DQW3-4.docx

Q-1
Complete the following discussion question using the DxR website:
1. Access the DxR Clinician website at 
https://gcu.dxrclinician.com/
.
2. Select the folder labeled: gcu_npstudents_patients.
3. Select the Tommy Jackson – Abdominal Pain case study.
4. Upon clicking on the case, you will see the “Enter Case” button at the top of the page. Select “Enter Page.” Under “Name,” enter First Initial, Last Name, all in lower case. Leave password blank. This will give you entry into the case study.
5. Complete the Tommy Jackson – Abdominal Pain case.
6. Discuss the diagnostic tool you selected and explain how it was helpful. Remember that pertinent negatives also guide your diagnoses. Describe how you prioritized the data.
Support your answer with two or three peer-reviewed resources.

Q-2
You are assessing a patient who has presented to the emergency department with an acute onset of abdominal pain. List three differential diagnoses that would lead to immediate surgical consultation. Support your answer with two or three peer-reviewed resources.

Q-3
You are the NP on the neurosurgical team. You are rounding on a 58-year-old patient who has undergone a TPH (trans sphenoidal hypophysectomy) for pituitary removal.
Based the first letter of your last name, discuss the item to which you are assigned:
· you have concerns for diabetes insipidus (DI). Discuss DI in relation to a postoperative neurosurgical patient. What are the signs and symptoms leading to your concerns? How would you manage the patient? What further complications could be caused from DI?
Support your answer with two or three peer-reviewed resources.

Q-4
You are part of a surgical team and your role is postoperative management of thoracic surgery. In your role, you are required to determine the course of action for the patient before you call surgeon. A right lower-lobe resection occurred due to adenocarcinoma. The nurse has called at the 12-hour interval from surgery concerned with the amount of drainage within the chest tube.
· Describe the role of an AGACNP at each of the steps in postoperative care for a surgical patient.
· Describe the assessment steps you would take.
· Explain the drainage and decompression devices and how you manage these as an AGACNP.
· Discuss potential differential diagnoses you could expect from the assessment.
· Discuss the hemodynamic findings one might see with your provided diagnosis.
· Propose potential treatment plans that would be appropriate.
Support your answer with two or three peer-reviewed resources.