NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion

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NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion

For this assignment, post a response to one question in the Discussion Area by the due date assigned. You may respond to your classmates’ postings for either question.

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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. NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion

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. NSG6340 Practicum III: Adult Health – Primary Care.

You are an adult gerontology 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). NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion

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?)

Instructions

APEA Prepredictor Examination

Submission Details:

Please submit your proof of completion of the APEA prepredictor exam to the Submissions Area by the due date assigned.
Name your document SU_NSG6340_W1_Project1_LastName_FirstInitial.doc.

APEA Review Course Modules

You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week.

You must submit proof of completion to the assigned Submissions Area. This is a required assignment. Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion

You are assigned the following APEA Review Course Module this week.

Antibiotics

Please submit your proof of completion of the APEA review course to the Submissions Area by the due date assigned.

Name your document SU_NSG6340_W1_Project2_LastName_FirstInitial.doc.

APEA myqbank

For the purposes of this course, you will be responsible for completing 150 practice questions weekly from the Patient Management Bank. Upon accessing My Q-Bank, you will see that the questions are separated into categories, such as cardiovascular, women’s health, geriatrics, etc. Students should use the Tutor Mode which provides the correct answer with rationales in order to obtain the highest benefit.NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion

You need to complete the 150 questions by the end of each week that are related to the content for each week and/or your weaker areas from the APEA Pre predictor examination in Patient Management Bank. This is a required assignment. You must submit proof of completion to the assigned Submissions Area. Failure to complete these practice questions will result in a 0 for the assignment and an incomplete in this course, which may delay your progression.

Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the Submissions Area by the due date assigned.

Name your document SU_NSG6340_Project3_LastName_FirstInitial.doc.

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?NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion

Submission Details:

Post your response to the Discussion Area by the due date assigned. Respond to at least two posts by the end of the week.

iHuman Case Study

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence based primary care curriculum. Throughout your nurse practitioner program you will use iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessment and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases will be present in the weekly quizzes, and mid-term and final exams. You must have all iHuman assignments completed in order to successfully pass the course.

Please access the iHuman tab on the left-hand side of your screen under the Course Home page for log-in instructions. Please follow the instructions located on the start page of your case.

This week, complete the case titled “Susan White V3” NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion

Submission Details:

Once you complete your case, click “Submit“
iHuman case studies are assessed on the following areas: History Taking, Physical Exam and Differential Diagnoses
Your instructor will review your completion of the iHuman case study to determine your points earned
Complete the Week 3 Project iHuman case study by the due date assigned.

Instructions

APEA Review

For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week.

The communication regarding your login information for APEA comes from the following e-mail address: [email protected] Practicum III: Adult Health – Primary Care Week 1 Discussion

The subject line of the e-mail will read: Your APEA Online Test Information.

If you have any trouble receiving your login, please contact [email protected] or by phone at (800) 899-4502, and let your instructor know.

You are assigned the following APEA Review Course Module this week. NSG6340 Practicum III: Adult Health – Primary Care.

HEENT modules

Please submit your proof of completion of the APEA review course to the Submissions Area by the due date assigned.

Name your document SU_NSG6340_W2_Project2_LastName_FirstInitial.doc.

APEA myqbank

Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the Submissions Area by the due date assigned.

Name your document SU_NSG6340_W2_Project3_LastName_FirstInitial.doc.

Instructions

SOAP Note and CORE Entries

Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using this SOAP_NoteDocument_Revised Template . The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Submissions Area. When submitting your note, be sure to include the reference number from CORE.

Submission Details:

By the due date assigned, enter your patient encounters into CORE and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG6340_W2_SOAPLastName_FirstInitial.doc.
Include the reference number from CORE in your document.
Submit your document to the Submissions Area by the due date assigned.

In Week 3 you learned about other common adolescent health conditions. Review the following case study and answer the following questions: NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion

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?
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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 at least two posts by the end of the week.

Instructions

iHuman Case Study

Please access the iHuman tab on the left-hand side of your screen under the Course Home page for log-in instructions. Please follow the instructions located on the start page of your case.

This week, complete the case titled “Chana Kumar V3 PC”

Submission Details:

Once you complete your case, click “Submit“
iHuman case studies are assessed on the following areas: History Taking, Physical Exam and Differential Diagnoses
Your instructor will review your completion of the iHuman case study to determine your points earned
Complete the Week 3 Project iHuman case study by the due date assigned.

APEA Review Course Modules

For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week. NSG6340 Practicum III: Adult Health – Primary Care.

The communication regarding your login information for APEA comes from the following e-mail address: [email protected].

The subject line of the e-mail will read: Your APEA Online Test Information.

If you have any trouble receiving your login, please contact [email protected] or by phone at (800) 899-4502, and let your instructor know.

You are assigned the following APEA Review Course Module this week.

– Hematology modules

– GI modules

Please submit your proof of completion of the APEA review course to the Submissions Area by the due date assigned.

Name your document SU_NSG6340_W3_Project1_LastName_FirstInitial.doc.

Instructions

APEA myqbank

Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the Submissions Area by the due date assigned.

Name your document SU_NSG6340_W3_Project2_LastName_FirstInitial.doc.

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? NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion