NR 602 Inspiring Innovation/tutorialrank.com

1. NR 602 Week 1 Case Study Discussion Initial Visit Meet the Family For more course tutorials visit www.tutorialrank.com NR 602 Week 1 Case Study Discussion: Initial Visit – Meet the Family Case Study Discussion – Part 1 Please prepare yourself to complete the well-woman exam and one of the well-child exams of your choosing. Per patient- give additional HPI information and questions you would like as well as PMH, Family History, and ROS. Begin to lay out the objective portion of your note for each patient. What is your differential diagnosis list for this visits thus far with rational for each of your two patients? For the child you choose, please list all of the appropriate anticipatory guidance that should be done at a well visit for that age. Expand on one

2. of the topics from your list and provide the education you would offer with citations. Case Study Discussion – Part 2 For the patients you have chosen what are your primary and secondary diagnoses now with ICD-10 codes with rationale? What other diagnostics, preventive screenings, or preventive health actions are you considering for your patients at this time and why? Case Study Discussion – Part 3 Written summation of case in SOAP format. =============================================== NR 602 Week 1 SOAP For more course tutorials visit www.tutorialrank.com

3. NR 602 Week 1 SOAP =============================================== NR 602 Week 2 Case Study Discussion For more course tutorials visit www.tutorialrank.com NR 602 Week 2 Case Study Discussion Case Study Discussion – Part 1 What is one important item you learned about gathering a history on an adolescent? For a sports physical? Did you pick up any „red flags‟ in the historical data?

4. What information should always be gathered on an adolescent that you have not previously seen? ………. makes a sports physical unique from other exams? What are your differential diagnoses? What further history should be gathered today and why? Case Study Discussion – Part 2 Physical Examination of Lily: V/S: Height- 160 cm, Weight- 45 kg, B/P 114/60, HR 90, RR 16, T 98.7, SpO2 99% Awake, alert, oriented, cooperative. Difficulty with eye contact. Answers questions in short 1-2 word answers. HEENT: Head is normocephalic Case Study Discussion – Part 3

5. Written summation of case in SOAP format. =============================================== NR 602 Week 2 SOAP For more course tutorials visit www.tutorialrank.com NR 602 Week 2 SOAP =============================================== NR 602 Week 3 PBL Case Study DiscussionAssessment of a Child For more course tutorials visit www.tutorialrank.com

6. NR 602 Week 3 PBL Case Study Discussion: Assessment of a Child Child with Fever and Respiratory or Skin Issues Kayla brings Riley, now 17 months, in for complaint of fever and rash. The fever began “a couple of days ago” and is of normal levels in the morning then gets as high as 103 to 104 degrees in the afternoons. Riley has also had clear rhinorrhea and in the last 24 hours he has developed a red, diffuse rash to the torso and abdomen that does not itch and a dry cough in the last day. Mother reports he is drinking, but not as well as usual. He did have a good wet diaper this morning, but is not really eating much and is not playing. Medications: Mother is giving OTC Robitussin cough and cold at 1 tsp last night and this morning. Liquid Tylenol ½ a tsp last night and this morning. She is very concerned about the level of the fever and the fact that after 3 days he is not improving. Discussion Questions Part One We will begin by focusing on gathering history in an ill child. What „red flags‟ did you note in the historical data?

7. What data is most important to include in this particular case and which historical data that might be gathered on a well-child exam can be left out of this ill visit? What are your differential diagnoses? What parts of the physical exam will you focus on today to rule in or out your differentials? Discussion Part Two (graded) Physical Examination Riley: V/S: Height: 81 cm (31.89 in), Weight: 13 kg (28.66 lbs), B/P: 94/60, T: 100.6, HR: 114 BMP/reg., Resp: 28, reg, non-labored, SpO2: 97% 17 months old, Height 51st percentile, Weight 87th percentile (CDC, 2016) General: somewhat lethargic and cries some throughout exam. SKIN: Diffuse erythemamtous rash in fine popular patches across the torso and very erythematous to the cheeks. HEENT: Head normocephalicatraumiatic. Conjuctiva clear, non-icteric, but mildly injected PERRL. Unable to complete fundoscopic exam. Tympanic membranes intact with scant clear fluid posteriorly bill and mild injection. EAC unremarkable. Pinna/tragus w/o tenderness. Nares patent, mucosa mildly injected with sl. edema to the inferior and medial turbinates bill, moderate clear rhinorrhea. Pharynx with mild slight erythema, tonsils 2/4 bill. Oral exam unremarkable. Neck supple w/mild anterior cervical lymphadenopathy bill. Thyroid small, firm, equal bill. CARDIOPULMONARY: Heart RRR w/o murmur. Lungs with mild expiratory wheeze in posterior bases. Respirations even and

