Assignment: Case Studies – NURS 6521 Week 7 assignment Case studies answers
Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.
For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare:
Review the case study posted in “Announcements” by your Instructor for this Assignment
Review the information provided and answer questions posed in the case study
When recommending a medication, write out a complete prescription for the medication
Whenever possible, use clinical practice guidelines in developing your answers when possible
Include at least three references to support your answer and cite them in APA format.
Case Study One: Mary, A 35-year-old with Hypothyroidism – NURS 6521 Week 7 assignment Case studies answers
Mary is a 35-year-old woman that has been diagnosed with hypothyroidism. Her
labs today show a TSH of 20, MCV 78, MCHD 26, Ferritin 9, TIBC 418. She has
a history of iron deficiency anemia for 2 months. Current medications include
Kelp tablets daily, ibuprofen 400 mg daily as needed, and ethinyl
estradiol/norgestrel one tablet daily.What medication would you start this patient
on for her hypothyroidism? How would you monitor this patient’s response to the
medication? What education would you provide regarding her medications and
their interactions?
The case presented a 35-year-old Mary with hypothyroidism; her laboratory findings guide the treatment plan that should be formulated. Mary’s level of thyroid stimulating Hormone (TSH) is 20, and the typical ranges between 0.5 to 4.5 Miu/L, thus showing that the patient has severe hypothyroidism. It is essential, therefore, to develop strategies that ensure the restoration of the thyroid hormones. Additionally, the patients’ mean corpuscular volume and mean corpuscular hemoglobin concentration are within the normal ranges, indicating that the thyroid dysfunctions do not directly cause the cause of Mary’s anemia. Mary also has a high total iron binding capacity and a low ferritin, which indicates chronic iron deficiency. Following the lab findings, a care provider must develop a treatment plan to prevent complications and improve the patient’s quality of life.
Management of Hypothyroidism
In this scenario, the patient requires effective treatment options, including synthetic thyroid hormones. The agents will help the patient to have normal TSH levels and achieve the desired outcomes as the physiology of the hormones is maintained (Jansen et al., 2023). Receiving the hormones also helps alleviate the hypothyroidism and allows her to achieve independence. Therefore, Mary’s prescription requires 50mcg of levothyroxine once daily. The instructions are for the patient to take the drug one hour early before taking meals (Kahaly & Gottwald-Hostalek, 2022). Additionally, the patient should avoid taking the drug with calcium or iron supplements as absorption will be impaired. The quantity to be given is 60 tablets.
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Monitoring Patient’s Response to Medication
It is essential to monitor the levels of free T4 and TSH 6 to 8 weeks after the drug’s initiation. Monitoring the levels helps ensure that the TSH levels are within normal ranges. The health provider’s role is to ensure that the patient understands the importance of adhering to follow-up clinics (Bianco, 2023). This will help the provider assess and monitor labs and the effectiveness of treatment.
Patient Education and Medication Interactions
The patient should understand the importance of adhering to the prescribed medication to improve her health outcomes. The key concepts include stopping the medication abruptly, as has been done with iodine, which may interfere with the functioning of the thyroid glands. The patient should also continue with ibuprofen as needed per MD orders. However, patients are to be monitored for any adverse effects that interact with levothyroxine and iron absorption (Bianco, 2023). The patient should also seek alternative contraceptives, as estradiol interferes with thyroid functioning. Iron supplements are essential to manage anemia. Therefore, Mary should be instructed to add supplements, such as green leafy vegetables, into her daily diet.
Case Study Two: Joe, a 48-year-old with Diabetes and Hypertension – NURS 6521 Week 7 assignment Case studies answers
Joe is a 48-year-old male diagnosed with Type II Diabetes Mellitus for a year
ago. He has controlled his blood glucose through dietary changes. He has
hypertension and is currently on Lisinopril 20 mg po daily. He has no known
allergies. His lab work includes these results: fasting BG is 225 mg/dL; HgA1C =
7.5%. Basic Metabolic Profile (BMP) is normal except for a Cr of 2.0 and eGRF
of 28. What treatment plan would you implement for Joe? What medications
would you prescribe and how would you monitor them? What education would
you provide regarding his treatment plan?
Joe has a history of hypertension and type 2 diabetes, and his lab findings are glycated hemoglobin of 7.5% and blood glucose of 225mg/dl. The lab findings, therefore, indicate that the patient has uncontrolled diabetes. Additionally, the eGFR is 28, and creatinine levels are 2.0, showing that Joe has compromised renal functions. The altered levels result from uncontrolled diabetes and hypertension, therefore requiring effective management.
