Category: Nursing

General Instructions

Step 1: As a family nurse practitioner (FNP) at a primary care clinic, you will create a case study of a client you saw at the clinic today. First, review the primary diagnosis and the reason for the clinic visit based on the first letter of your last name in the chart below.

Peripheral artery disease (PAD)–Clinical Scenario

Reason for todays clinic visit: The client has noticed more frequent pain and cramping in their bilateral lower legs, especially when they try to walk for any length of time. The pain seems to go away with rest.

Step 2: Use the assigned primary diagnosis and the reason for the clinic visit to create a case example of a client using the prompts below. Answer the initial and response prompts below with explanation and detail, providing complete references for all citations. Use this weeks Explore pages, relevant CPGs, and additional scholarly sources (including the course text) to create your case example. You may list case information in bullets or complete sentences.

Step 3: In your initial discussion post, present the client, include holistic assessment findings and diagnostic results aligning with the primary diagnosis and a management plan incorporating pharmacological and non-pharmacological treatment.

Step 4: In your response discussion post, create a forward-focused management plan that considers ongoing monitoring, client education needs, pertinent referrals, and a follow-up plan. Your response post must address a peer with a different assigned primary diagnosis.

Include the following sections:

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
2. Include the following sections in your initial post. You may use bullet points; complete sentences are not required.
3. Client Information and Assessment Data
4. Assigned Primary Diagnosis: [Type here]
5. Client Name: [Type here]
6. Date of Birth: [Type here]
7. Chief Complaint: [Type here]
8. History of Present Illness: [Type here]
9. Physical Exam
10. Height: [Type here]
11. Weight: [Type here]
12. BMI: [Type here]
13. Blood pressure: [Type here]
14. Heart rate: [Type here]
15. Respiratory rate: [Type here]
16. Oxygen saturation: [Type here]
17. Temperature: [Type here]
18. Past Medical History (PMH) (Include at least three significant pieces of the clients past medical history)
19. [Type here]
20. [Type here]
21. [Type here]
22. Allergies (Include any drug allergies and the clients typical reaction)
23. [Type here]
24. Medications (Based on the clients PMH, list at least three current medications, including dose, route, and frequency)
25. [Type here]
26. [Type here]
27. [Type here]
28. Social History (MUST include status of tobacco, ETOH, and drug use [e.g., usage, type, quantity, using or non-using] AND include at least two other significant social history elements, e.g., marital status, living conditions, social support, etc.)
29. EXAMPLE: Mobility: Ambulates with a cane.
30. [Type here]
31. [Type here]
32. [Type here]
33. Diagnostics (To assist the FNP with diagnosing the clients primary problem, list at least three expected diagnostic findings, which may include priority laboratory findings, diagnostic imaging, etc.)
34. EXAMPLE: Diagnostic Test: Lipid panel
35. Expected finding: Elevated total cholesterol
36. Diagnostic Test: [Type here]
37. Expected finding [Type here]
38. Diagnostic Test: [Type here]
39. Expected finding [Type here]
40. Diagnostic Test: [Type here]
41. Expected finding [Type here]
42. Current Management Plan (List two priority non-pharmacological and two priority pharmacological interventions for this client based on assessment and diagnostic findings and CPG recommendations to allow the FNP to treat the assigned diagnosis.)
43. Non-pharmacological interventions
44. [Type here]
45. [Type here]
46. Pharmacological interventions
47. [Type here]
48. [Type here]
49. Include the following sections in your response post. Be sure to reply to a peer with a different primary diagnosis than your assigned one. You may use bullet points; complete sentences are not required.
50. Ongoing Management Plan
51. Ongoing Monitoring (List at least three ongoing monitoring needs for this client, including frequency of monitoring, e.g., BP checks, labs, etc.)
52. [Type here]
53. [Type here]
54. [Type here]
55. Client Education (List at least three priority client education topics for this client.)
56. [Type here]
57. [Type here]
58. [Type here]
59. Referrals (List at least two priority referrals for this client.)
60. [Type here]
61. [Type here]
62. Follow-up (List the clients next recommended follow-up appointment and rationale for your recommendation)
63. Follow-up: [Type here]
64. Rationale: [Type here]

