Executive Solution Overview
– ## NUR506Dis.pdf – ## Nur504DisWk6.pdf **## NUR506Dis.pdf** NUR 506 Discussion 1 Nursing & Health-Care-Policy Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States. Submission Instructions: • Your initial…
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– ## NUR506Dis.pdf
– ## Nur504DisWk6.pdf
**## NUR506Dis.pdf**
NUR 506
Discussion 1
Nursing & Health-Care-Policy
Analyze the history, structure, and process of health-care-policy and politics in nursing and the
health care delivery systems in the United States.
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 2
Advocacy
What examples of advocacy do you see in your own nursing practice? List and discuss 2
examples.
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 3
ACA and Health-Care Outcomes & Costs
What components of the ACA do you think will have a positive effect on improving health care
outcomes and decreasing costs?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 4
Local, State & Federal Advocacy
• What are specific actions that health professionals can take regardless of their practice
area and site to promote population and community health?
• What advocacy actions might you take to improve health care through legislation at the
state or federal level?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 5
Issues in Today's Workforce Culture
Based on your reading in chapter 60, why do you think the issues presented in this chapter persist
in today’s workforce culture?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 6
Health Care Disparities in LGBTQ
Discuss how to close the health care disparities gap in the LGBTQ community?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
**## Nur504DisWk6.pdf**
Female Genitourinary, &
Musculoskeletal
For this Discussion, you will take on the role of a clinician who is
building a health history for one of the following cases. Your
instructor will assign you your case number. Case 2
Case 1 Case 2 Case 3
Chief
Compla
int
(CC)
“I have a tumor on my
left breast”
“I have pain during
intercourse and
urination”
“My back hurts so
bad I can barely walk”
History
of
Present
Illness
(HPI)
A 55-year-old African
American social
worker presents to
your clinic with a
finding of a lump in
her left breast while in
the shower this past
week.
A 19-year-old female
reports to you that
she has “sores” on
and in her vagina for
the last three months.
A 35-year-old male
painter presents to
your clinic with the
complaint of low back
pain. He recalls lifting
a 5-gallon paint can
and felt an immediate
pull in the lower right
side of his back. This
and he had the
weekend to rest, but
after taking Motrin
and using heat, he
has not seen any
improvement. His
pain is sharp,
stabbing, and he
scored it as a 9 on a
scale of 0 to 10.
Drug
Hx
I took birth control
pills for 10 years,
starting when I was
20 I am not on
hormone replacement
She tries to practice
safe sex but has a
steady boyfriend and
figures she doesn’t
need to be so careful
since she is on the
birth control pill
Motrin for pain.
Family
Hx
My grandmother had
breast cancer when
she was 76 years old
Father hypertension
Mother DM
Subject
ive
Denies any fever or
chills. No changes in
vision or hearing, no
difficulty chewing or
swallowing. Supple
neck, states that she
does self-breast-
exams on occasion.
Menopause at 52
No skin changes or
nipple discharge from
the left breast
states “I have sores
and bumps on the
inner creases of my
thighs and pelvic
area”. “There is
yellowish discharge
from the sores that
comes and goes”
He is having some
right leg pain but no
bowel or bladder
changes. No
numbness or tingling
Objective Data
VS
temperature 98.6°F;
respiratory rate (RR)
16; heart rate (HR) 80,
regular; blood
pressure (BP) 130/84;
height: 5′8″; weight
160 lbs; body mass
index (BMI) 24
temperature: 100.2°F;
pulse 92; respirations
18; BP 122/78; weight
156 lbs, 25 lbs
overweight; height
5′3″
temperature: 98.2°F,
respiratory rate 16,
heart rate 90, blood
pressure 120/60
O2 saturation 98%
General
well developed,
nourished, healthy-
appearing female
patient appears to
have good hygiene;
minimal makeup,
pierced ears, no
tattoos; well
nourished (slightly
overweight); no
obvious distress
noted
well-developed
healthy 35-year-old
male; no gross
deformities
HEENT
Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and sclera
clear, nares patent,
nasopharynx clear,
edentulous.
Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and
sclera clear; nares
patent, nasopharynx
clear, good dentition.
Piercing in her right
nostril and lower lip.
Atraumatic,
normocephalic,
PERRLA, EOMI,
sclera with mild
icterus, nares patent,
nasopharynx clear,
poor dentition –
multiple carries.
