Lab Assignment: Assessing the Genitalia and Rectum

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nursing

Assignment: Lab Assignment: Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with healthcare professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

To Prepare

Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.Based on the Episodic note case study:

Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.

Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.

Consider what history would be necessary to collect from the patient in the case study.

Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition.

How would the results be used to make a diagnosis?

Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

Analyze the subjective portion of the note.

List additional information that should be included in the documentation.Analyze the objective portion of the note.

List additional information that should be included in the documentation.

Is the assessment supported by the subjective and objective information? Why or why not?

Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not?

Identify three possible conditions that may be considered as a differential diagnosis for this patient.

Explain your reasoning using at least three different references from current evidence-based literature.

Case Study

Subjective:

•CC: “I have bumps on my bottom that I want to have checked out.”

•HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.

•PMH: Asthma•Medications: Symbicort 160/4.5mcg

•Allergies: NKDA

•FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

•Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

•VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs•Heart: RRR, no murmurs

•Lungs: CTA, chest wall symmetrical

•Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia

•Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney

•Diagnostics: HSV specimen obtained

Assessment:•Chancre

Plan: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

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A nurse manager is attending a national convention and is attending a concurrent session on staffing ratios. Minimum staffing ratios are being discussed in the nurse manager’s own stat

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Case Study, Chapter 10, Mandatory Minimum Staffing Ratios

A nurse manager is attending a national convention and is attending a concurrent session on staffing ratios. Minimum staffing ratios are being discussed in the nurse manager’s own state. The nurse manager has a number of questions about staffing ratios that the session is covering. The nurse manager knows that evidence exists that increasing the number of RNs in the staffing mix leads to safer workplaces for nurses and higher quality of care for patients.

1. What are the three general approaches recommended by the American Nurses Association (2017) to maintain sufficient staffing?

2. Summarize the findings that are often cited as the seminal work in support of establishing minimum staffing ratio legislation at the federal or state level.

3. Analyze what proponents and critics say about whether mandatory minimum staffing ratios are needed.

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on the theme of corporate social responsibility Order Description this assignment is based on the…

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on the theme of corporate social responsibility

Order Description

this assignment is based on the text book called Required Text:
Business In Ethical Focus, An Anthology, edited by Fritz Allhoff and Anand Vaidya, Broadview Press, 2008
Also, the paper should be divided into 4 parts:
1- INTRODUCTION not more than have page for the introduction and the theses statement.
2- EXPLICATION this part should have brief described of the theory’s that related to the topic in the textbook PLUS my argument on that!
3- SUPPORT MY ARGUMENT ” this the most important part in this paper ” wheather I agree with it or not!
4- The CONCLUSION
* Finally, any sentence quoted from the textbook would be allowed only and only if you write the page number beside it! Otherwise, it would affect on my final mark!

All the above ????and the bellow ????instructions must be considered
With direct reference to the essays by Friedman, Freeman and Heath write a critical essay on the theme of corporate social responsibility. Specifically, explain and contrast the stockholder, stakeholder and market failures models of corporate management, make the case for one of these models, and show why rival models fail. In other words, you will be evaluated on how well you understand and engage the authors being discussed, and on the strength of the arguments you make in support of a position. And remember: the point is not to discuss all of the arguments a given author advances, but rather to use what is needed to support your position.
The paper must be: double spaced, 7 pages long, use Times New Roman font/size 12, have standard margin size for word documents, have numbered and stapled pages. For the purposes of anonymous grading, the paper must only include your student number and your instructor’s name on the first page.

Here are some questions you should keep in mind in writing your paper:
Does your paper have a clearly articulated thesis?
Is the thesis supported by arguments?
Are these arguments logically structured?
Do you make use of the primary texts in defending your thesis?
Have you anticipated potential criticisms of your position and demonstrated why your position is superior to rival interpretations?
Is your writing clear and to the point?
Is your writing technically flawless, free of spelling mistakes and grammatical errors? Do you have proper documentation in a consistent style?
Please note: In addition to submitting a hard copy of your essay in class, you must also submit your paper to:
turnitin.com

 

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follow the instructions 25

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Length: 750-1000 words

Topic/Question:

The Tao Teh Ching is one of the oldest books in China, full of ambiguous meanings, and often called “hard to understand by the Chinese themselves.” Write a short argumentative essay that describes the value of texts and ideas that are hard to understand and often have multiple meanings. Please use at least two examples from the Tao Teh Ching to support your claims and at least one journal source article. Papers that make use of more than these three sources will be awarded extra points. Be sure to take a position that either supports or refutes the use of ambiguous texts.

You may write about any topic related to the Tao, but if you are uncertain about developing your own topic, you may use this.

the topic is : Tao Teh Ching

1- Find two articles related to the topic from the my university library and read it to support the essay.

2- Write a thesis statement contains three points.

3- Write an outline for the essay.

4- Write argumentative essay.

 

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