Example:

Client Information and Assessment Data

Assigned Primary Diagnosis: Coronary Artery Disease (CAD)

Client Name: Michael Turner

Date of Birth: March 15, 1968

Chief Complaint:

• Increased fatigue during evening walks
• Recently told blood pressure was a little high during pharmacy screening

History of Present Illness

• 58-year-old male presenting with progressive fatigue and reduced exercise tolerance for 2 months
• Previously walked 2 miles nightly, now becomes fatigued after 12 mile
• Reports mild chest pressure during exertion, relieved with rest within a few minutes
• Denies severe chest pain, nausea, vomiting, diaphoresis, or syncope
• Recent pharmacy BP reading 148/92 mmHg
• Family history significant for father with myocardial infarction at age 60
• Symptoms consistent with stable ischemic heart disease associated with coronary artery disease (Virani et al., 2023)

Physical Exam

Height: 510

Weight: 210 lbs

BMI: 30.1 (Class I obesity)

Blood pressure: 146/90 mmHg

Heart rate: 82 bpm

Respiratory rate: 18 breaths/min

Oxygen saturation: 97% on room air

Temperature: 98.4F

Past Medical History (PMH)

• Hypertension (diagnosed 5 years ago)
• Hyperlipidemia (diagnosed 3 years ago)
• Prediabetes

These conditions significantly increase the risk for atherosclerotic cardiovascular disease (Arnett et al., 2022).

Allergies

• Penicillin rash and pruritus

Medications

• Lisinopril 10 mg PO daily hypertension
• Atorvastatin 20 mg PO daily hyperlipidemia
• Metformin 500 mg PO twice daily prediabetes

Social History

• Tobacco: Former smoker; 1 pack/day for 20 years, quit 5 years ago
• Alcohol (ETOH): Drinks 23 beers on weekends
• Drug use: Denies illicit drug use
• Marital status: Married, lives with spouse
• Occupation: Office manager with sedentary work
• Exercise: Previously active walker, decreased activity due to fatigue

Diagnostics

Diagnostic Test: Lipid panel

Expected finding: Elevated LDL cholesterol and total cholesterol

Diagnostic Test: Electrocardiogram (ECG)

Expected finding: Possible ST-segment depression or T-wave inversion indicating myocardial ischemia

Diagnostic Test: Exercise stress test

Expected finding: Reduced exercise tolerance and ischemic ECG changes during exertion

Diagnostic Test: Cardiac troponin

Expected finding: Typically normal in stable coronary artery disease but useful for ruling out acute coronary syndrome

Diagnostic testing helps evaluate myocardial ischemia and cardiovascular risk (Virani et al., 2023).

Current Management Plan

Non-pharmacological interventions

Lifestyle modification:

Mediterranean or DASH diet, reduce saturated fats and sodium, increase intake of fruits, vegetables, whole grains, and lean proteins.

Exercise and weight management:

Gradual increase to 150 minutes of moderate aerobic activity per week with weight reduction goals to improve cardiovascular risk factors.

Pharmacological interventions

Aspirin 81 mg PO daily

• Antiplatelet therapy to reduce risk of myocardial infarction and thrombotic cardiovascular events (Arnett et al., 2022; USPSTF, 2022)

Metoprolol tartrate 25 mg PO twice daily

• Beta-blocker therapy to reduce myocardial oxygen demand and improve symptoms of exertional angina (Virani et al., 2023)