Joe’s Treatment Plan
Hypertension and diabetes are chronic conditions; therefore, a strategic plan should be drawn to minimize their effects and improve health outcomes. Metformin is an effective agent in managing type 2 diabetes, but since the patient has renal impairments (Przezak et al., 2022). Linagliptin should be opted for effective control of blood glucose and prevent renal injury. The patient should continue with Lisinopril for the management of hypertension as the ACE inhibitor agents are effective in both hypertensive and diabetic cases as they prevent further kidney injury.
Prescription and Treatment Plan
Linagliptin 10mg by mouth once daily in the morning
Supply: 30 tablets with three refills
Instructions: Take the medication as scheduled with food and maintain adequate hydration to prevent GI distress. Keep a diary of symptom management, adverse reactions, hypoglycemia, and hyperglycemia, which will be reviewed in the next visit. The next visit should occur after one month to evaluate adherence and average blood glucose level, and three months should be spent on glycated hemoglobin values (Naseri et al., 2022).
Monitoring
During the follow-up clinics, the nurse practitioner will conduct various tests and physical examinations and collect relevant history to help assess the plan’s effectiveness. The symptom management or adverse reaction diary will help trace the frequency of adverse reactions and determine issues and complications that may indicate the ineffectiveness of the medications or inadequate adherence. Laboratory tests that will be conducted to determine blood glucose control will include glycated hemoglobin levels, as well as an evaluation of blood glucose values and blood pressure records. (Naseri et al., 2022). In addition, the nurse practitioner must assess the baseline knowledge, blood glucose monitoring techniques, and interpretation of the results to allow effective interventions.
Patient Education and Support
Patient education includes critical components that will promote an understanding of the condition and the treatment plan. In addition, the approach will enhance adherence and promote adequate blood glucose control. The approach must begin with assessing the baseline knowledge of diabetes, hypertension, medications, or treatment plans. The approach will enable the nurse practitioner to understand the issues the client needs to understand and adhere to. These strategies include medications’ purpose, mode of action, interactions, and targeted therapeutic effects. (Al Saleh et al., 2023). Moreover, the nurse practitioner must incorporate nutritional and lifestyle modifications into the disease management. Therefore, the primary caregiver may collaborate with other healthcare professionals to ensure the client receives individualized and holistic services that manage his needs and improve his overall health status.
Case Study Treey: Jose 55-year-old with Type 2 Diabetes
Jose is a 55-year-old truck driver being evaluated for his commercial driver’s
license. He has a known history of diabetes mellitus type II. Current medications
include Metformin 1000 mg Bid, Glipizide 20 mg po daily. Diltiazem 120 mg po
BID. He is allergic to sulfa. Lab results show a fasting blood glucose of 325
mg/dL, HgA1C = 10.6%. Basic metabolic Profile is normal. What treatment plan
would you implement for Jose? What medications would you prescribe and how
would you monitor them? What education would you provide regarding his
treatment plan?
Jose has impaired blood sugar, which is likely to result in visual disturbances and other safety issues. Therefore, the patient needs to adhere to his drugs. Since Jose is allergic to sulfa, the treatment plan formulated should prevent adverse reactions and enhance safety. As a care provider, I will add GLP-1 receptor agonists to Jose’s treatment plan. The drug is known to have improved outcomes and manage blood glucose effectively (Richardson et al., 2021).
Prescription Liraglutide 0.6mg of Liraglutide once daily; subcutaneous route
Monitor the blood glucose levels, perform rotational injection techniques
The dose can gradually be adjusted to 1.8mg weekly until the targeted glycemic control is achieved.
Monitoring and Patient Education
Monitoring Joe’s condition is vital for determining the progress and identifying the need to review the treatment plan. In this case, Jose requires regular follow-up every three months to evaluate the glycated hemoglobin level, revealing adherence to the treatment plan. In addition, during the follow-up care, the nurse practitioner can determine the side effects, adverse reactions, and hypo or hyperglycemia incidents. One of the side effects that may occur with the new regimen is GI distress, which may wear off with continued therapy. Therefore, the nurse practitioner must provide adequate reassurance for the client to understand the condition and achieve the targeted outcomes (Galicia-Garcia, 2020). Moreover, the patient should adopt a healthy lifestyle, engage in regular physical activities, avoid stress, and understand the measures for preventing complications (Singer et al., 2022).
