NRP571 Week 1 | Nursing in Health Care - University of Phoenix

NRP571 Advanced Health Assessment IIand Clinical Procedures Week 1 Discussion Chlamydia Diagnosis

Respond to the following in a minimum of 175 words:

Explain how you would diagnose chlamydia based on a patient's history and exam. NRP571 Advanced Health Assessment IIand Clinical Procedures Week 2 Discussion Differentiate Prostatitis from BPH

Respond to the following in a minimum of 175 words:

Explain how you would differentiate prostatitis from benign prostatic hyperplasia (BPH) in a 50-year-old male patient. NRP571 Advanced Health Assessment IIand Clinical Procedures Week 3 Discussion Examining Infants and Children

Respond to the following in a minimum of 175 words:

Explain what part of the physical exam is usually better to perform last on an infant or child and explain why. Incorporate Bates' Guide to Physical Examination and History Taking; Well-Baby Guidelines. NRP571 Advanced Health Assessment IIand Clinical Procedures Week 4 Discussion Parental Consent/Patient Request

Respond to the following in a minimum of 175 words:

How do you balance parental consent with an adolescent patient requesting birth control? Does the patient's age affect your response? How might your principles affect your answer? What nonverbal cues might the patient exhibit suggesting the presence of family distress? Incorporate Bates' Guide to Physical Examination and History Taking; Adolescent Guidelines. NRP571 Advanced Health Assessment IIand Clinical Procedures Week 5 Discussion

ECG

Respond to the following in a minimum of 175 words:

What history and physical findings might you elicit indicating the need for an ECG? What ECG rhythms seen in an office setting require urgent action on the part of the FNP? Incorporate AccessMedicine ECG Practice Guidelines. NRP571 Advanced Health Assessment IIand Clinical Procedures Week 6 Discussion Biopsies

Respond to the following in a minimum of 175 words:

Give an example of a clinical situation where it would be appropriate to use each of the following types of biopsies: Shave Punch Incisional Incorporate practice guidelines from Procedures for the Primary Care Provider to support your answer. NRP571 Advanced Health Assessment IIand Clinical Procedures Week 7 Discussion Diagnostics

Respond to the following in a minimum of 175 words:

Part 1:

Recommend a type of diagnostic image, with or without contrast, for the following patients: patient with persistent lower back pain resistant to conservative interventions A 74-year-old male with dyspnea, productive green phlegm, fever and chills, and malaise A 48-year-old female who is 48-hours postoperative complaining of right-calf pain

Part 2:

When are computed tomography (CT) scans indicated? When are magnetic resonance imaging (MRIs) indicated? What helps the FNP decided whether to use contrast or not when ordering a CT scan or MRI? NRP571 Advanced Health Assessment IIand Clinical Procedures Week 8 Discussion You can use this space to talk about residency. Ask any questions about the rest of the program. Or ask any questions about material we covered throughout this course. NRP571 Advanced Health Assessment IIand Clinical Procedures Week 1 Assignment Reflection: i-Human Patients – Carolyn Cross

Assignment Content

Read one of the recommended evidence-based practice academic articles provided at the end of the Carolyn Cross case or locate an academic article from the University Library that relates to the conditions presented in the Carolyn Cross case to improve your clinical skills. Write a 500-word summary of the article as it relates to your patient encounter with Carolyn Cross.

Include the following in your summary:

Rationale for the questions you asked during the history examination Rationale for the physical exam that was conducted on the patient Summary of what the article was trying to validate Critique of your overall case evaluation (now that the diagnosis has been revealed) and examination of areas of opportunity identified in the article to improve your clinical skills NRP571 Advanced Health Assessment IIand Clinical Procedures Week 2 Assignment 1 Signature Assignment Episodic SOAP Note Pt. 1 Craig Harris

Assignment Content

This week focused on the male genitourinary system and how to collect a proper history. It is time to practice your documentation skills by completing an episodic SOAP note for Craig Harris. Review the Craig Harris Scenario. Use the SOAP Note Template and the SOAP Note Structure Guide to develop your documentation needed to complete your SOAP note. The assessment and plan sections will not be graded but should be completed to ensure documentation of a complete SOAP note. You will also use this information to complete your E&M coding for the visit. Make sure to: Document all relevant information using appropriate terminology. List the appropriate ICD-10 codes and E&M codes using the diagnoses provided. Submit your assignment. Resources Center for Writing Excellence Reference and Citation Generator Grammar and Writing Guides NRP571 Advanced Health Assessment IIand Clinical Procedures Week 2 Assignment Wk 2 - Signature Assignment: Episodic SOAP Note Pt. 2: Craig Harris

