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1. NR601 Week 5 Assignment: Clinical Patient
NR601 Week 5 Assignment: Clinical PatientNR601 Week 5 Assignment: Clinical
PatientAddendum to Directions:NR601 Primary Care Mature & Aging AdultsWeek 5
Assignment: Clinical PatientThis patient is your clinical patient for week 5. You are the
Student NP Provider making decisions about your patient. This is not a group assignment.
This is an individual assignment.ORDER NOW FOR ORIGINAL, PLAGIARISM-FREE
PAPERS1). You must cite current Clinical Practice Guidelines for primary & secondary
diagnoses. If there are 2021 versions you must cite 2021. No ExceptionsYou must cite 2
Scholarly Provider (NP, PA, MD, DO) Journal articles & at least 1 scholarly evidence-based
journal article published in the last 5 years to your work.Textbooks, other books, .orgs,
.edu’s, CDC, Stat Pearls & other websites cannot be cited. No ExceptionsMedications: you
must cite Online Prescribers Digital Reference (PDR) or CPG or Journal No
ExceptionsMedication costs: You must cite Pharmacy Checker:
https://www.pharmacychecker.com/drug- price-comparisons/#!. No ExceptionsPharmacy
Checker: Type in the medication, next page scroll to the bottom of the page, add quantity &
your zip code to review the options for the lowest cost options. No Exceptions4). This is
your patient in a primary care clinical environment. You make the decisions in the role of
NP provider using the Clinical Practice Guidelines & current evidence to provide Best
Practice care. This is an individual assignment.2 submission limit to Turnitin – Review
policy No Exceptions 6). All submissions & TII reports are reviewed by your ProfessorClinic
PatientWeek 5 Assignment: Clinical Patient Annika Chase CarterChart 000210075-year-old
Female with complaints of a sore near her R ankle. She said it has been there since she
worked in her rose garden about a week ago. She washed it with soap and water the day it
happened.Have you tried any OTC topical antibacterial ointments? No, nothing but soap and
water once and a band aid.It looks like a scrape. Let’s have the MA cleanse the area. We will
apply some Neosporin today and give you some samples to take home with a couple of band
aids. If it is not better in 3 days, come back to the office.Did we review your recent lab values
last time you were her for an appointment?No, I don’t remember talking about the labs. Is
anything wrong?Let’s start with the normal values and go from there and discuss next steps.
General overview of patient: complete in outline documentCurrent medications: Vitamin D,
OTC Capsaicin topical for L knee pain, 1st dose Pfizer COVID vaccine 2021.PMH: Lap chole
about 10 years ago, fractured ulna age 10 bike accident, 2 live births, NSVD.FH: married 45
years, 1 daughter, no health issues, siblings: 1 sister endometrial cancer-survivor, Mother
deceased breast cancer, Father deceased 68 years old unknown cause.SH: Retired Xray

2. Tech, no illicit drug use, drinks 1-2 glasses of wine weekends. No tobacco or illicit drug
use.Allergies: Penicillin/hivesVital signs: BP 138/80; pulse 80, regular; respiration 18,
regular Height 5’0, weight 180 poundsHEENT: head normocephalic. Eyes clear without
exudate. Tympanic membranes gray and intact with light reflex noted. Pinna and tragus
nontender. Nares patent without exudate. Neck supple. Anterior cervical lymph nontender
to palpation. No lymphadenopathy. Thyroid midline, small and firm without palpable
masses.CV: S1 and S2 RRR no murmurs.Lungs: Bilaterally clear to auscultation, respirations
unlabored.Abdomen: soft, nontender with positive bowel sounds present; no
organomegaly; no abdominal bruits. No CVAT.Derm: R ankle 2cm circular scrape with
scab.+pedal pulses bilaterallyLaboratory TestsUA pH 5.2 RBC (-)Leukocyte Esterase (-)
Nitrates (-)Glucose (-) Protein Trace Ketone (-)Complete Blood Count RBC 4.92
million HGB 12.4gm/dl HCT 40%MCV 84 flMCHC 32 g/dlRDW 13.6% WBC 4200/mm3CMP
NA+ 138K+ 4.2Chloride 98Glucose 99BUN 12Creatinine 1.00GFR non-AA 94
mL/min GFR est AA 99 mL/min CA 9.5Total Protein 7.7Bilirubin total 0.6Alk phos 74AST
34ALT 36Bun/Creatinine 10Thyroid Free T4 0.6 TSH 2.05HbA1c 7.9%Lipid
Panel (fasting) LDL-C 194 mg/dLHDL-C 50 mg/dLTotal-C 236 mg/dLTriglycerides 132
mg/dLDiagnostics –EKG: normal sinus rhythm© 2021 Chamberlain University. All Rights
Reserved.Remove all red instructions before submission to gradebookIntroduction(General
Patient Overview in your own words. You are the NP provider) Diagnosing Your Clinical
Patient Based on data collected discuss 3 Differential Diagnoses for your patient: (in your
own words) Basis for your decision for Primary Diagnosis: (explain in your own words,
paraphrase, cite scholarly provider article) Based on your findings, (physical exam, lab
values, diagnostics) what is the primary diagnosis for your patient today? Cite 2021 ADA
Clinical Practice Guideline: What information in the CPG let you to this primary diagnosis?