8. unlabored. Abdomen rounded normative bowel sounds throughout, soft, non-tender, no masses or organomegaly. Lab: WBC 6.9, Lymph 50%, Neutrophils 40%, Monocytes 6%, Eosinophils 3% Discussion Questions Part Two After reviewing the physical exam. What were your „red flags‟ on physical exam? =============================================== NR 602 Week 3 SOAP For more course tutorials visit www.tutorialrank.com NR 602 Week 3 SOAP ===============================================

9. NR 602 Week 4 Case Study Discussion –Women‟s Health For more course tutorials visit www.tutorialrank.com NR 602 Week 6 Case Study Discussion – Symptom Evaluation: GI, GU, Endocrinology, Neuromuscular Case Study Discussion – Part 1 What further OLDCART and ROS information is important today specific to their chief complaints? What are their chief complaints/concerns? What are the differential diagnoses based on the chief complaints for Lily and Riley with rationale? Case Study Discussion – Part 2

10. Assessment Primary diagnoses for Lily and Riley with rationale Differential diagnoses with rationale Plan for one primary diagnoses based on one current evidence-based journal article Further diagnostic work-up not included above Medications Referrals Conservative measures Patient education Follow-up plan Case Study Discussion – Part 3 Written summation of case in SOAP format. =============================================== NR 602 Week 4 SOAP

11. For more course tutorials visit www.tutorialrank.com NR 602 Week 4 SOAP =============================================== NR 602 Week 5 Case Study Discussion – Issues in Growth and Behavior For more course tutorials visit www.tutorialrank.com NR 602 Week 5 Case Study Discussion – Issues in Growth and Behavior Case Study Discussion – Part 1 What additional OLDCART and ROS information would you like? Why?

12. Differential diagnoses with rationale? Further history and ROS needed to more fully develop your differential diagnoses? Case Study Discussion – Part 2 Please add the following to your response: Primary diagnoses and differential diagnosis with rational and the following in brief for your primary diagnosis: Case Study Discussion – Part 3 Written summation of case in SOAP format. =============================================== NR 602 Week 5 SOAP

13. For more course tutorials visit www.tutorialrank.com NR 602 Week 5 SOAP =============================================== NR 602 Week 6 Case Study Discussion – Symptom Evaluation: GI, GU, Endocrinology, Neuromuscular For more course tutorials visit www.tutorialrank.com NR 602 Week 6 Case Study Discussion – Symptom Evaluation: GI, GU, Endocrinology, Neuromuscular Case Study Discussion – Part 1

14. What further OLDCART and ROS information is important today specific to their chief complaints? What are their chief complaints/concerns? What are the differential diagnoses based on the chief complaints for Lily and Riley with rationale? Case Study Discussion – Part 2 Assessment Primary diagnoses for Lily and Riley with rationale Differential diagnoses with rationale Plan for one primary diagnoses based on one current evidence-based journal article Further diagnostic work-up not included above Medications Referrals Conservative measures Patient education Follow-up plan Case Study Discussion – Part 3

15. Written summation of case in SOAP format. =============================================== NR 602 Week 6 SOAP For more course tutorials visit www.tutorialrank.com NR 602 Week 6 SOAP =============================================== NR 602 Week 8 Reflection For more course tutorials visit www.tutorialrank.com

16. NR 602 Week 8 Reflection Over the past eight weeks the curriculum in this class, the instructor, my classmates, and my clinical preceptor have all taught me many things. This course has prepared me to meet the MSN program outcome #6, the MSN Essential VII, and the Nurse Practitioner Core Competencies # 8 in many ways. ===============================================