Week 9 – Assignment 1
Select one of the two questions from the discussion
questions listed below. By Week 9, Day 3, respond to the selected discussion
question and submit your response to this Discussion Area.
Be sure to respond to the question using the lessons and
vocabulary found in the reading. Justify your answers using examples and
reasoning. Support your answers with examples and research and cite your
research using APA format. In addition to your textbook, consult the Sanford
Guide to help you identify appropriate treatment for specific infections.
Start reviewing and responding to the postings of your classmates
as early in the week as possible. Respond to at least two of your classmates’
posts. Participate in the discussion by asking a question, providing a
statement of clarification, providing a point of view with a rationale,
challenging an aspect of the discussion, or indicating a relationship between
two or more lines of reasoning in the discussion.
Discussion Question 1
JT is a fifty-five-year-old man with a three-day history of
worsening shortness of breath, fever, chills, right-sided chest pain, and
productive cough. He states that the initial symptoms started approximately one
week ago. He has been taking over-the-counter (OTC) medications to control the
fever and the cough. He comes in today because he feels that he is getting
worse. He is coughing up rust-colored mucus, and the chest pain has started to
make breathing even more difficult. His physical exam is normal, with the
exception of tachypnea, labored breathing, coarse rhonchi through the right
lung field, and decreased breath sounds on the right. Answer the following
What additional laboratory or radiological tests would be
indicated and why? What would you expect to find?
What is your diagnosis?
What medication would be given and for what period of time?
Discussion Question 2
LN is a twenty-six-year-old married woman who presents at
the clinic with symptoms of dysuria, frequency, and urgency. Further history
yields two days of these symptoms but no fever, chills, or flank pain. She
describes a burning discomfort during and immediately following urination and
feeling the need to void every half hour. There is no vaginal discharge,
itching, or odor. She is not using birth control at this time. She requests â€œa
urine culture and some sulfa pills.â€ When asked to explain, she says she has
had many â€œbladder infectionsâ€ over the past three years and â€œsulfa pills
usually work.â€ She was evaluated approximately five years ago with an IV
pyelography and cystogram, and â€œnothing was wrong.â€ All her vital signs are
normal. Answer the following questions:
What additional information would you like to collect?
What is your working diagnosis?
What are the contributing factors to this potential
What treatment would you implement and why?
What type of follow-up would you recommend?