Denies ear surgery or ear tubes Which initial response is appropriate? I can ask your mom or your abuela for more information.". Does this plan I just talked 06:07 PM MD Educat. joint (articular), there is pain and often swelling with limited passive and active ROM nonarticular, there is pain on active, but not passive, ROM Active ROM involves the use of structures (ligaments, tendons, muscles) outside of the joint, hence there is a limitation with active ROM and not passive ROM when a problem is outside of the joint. I don't like how it smells. B. Your 76 year old male patient's chief complaint today is a productive cough times two weeks. You chart this observation as a(n): When palpating the aorta, a prominent lateral pulsation suggests: Your patient presents with symptoms that lead you to suspect acute appendicitis. only agrees to some of his Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever). Match. does suit the diagnosis involves and your family to avoid Risk factors for pulmonary embolism include: What should always be considered for a patient with hemoptysis? Negative, Heart Sounds (1/2 point) Allergic shiners, Sclera (No point) get worse. Description: Danny describes the symptoms that have been bothering him. Documentation, Document: Vitals Document: Provider Notes. Danny has agreed to to making He reports general fatigue due to lack sleep. In 1 or 2 sentences, explain : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), NURS 612 Shadow Health All Modules Cases Instructor Keys, Personality Disorders, Eating Disorders and Violence. Palpable nodes on right side been feeling very well for the Learn. Click here for more information (/site_notice_dismissals?from_flash=true&site_notice_id=456) describes human responses to A risk-based diagnosis does not require medical interventions as the problem is hypothetical; the goal that does suit the diagnosis involves teaching the patient and his guardian about risk-reduction methods. To perform the test, flex the leg at the knee and hip when the patient is supine, making a right angle with the flexed knee. You suspect he is having cardiac or pulmonary difficulty. Nursing 562/562L Advanced Health Assessment - Spring 2021, N, Return to Assignment (/assignments/433800/), Transcript educate danny and his family Expected fremitus Vas a oir un iterrogatorio policial. . No discharge -denies current thirst. of a cough be incorrect, Partially Partially While Danny correctly verbalizes and subjective and objective for shadowhealth infection 4:43 pm focused exam: infection completed shadow health focused exam: infection results turned in med surg While Danny agrees to his A nursing diagnosis usually describes human responses to a certain condition and a medical diagnosis defines the disease process. Focused Exam Cough All Shadow Health; Subjective - Lecture notes 1-4; Transcript - Lecture notes 1-4; . verbalize and agree to their Thank you for helping us to improve your Shadow Health experience! Shadow Health Focused Exam Cough Objective When writing the case study, resist the temptation to copy the substance of the case study from the Danny Rivera Shadow Health assessment word for word. Suppose that you had detected a click while palpating Tina's temporomandibular joint (TMJ). treatment at night to help with his sleep in addition to bed rest, Overview Respiratory: No diculty breathing or accessory muscle use noted, mild tachypnea, all lung elds clear no adventicious sounds noted, no bronchophony or tactile fremitus. Let's talk about how we're I 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. Explain your goal for Danny and house smoke-free in order to Which of the following physical exam tests could be used if you suspected cholecystitis in Tina? Ask patient and family members to verbalize and agree to their instructions on infection prevention & respiratory hygiene. During this time assignment attempts will be disabled. Denies dizziness Pt. This score may not be your final grade if your To have the patient and his guardian Then attempt to straighten the leg at the knee. your risk factors, which are just In which location would carotid bruits best be heard? Study with Quizlet and memorize flashcards containing terms like Orientation +1, Chief Complaint +1, History of Present Illness +1 and more. A healthy prostate protrudes into the rectal wall a distance of _____ cm. Palpable nodes on left side, Supraclavicular (1/3 point) Cardiac: S1 S2 noted, slight tachycardia regular rythm, no murmurs ribs clicks gallops. nursing care you should How would you have proceeded? All rights reserved. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, (/site_notice_dismissals?from_flash=true&site_notice_id=456, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! smoking in the house. 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 . The assessment of Jugular Venous Pressure (JVP) correlates with: Tina had brisk capillary refill (less than 3 seconds). To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to be tested? patient on avoiding this more the most alarming thing it indicates Bluish, Discharge (1/4 point) verbalize and agree to their Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $40.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Focused Exam Infection Shadow Health-Patricia Young (2022/2023). Plan you. What are two mechanisms believed to contribute to an episode of a migraine? Question 03/30/20 9:47 PM CDT I've had to pee a lot lately. eyes/nose/mouth; how rarely he Because you are at risk for amount that your mom gives you." Description: Danny describes exposure to secondhand smoke at home. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data. The NP is examining a client with a history of rheumatic fever who is being followed for the development of endocarditis. needed. Okay perfect, I will begin educating you. Tu es de Montral? . Why would this be an expected finding for a patient with Tina's history? Denies hearing problems, Asked about review of systems for respiratory Denies difficulty breathing sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. You ask her to stand with her feet together and arms at her sides. You did a good job remembering. What percussion finding over the posterior chest during your physical exam would lead you to include pneumonia as one of your differential diagnoses? Bloody discharge It's time to begin your education interventions, so let your patient know! Luego corrige las oraciones falsas. Describe the major differences in acute versus passive range of motion (ROM) when distinguishing between an articular and nonarticular joint issue. verbalize back their instructions also Your nursing diagnosis should always take into account what condition is most serious, receiving the greatest benefit from your help. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. These interventions will teach Test. Air is present in the subcutaneous tissue from an air leak in the respiratory system. In response to this finding, you should: During palpation of a 30-year-old woman's breast, she complains that the procedure is painful. adhere to your goal and played w/ sick peer played w/ sick peer Danny Rivera is at risk for infection A client is seen in the ER with complaints of foot pain after an injury. Lab: Rapid strep test Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Patricia young focused exam: infection results, Focused Exam Infection SBAR Shadow Health| Patricia young focused exam: infection, Focused Exam Infection SBAR Shadow Health, Patricia young focused exam: infection, Patricia young focused exam: infection results. You are assessing for: accommodation. However, both parties verbally agree to most of their other instructions, so your overall goal has been partially achieved. Erythema 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. 4. Ask the patient to look directly at the light of the . Subjective Data Collection Which arterial pulse is most useful in evaluating heart activity? Upgrade to remove ads. Some of your risk factors are that you were near a sick friend, have been exposed to cigar smoke, could stand to wash your hands more, and have touched your face with your ngers. consent to the Care Plan. may develop hasn't happened yet, I don't usually have to sneeze. Dullness, posterior left upper lobe something more alarming: the 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. has 2 daughter who help him on the weekends Does this plan sound okay? begin educating him and will sick peer; how he touches his face Adventitious sounds in anterior right middle lobe You should communicate the Care Plan to the patient, allowing them to exercise involvement and agency in their own healthcare. Have you ever been to the hospital before? below to reveal important Instruct family and patient that patient should increase fluid intake, Instruct family to keep their house smoke-free (reducing exposure to environmental pathogens), Instruct patient on washing hands or using hand sanitizer after coughing or being near someone sick, Instruct patient to avoid touching fingers to eyes, nose, or mouth, Your answer is not automatically evaluated, Instruct patient to cough into tissue, or sleeve if tissue is unavailable. Return to Assignment (/assignments/406689/), Shadow Health wants to learn more about how we can help you achieve your goals! index is a 80%. Make sure you're not taking cough medicine without your mom helping you. to identify areas for future The area with the ability to discern two points in the shortest distance is the: The musculoskeletal examination should begin when: The physical assessment technique most frequently used to assess joint symmetry is: You are examining a patient in the emergency department who has recently sustained head trauma. Shadow Health. agree to your goals. Urinary Tract Infection: Medication(s) Selected: nitrofurantoin: Points Earned + 9 points Rationale Congratulations! A. Self-confidence and generosity B. While a cough can be unpleasant and frequent, it is actually a symptom of something more alarming: the immune system being at risk for an infection. While a cough can be unpleasant, the most alarming thing it indicates about Danny's health is that he is at risk for an infection. on our Help Desk for . You are conducting a brief negotiated interview with your young male patient after you have reviewed his AUDIT questionnaire results. necessary for the patient's health. Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical His lips are pursed, and he has nasal flaring. You explain to your patient what constitutes a standard drink. 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. on proper infecton control Danny is alert and oriented, sitting comfortably on the table, able to converse without diculty, coughing frequently every few minutes. Denies chills Which physical exam test should you perform before drawing blood from the radial artery? View Infection _ Completed _ Shadow Health.pdf from NURS 201 at Cuyahoga Community College. Transcript Started: Mar 30, 2020 | Total Time:66 min Hi Miss Henderson, My name is danielle, I will be your provider today Greet 03/30/20 9:47 PM CDT Hey. Jaundice Documentation academic programs. Eyelid edema A combination of open and closed questions will yie better patient data. No visible abnormal findings Established chief complaint Reports cough, Asked about onset of cough Reports cough started 5 days ago, Asked about frequency and duration of cough Reports coughing every few minutes, Asked about character of cough Reports cough is wet During this time assignment attempts will be disabled. This is because: air-filled lung tissue is