Please fallow instruction I would like to have 1 or 2 pages for each question. APA style with references.
Discussion Question 1
JT is a fifty-five-year-old man with a three-day history of worsening shortness of breath, fever, chills, right-sided chest pain, and productive cough. He states that the initial symptoms started approximately one week ago. He has been taking over-the-counter (OTC) medications to control the fever and the cough. He comes in today because he feels that he is getting worse. He is coughing up rust-colored mucus, and the chest pain has started to make breathing even more difficult. His physical exam is normal, with the exception of tachypnea, labored breathing, coarse rhonchi through the right lung field, and decreased breath sounds on the right. Answer the following questions:
What additional laboratory or radiological tests would be indicated and why? What would you expect to find?
What is your diagnosis?
What medication would be given and for what period of time?
Question 2
LN is a twenty-six-year-old married woman who presents at the clinic with symptoms of dysuria, frequency, and urgency. Further history yields two days of these symptoms but no fever, chills, or flank pain. She describes a burning discomfort during and immediately following urination and feeling the need to void every half hour. There is no vaginal discharge, itching, or odor. She is not using birth control at this time. She requests “a urine culture and some sulfa pills.” When asked to explain, she says she has had many “bladder infections” over the past three years and “sulfa pills usually work.” She was evaluated approximately five years ago with an IV pyelography and cystogram, and “nothing was wrong.” All her vital signs are normal. Answer the following questions:
What additional information would you like to collect?
What is your working diagnosis?
What are the contributing factors to this potential diagnosis?
What treatment would you implement and why?
What type of follow-up would you recommend?
How to solve
Discussion uestion Nursing Assignment Help
Introduction:
When it comes to medical assignments and examinations, it is crucial to analyze the given scenario and then answer the questions. In this context, two scenarios have been provided, and following the information provided, some questions have been asked. The first scenario is about a fifty-five-year-old man who has been experiencing shortness of breath and chest pain, and the second one is about a twenty-six-year-old married woman who is experiencing dysuria, frequency, and urgency.
Discussion Question 1:
Additional laboratory or radiological tests that would be indicated in the given scenario are a chest X-ray, complete blood count, and arterial blood gas test. The chest X-ray will help determine any abnormalities present in the lungs, while the complete blood count will help know whether the patient has an infection. The arterial blood gas test will determine whether JT has any oxygen or carbon dioxide imbalances. The expected results would be the presence of pneumococcal bacteria, which can be determined through sputum gram stain and culture. The arterial blood gas test is expected to demonstrate hypoxemia, while the complete blood count is expected to show an increased white blood cell count.
The diagnosis for JT’s symptoms is community-acquired pneumonia (CAP). CAP is a lower respiratory tract infection that is acquired outside of the hospital in individuals who have not been hospitalized for 14 days before the development of symptoms. Pneumococcal pneumonia is the most common form of CAP. It is caused by Streptococcus pneumoniae.
The medication that would be given to JT is amoxicillin-clavulanate. The duration of medication is typically seven to ten days. The amoxicillin will help treat the Streptococcus pneumoniae bacteria, while the clavulanate component will help prevent bacterial resistance.
Question 2:
Additional information that would be important to collect includes the patient’s medical history, such as any previous urinary tract infections, surgeries, or procedures. It would also be beneficial to determine whether the patient has any allergies or is currently taking any medications. Lastly, performing a physical examination of the genital and urinary tract is necessary.
The working diagnosis for LN’s symptoms is a urinary tract infection (UTI). The contributing factors to this potential diagnosis are frequent sexual intercourse, not urinating after sexual intercourse, poor hygiene, and history of previous UTIs.
The treatment that would be implemented is a broad-spectrum antibiotic such as trimethoprim-sulfamethoxazole (TMP-SMX) or nitrofurantoin for the duration of three to seven days. The urinary analgesic phenazopyridine can be prescribed for pain relief. It is necessary to counsel the patient on prevention measures such as increasing fluid intake, urinating after sexual intercourse, and wiping from front to back after urination.
The type of follow-up recommended for the patient is a repeat urine culture within one to two weeks post-treatment to determine whether the infection has been cleared. If symptoms persist, further evaluation may be required.
