The nursing case study

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)What additional findings on the physical exam would you look for?VG is a thirty-one-year-old female who comes in for a routine follow-up.  According to her medical record, she had a TSH level of 4.2 mIL/L about a year ago. Although this is slightly elevated, no further follow-up was deemed necessary at the time._x000D_
Answer the following questions:_x000D_
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1) What additional findings on the physical exam would you look for?_x000D_
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2) What implication does the previous TSH level have?_x000D_
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3) What therapy would you institute?_x000D_
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4) If VG becomes pregnant, what adjustment, if any, would be needed in her thyroid medication?_x000D_
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For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication._x000D_
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    Do integrated computerized nursing records across points of care improve patient outcomes

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    Summarize the research question developed and relate how you would work through the four steps of the data, information, knowledge, and wisdom continuum. Be specific. Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found in your research. This paper needs to include a summary page besides the 3 pages required. Must be APA format._x000D_
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