NRS 455 Pathophysiology Case Study Solved
Course Description
This course is designed to build upon existing knowledge of the pathophysiological processes of disease as they affect patients across the life span, recognizing the nurse’s multidimensional role in health promotion and disease management and prevention, which include biological, environmental, social, psychological, and spiritual dimensions. Integration of nutritional and pharmacological concepts encourages critical thinking and application of nursing interventions. Prerequisite: NRS-420. You can also read NRS 460 Complex Disease Management Class Here.
Class Resources
Final Grading Requirements
A letter grade is only awarded upon successful completion of the following deliverables: Topic 1 – Case Study: Mrs. R.
Topic 2 – Case Study: Mrs. T.
Topic 3 – Benchmark – Case Study: Mr. D.
Students who fail to complete and submit these deliverables (or associated remediation, if required) must be assigned an “incomplete” or a failing grade.
Pathophysiology: Clinical Applications for Client Health
Grand Canyon University (Ed.). (2022). Pathophysiology: Clinical applications for client health (2nd ed.).
Introduction to the GCU Library Research Guide
Refer to the “Introduction to the GCU Library” Research Guide, located on the GCU Library website, to become familiar with the services and resources provided by the GCU Library.
GCU Library Academic Writing Research Guide
Refer to the “Academic Writing” Research Guide, located on the GCU Library website, to find writing resources and tutorials
GCU Library Evaluating Sources Research Guide
Review the “Evaluating Sources” Research Guide, located on the GCU Library website, for information on defining and evaluating scholarly sources, academic journal quality, reading a scientific article, and other aspects of evaluating sources.
GCU Library Citing Sources in APA Research Guide
Refer to the “Citing Sources in APA” Research Guide, located on the GCU Library website, for assistance with citing and referencing sources using APA formatting.
Plagiarism
Read “Plagiarism,” by Eaton (2022), from the Academic Integrity and Referencing module, located on the SAGE Knowledge: Student Success website.
RN to BSN Program Requirements – Indirect Care Experiences
The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities. Various indirect care experiences are embedded within this course. Refer to the attached resource, “NRS-455 – Case Studies: Indirect Care Experience Hours.” The attached table of deliverables can be used as a guide to learn more about how indirect care experiences are embedded within this course.
Spheres of Care Experiences
This program prepares nurses for a variety of direct and indirect care and leadership roles serving diverse populations across the life span, which is accomplished by focusing on the following four spheres of care embedded throughout the curriculum:
Promotion of Health and Well-Being/Disease Prevention Chronic Disease Care
Regenerative or Restorative Care Hospice/Palliative/Supportive Care
RN-BSN Discussion Question Rubric
Refer to the “RN-BSN Discussion Question Rubric,” to understand the expectations for initial discussion question posts.
RN-BSN Participation Rubric
Refer to the “RN-BSN Participation Rubric,” to understand the expectations for participation.
NRS 455 Pathophysiology Case Study Solved Topic 1: Cardiorespiratory Function and Disorders
Objectives:
- Evaluate functions of the cardiac and respiratory systems based on clinical findings.
- Develop a health promotion and restoration teaching plan for a patient with cardiopulmonary
- Develop a patient education plan for preventing
Mar 11, 2025 – Mar 17, 2025 Max Points: 198
Resources
Understanding COPD Emergency Department Presentations
Read “Understanding COPD Emergency Department Presentations: Using Thematic Analysis to Explore the Voices of Patients, Nurses, and Doctors on the Lived Experience of Managing COPD,” by Moloney, from Australian Journal of Advanced Nursing (2022). This resource discusses areas of COPD management that require improvement to mitigate presentations of this condition in the emergency departments of Queensland, Australia.
2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure
Read “2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines,” by Heidenreich et al., from Journal of the American College of Cardiology (2022). This resource provides guidelines for acute care of chronic heart failure patients.
https://www.jacc.org/doi/epdf/10.1016/j.jacc.2021.12.012
Pathophysiology: Clinical Applications for Client Health
Read Chapter 1 in Pathophysiology: Clinical Applications for Client Health.
Towards Integration of Palliative Care in Patients With Chronic Heart Failure and Chronic Obstructive Pulmonary Disease
Read “Towards Integration of Palliative Care in Patients With Chronic Heart Failure and Chronic Obstructive Pulmonary Disease: A Systematic Literature Review of European Guidelines and Pathways,” by Siouta et al., from BMC Palliative Care (2016). This resource provides palliative care guidelines for chronic heart failure patients.
https://link.springer.com/article/10.1186/s12904-016-0089-4
The Development and Pilot Study of a Nurse-Led HOMe-Based HEart Failure Self-Management Programme (The HOM-HEMP)
Read “The Development and Pilot Study of a Nurse-Led HOMe-Based HEart Failure Self-Management Programme (The HOM-HEMP) for Patients With Chronic Heart Failure, Following Medical Research Council Guidelines,” by Jiang, Shorey, Nguyen, Wu, Lee, Yang, Koh, and Wang, from European Journal of Cardiovascular Nursing (2020). This resource provides a nursing look at the home care of patients after an inpatient stay for chronic heart failure exacerbation.