Lungs clear to auscultation
within normal limits,
appropriate lung
sounds auscultated,
clear and equal
bilaterally
CTA AP&L
Card regular rate and
rhythm (RRR)
S1S2 without rub or
gallop
S1S2 without rub or
gallop
Breast
Examined in sitting
and supine positions.
In sitting position, no
evidence of skin
changes, right breast
is slightly larger than
the left, symmetrical
movement with the
arms above the head
and at the side and
with flexion of the
pectoral muscles; 5-
mm nonmobile, non-
tender, firm mass felt
at 10 o’clock position,
5 cm from the areola.
Right breast without
dominant masses or
tenderness. Nipples
without inversion or
evidence of nipple
discharge. Breast
mass is palpated in
the supine position in
the same manner as
in the sitting position
• INSPECTION: no
dimpling or
abnormalities noted
upon inspection
• PALPATION: Left
breast no
abnormalities noted.
Right breast: denies
tenderness, pain, no
abnormalities noted.
• INSPECTION: no
dimpling or
abnormalities noted
upon inspection
• PALPATION: Left
breast – no
abnormalities noted.
Right breast – denies
tenderness, pain, no
abnormalities noted.
Lymph
negative axillary,
infraclavicular, and
supraclavicular
lymphadenopathy
Inguinal Lymph
nodes: tenderness
bilaterally, numerous,
1 cm in size
no bruising, fever, or
swelling noted, no
acute bleeding or
trauma to skin.
Abd normoactive bowel
sounds x 4;
tender during
palpation; the left
lower quadrant was
very tender during
palpation; patient
denies nausea or
vomiting
benign, normoactive
bowel sounds x 4;
Hepatomegaly 2cm
below the costal
margin.
GU Bladder is non-
distended.
labia major and minor:
numerous ulcerations,
too many to count;
some ulcerations
enter the vaginal
introitus; no
ulcerations in the
vagina mucosa; cervix
is clear, some
greenish discharge;
bimanual exam
reveals tenderness in
left lower quadrant;
able to palpate the
left ovary; unable to
palpate the right
ovary; no tenderness;
uterus is normal in
size, slight tenderness
with cervical mobility
Bladder is non-
distended.
Integu
ment
good skin turgor
noted, moist mucous
membranes
intact without lesions
masses or rashes.
MS
Muscles are smooth,
firm, symmetrical. Full
ROM. No pain or
tenderness on
palpation.
Muscles are smooth,
firm, symmetrical. Full
ROM. No pain or
tenderness on
palpation.
No obvious
deformities, masses,
or discoloration.
Palpable pain noted
at the right lower
lumbar region. No
palpable spasms.
ROM limited to
forward bending 10
inches from floor; able
to bend side to side
but had difficulty
twisting and going
into extension.
Once you received your case number, answer the following
questions:
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient
presenting symptoms?
5. Give rationales for your each differential diagnosis.
6. What teachings will you provide?
Submission Instructions:
• Your instructor will assign you your case number and you
will post on the case number you have been assigned.
• You will reply to the other two case studies (One of each).
• Your initial post should be at least 500 words, formatted and
cited in current APA style with support from at least 2
academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by
extending, refuting/correcting, or adding additional nuance
to their posts. Your reply posts are worth 2 points (1 point
per response.)
• All replies must be constructive and use literature where
possible.
Neuro
No obvious
deformities, CN
grossly intact II-XII
No obvious deficits
and CN grossly intact
II-XII
DTRs 2+ lower
sensory neurology
intact to light touch
and patient able to
toe and heel walk.
Gait was stable and
no limping noted.
Grading Rubric
Your assignment will be graded according to the grading rubric,
which is found by clicking the three dots in the upper right-hand
corner and selecting "show rubric" from the menu.
**## Nur504DisWk6.pdf**
Female Genitourinary, &
Musculoskeletal
For this Discussion, you will take on the role of a clinician who is
building a health history for one of the following cases. Your
instructor will assign you your case number. Case 2
Case 1 Case 2 Case 3
Chief
Compla
int
(CC)
“I have a tumor on my
left breast”
“I have pain during
intercourse and
urination”
“My back hurts so
bad I can barely walk”
History
of
Present
Illness
(HPI)
A 55-year-old African
American social
worker presents to
your clinic with a
finding of a lump in
her left breast while in
the shower this past
week.
