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Exam (elaborations) NR 511 WEEK 6 QUIZ (SOLVED) 1 / 1 pts A client with hyperthyroidism presents with a complaint of a “gritty” feeling in her eyes. Over the past week, her visual acuity has diminished, and her ability to see colors has changed. She also has a feeling of pressure behind her eyes. The next step for the nurse practitioner is to: Order a total thyroxine (T4). Correct! Refer the client for immediate evaluation by an ophthalmologist. Order a thyroid ultrasound. Prescr...

Exam (elaborations) NR 511 WEEK 6 PART 1 General Questions When did the fatigue start? Where is the fatigue? How long does it last? How would you describe it? Does anything make it worse? Does anything make it better? Have you done anything to treat it? How would you rate it? 1. Hypothyroidism ***Have you been fatigue? Do you have cold intolerance ? Has your hair been dry and brittle? Has your skin seemed dry? Have you had muscle cramps? Has you menstruation been abnormal? Hav...

Exam (elaborations) NR 511 WEEK 5 SNAPPS WRITTEN ASSIGNMENT TEMPLATE What is the self-directed learning issue that was identified in your oral presentation? Management of Recurrent Urinary Tract Infection in Women Research the self-directed learning issue and provide a summary of your findings which is fully supported by appropriate, scholarly, EBM references. According to Al-Badr and Al-Shaikh (2015), "Urinary tract infections (UTIs) are one of the most frequent clinical bacterial in...

Exam (elaborations) NR 511 Week 5 QUIZ 1 / 1 pts A 42-year-old professional golfer complains of chronic back pain for many years. His workup reveals that it is not the result of a degenerative disc problem. His back “goes out” about twice per year, and he is out of work for about a week each time. Which of the following should the clinician advise? Consider changing careers to something less physical. Start on a daily low-dose narcotic to take away the pain. Make an appointment w...

Exam (elaborations) NR 511 Week 3 SOAP NOTE Riley 18 Months Subjective Chief Complaint Fever And Rash Chief complaint: fever and rash History of present illness (HPI): O: Onset-three days ago and is of normal levels in the morning then gets as high as 100 to 101 degrees in the afternoons. L: Location— developed a red, diffuse rash to the torso and abdomen D: Duration-three days C: Characteristics/Associated symptoms- clear rhinorrhea in the last 24 hours. Rash that does not itch a...

Exam (elaborations) NR 511 Week 1 SOAP NOTE Case Study 1 Mary 44 YO Female Mary, 44 year old female, Caucasian S: Subjective Chief Complaint (CC): "My right eye is red and was full of goop this morning." History of present illness (HPI): O: Mary woke up this morning with her right eye red and with "goop" in it L: right eye D: right eye drainage and redness started this morning and continues C: includes left eye; red and goopy drainage present upon waking this morning A: states noth...

Exam (elaborations) NR 511 Week 1 DQ2 Discussion Part Two Mary 44 YO Discussion Part Two Mary , 44-year-old Caucasian, female. S. CC: Patient has complaint of goop in the eye and eye being red. HPI: Onset: This morning (1 day) Location: Eye Duration: constant redness Characteristics: Eye drainage Aggravating Factors: Nothing seems to make it worse. Relieving Factors: Nothing seems to make it better. Treatment: Has not tried any home remedies. Current Medications: Takes a daily mul...

Exam (elaborations) NR 511 Reflection The student identifies at least one gap in specific patient experiences (i.e. ages, acuities, complexities, procedures, assessments, etc.) AND The student outlines their practicum plan for the next 4 courses AND The student presents a brief plan to narrow the gaps within the context of the planned practicum rotations. (Requires 3 critical elements) During the last 8 weeks of clinical rotation, I worked at a family medicine clinic. My preceptor saw 60...

Exam (elaborations) NR 511 PEER REVIEWER JESSICA FIEHLER R 511 PEER REVIEWER JESSICA FIEHLER NR511 Peer Review Template and 4) Identifies the typical clinical presentation seen in a patient with the disease (4 critical elements). the typical clinical presentation seen in a patient with the disease. Jessica presented eight (4 critical elements must be noted) different typical ways AOE could present in the clinical setting. Publication & Applicability in Primary Care ...

Exam (elaborations) NR 511 Midterm Study Guide Worksheet ase Risk Subjective Finding Objective Findings Diagnostics Treatment Education GI DISORDERS Appendicitis -Most common between 10-30yrs; but can occur at any age; rare in infants and older adults -men more at risk - Diets low in fiber, high in fat, refined sugars, & other carbs at increased risk. - Obstruction of appendix is cause of majority of appendicitis - contributing factors: Intra-abdominal tumors, positi...

