NUR 660 Week 11 Discussion 1: Question-Based Discussion

Value: 100 points

Due: 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 7. Gradebook 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.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource

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 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.

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Note: The value of each of the criterion on this rubric represents a point range. (example: 17-0 points)