- Apply knowledge and theory related to the prevention, diagnosis, and management of select uncomplicated common acute and chronic health problems for individuals across the lifespan (FNP) or adolescent through end of life (AGPCNP).
- Develop differential diagnoses and plans of care based on evidence-based research and clinical practice guidelines.
Case Overview
A 17-year-old female college student presents to the Student Health Center seeking advice about contraception. She has never had a pelvic exam and states that she has had two sex partners in the past six months. She does not use condoms or any other contraceptives. Her periods have been regular, but she has recently notes some spotting between periods; last menstrual period was 4 weeks ago. She denies vaginal discharge, dyspareunia, genital lesions, or sores. She states that she has had some mild nausea but states that this is not uncommon for her.
Instructions
Compose Initial Response
Compose an evidence-based response to address the following:
- Outline any laboratory and diagnostic tests needed to assess this patient; include the rationale for ordering the tests.
- What is the significance of the assessment findings? Discuss the long-term health risks that the patient faces if the underlying diagnosis is left untreated.
- Outline 3 differential diagnoses for this patient and how you would rule them in/out.
- What is the final diagnosis for this patient?
- What teaching would you provide to the patient while awaiting diagnostic results?
- Outline the plan of care for the patient, including medications and referrals.
Your response should include sources in APA formatLinks to an external site..
Compose Follow-Up Response
Read the responses posted in the discussion by other members of the class. Consider the responses and compose an evidence-based response to the following items:
- Does your final diagnosis change?
- Would you make any changes to the diagnostic tests ordered?
- Would you make any other changes to the plan?
Include sources in APA formatLinks to an external site..