Case Study Four: A 63-year-old Jenny – NURS 6521 Week 7 assignment Case studies answers
Jenny is a 63-year-old woman with complaints of heartburn 4 to 5 times a week
over the past 3 months. Her symptoms are worse at night after going to bed. Her
heartburn is worse, and she coughs a lot at night. She has tried OTC Prevacid 24
hour once daily for the past 2 weeks. This has helped the symptoms some, but
she is still bothered by them. Current medications include Diltiazem CD 120 mg
PO once daily, Hydrochlorothiazide 25 mg PO once daily, Metformin 500 mg PO
twice daily, Aspirin 81 mg PO daily, Fluticasone/salmeterol DPI 100 mcg/50 mcg
one inhalation twice daily. Your working diagnosis for this patient is GERD. What
treatment plan would you implement for Jenny? What medications would you
prescribe and how would you monitor them? What education would you provide
regarding her treatment plan?
The 63-year-old Jenny presents with gastroesophageal reflux disease, which has not improved despite the past measures that have been ineffective in enhancing her comfort. Jenny reports to have been taking OTC Prevacid, which improves is symptoms. However, Jenny is bothered by his symptoms and requires more advanced therapies to achieve optimal health. Therefore, the healthcare provider should formulate a treatment plan that enhances the patient’s well-being, has minimal side effects, and prevents long-term complications. The patient’s prescription will be as follows: Esomeprazole 40 milligrams taken daily for four weeks (Lata et al., 2023). Therefore, 28 capsules should be given without refills. The patient’s instruction would include attending a follow-up clinic after four weeks to review the plan and manage the side effects experienced.
Monitoring
It is crucial to assess the patient’s response to the new drug, including any symptom improvement and side effects with the pharmacotherapy. Expected effects include gastrointestinal disturbances and headaches (Hungin et al., 2024). The care provider should, therefore, reassess the patient’s condition after four weeks, taper the dose, and then discontinue. In addition, long-term monitoring of side effects and a thorough health assessment are essential.
Patient Education
The nurse or health practitioner should teach the patient about medication adherence, the side effects, and food and drug interactions. In case of any side effects, Jenny should report to the provider immediately. Lifestyle medication is also essential in this case. Therefore, the patient should avoid drinks and foods that trigger heartburn, eat small but frequent healthy meals, and avoid lying down immediately after eating. The health provider should also ensure that Jenny understands the long-term effects of using proton pump inhibitors, such as vitamin deficiencies (Antunes et al., 2023). Moreover, encouraging regular follow-up clinics is crucial in monitoring and adjusting the treatment plan for effective management of GERD.
References
Al Saleh, Y., Al Busaidi, N., Al Dahi, W., Almajnoni, M., Mohammed, A. S., Alshali, K., Al-Shamiri, M., Al Sifri, S., Arafah, M., Chan, S. P., El-Tamimi, H., Hafidh, K., Hassanein, M., Shaaban, A., Sultan, A., & Grassi, G. (2023). Roadmap for Managing Type 2 Diabetes and Hypertension in the Middle East: Review of the 2022 EVIDENT Summit.
Advances in Therapy
,
40
(7), 2965–2984.
https://doi.org/10.1007/s12325-023-02529-7
Antunes, C., Curtis, S. A., & Aleem, A. (2023, July 3).
Gastroesophageal reflux disease
. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK441938/
Bianco, A. C. (2023). Emerging Therapies in Hypothyroidism.
Annual Review of Medicine
,
75
(1).
https://doi.org/10.1146/annurev-med-060622-101007
Galicia-Garcia, U. (2020). Pathophysiology of Type 2 Diabetes Mellitus.
International Journal of Molecular Sciences
,
21
(17), 1–34.
https://doi.org/10.3390/ijms21176275
Hungin, A. P., Yadlapati, R., Anastasiou, F., Bredenoord, A. J., El Serag, H., Fracasso, P., Mendive, J. M., Savarino, E. V., Sifrim, D., Udrescu, M., & Kahrilas, P. J. (2024). Management advice for patients with reflux-like symptoms: an evidence-based consensus.
European Journal of Gastroenterology & Hepatology
,
36
(1), 13.
https://doi.org/10.1097/MEG.0000000000002682
Jansen, H. I., Boelen, A., Heijboer, A. C., Bruinstroop, E., & Fliers, E. (2023). Hypothyroidism: The difficulty in attributing symptoms to their underlying cause.
Frontiers in Endocrinology
,
14
.
https://doi.org/10.3389/fendo.2023.1130661
Kahaly, G. J., & Gottwald-Hostalek, U. (2022). Use of levothyroxine in the management of hypothyroidism: A historical perspective.
Frontiers in Endocrinology
,
13
.
https://doi.org/10.3389/fendo.2022.1054983
Lata, T., Trautman, J., Townend, P., & Wilson, R. B. (2023). Current management of gastro-oesophageal reflux disease—treatment costs, safety profile, and effectiveness: A narrative review.
