{"id":755,"date":"2022-12-11T00:22:00","date_gmt":"2022-12-11T00:22:00","guid":{"rendered":"https:\/\/skilledtutorials.com\/?post_type=download&p=755"},"modified":"2022-12-11T00:22:00","modified_gmt":"2022-12-11T00:22:00","slug":"solution-nr601-week-2-copd-case-study-part-1","status":"publish","type":"download","link":"https:\/\/skilledtutorials.com\/papers2\/downloads\/solution-nr601-week-2-copd-case-study-part-1\/","title":{"rendered":"(Solution) NR601 Week 2: COPD Case Study Part 1\u00a0"},"content":{"rendered":"\n

A\u00a062\u00a0year-old\u00a0Caucasian\u00a0male presents to the office with\u00a0persistent\u00a0cough\u00a0and recent onset of shortness of breath. Upon further\u00a0questioning you discover the following subjective information regarding the chief complaint.\u00a0<\/p>\n\n\n\n

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
History of Present Illness<\/strong>\u00a0<\/td>\n<\/tr>\n
Onset\u00a0<\/td>\n6 months\u00a0<\/td>\n<\/tr>\n
Location\u00a0<\/td>\nChest\u00a0<\/td>\n<\/tr>\n
Duration\u00a0<\/td>\nCough is intermittent but frequent, worse in the AM\u00a0<\/td>\n<\/tr>\n
Characteristics\u00a0<\/td>\nProductive; whitish-yellow phlegm\u00a0<\/td>\n<\/tr>\n
Aggravating factors\u00a0<\/td>\nActivity\u00a0<\/td>\n<\/tr>\n
Relieving factors\u00a0<\/td>\nRest\u00a0<\/td>\n<\/tr>\n
Treatments\u00a0<\/td>\nTried Robitussin DM without relief of symptoms\u00a0\u202f\u00a0<\/td>\n<\/tr>\n
Severity\u00a0<\/td>\nUnable to walk > 20ft without stopping to catch his breath. Last year at this time he routinely walked 1 mile per day without difficulty\u00a0<\/td>\n<\/tr>\n
Review of Systems (ROS)<\/strong>\u00a0<\/td>\n<\/tr>\n
Constitutional\u00a0<\/td>\nDenies fever, chills,\u00a0or weight loss\u202f\u00a0<\/td>\n<\/tr>\n
Ears\u00a0<\/td>\nDenies\u00a0otalgia\u00a0and\u00a0otorrhea\u00a0<\/td>\n<\/tr>\n
Nose\u00a0<\/td>\nDenies\u00a0rhinorrhea,\u00a0nasal congestion, sneezing or\u00a0post nasal drip.\u00a0\u00a0<\/td>\n<\/tr>\n
Throat\u00a0<\/td>\nDenies ST and redness\u00a0<\/td>\n<\/tr>\n
Neck\u00a0<\/td>\nDenies lymph node tenderness or swelling\u00a0<\/td>\n<\/tr>\n
Chest\u00a0<\/td>\nDescribes a\u00a0persistent\u00a0productive\u00a0cough upon wakening for the last\u00a06 months. Color of phlegm is usually white-yellowish.\u00a0Shortness of breath with activity.\u00a0<\/td>\n<\/tr>\n
Cardiovascular\u00a0<\/td>\nDenies chest pain\u00a0and lower extremity edema\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n\n\n\n
\n\n\n\n
History<\/strong>\u00a0Medications\u00a0Metoprolol succinate ER (Toprol-XL) 50mg daily for hypertension; Multivitamin daily\u00a0PMH\u00a0Primary hypertension\u00a0PSH\u00a0Cholecystectomy, appendectomy\u00a0Allergies\u00a0Penicillin (hives)\u00a0Social\u00a0Married, 3 children\u00a0Senior accountant at a risk management firm\u00a0Habits\u00a0Former smoker (20 pack-year), quit \u201ccold turkey\u201d\u00a0when father died; Denies alcohol or illicit drug use.\u00a0FH\u00a0Father died of MI & CHF at age 59 years (diabetes, hypertension, smoker)\u00a0Mother is alive (osteoporosis)\u00a0\u00a0Healthy siblings\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n\n\n\n

