Nursing  Case Study 1 HTN and Case Study 2 TESTICULAR CANCER

Case Study 1 & 2 (10 Points)Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.All answers to case studies must have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites) per case StudyCase Study 1Mr. JS presents today to your office for a follow up appointment after a BP reading at home of166/95 last week. He is a 52 y/o male with a PMH of HTN and Angina secondary to CAD, whichis well controlled, experiencing less than 1 attack per month.On today examination, MR JS’s vital signs are as follows:Temperature: 96.8ºHeart Rate: 68 bpmBlood Pressure: 168/92Respiration: 14Ox Sat: 95% at room airPain: denies pain.Labs:Last LDL on records (6 months ago): 189Current Medications:Atorvastatin 40 mg/dayMetoprolol tartrate 10 mg/twice/dayCASE STUDY QUESTIONS:1) According to the recently released American Heart Association guidelines on hypertension,what should be the BP goal for a patient with chronic stable angina and hypertension?2) In addition to diet and lifestyle modifications, what is the medication of choice to control theBP of a patient with chronic stable angina? Provide rationale3) Provide at least 3 (questions) you would ask your patient RELATED to the case presented andprovide rationale.4) Please explain whether you would request any laboratory or screening tests for this patientand why (if any)5) How would you achieve the B/P goal recommended for this patient according to theguidelines provided above?6) Provide References in APA style……………………………………………………………………………………………………………………………………………………..Case Study 2Testicular CancerCase StudiesA 21-year-old male noted pain in his right testicle while studying hard for his midterm collegeexaminations. On self-examination, he noted a “grape sized” mass in the right testicle. Thisfinding was corroborated by his healthcare provider. This young man had a history of delayeddescent of his right testicle until the age of 1 year old.Studies ResultsRoutine laboratory studies Within normal limits (WNL)Ultrasound the testicle Solid mass, right testicle associated with calcificationsHCG (human chorionic gonadotropin) 550mIU/mL (normal: <5)CT scan of the abdomen Enlarged retroperitoneal lymph nodesCT scan of the chest Multiple pulmonary nodulesDiagnostic AnalysisAt semester break, this young man underwent right orchiectomy. Pathology was compatible withembryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary noduleindicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During aleave of absence from college, and after banking his sperm, this young man underwentaggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed completeresolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.Critical Thinking Questions1. What impact did an undescended testicle have on this young man’s risk for developingtesticular cancer?2. What might be the side effects of cytotoxic chemotherapy?3. What was the purpose of preserving his sperm before chemotherapy?4. Is this young man’s age typical for the development of testicular carcinoma?

 

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