Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

MR case study week 1 health assess

MR case study week 1 health assess

2

NU610 Unit 1 Case Study

A 19-year-old female presents with a complaint of headaches frequently. She reports that she has had them since she was a teenager, but they have become more debilitating recently. The episodes occur once or twice a month and last for up to 2 days. The pain begins in the right temple or the back of the right eye and spreads to the entire scalp over a few hours. She describes the pain as a sharp, throbbing sensation that gradually worsens and is associated with sever nausea. Several factors aggravate the pain including loud noises and movement. She has taken several over the counter medication like naproxen and acetaminophen for the pain but the only thing that makes it better is going to sleep in a dark quiet room. Reports no drug allergies but has seasonal and allergies to pet dander. A thorough history reveals her mother suffers from migraines. Last menses 4 weeks ago, is sexually active uses condoms. Currently a freshman in college. Denies alcohol, illicit drug and tobacco use. Last health visit was over the Summer, up to date on health maintenance for her age. She denies fever, chills, night sweats or neck stiffness. She denies visual changes other than photophobia. She denies chest pain, palpitations, shortness of breath or cough. She denies abdominal pain, has some nausea with the headaches but no vomiting. Denies numbness, tingling, weakness or changes in mood. Vital signs: temperature 98.5, BP 112/70, HR 62, RR 17, 99% RA, Ht. 68 inches, Wt. 151 lbs. Alert and oriented to self, place, time and situation. Appears stated age with skin warm and dry. Normocephalic, PERRL, TM gray with adequate conf of light bilaterally, no tenderness over sinuses. Mucous membranes pink and dry. No palpable masses, adenopathy or thyroid enlargement. Regular heart rate and rhythm without murmurs. No edema. Lungs clear bilaterally, no use of accessory muscles. Soft, non-tender, non-distended abdomen with normoactive bowel sounds. Normal visual acuity using Snellen chart 20/20, face symmetrical with symmetrical smile and puffing out cheeks. Weber and Rinne test performed with normal bone and air conduction. Palate and uvula at rest are free of fasciculations and symmetry noted at test and when pt. says “ah.” Positive gag reflex. Shrug shoulders spontaneously and against resistance, hypoglossal nerve intact. Muscle tone inspected, palpated without atrophy and strength 5/5. Bicep, patellar and Achilles reflexes 2+ bilaterally with negative Babinski. Able to distinguish light and deep touch. Able to complete heel to shin, gait steady.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

part two

The learning resources this week serve as salient illustrations of the need for the nursing professional to bring their ‘A’ game to the practice environment.  Our professional responsibility, be it through our direct care or indirect care practices, is to be vigilant in our surveillance of quality and safety in

Health Maintenance

The purpose of this assignment is to develop a health maintenance plan for a selected Disease, such as asthma, hepatitis, hypo and hyperthyroidism, and coronary artery disease, in a selected Population. 1. Assess, develop, and recommend health maintenance plans for clients in all developmental stages of life within the primary

RUA Group

The topic is   Hospital Acquired Infection.  PICOT is as follows: “In hospitalized adult patients, does increased nursing compliance with hand hygiene protocols compared to low compliance affect the rate of C. Diff infections over a six month period”?  -Correlates research findings to identified clinical issue. 

lorem, ipsum

Instructions Select a practice problem from the list below.  · High volume of medication non-adherent patients  · Absent early childhood Autism screening in the primary care setting · High percentage of patients with poorly controlled Hypertension · Deficient interprofessional collaborative care planning for a Depressed patient · High volume of

Approach disc 1

Explain the difference between ion channels and G proteins as they relate to signal transduction and targets of medications. How would you answer the following patient question: My grandmother has a mental illness. I have the same genes as her. Will I also get the same mental illness? Note: Your

Cost benefit

See attached doc for instructions Week 3 discussion Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g.,

NRP 477

Homework Module 6- Foundation for Effective Leadership and Management in Ethics and the Law-2  Introduction:  Foundation for Effective Leadership and Management in Ethics and the Law (SLOs 1,2,3,4,5,6)   Exploring Ethics and Law in Leadership: The professional nurse has the American Nurses Association (ANA) Code of Ethics to guide our ethical

NUR514CLW6

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. (UTI SYMPTOMS) ·

NUR514W6

DISCUSSION: Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case: 1. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach

Research in nursing: ethical dilemma

Ethical Reflection: Ethical reflection is the thoughtful evaluation of ethical questions and the development of a critical awareness regarding the values that inform the choices all people, including oneself, make when confronting such questions. How do you start a reflection in nursing? When reflecting there are a few key things

nursing

see attachment For this assessment, you will conclude the clinical learning activity you began in Assessment 1 (see second attachment) You will resume the role of a community nurse tasked with addressing the specific health concern in your community. This time, you will present, via educational outreach, the hypothetical health

Agenda comparison grid

See attached doc for instructions To Prepare: · Review the agenda priorities of the current/sitting U.S. president and at least one previous presidential administration. Tip: You can locate presidential agenda information by searching Google for your health topic and the president. For example,  mental health Obama presidential agenda. · Select an issue

NUR 630

SMART Goals Evaluation Think back to the five SMART goals you created earlier in the term. Write a reflection paper following APA format and consisting of 750-1000 words in length. Use the following questions to guide your response:    1. What were you expecting from the experience before you started?    2. Why were you

DNP

Final Assignment – Emotional Competence: A Required Leadership Skill for Today’s Leader Instructions: In your final project, you will have the possibility to describe, in an essay, emotional competence as a required leadership skill necessary for today’s leader. You may define in this paper what emotional competence is. How can

CLINICAL 514 DISCUSSION #6

Anything in this color is answers Module 6 Discussion     Weekly Clinical Experience 6 Describe your clinical experience for this week. · Did you face any challenges, any success? If so, what were they? Treating pregnant patients and their needed follow up. · Describe the assessment of a patient,