NSG 5000 W 4 assignment 1 – An advanced practiced

NSG 5000 W 4 assignment 1

An advanced practiced registered nurse (APRN) is a nurse who has completed post- graduation in nursing practice. The general preparedness of an APRN includes advanced didactic and clinical, knowledge, skills and high scope of nursing practice.

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In addition to that the defined level of nursing practice of APRN utilizes wide range of advanced and expanded skills, high quality in assessment, strong planning, implementation, and wide range of diagnosis as well as strong evaluation of that required for every patient.

An advanced practiced registered nurse has to complete post-graduation and may work as a specialist or generalist capacity. In case of APRN the advanced practice includes high level of core knowledge, skill and experience that can be applied to the nurse patient relation to achieve enormous benefits for the patients.

An APRN tries to achieve all the possible healthy solutions for its patients through critical analysis, by solving various complex problems as well as solid decision based on the evidence. NSG 5000 W 4 assignment 1

Keeping all the valuable attributes of an APRN I guess the specialty is in a stage of evolution toward advanced practice. The current achievements clearly show an APRN has the potential to evolve. NSG 5000 W 4 assignment 1 An APRN has acquired many skills related to nursing to provide strong care to the p……….

NSG 5000 W 4 assignment 1 – An advanced practiced

Cerebrovascular Accident (CVA)

During the early hours of the morning, Jocelyn Maldrin experiences a mild headache over the right temple, is fatigued and feels slightly weak. Jocelyn is a 68 year old woman who is usually in good health. Jocelyn calls her husband for help. When her husband approaches her he finds her experiencing difficulty in saying words and she has a slight left-sided facial droop. When her husband tries to help her up from the bedside he notices weakness in her left hand. Her husband immediately drives her to the local emergency department. Upon assessment in the emergency department, it is confirmed that Jocelyn has had a CVA.

Jocelyns past medical history consists of Hypertension and Deep Vein Thrombosis. Her medications prior to the CVA included HRT (hormone replacement therapy), Aspirin, Zocor and Plavix. The physician in the emergency room reviews her medications and sends Jocelyn to your medical unit where you are her nurse.

QUESTIONS 1. What other information would be important to collect for evaluating the cause for the CVA?

2, If Jocelyns deficits are temporary, how long might it take before they are completely reversed?

3. The physician prescribes Plavix post CVA? Why do you think he prescribed this for Jocelyn?

(4).Jocelyn is not placed on HRT post CVA. Why would this medication be discontinued?

(5),What treatment that can be initiated in the emergency department to stop a CVA from progressing?

(6) Jocelyn has been on your unit for 3 days and has now stabilized. She is starting to regain some strength to her left-sided limbs. The physician orders a modified barium swallow study and a referral to the speech language pathologist. She has also been referred to the OT (occupational therapist) and RD (registered dietitian). Provide rationales for each of these orders/referrals.

(7). As part of discharge planning, you are asked to advise Jocelyn of local resources and community centres in her area. What type of resources and community centres are available for people who are discharged and need a controlled exercise program?

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