NR 511 Week 3 Case Study Discussion Part 2 With Answers-Chamberlain College Of Nursing
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NR 511
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Chamberlain College Of Nursing
NR 511 WEEK 3 CASE STUDY DISCUSSION PART 2 WITH ANSWERS
Dr. Norton and class,
1. What is your primary (one) diagnosis for this patient at this time? (support the decision for your diagnosis with pertinent positives and negatives from the case)
At this time, I would diagnosis this patient wit...
nr 511 week 3 case study discussion part 2 with answers dr norton and class
1 what is your primary one diagnosis for this patient at this time support the decision for your diagnosis with per
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NR 511 WEEK 3 CASE STUDY DISCUSSION PART 2
WITH ANSWERS
Dr. Norton and class,
1. What is your primary (one) diagnosis for this patient at this time? (support
the decision for your diagnosis with pertinent positives and negatives
from the case)
At this time, I would diagnosis this patient with allergic conjunctivitis.
This diagnosis would be made based on the patient’s history,
subjective, and objective findings. Common clinical manifestations of
allergic conjunctivitis include bilateral eye discomfort, itchiness,
tearing, gritty or foreign body sensation, and photophobia (Berger,
Granet, & Kabat, 2017). Bilateral itching is often a primary complaint
for those with allergic conjunctivitis (Epocrates, 2019). Subjective
findings, such as bilateral eye discomfort, itchiness, and tearing with
watery drainage, are suggestive of allergic conjunctivitis diagnosis for
this patient.
Objective findings, such as diffuse redness and tearing in bilateral
conjunctiva, are suggestive of allergic conjunctivitis diagnosis as well.
It is relevant to mention that the patient did not present exudate or
purulent drainage, fever, upper respiratory symptoms, and
lymphadenopathy since these findings would have been more
consistent with conjunctivitis from infectious origin (Berger et al.,
2017).
Allergic conjunctivitis is most commonly seasonal and often associated
with patients with a history of atopic dermatitis, hay fever, or asthma.
Even though this patient denies a history of atopic dermatitis, hay
fever, or asthma, this patient has a history of seasonal nasal allergies.
Given his recent move to Illinois for school, there is a potential for new
allergens that he is exposed to.
2. Identify the corresponding ICD-10 code.
The corresponding ICD-10 code for allergic conjunctivitis is H10.45
(Epocrates, 2019).
According to Mounsey & Gray (2016), clinical guidelines for the
management of allergic conjunctivitis support the use of antihistamines and
mast cell stabilizers, either
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