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NSG
6440 All Week Discussion
NSG 6440 Week 1 Discussion
Discussion Questions
You
are a Family Nurse Practitioner working in a community
health center. You are seeing a 14-year-old adolescent patent for an annual
visit. The patient’s mother is also present during the visit and notes that the
patient’s grades in school have been declining. Her son is also hanging
out with a group of kids that she has concerns about. The mother has concerns
for what is going on with her son. Answer the following questions using course
resources (texts) and two other evidence-based sources (current guidelines
and/or scholarly articles that are within a 3-5 year time frame).
What are the components of an annual exam for an adolescent
patient?
Is the mother required to be present during your exam?
Describe 1 health promotion idea that you would discuss with
your middle adolescence patient. Why is this idea important?
What are some screening tools that might be of importance in
this situation? (hint: do you suspect drug or alcohol abuse here?)
NSG 6440 Week 2 Discussion
This
week you learned about common conditions in the adolescent client.
Please review the following case study and answer the following questions.
A
fifteen-year-old female presents to your clinic complaining of shortness of
breath and a nonproductive nocturnal cough. She states she used to feel this
way only with extreme exercise, but lately, she has felt this way continuously.
She denies any other upper respiratory symptoms, chest pain, gastrointestinal
symptoms, or urinary tract symptoms. Her past medical history is significant
only for seasonal allergies, for which she takes a nasal steroid spray but is
otherwise on no other medications. She has had no surgeries. Her mother has
allergies and eczema, and her father has high blood pressure. She is the only
child. She denies smoking and illegal drug use. On examination, she is in no
acute distress and her vital signs are: T 98.6, BP 120/80, pulse 80, and
respirations 20. Her head, eyes, ears, nose, and throat examinations are
essentially normal. Inspection of her anterior and posterior chest shows no
abnormalities. On auscultation of her chest, there is decreased air movement
and high-pitched whistling on expiration in all lobes. Percussion reveals
resonant lungs.
What is the chief complaint?
Based on the subjective and objective information provided what
are your 3 top differential diagnosis listing the presumptive final diagnosis
first?
What treatment plan would you consider utilizing current
evidence based practice guidelines?
NSG 6440 Week 3 Discussion
In
week 3 you learned about other
common adolescent health conditions. Review the following
case study and answer the following questions:
An
18 year old white female presents to your clinic today with a 2 week history of
intermittent abdominal pain. She also is positive for periodic cramping and diarrhea as well
as low grade fever. She also notes reduced appetite. She notes that She admits
smoking ½ PPD for the last 2 years. Denies any illegal drug or alcohol
use. Does note a positive history of Crohn’s Disease.
Based on the information provided answer the following questions:
What are the top 3 differentials you would consider with the presumptive
final diagnosis listed first?
What focused physical exam findings would be beneficial to know?
What diagnostic testing needs completed if any to confirm
diagnosis?
Using evidence based treatment guidelines note a treatment plan.
Submission Details:
Post your response to the Discussion
Area by the due date assigned .
Respond to atleast two posts by the end of the week.
NSG 6440 Week 4 Discussion
This
week’s content addressed common chronic diseases.
Please review the case study below and answer the following questions:
A
sixty-year-old baker presents to your clinic, complaining of increasing
shortness of breath and nonproductive cough over the last month. She feels like
she can’t do as much activity as she used to do without becoming tired.
She even has to sleep upright in her recliner at night to be able to breathe
comfortably. She denies any chest pain, nausea, or sweating. Her past medical
history is significant for high blood pressure and coronary artery disease. She
had a hysterectomy in her 40s for heavy vaginal bleeding. She is married and is
retiring from the local bakery soon. She denies any tobacco, alcohol, or drug
use. Her mother died of a stroke, and her father died from prostate cancer. She
denies any recent upper respiratory illness, and she has had no other symptoms.
On examination, she is in no acute distress. Her blood pressure is 160/100, and
her pulse is 100. She is afebrile, and her respiratory rate is 16. With
auscultation, she has distant air sounds and she has late inspiratory crackles
in both lower lobes. On cardiac examination, the S1 and S2 are distant and an
S3 is heard over the apex.
What is the chief complaint?
Based on the subjective and objective information provided what
are your 3 top differential diagnosis listing the presumptive final diagnosis
first?
What treatment plan would you consider utilizing current
evidence based practice guidelines?
Submission Details:
Post your response to the Discussion
Area by the due date assigned .
Respond to atleast two posts by the end of the week.
NSG 6440 Week 5 Discussion
Discussion Questions
The
discussion assignment provides a forum for discussing relevant topics for this
week based on the course competencies covered.
