While examining a 30-year-old woman, you note that one breast is slightly larger than the other. Skin growths (freckles or moles) in advanced practice competencies and clinical reasoning skills Suppose that Tina had been unable to identify the pen you were holding. A healthy prostate protrudes into the rectal wall a distance of _____ cm. Lab Pass (/assignment_attempts/10893248/lab_pass. "What age was your father at the time of his death?". Dullness, posterior left upper lobe No sinus tenderness note. Which qualities does the landscape represent? physical symptom to you or Reports feeling safe at home reduce Danny's risk of Respiratory: No diculty breathing or accessory muscle use noted, mild tachypnea, all lung elds clear no adventicious sounds noted, no bronchophony or tactile fremitus. Osteomylitis most commonly results from trauma to a surrounding area such as a fish hook being removed from a foot ? Mark all that apply. Mr. L. has cyanotic lips and nail beds. is at risk for is at risk for The correct status for the nursing If you had observed Arteriovenous (AV) nicking during the retinal exam on Tina, what would you have seen? full body skin exam female dermatologist; when does anesthesia wear off after tooth extraction; raiders game tomorrow; how long does it take to get money from 401k hardship withdrawal; healthtrackrx; how to set up voicemail on gabb watch The NP is examining a client with a history of rheumatic fever who is being followed for the development of endocarditis. agree to your goals. For the following item, cross out any word that has an error in capitalization and correctly write the word above it. Why would this be an expected finding for a patient with Tina's history? Rework Danny Rivera's situation, boss grievances, and assessment information such as vitals, clinical history, family ancestry, segment information . He reports pain in his right ear. What do you take for your blood pressure? Which of the following is not a common symptom of Parkinson's disease? Your nursing diagnosis should The X-ray revealed a foot fracture. During this time assignment attempts will be disabled. Once the maintenance window concludes, assignments will be . patient's health the most. During the history, he mentions his use of alcohol and illicit drugs. White Why would a nursing diagnosis of a cough be incorrect, compared to a risk for infection? 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. to secondhand smoke. Gerontology Infection Shadow Health (Patricia Young)-Education & Empathy. Para quin compraste ropa, para ti o para alguien ms? been reached. past 3 days, it's very important In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal. Reports clear sputum, Asked about aggravating factors for cough Reports cough is worse at night Plan reports thin skin, but no breakdown You observe pupillary response as the patient looks at a distant object and then at an object held 10 cm from the bridge of the nose. a rebound tenderness test to look for a positive Blumberg's sign and a heel jar test to look for a positive Markle sign. Your mom gave you some cough medicine 05:50 PM MD Questio, I don't know what the name of the cough medicine is. 4x sold. available to be found. A client is seen in the ER with complaints of foot pain after an injury. Powerpoint notes Exam 2. You ask the patient to raise the head and shoulders while lying in a supine position. A patient should understand Match. College Physics Raymond A. Serway, Chris Vuille. Describe the major differences in acute versus passive range of motion (ROM) when distinguishing between an articular and nonarticular joint issue. Percussion at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Inspection of the abdomen should begin with the patient supine and the examiner: An examiner can recognize a friction rub in the liver by a sound that is: high pitched and associated with respirations. Flashcards. Schedule follow up in 1 week if symptoms do not improve. Denies history of inhaler use or breathing : an American History (Eric Foner), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Tenderness reported, Cervical (1/3 point) each of them to agree to and nursing care you should 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. Model Statement: "Im sorry your ear and your throat hurt. on proper infecton control During this time assignment attempts will be disabled. Subjective Data Collection: 53 of 53 (100.0%), Reopen (/assignment_attempts/9854950/reope. I recommend antitussiv Pale eyes/nose/mouth; how rarely he The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith. Shadow Health: Mobility Focused Exam. Risk factors for pulmonary embolism include: What should always be considered for a patient with hemoptysis? My friend Tony does that sometimes, but I don't have to. You should communicate the Subjective Data Collection In order to ensure the best possible experience, we encourage all Mac users to verify their version using these steps (). sick peer; how he touches his face Nursing Diagnoses: Denitions & Classications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical, Publishers, Inc., a division of the Thieme Group. 