5 quiz questions with rationale that cover the content on chapter 14, 20,21, 27.

Two well written paragraphs for each question. Provide a thorough rationale and justify your answer with a scholarly reference. Use scholarly reviewed articles from 2018 please.

Question one.

a.     Differentiate between withdrawal and overdose, include causes, effects, treatments and while medical attention is required.

b.    Alcohol abuse and the effects on the liver.

 

Question two.

How is prenatal diagnosis of Down syndrome achieved? Substance abuse and the effect on pregnancy.

 

Question three.

a.     Why is DNA considered a dependable means of identification for an individual? How might this be used?

b.    Describe amniocentensis and its purpose.

 

Question four

Compare depression and panic disorder in regard to classifications, significant signs and symptoms and recommended drug therapy.

 

Questions 5.

a.     Explain several ways by which the treatment of cancer by chemotherapy may temporarily create additional health problems for a patient.

b.    Suggest some benefits to the patient who chooses to have palliative treatment rather than curative radiation therapy.

 

 

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AGNP/FNP Final Case Study

Overview

Think about all you have learned in regard to taking care of adult patients and consider the case presentation that follows. Answer all the questions completely and use peer-reviewed evidence to support your answers.

Visit 1

Mrs. Johnson is a 60-year-old female who presents to your office with right shoulder pain. She just moved to the area with her husband a few months ago. She is coming to see you today with a two-week history of nasal congestion, fever, some cough, and a sore throat. She reports that she initially felt like she had a cold, thought she was getting better, then got worse again. At the onset of her illness, she describes clear nasal drainage, which has now turned more purulent. She does endorse headaches and some pressure around her eyes. She does not have any of her medical records, but states that she does not have any medical conditions other than some chronic aching in her shoulders.

1.     Based on the clinical manifestations she is demonstrating, identify three different disorders or conditions that could be causing her symptoms. Briefly explain your rationale for each.

2.     At the onset of her illness, were her symptoms and underlying pathophysiology most likely bacterial or viral in nature? Explain your rationale.

3.     At the time of the office visit, were her symptoms and underlying pathophysiology most likely bacterial or viral in nature? Explain your rationale.

Based on the length of her illness, the presence of fever, and the worsening trajectory of illness, Mrs. Johnson is diagnosed with acute bacterial rhinosinusitis and started on antimicrobial therapy.

1.     Explain why secondary bacterial infections may commonly follow viral infections in the respiratory tract of older adult patients.

2.     Would this same therapy have helped return Mrs. Johnson to a more homeostatic state if started at the onset of her illness? Explain why or why not.

Visit 2

Mrs. Johnson has returned for another visit. She reports that she has recovered from her sinus infection and feels much better. However, today, she states that she is having increasing right shoulder pain over the past couple of weeks. She explains that her shoulders have “always bothered” her because she worked in a factory moving boxes for years. She states that she uses naproxen, “prescription strength,” and that usually does the trick when her pain flares up, but she is out and would like a refill.

1.     In a patient Mrs. Johnson’s age, what conditions or disorders could cause shoulder pain as she describes? Identify three and explain your rationale.

2.     Explain how a medication like naproxen may interrupt the pathophysiology of one of those conditions and help reduce pain. In other words, how does the use of that medication return Mrs. Johnson to a more homeostatic state?

On exam, you note that her right shoulder is tender to palpate, and she has limited range of motion. She smells of BenGay but, otherwise, she seems healthy. There still have not been any medical records available for review. The area is edematous, and when asked, she does agree that her arm seems swollen. She denies any falls but remembers that she lost her balance and fell backward into her recliner a few days ago “kind of hard” but she caught herself when she grabbed for the coffee table. Otherwise, she does not recall any injuries. You decide to send Mrs. Johnson for an x-ray and she is in the waiting room until you get the results back.

The following radiograph (image 1) is what is sent to you via teleradiology.

 

1.     The x-ray indicates a pathological fracture of her humerus. What is a pathological fracture?

2.     What can cause a pathological fracture? Be specific.

3.     Assuming you had access to Mrs. Johnson’s medical records, what history or risk factors would you be looking for that could predispose her to an injury of this sort.

4.     Identify three interventions that can promote healing of a pathological fracture. Explain how these interventions will help return Mrs. Johnson to a more homeostatic state.

During your exam of her shoulder, you notice a suspicious looking skin growth on her back (image 2). Mrs. Johnson states that it has been there a long time, but does seem to be getting bigger. She reports that it occasionally bleeds and now seems to be darker than it was before.

 

1.     List the signs of possible malignant changes in a skin lesion. Which of these signs is Mrs. Johnson exhibiting?

2.     Based on the description and appearance, which type of lesion are you most suspicious for? In your answer, discuss the characteristics of the typical lesion of squamous cell carcinoma, melanoma, and Kaposi sarcoma.

List the four warning signs of skin cancer. Which of these is Mrs. Johnson exhibiting

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final Paper – IMPORTANT

Date: Jul 8, 2020 12:00 AM Description

Can you believe that we are almost to the end of the class?

Couple of things to help you with your final paper.

  • This paper is a combination of the first two. You do not need to write a whole new paper using new articles.
  • Don’t worry about the word count.  I don’t want a 20 page paper, but I want you to be sure to get the content in the paper.
  • Please use the rubric to develop the final paper. The guidelines in the final paper are incorrect and do not include all of the elements in the rubric.
  • I have included a sample paper for you to get an idea of how to format this final paper
  • If you would like me to review your final paper prior to submitting, I am happy to do this. I will not grade the paper, but I can review it and let you know if you left something out. If you are interested, please just submit it through the private forum.
  • If you feel so inclined, please take a few minutes to complete the course evaluation for this class.  I really love reading the comments from students.

If you have any questions, please do not hesitate to ask.

Call to me, and I will answer you, and show you great and mighty things which you do not know. Jeremiah 33:3

 

Attachments Final Paper Sample.docx Final Paper Example.docx

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CategoryUncategorized
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final Paper – IMPORTANT

Date: Jul 8, 2020 12:00 AM Description

Can you believe that we are almost to the end of the class?

Couple of things to help you with your final paper.

  • This paper is a combination of the first two. You do not need to write a whole new paper using new articles.
  • Don’t worry about the word count.  I don’t want a 20 page paper, but I want you to be sure to get the content in the paper.
  • Please use the rubric to develop the final paper. The guidelines in the final paper are incorrect and do not include all of the elements in the rubric.
  • I have included a sample paper for you to get an idea of how to format this final paper
  • If you would like me to review your final paper prior to submitting, I am happy to do this. I will not grade the paper, but I can review it and let you know if you left something out. If you are interested, please just submit it through the private forum.
  • If you feel so inclined, please take a few minutes to complete the course evaluation for this class.  I really love reading the comments from students.

If you have any questions, please do not hesitate to ask.

Call to me, and I will answer you, and show you great and mighty things which you do not know. Jeremiah 33:3

 

Attachments Final Paper Sample.docx Final Paper Example.docx

Get 15% discount on your first order with us
Use the following coupon
FIRST15

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CategoryUncategorized
Write a comment:

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