Assignment Content

Now that you have completed your SOAP note for Craig Harris, it is time for reflection. This reflection is your opportunity to review what you learned about the patient, the process, and the outcomes in preparation for future patient encounters. The reflection must include a discussion about an evidence-based practice to improve the quality of care the patient receives. Write a 700-word reflection providing rationale for your completed SOAP note. Consider the interview information provided in the patient scenario as you: List 5 open-ended questions you would ask using descriptive language familiar to the patient during the HPI exam relevant to the chief complaint, including all pertinent and positive negatives. Provide a rationale for each question you ask by explaining why it is appropriate and how it aligns to the chief complaint. Provide a minimum of 3 rationales for the physical exam components performed. Locate and review a current evidence-based article that discusses evidence-based guidelines or new research relating to each diagnosis. Provide a brief summary of the article(s) in your reflection. Identify a minimum of 2 barriers to quality health care the patient can potentially experience per the information provided in the interview (e.g., cultural, linguistic, economic, previous conditions, etc.). As the FNP, explain how you can address these barriers to improve the quality of care the patient receives. Use a minimum of 2 peer reviewed articles to support your answers. Cite your references according to APA guidelines. Submit your assignment. NRP571 Advanced Health Assessment IIand Clinical Procedures Week 3 Assignment Reflection: i-Human Patients: Buddy Theodore Jr. Read one of the recommended evidence-based practice academic articles provided at the end of the Buddy Theodore Jr. case or locate an academic article from the University Library that relates to the conditions presented in the Buddy Theodore Jr. case to improve your clinical skills. Write a 500-word summary of the article as it relates to your patient encounter with Buddy Theodore Jr.

Include the following in your summary:

Rationale for the questions you asked during the history examination Rationale for the physical exam that was conducted on the patient Summary of what the article was trying to validate Critique of your overall case evaluation (now that the diagnosis has been revealed) and examination of areas of opportunity identified in the article to improve your clinical skills Resources Center for Writing Excellence Reference and Citation Generator Grammar and Writing Guides NRP571 Advanced Health Assessment IIand Clinical Procedures Week 4 Assignment 1 Signature Assignment: Pediatric Comprehensive SOAP Note Pt. 1: B.P.

Assignment Content

This week you have gained insight about the pediatric assessment, as you have compared the head to toe examination of the infant, child, and adult. Now it is time to apply your documentation skills by writing a comprehensive SOAP note focused on a 7-year-old well child check with parental concerns of short stature. Review the B.P Scenario. Use the SOAP Note Template and the SOAP Note Structure Guide to develop your documentation needed to complete your SOAP note. Make sure to review the The 10 charts in Set 2: Clinical charts with 3rd and 97th percentiles from the National Center for Health Statistics and reference the appropriate chart within the SOAP note. The assessment and plan sections will not be graded but should be completed to ensure documentation of a complete SOAP note. You will also use this information to complete your E&M coding for the visit. Make sure to: Document all relevant information using appropriate terminology. List the appropriate ICD-10 codes and E&M codes using the diagnoses provided. NRP571 Advanced Health Assessment IIand Clinical Procedures Week 4 Assignment 2

Assignment Content

Now that you have completed your SOAP note for B.P., it is time for reflection. This reflection is your opportunity to review what you learned about the patient, the process, and the outcomes in preparation for future patient encounters. The reflection must include a discussion about an evidence-based practice to improve the quality of care the patient receives. Write a 700-word reflection providing rationale for your completed SOAP note. Consider the interview information provided in the patient scenario as you: List 5 open-ended questions you would ask using descriptive language familiar to the patient during the HPI exam relevant to the chief complaint, including all pertinent and positive negatives. Provide a rationale for each question you ask by explaining why it is appropriate and how it aligns to the chief complaint. Provide a minimum of 3 rationales for the physical exam components performed. Locate and review a current evidence-based article that discusses evidence-based guidelines or new research relating to each diagnosis. Provide a brief summary of the article(s) in your reflection. Identify a minimum of 2 barriers to quality health care the patient can potentially experience per the information provided in the interview (e.g., cultural, linguistic, economic, previous conditions, etc.). As the FNP, explain how you can address these barriers to improve the quality of care the patient receives. Use a minimum of 2 peer reviewed articles to support your answers. Format?your references according to APA guidelines. Submit your assignment. Resources Center for Writing Excellence Reference and Citation Generator Grammar and Writing Guides NRP571 Advanced Health Assessment IIand Clinical Procedures Week 6 Assignment 1 Clinical Procedures Case Studies Complete the case studies by answering the questions beneath each scenario. Case Study 1 A 35-year-old Hispanic female presents to the office. She complains of severe pain in her left 1st metatarsal (big toe) on the medial corner of her nail bed. She reports that the pain has gradually worsened over the last week and she can now barely walk. She has tried soaking her foot in Epsom salts and putting antibiotic cream on her toe, none of which have helped. On physical exam her toe is swollen and erythematous with tenderness. She also has purulent drainage present. PMHx: none SHx: married with two children Allergies: none