NR283 Week 3 DB Skin and Respiratory System Disorders

 NR283 Week 3 DB Skin and Respiratory System Disorders

Discuss the normal progression of this malignancy.

NR283 Week 3: Discussion: Skin and
Respiratory System Disorders
The initial post must include responses to all the questions in this discussion. 
Mr. J, age 42, is a construction worker in Las Vegas who lives with his daughter and
grandson, Sammy. He recently noticed that a mole on his face seemed to be getting
larger and darker. At first, he did not worry because he was in the sun a lot and
assumed the change may have been caused by sunburn. After a month, not only was
the mole larger and darker, but it appeared to be “bumpy.” His doctor diagnosed a
malignant melanoma skin cancer following biopsy of the nevus. Mr. J reports pain in his
right shin that does not go away when he puts his feet up or sleeps.

Discussion Questions

  1. Relate Mr. J’s skin changes to the warning signs for malignant melanoma. 
  2. Discuss the normal progression of this malignancy. What is the significance of
    the bone pain that Mr. J is experiencing? 
  3. Discuss the treatment available for this patient and the prognosis for recovery. 
    Discussion Questions
    Mr. J is babysitting his grandson Sammy, age 3 years, who ate his dinner and then said
    his tummy hurt. Mr. J suggested he lie down in the adjacent room while his parents
    finished dinner. A few minutes later, Mr. J heard Sammy vomiting. He rushed in to lift
    Sammy up. When vomiting ceased, he noticed Sammy continued to cough and seemed
    to be choking. He was struggling to breathe, and a wheezing sound was obvious. It
    appeared that he had aspirated some vomitus. Mr. J drove him to a nearby hospital for
    examination.
  4. Discuss the specific effects of aspirating vomitus on Sammy, including the
    probable effects on his bronchi and lungs. Why might one lung be affected more
    than the other?
  5. Discuss the pathophysiologic changes causing the signs and symptoms and any
    tests required to clarify the effects on Sammy. 
  6. Suggest some reasons for Sammy’s difficulty breathing and wheezing.
  7. Discuss the potential complications of aspiration of vomitus.

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Answer preview discuss the normal progression of this malignancy.

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