Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

case study

please see attachment

Review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references within 5 years. Answer the  case studies on the same document.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer.

Copy-paste from websites or textbooks will not be accepted or tolerated.  Copy-paste from websites (chat gtp) or textbooks will not be accepted or tolerated. 0% plagiarism No artificial intelligence

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

case study

Bertha, a 58 – year – old Hispanic female, presents to the primary care clinic to establish care. She states that in 1985 she received a blood transfusion after sustained an MVA. She had tested positive for hepatitis C virus ( HCV ) in the past, but ignored any advice regarding treatment options. She brings a previous lab result with her today that shows :(ALT) level of 85 IU/mL (range 8 – 35 IU/mL). The lab form also states, “ HCV antibody is positive by enzyme immunoassay — confirmation is suggested. The patient also arrived with diagnosis with exacerbation of A-Fib (pulse 110 beats per mint. and COPD exacerbation as well (O2 sat: 87%)

Past medical h story: Hypertension, dyslipidemia, hepatitis C.

Family history: Unremarkable

Social history: She works as a case manager of an HMO and is married with 2 children. Denies use of illegal drugs, denies alcohol abuse, and has no tattoos.

Medications: HCTZ, 12,5 mg daily; Atorvastatin 20 mg daily, Metoprolol Succinate 25 mg and Pro-Air HFA 90mcg one puff q 4- 6 hrs as needed x pain.

Allergies: No known drug or food allergies.

OBJECTIVE General a ppearance: 58 – year – old female; pleasant, in no acute distress; good eye contact. Vital signs: T: 96.8; P: 110; RR: 23; SaO 2 : 87; BP: 150/100. Her weight is 214 lb, and her height is 6.3 inches.

HEENT : Negative. Neck: Thyroid nonpalpable. No lymphadenopathy.

Cardiovascular: A-fib rhythm. irregular and rapid heartbeat.

Respiratory: Crackles and Wheezing.

Abdomen: Mild tenderness in right upper quadrant. BS x 4 no bruits. Nondistended, soft. No organomegaly. No ascites.

Neurological: A & O × 4, CN II – XII grossly intact.

Depression scale: negative. Musculoskeletal: Full ROM. No deformities. Muscle strength is 5/5.

CRITICAL THINKING

Which diagnostic or imaging studies should be considered confirm the

diagnosis?

What is the most likely differential diagnosis?

What is your plan of treatment?

Are there any emergency referrals needed?

What is first line treatment for AFib in patients with the mentioned comorbidities?

What is the first line of treatment for COPD exacerbation?

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

NU676

HOME WORK For this assignment, research different medications that are FDA approved for treating ADHD or conduct disorders in pediatric/adolescent patients. Your assignment should be minimum 2- to 3-page paper answering the following questions. Be sure to include at least three scholarly articles (published within the last five years) in

home work

Political Advocacy Presentation Instruction Competency Analyze the components of political action in nursing. Student Success Criteria View the grading rubric for this deliverable by selecting the “Grading rubric” in the right menu.  Scenario Your nurse executive wants the staff nurses to gain a better understanding of the types of nursing

Nursing Nursing homework help

MUST BE Original work. In this assignment, you will complete an essay in Word. You will locate a grand theory. You will examine the conceptual framework with a focus on advanced nursing roles. Read the assignment details and the rubric carefully. · Introduce the reader to the content of this

Rw week 8 sosp

rw week 8 soap  This file is too large to display.View in new window

Nursing homework question 1120

Instructions: Use the complex case PowerPoint presentation you created from the previous course to add Systems-Based Practice and Interprofessional Considerations 1.  Interprofessional Collaboration Needs · Identify which disciplines should be involved in managing this case (e.g. social work, pharmacy, physical therapy, behavioral health, nutrition). · Discuss how collaboration enhances care

328 Week 8

Nursing Note: Received call on triage line. Mother reports infant client is working to breathe but appears stable as per phone assessment. Client may be febrile. Mother asked to count breathing and stated about 50 breaths/minute. Denies nasal openings getting larger (flaring) or belly breathing. Counseled parent to undress child,

DNO-NURS MODULE 3

RUBRIC MODULE 3 – Official Essay Rubric – Official Essay Rubric Criteri a Ratings Pt s This criterio n is linked to a Learni ng Outco me Conten t Master y of the Inform ation 30 to >27.0 pts Excellent The essay content properly aligns with the information requested and

nursing

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days and respond to at least two colleagues on two different days in one or more of the following ways: Ask a probing question, substantiated with additional background information, evidence, or

Question3

See attached for instructions 1 Assessment 03 – Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing For this assessment, you will write a 4–6 page annotated bibliography where you identify peer- reviewed publications that promote the use of one of the technologies presented below that enhance quality and safety

help with home work

view attachment  Individual Preventive Screening Review the clinician provider guidelines and recommendations from the United States Preventive Services Task Force A and B Recommendations. For the master’s-prepared nurse, knowledge of epidemiology and its application to preventive screening guidelines is important in many clinical areas: administrative, education, and nurse practitioner fields.

NUR 514 Clinical Discussion #1

Module 1 Discussion Anything in this color is answers   Weekly Clinical Experience 1 Describe your clinical experience for this week. · Did you face any challenges, any success? If so, what were they? Seeing the strategies of diagnosing and assessing in the gynecologist office. · Describe the assessment of

Nursing HOMEWORK

PRESCRIBING FOR OLDER ADULT AND PREGNANT WOMEN After assessing and diagnosing a patient, PMHNPs must take into consideration special characteristics of the patient before determining an appropriate course of treatment. For pharmacological treatments that are not FDA-approved for a particular use or population, off-label use may be considered when the

discussion wk3

please see attached for instruction CM Intercultural communication is essential in nursing. There is a large population of non-English speakers in my area. Nurses must find ways to effectively communicate with their patients, especially those from other cultures. Yakar and Alpar (2018) conducted a study to see if nurses had

Fundamental

Relearning: Clinical Judgment Plan of Care Template Relearning Clinical Judgment Plan of Care Template-July24 © 2024 Chamberlain University. All Rights Reserved. 1 Student Name: Client Initials: Age/DOB: Allergies: BSA/BMI: Code Status: Date of Admission: Date of Care: Admitting Diagnosis: Comorbidities: Planned Treatments/Procedures: Nursing and HCP Collaborative Plan for Care: Include

NUR514W1A

Following the guidelines of the United States Preventive Service Taskforce (USPSTF), discuss and describe the screening recommendations for the following: · Cervical cancer · Breast cancer · Osteoporosis · Colorectal cancer · Lung cancer · Ovarian cancer · Intimate partner violence (IPV). Submission Instructions: · The paper is to be

NUR514W1

DISCUSSION: · Name and discuss four prevention essential health benefits for women that must be covered under the Affordable Care Act. · For women in the age range of early adulthood describe: · The psychosocial development. · As a Nurse practitioner, what you think would be the most appropriate clinical

NUR514CLW1

DISCUSSION: Describe your clinical experience for this week. · Did you face any challenges, any success? If so, what were they? · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales (WOMENS HEALTH RELATED)

NUR 630

Reply from Stacy Weiner Module 1 Discussion Stacy Weiner St. Thomas University NUR-630-AP3.25/FL2 Dr. Wilson-Romans 10/23/2025 Module 1 Discussion As a future Psychiatric-Mental Health Nurse Practitioner (PMHNP), I believe that diagnosing children with psychological disorders is appropriate and necessary when done thoughtfully and with sensitivity to each child’s stage of