Given the following scenario, you will note an incomplete assessment.
Given the following scenario, you will note an incomplete assessment.
- Based on the information you have, make an impression of what you think is the client’s problem(s). For example, you may think that the client is in heart failure.
- Ask yourself what additional subjective and objective data you will need to confirm that diagnosis. Include this information in the scenario. For example, give a lab results that will be indicative of heart failure.
- What are the possible differential diagnoses for this client?
- Defend your diagnosis or diagnoses with documentation from required readings, pathophysiology book; nurse practitioner’s protocols found in books and journals, and professional journal articles.
- Give a rationale for your contribution to the management plan.
- Create a SOAP note, insert the references you used into a master reference list using the APA format (this will enable your classmate to use your references for further study or research).
- Every student should make at least two comments in developing data for the diagnoses.
- Every student should make at least one comment on two students’ comments. Indicate whether you agree or disagree; give justification and documentation for your comments.
- Every student must contribute to the management plan. Focus the plan on non-medication treatments, the diagnostic plan, and your teaching plan. Each student will contribute at least two comments to the plan.
Scenario
A 56-year-old male who returns from a wild weekend in Las Vegas. He is complaining of a white milky discharge from his penis. Reported unprotected sex with a woman he met in Las Vegas. The discharged started 4 days ago and he is experiencing pain with urination. PMHx: HTN and Inguinal hernia. Meds: HCTZ. Allergies: NKDA. Social Hx: nonsmoker, nondrinker, travels extensively and has never had this problem before.
