**I WILL NOT ACCEPT ASSIGNMENTS POSTED ON OTHER DISCUSSION BOARDS.

• • Instructions:

    • Please review Canvas PowerPoints, audios, and read the textbook prior.

    • Read the questions/scenarios and answer the following questions.

    • Watch for grammar and sentence structure.There must be a minimum of ONE (1) paragraph (five to ten complete sentences) per question.

      • Avoid using bullet points when answering the questions.
      • Ten (10) points will be deducted for improper grammar and sentence structure.

    • Please save and post your answers on the Discussion Board. DO NOT attach a file.

    • Please review and discuss the questions/scenarios listed below.

    • You will need to INDIVIDUALLY post your response prior to seeing other posts. I will read/grade the first discussion posted.

    • Please cite your source(s) and include your reference(s). Reference(s) must be from a credible source (i.e textbook, peer-reviewed articles, etc.).

      • Ten (10) points will be deducted for missing or non-credible reference(s).

    • *To receive FULL points, you must come back to review and respond on a different day from the initial discussion post to at least TWO (2) of your classmate's responses.  

      • • (12.5 points for each response - total of 25 points).

      • There should be a minimum of ONE (1) paragraph (five to ten complete sentences) per response.

        • Avoid using bullet points when answering the questions.
        • Ten (10) points will be deducted for improper grammar and sentence structure.
      • Peer responses must provide thoughtful feedback, share relevant insights, and add new information to deepen the discussion.
      • **“Yes”, “No”, “You are right”, “I agree”,” I disagree,” etc… ARE NOT valid entries for grading and points will be deducted. Your responses cannot be a duplicate from a previous posting or pasted from another material.

Discussion Topics:

Scenario #1

A 71-year-old male client was diagnosed with an ST-elevation myocardial infarction (STEMI). The only medication that he was taking before the MI was tamsulosin for benign prostate hyperplasia (BPH). The client received three doses of nitroglycerin sublingual tablets, which did not alleviate his chest pain. He was admitted to the coronary care unit with the following orders:

• Oxygen at 6 L/min via nasal cannula
• Nitroglycerin 5 mcg/min IV infusion
• Heparin infusion at 1300 units/hour for 24 hours
• Propranolol 20 mg orally every 6 hours
• Tamsulosin 0.4 mg orally once a day

• Before administering the medications, the nurse would question the provider regarding which medications? Include your rationale.
• Discuss the drug classification, mechanism of action, indication, and nursing implications (such as assessment and monitoring) for each medication listed in the orders. Be specific.
• The client's wife asks the nurse why he has to "take so many drugs," and wants to understand the purpose of these medications. What health teaching will the nurse include to help the client's wife understands the purpose of the medications? Discuss the health teachings for all the medications listed in the orders.

Scenario #2

Mara is a 56-year-old woman who was recently diagnosed with hypercholesterolemia. She has tried diet therapy and exercise, but her total cholesterol and LDL cholesterol levels remain elevated. Mara is prescribed simvastatin.

• The patient asks, “How does this medication lower cholesterol?” How will the nurse respond?
• What will the nurse teach Mara about taking this medication? Be specific.
• What should the nurse monitor for while Mara is taking this medication? Include your rationale for each finding.

Scenario #3

Timothy is in the emergency department (ED) with shortness of breath, palpitations, and dizziness. He is connected to the cardiac monitor and has the rhythm of ventricular tachycardia (V-Tach).

• What is this dysrhythmia, and what is your biggest concern?
• What is the evidence-based treatment to save Timothy's life? Include your rationale.
• The nurse recognizes that this medication is a very toxic drug and has significant interactions with other drugs. As the nurse prepares to give Timothy digoxin and warfarin, what should the nurse be aware of before administration? Include your rationales.