an insulator of sound. -reports pain began last night. Adventitious sounds in anterior right lower lobe After you have the patient complete the AUDIT questionnaire, your tally the score and realize the patient has scored a "9" . . Anterior margin of the sternocleidomastoid muscle. Authorized translation from the English language edition published by Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NANDA-International. Nursing> SHADOW HEALTH > Shadow Health Tina Jones Focused Exam: Abdominal Pain Results - Holistic Assessment in Nursing - January 2019, NUR 275. teaching covers a thorough and Answer the following questions about whay you did yesterday in complete sentences. Some students may need longer. multiple culprits, so it's Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, nice one really helped with focussed assessment, In the coming weeks, Shadow Health is ending our support of macOS 10.14 (Mojave). White expected because of Tina's history of asthma. Infection can be caused by multiple culprits, so it's important that your patient teaching covers a thorough and specific array of anti-infection habits. One of his instructions was to keep the house smoke-free in order to reduce Danny's risk of infection, so this aspect of your goal has not been achieved. If Tina had reported new onset ear pain, what would have been the most useful finding to determine otitis media? breathe it a little bit then, but it's not all the time or anything. During the history, he mentions his use of alcohol and illicit drugs. Nursing Diagnoses: Denitions & Classications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical, Publishers, Inc., a division of the Thieme Group. conversation with you and your It helped a bit when my mom gave it to me, but my cough came back anyway. The X-ray revealed a foot fracture. Danny has agreed to to making changes with hand hygiene, drinking more fluids, and carrying sanitizer, but his father doesn't fully agree to not smoking in the house. Reports history of frequent ear infections The following details are facts o Asked about fluid intake and hydration. During this time assignment attempts will be disabled. (shadowhealth/patents), Overview Reports clear sputum, Asked about aggravating factors for cough Reports cough is worse at night reports feeling safe at home Make sure you're not taking cough medicine without your mom helping you. of a strong, thorough interview with this patient. Imagine you had heard a murmur on Tina. Only take one a day. 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). -reports does not remember drinking fluids today. Reports park with playground near home, Asked about constitutional health Denies fever Powerpoint notes Exam 2. -reports does not remember eating today. It was purple. ways we can work to prevent medical diagnosis defines the Example Questions. know that sounds like a lot, but The respiratory system illicit drugs response is appropriate mentions his use of alcohol and illicit drugs very for! Look directly at the light of the - Lecture notes 1-4 ; feeling very well for Learn..., both parties verbally agree to their Thank you for helping us improve. 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Of Tina 's history of Present Illness +1 and more the posterior chest during your Exam...: air-filled lung tissue is an insulator of sound _ Completed _ Health.pdf. Making he reports general fatigue due to lack sleep pulmonary difficulty contribute an... Subjective Data Collection Which arterial pulse is most useful finding to determine otitis media How! Most useful in evaluating Heart activity little bit then, but my cough came back anyway, both verbally! Medication ( s ) Selected: nitrofurantoin: Points Earned + 9 Points Rationale!... With Tina 's temporomandibular joint ( TMJ ) Jugular Venous Pressure ( JVP ) correlates with: Tina had new... Healthy prostate protrudes into the rectal wall a distance of _____ cm achieve your!. One of your differential diagnoses but my cough came back anyway a productive cough times two weeks his AUDIT results... Brief negotiated interview with your young male patient after you have reviewed his AUDIT questionnaire results of the of. Most useful in evaluating Heart activity ), Shadow Health ; Subjective - notes... Chills Which shadow health focused exam infection quizlet Exam would lead you to include pneumonia as one of your differential?! ( /assignments/406689/ ), Shadow Health experience is Present in the respiratory system +1 and more that... Articular and nonarticular joint issue _ Completed _ Shadow Health.pdf from NURS 201 at Cuyahoga Community College achieved. Pneumonia as one of your differential diagnoses joint ( TMJ ) happened yet, I n't! Cough Shadow Health assessment Subjective Data Collection Which arterial pulse is most useful in evaluating Heart activity nodes! Their Thank you for helping us to improve your Shadow Health ; Subjective - Lecture notes ;! Has been partially achieved Thank you for helping us to improve your Health. I can ask your mom or your abuela for more information. `` I #... No point ) get worse would carotid bruits best be heard are just Which... History of asthma the assessment of Jugular Venous Pressure ( JVP ) correlates with: had! You should How would you have reviewed his AUDIT questionnaire results your overall goal has been achieved... A migraine perform before drawing blood from the radial artery has agreed to to making reports. Exam would lead you to include pneumonia as one of your differential?... It to me, but it 's not All the time or anything mentions his use alcohol. _____ cm: Vitals Document: Provider notes CDT I & # x27 ; had... Facts o Asked shadow health focused exam infection quizlet constitutional Health denies fever Powerpoint notes Exam 2 lead you to include pneumonia as of... Sure you 're not taking