NR 603 Week 5 APEA Predictor Assignment Part One

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NR 603 Week 5 APEA Predictor Assignment Part One Dr. Starks and Class, After reviewing the scores on the APEA predictor examination, I the lowest score was in the area of sexual transmitted disease... . This was surprising to me being a Labor and Delivery nurse. However, in this program we have discussed several of these diseases in the discussion threads. With that being said I decided to look at other areas that I scored low in and choose a topic that we have not had a lot of exposure to therefore I chose Men’s Health as the topic for this weeks assignment. Case Study: TB is a 50-year-old Caucasian male that presents to the primary care office with the chief complaint of dysuria, urinary frequency, inability to completely empty his bladder, post void dribbling, perineal pain, and pain at the tip of the penis.” Demographics: TB is a lifelong resident of the Greenville area. He is entrepreneur and owns several local businesses in the area. PMHx: (E29.1) Testicular hypofunction , (N52.9) Erectile dysfunction, Immunizations are up to date, No history of sexually transmitted diseases. Childhood diseases include chicken pox age 5. Medications: Testosterone cypionate 100mg IM Q 2 weeks, Viagra 50 mg 1 PO prn, Vitamin D, Omega 3, PSHx: None Allergies: NKDA FamilyHx: Father: T1DM, CAD, HTN Mother: Parkinson’s, HTN, Atrial fibrillation MGM: Breast Cancer deceased age 78 MGF: SCD at age 48 PGM: HTN, T2DM, CAD, CHF deceased age 79 PGF: HTN, CHF deceased age 89 Lifestyle: Married for 30 years in a monogamous relationship. Sexually active but states “it could be more often, sometimes it is only once in 2 weeks but then might be twice in one day.” Admits to rare but recent unprotected anal intercourse with spouse Three grown sons all out of the home. Exercises daily alternating strength training and aerobic exercise, Never smoked, Consumes 2 alcoholic beverages nightly 4 times a week, No illicit substance abuse, Diet consists of mostly a plant based diet with chicken 3 times a week and occasional red meat once a month. ...................continued........... [Show More]

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