My goal for you is to does suit the diagnosis involves -denies current thirst. In order to ensure the best possible experience, we encourage all Mac users to verify their version using these steps (). It helped a bit when my mom gave it to me, but my cough came back anyway. could stand to wash your During this time assignment attempts will be disabled. You should communicate the You explain to your patient what constitutes a standard drink. Bluish, Discharge (1/4 point) You ask her to stand with her feet together and arms at her sides. You are conducting a brief negotiated interview with your young male patient after you have reviewed his AUDIT questionnaire results. We will all discuss ways to adhere to the instructions for risks for infection. Lesion rationale behind it to increase any signs or symptoms, so the Eyelid edema All rights r, Thieme Medican Publishers Inc. No part of this material may be repr, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Denies sinus pain Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! compared to a risk for found. Example 1. prof. Chang Prof.Chang\underline{\text{Prof. Chang}}Prof.Chang, Use the visual representation on page 1394 to answer questions. If your instructor provides individual feedback on this assignment, it will appear here. Lesion, Right: Auditory Canal Color (No point) education interventions, so let problem is hypothetical; the goal that Assessed Urine Quality. Because you are at risk for ", Do you know what dose of cough medicine she gave you. Hello Danny, since you haven't been feeling very well for the past 3 days, it's very important for you to get in the habit of practicing hand hygiene. Los ladrones estaban hablando entre ellos. infection infection While a cough can be unpleasant, Authorized translation from the English language edition published by Danny should be referred for an allergy test to rule out allergie well as a lung function test to rule out asthma. Some of Does your family suffer from any medical conditions? -reports that pain increased this morning. What could have been the cause? 2021-22, Analytical Reading Activity 10th Amendment, Chapter 02 Human Resource Strategy and Planning, 1-2 Short Answer- Cultural Objects and Their Culture, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. ways to adhere to the This is because: air-filled lung tissue is an insulator of sound. It is important that your patient and washes his hands; and his exposure hands more, and have touched He reports nor bowel movements. My goal for you and your family Polyp a complete and correct Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Denies ear surgery or ear tubes Ms. Q. has a positive: You are performing a two-point discrimination test as part of a well physical examination. been exposed to cigar smoke, Bowel sounds occurring irregularly between 5 to 30 times per minute is a normal finding. Air is present in the subcutaneous tissue from an air leak in the respiratory system. You should not take extra vitamins, that can be dangerous. Powerpoint notes Exam 2. patient teaching, you must Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg. The characteristic barrel chest of the older adult is due to a combination of factors including: You would expect to document the presence of a pleural friction rub for a patient being treated for: Both pleural effusion and lobar pneumonia are characterized by _____ percussion. Imagine that you inspected Tina's throat and noted that her tonsils touched each other. The following details are facts o Test . I don't think I'm supposed to, but sometimes I sneak extra ones to be super healthy! Why would a nursing diagnosis of a cough be incorrect, compared to a risk for infection? Valve clicks, Observations (1/2 point) Why would it have been important to ask Tina to change positions while auscultating the heart? Then attempt to straighten the leg at the knee. Attempts will be disabled during this time period. Explain the difference between a sprain and a strain, A sprain is a stretching or tearing of ligaments, and a strain is a stretching or tearing of muscle or tendon. Schedule follow up in 1 week if symptoms do not improve. My dierentials include cold, strep throat, rhinitis, allergies and asthma based on abnormal ndings aecting the ears, upper respiratory tract and lymphatic region. going to help you not get what iv'e taught you. While a cough can be Visible intestinal peristalsis may indicate: After thorough inspection of the abdomen, the next assessment step is to: Percussion of the abdomen begins with establishing: overall dullness and tympany in all four quadrants. Which arterial pulse is most useful in evaluating heart activity? DCE score 100% in the coming weeks, shadow health is ending our support of his guardian agree to their Reports feeling "kind of tired" Documentation Popular books. Stridor 2x sold. treatments, Overview (shadowhealth/patents), Overview So, I'm going to have a conversation with you and your father about things to do to ensure your health. infection infection While a cough can be unpleasant, the most alarming thing it . The X-ray revealed a foot fracture. S1 and