THE LYMPHATIC SYSTEM CASE
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
THE LYMPHATIC SYSTEM CASE
Nicole is a 13-year-old-with leukemia. She lives at home with her parents and younger siblings and for the past 3 months has been receiving chemotherapy. She has a central venous access device (CVAD) that is cared for by her parents and her-self. Xicole has experienced a number of absences from school as a result of her hospitalizations, chemotherapy, and the effects of her chemotherapy regimen, although she has had a tutor at home to keep her current with her studies. Xicole has alopecia and has been hospitalized with a line infection, stomatitis and esophagitis, and bleeding requiring platelet replacement. She refuses to see her friends although she speaks with them frequently on the phone. She tells them her refusal is based on the fact that she is prone to infection and doesn’t want to risk exposure and have to be hospitalized again.
:\’icole is admitted to the pediatric unit of the local hospital with a temperature of 38.8º C (101.8º F) that did not respond to the acetaminophen that she has been taking every 4 hours since yesterday. Her admission assessment indicated that Xicole’s lung sounds are clear, heart sounds are strong and regular, she is in no apparent distress, has alopecia, and has evidence of white patches in her mouth. Her laboratory values include:
Hematology:
Hemoglobin: 10.1 g/dL
Hematocrit: 25%
Platelets: 50,000/mm3
White blood cell count: 2,000/mm3
Differential: Neutrophils 20%
- Discuss the significance of Nicole’s laboratory findings.
- What other assessment data would be helpful for the nurse to have to prepare I icole’s care plan?
- What are the priorities of care for Nicole on admission?
- Discuss the common complications (adverse effects) of chemotherapy.
- What nursing actions address the adverse effects associated with chemotherapy?
- Nicole is receiving cyclophosphamide intra-venously. Discuss this agent including any nursing interventions necessary specifically related to
its use.
- Nicole is diagnosed with a CVAD line infection. Discuss how these infections occur and why.
- Nicole’s mother is staying with Nicole during her hospitalization and expresses concern about Nicole refusing to see her friends and that Nicole seems “down” since her last chemotherapy. Discuss your impressions about Nicole’s mother’s state-ments, considering Nicole’s level of growth and development.
- Nicole tells the nurse that her mouth and throat are so sore she cannot drink or eat anything. Discuss your impressions about Nicole’s complaints and the appropriate nursing actions to help Nicole.
- Nicole is prescribed intravenous antibiotic ther-apy to treat her line infection. The health care provider prescribes gentamicin sulfate 100 mg IV q8h. vancomycin hydrochloride 500 mg IV every
6 hours, and cefoxitin sodium 1 g IV every 6 hours. Nicole weighs 40 kg (88 lb). Discuss these agents and if the doses prescribed are safe for Nicole.
- The pharmacy schedules Nicole’s antibiotic therapy as follows:
Gentamicin 2400h 0600h 1200h 1800h
Vancomycin 0200h 0800h 1400h 2200h
Cefoxitin 2400h 0600h 1200h 1800h
Discuss this schedule and what alterations the nurse should make, if any.
- Calculate the rates of administration via a volu-metric intravenous infusion pump for the following:
Gentamicin sulfate: 100 mg in 100 mL of 5% dex-trose in water to infuse over 30 minutes
Vancomycin hydrochloride: 500 mg in 250 mL of 0.9% normal saline
Cefoxitin sodium :1 gin 50 mL of 5% dextrose in water to infuse over 15 minutes
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. The can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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