Our Services

Get 15% Discount on your First Order

Female Genitourinary, & Musculoskeletal For this Discussion, you will take on the role of a

November 26, 2024

Female Genitourinary, & Musculoskeletal

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following case

	Case 1
Chief Complaint (CC)	“I have a tumor on my left breast”
History of Present Illness (HPI)	A 55-year-old African American social worker presents to your clinic with a finding of a lump in her left breast while in the shower this past week.
Drug Hx	I took birth control pills for 10 years, starting when I was 20 I am not on hormone replacement
Family Hx	My grandmother had breast cancer when she was 76 years old
Subjective	Denies any fever or chills. No changes in vision or hearing, no difficulty chewing or swallowing. Supple neck, states that she does self-breast-exams on occasion. Menopause at 52 No skin changes or nipple discharge from the left breast
VS	temperature 98.6°F; respiratory rate (RR) 16; heart rate (HR) 80, regular; blood pressure (BP) 130/84; height: 5′8″; weight 160 lbs; body mass index (BMI) 24
General	well developed, nourished, healthy-appearing female
HEENT	Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
Lungs	clear to auscultation
Card	regular rate and rhythm (RRR)
Breast	Examined in sitting and supine positions. In sitting position, no evidence of skin changes, right breast is slightly larger than the left, symmetrical movement with the arms above the head and at the side and with flexion of the pectoral muscles; 5-mm nonmobile, non-tender, firm mass felt at 10 o’clock position, 5 cm from the areola. Right breast without dominant masses or tenderness. Nipples without inversion or evidence of nipple discharge. Breast mass is palpated in the supine position in the same manner as in the sitting position
Lymph	negative axillary, infraclavicular, and supraclavicular lymphadenopathy
Abd	normoactive bowel sounds x 4;
GU	Bladder is non-distended.
Integument	good skin turgor noted, moist mucous membranes
MS	Muscles are smooth, firm, symmetrical. Full ROM. No pain or tenderness on palpation.
Neuro	No obvious deformities, CN grossly intact II-XII

1.
What other subjective data would you obtain?

2.
What other objective findings would you look for?

3.
What diagnostic exams do you want to order?

4.
Name 3 differential diagnoses based on this patient’s presenting symptoms.

5.
Give rationales for each differential diagnosis.

6.
What teachings will you provide?

Your initial post
should be at least 500 words, formatted and cited in the current
APA style with support from at least
3 academic sources.

Due Wednesday Nov 27 at 11:59pm

>Nursing homework help

Share This Post

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

Related Questions

Week 595 Discussion case study Imagine a 64-year-old woman from a different cultural background than the healthcare provider. She has been living

Week 595 Discussion case study Imagine a 64-year-old woman from a different cultural background than the healthcare provider. She has been living with type 2 diabetes (T2DM) for two years. She has been taking metformin (2000 mg/day) without any issues. Her BMI is 32 kg/m². She also has high blood

Episodic Visit: Dermatology Focused Note Focused Notes are a way to reflect on your practicum experiences and connect the experiences to the

Episodic Visit: Dermatology Focused Note Focused Notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Focused Notes, such as the ones required in this practicum course, are often used in clinical settings to document patient

Comprehensive Mental Health Examination For this assignment, list the parts of a

Comprehensive Mental Health Examination For this assignment, list the parts of a comprehensive mental status examination (MSE) for mental health patients. Give examples of each and describe the significance to the advanced practice nurse. Submission Instructions · The paper is to be clear and concise and students will

Therapeutic Relationship Case

Therapeutic Relationship Case Cases J.J is a nurse practitioner who works in a primary care facility. He believes that one of the most important aspects of his work is to foster a therapeutic relationship with his clients. He is using effective communication techniques. Many of his clients have altered

15 S 21st St., Suite 205 Fargo, ND 58103

15 S 21st St., Suite 205 Fargo, ND 58103 BASIC ASSURANCES SYSTEM Procedure Title: Basic Assurances System Procedure Type: Service Operations Number: 10 Original Date Issued: 03/11/2022 Effective Date: 03/11/2022 Approved By: Gibson W. Jerue, CEO Approved Date: 03/11/2022 Revision Date(s): Policy Reference: Basic Assurances System Disability

Directions: Find something that interests you from each of the four chapters (use PowerPoints or textbook). Post a brief share from each chapter

Directions: Find something that interests you from each of the four chapters (use PowerPoints or textbook). Post a brief share from each chapter that will add to your classmates’ understanding, insight, or future nursing practice. Your post should look approximately like this: Chapter 30: Here is an experience I’ve had

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Case 1 Chief Complaint (CC) “I came for my annual physical exam, but do not want to be a burden to my daughter.” History of Present

image1.png image2.png image3.png image4.png

response detailing your argument for the following: What is the proposed mechanism of action of the medication(s)? Why might this be

response detailing your argument for the following: What is the proposed mechanism of action of the medication(s)? Why might this be appropriate for the patients? What are the advantages or disadvantages to your class of medication (options for different administration, length of duration, etc.)?

Comprehensive Mental Health Examination For this assignment, list the parts of a comprehensive mental status examination (MSE) for mental

Comprehensive Mental Health Examination For this assignment, list the parts of a comprehensive mental status examination (MSE) for mental health patients. Give examples of each and describe the significance to the advanced practice nurse. Submission Instructions • The paper is to be clear and concise and students will lose

J.J is a nurse practitioner who works in a primary care facility. He believes that one of the most important aspects of his work is to foster a the

J.J is a nurse practitioner who works in a primary care facility. He believes that one of the most important aspects of his work is to foster a therapeutic relationship with his clients. He is using effective communication techniques. Many of his clients have altered sensory perception such as blindness

DISCUSSION: J.R. is a nurse practitioner who serves an urban Chinese community. The challenges she faces daily include

DISCUSSION: J.R. is a nurse practitioner who serves an urban Chinese community. The challenges she faces daily include coordinating health care for the community members, fostering compliance with treatment regimens, and teaching the community about health prevention and early detection of diseases and conditions. J.R. has learned that one of

Discuss the interrelationship among theory, practice, and research.

Fill out my clinical judgement plan Postpartum Spinal Headache Patient: Jane Doe Age: 27 years Gravida/Para: G1P1 PMH: None Allergies: NKDA Date

Fill out my clinical judgement plan Postpartum Spinal Headache Patient: Jane Doe Age: 27 years Gravida/Para: G1P1 PMH: None Allergies: NKDA Date of delivery: 06/15/2025 Delivery type: Vaginal / Anesthesia: Epidural Postpartum Day: 06/16/2025

Weekly Clinical Experience 1 Describe your clinical experience for this week with a patient

Weekly Clinical Experience 1 Describe your clinical experience for this week with a patient with a yeast infection · 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

I need your expert on helping me with my discussion Week 1 post NUR 506 Discussion 1 Nursing & Health-Care-Policy Analyze the history,

I need your expert on helping me with my discussion Week 1 post NUR 506 Discussion 1 Nursing & Health-Care-Policy Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States. Submission Instructions: • Your initial post should be

Clinical Experience Describe your clinical experience for this week based off (Hypertension) Did you face any challenges, any success? If so, what

Clinical Experience Describe your clinical experience for this week based off (Hypertension) 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. Mention

How does cultural competency occur? What can one do to become culturally aware? Describe an effective approach to using The Purnell Model when working

How does cultural competency occur? What can one do to become culturally aware? Describe an effective approach to using The Purnell Model when working with subcultures (immigration status, gender, political beliefs, socioeconomic status, sexual orientation, educational status, etc.).