NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea

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NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea – Step-by-Step Guide

The first step before starting to write the NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last few years and review each one for credibility. Ensure that you obtain the references in the required format, for example, in APA, to save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested in reading through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.

How to Write the In-text Citations for NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea Instructions

Assessing, Diagnosing, And Treating The iHuman Patient

For this Assignment, as you examine this week’s i-Human patient case study and develop a treatment plan according to the patient’s diagnosis. Have a look at NRNP 6550 Week 6 Midterm Exam.

To prepare:

  • Review this week’s Learning Resources. Consider how to assess, diagnose, and treat the iHuman patient.
  • Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from each patient
  • Consider what physical exams and diagnostic tests would be appropriate to help you gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify three to five possible conditions to consider in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a systems-based treatment plan for the patient that includes health promotion and patient education strategies.

To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. 

NRNP 6550 Week 4 iHuman Assignment: 15-Year-Old Male Athlete with Exertional Dyspnea Example

A 15-year-old male athlete presents in the clinic in the company of his mother for evaluation of a 4-week history of exertional dyspnea and a two-week history of palpitations at rest. He denies associated fevers, chills, rash, chest pain, sore throat, lower extremity edema, wheezing, or chest tightness. He reports a recent illness (cold), which he contracted from his sister over a month ago. FH is significant for heart attack (deceased paternal grandfather). Physical exam demonstrates a grade 3/6 systolic ejection murmur at the left parasternal border in the 3rd intercostal space with S4 gallop in the left lateral decubitus position.

Primary Diagnosis: Hypertrophic Cardiomyopathy

System: Neuro

Diagnosis (Problem): exertional symptoms, palpitations

Pending diagnostics: exercise stress ECG, 24-hour holter monitor

Pharmacological interventions:

Supportive care:

Monitor for the following red flag symptoms: syncope, dizziness & altered mental status.

Stop consumption of stimulants such as energy drinks and caffeine (Marcus, 2023).

Report any new neurologic symptoms immediately, including seizure-like activity or blackout

episodes.

HEENT

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: N/A

Supportive care:

Immediately stop consumption of energy drinks

Avoid straining or bearing down (Valsalva) as it worsens obstruction (Ommen et al., 2024).

Immediately reports any new-onset blurred vision, headaches, or jaw claudication.

System: Cardiovascular

Diagnosis (Problem): hypertrophic cardiomyopathy

Pending diagnostics: Genetic testing

Pharmacological interventions:

Atenolol 25-50mg PO daily (Ommen et al., 2024).

Supportive care:

Cardiology consult in 3-7 days

Avoid stimulants/caffeine to reduce arrhythmia risk

Strict restriction of activity until the patient is cleared by cardiology

Encourage genetic testing in first-degree relatives & teach the family about the inheritance patterns of HCM (Ommen et al., 2024).

Encourage monitoring for signs of decompensation: syncope, chest pain, or worsening dyspnea (Ommen et al., 2024).

Discuss sudden cardiac death risk

Counsel the patient on how to recognize symptoms of supraventricular tachycardia (SVT)

System: Pulmonary

Diagnosis (Problem): exertional dyspnea (cardiac origin)

Pending diagnostics: none

Pharmacological interventions: none

Supportive care:

Encourage the patient to rest in an upright position during episodes of dyspnea

Restrict activity to resume low-intensity activity only after being cleared by cardiology (Ommen et al., 2024).

Encourage the patient to monitor for wheezing, orthopnea, decreased exercise tolerance, and paroxysmal nocturnal dyspnea (PND) and seek urgent care.

Avoid triggers such as overexertion or dehydration

System: Gastrointestinal

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: none

Supportive care:

Discourage large meals before activity/exercise

Discuss the effects of caffeine & energy drinks on the cardiac rhythm (Marcus, 2023).

Encourage patient and family to adopt a healthy diet; avoid energy drinks and reduce

processed foods.

System: Genitourinary

Diagnosis (Problem): deferred

Pending diagnostics: renal panel before initiation of medications

Pharmacological interventions: none at this time

Supportive care:

Encourage hydration

Close monitoring of renal function every 3-6 months after initiation of medications.

System: Hematology

Diagnosis (Problem): risk of sudden cardiac death (family history)

Pending diagnostics: none

Pharmacological interventions: none at this time

Encourage genetic testing in first-degree relatives (Ommen et al., 2024).

System: Endocrine

Diagnosis (Problem): high intake of caffeine in an adolescent male

Pending diagnostics: none

Pharmacological interventions: none

Supportive care:

Reinforce the need to balance nutrition and getting enough sleep

Encourage the patient to eliminate consumption of energy drinks (Marcus, 2023).

System: Infectious Disease

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: none

Supportive care:

Encourage the patient to maintain routine annual vaccinations

System: Integumentary

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: N/A

Supportive care:

Encourage close monitoring of skin changes with medication side effects

Disposition: The patient is stable to be discharged home to follow up with a cardiologist in 1 week. Patient and family have been educated on the warning symptoms to seek emergency care: chest pain, syncope, worsening or new dyspnea, or palpitations exceeding 10 minutes. Patient and family have also been educated about the risk of sudden cardiac death.

References

Ommen, S. R., Ho, C. Y., Asif, I. M., Balaji, S., Burke, M. A., Day, S. M., & Waldman, C. B. (2024). 2024 AHA/ACC/AMSSM/HRS/PACES/SCMR guideline for the management of hypertrophic cardiomyopathy: A report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology, 83(23), 2324-2405. https://doi.org/10.1016/j.jacc.2024.02.014

Marcus, G. M. (2023). Coffee’s effects on cardiac arrhythmias, physical activity, sleep and serum glucose: Insights from the Coffee and Real‐time Atrial and Ventricular Ectopy trial. Clinical and Translational Medicine, 13(8), e1348. https://doi.org/10.1002/ctm2.1348