Carefully read the assignment guidelines and rubric. Review the…

Carefully read the assignment guidelines and rubric. Review the scenarios provided in an announcement by course faculty and address the following.
1. For each scenario:
a. Using the information provided, determine if the results indicate an obstructive, restrictive, or mixed pattern of deficit.
b. Determine whether the pattern is reversible or non-reversible. Grade the severity of the disorder using the GOLD guidelines as appropriate.
c. Provide the most likely diagnosis for the client.
2. For each client, list one treatment strategy including rationale.
3. Include a scholarly source in your rationale. The same scholarly source may be used to support each scenario if relevant. Include a matching reference for each cit.
NR601 Week 2 PFT Assignment:
Fully describe your answers in the response boxes in the worksheet in sentences. One-word answers are not acceptable.
Nurse Practitioner Scholarly Evidence for Best Practice Clinical Decisions:
· GOLD 2023 Clinical Practice Guidelines
· GINA 2022 Clinical Practice Guidelines
· U.S. Provider (NP, PA, MD, DO) Journal Articles
#1
MS, your 62-year-old male patient, missed his last annual appointment scheduled 6 weeks ago. Today, he describes his cc as SOB with ADL’s. He also reports coughing for the past 2 months when he wakes up in the morning. He states he clears his throat frequently. PMH HLD (Tricor 145mg daily), HTN (Olmesartan 20 mg PO daily). Smoked cigarettes for 2-3 years in 20’s.
Post bronchodilator spirometry results
Test Result (% Predicted) % Change
FEV1/FVC 60 4
FEV1 61 3
FVC 62.8 4
#2
Your next patient has a 1 pack day history for 25 years. BV has bilateral crackles when you assess his lungs. BV states he had a recent hospital admission for shortness of breath, productive cough, & weakness. He was diagnosed with an upper respiratory infection. He has been home for 2 days and still feels fatigue. He was on a course of antibiotics during admission.
Post bronchodilator spirometry results & CXR
Test Result (% Predicted) % Change
FEV1/FVC 50 7
FEV1 50 8
FVC 50 6
CXR: Impression – Hyperinflation
#3
LZ is a 77-year-old male, presenting for evaluation of a productive cough for 6 weeks. He reports he has never smoked or used tobacco products but his wife smoked in the house for about 25 years, during their 40-year marriage. She quit smoking in the house about a year ago. LZ was employed in agriculture for 50 + years.
Post-bronchodilator spirometry test
Test Result (% Predicted) % Change Result
FEV1/FVC 64 4
FEV1 62 3
FVC 61 6
Scenario 1:
Questions Answers
Interpretation of results
Interpretation of reversibility/GOLD severity grading
Most likely diagnosis
Treatment strategy with rationale
Scenario 2:
Questions Answers
Interpretation of results
Interpretation of reversibility/GOLD severity grading
Most likely diagnosis
Treatment strategy with rationale
Scenario 3:
Questions Answers
Interpretation of results
Interpretation of reversibility/GOLD severity grading
Most likely diagnosis
Treatment strategy with rationale
References