Topic 13 DQ 1

Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”

1. What are the differential considerations of hyperthyroidism and hypothyroidism? Explain the clinical reasoning process you would employ to differentiate between these two conditions.
2. What are the differential considerations of right-sided and left-sided heart failure? What role does pulmonary hypertension play in these types of heart failure? Explain your reasoning.
3. A patient presents in an altered mental state in the ER. What would you consider pathological alterations in this patient? What process would you employ to determine differential diagnoses for this patient?

DQ 2

Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”

1. Your patient questions you about using fetal tissue implants for the treatment of Parkinson’s disease. As an advanced practice nurse, how do you respond without expressing bias opinions? Do you feel your beliefs on this issue will affect your care for patients involved in this mode of treatment? If you hold a belief system that is in conflict with this treatment option, what strategies could you employ that would allow you to meet your patient’s needs as well as your own? If fetal tissue implants were not an issue for you, how would you offer guidance to a peer who is facing this dilemma?
2. Both osteoarthritis and rheumatoid arthritis present with several of the same manifestations such as joint pain and stiffness. How can a provider differentiate between the two?
3. Select one disease related to energy metabolism such as Acid Maltase Deficiency. Describe the disorder, the pathophysiology seen, and the outcomes for the person affected.
4. A child born with osteogenesis imperfecta is at risk for pathological fractures. Explain the pathophysiology of this disorder and the associated risk factors.

DQ 3

Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”

1. Articulate the differentiation between the stages of skin breakdown associated with immobility.
2. Rhabdomyolysis is a rapid breakdown of muscle. Detail the pathophysiology behind rhabdomyolysis.
3. Explain the difference between basal and squamous cell carcinoma of the skin.