Write a SOAP note presentation of chest pain in primary care visit.

CC: 56-year-old Asian male c/o of chest pain for 2 days.

Your information in the subjective and objective data can be based on a hypothetical case.

here is an example of a soap note u can use to write your own answer . im only providing the example to help u please write something different and simple thank you

here is the example

SOAP NOTE

Case Study(1)

A 53-year-old gentleman with a background of asthma on long-term low dose inhaled corticosteroid inhaler had an acute exacerbation of his asthma in February 2020 triggered by a viral upper respiratory tract infection and acute sinusitis and was managed with bronchodilator nebulization and a 7-day course of oral prednisone 30 mg daily. He made an uneventful recovery and proceeded to travel to Austria. During his stay in Austria, he had a high fever, sore throat, dry cough, severe wheezing, worsening dyspnoea and he was not feeling any better and had ongoing fever and cough

According to the above case answer the following questions :

1. What is the likely diagnosis of this case? Define it and list its possible causes, mode of transmission, and clinical manifestations?
2. Is this patient has risk factors for the disease? If yes, write them down along with other possible risk factors of the disease?
3. What are the alarming features when evaluating a patient with this disease?

4. What are the protective measures against this disease?

Directions: Identify   3-4 expected assessment findings and 3 -4 abnormal assessment findings for Hair and 1 expected finding in (newborns/infant) 1 expected finding in children/adolescents and 1 expected finding in older people

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1. what is the shape of the concentration-signal curve when the reagent is saturated with excess antigen.

2.what is the graphical representation of observed values of a control material over time in the context of the upper and lower control limit.

3. in hyperlipidemic and hyperproteinemic samples, excess lipids and protein displaces plasma electrolytes which leads to a falsely decreased measurement of ionic activity in millimoles per litter of plasma. (true or false)

4. is the ability of a method to detect only the analyte it is designed to determine.

5.biosecurity is-

6. The number of control values enough to set up a Levey-Jennings control chart

7. accuracy is-

8.precision is-

9. Rationale of Order of Draw?

10. The proper collection of samples for ionized calcium measurements requires great care because loss of HCO3 will increased pH which may affect concentration of iCa. (True or False)

11. a multi Westgard rulling wherein one control observation exceeding the mean +/-3s, allow high sensitivity to random error.

12. Is a type of cabinet used to contain and expel noxious and hazardous fumes from chemical reagents.

13. is the ability of a method to detect small quantities of an analyte

14. the ISEs are the most routinely used method in clinical laboratories in analyzing serum electrolytes. (True or false)

15.proper collection and handling of samples for potassium analysis is extremely important because there are many causes of artifactual hyperkalemia one of which is if patients excessively clench their fist during blood sample collection. (true or false)

An 18 year old woman has come to the clinic for confirmation of pregnancy. She states that she has missed three periods, and a home pregnancy test 2 days ago was positive. The client states she does not like going to the doctor and the only reason she is at the clinic is because her boyfriend wants to make sure that she is really pregnant. What approach should the nurse take in regard to assessment, care, and intervention for this client? What are the positive signs of pregnancy that the provider will look for?

What is the importance of inverting the colored top tubes after drawing blood?

Do you think the mental health system in our country today functions well, or is it broken? Why or why not?

Support your choice with at least two examples.

Do you think the mental health system in our country today functions well, or is it broken? Why or why not?

Support your choice with at least two examples and one credible resource.

A 67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Examination of back indicates significant kyphosis, and the patient states that she is ‘shrinking.’ Bone density testing of the hip is ordered.”

1. How does the nurse interpret “limited circumduction”
2. When the patient arrives, the nurse correlates the “kyphosis” with what physical finding? What causes kyphosis in the older adult?
3. How should the nurse explain the patient’s decreasing height?
4. What is the rationale for ordering bone density testing of the hip in this patient?

As the community health LPN, you have received a referral for a 39-year old Indonesian lady for staple removal, post-op emergency cholecystectomy. Upon arrival to the home, you observe broken glass around the entrance of the basement apartment and note it is in desperate need of repairs. One of the windows has been boarded up and the step has a board missing and the wood looks rotten. The client answers the door, carrying a 2-year child on her hip and 2 older siblings, ages 5 and 7 are standing behind her. The children are all noted to be dressed in several layers of clothing. Upon entering the home, you note the home feels quite cold and damp. The only furniture you can see is a small table, two chairs and a mattress on the floor of the only bedroom. There is no visible toys, books, or TV. In communicating with the client, you detect a thick accent and she speaks in broken English. She informs you that she is doing ok; however, the family is struggling financially since they arrived in NL from Indonesia 1 year ago. Her husband is working at the local gas bar part time. The client states "I try get groceries cheap but that hard". " I like NL but miss my home country. (I talk to my family every month". I get job but need more education. My son he needs medicine but we no money. My husband has bad cough, he always tired and no taste no more." I attend my church online and meet 2 ladies from my home country. One lady wants to teach me how make masks. She tells me I think take English course by our church.

