Lab Assignment: Assessing the Genitalia and Rectum

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:1). ZERO (0) PLAGIARISM2). AT LEAST 5 REFERENCES, NO MORE THAN 5 YEARS (WITHIN 5YRS, OR LESS THAN 5YRS)3). PLEASE SEE THE ATTACHMENT FOR RUBRIC DETAILS AND EPISODIC/FOCUSED NOTE TEMPLATEPatients are frequently uncomfortable discussing with healthcare professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.To PrepareReview the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.Based on the Episodic note case study:Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.Consider what history would be necessary to collect from the patient in the case study.Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.The Lab AssignmentUsing evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.Analyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or why not?Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.Special Examinations—Breast, Genital, Prostate, and RectalGENITALIA ASSESSMENTSubjective:• CC: “I have bumps on my bottom that I want to have checked out.”• HPI: AB, a 21-year-old WF college student reports to your clinic with externalbumps on her genital area. She states the bumps are painless and feel rough.She states she is sexually active and has had more than one partner during thepast year. Her initial sexual contact occurred at age 18. She reports no abnormalvaginal discharge. She is unsure how long the bumps have been there butnoticed them about a week ago. Her last Pap smear exam was 3 years ago, andno dysplasia was found; the exam results were normal. She reports one sexuallytransmitted infection (chlamydia) about 2 years ago. She completed thetreatment for chlamydia as prescribed.• PMH: Asthma• Medications: Symbicort 160/4.5mcg• Allergies: NKDA• FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)Objective:• VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs• Heart: RRR, no murmurs• Lungs: CTA, chest wall symmetrical• Genital: Normal female hair pattern distribution; no masses or swelling. Urethralmeatus intact without erythema or discharge. Perineum intact. Vaginal mucosapink and moist with rugae present, pos for firm, round, small, painless ulcer notedon external labia• Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney• Diagnostics: HSV specimen obtainedAssessment:• ChancrePLAN: This section is not required for the assignments in this course (NURS 6512) butwill be required for future courses.The Lab AssignmentUsing evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.Analyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or why not?Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.