A 19-year-old female
reports to you that
she has “sores” on
and in her vagina for
the last three months.
A 35-year-old male
painter presents to
your clinic with the
complaint of low back
pain. He recalls lifting
a 5-gallon paint can
and felt an immediate
pull in the lower right
side of his back. This
and he had the
weekend to rest, but
after taking Motrin
and using heat, he
has not seen any
improvement. His
pain is sharp,
stabbing, and he
scored it as a 9 on a
scale of 0 to 10.
Drug
Hx
I took birth control
pills for 10 years,
starting when I was
20 I am not on
hormone replacement
She tries to practice
safe sex but has a
steady boyfriend and
figures she doesn’t
need to be so careful
since she is on the
birth control pill
Motrin for pain.
Family
Hx
My grandmother had
breast cancer when
she was 76 years old
Father hypertension
Mother DM
Subject
ive
Denies any fever or
chills. No changes in
vision or hearing, no
difficulty chewing or
swallowing. Supple
neck, states that she
does self-breast-
exams on occasion.
Menopause at 52
No skin changes or
nipple discharge from
the left breast
states “I have sores
and bumps on the
inner creases of my
thighs and pelvic
area”. “There is
yellowish discharge
from the sores that
comes and goes”
He is having some
right leg pain but no
bowel or bladder
changes. No
numbness or tingling
Objective Data
VS
temperature 98.6°F;
respiratory rate (RR)
16; heart rate (HR) 80,
regular; blood
pressure (BP) 130/84;
height: 5′8″; weight
160 lbs; body mass
index (BMI) 24
temperature: 100.2°F;
pulse 92; respirations
18; BP 122/78; weight
156 lbs, 25 lbs
overweight; height
5′3″
temperature: 98.2°F,
respiratory rate 16,
heart rate 90, blood
pressure 120/60
O2 saturation 98%
General
well developed,
nourished, healthy-
appearing female
patient appears to
have good hygiene;
minimal makeup,
pierced ears, no
tattoos; well
nourished (slightly
overweight); no
obvious distress
noted
well-developed
healthy 35-year-old
male; no gross
deformities
HEENT
Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and sclera
clear, nares patent,
nasopharynx clear,
edentulous.
Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and
sclera clear; nares
patent, nasopharynx
clear, good dentition.
Piercing in her right
nostril and lower lip.
Atraumatic,
normocephalic,
PERRLA, EOMI,
sclera with mild
icterus, nares patent,
nasopharynx clear,
poor dentition –
multiple carries.
Lungs clear to auscultation
within normal limits,
appropriate lung
sounds auscultated,
clear and equal
bilaterally
CTA AP&L
Card regular rate and
rhythm (RRR)
S1S2 without rub or
gallop
S1S2 without rub or
gallop
Breast
Examined in sitting
and supine positions.
In sitting position, no
evidence of skin
changes, right breast
is slightly larger than
the left, symmetrical
movement with the
arms above the head
and at the side and
with flexion of the
pectoral muscles; 5-
mm nonmobile, non-
tender, firm mass felt
at 10 o’clock position,
5 cm from the areola.
Right breast without
dominant masses or
tenderness. Nipples
without inversion or
evidence of nipple
discharge. Breast
mass is palpated in
the supine position in
the same manner as
in the sitting position
• INSPECTION: no
dimpling or
abnormalities noted
upon inspection
• PALPATION: Left
breast no
abnormalities noted.
Right breast: denies
tenderness, pain, no
abnormalities noted.
• INSPECTION: no
dimpling or
abnormalities noted
upon inspection
• PALPATION: Left
breast – no
abnormalities noted.
Right breast – denies
tenderness, pain, no
abnormalities noted.
Lymph
negative axillary,
infraclavicular, and
supraclavicular
lymphadenopathy
Inguinal Lymph
nodes: tenderness
bilaterally, numerous,
1 cm in size
no bruising, fever, or
swelling noted, no
acute bleeding or
trauma to skin.
Abd normoactive bowel
sounds x 4;
tender during
palpation; the left
lower quadrant was
very tender during
palpation; patient
denies nausea or
vomiting
benign, normoactive
bowel sounds x 4;
Hepatomegaly 2cm
below the costal
margin.