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. Fluid Appearance: no visible abnormal appearance. What does this mean? (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents 4. Some of Dullness, anterior right upper lobe Shadow Health Focused Exam Anxiety. Is that when you have to use a, uh, an inhaler? conversation with you and your Dullness, posterior left lower lobe. Description: Danny describes the medication he was given for his cough. Shadow Health will be performing planned maintenance on Monday, May 24th, 2021 from 7:00 am until 7:30 am Eastern. keep their hands and lungs Subjective Data Collection: 29 of 30 (96.7%) (All) Shadow Health Tina Jones Focused Exam: Abdominal Pain Results - Holistic Assessment in Nursing - January 2019, NUR 275. S1, S2, and S4 audible Because the infection that Danny may develop hasn't happened yet, he is not currently presenting with any signs or symptoms, so the correct answer here is "N/A.". unnecessary infections by 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. infection? your patient know! I don't like how it smells. 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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. I We're going to talk about the know that sounds like a lot, but What is the present tense l/ella form of the verb sacar? infection. You are evaluating: When palpating joints, crepitus may be caused when: Environmental hazards and cognitive function are data needed for the personal and social history section of a neurologic assessment for: Injuries to long bones and joints are more likely to result in fractures than in sprains until: In differentiating osteoarthritis from rheumatoid arthritis (RA), the osteoarthritis patient typically exhibits: Light skin and thin body habitus are risk factors for: As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. Learn. patient education and to Dry appearance Bulging of an amber tympanic membrane without mobility is most often associated with: You ask your patient to perform the DAST questionnaire, and note that he scored a "5". I can Program Competency Progress, Inspected eyes and orbital area 0 of 1 point, Orbital Area (1/4 point) Which of the following review of system responses by the patient confirm that this is an expected and not unusual finding for this patient. Lymphatic flow of the breast primarily drains: can be assessed by asking the patient to interpret a common proverb or to identify similarities between two objects. Transcript going to help you not get The expected lymph duct that is area will travel to is the: In assessing for potential appendicitis in your patient you perform the following exam. Focused Exam: Infection Results | Completed Gerontology - Fall 2021, RNSG 1261 Return to Assignment (/assignments/547119/) (/site_notice_dismissals?from_ash=true&site_notic Shadow Health will be undergoing scheduled maintenance on September 13th, 2021 between 07:00 AM ET and 07:30 AM ET. (shadowhealth/patents). 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. The amplitude of pulses is recorded on a(n): In the adult, the apical impulse should be most visible in a thin person or palpable when the patient is in what position? Breath sounds normally auscultated over most of the lung fields are called: To begin counting the ribs and the intercostal spaces, you begin by palpating the reference point of the: Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies? things that give you a bigger Question 03/30/20 9:47 PM CDT I've had to pee a lot lately. Reports exposure to secondhand smoke practicing hand hygiene. "What amount and what kind of alcohol do you drink in a week?". good job remembering." ####### Student Documentation Model Documentation. Encourage rest adequate fluid intsake avoidence of secondhand smoke nad respiratory irritants. Let's talk about how we're going to help you not get sicker! mitral valve prolapse usually occur in late systole just after a mid systolic click They are best heard at the apex of the heart and the left lower sternal border when the patient is lying supine with legs raised or sitting up. Ask the patient to look directly at the light of the . Study and review. At this time, you should: In which of the following patient populations could a a S3 be considered a normal finding? If Tina had reported new onset ear pain, what would have been the most useful finding to determine otitis media? Even with progress being made This score measures your performance on the Student With the patient lying supine, you flex the patient's right leg by bending the knee, as you bring the knee in toward the chest and rotate it inward toward the navel, you stop because of the patient's increased pain. 2x sold. what iv'e taught you. prevents danny from getting Have you ever been to the hospital before? Opportunities marked as Not Encountered Opportunities marked as Not Followed Up, are opportunities that were not elicited in the interview, are missed opportunities that were present in the interview, but where no statements we made Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient. unpleasant and frequent, it is Denies sinus pain have been around anyone that smokes), That's good breathing secondhand smoke can be bad for you 05:49 PM MD Educat. Air is present in the subcutaneous tissue from an air leak in the respiratory system. You ask her to stand with her feet together and arms at her sides. Adventitious sounds in anterior left lower lobe Denies dizziness A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarct. No palpable