NR507 week 3 response to Faculty

week 3 question was 

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions. 

General Instructions 

The purpose of this discussion is to examine an assigned disease process and determine which disease process explored in the discussion Janessa, the client, is experiencing. Follow the instructions below and your faculty member will reveal which disease process Janessa is experiencing at the end of the discussion week. 

Step 1: Review the following client scenario: 

Janessa, a 41-year-old female client, presents to the NP complaining of shortness of breath, weakness, and dizziness for “about a month.” She denies having a cough or recent illness. She has a history of endometriosis, and her physical assessment reveals her lungs are clear to auscultation bilaterally, and her mucous membranes are pale.  

Step 2: Review your assigned disease process from the chart below. Your assigned disease process is based on the first letter of your last name.  

Last Name

Disease Process

A – H

Condition: Anemia

I – P

Condition: Heart Failure

Q – Z

Condition: Asthma

Step 3: Review your assigned disease process and answer the discussion prompts below with explanation and detail, providing complete references for all citations.  

Step 4: Reply to a peer with a different assigned condition. 

Include the following sections:  

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.  

1. Discuss the underlying pathophysiological mechanisms of your assigned disease process. Which clinical manifestations observed in Janessa’s case could be explained by the pathophysiological mechanisms?
2. Analyze Janessa’s clinical manifestations in the context of your assigned disease process. Do these findings support a diagnosis of your assigned disease process? Why or why not?
3. Identify and justify the diagnostic tests (including labs, imaging, or other diagnostic tests) that would be most appropriate for investigating a diagnosis of your assigned disease process in Janessa. What could the results of these tests look like in your assigned disease process?
4. Compare and contrast your response with a peer who was assigned a different condition. Does their condition fit Janessa’s case? Why or why not?

2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:  

1. Cite a scholarly source in the initial post.
2. Cite a scholarly source in one faculty response post.
3. Cite a scholarly source in one peer post.
4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.

3. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions and offering new insights, applications, perspectives, information, or implications for practice.  

1. Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
2. Faculty Response: Respond to at least one faculty post.
3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.

4. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.  

5. Reference Citation: Use current APA format to format citations and references free of errors.  

Dr Hull question 

Thank you, Jillian, for your work on this week’s thread!

If she told you that her shortness of breath was more severe when laying down, would that be more consistent with heart failure or asthma? What pathophysiology is involved in orthopnea?  

We have some of this patient’s medical history to help with the diagnosis.  Heart failure, like many other conditions can be associated with certain risk factors.  If we wanted to establish the possibility of heart disease and consequent heart failure, what would be some things we would want to ask her about as far as risk factors?   

Thank you, Dr. Hull