NR 507 Week-3 Case Study -Severe Chest and Abdominal Pain

NR 507 Week-3 Case Study -Severe Chest and Abdominal Pain

NR 507 Week-3 Case Study -Severe Chest and Abdominal Pain

A 17-year-old African American female from the inner city complains of severe chest and abdominal pain. Upon examination, the attending physician performs an EKG, chest x-ray, and an abdominal and chest clinical examination and finds nothing. Assuming she is drug seeking, he sends her home. She comes back to the ER 4 hours later and now you see the patient. She explains that she was running track this past afternoon at school and that despite being very hot (100 F) she pushed on. Afterwards, she starts feeling extensive pain in her chest and abdomen. She has jaundiced eyes, her blood pressure is 98/50, pulse is 112, T = 99.9 F, R = 28. The pain seems out of proportion to the physical findings. During a review of her medical history, she tells the provider that she has history of sickle cell anemia. At this time, it is determined that she is in a sickle cell crisis.
  1. What is the etiology of sickle cell anemia?
  2. Describe in detail the pathophysiological process of sickle cell anemia.
  3. Identify hallmark signs identified from the physical exam and symptoms.
  4. Describe the pathophysiology of complications of sickle cell anemia.
  5. What teaching related to her diagnosis would you provide?

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Criteria for Format and Special Instructions

  1. This assignment must be submitted to TurnItIn™, as required by the TurnItIn™ policy. A Similarity Index of “blue” or “green” must be obtained. A score in the blue or green range indicates a similarity of less than 24% which is the benchmark for CCN graduate nursing students. Any other level of similarity index level requires the student to revise the assignment before the due date and time. To allow sufficient time for revision, early submission of the assignment to TurnItIn™ is highly encouraged. The final submission will be graded by faculty. If a Turnitin™ report indicates that plagiarism has occurred, the Academic Integrity policy will be followed.
  2. The use of a dictionary is not allowed for this assignment.
  3. The textbook required for this course and lesson information may not be used as a reference for this assignment.
  4. A minimum of 7 (seven) scholarly references must be used.
  5. When presenting information from a published resource, past tense verbs are required.
  6. Title page, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section or topic (except for introduction) of the paper.
  7. The paper (excluding the title page and references page) should be at least 5 pages but not more than 8 pages long. Points will be lost for not meeting these length requirements (too short or too long)
  8. Ideas and information that come from readings must be cited and referenced correctly.
  9. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.
  10. Past tense verbs are used when presenting information from published resources.