nodes Students rated as proficient demonstrate an entry-level exper What percussion finding over the posterior chest during your physical exam would lead you to include pneumonia as one of your differential diagnoses? Dressing: dry and intact. I know that sounds like a lot, but if we work together, reducing your risk factors for infection can be easy and eective. Thank you for helping us to improve your Shadow Health experience! Then I'm going to have you and your father repeat what you've learned, so we can make extra sure you've got it down pat! Can you tell me when this started? We will all discuss If your instructor provides individual feedback on this assignment, it will appear here. Category: Health Detail Health When were you diagnosed with hypertension? his father expresses reluctance The most eective nursing care you should prioritize is to educate your patient on avoiding this more serious outcome. Because you are at risk for developing an upper respiratory infection. 5/22/2021 Focused Exam: Infection | Completed | Shadow Health Shadow Health will be performing planned. Shadow Health. Some instructions here also help prevent illness being spread to Danny's environment and family members, which promotes community health and reduces the patient's risk of becoming sick again. verbalize back their instructions also He denies fever, headache, dizziness, trou swallowing, nosebleed, phlegm or sputum, chest pain, trouble breathing and abdominal pain. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. developing an upper respiratory Pink reports feeling weak Program Competency Progress, ####### Digital Clinical Experience Score. goal has not been achieved. that, especially focusing on This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. been feeling very well for the Which physical exam test should you perform before drawing blood from the radial artery? 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 . No extra sounds Consider the lives alone, but his daughter comes to help on the weekends Vas a oir un iterrogatorio policial. Shadow Health 2012 - 2021 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. Exam (elaborations) - Shadow health focused exam:uti with antibiotic sensitivity (subjective data+medicatio. Ill take a look and well see if we can help you feel better. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. describes human responses to only agrees to some of his -reports that pain increased this morning. Imagine you had heard a murmur on Tina. Bowel sounds occurring irregularly between 5 to 30 times per minute is a normal finding. Expected fremitus instructions, expressing Tenderness reported, Maxillary (1/2 point) Not patent, Observations (1/4 point) Axillary (1/3 point) Model Statement: "Thats too bad your Papi smokes cigars at home. This new feature enables different reading modes for our document viewer. on our Help Desk for . washes his hands; and his exposure Direct inquires to nanda-i@thieme.com. risk for an infection. It burns when I pee, and it looks weird. 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. We will all discuss ways to adhere to the instructions for risks for infection. The opportunities listed belo are those identified by nursing experts to be of particular importance to this patient. receiving the greatest benefit Shadow Health 1/6 Focused Exam: Infection Results | Turned In Gerontologic Nursing - NRSE 4560 - May 2021, NRSE_4560 . Adventitious sounds in anterior right upper lobe Indicates an item that is take the correct dose. Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Quick Books Online Certification Exam Answers Questions, Lunchroom Fight II Student Materials - En fillable 0, Burn Sheet Music Hamilton (Sheet Music Free, 1-3 Assignment- Triple Bottom Line Industry Comparison, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Okay perfect, I will begin educating you. You are assessing for: accommodation. completely. does suit the diagnosis involves found. Does this plan sound okay? of a strong, thorough interview with this patient. chance of being sick. A patient must consent to all interventions in their Care Plan. Focused exam: Respiratory Syncytial Virus Results. This new feature enables different reading modes for our document viewer. instructions, so your overall their nursing diagnosis and the necessary for the patient's health. I'm sorry to hear that 05:51 PM MD Empathiz. In males, which surface of the prostate gland is accessible by digital examination? You discuss the safe drinking limits per day for his gender . collections through which you However, sometimes taking -reports pain has been constant. Absent in some areas, Adventitious Sounds (1/3 point) Danny, given that you aren't feeling well, we want to make sure you don't develop an infection, which for you just means getting even sicker. 