Ive attached the requirements

here is my reference “Burris, H. H., Darden, N., Power, M., Walker, L., Ledyard, R., Reiter, J., Lewey, J., Trout, K. K., Tan, M., Gregory, E. F., DeMauro, S. B., Lorch, S. A., Christ, L., Handley, S. C., Montoya-Williams, D., & Durnwald, C. (2025). Postpartum care in the neonatal intensive care unit, PeliCaN: A randomized controlled trial. American Journal of Obstetrics & Gynecology MFM, 7(7), 101689. ” Formal Quantitative Article Critique (Individual Assignment) 15% Due 3/15/26 This assignment addresses course objective #4: Appraise current issues relevant to nursing research and evidence-based practice. Students will retrieve and critically appraise at least five (5) research studies related to a selected nursing issue using an evidence appraisal tool (JHU EBP Appendix E.) This assignment will help students develop the ability to critically evaluate the quality of quantitative research articles. In nursing research, it is essential not to assume that published findings are inherently reliable and valid..This assignment will guide students in conducting a thorough critique of a selected quantitative research article. Write a 4 – 6 pages (excluding title page and reference pages) article critique. Please include JHU EBP Appendix E worksheet as an attachment. Email Approval: Before beginning your critique, email the instructor the research article you wish to critique. Obtain approval for your chosen article before proceeding with the assignment. SafeAssign Submission: Submit your finalized APA-formatted critique paper through SafeAssign on Blackboard. Ensure that the cover page and reference pages are included in the submission. Writing Center Requirement: Prior to submission, all papers must be reviewed by the writing center. If your originality report from SafeAssign exceeds 20%, you must revise your paper. Submit both the SafeAssign report (>20%) and your paper to the writing center for editing. Once revised, submit the final version through SafeAssign. Formal Quantitative Article Critique Rubric (Total = 15 points) Criteria Exceeds Expectations (3 pts) Meets Expectations (2 pts) Approaching Expectations (1 pt) Below Expectations (0 pts) Points Article Selection & Instructor Approval Quantitative, current, relevant; approval documented. Appropriate article; approval obtained. Marginal relevance or unclear approval. Inappropriate article or no approval. /3 Purpose, Problem, & Significance Clearly explains purpose, problem, variables, and significance. Minor omissions. Vague or incomplete. Missing or inaccurate. /3 Literature Review Critique Critically evaluates quality, currency, and gaps. Adequate critique. Mostly summary. No critique. /3 Research Design, Sample & Methods Thorough critique of design, sample, validity, reliability. Some critique. Minimal critique. Misunderstood or missing. /3 Data Analysis & Results Accurately explains statistics and relevance. Minor errors. Superficial explanation. Missing or inaccurate. /3

Visit the

BLOG: Finding Hope on the Path to Health Equity

home page. Select one blog post related to an area of interest in your future practice and complete the following.

Include the following sections:

1. Briefly summarize the issue described in the blog.
2. Describe how the issue may impact the communities you will serve as an advanced practice nurse.
3. Discuss how you could apply the information in the blog post to your future practice.
4. Include a link to the blog post.

Use uploaded file to create PowerPoint presentation. Please be very creative with PowerPoint.

see attached files.

In seven (7) pages. Please respond to the following:

1. How do companies like 23andMe leverage the holes in HIPAA and GINA?
2. What would you change in those pieces of legislation to make genetic information more secure?
3. Support your argument with at least 3 peer-reviewed references.

Use the references below and 3 peer-reviewed references(5 years or less) for a total of 8 references.

Textbook: Laurie A. Rinehart-Thompson, (2023). Introduction to Health Information Privacy & Security (3rd Edition). AHIMA ISBN 9781584269236

Readings:

Belani, S., Tiarks, G. C., Mookerjee, N., & Rajput, V. (2021). I agree to disagree”: Comparative ethical and legal analysis of big data and genomics for privacy, consent, and ownership. Cureus, 13(10), e18736.

Evans, B. J. (2018). HIPAA’s individual right of access to genomic data: Reconciling safety and civil rights. American Journal of Human Genetics, 102(1), 5-10.

Suter SM: GINA at 10 years: The battle over ‘genetic information’ continues in court. Journal of Law and Bioscience. 2018, 5:495-526.

Wolf, L. E., Hammack, C. M., Brown, E. F., Brelsford, K. M., & Beskow, L. M. (2020). Protecting participants in genomic research: Understanding the “web of protections” afforded by federal and state law. The Journal of Law, Medicine & Ethics, 48(1), 126-141.

