Chat with us, powered by LiveChat J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incont | Wridemy

J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incont

J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incont

 

Parts  5 and 6  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.

APA format

1) Minimum 7 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

You must strictly comply with the number of paragraphs requested per page.

           Part 1: minimum 1 page

           Part 2: minimum  1 page

           Part 3: minimum  2 pages

           Part 4: minimum  1 page 

           Part 5: minimum  1 page 

           Part 6: minimum  1 page 

Submit 1 document per part

2)¨******APA norms

         All paragraphs must be narrative and cited in the text- each paragraph

         The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information. 

         Bulleted responses are not accepted

         Don't write in the first person 

         Don't copy and paste the questions.

         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Part 1: Pathophysiology

Answer two questions in a single paragraph. Make sure the number of words is similar

Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.

Case Study Questions

One paragraph

1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.

2. Describe the major reason J.D. might be presenting constipation or dehydration.

One paragraph

3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?

The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia. 

4. Describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.

 

One paragraph

5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? Describe

Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. 

6. Research list and describe for appropriate recommendations and treatments for J.D.

Part 2: Pathophysiology

Answer two questions in a single paragraph. Make sure the number of words is similar

 

Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.

Case Study Questions

One paragraph

For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct

1. Describe the modifiable and non-modifiable risk factors.

2. What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?

One paragraph

Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct

3. Which would be the most specific laboratory test you would choose and why?

4. Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.

One paragraph

5. How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct?

a. When that can be observed and for how long? Base your answer on the pathophysiology of the event.

Part 3: Nursing Role Transition

 

Compare the primary care NP role with other APN roles. What are the 

1. Describe two similarities among the roles (One paragraph per similarities- Total of two paragraphs)

2. Describe  two differences among the roles (One difference per differences- Total of two paragraphs)

3. How would you communicate the role to a healthcare provider and a consumer? (One paragraph for healthcare provider and  One paragraph for healthcare consumer- Total two paragraphs) 

Part 4: Psychology

 

1. Explain each level of Maslow Hierarchy.  Explanation in your own words (two paragraphs)

a. Physiological (food and clothing)

b. Safety (job security)

c. Love and belonging needs (friendship)

d. Esteem

e. Self-actualization

2.- Explain what you understand about Voluntary and Involuntary admission. (One paragraph)

Parts  5 and 6  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.

Part 5: Biology

 

Check

Scientific research is essential for understanding the world, creating solutions to environmental problems, and developing therapies for disease. Given this

1. What do you think are some of the variety of social impacts of the practices discussed in this video?

The issues discussed in the video, as well as ways to combat them, have been the topic of many news articles. FIND A RECENT NEWS ARTICLE (published within the last 5 years) from a reputable source (e.g. BBC (Links to an external site.), Nature Journal News (Links to an external site.), NPR (Links to an external site.), Science Magazine News (Links to an external site.)) which either addresses a specific instance of misconduct, a pattern of misconduct, or approaches to prevent or address scientific misconduct.

Provide a brief summary of the issues raised in the article, using your own words.

2. How do you think the issues raised in this video and in the article you shared impact you directly?

Part 6: Biology

 

Check

Scientific research is essential for understanding the world, creating solutions to environmental problems, and developing therapies for disease. Given this

1. What do you think are some of the variety of social impacts of the practices discussed in this video?

The issues discussed in the video, as well as ways to combat them, have been the topic of many news articles. FIND A RECENT NEWS ARTICLE (published within the last 5 years) from a reputable source (e.g. BBC (Links to an external site.), Nature Journal News (Links to an external site.), NPR (Links to an external site.), Science Magazine News (Links to an external site.)) which either addresses a specific instance of misconduct, a pattern of misconduct, or approaches to prevent or address scientific misconduct.

Provide a brief summary of the issues raised in the article, using your own words.

2. How do you think the issues raised in this video and in the article you shared impact you directly?

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