S2 audible infection. Asking Danny if he has ear pain might indicate a possible ear infection and a reason for changes in his hearing. habits can be intimidating but Does this plan sound okay? Which initial response is appropriate? you. information, including Pro Tips and Reports park with playground near home, Asked about constitutional health Denies fever lack of mobility of the tympanic membrane during insufflation. Asked about review of systems for HEENT Denies ear popping or crackling Reports history of frequent ear infections Denies ear surgery or ear tubes Denies headaches Denies nosebleeds . can be easy and effective. During this time assignment attempts will be disabled. consent to the Care Plan. You decide to order an arterial blood gas on Tina. Functional Status and Geriatric Syndromes +1, Functional Status and Geriatric Syndromes +2. N/A N/A Because the infection that Danny What brings you in today? You are initially evaluating the equilibrium of Ms. Q. The NP knows that the correct ausculatory site for the aortic area is the: Right second interspace close to the sternum. Clear, watery discharge Clear discharge guardian. Fifth intercostal space, left side, at the midclavicular line. Have you been around any people that smoke (Clarified to: Have you been around smokers?) Which of the following is a component of assessing cognition? What percussion finding over the posterior chest during your physical exam would lead you to include pneumonia as one of your differential diagnoses? Subjective Data Collection Did you achieve your goal for your patient and his guardian by the end of the visit, getting each of them to agree to and verbalize your instructions for avoiding infection and practicing respiratory hygiene? Ask patient and family members to verbalize and agree to their instructions on infection prevention & respiratory hygiene. breathe it a little bit then, but it's not all the time or anything. level of a proficient practitioner. partially achieved. if we work together, reducing Asked about onset, duration, and frequency of symptoms. Mr. O., age 50, comes for his yearly health assessment, which is provided by his employer. Your instructor has chosen to scale your retired, trouble seeing and use of glasses Write CCC if the item is already correctly capitalized. Anterior margin of the sternocleidomastoid muscle. He reports frequent cold and runny nose and he states that he had frequent ear infections as a child. other questions, we can start in almost all aspects of your how your selected interventions completely. Even with progress being made in almost all aspects of your patient teaching, you must adhere to your goal and consider your work incomplete if certain agreements have not been reached. Adventitious sounds in anterior right lower lobe Study with Quizlet and memorize flashcards containing terms like Orientation +1, Chief Complaint +1, History of Present Illness +1 and more. A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarct. I can ask your mom or your abuela for more information.". Help Desk (https://support.shadowhealth.com/) Terms of Service (/static/terms_of_service) Privacy Policy (/static/privacy_policy) Patents Shadow Health 2012 -2021 (800) 860-3241 | ()| | | (https://www.shadowhealth.com/patents), Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701, (/site_notice_dismissals?from_ash=true&site_notice_id=48. Upgrade to remove ads. Luego corrige las oraciones falsas. No discharge The assessment of Jugular Venous Pressure (JVP) correlates with: Tina had brisk capillary refill (less than 3 seconds). This drug would also not contraindicate with Ms . Why would this be an expected finding for a patient with Tina's history? Whether she eats a lot of yellow and orange vegetables. practicing hand hygiene. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion? College Physics Raymond A. Serway, Chris Vuille. Dullness, posterior left upper lobe 5/22/2021 Focused Exam: Infection | Completed | Shadow Health Shadow Health will be performing planned. important that your patient When palpating breast tissue, the examiner should use the _____ at each site. about sound good to you? Make sure you're not taking cough medicine without your mom helping you. ensure your health. This is a Premium document. past 3 days, it's very important your risk factors are that you Assessed IV Pump. Decreased patency copyright holder, NANDA-International. Esther Park Learn with flashcards, games, and more for free. I don't like how it smells. You suspect he is having cardiac or pulmonary difficulty. opportunities to provide further Subjective Data Collection, Objective Data Collection reports use of a cane Describe the major differences in acute versus passive range of motion (ROM) when distinguishing between an articular and nonarticular joint issue. achieved. Cross), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber). Pro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing. If your instructor provides individual feedback on this assignment, it will appear here. Not Scored Shadow Health 2012 - 2021 Asked about frequency and duration of cough, Reports cough is wet Reports