Case#2 Chief complaint: “I am here for my annual physical exam and have been having vaginal discharge.”  History of Present illness: 32-year-old

Case#2

Chief complaint: “I am here for my annual physical exam and have been having vaginal discharge.” 

History of Present illness: 32-year-old pregnant lesbian – her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank.

Drug Hx: Current Meds: prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion

Family history: She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0.

General: No fatigue, fever, or chills.

Neck: No pain or injury

Integumentary: multiple piercings, and tattoos. Old scars related to “cutting”

PE: B/P 128/76; Pulse 83; RR 16; Temp 99.0; Ht 5,6; wt 128; BMI 20.98

HEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.

Lungs: CTA AP&L

Cardio: S1S2 without rub or gallop

Abdominal: benign, normoactive bowel sounds x 4

GU: external genitalia intact, no lesions or masses. White copious discharge with an amine odor; no cervical motion tenderness; adnexa intact.

EXT: no cyanosis, clubbing or edema

Integumentary: intact without lesions masses or rashes.

Neuro: No obvious deficits and CN grossly intact II-XII

Questions:

1.
Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

2.
Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.

3.
Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?

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.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

COMPLETE QUESTION BY FILLING IN THE BLANK Thumbnails/thumbnail.png 1) Sepsis due to E.

COMPLETE QUESTION BY FILLING IN THE BLANK Thumbnails/thumbnail.png 1) Sepsis due to E. coli. Responses A41.4 A41.50 A41.51 A41.9 2) Metastatic carcinoma from the lung. Responses D49.9, C80.1 D49.9, C34.90 C79.9, D49.1 C34.90, C79.9 3) ype 2 diabetes mellitus with diabetic macular edema and retinopathy, right eye, resolved following treatment. Responses

COMPLETE IN DETAIL Thumbnails/thumbnail.png 1) Opioid use, abuse, and dependence with intoxication and delirium FILL IN BLANK 2) Paranoid

COMPLETE IN DETAIL Thumbnails/thumbnail.png 1) Opioid use, abuse, and dependence with intoxication and delirium FILL IN BLANK 2) Paranoid schizophrenia FILL IN BLANK 3) Alcoholic delirium tremens FILL IN BLANK 4) Factitious disorder, imposed on self, with predominantly physical signs and symptoms FILL IN BLANK 5) Major depressive disorder, recurrent, with psychotic

  Past Experience I work on a peds Oncology hematology floor. Describe your

  Past Experience I work on a peds Oncology hematology floor. Describe your experience in the utilization of nursing research in your clinical practice.   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

PLEASE READ CAREFULLY ATTACHED DOCUEMTN FOR ALL INSTRUCTIONS AND REQUIREMENTS Advanced Practice Nursing: Clinical Decision-Making and Leadership

PLEASE READ CAREFULLY ATTACHED DOCUEMTN FOR ALL INSTRUCTIONS AND REQUIREMENTS Advanced Practice Nursing: Clinical Decision-Making and Leadership Essay Overview: This assignment invites you to explore the evolution of clinical decision-making as you transition from bedside nursing to advanced practice roles. In your essay, you will critically analyze and compare the

Module 1 Discussion   Foundation for Health Promotion For this Discussion, your

Module 1 Discussion   Foundation for Health Promotion For this Discussion, your instructor will assign you a case number. Case  Cases D.H. is a nurse administrator at a large primary practice. His duties include maintaining the nurses’ schedules to keep within the facility’s budget; overseeing the hiring and training of