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Fred, a fit and healthy 44-year-old, was working outside one warm summer afternoon. When he returned home by the end of the day, his lower back felt sore and he felt nauseated. His wife made him dinner, but he was not hungry and chose to go to bed instead. Fred’s symptoms progressed, and soon he was rolling on the bed with excruciating pain. He said his back hurt as well as his stomach and groin area. The pain would ease off only to return a short while later, and when it did, Fred would begin to sweat and run to the bathroom to vomit. His wife became concerned and she helped him into the car and rushed him to the hospital.

Please answer the following questions and submit your assignment via Blackboard by the due date.

1. At the hospital, an abdominal radiograph showed the presence of renal calculi in Fred’s right ureter (urolithiasis).  What is the pathophysiological mechanism of stone formation in the kidney? 

2. In the hospital, Fred’s urine is being strained for the presence of stones that he may have passed. What is the importance of this action?

3. What are the 4 primary types of renal calculi and what are the risk factors for each of these types of renal calculi? 

4. Hydronephrosis can be a complication of renal calculi. Why is hydronephrosis such a serious complication? 

5. View the following youtube video entitled “How do kidney stones form?”   https://www.youtube.com/watch?v=kd1OgaoHkNk&ebc=ANyPxKpOSV5R2ZhGO16_RyRrOJqxvxX0LqasixjcubWhDn5frqXcvCZuFFZQG3nvVpZSTFL0HxuUpkycrKY94szkE_ucwYOCQg 

Identify two key points that you learned about renal calculi in the video? 

 This is the grading  criteria :
Grading:Subject Knowledge and Accuracy (6 points)

• Normal physiological principles, processes, and mechanisms are explained at the molecular, cellular, and organ levels.
• Physiological processes and mechanisms relating to the pathology are clearly explained.
• Answers focus on substantive ideas that are supported by relevant facts and examples.
• Explanations are clear and incorporate appropriate vocabulary.
• Thoughtful and convincing responses clearly demonstrate depth of subject knowledge.
• Information is derived from good quality, credible sources.
• All questions are answered completely.
• All content is current and accurate.

Bibliography / Citations / Writing (3 points)

• Two (2) or more sources used for the assignment (your textbook can be one of the sources).
• All material that is not considered “common knowledge” is cited. 
• All quotations and/or paraphrasing are cited according to APA format. 
• The full reference for each citation is found in the bibliography.
• References are listed alphabetically at end of assignment in the bibliography.
• Bibliography and citations follow APA format.
• Writing is free of grammatical errors.
• Sentences are complete, clear, and concise.
• Spelling is correct.

This book should be used as reference also:
Porth’s Pathophysiology: Concepts of Altered Health States (9th edition) ISBN-13: 978-1451146004ISBN-10: 1451146000 

 

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 Pathophysiological concepts to an individual presenting with cardiovascular dysfunction – heart failure

Discussion post this. Not too long but needs to include all the contents asked in the rubric. make sure the role of a nurse its related to the nurse practitioner, advance nursing knowledge. Read the entire rubric and make your bit. Need by November 12th, 2019. The scholar reference must be within 5 years and reference page please must include doi info. 

 

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Case Study: Mr. M. 

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.
2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

 

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Jesse is a 57-year-old male who presents with gradual onset of dyspnea on exertion and fatigue. He also complains of frequent dyspepsia with nausea and occasional epigastric pain. He states that at night he has trouble breathing especially while lying on his back. This is relieved by him sitting up. His vitals are 180/110, P = 88, T = 98.0 F, R = 20. After a thorough work-up, he is diagnosed with congestive heart failure.

1. What is the etiology of congestive heart failure?
2. Describe in detail the pathophysiological process of congestive heart failure.
3. Identify hallmark signs identified from the physical exam, diagnostic lab work and symptoms.
4. Describe the pathophysiology of complications of congestive heart failure
5. What teaching would you provide this patient to avoid heart failure symptoms?

In addition to the textbook (McCance, K. L., Huether, S. E., Brashers, V. L., & Rote, N. S. (2013). Pathophysiology: The biologic basis for disease in adults and children (7th ed.). St. Louis, MO: Mosby). utilize at least one peer-reviewed, evidence based resource to develop your post.

 

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