GU Bladder is non-
distended.
labia major and minor:
numerous ulcerations,
too many to count;
some ulcerations
enter the vaginal
introitus; no
ulcerations in the
vagina mucosa; cervix
is clear, some
greenish discharge;
bimanual exam
reveals tenderness in
left lower quadrant;
able to palpate the
left ovary; unable to
palpate the right
ovary; no tenderness;
uterus is normal in
size, slight tenderness
with cervical mobility
Bladder is non-
distended.
Integu
ment
good skin turgor
noted, moist mucous
membranes
intact without lesions
masses or rashes.
MS
Muscles are smooth,
firm, symmetrical. Full
ROM. No pain or
tenderness on
palpation.
Muscles are smooth,
firm, symmetrical. Full
ROM. No pain or
tenderness on
palpation.
No obvious
deformities, masses,
or discoloration.
Palpable pain noted
at the right lower
lumbar region. No
palpable spasms.
ROM limited to
forward bending 10
inches from floor; able
to bend side to side
but had difficulty
twisting and going
into extension.
Once you received your case number, answer the following
questions:
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient
presenting symptoms?
5. Give rationales for your each differential diagnosis.
6. What teachings will you provide?
Submission Instructions:
• Your instructor will assign you your case number and you
will post on the case number you have been assigned.
• You will reply to the other two case studies (One of each).
• Your initial post should be at least 500 words, formatted and
cited in current APA style with support from at least 2
academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by
extending, refuting/correcting, or adding additional nuance
to their posts. Your reply posts are worth 2 points (1 point
per response.)
• All replies must be constructive and use literature where
possible.
Neuro
No obvious
deformities, CN
grossly intact II-XII
No obvious deficits
and CN grossly intact
II-XII
DTRs 2+ lower
sensory neurology
intact to light touch
and patient able to
toe and heel walk.
Gait was stable and
no limping noted.
Grading Rubric
Your assignment will be graded according to the grading rubric,
which is found by clicking the three dots in the upper right-hand
corner and selecting "show rubric" from the menu.
**## NUR506Dis.pdf**
NUR 506
Discussion 1
Nursing & Health-Care-Policy
Analyze the history, structure, and process of health-care-policy and politics in nursing and the
health care delivery systems in the United States.
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 2
Advocacy
What examples of advocacy do you see in your own nursing practice? List and discuss 2
examples.
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 3
ACA and Health-Care Outcomes & Costs
What components of the ACA do you think will have a positive effect on improving health care
outcomes and decreasing costs?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 4
Local, State & Federal Advocacy
• What are specific actions that health professionals can take regardless of their practice
area and site to promote population and community health?
• What advocacy actions might you take to improve health care through legislation at the
state or federal level?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 5
Issues in Today's Workforce Culture
Based on your reading in chapter 60, why do you think the issues presented in this chapter persist
in today’s workforce culture?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 6
Health Care Disparities in LGBTQ
Discuss how to close the health care disparities gap in the LGBTQ community?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
**## Nur504DisWk6.pdf**
Female Genitourinary, &
Musculoskeletal
For this Discussion, you will take on the role of a clinician who is
building a health history for one of the following cases. Your
instructor will assign you your case number. Case 2
Case 1 Case 2 Case 3
Chief
Compla
int
(CC)
“I have a tumor on my
left breast”
“I have pain during
intercourse and
urination”
“My back hurts so
bad I can barely walk”
History
of
Present
Illness
(HPI)
A 55-year-old African
American social
worker presents to
your clinic with a
finding of a lump in
her left breast while in
the shower this past
week.
A 19-year-old female
reports to you that
she has “sores” on
and in her vagina for
the last three months.
A 35-year-old male
painter presents to
your clinic with the
complaint of low back
pain. He recalls lifting
a 5-gallon paint can
and felt an immediate
pull in the lower right
side of his back. This
and he had the
weekend to rest, but
after taking Motrin
and using heat, he
has not seen any
improvement. His
pain is sharp,
stabbing, and he
scored it as a 9 on a
scale of 0 to 10.
Drug
Hx
I took birth control
pills for 10 years,
starting when I was
20 I am not on
hormone replacement
She tries to practice
safe sex but has a
steady boyfriend and
figures she doesn’t
need to be so careful
since she is on the
birth control pill
Motrin for pain.
Family
Hx
My grandmother had
breast cancer when
she was 76 years old
Father hypertension
Mother DM
Subject
ive
Denies any fever or
chills. No changes in
vision or hearing, no
difficulty chewing or
swallowing. Supple
neck, states that she
does self-breast-
exams on occasion.
