Community Case: Communicable Disease: Tuberculosis Case Part

Community Case: Communicable Disease: Tuberculosis Case Part 1 Bradley Buchanan presents to the neighborhood nurse-run clinic with shortness of breath, a persistent cough with blood-tinged sputum, recent weight loss, and night sweats. On initial assessment, the client has a fever of 101.4°F and pain in his chest. His other vital signs are as follows: pulse 98 beats per minute; respirations 26 per minute; blood pressure 110/76 mm Hg; height 68 inches; and weight 140 pounds. Mr. Buchanan is 45 years old. He is employed as a dishwasher at a local restaurant and lives at the local shelter with his wife, who is 8 months pregnant, and his 13-year-old son. Mr. Buchanan is concerned that if he cannot go to work, he will lose the family’s only income. At this point, although Mr. Buchanan’s signs and symptoms and his purified protein derivative test results seem to indicate that he may have tuberculosis, the nurse must pursue further confirmation of the diagnosis. Questions for students: What would be the nurse’s next action? Should the nurse do testing on the client or his family? Community Case: STIs and Older Adults Case Part 1 The state health department reports that there has been a dramatic increase in sexually transmitted infections (STIs), especially gonorrhea and HIV, in select populations within the state. A population of particular concern with a notably increased incidence of STIs is the Sunny Side Retirement Community, which had 15 newly diagnosed cases last month. Sunny Side offers numerous amenities and recreation activities for more affluent retirees who chose to retire in a warmer climate. Renee, an advanced registered nurse practitioner, is employed in the federally qualified health center, and provides primary care services to residents. Within the past few weeks, several women have sought care for urgency, frequency, and sometimes discomfort with urination along with vaginal and perineal itching and drainage. Today, Luanne Barton arrives in the office with similar symptoms. Questions for students: What is your initial diagnosis based on the symptoms reported by Luanne Barton? How can the nurse initiate a conversation with Luanne regarding her sexuality? Describe risk factors among older individuals for being exposed to an STI.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."