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Posted: September 20th, 2022

Jessica is a 32 y/old math teacher who presents to the ER

Nursing homework Help

Purpose:

To conduct an Assessment of well being promotion whereas making use of the nursing course of and proof based mostly analysis to disseminate findings to course colleagues.

Case:

Jessica is a 32 y/old math teacher who presents to the ER with a buddy for analysis of sudden lower of imaginative and prescient in the left eye. She denies any trauma or damage. It began this morning when she awoke and has progressively worsened over the previous few hours. She had some blurring of her imaginative and prescient 1 month in the past and thinks which will have been associated to getting overheated, because it improved when she was in a position to get in a cool, air-conditioned surroundings. She has some ache if she tries to transfer her eye, however none when she simply rests. She is additionally unable to decide colours. She denies tearing or redness or publicity to any chemical substances. Nothing has made it higher or worse.

She denies fever, chills, evening sweats, weight reduction, fatigue, headache, modifications in listening to, sore throat, nasal or sinus congestion, neck ache or stiffness, chest ache or palpitations, shortness of breath or cough, stomach ache, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia. She says she would not have a fever, chills, evening sweats, weight reduction, headache, change in listening to, sore throat, stuffy nostril or sinuses, neck ache or stiffness, chest ache or palpitations, shortness of breath or cough, stomach ache, diarrhea, constipation, dysuria, vaginal discharge, leg swelling, extreme urination, consuming, and consuming.

Affected person is alert; she seems anxious. BP 135/85 mm Hg; HR 64bpm and common, RR 16 per minute, T: 98.5F. Visible acuity 20/200 in the left eye and 20/30 in the proper eye. Sclera white, conjunctivae clear. Unable to assess visible fields in the left facet; visible fields on the proper eye are intact. Pupil response to gentle is diminished in the left eye and brisk in the proper eye. The optic disc is swollen. Full vary of motions; no swelling or deformity. Psychological standing: Oriented x three. Cranial nerves: I-XII intact; horizontal nystagmus is current. Muscle mass with regular bulk and tone; Regular finger to nostril, adverse Romberg. Intact to temperature, vibration, and two-point discrimination in higher and decrease extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski.

Submission Directions:
Full a complete historical past and Bodily Examination.
What bodily findings are you in search of to Help decide a presumptive nursing prognosis?
Help your findings with peer reviewed articles.
Presentation is authentic work and logically organized in present APA model. Incorporate a minimal of four present (printed inside final 5 years) scholarly journal articles or major authorized sources (statutes, courtroom opinions) inside your work.
Energy level presentation with eight -10 slides, excluding the tile slide and the reference slide.
The presentation is clear and concise and college students will lose factors for improper grammar, punctuation, APA and misspelling.
Speaker notes expanded upon and clarified content material on the slides.

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