Physical exam reveals the following:\u00a0<\/p>\n\n\n\n

\n\n\n\n
Physical Exam<\/strong>\u00a0Constitutional\u00a0Adult\u00a0male\u00a0in NAD, alert and oriented,\u00a0able to speak in full sentences\u00a0\u00a0VS\u00a0Temp-98.1, P-66, RR-20, BP 156\/94, Height\u00a068.9in,\u00a0Weight 258\u00a0pounds, O2sat 94% on RA\u00a0Head\u00a0Normocephalic\u00a0Ears\u00a0Tympanic membranes gray and intact with light reflex noted. Pinna and tragus\u00a0nontender.\u00a0Nose\u00a0Nares patent. Nasal turbinates\u00a0clear without redness or edema. Nasal drainage is\u00a0clear.\u00a0Throat\u00a0Oropharynx moist, no lesions or exudate. Tonsils \u00bc bilaterally. Teeth in good repair, no cavities noted.\u00a0Neck\u00a0Neck supple. No lymphadenopathy. Thyroid midline, small and firm without palpable masses.\u00a0No JVD\u00a0Cardiopulmonary\u00a0Heart S1 and S2\u00a0with\u00a0no murmurs, noted.\u00a0Lungs clear to auscultation bilaterally\u00a0with faint forced expiratory wheezes in bilateral bases. Respirations unlabored.\u00a0Legs without edema.\u00a0Abdomen\u00a0Soft, non-tender. No organomegaly\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n\n\n\n

Requirements\/Questions<\/strong>:<\/h3>\n\n\n\n
    \n
  1. Briefly and concisely summarize the history and physical (H&P) findings as if you were presenting it to your preceptor using the pertinent facts from the case. May use approved medical abbreviations. Avoid redundancy and irrelevant information.<\/li>\n
  2. Provide a differential diagnosis (minimum of 3) which might explain the patient’s chief complaint along with a brief statement (2-3 sentences) of pathophysiology for each.<\/li>\n
  3. Analyze the differential by using the pertinent findings from the history and physical to argue for or against a diagnosis.<\/li>\n
  4. Rank the differential in order of most likely to least likely.<\/li>\n
  5. Identify any additional tests and\/or procedures that you feel is necessary or needed to help you narrow your differential. All testing decisions must be supported with an evidence-based practice (EBP) argument as to why it is necessary or pertinent in this case. If no testing is indicated or needed, you must also support this decision with EBP evidence.<\/li>\n<\/ol>\n

    You can as well check out this solution as well (Solution) NR601 Week 2: COPD Case Study Part 2<\/a><\/span><\/h3>\n\n\n\n

    Solution<\/strong><\/p>\n\n\n\n

    Week 3 COPD Case Study Part 1<\/u><\/strong><\/p>\n\n\n\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 6.2. y\/o Caucasian male presents to the office with c\/o persistent cough for the past 6 months with a recent onset of SOB. The patient states cough is intermittent but frequent, worse in the morning. The cough is aggravated with activity but is relieved with rest. The patient has tried OTC Robitussin DM without relief of symptoms. The patient also states that he is unable to walk more than 20ft without stopping to catch his breath. Last year around this time he routinely walked 1 mile per day without difficulty.<\/p>\n\n\n\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0ROS:<\/strong>\u00a0The patient denies fever, chills, or weight loss. Denies otalgia and otorrhea. Denies rhinorrhea, nasal congestion, sneezing, or postnasal drip. Denies ST and redness. Denies lymph node tenderness or swelling. Denies CP and LE edema. Pt sts, he has had a persistent productive cough upon wakening for the last 6 months. The color of phlegm is usually white-yellowish. SOB with activity….Kindly click the purchase icon to purchase the full solution at $10<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

