MSN Week 8 Assessment: Advanced Health 

MSN Week 8 Assessment: Advanced Health 

MSN Week 8 Assessment: Advanced Health 

Complete a written reflection (250-350 words) on what you learned during this topic. Include the following in your reflection, considered through the lens of a nurse educator.

Think about an experience you have encountered when viewing or completing the particular assessment.
Describe the steps you took when completing this particular assessment.
Discuss difficulties that could potentially arise or specific questions related to completing this type of assessment.
Include illustrative examples of potential strategies used to overcome the difficulties encountered when completing the particular assessment.
Describe how the Christian worldview and compassion for all play a role in this type of assessment.
APA style is not required, but solid academic writing is expected.

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This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

**To help with completing the reflection above, the topics this week were as follows** NO NEED TO ANSWER ANYTHING BELOW…THIS IS JUST A GUIDE TO HELP WITH THE ASSIGNMENT ABOVE!

You walk into a patient’s room and find him unconscious; he does not greet you when you walk in. What are some of your initial assessment techniques that need to be employed and why?
You just reviewed the morning laboratory report for a patient in critical care. You noted that the potassium level is 6.5 mEq/L. What are areas you need to be assessing the patient to monitor for complications from hyperkalemia? Explain your approach in a head to toe assessment.

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MSN Week 8 Advanced Health Assessment 

In the medical-surgical unit, I encountered a 73-year-old White male with kidney failure. The cardiac monitor showed that the patient had bradycardia and hypotension with a heart rate of 48 b/min and a BP of 98/54. I used the bedside ECG to assess his heart rhythm, and it showed tall peaked T waves; prolonged PR intervals; flat P waves; and a wide QRS complex. I ordered various lab tests, including electrolytes, Renal function tests, and CBC. The lab tests revealed the patient had a potassium level of 6.6 mEq/L, elevated serum creatinine and blood urea nitrogen, decreased blood pH, and low hematocrit and hemoglobin levels. Based on the serum K+ levels, we diagnosed the patient with hyperkalemia and started him on 100 mL of 20% IV glucose with 20 units of regular insulin IV to decrease serum potassium levels.

Clinicians may experience difficulties in diagnosing a patient with hyperkalemia.

Hyperkalemia is a serum potassium level > 5.0 mEq/L. The normal range for serum potassium values is narrow. Thus even a slight elevation above normal values can affect excitable tissues, particularly the heart (Hunter & Bailey, 2019). To overcome the difficulties related to diagnosing hyperkalemia, the clinician should collect specific information about symptoms related to hyperkalemia. For example, the clinician should ask whether the patient has experienced skipped heartbeats, palpitations, cardiac irregularities, weakness in the leg muscles, muscle twitching, or unusual tingling or numbness in the hands, feet, or face (Hunter & Bailey, 2019). Besides, the clinician should ask about recent changes in bowel habits, especially diarrhea.

The Christian worldview and compassion for all play a role in assessing patients with electrolyte imbalances since clinicians are expected to take necessary interventions to rectify the electrolyte imbalance. Providers should be keen to identify patients at risk of electrolyte imbalance and take cautionary measures to mitigate them (Palmer et al., 2021). This is because electrolyte imbalances like Hyperkalemia are associated with an increased risk of death.

References

Hunter, R. W., & Bailey, M. A. (2019). Hyperkalemia: pathophysiology, risk factors and consequences. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association – European Renal Association, 34(Suppl 3), iii2–iii11. https://doi.org/10.1093/ndt/gfz206

Palmer, B. F., Carrero, J. J., Clegg, D. J., Colbert, G. B., Emmett, M., Fishbane, S., … & Weir, M. R. (2021, March). Clinical management of hyperkalemia. In Mayo Clinic Proceedings (Vol. 96, No. 3, pp. 744-762). Elsevier. https://doi.org/10.1016/j.mayocp.2020.06.014