By Leslie Neal-Boylan
Clinical Case stories for the relations Nurse Practitioner is a key source for complex perform nurses and graduate scholars trying to try their abilities in assessing, diagnosing, and coping with circumstances in relatives and first care. Composed of greater than 70 circumstances starting from universal to designated, the booklet compiles years of expertise from specialists within the box. it really is equipped chronologically, offering instances from neonatal to geriatric care in a customary technique outfitted at the cleaning soap format. This contains differential analysis and a chain of serious considering questions excellent for self-assessment or lecture room use.
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Extra resources for Clinical Case Studies for the Family Nurse Practitioner
A complete blood count (CBC) is seldom useful since the white blood cell (WBC) count is usually within normal limits. Chest radiographs are not routinely necessary. The nonspecific findings of hyperinflation and patchy infiltrates may be seen on the chest radiograph. What is the most likely differential diagnosis and why? Bronchiolitis: The most likely differential diagnosis is bronchiolitis related to an infection with RSV. Michael’s history and physical examination form the primary basis for the diagnosis of bronchiolitis.
He is not currently taking any multivitamins. Elimination: Kylie states that Nelson has 4–6 wet diapers daily. He does not have any diarrhea but does have occasional constipation that is relieved with prune juice. Sleep: Nelson sleeps 13 hours nightly but does not take any naps during the day. He does not have any problems falling asleep or staying asleep. His nighttime bedtime routine includes a bath and bedtime story read to him by Kylie. Developmental: Nelson is able to walk while holding onto furniture.
Nelson has good skin turgor on examination. HEENT: Nelson’s head is normocephalic. 5 cm). Red reflex is present bilaterally; and his pupils are equal, round, and reactive to light. There is no discharge noted. Pinnae are normal, and the tympanic membranes are gray bilaterally with positive light reflexes. Bony landmarks are visible, and there is no fluid noted behind the tympanic membrane. Both nostrils are patent. There is no nasal discharge; and there is no nasal flaring. Nelson’s mucous membranes are noted to be moist when examining his oropharynx.