Week 11 Discussion 1: Question-Based Discussion

Value: 100 pointsDue: To facilitate scholarly discourse, create your initial post by Day 3, and reply to at least two of your classmates, on two separate days, by Day 7Gradebook Category: Discussions

Initial Post

It is understood that thoughtful responses to your topic question(s) will take some time and thought. Please organize your thoughts before creating your initial post.

Based on your assigned team, create an initial post by answering all questions in your team’s case study, making sure to address all components of all questions.

By Day 3, post your initial response to your assigned part of the case study as a reply to the appropriate discussion thread. Please be sure to number the questions addressed and include all components of each question in your response. Each initial response must have a reference, including at least two scholarly references other than your textbook or course materials. Your post should comprehensively address the questions posed.

Team A Renal Disorders

  1. Explain why hematuria and proteinuria reflect a glomerular problem rather than a tubular problem in the kidney.
  2. Explain the change in filtration if excess glucose is present in the blood entering the kidney.
  3. Explain factors that may contribute to elevated blood pressure in a patient with renal disease.
  4. Compare acute and chronic renal failure with respect to cause, reversibility, and urinary output at onset.
  5. Why is there an increased risk of drug toxicity in the later stages of renal failure?
  6. Why is protein intake restricted in patients with kidney disease?
  7. Compare the causes and pathophysiology of acute pyelonephritis, APSGN, and nephrotic syndrome.

Team B Urinary Disorders

  1. Explain how decreased fluid intake or dehydration predisposes to calculi in the urinary tract.
  2. Explain what the presence of the following in the urine indicates: blood (microscopic and gross), protein, pus, casts, and glucose.
  3. Compare the signs/symptoms of cystitis and pyelonephritis. Which of these indicate that kidney involvement (local or systemic) is occurring?
  4. Where is the urinary bladder located relative to the uterus and rectum in a woman? Briefly explain two possible implications of this location.
  5. Why does male anatomy make it likely that a reproductive system infection may extend into the urinary system?
  6. Explain the difference in causes of frequent voiding associated with cystitis versus those associated with renal insufficiency.
  7. How might urinary tract infections lead to calculus formation?

Team C Reproductive Disorders/STIs

  1. Compare the typical signs of acute bacterial prostatitis, chronic bacterial prostatitis, and acute nonbacterial prostatitis.
  2. Compare BPH and prostatic cancer in terms of the characteristic location of the tumor and the early signs. What are the risk factors for each condition?
  3. Describe each of the following: (1) second-degree uterine prolapse, (2) cystocele, and (3) retroversion of the uterus. Explain the secondary problems that may occur with second- or third-degree prolapse.
  4. How can infection in the vagina can cause PID? What signs and symptoms would you expect? Why is this considered a serious condition?
  5. Describe the causative organisms for (1) chlamydial infection, (2) gonorrhea, (3) syphilis, (4) trichomoniasis, and (5) genital herpes.
  6. Compare the early manifestations of chlamydial infection, gonorrhea, trichomoniasis, syphilis, and genital herpes. Why are these STIs difficult to control (that is, why is it hard to reduce the incidence)?
  7. Describe three factors predisposing patients to vaginal candidiasis and identify the causative organism.

Reply Posts

Review all your peers’ posts, as they will help you prepare for the quiz next week. Select posts from two peers that addressed a case study from a different team than you. For example, students from Team A reply to one post from Team B and one post from Team C. Each reply must use at least one scholarly reference other than your textbook.

Thinking about your population-specific NP track and anticipated practice area:

  • Identify and explain two “pearls of wisdom” or “key concepts/ideas” you learned from reading your peers’ responses.
  • Describe a patient you might encounter in your future practice where you could apply the information learned in your peer’s post.

Please refer to the Grading Rubric for details on how this activity will be graded.

Posting to the Discussion Forum

  1. Select the appropriate Thread.
  2. Select Reply.
  3. Create your post.
  4. Select Post to Forum.