Discussion 1

  1. Describe the roles and responsibilities of the APRN when prescribing medication.
  2. Describe the method used to determine what drug therapy to prescribe?
  3. Discuss responsibilities for patient education and teaching based on the prescribed therapy. 
  4. Discuss Schedule drugs and prescribing restrictions for each scheduled drug. 

  • 500 words
  • APA style
  • 2 academic sources
  • Each question must be answered individually as in bullet points 

Week 2 Discussion Question NR507

My topic is HIV due to being a certified Tester for the state of Florida and it ties in with mental health

Select a condition covered in this course that interests you or is relevant to your nursing practice. Identify the condition you’ve selected. 

  1. Briefly explain your rationale for selecting this particular condition. What influenced your selection? 
  2. Investigate the prevalence and incidence of the chosen condition in the United States (U.S.). What are the incidence, prevalence, and affected populations? 
  3. Find and summarize a scholarly article that discusses your selected condition. What does the article say about your condition and its pathophysiology and manifestations? How is the article relevant to your understanding of the condition? 

Week 1 Discussion Question NR507 Response

 General question: What role does patient history play in determining the most likely cause of these symptoms? 

Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.  

 Use current APA format to format citations and references free of errors.  

Week 1 NR507 Discussion Question Response SS

Want a response to the below

The condition that applies to my name is Systemic Lupus Erythematosus (SLE). Systemic Lupus Erythematosus (SLE) is a disease where the body’s immune system starts attacking its own tissues, causing inflammation and damage in many parts of the body. The immune system usually protects us from infections, but in lupus, it becomes overactive and starts harming healthy tissues. This damage can affect organs like the skin, joints, kidneys, and heart. It’s not fully understood why this happens, but a mix of genetics, environment, and the immune system’s malfunction are thought to contribute to the disease (Jariwala et al., 2021).

Wilbur’s symptoms may be linked to SLE. He has a rash on his chest and back that is purple in color, which could be a sign of the skin problems that people with lupus often get. One common rash in lupus patients is called the “butterfly rash,” which looks like a red rash across the nose and cheeks. Although Wilbur’s rash is not exactly like that, the color and chronic nature (lasting for months) could still point to lupus-related skin issues. The white coating on Wilbur’s tongue could be a sign of a fungal infection called thrush. People with lupus often have a weakened immune system because of the disease or the medicines they take for it, making them more prone to infections. Wilbur’s comment about being “sick a lot lately” also fits with lupus, which can cause people to feel unwell or experience infections more often due to the immune system being out of balance.

Tests that would help confirm SLE include:

  1. Antinuclear Antibody (ANA) Test: This is a blood test that checks for autoantibodies. In lupus, the body makes these antibodies that attack its own cells. A positive ANA test is common in lupus, but it can also be positive in other diseases.
  2. Anti-dsDNA and Anti-Smith Antibodies: These are more specific tests for lupus. If these are positive, they are a strong indication of lupus.
  3. Urinalysis: This test looks at the urine and helps check for kidney problems, which are common in lupus. If Wilbur has protein in his urine, it could be a sign of kidney involvement (Kahlenberg, et al., 2023).
  4. Blood Tests (CBC and Complement Levels): Blood tests can check for anemia (low red blood cells) and low levels of certain proteins (called complement), which are common in active lupus.

References:

Jariwala, P., Sethi, S., & Palaian, S. (2021). Systemic Lupus Erythematosus: Pathophysiology, Diagnosis, and Treatment. Journal of Clinical Rheumatology, 27(5), 213-223. https://doi.org/10.1097/RHU.0000000000001462

Kahlenberg, J. M., & Choi, J. (2023). Advances in the Immunology of Lupus and Implications for Treatment. Frontiers in Immunology, 14, 724546. https://doi.org/10.3389/fimmu.2023.724546

Discussion 2 Reply to peer 2

Apoptosis is the Key to Life

Apoptosis is the process of programmed cell death. It is used during early development to eliminate unwanted cells. For example, those between the fingers of a developing hand (genonome.gov/genetics, “Apoptosis” 2025). Apoptosis removes unwanted cells so that new cells may develop.

Imagine if apoptosis didn’t exist and healthy cells would not regenerate, our chances for survival would become detrimental. Cells that are too damaged or too old if not removed can duplicate one another. Apoptosis plays a huge role in prevention of cancer cells from forming. It not only destroys unwanted cells but it also prevents from tumors to grow. Apoptosis helps keep the body healthy by replacing old cells, strengthens the immune system, gets rid of damaged cells, stops damaged cells from replicating and supports homeostasis (mycleavelandclinic.org/health articles 2024).

Apoptosis is very complex it has to be balanced. If too much of it occurs, it can produce neurodegenerative diseases to occur such as Parkinson’s Disease, Huntington Disease, and Alzheimer’s Disease. Apoptosis and necrosis both lead to cellular death. One main difference is that apoptosis plays a role in your developmental prior to birth (mycleavelandclinic.org/health articles 2024). Apoptosis can be viewed as a natural occurring process while necrosis is considered pathological (akadeum.com/blog/necrosis 2024).

Necrosis occurs when there has been damage caused to the cell due to infection, and other factors such as denaturation of proteins. For example in patients that have developed a diabetic wound that is showing signs and symptoms of necrosis not only contribute to diabetes but also to a decrease and loss of tissue perfusion. Most patients that develop such ulcers in the acute phase will be recommended to do hyperbaric oxygen treatment. The treatment consist of 100% oxygen to the entire body especially areas of less tissue prefusion with hopes of new cell regeneration. It is a type of therapy that is used in hopes of salvaging an extremity.

References:

National Human Genome Research Institute (January 2025). “Apoptosis”

https://www.genome.gov/human-genome-project

Cleveland Clinic (September 2024). “Apoptosis”

https://my.clevelandclinic.org/health/articles/apoptosis

Akadeum Life Sciences.(December,2024). “Necrosis vs. Apoptosis: Process, Necrotic Cell Death, & Apoptosis Steps”

https://www.akadeum.com/blog/necrosis-vs-apoptosis-processes-necrotic-cell-death-apoptosis-steps/?srsltid=AfmBOor81gCXCcCOS8cd81fgxpmwqajElZvyzA6bKSul04DyTDekR5-Y&cn-reloaded=1