NSG6340 week 2 Discussion - January 2018

Asked by sharpie
Dated: 9th Feb'18 10:25 PM
Bounty offered: $13.00

Week 2 discussion

This week you learned about common conditions in the adolescent client. Please review the following case study and answer the following questions.

A fifteen-year-old female presents to your clinic complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way only with extreme exercise, but lately, she has felt this way continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema, and her father has high blood pressure. She is the only child. She denies smoking and illegal drug use. On examination, she is in no acute distress and her vital signs are: T 98.6, BP 120/80, pulse 80, and respirations 20. Her head, eyes, ears, nose, and throat examinations are essentially normal. Inspection of her anterior and posterior chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs.

What is the chief complaint?

Based on the subjective and objective information provided what are your 3 top differential diagnosis listing the presumptive final diagnosis first?

What treatment plan would you consider utilizing current evidence based practice guidelines?

Submission Details:

Post your response to the Discussion Area by the due date assigned. Respond to at least two posts by the end of the week.

NSG6340 week 2 Discussion - January 2018
Answered by sharpie
Expert Rating: 385 Ratings
Dated: 9th Feb'18 10:25 PM
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NSG6340-week-2-Discussion---January-2018.docx (25.04 KB)
Preview of NSG6340-week-2-Discussion---January-2018.docx
when     but   feels it     on       objective   provided what     3       listing   presumptive final     history       in   she takes     steroid       any   medical or      She       and   drug use     above       breath   nonproductive nocturnal     continuous       are   listed: Temperature 98     pressure       and   20  The     was       except   the decreased air     high-pitched       in   lobes and     sounds
NSG6340_week_2_Discussion_-_January_2018_(2).docx (42.66 KB)
Preview of NSG6340_week_2_Discussion_-_January_2018_(2).docx
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