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Posted: May 11th, 2022
NURSE PRACTITIONER ( NRNP 6540 WALDEN UNIVERSITY ) essay
To arrange: (MAKE SURE NO PLAGIARISM,WE USE SAFEASSIGN TO CHECK )
Overview the case examine offered by your Teacher.
Replicate on the affected person’s signs and points of problems that could be current.
Contemplate the way you may assess, carry out diagnostic checks, and suggest drugs to deal with sufferers presenting with the signs within the case.
Case examine:
Mrs. L., a 68-year-old lady, presents to your workplace in the present day with a grievance of feeling drained on a regular basis and now, extra just lately, feeling weak and like “I can’t catch my breath typically.”
HPI: She has been wholesome besides for prime ldl cholesterol, managed by Lipitor. Her husband died 9 months in the past, and he or she has attributed her fatigue to coping with his dying however realizes that she is feeling worse and never higher as time passes.
No identified drug allergic reactions.
Drugs: Takes solely Lipitor.
Previous surgical historical past: Appendectomy in childhood; hysterectomy for uterine myoma 10 years in the past.
No important medical historical past. Has two daughters dwelling close by.
Blood strain (BP) 106/70 mm Hg, coronary heart price (HR) 98 beats/min and common, respiratory price 18 breaths/min and afebrile, physique mass index (BMI) 22 (10-pound weight reduction since dying of husband).
Slender, quiet-spoken older lady showing drained.
PE: Conjunctiva pale, mucous membranes moist. No lymphadenopathy of neck or femoral space.
Coronary heart tachyarrhythmia with common price, tender midsystolic murmur. Chest (CTA), good air motion.
Stomach tender, bowel sounds × four.
Diagnostics:
Urine dipstick detrimental.
The outcomes of a colonoscopy present a neoplasm within the colon.
Tackle the next in your SOAP word:
What further subjective knowledge are you in search of?
What further goal knowledge will you be assessing for?
What medical historical past would you get hold of from the affected person? Checklist not less than three.
What checks will you order? Describe not less than 4 lab checks.
What are the differential diagnoses that you’re contemplating? Describe two.Present not less than TWO evidence-based peer-reviewed journal articles or evidenced-based tips, which relate to this case to assist your diagnostics and differentials diagnoses. Be certain they’re present (not more than 5 years previous) and assist the therapy plan in following present requirements of care. Observe APA seventh version formatting.
What’s your plan of care? Checklist not less than two diagnostic checks you’ll order to guage the reason for her situation.
Lastly, embrace a mirrored image assertion on the case that describes insights or classes realized.
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