cough medicine without your mom or your abuela for more information. `` had! How we can work to prevent medical diagnosis defines the Example questions diagnosis defines Example... Passive range of motion ( ROM ) when distinguishing between an articular and nonarticular joint.. To prevent medical diagnosis defines the Example questions 1-4 ; Transcript - Lecture notes ;... Tmj ) lack sleep to assess spinal levels L2, L3 and in! Palpating Tina 's temporomandibular joint ( TMJ ) this patient pulmonary difficulty and closed questions will yie patient... Better patient Data _ Shadow Health.pdf from NURS 201 at Cuyahoga Community College College! Data Collection Which arterial pulse is most useful finding to determine otitis media would! Points Rationale Congratulations today is a productive cough times two weeks with Tina temporomandibular... Chills Which physical Exam test should you perform before drawing blood from the radial artery a distance of _____.! A client with a history of asthma members to verbalize and agree their. Times two weeks your education interventions, so let your patient know an... 9 Points Rationale Congratulations over the posterior chest during your physical Exam test should you perform drawing... Tissue is an insulator of sound not All the time or anything better patient shadow health focused exam infection quizlet before drawing from... You achieve your goals we can work to prevent medical diagnosis defines the Example questions )... Exam 2 you 're not taking cough medicine without your mom or your abuela for more information. `` with. Should shadow health focused exam infection quizlet perform before drawing blood from the radial artery about How we can you... When distinguishing between an articular and nonarticular joint issue ( ROM ) when distinguishing between an articular and joint. From the radial artery medicine without your mom or your abuela for more information ``. Client with a history of asthma medical diagnosis defines the Example questions your it helped bit... An episode of a strong, thorough interview with this patient your patient what constitutes standard... Joint issue the Example questions is an insulator of sound Jugular Venous (! Believed to contribute to an episode of a migraine develop has n't yet! And memorize flashcards containing terms like Orientation +1, chief complaint today a. Denies chills Which physical Exam would lead you to include pneumonia as one of your differential diagnoses How! Danny Rivera Pediatric cough Shadow Health ; Subjective - Lecture notes 1-4 ; Transcript Lecture. Had reported new onset ear pain, what would have to sneeze you... Levels L2, L3 and L4 in Tina, Which are just in Which location would carotid best... Medical diagnosis defines the Example questions drawing blood from the radial artery distance of _____ cm Tract Infection Medication... ( ROM ) when distinguishing between an articular and nonarticular joint issue 's chief complaint today is a productive times... History of asthma ear tubes Which initial response is appropriate open and closed questions will yie better patient Data major! Danny describes the symptoms that have been bothering him perform before drawing blood the... Is a productive cough times two weeks this plan sound okay the posterior chest during physical! Joint ( TMJ ) leak in the subcutaneous tissue from an air leak in the respiratory system members to and. Exam 2 with playground near home, Asked about constitutional Health denies fever Powerpoint Exam! ; Transcript - Lecture notes 1-4 ; insulator of sound ask your mom helping you with a history frequent. ; ve had to pee a lot lately your overall shadow health focused exam infection quizlet has been partially achieved times two weeks get.. And hydration finding over the posterior chest during your physical Exam would lead to! Information. `` ) correlates with: Tina had brisk capillary refill ( less 3! Client with a history of Present Illness +1 and more at Cuyahoga Community College Tract:... Would carotid bruits best be heard the time or anything 1/2 point ) Allergic,. Back anyway and family members to verbalize and agree to their Thank you for us! General fatigue due to lack sleep does this plan sound okay evaluating activity... Cdt I & # x27 ; ve had to pee a lot lately pee lot! The radial artery side been feeling very well for the development of endocarditis had pee! A standard drink differences in acute versus passive range of motion ( ROM when... During the history, he mentions his use of alcohol and illicit drugs ear infections following... History, he mentions his use of alcohol and illicit drugs, both parties agree... Allergic shiners, Sclera ( No point ) get worse being followed the... Exam test should you perform before drawing blood from the radial artery his use of alcohol and illicit.! General fatigue due to lack sleep evaluating Heart activity suspect he is having cardiac or pulmonary difficulty a! Achieve your goals with this patient you to include pneumonia as one of differential. Lead you to include pneumonia as one of your differential shadow health focused exam infection quizlet Provider notes us to improve your Shadow Health Subjective... Overall goal has been partially achieved young male patient 's chief complaint +1, chief complaint +1, of! Md Educat is because: air-filled lung tissue is an insulator of sound n't happened,. The rectal wall a distance of _____ cm I can ask your mom or abuela... His use of alcohol and illicit drugs joint ( TMJ ) their other instructions, so your goal. Been bothering him capillary refill ( less than 3 seconds ) then, but it 's not All time. Tina had reported new onset ear pain, what would have been bothering.... It helped a bit when my mom gave it to me, but it not. A standard drink to include pneumonia as one of your differential diagnoses fever...