https://academic.oup.com/eurjcn/article/19/3/212/5925508
Exercise-Based Cardiac Rehabilitation in Patients With Chronic Heart Failure: A Dutch Practice Guideline
Read “Exercise-Based Cardiac Rehabilitation in Patients With Chronic Heart Failure: A Dutch Practice Guideline,” by Achttien, Staal, van der Voort, Kemps, Koers, Jongert, and Hendriks, from Netherlands Heart Journal (2014). This resource discusses the elements of cardiac rehab postchronic heart failure diagnosis and hospital stay.
https://link.springer.com/article/10.1007/s12471-014-0612-2
Unlocking Population-Specific Treatments to Render Equitable Approaches and Management in Cardiovascular Disease
Read “Unlocking Population-Specific Treatments to Render Equitable Approaches and Management in Cardiovascular Disease: Development of a Situation-Specific Theory for African American Emerging Adults,” by Smith, Abshire, Magwood, Herbert, Tavakoli, and Jenerette, from Journal of Cardiovascular Nursing (2023). This resource discusses a new theory for cardiovascular disease prevention in African American adults and the integration of this theory in nursing practice.
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi? T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=00005082-900000000-99045&PDF=y
Case Studies: Indirect Care Experience Hours
This “NRS-455 – Case Studies: Indirect Care Experience Hours” form will be used to document the indirect care experience hours completed in Topics 1-3. As progress is made on this and subsequent assignments, update this form by indicating the date(s) each section was completed. This form will be submitted in Topic 3.
Navigating Symptom Management in Heart Failure: The Crucial Role of the Critical Care Nurse
Read “Navigating Symptom Management in Heart Failure: The Crucial Role of the Critical Care Nurse,” by Vuckovic, Bierle, and Ryan, from Critical Care Nurse (2020). This resource discusses the role of the critical care nurse in identifying and managing symptoms of heart failure and how to promote patient self-care in the management of heart failure symptoms.
Summary of Current Course Content Knowledge
Start Date & Time Due Date & Time Points Mar 11, 2025, 12:00 AM Mar 11, 2025, 11:59 PM 0
Assessment Description
Academic engagement through active participation in instructional activities related to the course objectives is paramount to your success in this course and future courses. Through interaction with your instructor and classmates, you will explore the course material and be provided with the best opportunity for objective and competency mastery. To begin this class, review the course objectives for each Topic, and then answer the following questions as this will help guide your instructor for course instruction.
- Which weekly objectives do you have prior knowledge of and to what extent?
- Which weekly objectives do you have no prior knowledge of?
- What course-related topics would you like to discuss with your instructor and classmates? What questions or concerns do you have about this course?
Class Introductions
Start Date & Time Due Date & Time Points Mar 11, 2025, 12:00 AM Mar 13, 2025, 11:59 PM 0
Assessment Description
Take a moment to explore your new classroom and introduce yourself to your fellow classmates. What are you excited about learning? What do you think will be most challenging?
NRS 455 Pathophysiology Case Study Solved Topic 1 DQ 1
Start Date & Time Due Date & Time Points Mar 11, 2025, 12:00 AM Mar 13, 2025, 11:59 PM 8
Assessment Description
Identify a cardiac or respiratory dysfunction and its cause. Outline the key steps necessary to prevent the dysfunction and improve health status.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS 455 Pathophysiology Case Study Solved Topic 1 DQ 2
Start Date & Time Due Date & Time Points Mar 11, 2025, 12:00 AM Mar 15, 2025, 11:59 PM 8
Assessment Description
Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission. Explain how readmission affects reimbursement. What implications does readmission have on the hospital and on the patient?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competency 2.9.
Case Study: Mrs. R.
Start Date & Time Due Date & Time Points Mar 11, 2025, 12:00 AM Mar 17, 2025, 11:59 PM 130
Assessment Description
Use the “Case Study: Mrs. R.” template to complete the assignment.
Case Study: Mrs. R. has indirect care experience requirements. The “NRS-455 – Case Studies: Indirect Care Experience Hours” form, found in the Topic 1 Resources, will be used to document the indirect care experience hours completed in the case study. As progress is made on the case study, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 3.
You are required to cite a minimum of three 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.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 2.5, 2.7, and 8.2.
NRS 455 Pathophysiology Case Study Solved Quiz 1
Start Date & Time Due Date & Time Points Mar 11, 2025, 12:00 AM Mar 17, 2025, 11:59 PM 20
Assessment Traits Timed
Assessment Description
Complete Quiz 1. This quiz is 10 questions and will last 20 minutes.
