Introduction
Welcome to your go-to guide for the NURS 6521 Week 4 Assignment Template. In this comprehensive analysis, we will delve into effective strategies for managing three common yet critical conditions in clinical practice: hypertension, dyslipidemia, and asthma. Whether you’re a nursing student looking to enhance your understanding or a practicing nurse seeking to refresh your knowledge, this guide will provide valuable insights into optimal treatment pathways and patient education techniques.
Directions: For each of the scenarios below, answer the questions below using clinical practice guideline where applicable. Explain the problem and explain how you would address the problem. If prescribing a new drug, write out a complete medication order just as you would if you were completing a prescription. Use at least 3 sources for each scenario and cite sources using APA format. NURS 6521 Week 4 Assignment Template
Scenario 1:
Sara is a 45-year-old female presenting for her annual exam. Her blood pressure today is 160/90 HR 84 RR 16. Her height is 64 inches and her weight is 195. Her last visit to the clinic 3 months ago shows a BP of 156/92. She is currently taking ibuprofen 600 mg tid for back pain. She has no known allergies. What is the goal for her blood pressure? What medication would you prescribe to treat her blood pressure? What education would you prescribe?
Scenario 2
Monty is a 52-year-old male following up on his labs that were drawn last week. He smokes 1 pack per day. He is currently on Lisinopril 20 mg po daily. He is allergic to penicillin. Fasting lipid profile shows total cholesterol 266, LDL cholesterol 180, HDL cholesterol 40, and Triglycerides 185. What treatment plan would you implement for Monty’s lipid profile? What is the goal Total Cholesterol (TC), HDL-C, and LDL-C level for Monty? How would you monitor the effectiveness of your treatment plan? How many risk factors for coronary artery disease does this patient have? Identify them specifically. NURS 6521 Week 4 Assignment
Scenario 3
Beatrice is a 17-year-old female diagnosed with mild persistent asthma since age 7. During her visit today, she reports having to use her albuterol MDI 3 to 4 days per week over the past 2 months. Over the past week she has been using albuterol at least once per day. She reports being awakened by a cough three nights during the last month. She is becoming more short of breath with exercise. She also has a fluticasone MDI, which she uses “most days of the week.” Her current medications include: Flovent HFA 44 mcg, two puffs BID, Proventil HFA two puffs Q 4–6 H PRN shortness of breath, Yaz one PO daily, Propranolol 80 mg PO BID. What treatment plan would you implement for this patient? What medication changes would you make? How would you monitor the effectiveness of this plan?
Scenarion 4.
Daute is a 56-year-old man seeking evaluation for increasing shortness of breath. He noticed difficulty catching his breath about 3 years ago. Physical activity increases his symptoms. He avoids activity as much as possible to prevent any SOB. His previous physician had placed him on salmeterol/fluticasone (Advair Diskus) one inhalation twice daily 2 years ago. He thinks his physician initiated the medication for the shortness of breath, but he is not entirely sure. He did not refill the prescription and has not been taking it. Pertinent history – Chronic bronchitis X 8 years with one exacerbation in last 12 months of treatment with oral antibiotics. He has a 40-pack-year smoking history. What treatment plan would you implement for this patient? What medication(s) would you prescribe? How would you monitor the effectiveness of this plan?
For more insights and detailed management plans, explore our full range of resources available for NURS 6521 students here
Solution:
- Sara is a 45-year-old female presenting for her annual exam. Her blood pressure today is 160/90 HR 84 RR 16. Her height is 64 inches and her weight is 195. Her last visit to the clinic 3 months ago shows a BP of 156/92. She is currently taking ibuprofen 600 mg tid for back pain. She has no known allergies. What is the goal for her blood pressure? What medication would you prescribe to treat her blood pressure? What education would you prescribe?
Problem Explanation: Sara presents with persistently high blood pressure (160/90 mmHg), indicating uncontrolled hypertension. Chronic use of ibuprofen can exacerbate hypertension, which may be contributing to her elevated readings.
Goal for Blood Pressure: According to the American Heart Association, the target blood pressure for someone like Sara should be below 130/80 mmHg.
Medication:
RX: Amlodipine 5 mg
Sig: Take one tablet (5 mg) orally once daily for hypertension
Disp#: 30 tablets
Refill: 2
Signed: [Clinician’s Name]
Patient Education: Discuss the importance of monitoring blood pressure, potential side effects of Amlodipine, including possible swelling or dizziness, and the impact of NSAIDs like ibuprofen on blood pressure. Recommend lifestyle modifications such as a low-sodium diet and regular exercise………….. For ultimate guide and solution click below for NURS 6521 Week 4 Assignment