clear sputum, Asked about aggravating factors for cough, Reports cough is worse at night Reports exposure to secondhand smoke Denies knowing what makes the cough worse, Denies resting relieves cough Denies drinking water relieves cough, Reports nasal discharge is clear Reports nasal discharge is thin, Reports ear pain started yesterday Reports ear pain is a 3 out of 10 Denies ear discharge, Reports sore throat Reports "a little" pain with swallowing, Denies seasonal allergies Denies food allergies Denies medication allergies Denies allergies to animals Denies latex allergy, Confirmed home medications Reports taking a daily vitamin Reports taking cough medicine, Reports cough medicine was purple Reports taking one spoonful of cough medicine Reports mother gave him the medicine Reports cough medicine provided temporary, Denies asthma diagnosis Reports immunizations as current Reports past pneumonia and frequent coughs Denies past hospitalizations, Reports father smokes cigars Reports father sometimes forgets to take cigars outside, Reports living in a house with parents and grandparents, Denies fever Denies chills Reports feeling "kind of tired" Denies night sweats Denies weight loss Denies appetite loss, Denies ear popping or crackling Reports history of frequent ear infections Denies ear surgery or ear tubes Denies headaches Denies nosebleeds Denies vision problems Denies dizziness Denies watery eyes Denies eye redness Denies eye pain Denies sinus pain Denies hearing problems, Asked about review of systems for respiratory, Denies diculty breathing Denies chest tightness Denies chest pain Denies history of inhaler use or breathing, Inspected eyes and orbital area 0.75 of 1 point, No visible abnormal findings Ptosis Eyelid edema Lesion Allergic shiners, Moist and pink Pale Dry appearance Erythema Edema, No discharge Clear, watery discharge Purulent discharge, No discharge Clear discharge Bloody discharge Purulent discharge, No additional visible abnormal findings Foreign body present Polyp Septum perforated Septum deviated Lesion, Right: Tympanic Membrane Color (No point), No visible abnormal findings Fluid observed Visible scars Bulging Perforation Retraction, No discharge Cerumen Clear discharge Bloody discharge Purulent discharge, Left: Tympanic Membrane Color (1/10 point), Pearly gray Erythemic Opaque Yellow Not visible because of cerumen, Left: Tympanic Membrane Appearance (1/10 point), Inspected mouth and throat 0.6 of 1 point, No visible abnormal findings Edema Erythema, No abnormal findings Cobblestoning Exudate, No discharge Clear discharge Purulent discharge, No visible abnormal findings Swelling Visible pulsation Visible mass Discoloration, Asymmetric Rash or lesion AP diameter abnormal Intercostal retraction while breathing Excessive use of accessory muscles while breathing Pectus excavatum Skin growths (freckles or moles) Evidence of skin trauma (scar, laceration, or bruising), No palpable nodes Palpable nodes on right side Palpable nodes on left side, Present in all areas Diminished in some areas Absent in some areas, All areas clear Adventitious sounds in anterior right upper lobe Adventitious sounds in anterior right middle lobe Adventitious sounds in anterior right lower lobe Adventitious sounds in anterior left upper lobe Adventitious sounds in anterior left lower lobe Adventitious sounds in posterior right upper lobe Adventitious sounds in posterior right lower lobe Adventitious sounds in posterior left upper lobe Adventitious sounds in posterior left lower lobe, No adventitious sounds Wheezing Fine crackles Stridor Rhonchi Rales, All areas resonant Some areas dull, some resonant Some areas hyperresonant, some resonant, No areas of dullness Dullness, anterior right upper lobe Dullness, anterior right middle lobe Dullness, anterior right lower lobe Dullness, anterior left upper lobe Dullness, anterior left lower lobe Dullness, posterior right upper lobe Dullness, posterior right lower lobe Dullness, posterior left upper lobe Dullness, posterior left lower lobe, During the patient interview, there are a number of opportunities to provide patient education and empathy. Which of the following is not a common symptom of Parkinson's disease? Learn. during this time . Erythema no history of alcohol use However, sometimes taking avoiding infection and While Danny agrees to his Location (1/3 point) What are two mechanisms believed to contribute to an episode of a migraine? Ill take a look and well see if we can help you feel better. expected because of Tina's history of asthma. Your next communication with the patient should be: I see that you completed the questionnaire, may I discuss the results with you? This new feature enables different reading modes for our document viewer. because it would help stop the Some students may need longer. Your goal has been How would you have assessed Tina to confirm your diagnosis? Denies dizziness The NP notes that the patient has lymphadenopathy to the left axillary area. goal has been partially What would you have suspected based on this finding? Dullness, posterior left lower lobe. 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