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Please complete all four of the following scenarios:
Directions: For each of the scenarios below, answer the questions below using clinical
practice guideline where applicable. Explain the problem and explain how you would
address the problem. If prescribing a new drug, write out a complete medication order
just as you would if you were completing a prescription. Use at least 3 sources for each
scenario and cite sources using APA format.
1. Sara is a 45-year-old female presenting for her annual exam. Her blood pressure
today is 160/90 HR 84 RR 16. Her height is 64 inches and her weight is 195. Her
last visit to the clinic 3 months ago shows a BP of 156/92. She is currently taking
ibuprofen 600 mg tid for back pain. She has no known allergies. What is the goal
for her blood pressure? What medication would you prescribe to treat her blood
pressure? What education would you prescribe?
2. Monty is a 52-year-old male following up on his labs that were drawn last week.
He smokes 1 pack per day. He is currently on Lisinopril 20 mg po daily. He is
allergic to penicillin. Fasting lipid profile shows total cholesterol 266, LDL
cholesterol 180, HDL cholesterol 40, and Triglycerides 185. What treatment plan
would you implement for Monty’s lipid profile? What is the goal Total Cholesterol
(TC), HDL-C, and LDL-C level for Monty? How would you monitor the
effectiveness of your treatment plan? How many risk factors for coronary artery
disease does this patient have? Identify them specifically.
3. Beatrice is a 17-year-old female diagnosed with mild persistent asthma since age
7. During her visit today, she reports having to use her albuterol MDI 3 to 4 days
per week over the past 2 months. Over the past week she has been using
albuterol at least once per day. She reports being awakened by a cough three
nights during the last month. She is becoming more short of breath with exercise.
She also has a fluticasone MDI, which she uses “most days of the week.” Her
current medications include: Flovent HFA 44 mcg, two puffs BID, Proventil HFA
two puffs Q 4–6 H PRN shortness of breath, Yaz one PO daily, Propranolol 80
mg PO BID. What treatment plan would you implement for this patient? What
medication changes would you make? How would you monitor the effectiveness
of this plan?
4. Daute is a 56-year-old man seeking evaluation for increasing shortness of
breath. He noticed difficulty catching his breath about 3 years ago. Physical
activity increases his symptoms. He avoids activity as much as possible to
prevent any SOB. His previous physician had placed him on
salmeterol/fluticasone (Advair Diskus) one inhalation twice daily 2 years ago. He
thinks his physician initiated the medication for the shortness of breath, but he is
not entirely sure. He did not refill the prescription and has not been taking it.
Pertinent history – Chronic bronchitis X 8 years with one exacerbation in last 12
months of treatment with oral antibiotics. He has a 40-pack-year smoking history.
What treatment plan would you implement for this patient? What medication(s)
would you prescribe? How would you monitor the effectiveness of this plan?
Talk to you all soon!

Select a Nursing Theory- Select one specific nursing theorist and nursing middle-range theory that best fits your area of practice (Operating Room nurse). Ex. Pender’s Health Promotion Model, Kolcaba’s Comfort Theory, Beck’s Postpartum Depression Theory, etc)
APA Student Title Page- (No Abstract Needed)
Include the following information on the Student title page in 7th ed. APA format:
Assignment name in Bold Font: (Ex. Theory Application Paper: Swanson’s Theory of Caring in Obstetrics)
Skip a Line
Your Name
Name of University
Course Number and Name
Instructor’s Name
Date of Submission (Month, Day, Year)
Introductory paragraph – Capture the reader’s attention (ex. Grabbing statistics) and introduce the rationale for selecting the specific nursing theory for your area of nursing over other nursing theories (Do not write in first person; Include a purpose statement of what you will describe in the paper as the last sentence of the introductory paragraph.) Next, begin the Body of Paper.
Theory Description (Level 1 Header) Briefly describe the theory.Give overview of theory purpose, scope, concepts, structure, and unique focus.
Rationale (Level 1 Header) Discuss the rationalefor selecting the theory for implementation in your specific practice setting. (Do not use first person)
Implementation Plan (Level 1 Header) Describe a plan to implementthe theory in your area of practice for your entire department or organization.
Barriers to Implementation (Level 1 or 2 Header, your choice) Discuss potential barriers or challenges to the implementation plan and how to overcome these barriers and challenges. 
Conclusion (Level 1 Header) Conclusion paragraph with concluding statements to summarize the content and re-state or re-phrase the original purpose statement.
APA Reference Page- Please be sure to support your paper with in-text citations. Please use 5 peer-reviewed resources.
Additional Instructions: Your assignment should be typed into a Word or other word processing document, formatted in APA style. Paper should be a minimum of 4-5 pages in length, excluding the title and references pages.  (You may increase the number of pages of the body of the paper up to 7-8 pages if needed).  This is a scholarly paper and should not be written in first person.  Paragraphs should have a minimum of 3 sentences.  Paraphrasing should be done using in-text citations.  Direct quotes should be rare and used only when the content can be said in no other way. If using direct quotes, you must include page or paragraph number.