Menopause at 52
No skin changes or
nipple discharge from
the left breast
states “I have sores
and bumps on the
inner creases of my
thighs and pelvic
area”. “There is
yellowish discharge
from the sores that
comes and goes”
He is having some
right leg pain but no
bowel or bladder
changes. No
numbness or tingling
Objective Data
VS
temperature 98.6°F;
respiratory rate (RR)
16; heart rate (HR) 80,
regular; blood
pressure (BP) 130/84;
height: 5′8″; weight
160 lbs; body mass
index (BMI) 24
temperature: 100.2°F;
pulse 92; respirations
18; BP 122/78; weight
156 lbs, 25 lbs
overweight; height
5′3″
temperature: 98.2°F,
respiratory rate 16,
heart rate 90, blood
pressure 120/60
O2 saturation 98%
General
well developed,
nourished, healthy-
appearing female
patient appears to
have good hygiene;
minimal makeup,
pierced ears, no
tattoos; well
nourished (slightly
overweight); no
obvious distress
noted
well-developed
healthy 35-year-old
male; no gross
deformities
HEENT
Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and sclera
clear, nares patent,
nasopharynx clear,
edentulous.
Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and
sclera clear; nares
patent, nasopharynx
clear, good dentition.
Piercing in her right
nostril and lower lip.
Atraumatic,
normocephalic,
PERRLA, EOMI,
sclera with mild
icterus, nares patent,
nasopharynx clear,
poor dentition –
multiple carries.
Lungs clear to auscultation
within normal limits,
appropriate lung
sounds auscultated,
clear and equal
bilaterally
CTA AP&L
Card regular rate and
rhythm (RRR)
S1S2 without rub or
gallop
S1S2 without rub or
gallop
Breast
Examined in sitting
and supine positions.
In sitting position, no
evidence of skin
changes, right breast
is slightly larger than
the left, symmetrical
movement with the
arms above the head
and at the side and
with flexion of the
pectoral muscles; 5-
mm nonmobile, non-
tender, firm mass felt
at 10 o’clock position,
5 cm from the areola.
Right breast without
dominant masses or
tenderness. Nipples
without inversion or
evidence of nipple
discharge. Breast
mass is palpated in
the supine position in
the same manner as
in the sitting position
• INSPECTION: no
dimpling or
abnormalities noted
upon inspection
• PALPATION: Left
breast no
abnormalities noted.
Right breast: denies
tenderness, pain, no
abnormalities noted.
• INSPECTION: no
dimpling or
abnormalities noted
upon inspection
• PALPATION: Left
breast – no
abnormalities noted.
Right breast – denies
tenderness, pain, no
abnormalities noted.
Lymph
negative axillary,
infraclavicular, and
supraclavicular
lymphadenopathy
Inguinal Lymph
nodes: tenderness
bilaterally, numerous,
1 cm in size
no bruising, fever, or
swelling noted, no
acute bleeding or
trauma to skin.
Abd normoactive bowel
sounds x 4;
tender during
palpation; the left
lower quadrant was
very tender during
palpation; patient
denies nausea or
vomiting
benign, normoactive
bowel sounds x 4;
Hepatomegaly 2cm
below the costal
margin.
GU Bladder is non-
distended.
labia major and minor:
numerous ulcerations,
too many to count;
some ulcerations
enter the vaginal
introitus; no
ulcerations in the
vagina mucosa; cervix
is clear, some
greenish discharge;
bimanual exam
reveals tenderness in
left lower quadrant;
able to palpate the
left ovary; unable to
palpate the right
ovary; no tenderness;
uterus is normal in
size, slight tenderness
with cervical mobility
Bladder is non-
distended.
Integu
ment
good skin turgor
noted, moist mucous
membranes
intact without lesions
masses or rashes.
MS
Muscles are smooth,
firm, symmetrical. Full
ROM. No pain or
tenderness on
palpation.
Muscles are smooth,
firm, symmetrical. Full
ROM. No pain or
tenderness on
palpation.
No obvious
deformities, masses,
or discoloration.
Palpable pain noted
at the right lower
lumbar region. No
palpable spasms.
ROM limited to
forward bending 10
inches from floor; able
to bend side to side
but had difficulty
twisting and going
into extension.
Once you received your case number, answer the following
questions:
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient
presenting symptoms?