1. What resources are available in your community?

2. What is the role of a community health LPN in caring for the client and her family?

3. Who should be included in the interprofessional care team for this client?

4. How can the LPN provide culturally appropriate care?

• How can LPN’s working in community ensure they are empowering families to meet their own needs?

YOU ARE TRAINING TO GO INTO A FIELD WHERE YOU WILL BE PROVIDING CARE TO PATIENTS IN THEIR MOST VULNERABLE TIME. WE ALSO LIVE IN SOUTH FLORIDA, ONE OF THE MOST DIVERSE PLACES IN THE COUNTRY. NOW THAT YOU HAVE GONE THROUGH ETHICS AND THE FOUNDATIONS OF NURSING, ENTERING INTO MEDICAL SURGICAL, YOU WOULD NORMALLY BE DOING CLINICAL PRACTICE HOURS AT THE CLINICAL SITE WHERE YOU WOULD BE INTERACTING WITH PATIENTS. YOU WOULD EXPERIENCE FIRST HAND CARING FOR PATIENTS WHO ARE FROM VAST AND DIVERSE SOCIAL, ECONOMIC, DEMOGRAPHICALLY, AND OTHERWISE BACKGROUNDS. WHILE CONTINUING TO LEARN ABOUT THE MEDICAL ASPECTS, YOU ALSO NEED TO START FOCUSING ON YOUR SENSITIVITY AND CULTURAL AWARENESS WHEN DEALING WITH PATIENTS. IT'S TIME TO PUT INTO REFLECT ON AND PUT INTO PRACTICE WHAT HAS BEEN LEARNED IN ETHICS AND FOUNDATIONS, AND WHAT YOU WILL BE LEARNING MOVING FORWARD TO EFFECTIVELY PROVIDE YOUR PATIENT WITH THE BEST LEVEL OF CARE.

QUESTIONS TO ANSWER IN AT LEAST 2-3 SENTENCES EACH: (REMEMBER THERE ARE NO RIGHT OR WRONG ANSWERS. THESE ARE REFLECTION QUESTIONS TO HELP YOU CONSIDER SOME OF THESE POINTS THAT YOU MIGHT HAVE TO ADDRESS AT SOME POINT WHEN DEALING WITH CULTURALLY DIVERSE PATIENTS.)

1. WHERE DO YOU CONSIDER YOURSELF TO BE ON THE CULTURAL COMPETENCY CONTINUUM OVERALL? CONSIDER HOW YOUR RESERVATIONS, OPENMINDEDNESS, AND WHAT YOU MIGHT HAVE HESITATIONS WITH.

2. YOU REPORT TO WORK AND YOU ARE INFORMED THAT ONE OF YOUR PATIENTS IS HIV/POSITIVE AND HAS AIDS. HOW WOULD YOU REACT, RESPOND TO, OR FEEL ABOUT TREATING HIM OR HER?

3. YOU REPORT TO WORK AND YOU ARE INFORMED THAT ONE OF YOUR PATIENTS IS TRANSGENDER. HOW WOULD YOU REACT, RESPOND TO, OR FEEL ABOUT TREATING THIS PATIENT?

4. YOU REPORT TO WORK AND YOU ARE INFORMED THAT ONE OF YOUR PATIENTS IS AN ADDICT TO OPIOIDS. HOW WOULD YOU REACT, RESPOND TO, OR FEEL ABOUT TREATING THIS PATIENT?

5. HAVE YOU CONSIDERED WHAT IT WOULD BE LIKE IF YOU EVER HAVE TO TREAT A PATIENT WHO HAS COMPLETELY DIFFERENT BELIEVES THAN YOURSELF AND EXPRESSES THEM? OR A PATIENT WHO HAS AND EXPRESSES BELIEVES THAT DIRECTLY MIGHT INSULT YOU.

Step 2 (Assessment) Look at your assessment data which is your subjective and objective data

Step 3 (Diagnosis) Develop your nursing diagnosis

Step 4 (Planning) you develop your patient goals this is the planning what you're going to do for this patient to help get them better and help them overcome this nursing diagnosis that you came up with

Step 5 (Interventions) these are nursing interventions this is what you're going to do in order to get the patient to meet their goals they're very patient-oriented and they're nurse specific

Step 6 (Rationale) This is where you will write out why you are choosing the interventions for your plan.

Step 7 (Evaluation) You're going to evaluate how the patient is meeting those goals and if not you're going to redo your maybe your diagnosis because the patient's changed or you're going to redo your nursing interventions