NRS 455 Pathophysiology Case Study Solved Topic 2: Neurological, Perceptual, and Cognitive Function and Disorders
Objectives:
- Evaluate functions of the neurological, perceptual, and cognitive systems based on clinical
- Utilize the interdisciplinary team when providing care for a patient with a cognitive
Mar 18, 2025 – Mar 24, 2025 Max Points: 208
Resources
Traumatic Brain Injury Update
Read “Traumatic Brain Injury Update,” by Scarboro and McQuillan, from AACN Advanced Critical Care (2021). This resource provides information on multimodal neuromonitoring of patients with traumatic brain injury. The article also discusses various tools and techniques currently used in the treatment of patients with brain injuries.
Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update
Read “Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association,” by Powers et al., from Stroke (2019). This resource provides information on acute and postacute guidelines for ischemic stroke patients.
https://doi.org/10.1161/STR.0000000000000211
Neurological Emergencies in the Intensive Care Unit
Read “Neurological Emergencies in the Intensive Care Unit,” by Ogbebor, Tariq, Jaber, Super, Bhanot, Rana, and Malik, from Critical Care Nursing Quarterly (2023). This resource discusses the importance of a multidisciplinary approach to treating neurological emergencies and provides a review of neurological emergencies that may present to the neurological intensive care unit.
CNE. When Up Is Down: Delirium Superimposed on Dementia
Read “CNE. When Up Is Down: Delirium Superimposed on Dementia,” by Harrington, Roederer, Eppley, and Cacchione, from American Nurse Journal (2022). This resource provides a look at the difference between delirium and dementia to ensure appropriate treatment.
Evidence-Based Guidelines and Clinical Pathways in Stroke Rehabilitation – An International Perspective
Read “Evidence-Based Guidelines and Clinical Pathways in Stroke Rehabilitation – An International Perspective,” by Platz, from Frontiers in Neurology (2019). This resource provides information on rehabilitation for stroke patients after an acute care stay.
https://www.frontiersin.org/articles/10.3389/fneur.2019.00200/full
Pathophysiology: Clinical Applications for Client Health
Read Chapter 2 in Pathophysiology: Clinical Applications for Client Health.
Statement on Human Flourishing
Read the “Statement on Human Flourishing,” by Grand Canyon University (GCU), located on the One Foundation at GCU page of the GCU website, in preparation for Discussion Question 2.
NRS 455 Pathophysiology Case Study Solved Topic 2 DQ 1
Start Date & Time Due Date & Time Points Mar 18, 2025, 12:00 AM Mar 20, 2025, 11:59 PM 8
Assessment Description
Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors. Outline steps for prevention or health promotion for the patient and family. Identify public health departments or local resources in your area that the patient or family could reach out to for support.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS 455 Pathophysiology Case Study Solved Topic 2 DQ 2
Start Date & Time Due Date & Time Points Mar 18, 2025, 12:00 AM Mar 22, 2025, 11:59 PM 8
Assessment Description
Discuss characteristic findings for a stroke and how they affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological, emotional, and spiritual needs. Provide an example integrating concepts from the “Statement on Human Flourishing” located in Topic 2 Resources.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 2.1, 2.2, and 9.2.
CLC – Evidence-Based Practice Project: Intervention Presentation on Diabetes Part 1
Start Date & Time Due Date & Time Points Mar 18, 2025, 12:00 AM Mar 24, 2025, 11:59 PM 10
Assessment Description
This is a Collaborative Learning Community (CLC) assignment. This assignment is to be completed in a group, which will be assigned by your instructor.
As a group, identify two research or evidence-based articles published within the last 5 years that focus on the identification of a specific intervention or treatment tool addressing pathophysiological processes associated with diabetes affecting the aging/elderly population or children. These articles must be relevant to nursing practice and utilize the PICO(T) question format.
Reminder: PICO(T) stands for population, intervention, comparison, outcome, and timeframe.
Submit references and working hyperlinks to the articles, along with a summary of the PICO(T) question (if relevant), as a Word document for your instructor to approve. Your first article should be your first choice, while the second article is to be used as a backup in the event the first article is not approved. The instructor- approved article will be used in the Topic 5 CLC assignment.
APA style is not required, but solid academic writing□ isexpected. You are not required to submit this assignment to LopesWrite.
Case Study: Mrs. T.
Start Date & Time Due Date & Time Points Mar 18, 2025, 12:00 AM Mar 24, 2025, 11:59 PM 130
Assessment Description
Use the “Case Study: Mrs. T.” template to complete the assignment.
Case Study: Mrs. T. has indirect care experience requirements. The “NRS-455 – Case Studies: Indirect Care Experience Hours” form, found in the Topic 1 Resources, will be used to document the indirect care experience hours completed in the case study. As progress is made on the case study, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 3.
You are required to cite a minimum of three 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.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 2.3, 2.4, 2.5, and 2.9.
Case Study: Mrs. T. Example Approach
Directions: Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Complete the critical thinking table and submit this completed template to the assignment dropbox.
Case Study: Mrs. T.
An RN-BSN-prepared nurse must demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the lifespan.
