills
6 (6%) – 10 (10%)
Well written HPI statement but may be missing 1-2 key components from the history
11 (11%) – 15 (15%)
Clearly written HPI statement with comprehensive information gathering from case questions.
Objective testing and physical exam
0 (0%) – 5 (5%)
Poorly written physical examination. May be missing 3 or more key exam findings that are critical to patient’s diagnosis. Includes 3 or more inappropriate exams or tests.
6 (6%) – 10 (10%)
Well written physical examination but may be missing 1-2 key exam findings critical to patient’s diagnosis. May include 1-2 unnecessary exams or tests.
11 (11%) – 15 (15%)
Clearly written physical examination covering all critical components of a focus exam. Tests that are ordered are appropriate for patient and cost effective.
Assessment
0 (0%) – 10 (10%)
Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components. Priority list may be out of order. Primary diagnosis may be wrong.
11 (11%) – 19 (19%)
Well written differential diagnoses. May be missing 1-2 critical components. Correct primary diagnosis identified.
20 (20%) – 25 (25%)
Clearly written differential diagnoses. Primary diagnosis identified.
Plan for patient
0 (0%) – 15 (15%)
Poorly written plan. May be missing 3 or more key issues that are critical to patient’s diagnosis.
16 (16%) – 25 (25%)
Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis.
26 (26%) – 30 (30%)
Clearly written plan covering all critical components for patient’s final diagnosis.
Clinical Questions
0 (0%) – 10 (10%)
Correctly answered 0-69% of the clinical questions.
11 (11%) – 13 (13%)
Correctly answered 70-89% of the clinical questions.
14 (14%) – 15 (15%)
Correctly answered 90-100% of the clinical questions.

NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Discussion_Rubric

 

Outstanding Performance Excellent Performance Competent Performance Proficient Performance Room for Improvement
Main Posting:
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
44 (44%) – 44 (44%)
Thoroughly responds to the discussion question(s)is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
supported by at least 3 current, credible sources
40 (40%) – 43 (43%)
Responds to the discussion question(s)is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.
75% of post has exceptional depth and breadth
supported by at least 3 credible references
35 (35%) – 39 (39%)
Responds to most of the discussion question(s)is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.
50% of post has exceptional depth and breadth
supported by at least 3 credible references
31 (31%) – 34 (34%)
Responds to some of the discussion question(s)one to two criteria are not addressed or are superficially addressed
is somewhat lacking reflection and critical analysis and synthesis
somewhat represents knowledge gained from the course readings for the module.
post is cited with fewer than 2 credible references
0 (0%) – 30 (30%)
Does not respond to the discussion question(s)lacks depth or superficially addresses criteria
lacks reflection and critical analysis and synthesis
does not represent knowledge gained from the course readings for the module.
contains only 1 or no credible references
Main Posting:
Writing
6 (6%) – 6 (6%)
Written clearly and conciselyContains no grammatical or spelling errors
Fully adheres to current APA manual writing rules and style
5.5 (5.5%) – 5.5 (5.5%)
Written clearly and conciselyMay contain one or no grammatical or spelling error
Adheres to current APA manual writing rules and style
5 (5%) – 5 (5%)
Written conciselyMay contain one to two grammatical or spelling error
Adheres to current APA manual writing rules and style
4.5 (4.5%) – 4.5 (4.5%)
Written somewhat conciselyMay contain more than two spelling or grammatical errors
Contains some APA formatting errors
0 (0%) – 4 (4%)
Not written clearly or conciselyContains more than two spelling or grammatical errors
Does not adhere to current APA manual writing rules and style
Main Posting:
Timely and full participation
10 (10%) – 10 (10%)
Meets requirements for timely and full participationposts main discussion by due date
0 (0%) – 0 (0%)
NA. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
0 (0%) – 0 (0%)
NA
0 (0%) – 0 (0%)
NA
0 (0%) – 0 (0%)
Does not meet requirement for full participation
First Response:Post to colleague’s main post that is reflective and justified with credible sources.
9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settingsresponds to questions posed by faculty
the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
8.5 (8.5%) – 8.5 (8.5%)
Response exhibits critical thinking and application to practice settings
7.5 (7.5%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting
6.5 (6.5%) – 7 (7%)
Response is on topic, may have some depth
0 (0%) – 6 (6%)
Response may not be on topic, lacks depth. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
First Response:
Writing
6 (6%) – 6 (6%)
Communication is professional and respectful to colleaguesResponse to faculty questions are fully answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
5.5 (5.5%) – 5.5 (5.5%)
Communication is professional and respectful to colleaguesResponse to faculty questions are answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleaguesResponse to faculty questions are mostly answered if posed
Provides opinions and ideas that are supported by few credible sources
Response is written in Standard Edited English
4.5 (4.5%) – 4.5 (4.5%)
Responses posted in the discussion may lack effective professional communicationResponse to faculty questions are somewhat answered if posed
Few or no credible sources are cited
0 (0%) – 4 (4%)
Responses posted in the discussion lack effectiveResponse to faculty questions are missing
No credible sources are cited
First Response:
Timely and full participation
5 (5%) – 5 (5%)
Meets requirements for timely and full participationposts by due date
0 (0%) – 0 (0%)
NA
0 (0%) – 0 (0%)
NA
0 (0%) – 0 (0%)
NA
0 (0%) – 0 (0%)
Does not meet requirement for full participation
Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings * responds to questions posed by facultythe use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
8.5 (8.5%) – 8.5 (8.5%)
Response exhibits critical thinking and application to practice settings
7.5 (7.5%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting
6.5 (6.5%) – 7 (7%)
Response is on topic, may have some depth
0 (0%) – 6 (6%)
Response may not be on topic, lacks depth. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
Second Response:
Writing
6 (6%) – 6 (6%)
Communication is professional and respectful to colleaguesResponse to faculty questions are fully answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
5.5 (5.5%) – 5.5 (5.5%)
Communication is professional and respectful to colleaguesResponse to faculty questions are answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleaguesResponse to faculty questions are mostly answered if posed
Provides opinions and ideas that are supported by few credible sources
Response is written in Standard Edited English
4.5 (4.5%) – 4.5 (4.5%)
Responses posted in the discussion may lack effective professional communicationResponse to faculty questions are somewhat answered if posed
Few or no credible sources are cited
0 (0%) – 4 (4%)
Responses posted in the discussion lack effectiveResponse to faculty questions are missing
No credible sources are cited
Second Response:
Timely and full participation
5 (5%) – 5 (5%)
Meets requirements for timely and full participationPosts by due date
0 (0%) – 0 (0%)
NA
0 (0%) – 0 (0%)
NA
0 (0%) – 0 (0%)
NA
0 (0%) – 0 (0%)
Does not meet requirement for full participation

NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

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