1. WHAT ARE THE A, B, C'S IN PRIORITIZATION? WHAT DO THEY STAND FOR AND WHAT IS AN EXAMPLE OF WHAT EACH DEALS WITH IN A REAL-LIFE SCENARIO?
2. DRAW YOUR OWN MASLOW'S HIERARCHY OF NEEDS PYRAMID LABELING EACH AREA AND DESCRIBING EACH OR ADDING PICTURES, OR OTHER WAYS YOU FEEL WILL MAKE IT EASY FOR OTHERS TO EASILY UNDERSTAND. TAKE A CLEAR PHOTO OF YOUR DRAWING OR SCAN IT AND SUBMIT THE FILE.
3. GIVE AN EXPLANATION AND EXAMPLES OF WHAT IS SUBJECTIVE AND OBJECTIVE DATA IN A SCENARIO OR REPORT.
4. WHAT ARE THE 3 PARTS OF A DIAGNOSIS YOU SHOULD INCLUDE IN THE CARE PLAN?
5. WHEN DEVELOPING THE PLAN, WHAT ARE THE 2 THINGS YOU NEED TO KEEP IN MIND? WHY IS THE "PLANNING" WITHIN THE CARE PLAN IMPORTANT?
6. WHAT ARE THE NURSING INTERVENTIONS IN REGARDS TO THE CARE PLAN? WHY IS IT IMPORTANT?
7. WHILE EVALUATING THE EFFICIENCY OF THE CARE PLAN, WHAT WILL TYPICALLY HAPPEN?

1-Groups of conditions that often start before a child enters grade school and include limitations on learning and difficulty with behavior control and social skills are known as

Multiple Choice

• neurodevelopmental disorders.

• psychotic disorders.

• depressive disorders.

• mood disorders.

2-An achievement orientation is associated with which personality type?

Multiple Choice

• Type A

• Type B

• Type C

• Type D  

3-The highest level of Maslow's needs hierarchy is characterized by

Multiple Choice

• a state of transcendence and well-being.

• a continuing drive to achieve more.

• a profound sense of unworthiness.

• constant self-absorption.

4-The concept of self-actualization was developed by Abraham Lincoln in the 1960s as a model of human personality development.

True or False

5-Daily hassles, such as arguments and car problems, can cause health problems when

Multiple Choice

• they occur infrequently.

• they coincide with a major stressful life event.

• you don't have a period of recovery.

• you forget to take an anti-anxiety medication.

6-People addicted to sex, Internet use, or shopping can experience euphoria similar to that experienced with drug use.

True or False

7-According to Kübler-Ross, when a person believes he or she is in the process of dying, the person passes through five stages. Which of the following is the linear order originally presented by Kübler-Ross?

Multiple Choice

• depression; bargaining; anger; denial and isolation; acceptance

• denial and isolation; bargaining; depression; anger; acceptance

• denial and isolation; anger; bargaining; depression; acceptance

• anger; denial and isolation; bargaining; depression; acceptance

8-The body can no longer keep up with the demands of the stressor in the ________ stage of the General Adaptation Syndrome.

Multiple Choice

• alarm

• resistance

• fight-or-flight

• exhaustion

9-Jenna sometimes "shops till she drops," meaning she shops on an exhilarating high until she crashes into a major depressive episode. Jenna's behavior is most common to which disorder?

Multiple Choice

• obsessive-compulsive

• generalized anxiety

• major depressive

• bipolar

10-Suicide is the ________ leading cause of death among college students.

Multiple Choice

• third

• second

• fifth

• first

11-In the hierarchy of needs pyramid, the order of human needs progresses as follows:

Multiple Choice

• physiological needs; safety and security; self-actualization; self-esteem; love and belongingness.

• safety and security; love and belongingness; physiological needs; self-esteem; self-actualization.

• safety and security; physiological needs; self-esteem; love and belongingness; self-actualization.

• physiological needs; safety and security; love and belongingness; self-esteem; self-actualization.

12-Your brain is not fully developed until you reach your

Multiple Choice

• early twenties.

• fifth birthday.

• fortieth birthday.

• teens.

13-Which type of intelligence involves self-awareness and sensitivity to others?

Multiple Choice

• interpersonal

• emotional

• general

• spatial

14-Scott, age 24, has withdrawn from most social contact and stopped dressing appropriately. When you speak with him, his conversation tends to make no sense. Of the following options, Scott is most likely to be diagnosed with

Multiple Choice

• a generalized anxiety disorder.

• schizophrenia.

• a specific phobia.

• an addiction.

Read each clinical scenario and discuss the questions with your classmates.

Scenario A

As a student, you have several tasks to complete. There is an Anatomy and Physiology test in 4 days. You just collected the library materials you need for a comprehensive paper due in 1 week. A 50-page reading assignment needs to be completed for a lecture the day after tomorrow.

1. How would you organize to accomplish these tasks?

2. In what order of priority would you place each of these tasks? Explain why you placed each task in the order chosen.

Scenario B

Your clinical area does not have sphygmomanometers (blood pressure cuffs) on the wall by each patient; portable ones are used. You need to take 8 am vital signs (temperature, pulse, respiration rate, and blood pressure) quickly, and there is no portable unit available right now. How would you solve this problem?

Scenario C

Your clinical assignment is for:

M.H., age 72; diagnosis: pneumonia

F.S., age 52; diagnosis: leg ulcer

J.P., age 78; diagnosis: abdominal hernia repair

1. It is 9:45 am. If J.P. needs to be ambulated three times a day, M.H. needs his antibiotic given at 10 am, and F.S. needs her dressing changed this morning, in what order would you do these tasks?

2. How did you make this decision?