    A\u00a062\u00a0year-old\u00a0Caucasian\u00a0male presents to the office with\u00a0persistent\u00a0cough\u00a0and recent onset of shortness of breath. Upon further\u00a0questioning you discover the following subjective information regarding the chief complaint.\u00a0 History of Present Illness\u00a0 Onset\u00a0 6 months\u00a0 Location\u00a0 Chest\u00a0 Duration\u00a0 Cough is intermittent but frequent, worse in the AM\u00a0 Characteristics\u00a0 Productive; whitish-yellow phlegm\u00a0 Aggravating factors\u00a0 Activity\u00a0 Relieving factors\u00a0 Rest\u00a0 Treatments\u00a0 Tried…<\/p>\n","protected":false},"author":1,"featured_media":1364,"template":"","edd-categories":[382],"edd-tags":[],"class_list":["post-755","download","type-download","status-publish","has-post-thumbnail","hentry","download_category-best-nursing-assignment-help","download_category-382","description-off","edd-download","edd-download-cat-best-nursing-assignment-help"],"yoast_head":"\n(Solution) NR601 Week 2: COPD Case Study Part 1\u00a0 - My Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/skilledtutorials.com\/papers2\/downloads\/solution-nr601-week-2-copd-case-study-part-1\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"(Solution) NR601 Week 2: COPD Case Study Part 1\u00a0\" \/>\n<meta property=\"og:description\" content=\"A\u00a062\u00a0year-old\u00a0Caucasian\u00a0male presents to the office with\u00a0persistent\u00a0cough\u00a0and recent onset of shortness of breath. Upon further\u00a0questioning you discover the following subjective information regarding the chief complaint.\u00a0 History of Present Illness\u00a0 Onset\u00a0 6 months\u00a0 Location\u00a0 Chest\u00a0 Duration\u00a0 Cough is intermittent but frequent, worse in the AM\u00a0 Characteristics\u00a0 Productive; whitish-yellow phlegm\u00a0 Aggravating factors\u00a0 Activity\u00a0 Relieving factors\u00a0 Rest\u00a0 Treatments\u00a0 Tried…\" \/>\n<meta property=\"og:url\" content=\"https:\/\/skilledtutorials.com\/papers2\/downloads\/solution-nr601-week-2-copd-case-study-part-1\/\" \/>\n<meta property=\"og:site_name\" content=\"My Blog\" \/>\n<meta property=\"og:image\" content=\"https:\/\/skilledtutorials.com\/papers2\/wp-content\/uploads\/2022\/12\/nursing-assignment-help.png\" \/>\n\t<meta property=\"og:image:width\" content=\"578\" \/>\n\t<meta property=\"og:image:height\" content=\"575\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/downloads\\\/solution-nr601-week-2-copd-case-study-part-1\\\/\",\"url\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/downloads\\\/solution-nr601-week-2-copd-case-study-part-1\\\/\",\"name\":\"(Solution) NR601 Week 2: COPD Case Study Part 1\u00a0 - My Blog\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/downloads\\\/solution-nr601-week-2-copd-case-study-part-1\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/downloads\\\/solution-nr601-week-2-copd-case-study-part-1\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/wp-content\\\/uploads\\\/2022\\\/12\\\/nursing-assignment-help.png\",\"datePublished\":\"2022-12-11T00:22:00+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/downloads\\\/solution-nr601-week-2-copd-case-study-part-1\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/downloads\\\/solution-nr601-week-2-copd-case-study-part-1\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/downloads\\\/solution-nr601-week-2-copd-case-study-part-1\\\/#primaryimage\",\"url\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/wp-content\\\/uploads\\\/2022\\\/12\\\/nursing-assignment-help.png\",\"contentUrl\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/wp-content\\\/uploads\\\/2022\\\/12\\\/nursing-assignment-help.png\",\"width\":578,\"height\":575,\"caption\":\"Get help from nursing assignment help providers\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/downloads\\\/solution-nr601-week-2-copd-case-study-part-1\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Downloads\",\"item\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/downloads\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"(Solution) NR601 Week 2: COPD Case Study Part 1\u00a0\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/#website\",\"url\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/\",\"name\":\"My Blog\",\"description\":\"My WordPress Blog\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/skilledtutorials.com\\\/papers2\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"(Solution) NR601 Week 2: COPD Case Study Part 1\u00a0 - My Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/skilledtutorials.com\/papers2\/downloads\/solution-nr601-week-2-copd-case-study-part-1\/","og_locale":"en_US","og_type":"article","og_title":"(Solution) NR601 Week 2: COPD Case Study Part 1\u00a0","og_description":"A\u00a062\u00a0year-old\u00a0Caucasian\u00a0male presents to the office with\u00a0persistent\u00a0cough\u00a0and recent onset of shortness of breath. 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