Evidence based practice relies in 

1 the nurse’s clinical expertise

2. Patients needs 

3.formal evidence

Which of the three in your opinion is the most important? Why do you believe this? 

Justify your answer with peer-reviewed evidence. Do not use.coms or website Instead use journal articles or books. 

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.

Must be On Pediatrics

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

Case: Problem Statement

This is an 18-year-old male college student with a history of childhood asthma who presents with acute onset of nonproductive cough, sore throat, fatigue, myalgias, and headache × 4 days. He reports a sick contact, and has not had annual flu vaccine or COVID booster. Physical examination reveals a temperature of 101°F, tachycardia, erythematous pharynx, and anterior cervical lymphadenopathy, but is negative for adventitious breath sounds and hepatosplenomegaly.

Case: Management Plan

Pharmacologic Care:

• Acetaminophen OTC 325 mg 1-2 tabs PO q 4-6 hours; maximum dose 10 tablets per day pm fever, headache, myalgias
• Dextromethorphan HBr + guaifenesin 20mg/400 mg 20 mL PO q 4 hrs; maximum dose 6 doses daily pr cough

Supportive Care:

• Increase fluid intake
• Rest – no class attendance – school note provided for 48 hours
• Marvin Webster Jr i-Human Patients Case Study

Patient Education:

• Offered education on the diagnosis and treatments provided
• Educated patient that oseltamivir is not indicated given timeline since symptom onset

Follow-Up/Disposition:

• Follow up in the student health center if not improving within 48 hours or headache worsens or if shortness of breath develops
• At future visit, address vaccination status – encourage flu vaccine and COVID booster
• Marvin Webster Jr i-Human Patients Case Study

Create a discussion of a minimum of 350 words with the following

Discussion Board Instructions: Evaluating Alterations of Hormonal Regulation.

This discussion board will explore the intricacies of hormonal regulation and its potential disruptions. A thorough understanding of these alterations is vital for effective patient assessment and care.

Use APA 7 format, and scholarly references no older than 5 years

please view attachment