solved: Case Scenario 

Question Answered step-by-step Case Scenario A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.  Questions to Address: The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described. The physiologic response to the stimulus presented in the scenario and why you think this response occurred. The cells that are involved in this process. How another characteristic (e.g., gender, genetics) would change your response.    Sample Reference Cho, K. H., Port, G. C., & Caparon, M. (2019). Genetics of Group A Streptococci. Microbiology spectrum, 7(2), 10.1128/microbiolspec.GPP3-0056-2018. McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.  Rubric for Discussion  Excellent Good Fair Poor  Main Posting 45 (45%) – 50 (50%) Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.  Supported by at least three current, credible sources.  Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%) Responds to the Discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.  At least 75% of post has exceptional depth and breadth.  Supported by at least three credible sources.  Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%) Responds to some of the Discussion question(s).  One or two criteria are not addressed or are superficially addressed.  Is somewhat lacking reflection and critical analysis and synthesis.  Somewhat represents knowledge gained from the course readings for the module.  Post is cited with two credible sources.  Written somewhat concisely; may contain more than two spelling or grammatical errors.  Contains some APA formatting errors. 0 (0%) – 34 (34%) Does not respond to the Discussion question(s) adequately.  Lacks depth or superficially addresses criteria.  Lacks reflection and critical analysis and synthesis.  Does not represent knowledge gained from the course readings for the module.  Contains only one or no credible sources.  Not written clearly or concisely.  Contains more than two spelling or grammatical errors.  Does not adhere to current APA manual writing rules and style. Main Post: Timeliness 10 (10%) – 10 (10%) Posts main post by Day 3. 0 (0%) – 0 (0%) N/A 0 (0%) – 0 (0%) N/A 0 (0%) – 0 (0%) Does not post main post by Day 3. First Response 17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings.  Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.  Demonstrates synthesis and understanding of Learning Objectives.  Communication is professional and respectful to colleagues.  Responses to faculty questions are fully answered, if posed.  Response is effectively written in standard, edited English. 15 (15%) – 16 (16%) Response exhibits critical thinking and application to practice settings.  Communication is professional and respectful to colleagues.  Responses to faculty questions are answered, if posed.  Provides clear, concise opinions and ideas that are supported by two or more credible sources.  Response is effectively written in standard, edited English. 13 (13%) – 14 (14%) Response is on topic and may have some depth.  Responses posted in the Discussion may lack effective professional communication.  Responses to faculty questions are somewhat answered, if posed.  Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 12 (12%) Response may not be on topic and lacks depth.  Responses posted in the Discussion lack effective professional communication.  Responses to faculty questions are missing.  No credible sources are cited. Second Response 16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings.  Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.  Demonstrates synthesis and understanding of Learning Objectives.  Communication is professional and respectful to colleagues.  Responses to faculty questions are fully answered, if posed.  Response is effectively written in standard, edited English. 14 (14%) – 15 (15%) Response exhibits critical thinking and application to practice settings.  Communication is professional and respectful to colleagues.  Responses to faculty questions are answered, if posed.  Provides clear, concise opinions and ideas that are supported by two or more credible sources.  Response is effectively written in standard, edited English. 12 (12%) – 13 (13%) Response is on topic and may have some depth.  Responses posted in the Discussion may lack effective professional communication.  Responses to faculty questions are somewhat answered, if posed.  Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 11 (11%) Response may not be on topic and lacks depth.  Responses posted in the Discussion lack effective professional communication.  Responses to faculty questions are missing.  No credible sources are cited. Participation 5 (5%) – 5 (5%) Meets requirements for participation by posting on 3 different days. 0 (0%) – 0 (0%) N/A 0 (0%) – 0 (0%) N/A 0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days.  Health Science Science Nursing NURS 6501 Share QuestionEmailCopy link Comments (0)

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