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CASE # 2\u00a0<\/p>\n

\u00a0Subjective Data<\/strong>\u00a0<\/p>\n

CHIEF OF COMPLAIN: \u00a0\u201cI am here for my annual physical exam and have been having vaginal discharge.\u201d\u00a0\u00a0<\/p>\n

HISTORY OF PRESENT ILLNESS: \u00a032-year-old pregnant lesbian \u2013 her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank.\u00a0<\/p>\n

DRUG HX: \u00a0Current Meds: prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion\u00a0<\/p>\n

FAMILY HX: \u00a0She has\u00a0a strong family history of diabetes. Gravida 1; Para 0; Abortions 0.
\n\u00a0<\/p>\n

<\/p>\n

REVIEW OF SYSTEM:<\/p>\n

GENERAL: \u00a0No fatigue, fever, or chills.
\n\u00a0<\/p>\n

NECK: \u00a0\u00a0No pain or injury
\n\u00a0<\/p>\n

INTERGUMENTARY: \u00a0multiple piercings, and tattoos. Old scars related to \u201ccutting\u201d
\n\u00a0<\/p>\n

MS\/NEURO: \u00a0no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements.
\n\u00a0<\/p>\n

<\/p>\n

OBJECTIVE DATE:<\/p>\n

PE: \u00a0B\/P 128\/76; Pulse 83; RR 16; Temp 99.0; Ht 5,6; wt 128; BMI 20.98
\n\u00a0<\/p>\n

HEENT: \u00a0Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.
\n\u00a0<\/p>\n

LUNGS: \u00a0CTA AP&L<\/p>\n

CARDIO: \u00a0S1S2 without rub or gallop
\n\u00a0<\/p>\n

ABD: \u00a0benign, normoactive bowel sounds x 4
\n\u00a0<\/p>\n

GU: external genitalia intact, no lesions or masses. White copious discharge with an amine odor; no cervical motion tenderness; adnexa intact.
\n\u00a0<\/p>\n

EXT. \u00a0no cyanosis, clubbing, or edema
\n\u00a0<\/p>\n

INTERMENT: \u00a0intact without lesions masses or rashes.<\/p>\n

NEURO: No obvious deficits and CN grossly intact II-XII
\n\u00a0<\/p>\n

<\/p>\n

<\/p>\n

<\/p>\n

\u00a0<\/p>\n

Answer the following questions:<\/strong><\/p>\n

    \n
  1. Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.<\/strong><\/li>\n
  2. Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.<\/strong><\/li>\n
  3. Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?<\/strong>
    \n\u00a0<\/li>\n<\/ol>\n

    \n\u00a0<\/p>\n

    <\/p>\n

    <\/p>\n \n

    \"Looking for a Similar Assignment? Order now and Get 10% Discount! Use Code \"Newclient\"<\/h5>\n\"\"<\/a>\n\n","protected":false},"excerpt":{"rendered":"

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