Review the Week 5 Case Assignment Document in The Learning Resources Essay

NRNP 6540 Week 5 Case Title: 67-year-old with Tachycardia & Cough This case is worth 100 points. Each question is worth 10 pts. Please use APA format and cite and reference where you got your information from. Remember your textbook and required readings are good references, as well as Geriatrics at your Fingertips. Ms. Jones is a 67-year-old female who is brought to your office today by her daughter Susan. Ms. Jones lives with her daughter and is able to perform all activities of daily living (ADLs) independently. Her daughter reports that her motherâ€s heart rate has been quite elevated, and she has been coughing a lot over the last 2 days. Ms. Jones has a 30-pack per year history of smoking cigarettes but quit smoking 3 years ago. Other known history includes chronic obstructive pulmonary disease (COPD), hypertension, vitamin D deficiency, and hyperlipidemia. Review the Week 5 Case Assignment Document in The Learning Resources Essay She also reports some complaints of intermittent pain/cramping in her bilateral lower extremities when walking and has to stop walking at times for the pain to subside. She also reports some pain to the left side of her back, and some pain with aspiration. Ms. Jones reports she has been coughing a lot lately, and notices some thick, brown-tinged sputum. She states she has COPD and has been using her albuterol inhaler more than usual. She says it helps her “get the cold up.” Her legs feel tired but denies any worsening shortness of breath. She admits that she has some weakness and fatigue but is still able to conduct her daily routine. Vital Signs: 99.2, 126/78, 96, RR 22 WT___ BMI___ Labs: Complete Metabolic Panel and CBC done and were within normal limits CMP Component Value CBC Component Value Glucose, Serum 86 mg/dL White blood cell count 5.0 x 10E3/uL BUN 17 mg/dL RBC 4.71 x10E6/uL Creatinine, Serum 0.63 mg/dL Hemoglobin 10.9 g/dL EGFR 120 mL/min Hematocrit 36.4% Sodium, Serum 141 mmol/L Mean Corpuscular Volume 79 fL Potassium, Serum 4.0 mmol/L Mean Corpus HgB 28.9 pg Chloride, Serum 100 mmol/L Mean Corpus HgB Conc 32.5 g/dL Carbon Dioxide 26 mmol/L RBC Distribution Width 12.3% Calcium 8.7 mg/dL Platelet Count 178 x 10E3/uL Protein, Total, Serum 6.0 g/dL Albumin 4.8 g/dL Globulin 2.4 g/dL Bilirubin 1.0 mg/dL AST 17 IU/L ALT 15 IU/L Allergies: Penicillin: hives Current Medications: Atorvastatin 40mg p.o. daily Multivitamin 1 tablet daily Losartan 50mg p.o. daily ProAir HFA 90mcg 2 puffs q4–6 hrs. Review the Week 5 Case Assignment Document in The Learning Resources Essay prn Caltrate 600mg+ D3 1 tablet daily Diagnosis: Pneumonia Directions: Answer the following 10 questions directly on this template. Please use bold or a different color – this will make it easier (and faster) for me to grade!) thank you! Question 1: What findings would you expect to be reported or seen on her chest x-ray results, given the diagnosis of pneumonia? Question 2: Define further what type of pneumonia Ms. Jones has, HAP (hospital-acquired pneumonia) or CAP (community-acquired pneumonia)? What is the difference/criteria? Question 3: (3A is 5pts & 3B is 5 pts) 3A) What assessment tool should be used to determine the severity of pneumonia and treatment options? Please name the tool. 3B) Based on Ms. Jones†subjective and objective findings, apply that tool and elaborate on each clinical factor for this patient. Question 4: Ms. Jones was diagnosed with left lower lobe pneumonia. What would your treatment be for her based on her diagnosis, case scenario, and evidence-based guidelines? Question 5: Ms. Jones has a known history of COPD. What is the gold standard for measuring airflow limitation? Question 6: Ms. Jones mentions intermittent pain in her bilateral legs when walking and having to rest to stop the leg pain/cramps.  Review the Week 5 Case Assignment Document in The Learning Resources Essay Which choice below would be the best choice for a potential diagnosis for this? Explain your reasoning. DVT (Deep Vein Thrombosis) Intermittent Claudication Cellulitis Electrolyte Imbalance Question 7: Ms. Jones mentions intermittent pain in her bilateral legs when walking and having to rest to stop the leg pain. What test could be ordered to further evaluate this? Question 8: Name three (3) differentials for Ms. Jones†initial presentation. Question 9: What patient education would you give Ms. Jones and her daughter? What would be your follow-up instructions? Question 10: Would amoxicillin/clavulanate plus a macrolide have been an option to treat Ms. Jones†Pneumonia? Explain why or why not. Please be sure to review all of Ms. Jones history. Review the Week 5 Case Assignment Document in The Learning Resources Essay

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Review the Week 5 Case Assignment document in the Learning Resources.
Reflect on the patientâ€s symptoms and aspects of disorders that may be present.
Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the case study. Review the Week 5 Case Assignment Document in The Learning Resources Essay

Complete the Assignment:

After reviewing the case and the accompanying case analysis questions, included in the document, answer the 10 questions directly in the Case Assignment document. (You will find this in the required readings under Document for Week 5). – I am also sending this to you in Announcements, so you can download it, answer the questions on the doc, and then upload to BB. Review the Week 5 Case Assignment Document in The Learning Resources Essay

* If possible : put your answers in bold, a different color font, or highlight : this makes it much easier (and faster!) for me to grade it! TYIA!

When providing evidence to support your answers, be sure they evidenced-based, current (no more than 5 years old), and follow current standards of care. Follow APA 7th edition formatting. As always – recommend using your text & required readings as your resources!
*You will write your answers directly on the Document. Please save this to your desktop, answer the questions, then save again ( MAKE SURE TRACK CHANGES IS OFF! : – ) Once it is saved, you can upload to BB. Review the Week 5 Case Assignment Document in The Learning Resources Essay

You also have a Knowledge Check this week!

Assignments are submitted through the Originality Report – I do check these. The best way to not be flagged is to NOT copy and paste! It is not always possible to have an Originality report that is 100% clean, as we use the same phrases over and over, however, please be mindful of not using exact phrases or text from other sources – and do not copy & paste from the internet, your other assignments, or articles. Thank you! Review the Week 5 Case Assignment Document in The Learning Resources Essay