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Exam (elaborations) NR 511 WEEK 8 REFLECTION WITH UPDATED & CORRECTED CITATION In this NR 511 clinical rotation I was in a primary care office where I saw a total of 129 patients and completed 130 hours. I saw a well-rounded adult-age population comprising of every age group from 18 to 85+ with most of them being in the age range 36 to 55. I saw two pediatric patients age 1-4, one patient age 5-11, and five patients age 12-17. This totaled 6.21% of my patients seen this session who wer...

Exam (elaborations) NR 511 Week 8 Final Exam Question 1. The most cost-effective screening test for determining HIV status is which of the following? Student Answer: Western blot Enzyme-linked immunosorbent assay Venereal Disease Research Laboratory test Viral load Points Received: 0 of 2 Comments: Question 2.Question : Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? Student Answer: Erythrocyte sedimentat...

Exam (elaborations) Nr 511 Week 8 Final Exam Advanced Physical Assessment Chamberlain The most cost-effective screening test for determining HIV status is which of the following? a. Western blot b. Enzyme-linked immunosorbent assay c. Venereal Disease Research Laboratory test d. Viral load Question2. Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? a. Erythrocyte sedimentation rate b. White blood cell coun...

Exam (elaborations) NR 511 Week 6 SOAP NOTE Michael Chief Complaint (CC): “unusually tired” History of present illness (HPI): A few weeks ago came down with the cold. Everyone in the family has been sick. Increased tiredness over that time. Lack of appetite and has lost weight. Always thirsty and has wet the bed last week. Past Medical History (PMH): Age 10. Mother reports general health as good: no childhood or chronic illnesses. Surgeries: none. Hospitalizations: none. Immunizat...

Exam (elaborations) NR 511 WEEK 6 QUIZ (SOLVED) 1 / 1 pts A client with hyperthyroidism presents with a complaint of a “gritty” feeling in her eyes. Over the past week, her visual acuity has diminished, and her ability to see colors has changed. She also has a feeling of pressure behind her eyes. The next step for the nurse practitioner is to: Order a total thyroxine (T4). Correct! Refer the client for immediate evaluation by an ophthalmologist. Order a thyroid ultrasound. Prescr...

Exam (elaborations) NR 511 WEEK 6 PART 1 General Questions When did the fatigue start? Where is the fatigue? How long does it last? How would you describe it? Does anything make it worse? Does anything make it better? Have you done anything to treat it? How would you rate it? 1. Hypothyroidism ***Have you been fatigue? Do you have cold intolerance ? Has your hair been dry and brittle? Has your skin seemed dry? Have you had muscle cramps? Has you menstruation been abnormal? Hav...

Exam (elaborations) NR 511 Week 5 QUIZ 1 / 1 pts A 42-year-old professional golfer complains of chronic back pain for many years. His workup reveals that it is not the result of a degenerative disc problem. His back “goes out” about twice per year, and he is out of work for about a week each time. Which of the following should the clinician advise? Consider changing careers to something less physical. Start on a daily low-dose narcotic to take away the pain. Make an appointment w...

Exam (elaborations) NR 601 Week 2 Quiz Review  Know the physical and physiological changes in the elderly *Appendix A pgs 643-650* 3 Primary Points 1. Reduced physiological reserve of most body systems, especially cardiac, respiratory, and renal. 2. Reduced homeostatic mechanisms that fail to adjust regulatory systems such as temperature control and fluid and electrolyte imbalances. 3. Impaired immunological function: risk for infection is higher and autoimmune diseases are more pr...

Exam (elaborations) NR 601 WEEK 2 COPD CASE STUDY PART 1 Primary Care of the Maturing and Aged Family (Susan Brown) at presents to the office today with the CC of persistent cough for the past 6 months with a recent onset of SOB. Cough is intermittent and frequent and is noted to be worse in the AM. Cough is productive. The sx are aggravated by activity and are relieved by rest. Tx has been Robitussin DM OTC without any relief of sx. Severity of sx; he is unable to walk greater than 20...

Exam (elaborations) NR 601 Comprehensive Final Exam Study Guide And Practice Questions How to conduct Mini-Cog-  The Mini-Cog has been demonstrated to have comparable psychometric properties to the MMSE  The primary advantage of the Mini-Cog is that it is shorter than the MMSE and measures executive function.  It is composed of a three-item recall and the Clock Drawing Test (CDT) and takes about 3 minutes to administer  The Mini-Cog is a short dementia assessment that combin...