Discussion NT W6

Identify two middle-range theories that could be used to view the phenomenon of interest. Compare and contrast how the phenomenon would be shaped by each theory.

Discussion P W6

The kidneys are highly vascular organs that filter the blood, removing wastes for excretion and returning the rest of the blood to the vascular system. The functional units of the kidneys are nephrons, each composed of a glomerulus and a tubule. 

How is the GFR measured? What are the strengths and limitations of methods of determining GFR?

Often an incidental finding in children during a urinary tract infection workup, in vesicoureteral reflux (VUR), urine flows from the bladder back up the ureters.

Could you explain the mechanism of action of this abnormality in children?

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Asssigment

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NUR 514 Lecture Discussion 5

Case #2 

A new female patient, C.Y. 32-year-old patient consults your office because she presents hirsutism, clitoral hypertrophy and menstrual dysfunction. She also stated she has gain weight lately. You suspect of Polycystic Ovary Syndrome (PCOS). 

  • Discuss and described the pathophysiology and symptomology/clinical manifestations of Hyperandrogenism.
  • Discuss three differential diagnoses for AUB with ICD 10 numbers for each.
  • Discuss patient education.
  • Develop the management plan (pharmacological and nonpharmacological). 
  1. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
  2. Name the different family developmental stages and give examples of each one.
  3. Describe family structure and function and the relationship with health care.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

NUR 514 Clinical discussion 5

Describe your clinical experience for this week.

  • Did you face any challenges, any success? If so, what were they?
  • Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
  • Mention the health promotion intervention for this patient.
  • What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
  • Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

nurs 514 CL discussion 5

nurs 514 discussion 5

case study

  1. Maria is a 35 y/o female who is complaining of frequent vaginal yeast infections. She has had 4 in the last 6 months, and they have been treated with topical and oral antifungal medications which have initially worked, but the infections recur within 1-2 weeks. Maria reports increased thirst and urination for the last two to three months. Maria is an office manager in a bookstore who works full-time and has 4 children aged 5, 7, 10, and 12, who live with her 80% of the time. She has been divorced x 3 years and is struggling to make ends meet and reports she and her children frequently eat fast food because of the low cost and time constraints. Maria’s vital signs are 136/88, 98.8, 16, 80, Ht 5’3”, Wt 187 lbs,  
     
  2. Tim is a 22 y/o male who is complaining of lethargy, cold sensitivity, weight gain of 10 lbs over the last 3 months with an unnoticeable change in appetite, brain fog, constipation, and muscle weakness that he feels has become progressively more noticeable over the last several months. Tim is a heterosexual, single, full-time college student and works part-time at a coffee shop. His last annual physical examination was 2 years ago and was WNL. His current vital signs are 110/70, 62, 98.6, 12, Ht 5’9” Wt 190 lbs.