NUR 504 Module 7 Discussion

February 21, 2023February 21, 2023 Discipline: Nursing
Learning Goal: I’m working on a nursing discussion question and need guidance to help me learn.

Module 7 Discussion

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icon Female Genitourinary, & Musculoskeletal

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.


 Case 2
Chief Complaint
(CC) 		“I have pain during intercourse and urination�
History of Present Illness (HPI) A 19-year-old female reports to you that she has “sores� on and in her vagina for the last three months.
Drug Hx She tries to practice safe sex but has a steady boyfriend and figures she doesn’t need to be so careful since she is on the birth control pill
Family Hx
Subjective
 states “I have sores and bumps on the inner creases of my thighs and pelvic area�. “There is yellowish discharge from the sores that comes and goes�
Objective Data
VS temperature: 100.2°F; pulse 92; respirations 18; BP 122/78; weight 156 lbs, 25 lbs overweight; height 5′3″
General patient appears to have good hygiene; minimal makeup, pierced ears, no tattoos; well nourished (slightly overweight); no obvious distress noted
HEENT Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.
Lungs within normal limits, appropriate lung sounds auscultated, clear and equal bilaterally
Card S1S2 without rub or gallop
Breast
  • INSPECTION: no dimpling or abnormalities noted upon inspection
    • PALPATION: Left breast no abnormalities noted. Right breast: denies tenderness, pain, no abnormalities noted.
    		•
    Lymph Inguinal Lymph nodes: tenderness bilaterally, numerous, 1 cm in size
    Abd tender during palpation; the left lower quadrant was very tender during palpation; patient denies nausea or vomiting
    GU labia major and minor: numerous ulcerations, too many to count; some ulcerations enter the vaginal introitus; no ulcerations in the vagina mucosa; cervix is clear, some greenish discharge; bimanual exam reveals tenderness in left lower quadrant; able to palpate the left ovary; unable to palpate the right ovary; no tenderness; uterus is normal in size, slight tenderness with cervical mobility
    Integument
    MS Muscles are smooth, firm, symmetrical. Full ROM. No pain or tenderness on palpation.
    Neuro No obvious deficits and CN grossly intact II-XII

    Once you received your case number, answer the following questions:

    1. What other subjective data would you obtain?
    2. What other objective findings would you look for?
    3. What diagnostic exams do you want to order?
    4. Name 3 differential diagnoses based on this patient presenting symptoms?
    5. Give rationales for your each differential diagnosis.
    6. What teachings will you provide?

    Submission Instructions

    • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 references from academic journals no older than five years.

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    Grading Rubric

    Your assignment will be graded according to the grading rubric.

    Discussion Rubric
    Criteria Ratings Points

    Identification of Main Issues, Problems, and Concepts

    Distinguished – 5 points
    Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.

    Excellent – 4 points
    Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.

    Fair – 2 points
    Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.

    Poor – 1 point
    Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.

    		 5 points

    Use of Citations, Writing Mechanics and APA Formatting Guidelines

    Distinguished – 3 points
    Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.

    Excellent – 2 points
    Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.

    Fair – 1 point
    Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.

    Poor – 0 points
    Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.

    		 3 points
    Response to Posts of Peers

    Distinguished – 2 points
    Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.

    Fair – 1 point
    Student constructively responded to one other post and either extended, expanded or provided a rebuttal.

    Poor – 0 points
    Student provided no response to a peer’s post.

    		 2 points
    Total Points 10

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