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Nursing Case Study 4

PLEASE USE HEADING AND APA FORMAT AND REFERENCE BELOW 5 YEARS. USE THIS BOOK AS 1 0F THE REFERENCE Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2017).

Primary care: A collaborative practice (5th ed.). St. Louis, MO: Elsevier.

When entering examination rooms, advanced practice nurses often immediately begin assessing patients by looking for external abnormalities such as skin irritations or cloudy eyes. By making these simple observations, they can determine how to proceed with their patient evaluations.

During the patient evaluation, advanced practice nurses will use initial observations to guide them in acquiring the necessary medical history, performing additional assessments, and ordering the appropriate diagnostics. The information obtained during this evaluation process will help in the development of a differential diagnosis.

Once a diagnosis is made, the advanced practice nurse can consider potential treatment options and work with the patient to develop a plan of care.


Case Study 4

A middle-aged female presents to the office complaining of strep throat. She states she suddenly developed a sore throat yesterday afternoon, and it has gotten worse since then. During the night she felt like she was chilled and feverish. She denies known recent contact with anyone else who had strep throat, but states she has had strep before and it feels like she has strep now. She takes no medications, but is allergic to penicillin.

The physical examination reveals a slender female lying on the examination table. She has a temperature of 101 degrees Fahrenheit, heart rate of 112, respiratory rate of 22, and blood pressure of 96/64. The head, eyes, ears, nose, and throat evaluation is positive for bilateral tonsillar swelling without exudates. Her neck is supple with bilateral, tender, enlarged anterior cervical nodes.

To prepare:

• Review this week’s media presentations and Parts 5–8 of the Buttaro et al. text.

• Think about a differential diagnosis. Consider the role the patient history and physical exam played in your diagnosis.
• Reflect on potential treatment options based on your diagnosis.
Post an explanation of the differential diagnosis for the patient in the case study that you selected.

Describe the role the patient history and physical exam played in the diagnosis.

Then, suggest potential treatment options based on your patient diagnosis.
Read a selection of your colleagues’ responses.

Last Updated on March 5, 2018

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