Evaluate Mrs. T.’s health history and medical information, which are presented below.
Health History and Medical Information
Mrs. T., a 42-year-old female, has been living at home with her two high school-age children, husband, and dog. She is a schoolteacher who works full-time teaching at the local grade school. She tries to be active by walking with her husband and dog for 20 minutes on the weekend but is starting to add weight as she gets older. She has no known allergies. She is a pack-a-day smoker and drinks three glasses of wine/per night after work. She tries to eat healthy but likes to eat out at fast food restaurants to avoid having to cook.
Medical history includes atrial fibrillation controlled with beta blocker, hypercholesterolemia, mild anemia related to heavy menses, and migraines. Current medications include:
- Metoprolol 50mg daily
- Pravastatin 40 mg at bedtime daily for cholesterol
- Birth control pill Microgestin Fe in the AM
- Amitriptyline 20 mg/daily for migraines
Case Scenario
You are the school nurse where Mrs. T. works. While at recess duty, another teacher runs up to you and reports that Mrs. T. is not acting like herself. When you approach, you see her sitting on a bench mumbling something to the kids gathered around her. She has dropped her cell phone on the ground, and her right arm appears limp. You try asking her questions, and you notice the right side of her face is slackened, and she does not seem to be making sense when talking. You call an ambulance and try to walk her back to your office, but she does not move well. You reassure her and try to determine if anything occurred prior to her loss of speech and movement. The other teachers say it came on suddenly, within the last 5 minutes. Mrs. T. shakes her head no to pain.
Objective Data – Completed by Ambulance Personal:
- Temperature: 5 degrees C
- BP 184/92, HR 101, RR 24, Pox 99%
- Blood Glucose = 107
- Positive FAST & VAN score, NIHSS = 12
- Height: 62 inches; Weight 89 kg
Laboratory/Test Results – On Arrival to the Emergency Department (Initial Results)
- WBC: 4 (1,000/uL)
- INR – 7
- CT Head is
- Negative pregnancy test
- Cholesterol – 247, Triglycerides – 302
Critical Thinking Table
| Clinical Manifestations Describe the clinical manifestations present in Mrs. T., focusing on what is normal and abnormal and how this relates to her current condition. | |
| Subjective | |
| Objective | The right arm appears to be flaccid The right side of the face is flaccid Her cell phone was dropped Lack of agility The blood pressure is 184/92 mmHg, heart rate 101 beats per minute, respiration 24 breaths per minute, and oxygen saturation is 99% The blood glucose level is 107. The FAST &VAN score indicates a positive result. |
| Primary and Secondary Diagnoses Discuss the primary and secondary medical diagnoses that should be considered for Mrs. T. and why you chose this diagnosis. | |
| Primary medical diagnosis and why you chose this diagnosis. | The diagnosis of ischemic stroke is that ischemic stroke happens when a clot or fatty plaque blocks a blood artery in the brain, cutting off blood supply to certain regions of the brain, American Stroke Association (2021). Because of this obstruction, the brain does not receive enough oxygen and |
| nutrients through the bloodstream. Within minutes of losing blood flow, the brain cells start to die. failure to restore blood flow rapidly enough can cause irreversible brain damage or death. This disease process is determined by the rapid onset of the symptoms, a positive FAST score, and an NIHSS score of 12, indicating substantial neurological impairment. | |
| Secondary medical diagnosis and why you chose this diagnosis. | The medical background of Mrs. T. suggests that atrial fibrillation may have had a role in causing the stroke, Jauch, E.C., et al.(2019). Atrial fibrillation, or A-fib for short, is an irregular heartbeat that happens when the electrical signals sent by the heart’s upper chambers (the atria) are fast and not sync with one another. |
| Formulate a nursing diagnosis from the medical diagnoses | Speech impairment is evidence of impaired verbal communication due to an ischemic stroke. When blood flow to the brain is interrupted, it causes a condition known as an ischemic stroke, Jauch, E.C., et al. (2019). The inability to produce or comprehend written or spoken words is known as aphasia. Strokes affecting the linguistic regions of the left hemisphere are a common etiology. After a stroke, aphasia can appear quickly or progress subtly. What causes and how much damage to the brain determines the degree of aphasia. |
| Pathophysiological Changes Explain the pathophysiological changes in Mrs. T. | |
| What pathophysiological changes would you expect to be happening to Mrs. T.? | Two internal carotid arteries control blood flow to the brain from the front, while two vertebral arteries form the circle of Willis from the back. It occurs when brain tissue dies from ischemia or infarction when the amount of blood flowing to the area is insufficient to fulfill the metabolic demands of the cells. An abrupt cessation of blood circulation to the brain leads to cellular death and neurological deficits. Neurological deficits, potential cognitive decline, and alteration in motor abilities are all anticipated. |
| How will pathophysiological changes transition in the subacute phase after diagnosis and initial | A condition characterized by a rapid reduction in cerebral blood, leading to cell death and neurological deficits. |