1. Describe your assigned clients situation. Why are they presenting to the clinic? What medications are they currently taking?
2. Assess the applicable clinical practice guideline (CPG) for your assigned client linked on the same page in the lesson where the client case is located. What treatment is recommended by the CPG for your clients situation?
3. Discuss your personal professional assessment of the clients situation provided in the scenario. What pharmacological treatment is necessary and why?
4. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?
5. Cite a scholarly peer review source within 5 years publication.

CPG need to be citated, here is the link:

Patient case scenario:

Malia Mowry, a 40-year-old female client (DOB: 4/2/1984) has been diagnosed with hypertension. Her physical exam reveals she is healthy with lab results in normal

limits.

Past Medical History: Asthma,

Allergies: Penicillin

Medication: Albuterol inhaler PRN for asthma exacerbation

Social History Quit smoking 2 years ago. Drinks 2 alcoholic beverages

twice a month.

Physical Exam

HEIGHT: 5’6″

BP: 156/87

02 Sat: 97% on RA

WEIGHT: 154 Ibs

HR: 89

TEMP: 98.6 oral

BMI: 24.9

RR: 18

YNECOLOGIC HEALTH

Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, diagnostic approaches, as well as the development of treatment plans.

For this Case Study Assignment, you will analyze a case study scenario to obtain information related to a comprehensive well-woman exam and determine differential diagnoses, diagnostics, and develop treatment and management plans.

To prepare:

Review the 4 case studies in this weeks Learning Resources. Select one of the cases to prepare your written assignment.

Review the Learning Resources for this week and pay close attention to the media program related to the basic microscope skills. Also, consider re-reviewing the media programs found in Week 1 Learning Resources.

Carefully review the clinical guideline resources.

Assignment Instructions:

Use the Case Study Template from the Learning Resources to complete the assignment. Your submission must include a brief case write-up, followed by the fully completed template, which must be integrated into the document rather than submitted separately.

Include a title page, a case summary in your own words, the completed template, and a reference page formatted in APA style.

Ensure your submission meets all criteria outlined in the template and rubric for completeness and accuracy.

LEARNING RESOURCES

Required Readings

Schuiling, K. D., & Likis, F. E. (2022). Gynecologic health care (4th ed.). Jones and Bartlett Learning.

Chapter 10, Womens Health After Bariatric Surgery (pp. 165 171)

Curry, S. J., & U.S. Prevent Services Task Force. (2018). Screening for intimate partner violence, elder abuse, and abuse of vulnerable adults US preventive services task force final recommendation statementLinks to an external site.. JAMA , 320 (16), 16781687.

Fanslow, J., Wise, M. R., & Marriott, J. (2019). Intimate partner violence and womens reproductive healthLinks to an external site.. Obstetrics, Gynaecology & Reproductive Medicine, 29(12), 342350.

Lockwood, C. J. (2019). Key points for todays well-woman exam: A guide for ob/gynsLinks to an external site.. Contemporary OB/GYN, 64(1), 2329.

Document: Week 3 Case Studies Download Week 3 Case Studies(PDF)

Document: Week 3 Case Study Template Download Week 3 Case Study Template(Word document)

CLINICAL GUIDELINE RESOURCES

American College of Obstetricians and Gynecologists (ACOG)Links to an external site.. (2020).

American Nurses Association (ANA)Links to an external site.. (n.d.).

Centers for Disease Control and Prevention. (CDC)Links to an external site.. (n.d.).

HealthyPeople 2030. (2020). Healthy People 2030 FrameworkLinks to an external site..

The American Association of Nurse Practitioners (AANP)Links to an external site.. Whats happening at your association. (2020).

Hatcher, R. A., Nelson, A. L., Trussell, J., Cwaik, C., Cason, P., Policar, M. S., Kowal, D. (2018). Contraceptive technology (21st ed.). PDR Network, LLC.

Note: In Weeks 1-10, these resources are optional for your review. In Week 11, you will be required to review each of the PowerPoint slides from the text Gynecologic Health Care (4th ed.).

Chapter 10, Womens Health After Bariatric Surgery”