NR 601 Week 2 Parts 1 and 2 Assignment

NR 601 Week 2 Parts 1 and 2 Assignment

NR 601 Week 2 Parts 1 and 2 Assignment

NR 601 MAT ADLT WEEK 2 PART 1 AND PART 2

http://hwcampus.com/shop/nr-601-mat-adlt-week-2-part-1-part-2/

NR 601 MAT ADLT WEEK 2 PART 1 AND PART 2

B.J., a 70-year-old Caucasian female has been seen in the clinic several times over the last 3 years. However, she missed her last annual appointment-last appointment was 18 months ago and today you are the nurse practitioner seeing her. She arrived to the clinic alone and states she is “here for my check-up”.

Background:

PMH:

Chronic back

2010-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Amoxicillin

Vaccination History:

She receives an annual flu shot. Last flu shot was this year

Has never had a Pneumovax

Has not had a Td in over 20 years

Has not had the herpes zoster vaccine

Other

Differential Diagnosis:

 

Heart Failure, Unspecified

 

Rationale:

The reported symptoms of distal tingling and burning in her feet supports the diagnosis of the condition neuropathy which includes paresthesia pain, sensation of burning in affected area (Hennion & Siano, 2013).

Peripheral Arterial Disease             I73.9   (“icddata.com,” 2016)

Peripheral arterial disease (PAD) is atherosclerosis leading to narrowing of the major arteries distal to the aortic arch. It can involve both the upper and lower extremities. Progressive occlusion results in arterial stenosis, reduced blood flow, and claudication (Hennion & Siano, 2013).

 

HPI:

Onset: Not specified

Location: lower extremities. Chest

Duration: All the time, worse at night

Characteristics: burning, tingling, fatigue, SOB

Aggravating Factors: activities, exertion, Nighttime

Relieving Factors: pill taken under tongue

Treatment: pill under tongue

Current medications:

Coreg 6.25 mg PO BID

KINDLY ORDER NOW FOR A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER

Allergies:  Allergic to amoxicillin, No history of asthma, hives, eczema or rhinitis.

PMH:

Chronic back pain

Hypertension

Social history:

She graduated from high school, and thought about college, but got married right away and then had kids a short time later. Her two sons and their wives live with her, take her to church and to the local senior center; they do all the cleaning, run errands, and do grocery shopping.

Family history: …