A 72-year-old male presents to the clinic with 4 weeks of productive cough. He has a 10-year history of diagnosed COPD. He has a 45-year history of two packs a day cigarette smoking. He states he quit smoking due to financial needs about 6 years ago. He complains of pain in his chest from coughing, saying it is sore. He has noticed some dark-colored blood on his tissue.

Vital Signs: BP 137/90; HR 82; RR 22; BMI 23. 

Chief Complaint: Persistent cough won’t go away with my normal cough medicine. Noticed blood on tissue from coughing.

Discuss the following:

1) What additional subjective information will you be asking of the patient?
2) What additional objective findings would you be examining the patient for?
3) What are the differential diagnoses that you are considering?
4) What radiological examinations or additional diagnostic studies would you order?
5) What treatment and specific information about the prescription will you give this patient?
6) What are the potential complications from the treatment ordered?
7) What additional laboratory tests might you consider ordering?
8) Will you be looking for a consult?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic source

Describe your clinical experience for this week.

• Did you face any challenges, any success? If so, what were they?
• Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
• Mention the health promotion intervention for this patient.
• What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
• Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

A father of a 17-year-old wants to know whether his child is sexually active.

• What will you tell him?
• What if the child is 14 years old?
• What if the child is 11 years old?
• What is your state law regarding parental notification?
  Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

GI Assessment:

• Provide a comprehensive list of key information to gather during an assessment of a patient with abdominal pain. Discuss any modern tools or technologies that might assist in this process.
• Describe the techniques you would use to assess for masses in the abdomen and how you would document such findings, including any relevant diagnostic tests or imaging that might be involved.
• Share an example from your clinical experience where you palpated a mass in the abdomen. Discuss the approach you took in assessing and documenting the finding, along with any follow-up actions or referrals.

Musculoskeletal Assessment:

• Compare and contrast osteoarthritis and rheumatoid arthritis in terms of their pathophysiology. Highlight key differences in their underlying mechanisms.
• Discuss health promotion strategies that are appropriate for patients with each condition. Consider lifestyle changes, pain management, and any preventative measures that can slow disease progression.