NSG6440 Week 2 Discussion

NSG6440 Week 2 Discussion

NSG6440 Week 2 Discussion

WEEK 2 DISCUSSION

This week you learned about common conditions in the adolescent client.  Please review the following case study and answer the following questions.

A fifteen-year-old female presents to your clinic complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way only with extreme exercise, but lately, she has felt this way continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema, and her father has high blood pressure. She is the only child. She denies smoking and illegal drug use. On examination, she is in no acute distress and her vital signs are: T 98.6, BP 120/80, pulse 80, and respirations 20. Her head, eyes, ears, nose, and throat examinations are essentially normal. Inspection of her anterior and posterior chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs. NSG6440 Week 2 Discussion

1. What is the chief complaint?
2. Based on the subjective and objective information provided what are your 3 top differential diagnosis listing the presumptive final diagnosis first?
3. What treatment plan would you consider utilizing current evidence based practice guidelines?

NSG6440 Week 2 Discussion RUBRIC

Response	No Submission Beat the deadline Order today and get your high-quality custom paper within hours. Write My Paper 0 points		Emerging (F-D: 1-13) 13 points			Satisfactory (C: 14-16) 16 points		Proficient (B: 17-18) 18 points		Exemplary (A: 19-20) 20 points		Criterion Score
Quality of Initial Posting	No initial posting exists to evaluate.		The information provided is inaccurate, not focused on the assignment’s topic, and/or does not answer the question(s) fully. Response demonstrates incomplete understanding of the topic and/or inadequate preparation. NSG6440 Week 2 Discussion			The information provided is accurate, giving a basic understanding of the topic(s) covered. A basic understanding is when you are able to describe the terms and concepts covered. Despite this basic understanding, initial posting may not include complete development of all aspects of the assignment.		The information provided is accurate, displaying a good understanding of the topic(s) covered. A good understanding is when you are able to explain the terms and topics covered. Initial posting demonstrates sincere reflection and addresses most aspects of the assignment, although all concepts may not be fully developed.		The information provided is accurate, providing an in-depth, well thought-out understanding of the topic(s) covered. An in-depth understanding provides an analysis of the information, synthesizing what is learned from the course/assigned readings.		Score of Quality of Initial Posting, / 20
Participation		No Submission 0 points		Emerging (F-D: 1-13) 13 points	Satisfactory (C: 14-15) 15 points		Proficient (B: 16-17) 17 points		Exemplary (A: 18-20) 20 points		Criterion Score
Participation in Discussion		No responses to other classmates were posted in this discussion forum.		May include one or more of the following: *Comments to only one other student’s post. *Comments are not substantive, such as just one line or saying, “Good job” or “I agree. *Comments are off topic.	Comments to two or more classmates’ initial posts but only on one day of the week. Comments are substantive, meaning they reflect and expand on what the other student wrote.		Comments to two or more classmates’ initial posts on more than one day. Comments are substantive, meaning they reflect and expand on what the other student wrote.		Comments to two or more classmates’ initial posts and to the instructor’s comment (if applicable) on two or more days. Responses demonstrate an analysis of peers’ comments, building on previous posts. Comments extend and deepen meaningful conversation and may include a follow-up question.		Score of Participation in Discussion, / 20

Total

Score of NSG6440 Discussion Rubric (50 points),

/ 50