5. Give rationales for your each differential diagnosis.
6. What teachings will you provide?
Submission Instructions:
• Your instructor will assign you your case number and you
will post on the case number you have been assigned.
• You will reply to the other two case studies (One of each).
• Your initial post should be at least 500 words, formatted and
cited in current APA style with support from at least 2
academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by
extending, refuting/correcting, or adding additional nuance
to their posts. Your reply posts are worth 2 points (1 point
per response.)
• All replies must be constructive and use literature where
possible.
Neuro
No obvious
deformities, CN
grossly intact II-XII
No obvious deficits
and CN grossly intact
II-XII
DTRs 2+ lower
sensory neurology
intact to light touch
and patient able to
toe and heel walk.
Gait was stable and
no limping noted.
Grading Rubric
Your assignment will be graded according to the grading rubric,
which is found by clicking the three dots in the upper right-hand
corner and selecting "show rubric" from the menu.
**## NUR506Dis.pdf**
NUR 506
Discussion 1
Nursing & Health-Care-Policy
Analyze the history, structure, and process of health-care-policy and politics in nursing and the
health care delivery systems in the United States.
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 2
Advocacy
What examples of advocacy do you see in your own nursing practice? List and discuss 2
examples.
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 3
ACA and Health-Care Outcomes & Costs
What components of the ACA do you think will have a positive effect on improving health care
outcomes and decreasing costs?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 4
Local, State & Federal Advocacy
• What are specific actions that health professionals can take regardless of their practice
area and site to promote population and community health?
• What advocacy actions might you take to improve health care through legislation at the
state or federal level?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 5
Issues in Today's Workforce Culture
Based on your reading in chapter 60, why do you think the issues presented in this chapter persist
in today’s workforce culture?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
Discussion 6
Health Care Disparities in LGBTQ
Discuss how to close the health care disparities gap in the LGBTQ community?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature where possible.
**## Nur504DisWk6.pdf**
Female Genitourinary, &
Musculoskeletal
For this Discussion, you will take on the role of a clinician who is
building a health history for one of the following cases. Your
instructor will assign you your case number. Case 2
Case 1 Case 2 Case 3
Chief
Compla
int
(CC)
“I have a tumor on my
left breast”
“I have pain during
intercourse and
urination”
“My back hurts so
bad I can barely walk”
History
of
Present
Illness
(HPI)
A 55-year-old African
American social
worker presents to
your clinic with a
finding of a lump in
her left breast while in
the shower this past
week.
A 19-year-old female
reports to you that
she has “sores” on
and in her vagina for
the last three months.
A 35-year-old male
painter presents to
your clinic with the
complaint of low back
pain. He recalls lifting
a 5-gallon paint can
and felt an immediate
pull in the lower right
side of his back. This
and he had the
weekend to rest, but
after taking Motrin
and using heat, he
has not seen any
improvement. His
pain is sharp,
stabbing, and he
scored it as a 9 on a
scale of 0 to 10.
Drug
Hx
I took birth control
pills for 10 years,
starting when I was
20 I am not on
hormone replacement
She tries to practice
safe sex but has a
steady boyfriend and
figures she doesn’t
need to be so careful
since she is on the
birth control pill
Motrin for pain.
Family
Hx
My grandmother had
breast cancer when
she was 76 years old
Father hypertension
Mother DM
Subject
ive
Denies any fever or
chills. No changes in
vision or hearing, no
difficulty chewing or
swallowing. Supple
neck, states that she
does self-breast-
exams on occasion.
Menopause at 52
No skin changes or
nipple discharge from
the left breast
states “I have sores
and bumps on the
inner creases of my
thighs and pelvic
area”. “There is
yellowish discharge
from the sores that
comes and goes”
He is having some
right leg pain but no
bowel or bladder
changes. No
numbness or tingling
Objective Data
VS
temperature 98.6°F;
respiratory rate (RR)
16; heart rate (HR) 80,
regular; blood
pressure (BP) 130/84;
height: 5′8″; weight
160 lbs; body mass
index (BMI) 24
temperature: 100.2°F;
pulse 92; respirations
18; BP 122/78; weight
156 lbs, 25 lbs
overweight; height
5′3″
temperature: 98.2°F,
respiratory rate 16,
heart rate 90, blood
pressure 120/60
O2 saturation 98%
General
well developed,
nourished, healthy-
appearing female
patient appears to
have good hygiene;
minimal makeup,
pierced ears, no
tattoos; well
nourished (slightly
overweight); no
obvious distress
noted
well-developed
healthy 35-year-old
male; no gross
deformities
HEENT
Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and sclera
clear, nares patent,
nasopharynx clear,
edentulous.
Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and
sclera clear; nares
patent, nasopharynx
clear, good dentition.
Piercing in her right
nostril and lower lip.
Atraumatic,
normocephalic,
PERRLA, EOMI,
sclera with mild
icterus, nares patent,
nasopharynx clear,
poor dentition –
multiple carries.
Lungs clear to auscultation
within normal limits,
appropriate lung
sounds auscultated,
clear and equal
bilaterally
CTA AP&L
Card regular rate and
rhythm (RRR)
S1S2 without rub or
gallop
S1S2 without rub or
gallop
Breast
Examined in sitting
and supine positions.
In sitting position, no
evidence of skin
changes, right breast
is slightly larger than
the left, symmetrical
movement with the
arms above the head
and at the side and
with flexion of the
pectoral muscles; 5-
mm nonmobile, non-
tender, firm mass felt
at 10 o’clock position,
5 cm from the areola.
Right breast without
dominant masses or
tenderness. Nipples
without inversion or
evidence of nipple
discharge. Breast
mass is palpated in
the supine position in
the same manner as
in the sitting position
• INSPECTION: no
dimpling or
abnormalities noted
upon inspection
• PALPATION: Left
breast no
abnormalities noted.
Right breast: denies
tenderness, pain, no
abnormalities noted.
• INSPECTION: no
dimpling or
abnormalities noted
upon inspection
• PALPATION: Left
breast – no
abnormalities noted.
Right breast – denies
tenderness, pain, no
abnormalities noted.
Lymph
negative axillary,
infraclavicular, and
supraclavicular
lymphadenopathy
Inguinal Lymph
nodes: tenderness
bilaterally, numerous,
1 cm in size
no bruising, fever, or
swelling noted, no
acute bleeding or
trauma to skin.
Abd normoactive bowel
sounds x 4;
tender during
palpation; the left
lower quadrant was
very tender during
palpation; patient
denies nausea or
vomiting
benign, normoactive
bowel sounds x 4;
Hepatomegaly 2cm
below the costal
margin.
GU Bladder is non-
distended.
labia major and minor:
numerous ulcerations,
too many to count;
some ulcerations
enter the vaginal
introitus; no
ulcerations in the
vagina mucosa; cervix
is clear, some
greenish discharge;
bimanual exam
reveals tenderness in
left lower quadrant;
able to palpate the
left ovary; unable to
palpate the right
ovary; no tenderness;
uterus is normal in
size, slight tenderness
with cervical mobility
Bladder is non-
distended.
Integu
ment
good skin turgor
noted, moist mucous
membranes
intact without lesions
masses or rashes.
MS
Muscles are smooth,
firm, symmetrical. Full
ROM. No pain or
tenderness on
palpation.
Muscles are smooth,
firm, symmetrical. Full
ROM. No pain or
tenderness on
palpation.
No obvious
deformities, masses,
or discoloration.
Palpable pain noted
at the right lower
lumbar region. No
palpable spasms.
ROM limited to
forward bending 10
inches from floor; able
to bend side to side
but had difficulty
twisting and going
into extension.
Once you received your case number, answer the following
questions:
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient
presenting symptoms?
5. Give rationales for your each differential diagnosis.
6. What teachings will you provide?
Submission Instructions:
• Your instructor will assign you your case number and you
will post on the case number you have been assigned.
• You will reply to the other two case studies (One of each).
• Your initial post should be at least 500 words, formatted and
cited in current APA style with support from at least 2
academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by
extending, refuting/correcting, or adding additional nuance
to their posts. Your reply posts are worth 2 points (1 point
per response.)
• All replies must be constructive and use literature where
possible.
Neuro
No obvious
deformities, CN
grossly intact II-XII
No obvious deficits
and CN grossly intact
II-XII
DTRs 2+ lower
sensory neurology
intact to light touch
and patient able to
toe and heel walk.
Gait was stable and
no limping noted.
Grading Rubric
Your assignment will be graded according to the grading rubric,
which is found by clicking the three dots in the upper right-hand
corner and selecting "show rubric" from the menu.
– 1
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