NUR 2407 Case Study – Tuberculosis
NUR 2407 Case Study – Tuberculosis
NUR2407 Module 6 Case Study – Tuberculosis
<span itemprop=”name”>NUR2407 Module 6 Case Study – Tuberculosis</span>
Each Case study should be between 2 -3 pages – Not including the patient description and reference page.
Each study should have two academic references (textbooks, reference books, or research article) in APA format. Websites such as WebMD, Mayoclinic.com, and NursingRN.com are not considered academic references.
Responses should be in your own words and not directly copied for other texts. Plagiarism and academic dishonesty is not tolerated.
The studies do not need an APA title page, headers, or running head. You may answer the question directly on the document, but please use a different colored font that is readable.
Case Study â€“ Tuberculosis
Mr. X is a homeless person known to the emergency department for frequent visits for injuries related to intoxication and illegal drug use; he was last seen 2 months ago. He is brought to the department today for concerns of constant cough, chills, night sweats, and wheezing. Vital signs are T- 38.2Â°C, HR-78, RR â€“ 28, BP â€“ 178/96, SpO2 = 90% on room air. Blood is noted in his sputum, and he looks like he has lost a lot of weight since his last visit.
An Acid-fact bacilli smear of his sputum returned positive, and a chest x-ray shows infiltrate and consolidation in the R upper lobes and cavities in the L upper lobes subsequent culture returned with mycobacterium tuberculosis. Mr. X is started on isoniazid, rifampin, and pyrazinamide. The provider also orders frequent hepatic function panels
After two months of treatment, Mr. X is switched to isoniazid and rifampin on Tuesdays and Fridays for another seven months.
[Case study from McCuistion, L.E., Vuljoin-DiMaggio, K., Winton, M.B., and Yeager, J.J., (2018). Pharmacology A Patient-Centered Nursing Approach (9 ed.) St. Louis, MO: Elsevier.]
1. Write two nursing diagnoses with related to and as evident by statements (Only one may be at risk for)?
2. Explain the rationale for prescribing three medications to treat the infection?
3. Explain the rationale for continuing the isoniazid and rifampin for seven months?
4. What labs are included in a hepatic function panel, and why is this important to monitor for this patient?
5. What are significant side effects or adverse effects for isoniazid, rifampin, and pyrazinamide?
6. What discharge education is essential for the patient?
7. Research two health and/or social service agencies in your community that Mr. X could be referred to. Please provide name, contact information, and services that can be provided.
NUR 2407 Case Study – Tuberculosis
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.