(paraphrase & cite in your own words content from the 2021 ADA guideline.) Interpret
Labs: (include lab values in your descriptions) Number each lab #1, #2, etc. (Cite Current
Scholarly Provider Reference) Primary Diagnosis ICD10 Code:Pathophysiology (cellular
level) for primary diagnosis: (Cite current scholarly provider article/evidence) Based on
your findings (physical exam, lab values, diagnostics) what is the Secondary diagnosis for
your patient? Cite current Clinical Practice Guideline: (paraphrase & cite in your own words
content from the CPG you chose led you to this diagnosis?) Interpret Labs: (include lab
values in your descriptions) Number each lab #1, #2, etc. (Cite current scholarly
reference) Secondary Diagnosis ICD10 Code: Pathophysiology (cellular level) for secondary
diagnosis: (cite current scholarly references, paraphrase in your own words) NR601 Week
5 Assignment: Clinical Patient Will you (NP Provider) Order Lab Tests?Based on the CPG
information what lab tests do you need to order and why. Provide an explanation in your
own words for each lab test you order for your patient. Number each test. (1, 2, 3, etc). Cite
CPG and/or scholarly provider journal articles.Lab Orders: Will you (NP Provider) order
medications?Based on the data collected & lab orders you wrote will you order
medications? Write out each medication in RX format and number each medication #1, #2,
#3, #4 etc. Provide an explanation as to why the patient needs each medication. Cite current
CPG or current scholarly provider journal article. Medication Orders: (Cite current scholarly
reference for each medication)#1Foundation for orders (link to diagnosis):#2Foundations

3. for your orders (link to diagnosis): Personalized Patient Education: Explain these areas &
fully describe to your patient in your own words, laymen’s terms as an NP provider.
Paraphrase & cite a current scholarly CPG or current scholarly provider reference for each
area of education. Link the diagnoses you chose to the education. Fully Describe Education:
All Diagnoses: Fully Describe Education for Medications: Dosage, Frequency, MOA,
Contraindications, Side Effects, Special Instructions:.Fully Describe Education for Fluids,
Calories, Meal, Diet, & Snack Planning: Fully Describe Education for Physical Activity,
Exercise, Cardiovascular Strength, Muscle Strength. Assist your patient with understanding
the importance of health: Additional Medical Care: Does your patient needs any referrals or
consults? Include the Best Practice information for referring the patient. Number each
referral. Cite Current CPG for each referral. #1#2#3#4 Return to Office: Explain why &
when. Include exact time frame. What is the foundation for this office visit? (Cite current
CPG) Concern For Your Patient: Physiological & Psychological Disorders Co-Existing with
Primary Diagnosis (Cite current CPG) Calculate your patients Medication Costs in the
WellRX online website (No Exceptions) using your zip code (write paragraph format, review
grading rubric for this section to include all components. Conclusion(Summarize & fully
describe your NP provider experience with your patient in your own words) References
(APA 7th Edition) NR601 Week 5 Assignment: Clinical Patient…