| treatment? | Changes in motor function, cognitive impairment, and neurological impairments are all things that people can anticipate. During the acute phase, we talk about neuroplasticity, recovery and rehabilitation processes, and possible residual deficits. |
| Health Status Effect Describe the effects Mrs. T.’s current health status may have on her. | |
| Describe the physical, psychological, and emotional effects Mrs. T.’s current health status may have on her. | Patients with this condition are often upset when they are getting better, as a common response to this tragic event, Mrs. T may encounter increased depression. Symptoms of mental illness may include a lack of stability in mood, hostility, impatience, rage, and an inability to work with others. American Stroke Association (2021) Impairments in motor skills, which may result in reduced independence. Personality Disorder lacks self-restraint. Delicate emotional state Reduced ability to handle difficult situations, Depressive disorder’ Exclusion from, Antipathy, dread, and fury. Dealing with a lifestyle change while fretting over a recurrence might lead to a feeling of isolation. Mrs. T may find it more difficult to fulfill her family role due to her reduced capacity to engage in family activities. |
| Discuss the impact it can have on her role in the family. | Impaired speech, limited physical abilities, weakness on one side of the body, trouble grasping or retaining objects, and a slowed capacity to communicate are the most preventable forms of impairment following a stroke, American Stroke Association. (2021) |
| Treatments and Support Discuss treatments and support that can be completed for Mrs. T. | |
| Discuss the immediate treatments that can be completed for Mrs. T. | Administration of thrombolytic therapy, if it is accessible. Regulation of blood pressure. Regulation of blood glucose levels. Admission to a stroke unit for medical attention and |
| monitoring. | |
| Describe the long-term support she may need to return to the baseline activity level. | Rehabilitation therapies include speech, occupational, and physical therapy. Secondary preventive drugs include anticoagulants and antiplatelets. Smoking cessation, dietary modifications, and consistent physical activity are all instances of lifestyle enhancements, according to the American Stroke Association. (2021). |
| Neurologists, physical therapists, occupational therapists, speech therapists, and social workers collectively form the multidisciplinary team. | |
| Spiritual support, emotional and psychological support. | |
| Explain how the interdisciplinary team is utilized to help her family support and cope with her diagnosis. | When dealing with patients who have had an acute ischemic stroke, Powers W.J. (2018), it is essential to employ a multidisciplinary team approach. A wide range of healthcare experts, each with specialization, comprise this team. The primary objective is to offer all-encompassing care that attends to the patient’s and their family’s emotional, psychological, and physiological requirements, care that addresses all aspects of the patient’s health and well-being. |
References:
American Stroke Association. (2021). Guidelines for the early management of patients with acute ischemic stroke. Stroke, 52(12), e364-e467.
Jauch, E. C. (2019). Guidelines for the early management of patients with acute Ischemic Stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 44(3),870–947.
Powers, W.J. (2018). Guidelines for the early management of patients with Acute Ischemic Stroke: 2019 Update to the 2018 guidelines for the early management of acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 50(12), e344-e344-e418.
NRS 455 Pathophysiology Case Study Solved Quiz 2
Start Date & Time Due Date & Time Points Mar 18, 2025, 12:00 AM Mar 24, 2025, 11:59 PM 20
Assessment Description
Complete Quiz 2. This quiz is 10 questions and will last 20 minutes.
NRS 455 Pathophysiology Case Study Solved Topic 3: Elimination Function and Disorders
Objectives:
- Evaluate functions of systems related to
- Explain the nurse’s role in supporting the patient’s psychological and emotional
- Recommend resources to assist in patient
Mar 25, 2025 – Mar 31, 2025 Max Points: 198
Resources
Functional Health Patterns Assessment Guide
Utilize the “Functional Health Patterns Assessment Guide” in preparation for the Benchmark – Case Study: Mr.
- assignment.
Psychological Issues Surrounding Fecal Incontinence: Experiences of Patients and Nurses
Read “Psychological Issues Surrounding Fecal Incontinence: Experiences of Patients and Nurses,” by Butcher, from British Journal of Community Nursing (2020).
This resource encourages nurses and care workers to develop an empathetic understanding of the basic human emotional responses experienced by patients with incontinence. This article help improve nurses’ self- awareness and the importance of providing emotional care to patients with fecal incontinence.
Overactive Bladder: Not Just a Normal Part of Getting Older
Read “Overactive Bladder: Not Just a Normal Part of Getting Older,” by Carpenter and Campain, from British Journal of Nursing (2022). This resource serves as a guide for students to raise awareness of an under-reported condition and to empower health professionals to open discussions on bladder health with all those in their care.
