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Discussion 1
Patient Edward Smith is African American, age 62. He presents in office with a sudden onset of visual disturbance. Upon further questioning, he provides a history of right-side blurred vision, rather abrupt, which began 2 days ago and seems to be worsening. He denies any trauma or injury. He denies any tearing. His last eye examination was 1 year ago, and he reports that his vision was unchanged from the previous year. He wears glasses. Snellen vision screening shows 20/40 left eye and 20/100 right eye. He also complains of constant mild aching pain. PMH: hypertension, hyperlipidemia, well controlled with medication.
1. Identify two differential diagnoses
2. Plans for each
3. Include diagnostic studies.
Support your answer with a minimum of two APRN-approved scholarly resources.
Discussion 2
A nurse practitioner is following up with a 72-year-old patient who was treated for chronic sinusitis 3 weeks ago. The patient reports that her symptoms are still the same as they were 3 weeks ago: maxillary sinus pressure, sneezing, headaches, and fatigue. The patient completed a 5-day course of azithromycin. She does not understand why she is still having symptoms.The FNP looks back in the chart and does not find any documentation regarding patient education completed at the last office visit.
1. What patient education would be important for the FNP to provide for this patient?
2. What would your subsequent plan be for this patient?
Support your answer with a minimum of two APRN-approved scholarly resources.
Discussion 2
A nurse practitioner is following up with a 72-year-old patient who was treated for chronic sinusitis 3 weeks ago. The patient reports that her symptoms are still the same as they were 3 weeks ago: maxillary sinus pressure, sneezing, headaches, and fatigue. The patient completed a 5-day course of azithromycin. She does not understand why she is still having symptoms. The FNP looks back in the chart and does not find any documentation regarding patient education completed at the last office visit.
1. What patient education would be important for the FNP to provide for this patient?
2. What would your subsequent plan be for this patient?
Support your answer with a minimum of two APRN-approved scholarly resources.
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