Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

nus 504 M7 discussion

Module 7 Discussion

  

 

Female Genitourinary, & Musculoskeletal

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.

Case 1

Chief Complaint
(CC) 

“I have a tumor on my left breast”

History of Present Illness (HPI)

A 55-year-old African American social worker presents to your clinic with a finding of a lump in her left breast while in the shower this past week.

Drug Hx

I took birth control pills for 10 years, starting when I was 20 I am not on hormone replacement

Family Hx

My grandmother had breast cancer when she was 76 years old

Subjective

Denies any fever or chills. No changes in vision or hearing, no difficulty chewing or swallowing. Supple neck, states that she does self-breast-exams on occasion. Menopause at 52
No skin changes or nipple discharge from the left breast

Objective Data

 VS

temperature 98.6°F; respiratory rate (RR) 16; heart rate (HR) 80, regular; blood pressure (BP) 130/84; height: 5′8″; weight 160 lbs; body mass index (BMI) 24

 General

well developed, nourished, healthy-appearing female

 HEENT

Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.

Lungs

clear to auscultation

Card

regular rate and rhythm (RRR)

Breast

Examined in sitting and supine positions. In sitting position, no evidence of skin changes, right breast is slightly larger than the left, symmetrical movement with the arms above the head and at the side and with flexion of the pectoral muscles; 5-mm nonmobile, non-tender, firm mass felt at 10 o’clock position, 5 cm from the areola. Right breast without dominant masses or tenderness. Nipples without inversion or evidence of nipple discharge. Breast mass is palpated in the supine position in the same manner as in the sitting position

Lymph

negative axillary, infraclavicular, and supraclavicular lymphadenopathy

Abd

normoactive bowel sounds x 4;

GU

Bladder is non-distended.

Integument

good skin turgor noted, moist mucous membranes

MS

Muscles are smooth, firm, symmetrical. Full ROM. No pain or tenderness on palpation.

Neuro

No obvious deformities, CN grossly intact II-XII

Once you received your case number, answer the following questions:

1.
What other subjective data would you obtain?

2.
What other objective findings would you look for?

3.
What diagnostic exams do you want to order?

4.
Name 3 differential diagnoses based on this patient presenting symptoms?

5.
Give rationales for your each differential diagnosis.

6.
What teachings will you provide?

 

Submission Instructions:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

image1.png

image2.png

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

computer

its below in file. ASSIGNMENT: CMSPC-1513 – MODULE 5 – SPREADSHEETS ASSIGNMENT: This assignment will cover practicing the basics of spreadsheets with two types of sheets you might use in your studies or personal life. Use this opportunity to get familiar with using the spreadsheet tools to enter and format

Nursing Nursing Assignment – medication research

Attached PN107 IN-PERSON SIMULATION (GERIATRIC) PATIENT CHART (WALLACE PETERSON) Updated 7/25/2023 Page 1 of 50 PATIENT: Peterson, Wallace DOB: 06/06/1954 AGE: 69 GENDER: MALE MRN: 7214732 HOSPITAL FLOOR: Med-Surg ROOM: 327 HCP: Lois Myer, MD CODE STATUS: FULL CODE ISOLATION: Standard ALERTS: None DRUG ALLERGIES: NKDA ENVIRONMENTAL ALLERGIES: NKA FOOD

Nursing WEEK 2 ASSIGNMENT

Select a particular area of nursing that is of interest to you (COPD) and write IN A 200 words about the specifics of nursing research in relation to this area, what can be accomplished by it, and why you believe it to be valuable. Include an explanation of the following questions

Burn Victim Assessment

You are working the night shift on a medical-surgical unit. You assignment includes a 19 year old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back. Instructions The staff are following the Parkland Formula for

topic strategy search

burnout in nurses working during the covid -19 pandemic, how does implementing stress management and support programs compared to no intervention affect burnout levels and patient care quality within 6 months?

Leadership Redo 1

 Health care systems around the world provide useful models for analysis. 

To evaluate one disease condition (COPD) in the adult population

  Signature Assignment: Understanding disease conditions specific to advanced primary care is vital to ensuring proper and timely diagnosis and treatment to improve healthcare outcomes for the patient. The purpose of this assignment is to evaluate one disease condition (COPD) in the adult population and explore current evidence-based guidelines and treatments

assigment

Library Assignment: AACN Essential Paper This assignment provides a concise description and appraisal of the American Association of Colleges of Nursing (AACN) Essentials of master’s Education in Nursing. Following APA guideline, briefly explain each essential reflecting on each essential affects the clinical practice and the author’s interpretation of each essential. Include

assigment

Screening – with Brief Intervention and Referral to Treatment (SBIRT): Presentation Develop a PowerPoint presentation regarding your patient that includes the following criteria: · Slide 1:  Title Page. · Slide 2:  SBIRT overview – Describe the history of SBIRT, the SBIRT process, and how it is used in clinical practice settings

WEEK 3 replies

Claudia Avila 11/13/24, 11:03 AM Top of Form   Nursing EBP November 13, 2024 Literature Review In my literature review on multimodal pain management for elderly hospice patients with cancer, Hinther et al. (2021) highlighted significant reductions in opioid consumption. They improved early postoperative outcomes for head and neck cancer

D9

Watch the following Youtube videos and answer the following questions. EACH QUESTIONS NEEDS APA 7TH EDITION REFERENCE Name five different types of disabilities. What is expected of health care providers who treat individuals with disabilities? What is the most important thing medical providers should do to treat individuals who have

professor response

  During wk4 discussion, select ONE or MORE Of the following questions to answer as the Instructor Question: 1) List and briefly describe the 7 domains of nursing practice as outlined by Benner’s Novice to Expert nursing theory. 2) Differentiate the definition of health concept in King’s Goal Attainment theory

assessment 63

Develop a 20-minute video presentation for nursing colleagues highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation, approximately 4-5 pages in length. This is a video presentation. Collapse All Introduction This assessment provides an opportunity for you to educate your peers on the care

assessment 62

Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation,

Analyzing a Current Health Care Problem or Issue

Please look at all attached documents, thank you Instructions: Describe the health care problem or issue you selected for use in Assessment 2 and provide details about it. · As you describe the topic you explored in Assessment 2, use the first four steps of the Socratic Problem-Solving Approach to aid

assessment 61

3pg Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care. Collapse All Introduction The first step in any effective project

Responses

 Speak in first person; In response to at least two of your peers, answer the following: How would the quality initiative in the research report change if it had used the tracer methodology instead? How important is the selection of a problem-solving framework to the design, implementation, and results of

Power point slide for Fire Disaster management plan

See attached file for sample and instructions FIRE DISASTER Instructions: Submit presentation slides  with voiceover.  Discuss your emergency management plan like you are presenting. You will use the information in your paper for your presentation. NO NEED FOR VOICEOVER JUST PUT THE TALKING POINTS ON THE NOTES AND I’LL TAKE