NUR 631 Topic 13 Discussion Questions with Answers

(NUR 631 Topic 13 Discussion)

NUR 631 Topic 13 Discussion Question 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.” (All Questions Answered)

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?

NUR 631 Topic 13 Discussion Question 1

Ms. C is a 28-year-old Casino Floor Manager. She had gestational diabetes during her fourth pregnancy which she delivered about a year ago and during that time she was treated with NPH BID and NovoLog QID with meals. After delivery she started Metformin and then after that Pioglitazone and Sitagliptin and Glimepiride were added. She eats three meals a day. She prepares them at home… doesn’t eat fast food or junk food and she’s pretty consistent with what she eats day-to-day. She’s very active, exercises regularly and when she sees you in the office her A1C is despite all that she is doing to control the sugars, her A1C is 8.9. What are your treatment options? Give probable diagnosis and differentials.