Gastroenterology Report
,
11
. https://doi.org/10.1093/gastro/goad008
Naseri, M. W., Esmat, H. A., & Bahee, M. D. (2022). Prevalence of hypertension in Type-2 diabetes mellitus.
Annals of Medicine and Surgery
,
78
, 103758.
https://doi.org/10.1016/j.amsu.2022.103758
Przezak, A., Bielka, W., & Pawlik, A. (2022). Hypertension and Type 2 Diabetes—The Novel Treatment Possibilities.
International Journal of Molecular Sciences
,
23
(12), 6500.
https://doi.org/10.3390/ijms23126500
Richardson, C. R., Borgeson, J. R., Van Harrison, R., Wyckoff, J. A., Yoo, A. S., Aikens, J. E., Griauzde, D. H., Tincopa, M. A., Van Harrison, R., Proudlock, A. L., & Rew, K. T. (2021). Management of Type 2 Diabetes Mellitus. In
PubMed
. Michigan Medicine University of Michigan.
https://www.ncbi.nlm.nih.gov/books/NBK579413/
Singer, M. E., Dorrance, K. A., Oxenreiter, M. M., Yan, K. R., & Close, K. L. (2022). The type 2 diabetes “modern preventable pandemic” and replicable lessons from the COVID-19 crisis.
Preventive Medicine Reports
,
25
, 101636.
https://doi.org/10.1016/j.pmedr.2021.101636
NURS 6521 Week 7 assignment Case studies answers
NURS_6521_Week7_Assignment_Rubric
NURS_6521_Week7_Assignment_Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome
Scenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.
15
to >
11.0
pts
Excellent
Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate NURS 6521 Week 7 assignment Case studies answers.
11
to >
7.0
pts
Good
Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.
7
to >
3.0
pts
Fair
Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.
3
to >
0
pts
Poor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15
pts
This criterion is linked to a Learning Outcome
Scenario 1:
Written medication orders
include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
3
pts
Complete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0
pts
Poor
The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.
3
pts
This criterion is linked to a Learning Outcome
Scenario 1: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.
4
pts
Excellent
References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.
3
pts
Good
References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.
2
pts
Fair
References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.
0
pts
Poor
No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.
4
pts
This criterion is linked to a Learning Outcome
Scenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation NURS 6521 Week 7 assignment Case studies answers
3
pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
2
pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1
pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0
pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3
pts
This criterion is linked to a Learning Outcome
Scenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.
15
to >
11.0
pts
Excellent
Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.
11
to >
7.0
pts
Good
Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.
7
to >
3.0
pts
Fair
Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.
3
to >
0
pts
Poor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15
pts
This criterion is linked to a Learning Outcome
Scenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
3
pts
Complete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0
pts
Poor
The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.
3
pts
This criterion is linked to a Learning Outcome
Scenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.
4
pts
Excellent
References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.
3
pts
Good
References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.
2
pts
Fair
References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.
0
pts
Poor
No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.
4
pts
This criterion is linked to a Learning Outcome
Scenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3
pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
2
pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1
pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0
pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3
pts
This criterion is linked to a Learning Outcome
Scenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.
15
to >
11.0
pts
Excellent
Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.
11
to >
7.0
pts
Good
Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.
7
to >
3.0
pts
Fair
Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.
3
to >
0
pts
Poor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15
pts
This criterion is linked to a Learning Outcome
Scenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
3
pts
Complete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0
pts
Poor
The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.
3
pts
This criterion is linked to a Learning Outcome
Scenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.
4
pts
Excellent
References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.
3
pts
Good
References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.
2
pts
Fair
References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.
0
pts
Poor
No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.
4
pts
This criterion is linked to a Learning Outcome
Scenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3
pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
2
pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1
pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0
pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3
pts
This criterion is linked to a Learning Outcome
Scenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.
15
to >
11.0
pts
Excellent
Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.
11
to >
7.0
pts
Good
Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.
7
to >
3.0
pts
Fair
Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.
3
to >
0
pts
Poor
Medication selected is inappropriate or would not be provided based on patient unique characteristics NURS 6521 Week 7 assignment Case studies answers.
15
pts
This criterion is linked to a Learning Outcome
Scenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
3
pts
Complete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0
pts
Poor
The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.
3
pts
This criterion is linked to a Learning Outcome
Scenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. NURS 6521 Week 7 assignment Case studies answers
4
pts
Excellent
References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.
3
pts
Good
References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.
2
pts
Fair
References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.
0
pts
Poor
No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.
4
pts
This criterion is linked to a Learning Outcome
Scenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3
pts
Excellent
Uses
correct grammar, spelling, and punctuation with no errors
.
2
pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1
pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0
pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3
pts
Total Points:
100 NURS 6521 Week 7 assignment Case studies answers
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