Exam (elaborations)

NRNP 6552 Week 3 6552 Episodic NOTE 5- Walden University

1 purchase

Course
NRNP 6552

Institution
NRNP 6552

NRNP 6552 Week 3 6552 Episodic NOTE 5- Walden University/NRNP 6552 Week 3 6552 Episodic NOTE 5- Walden University/NRNP 6552 Week 3 6552 Episodic NOTE 5- Walden University/NRNP 6552 Week 3 6552 Episodic NOTE 5- Walden University/NRNP 6552 Week 3 6552 Episodic NOTE 5- Walden University

[Show more]

Preview 2 out of 5 pages

View example

Uploaded on August 8, 2022
Number of pages 5
Written in 2022/2023
Type Exam (elaborations)
Contains Questions & answers

nrnp 6552 week 3 6552 episodic note 5 walden universitynrnp 6552 week 3 6552 episodic note 5 walden universitynrnp 6552 week 3 6552 episodic note 5 walden universitynrnp 6552 week 3 6552 episodi

VEVA2K

Member since 4 year 2786 documents sold

372

127

101

$9.98

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

Patient Information:
Patient’s Name: E.G. , 38, Female
S.
CC: Contraceptive options
HPI:
E.G. is a 38-year-old female, G1 P1 LC 1, who came to the clinic for contraceptive
management. She acknowledges she had three sexual partners this year. She does not want
to desire another child, but her current partner might want a baby in the future. She reported
heavy menstrual cycle that requires her to change tampon every hour. She has a regular
menstrual cycle every 28 to 32 days and last 5 to 8 days. Her last pap smear was normal,
showing negative for HPV and GC/CT culture. She reported she had been on birth control
pills but “would keep messing up.” She has a significant history of exercise-induced asthma,
seizure disorder, & IBS.
Current Medications: Lamictal (lamotrigine), Trileptal (oxcarbazepine)
Allergies: No Known Drug Allergies
PMHx: Exercise-induced asthma, seizure disorder, & IBS

Soc & Substance Hx: Negative for alcohol, tobacco, and recreational drugs

Fam Hx: Family history reveals that her maternal grandmother alive with dementia, while
her maternal grandfather is alive COPD. Her paternal grandparents are both deceased due to
an automobile accident. Her mother is alive with osteopenia and fibromyalgia, and her dad is
alive with a history of skin cancer (basal cell). Elaine has one older sister with no medical
problems and one younger brother with no reported medical problems.

Reproductive Hx: G1 P1 LC1; Menstrual history (no data [LMP]), pregnant (no),
nursing/lactating (no), contraceptive use (history of birth control pills), types of intercourse
(not stated), and any sexual concerns.
Surgical Hx: Tonsillectomy (childhood)

ROS:

GENERAL: No weight loss, fever, chills, weakness, or fatigue.
HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose,
Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.
SKIN: No rash or itching.
CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or
edema.
RESPIRATORY: No shortness of breath, cough, or sputum.
GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or
blood.
GENITOURINARY: LMP? No complaints of burning on urination.
NEUROLOGICAL: Reported having seizure d/o (last seizure was five years ago) No
headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No
change in bowel or bladder control.
MUSCULOSKELETAL: No muscle pain, back pain, joint pain, or stiffness.

, HEMATOLOGIC: No anemia, bleeding, or bruising.
LYMPHATICS: No enlarged nodes. No history of
splenectomy. PSYCHIATRIC: No history of depression or
anxiety.
ENDOCRINOLOGIC: No reports of sweating or cold or heat intolerance. No polyuria or
polydipsia.
REPRODUCTIVE: Positive for heavy menstruation. The cervix is negative for CMT, positive
for firm, smooth and parous. The uterus is mobile, about 8 cm, and non-tender. Adnexa is
negative for masses and negative for tenderness.
ALLERGIES: No history of asthma, hives, eczema, or rhinitis.
O.
Physical exam:
Vital signs:
Height 5’ 7” Weight 148 (BMI 23.1), BP 118/72 P 68
General:
EG is alert and oriented (A/O X 4); dressed appropriately. Seated upright in the examination
table. She communicates well, no signs of stress.
HEENT:
Head is normocephalic and atraumatic. EYES: Bilateral eyes with equal hair distribution on
lashes and eyebrows, lids without lesions, no ptosis or edema. No redness, no conjunctival
discharges. EARS: Right auditory canal and tympanic membrane color: erythematous. Left
ear no visible abnormal appearance. No discharges both ears. NOSE: right maxillary sinus
is tender to palpate and percuss. Mouth & THROAT: Oral mucosa is moist and
pink. Neck is symmetric, supple, no
jugular venous distention. No apparent lymphadenopathy and thyroid not enlarged. No
palpable cervical, supraclavicular, and axillary lymph nodes
Pulmonary: Her lungs are clear to auscultation bilaterally, no wheezes, rales, or rhonchi and
good air movement throughout. Breath sounds present in all areas.
Cardiovascular: Chest is symmetric. No chest tenderness to palpation, regular rate and
rhythm, normal s1, normal s2 and no murmurs, rubs, or gallops.
Gastrointestinal: Abdomen is soft to touch. Non-tender, non-distended and with positive
bowel sounds.
Skin: Skin is warm and dry, no diaphoresis. No visible lesions, scars, tattoos or moles.
Genitourinary: VVBSU: WNL, except 1st deg cystocele, CERVIX: firm, smooth, parous,
without CMT; Uterus: RV, mobile, non-tender, approximately 8 cm; Adnexa: without masses
or tenderness

Diagnostic results:
As a nurse practitioner (NP), we have to make sure that the patient is not pregnant, thus
pregnancy test is automatic whenever faced by patients (of reproductive age) having abnormal
uterine bleeding (AUB). I will also order a complete blood count (CBC) with differentials.
CBC will determine level of hemoglobin & hematocrit (H/H), as well as uncovering iron
deficiency anemia due to heavy menstrual bleeding. Due to her history of multiple partners,
an STD test will be covered.

A.
Differential Diagnoses

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller VEVA2K. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.98. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69252 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Exam (elaborations)

NRNP 6552 Week 3 6552 Episodic NOTE 5- Walden University

Document information

Subjects

Written for

Seller

Reviews received

Content preview