Grace is a 32 year old single Chinese Female who presents with a…

Question Grace is a 32 year old single Chinese Female who presents with a… Grace is a 32 year old single Chinese Female who presents with a non-tender lump under her left arm.  She noted it 2 weeks ago during SBE.  She also reports fatigue, scratchy throat, low grade fever and occasional night sweats. She has been off of her BCP for 1 year. Her last GYN exam was 2 years ago. She was sexually active until 4 weeks ago, when she did have unprotected vaginal intercourse. Grace is an international computer analyst.  She usually travels to Singapore.  Her latest trip was 4 weeks ago; she works 14 hours a day. No allergies; no medications; no chronic health problems.  No surgeries.  One glass of wine per day; 10-12 cups of coffee per day. ROS: OB/GYN:      menses @ age 13; g0 p0 a0; has never had a mammogram                     hx of genital herpes in 1998 with outbreaks 1-2 times/year;                     no Acyclovir needed in the past 6 months; she currently denies                     dysuria, frequency, vaginal d/c or painful intercourse PE:VS:                98.4-68-18    110/60          5’6″    130#General:      Pleasant female; NADHEENT:          normocephalic; PERRLA; no evidence of retinopathy; throat clear;                     tm’s unremarkableNeck:           bilateral posterior [multiple] palpable cervical lymph nodes; 1-2 cm.                      in size; no thyromegaly Lungs:          CTA a/pHeart:           RRR; no clubbing, cyanosis or edema; no m/g/rBreast:          left axillary node 3 cm.; nontender; mobile no other lymphadenopathy; no breast mass, no discharge no nippleinversionAbdomen:   spleen 2 cm. below left costal margin; no hepatomegaly;                     BS X 4 quadrants; bilateral inguinal lymph nodes, enlarged                      2 cm.          Questions:AssessmentMedical Diagnoses     Differential Diagnoses   Nursing Diagnosis/Health Maintenance or Social issue   Initial Treatment Plan Diagnostics/Laboratories [List any additional diagnostics or lab tests you believe are needed]    Rxs [Identify initial prescriptions, referrals, nonpharmacological medical treatments needed] __Nursing Interventions / Education [cite follow-up and specific health promotion and education needs]    Health Science Science Nursing NURS 6090 Share QuestionEmailCopy link Comments (0)