NSG6440 Week 2 Discussion

NSG6440 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 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 an 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 standard. 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. NSG6440 Week 2 Discussion

1. What is the chief complaint?
2. Based on the subjective and objective information provided, what are your 3 top differential diagnoses listing the presumptive final diagnosis first?
3. What treatment plan would you consider utilizing current evidence-based practice guidelines?

 

NSG6440 Week 2 Discussion RUBRIC

Response	No Submission  0 points		Emerging (F-D: 1-13)  13 points			Satisfactory (C: 14-16)  16 points		Proficient (B: 17-18)  18 points		Exemplary (A: 19-20)  20 points		Criterion Score
Quality of Initial Posting	No initial posting exists to evaluate.		The information provided is inaccurate, not focused on the assignment’s topic, and/or does not fully answer the question(s). The response demonstrates an incomplete understanding of the topic and/or inadequate preparation. NSG6440 Week 2 Discussion			The information provided is accurate, giving a basic understanding of the topic(s) covered. A basic understanding is when you can describe the terms and concepts covered. Despite this basic understanding, the initial posting may not include the complete development of all assignment aspects.		The information provided is accurate, displaying a good understanding of the topic(s) covered. A good understanding is when you can explain the terms and topics covered. Initial posting demonstrates sincere reflection and addresses most aspects of the assignment, although all concepts may not be fully developed.		The information provided is accurate, providing an in-depth, well-thought-out understanding of the topic(s) covered. An in-depth understanding analyzes the information, synthesizing what is learned from the course/assigned readings.		A score of Quality of Initial Posting,  / 20
Participation		No Submission  0 points		Emerging (F-D: 1-13)  13 points	Satisfactory (C: 14-15)  15 points		Proficient (B: 16-17)  17 points		Exemplary (A: 18-20)  20 points		Criterion Score
Participation in Discussion		No responses to other classmates were posted in this discussion forum.		May include one or more of the following: *Comments to only one other student’s post. *Comments are not substantive, such as just one line or saying, “Good job” or “I agree. *Comments are off-topic.	Comments to two or more classmates’ initial posts but only on one day of the week. Comments are substantive, reflecting and expanding on what the other student wrote.		Comments to two or more classmates’ initial posts on more than one day. Comments are substantive, reflecting and expanding on what the other student wrote.		Comments to two or more classmates’ initial posts and to the instructor’s comment (if applicable) on two or more days. Responses demonstrate an analysis of peers’ comments, building on previous posts. Comments extend and deepen the meaningful conversation and may include a follow-up question.		A score of Participation in Discussion,  / 20

 

Writing	No Submission  0 points	Emerging (F-D: 1-6)  6 points	Satisfaction (C: 7-8)  8 points	Proficient (B: 9)  9 points	Exemplary (A: 10)  10 points	Criterion Score
Writing Mechanics (Spelling, Grammar, Citation Style) and Information Literacy	No postings for which to evaluate language and grammar exist.	Numerous issues in any of the following: grammar, mechanics, spelling, use of slang, and incomplete or missing citations and references. If required for the assignment, did not use course, text, and/or outside readings (where relevant) to support work.	Some spelling, grammatical, and/or structural errors are present. Some errors in formatting citations and references are present. If required for the assignment, utilizes sources to support work for the initial post but not comments to other students. Sources include course/text readings but outside sources (when relevant) include non-academic/authoritative, such as Wikis and .com resources. NSG6440 Week 2 Discussion	Minor grammar, mechanics, or spelling errors in the initial posting are present. Minor errors in formatting citations and references may exist. If required for the assignment, utilizes sources to support work for both the initial post and some of the comments to other students. Sources include course and text readings and outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other textbooks, .gov Web sites, professional organization Web sites, cases, statutes, or administrative rules).	Minor to no grammar, mechanics, or spelling errors exist in both the initial post and comments to others. The formatting of citations and references is correct. If required for the assignment, utilizes sources to support work for both the initial post and the comments to other students. Sources include course and text readings and outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other textbooks, .gov Web sites, professional organization Web sites, cases, statutes, or administrative rules).	A score of Writing Mechanics (Spelling, Grammar, Citation Style) and Information Literacy,  / 10

Total

Score of NSG6440 Discussion Rubric (50 points),