Exam (elaborations) NR 511 Final Exam Study mpetigo Impetigo is a superficial bacterial infection of the skin. It is classified into primary impetigo when there is a direct bacterial invasion of previously normal skin or secondary impetigo when the infection arises at sites of minor skin trauma. The occurrence of secondary impetigo is referred to as impetiginization. Impetigo is most frequently observed in children ages 2–5 years of age, although older children of any age and adult...

Exam (elaborations) NR511 FINAL EXAM STUDY GUIDE o Common M/S disorders o Common spine disorders o Metabolic disorders o Endocrine disorders o Wounds, lacerations & bites o Common hematological disorders o Common male GU disorders o Testicular disorders Chapters + lectures: Wk 5: o Chapter 52: Common Musculoskeletal Complaints o Chapter 53: Spinal Disorders o Chapter 54: Soft-Tissue Disorders o Lectures o Hollier o DE Wk6: o Chapter 57: Glandular Disorders (p. 880-897 only) ...

Exam (elaborations) NR 511 FINAL EXAM STUDY GUIDE o Common M/S disorders o Common spine disorders o Metabolic disorders o Endocrine disorders o Wounds, lacerations & bites o Common hematological disorders o Common male GU disorders o Testicular disorders Chapters + lectures: Wk 5: o Chapter 52: Common Musculoskeletal Complaints o Chapter 53: Spinal Disorders o Chapter 54: Soft-Tissue Disorders o Lectures o Hollier o DE Wk6: o Chapter 57: Glandular Disorders (p. 880-897 only) ...

Exam (elaborations) NR 511 DISCUSSION PART 1 WEEK 3 (PERTINENT INFORMATION) A 19-year-old male freshman college student presents to the student health center today with complaints of bilateral eye discomfort. Upon further questioning you discover the following subjective information regarding the chief complaint. History of Present Illness Onset 2-3 days ago Location Both eyes Duration Constant Characteristics Both eyes feel "gritty" with mild to moderate amount of discomfort. Furth...

Exam (elaborations) NR 509 WEEK 8 QUIZ ASSESSMENT Quiz #8 Question 1 2 / 2 pts It is important to approach each clinical experience with an open mind and positive attitude? Correct! True False NP students should keep an open mind and positive attitude throughout the clinical rotation. The clinical site might not be you preferred environment; but you can still make the most out of the experience. Question 2 2 / 2 pts If I arrive at my clinical site and my preceptor who was appro...

Exam (elaborations) NR 509 Week 5 Soap Note Initials: EP Age: 78 Gender: Female Height: 5’2” Weight: 120 lbs BP: 110/70 HR:92 Temp: 37.0 C SPO2: 99 RR: 16 Pain (1-10): 6 Allergies: Medication: NKDA Food: none Environment: Latex—“itchy rash” History of Present Illness (HPI) Chief Complaint (CC): “pain in my belly” and difficulty going to the bathroom Onset: Constipation 5 days ago with the exception of an episode of was watery diarrhea 3 days ago Location: “l...

Exam (elaborations) NR 509 WEEK 4 SOAP NOTE nitials: BF Age: 58 Gender: Male Height Weight BP HR RR Temp SPO2 Pain Allergies 5’ 11 197lbs 146/ 90 104 19 36.7C 98% Medication: Codeine : reports causes nausea and vomiting Food: none Environment: none History of Present Illness (HPI) Chief Complaint (CC) Chest pain CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a...

Exam (elaborations) NR 509 Week 1 Study Guide 1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be. A. Objective B. Reflective C. Subjective D. Introspective 2. A patient tells the nurse that he is very nervous, is nauseated and feels hot. These types of data would be A. Objective B. Reflective C. Subjective D. Introspective 3. The patients record, labor...

Exam (elaborations) NR 509 SOLVED MIDTERM EXAM TEST PREP Basic and Advanced Interviewing Techniques Basic maximize patient's comfort, avoid unnecessary changes in position, enhance clinical efficiency, move head to toe, examine the patient from their right side Active listening, empathic responses, guided questioning, nonverbal communication, validation, reassurance, partnering, summarization, transitions, empowering the patient Active Listening- closely attending to what the patient ...

Exam (elaborations) NR 509 Shadow Health Pediatric Transcript Completed Interview Started: Oct 15, 2018 | Patient Exam Time: 182 min All Lines (216) Interview Questions (103) Statements (20) Exam Actions (93) Hello, My name is Lucy an FNP student, I will be interviewing you today Greet 10/15/18 9:25 PM CDT Hi. what's your name? Question 10/15/18 9:25 PM CDT My name is Daniel Rivera, but I just go by Danny. Thank you Danny, are you okay? I hear you are coughing Empathize 10/15...