Acute Abdominal Pain in Children
Read “Acute Abdominal Pain in Children,” by Reust and Williams, from American Family Physician (2016). This resource provides information on acute abdominal pain in pediatric patients.
https://www.aafp.org/pubs/afp/issues/2016/0515/p830.html
Cultural Competence in the Care of Muslim Patients and Their Families
Read “Cultural Competence in the Care of Muslim Patients and Their Families,” by Attum, Hafiz, Malik, and Shamoon, from StatPearls (2023). This article will help with understanding the religious restrictions within the Muslim religion and what nurses must be aware of when treating Muslim patients.
https://www.ncbi.nlm.nih.gov/books/NBK499933/#article-40656.s9
Statement on Human Flourishing
Read the “Statement on Human Flourishing,” by Grand Canyon University (GCU), located on the One Foundation at GCU page of the GCU website, in preparation for Discussion Question 1.
https://www.gcu.edu/sites/default/files/media/documents/about/christian-identity-heritage/statement-on- human-flourishing-4-20-22.pdf
Pathophysiology: Clinical Applications for Client Health
Read Chapter 3 in Pathophysiology: Clinical Applications for Client Health.
Poor Adherence to Clinical Practice Guidelines: A Call to Action for Increased Albuminuria Testing in Patients With Type 2 Diabetes
Read “Poor Adherence to Clinical Practice Guidelines: A Call to Action for Increased Albuminuria Testing in Patients With Type 2 Diabetes,” by Williamson, Gomez-Espinosa, Stewart, Dean, Singh, Cui, and Kong, from Journal of Diabetes and its Complications (2023). This resource will help with understanding of diabetes, compliance, complications, and renal disease.
https://www.sciencedirect.com/science/article/pii/S1056872723001460
Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State
Read “Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State,” by Buchert, from American Nurse (2021). This article will help with understanding the difference between diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) in diabetes. This resource will be helpful in the completion of the discussion questions and quiz.
https://www.myamericannurse.com/dka-and-hhs/
NRS 455 Pathophysiology Case Study Solved Topic 3 DQ 1
Start Date & Time Due Date & Time Points Mar 25, 2025, 12:00 AM Mar 27, 2025, 11:59 PM 8
Assessment Description
Describe in detail the pathophysiological stages of kidney stones in a working 45-year-old adult male. Explain the clinical manifestations, complications, prognosis, diagnostic tests, and medical treatments and procedures involved. Discuss the nurse’s role in supporting the patient’s psychological, emotional, and spiritual needs.
Provide an example integrating concepts from the “Statement of Human Flourishing,” located in Topic 3 Resources.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS 455 Pathophysiology Case Study Solved Topic 3 DQ 2
Start Date & Time Due Date & Time Points Mar 25, 2025, 12:00 AM Mar 29, 2025, 11:59 PM 8
Assessment Description
Describe in detail the pathophysiological explanation of pancreatitis in a working 35-year-old adult female. Explain the clinical manifestations, prognosis, diagnostic tests, and medical treatments and procedures involved. Identify the nurse’s role in promoting health awareness, resiliency and preventing medical complications.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Benchmark – Case Study: Mr. D.
Start Date & Time Due Date & Time Points Mar 25, 2025, 12:00 AM Mar 31, 2025, 11:59 PM 130
Assessment Description
Use the “Case Study: Mr. D.” template and the “Functional Health Patterns Assessment Guide”, located in the topic Resources, to complete the assignment.
Case Study: Mr. D. has indirect care experience requirements. The “NRS-455 – Case Studies: Indirect Care Experience Hours” form, found in the Topic 1 Resources, will be used to document the indirect care experience hours completed in the case study. As progress is made on the case study, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 3.
You are required to cite a minimum of three 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.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies and professional standards: RN-BSN
2.4: Diagnose actual or potential health problems and needs. 2.8: Promote self-care management.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 2.3, 2.4, 2.8, 3.1, and 3.3.
Case Studies: Indirect Care Experience Hours Form
Start Date & Time Due Date & Time Points Mar 25, 2025, 12:00 AM Mar 31, 2025, 11:59 PM 0
Assessment Description
The purpose of this assignment is to document the indirect care experience hours provided for the case study assignments using the assignment templates. The patient assessment, problem prioritization, and development of care plans focusing on patient outcomes in the case studies aligns to competencies that meet clinical requirements as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN). Complete and submit the “NRS-455 – Case Studies: Indirect Care Experience Hours” form to document indirect care experience hours.
In order to receive a passing grade in the course, students are required to have met the required number of indirect care experience hours.
NRS 455 Pathophysiology Case Study Solved Quiz 3
Start Date & Time Due Date & Time Points Mar 25, 2025, 12:00 AM Mar 31, 2025, 11:59 PM 20
Assessment Description
Complete Quiz 3. This quiz is 10 questions and will last 20 minutes.
NRS 455 Pathophysiology Case Study Solved Topic 3 – Indirect Care Experience Remediation
Start Date & Time Due Date & Time Points Mar 25, 2025, 12:00 AM Apr 14, 2025, 11:59 PM 0
Assessment Description
To receive a passing grade in the NRS-455 course, students must complete all deliverables associated with indirect care experience hours and successfully complete remediation (if necessary).
Assignments associated with demonstrating competency related to indirect care experience hours required to pass NRS-455 are submitted throughout the course. Individualized remediation plans are a system of support to help students improve in the areas identified as requiring improvement when performance is assessed against the learning objectives of the course.
Students who earned a score of 76% or higher on the Topic 3 Benchmark – Case Study: Mr. D. assignment do not need to complete this remediation assignment.
Students who earned a score of 75% or lower the Topic 3 Benchmark – Case Study: Mr. D. assignment are required to complete a remediation plan with their faculty and submit the plan in addition to the necessary remediation activities by the end of Topic 5. Students who must remediate but fail to do so will not receive a passing grade in the course.
Please note: The completion of remediation demonstrates competency related to indirect care experience hours; however, completion of remediation will not change the grade for the Topic 3 Benchmark – Case Study: Mr. D. assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are required to submit this assignment to Lopes Write. A link to the Lopes Write technical support articles is located in Course Resources if you need assistance.
NRS 455 Pathophysiology Case Study Solved Topic 4: Cellular and Immunological Function and Disorders
Objectives:
- Discuss characteristic findings for a cellular
- Discuss characteristic findings for an immunological
- Explain how the nursing process is utilized to provide safe and effective care for patients across the life
Apr 1, 2025 – Apr 7, 2025 Max Points: 198
Resources
Student Health: The Nursing Process
Read “Student Health: The Nursing Process,” by Perkins, from Nursing Made Incredibly Easy! (2022). This resource details the application of the nursing process and will be helpful in completing the assignment for this topic.
Systemic Lupus Erythematosus and Critical Illness
Read “Systemic Lupus Erythematosus and Critical Illness,” by Gasser and Schell-Chaple, from AACN Advanced Critical Care (2020). This resource provides an explanation about different complexities and disease processes for the immune response. This resource will be helpful in completing the discussion questions for this topic.
Chapter 1: The Nursing Process: The Foundation of Quality Client Care
Read “Chapter 1: The Nursing Process: The Foundation of Quality Client Care,” by Doenges, Moorhouse, and Murr, from Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (2022). This resource details the nursing process and will be helpful in completing the assignment for this topic.
Who Am I? (Re-) Defining Fibroblast Identity and Immunological Function in the Age of Bioinformatics
Read “Who Am I? (Re-) Defining Fibroblast Identity and Immunological Function in the Age of Bioinformatics,” by Fletcher and Turley, from Immunological Reviews (2021). This article explains the process of immunology and how it affects the body. This resource will be helpful in completing the topic assignments.
Pathophysiology: Clinical Applications for Client Health
Read Chapter 4 in Pathophysiology: Clinical Applications for Client Health.
NRS 455 Pathophysiology Case Study Solved Topic 4 DQ 1
Start Date & Time Due Date & Time Points Apr 1, 2025, 12:00 AM Apr 3, 2025, 11:59 PM 8
Assessment Description
Discuss characteristic findings of an immune dysfunction. Explain what symptomology the patient would exhibit and how these symptoms may complicate daily living and relationships.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS 455 Pathophysiology Case Study Solved Topic 4 DQ 2
Start Date & Time Due Date & Time Points Apr 1, 2025, 12:00 AM Apr 5, 2025, 11:59 PM 8
Assessment Description
Discuss what symptoms are associated with hypersensitivity and anaphylaxis. How will the nurse differentiate these from other conditions or issues? What steps should be taken if the nurse suspects anaphylaxis?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Benchmark – Applying the Nursing Process to Cancer Care
Start Date & Time Due Date & Time Points Apr 1, 2025, 12:00 AM Apr 7, 2025, 11:59 PM 130
Assessment Description
The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.
Write a paper (1,250–1,500 words) on cancer and the approach to care based on the utilization of the nursing process. Include the following in your paper:
- Identify a specific type of cancer and the available screening
- Describe the different types of diagnostic methods across the life span utilized to identify possibility of Explain the numerical method and the tumor, node, metastasized (TNM) method of staging for cancer after the confirmed diagnosis.
- Anticipate outcomes of care (expected, unexpected, and potentially adverse). Describe at least three complications of your selected cancer, the side effects of treatment (excluding nausea, vomiting, and hair loss), and methods to lessen physical and psychological effects, including alternative measures and pharmaceutical/herbal
- Summarize cancer incident rates for your selected What preventative measures can be taken to reduce the yearly morbidity and mortality rate of various cancers in Americans?
- Explain what the American Cancer Society (ACS) might provide for education and What ACS services could a nurse recommend for these patients and why?
- How does an interdisciplinary research approach (which includes liberal arts, science studies, mathematics, social and physical sciences) build on the foundational nursing knowledge related to cancer research?
- Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include how each of the five phases of the nursing process demonstrate the delivery of holistic and patient-focused
You are required to cite a minimum of four 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.
