Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

A 38 year female old med student goes to her physician with complaints of arthralgia and a new rash on her face bilaterally. The rash get worse when in the sun. When she is fatigued, she complains of a sharp pain in her chest when taking a deep breath. She has experienced this before, but this present episode has been the worst she has ever felt. An exam was completed and tests ordered. The following results are:

Physical:

Temperarture, respiratory rate, and BP normal, Heart rate regular and normal

Facial rash macular over the bridge of her nose and cheeks. Discoid scaling also noted on her extensor surfaces of her arms.

Joint pain and stiffness and pain in hands on active and passive motion

Pleural friction rub auscultated with deep respiration

Other systems examined normal.

Labs:

Serum electrolytes – normal

Hemoglibin and Hematocrit – low

Platelet count – slightly low

White blood cells – normal

BUN and Creatinine – elevated

Urine – Positive for Protein

CXR – Small pleural effusion noted

Antinuclear antibody (ANA) – positive

Anti-DNA antibodies – positive

Diagnosis: Systemic Lupus Erythematosus (SLE)

Questions:

1. What is the common descriptive term for this patient’s facial rash and why?

1. What does sunlight do to people with this disease that they are taught t avoid it?

1. Which lab results indicate renal dysfunction. Is this dysfunction related to SLE? Why or why not?

1. State the other signs and symptoms of SLE that are manifested in this patients physical exam and labs? Give the rationale for each.

1. What is the pathophysiology behind SLE causing widespread tissue damage?

1. What is discoid lupus and is it different from SLE?

1. What type of teaching and management plan will be need to be devised by the APN for this patient?

   

Week 3 Discussion Forum

• Why  is your research needed, and how will it affect social change or change  within your organization? Discuss the key people involved and how your  research will affect them.

 

IM3001A Module 3 Pre-Assessment (PDF)

Module Pre-Assessments are your opportunity to practice applying module content before final submission of your Competency Assessment. For your final Competency Assessment, you will address scenarios related to the importance of nursing informatics in healthcare.

For your Module 3 Pre-Assessment, respond to the following prompts. These prompts match those in your final Assessment. Be sure to support your responses with evidence from scholarly literature.

Prompts:

Scenario:

A patient approaches you after her consultation with her physician. Her physician had reviewed her electronic health record with her during the consultation. The patient realized that some of the information in her EHR was incorrect. The patient asks you to make changes to this information. Is this possible? Why or why not? Write a 1-page response that includes the following:

• Describe what you would tell the patient in this scenario regarding making changes to her electronic health record (EHR).
• Explain your reasons for responding to the patient in the way you describe.
• Be sure to reference any legal requirements related to EHRs.

 

Nurses are well positioned for reforming health care in ways that promote a healthier public and reduce healthcare cost. Discuss the role nurse plays in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system.

The discussion must address the topic.

Rationale must be provided

May use examples from your nursing practice

150 words minimum (excluding the reference)

Minimum of two references in APA format within the last five years published.

Attached you can find the rubric to follow up this work.

  

SEARCH-BASED QUESTIONS