For
this assignment, go to the Discussion
Area and post a response to one question
in the Discussion Area by the due date assigned . You may respond
to your classmates’ posts for either question.
To
support your work, use your course and text readings and also use the South
University Online Library. As in all assignments, cite your sources in your
work and provide references for the citations in APA format.
Start
reviewing and responding to the postings of your classmates as early in the
week as possible. Respond to at least two of your classmates’ initial postings.
Participate in the discussion by asking a question, providing a statement of
clarification, providing a point of view with a rationale, challenging an
aspect of the discussion, or indicating a relationship between two or more
lines of reasoning in the discussion. Cite sources in your responses to other
classmates. Complete your participation for this assignment by the end of the
week.
As
a family nurse practitioner you are working in a rural health
clinic. You are evaluating a 16-year-old adolescent patient who comes in
complaining of having a difficulty concentrating in school. On exam you also
note that the patient is very thin and frail in appearance and is asking you
for diet pills.
What
are some initial areas for concern? What screening tools can help lead you
closer to your diagnosis?
Describe
1 health promotion strategy you can discuss with the patient.
Be
sure to address the following in your plan of care: pharmacological and
non-pharmacological (OTC) interventions, labs, follow-up, teaching, and
referral/s.
Your
work should integrate course resources (text/s) as well as a minimum of two (2)
other evidence-based guidelines and/or articles published within 3-5 years.
Reference:
Centers
for Disease Control and Prevention. (2013). Youth
risk behavior surveillance
system (YRBSS) . Retrieved from http://www.cdc.gov/healthyyouth/data/yrbs/index.htm
system (YRBSS) . Retrieved from http://www.cdc.gov/healthyyouth/data/yrbs/index.htm
NSG 6440 Week 6 Discussion
Discussion:
This
week’s content discussed common psychiatric disorders in the Adult
and Older Adult client. Often times a secondary diagnosis is masked due to their
psychiatric disorder. Review the following case study and answer the following
questions.
Mr.
White is a 72-year-old man, with a history of hypertension, COPD and moderate
dementia, who presents with 4 days of increased confusion, nighttime
restlessness, visual hallucinations, and urinary incontinence. His physical
exam is unremarkable except for tachypnea, a mildly enlarged prostate,
inattentiveness, and a worsening of his MMSE score from a baseline of 18 to 12
today.
Mr.
White’s presentation is most consistent with an acute delirium (acute
change in cognition, perceptual derangement, waxing and waning consciousness,
and inattention).
What is the most likely diagnosis to frequently cause acute
delirium in patients with dementia?
What additional testing should you consider if any?
What are treatment options to consider with this patient?
Submission Details:
Post your response to the Discussion
Area by the due date assigned .
Respond to atleast two posts by the end of the week.
NSG 6440 Week 7 Assignment 1 Discussion
This
week’s content addressed common techniques and testing that can be
prescribed by the Nurse Practitioner. Review ONE of the following videos and post
for the class what you have learned this week:
Watch
the following video on suturing
Watch
the following video on EKG rhythms
Submission Details:
Post your response to the Discussion
Area by the due date assigned .
Respond to atleast two posts by the end of the week.
NSG 6440 Week 8 Discussion
Complete
The Growth and Development APEA module. Pick one of the following topics that
were reviewed: Newborn assessment, Nutrition, Child, Adolescent, or
Immunization. Please choose on that has not been previously covered by a peer.
What is an area that you may have forgotten?
Explain the specific growth and development concept in detail
and describe strategies that you will undertake to assist in retaining that
information?
NSG 6440 Week 9 Discussion
This
week’s content addressed professional and legal issues, state boards
of nursing, advanced practice licensure, regulations, scope of practice, and
national certification as an advanced practice nurse. It is your responsibility
to look at your individual board of nursing and remain up to date with the changes
that are carried out in your state. For this week’s discussion review
your states scope of practice and address 3 areas that you were not aware you
can do as a licensed provider in your state.
NSG 6440 Week 10 Discussion Evidence-Based Clinical
Intervention
By the due date assigned , submit your Evidence-Based Clinical Intervention to the Discussion Area .
Your
Evidence-Based Clinical Intervention should be submitted in a Microsoft Word
document following APA style and should include the following:
The medical problem/diagnosis/disease.
Typical presenting signs and symptoms including:
Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating
factors, Alleviating factors, Associated symptoms, Course since onset, Usual
age group affected
Concomitant disease states associated with the diagnosis
The pathophysiology of the problem.
Three differential diagnoses and the usual presenting signs and
symptoms in priority sequence with rationales.
Reference to at least two current journal articles that show
evidence-based practice as how to best treat this disorder related to the
primary differential.
The expected outcomes of the intervention.
Algorithms if available.
A typical clinical note in SOAP format.
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