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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies and professional standards: RN-BSN
- : Demonstrate an understanding of the discipline of nursing’s distinct perspective and where shared perspectives exist with other
- : Apply theory and research-based knowledge from nursing, the arts, humanities, and other 10.2: Demonstrate a spirit of inquiry that fosters flexibility and professional maturity.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 1.1, 1.2, 2.5, 3.1, and 10.2.
NRS 455 Pathophysiology Case Study Solved Quiz 4
Start Date & Time Due Date & Time Points Apr 1, 2025, 12:00 AM Apr 7, 2025, 11:59 PM 20
Assessment Description
Complete Quiz 4. This quiz is 10 questions and will last 20 minutes.
NRS 455 Pathophysiology Case Study Solved Topic 5: Musculoskeletal, Metabolism, and Multisystem Function and Disorders
Objectives:
- Describe pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health
- Evaluate a research-based nursing intervention or treatment tool for the management of…
Apr 8, 2025 – Apr 14, 2025 Max Points: 198
Resources
Rheumatoid Arthritis Pathogenesis, Prediction, and Prevention: An Emerging Paradigm Shift
Read “Rheumatoid Arthritis Pathogenesis, Prediction, and Prevention: An Emerging Paradigm Shift,” by Deane and Holers, from Arthritis and Rheumatology (2021). This resource elaborates on musculoskeletal abnormalities.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7772259/
Implementation of School Diabetes Care in the United States: A Scoping Review
Read “Implementation of School Diabetes Care in the United States: A Scoping Review,” by An, Li, Cole, Park, Lyon, and White, from Journal of School Nursing (2022). This article explores different perspectives of care in the school setting and will be helpful for the CLC presentation.
https://journals-sagepub-com.lopes.idm.oclc.org/doi/full/10.1177/10598405211026328
Dysphagia Management and Sarcopenia
Read “Dysphagia Management and Sarcopenia,” by Storie, from Gastroenterology Nursing (2022). This article discusses eating disorders in relation to different musculoskeletal disorders. This resource will be helpful in completing the discussion questions.
Osteoporosis: A Review of Novel Agents
Read “Osteoporosis: A Review of Novel Agents,” by Patel, Salama, and Cottreau, from Orthopaedic Nursing (2022). This article explains osteoporosis and its effects on the body, as well as the advancements that have been made in treatment options. This resource will be helpful in completing the discussion questions.
Pathophysiology: Clinical Applications for Client Health
Read Chapter 5 in Pathophysiology: Clinical Applications for Client Health.
Menopause: Osteoporosis
Read “Menopause: Osteoporosis,” by Schub and Schiebel, from CINAHL Nursing Guide (2021). This article elaborates on the effects of menopause on the body and how osteoporosis is linked. This resource will be helpful in completing the discussion questions.
NRS 455 Pathophysiology Case Study Solved Topic 5 DQ 1
Start Date & Time Due Date & Time Points Apr 8, 2025, 12:00 AM Apr 10, 2025, 11:59 PM 8
Assessment Description
Choose one multisystem dysfunction. Describe pathophysiological changes, abnormal findings, and symptoms of the chosen dysfunction. How does it affect the patient’s activities of daily living?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS 455 Pathophysiology Case Study Solved Topic 5 DQ 2
Start Date & Time Due Date & Time Points Apr 8, 2025, 12:00 AM Apr 12, 2025, 11:59 PM 8
Assessment Description
Explain the modifiable and nonmodifiable risk factors for osteoporosis. How can a nurse support the patient in managing the health condition and restore the patient to optimal health?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
CLC – Evidence-Based Practice Project: Intervention Presentation on Diabetes Part 2
Start Date & Time Due Date & Time Points Apr 8, 2025, 12:00 AM Apr 14, 2025, 11:59 PM 130
Assessment Description
This is a Collaborative Learning Community (CLC) assignment.
Collaborate with your group from Topic 2 to develop a presentation using your instructor-approved article on a specific intervention or new treatment tool for the management of diabetes in the aging/elderly population or children. The article must be published within the last 5 years and relevant to nursing practice.
Create a 12-15-slide PowerPoint presentation (not including the title and references slides) on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.
Include the following:
- Describe, using the PICO(T) question format, the specific population and intervention or treatment tool used in the
- Summarize the PICO(T) outcome evaluated by your selected The research presented must include pathophysiological findings that are current, thorough, and relevant to nursing practice.
- Provide a description of how the treatment tool or intervention can be integrated into nursing Provide evidence to support your discussion. Reflect how the treatment tool or intervention will affect nursing practice and the disease process.
- Explain why psychological, cultural, and spiritual aspects are important to consider for the patient population which your article Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples.
- You are required to cite a minimum of three sources to complete this Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competency 2.3, 2.5, 4.1, and 4.2.
NRS 455 Pathophysiology Case Study Solved Quiz 5
Start Date & Time Due Date & Time Points Apr 8, 2025, 12:00 AM Apr 14, 2025, 11:59 PM 20
Assessment Description
Complete Quiz 5. This quiz is 10 questions and will last 20 minutes.
