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

“Variant characteristics of culture” include nationality, race, age, color, religious affiliation, educational status, socioeconomic status,

“Variant characteristics of culture” include nationality, race, age, color, religious affiliation, educational status, socioeconomic status, occupation, military experience, political beliefs, urban versus rural residence, enclave identity, marital status, parental status, sexual orientation, gender issues, physical characteristics, immigration status, and length of time away from the country of origin. Reflect on

smart goals,  work on setting goals for yourself using the SMART method. list a minimum of five professional goals that you would like to

smart goals,  work on setting goals for yourself using the SMART method. list a minimum of five professional goals that you would like to accomplish during the clinical experience in this term. For each goal, you must provide an explanation of how the goal is representative of each of the SMART characteristics: Specific, Measurable, Attainable, Realistic,

Describe the roles and responsibilities of the APRN when prescribing medication. Describe the method used to determine what drug therapy to

Describe the roles and responsibilities of the APRN when prescribing medication. Describe the method used to determine what drug therapy to prescribe? Discuss responsibilities for patient education and teaching based on the prescribed therapy.  Discuss Schedule drugs and prescribing restrictions for each scheduled drug.  2 academic sources cited  Arcangelo, P.

United States Preventive Service Taskforce (USPSTF) Following the guidelines of the United

United States Preventive Service Taskforce (USPSTF) 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 results of my CliftonStrengths assessment revealed my top five strengths as Learner, Strategic, Relator, Discipline, and Achiever. These

  The results of my CliftonStrengths assessment revealed my top five strengths as Learner, Strategic, Relator, Discipline, and Achiever. These strengths describe my drive for personal growth, goal-oriented focus, relationship-building approach, structured thinking, and strong work ethic. What surprised me most was how accurately the “Learner” theme described my passion

see attachment Table 1: Terminology Definitions Table 2: Female Sexual Dysfunction Term Definition Sexualit y A broad concept encompassing

see attachment Table 1: Terminology Definitions Table 2: Female Sexual Dysfunction Term Definition Sexualit y A broad concept encompassing sexual feelings, thoughts, attractions, preferences, and behaviors across a lifespan. Sexual health A state of physical, emotional, mental, and social well-being in relation to sexuality; not merely the absence of disease