History of present illness questions. Nathan, a 2-year-old male is brought in by the mother with c/o a left earache, runny nose with green drainage, cough, and low-grade fever x 4 days.

• What focused history (HPI) questions would you ask the parent/child with regard to the CC of the earache? Use OLDCARTS.
• What specific questions would you ask in the ROS?
• What components of the physical exam are pertinent to perform on this patient?  Be specific and explain why you are performing the exam.
• In a child with an earache, what subjective and objective findings would be considered “red flags”?
• What is the differential diagnosis of earache in this 2-year-old male?  Explain what these potential diagnoses are and how you would rule them in or out during your evaluation of this child.

In the control brain micrograph below (Panels C and A), the left image shows different cortical layers in different colors. The right image shows “barrels” formed by thalamocortical axons in pink.   Describe your observations of panels D and B (with the same colors) below, from the reeler mutant brain. (Hint: when referring to a specific panel – put the letter in your answer)   Observations of left image (Panel D) Observations of right image (Panel B)   Overall conclusion:

 

Describe how historical events and nursing leaders have influenced the practice of nursing.

Please provide two suggestions, from the assigned reading materials and/or outside sources, for overcoming writer’s block. Also, provide three suggestions that you use to handle writer’s block.  Which of these has been most successful for you?

Your patient is a 52-year-old male with a history of smoking and alcohol abuse. He presents to the ED with complaints of “my skin looks yellow, my stomach hurts, and I feel nauseous”. He is taken to CT and a tumor near the pancreas is observed. It appears to be blocking the common bile duct. Develop a plan of care for the patient.

 

Clinical Manifestations

Subjective:

 

Objective:

 

Medical Diagnosis

 

 

Patient Data/Risk Factors

 

 

Pathophysiology

 

 

Diagnostic Data

 

 

 

5 Possible Nursing Diagnosis

 

 

 

 

 

Possible Medications

 

 

5 Nursing Interventions

 

 

 

 

 

 

 

Medical Interventions

 

 

 

5  Patient Education