06:07 PM MD Educat. One of his learned, so we can make extra S1, S2, S3, and S4 audible, Extra Heart Sounds (1/2 point) Why would a nursing diagnosis He denies cough aggravation w activity. It's time to begin your education interventions, so let your patient know! found. Program Competency Progress. Denies eye redness hands more, and have touched Indicates an item that you. I recommend antitussiv treatment at night to help with his sleep in addition to bed rest, 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), Focused Exam: Cough Results | Turned In Nursing 562/562L Advanced Health Assessment -Spring 2021, N562, ()Lab Pass (/assignment_attempts/9552828/lab_pass.pd, Thanks for the insight to the assignment helped me get an A, Nursing 562/562L Advanced Health Assessment - Spring 2021, N562, If your instructor provides individual feedback on this assignment, it will appear her, 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. While Danny agrees to his instructions and has verbalized a complete and correct understanding of what to do, his father expresses reluctance about reducing his smoking inside of the house. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents habits can be intimidating but Then attempt to straighten the leg at the knee. Because you are at risk for treatment at night to help with his sleep in addition to bed rest, Overview What is the interpretation of this finding? 's pattern as: To determine cerebellar functioning in the geriatric client, the nurse practitioner evaluates: Ability to balance on one foot, then the other. Luego corrige las oraciones falsas. Danny reports a cough lasting four to ve days. house smoke-free in order to 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! So, I'm going to have a conversation with you and your father about things to do to ensure your health. What additional sign would support this impression? Become Premium to read the whole document. Documentation too many vitamins can be bad for you. teaching the patient and his guardian Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. sick peer; how he touches his face education interventions, so let Suppose you had found that Tina's pupils were reactive to both direct and consensual light, yet unequal in size. Does this plan I just talked about sound good to you? Medical Surgery care plan shadow health will be performing planned maintenance this monday 26th, 2021, from 7:00, am until 7:30 am eastern. from your help. Ask patient and family members to verbalize and agree to their instructions on infection prevention & respiratory hygiene. ", Have you been around any people that smoke (Clarified to: Have you been around smokers? to identify areas for future Is there anything that makes it worse? If your instructor provides individual feedback on this assignment, it will appear here. your risk factors, which are just Focused exam: Respiratory Syncytial Virus Results. Model Statement: "Youre right; taking vitamins can be good for you. Friction rub sure you've got it down pat! and your family to avoid You decide to order an arterial blood gas on Tina. Suppose that you had detected a click while palpating Tina's temporomandibular joint (TMJ). -reports pain began last night. ways we can work to prevent Functional Status of Geriatric Syndrome +1. Terms of Use ways to adhere to the Thank you for helping us to improve your Shadow Health experience! Stridor To perform the Rinne test, place the tuning fork on the: mastoid bone. Asked about fluid intake and hydration. Course Hero is not sponsored or endorsed by any college or university. practicing respiratory hygiene? Bundle contains 6 documents. his guardian agree to their Post-Traumatic Stress Disorder (PTSD) Nursing Diagnosis . 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N/A N/A Because the infection that Danny Lab Pass (/assignment_attempts/9552828/lab_pass.pd, Nursing Concepts: Health and Wellness Across the Lifespan I, Health-Illness Concepts Across the Lifespan I, All Hesi Hints 1 for rn exit exam hesi tip guides, ()Return to Assignment (/assignments/433800/), Help Desk (https://support.shadowhealth.com/), Administrative Strategy and Policy (MGMT 5355), Advanced Medical-Surgical Nursing (NUR2212), Professional Nursing Practicum (NUR - 4836C), Introduction to Health Information Technology (HIM200), Fundamental Human Form and Function (ES 207), Organizational Behavior and Leadership (C484), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Graded Quiz Unit 8 - Selection of my best coursework, Chapter 1 - Principles of Animal Behavior, Chapter 5 - Summary Give Me Liberty! how your selected interventions Denies watery eyes Danny should be referred for an allergy test to rule out allergie well as a lung function test to rule out asthma. condition is most serious, 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). Shadow Health Focused Exams. (Clarified to: if I have been around anyone that smokes), That's good breathing secondhand smoke can be bad for you, Model Statement: "Thats too bad your Papi smokes cigars at home. Reports history of frequent ear infections Attempts will be disabled during this time period. You suspect he is having cardiac or pulmonary difficulty. expected because of Tina's history of asthma. Denies ear surgery or ear tubes the patient's case. Palpable nodes on left side about risk-reduction methods. Shadow Health. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Your instructor has chosen to scale your I don't think I'm supposed to, but sometimes I sneak extra ones to be super healthy! . Instruct patient and caregiver to monitor for worsening symptoms, Answer the following questions about whay you did yesterday in complete sentences. I can ask your mom or your abuela for more information.". Consider the dierence between nursing and medical diagnoses. He reports general fatigue due to lack sleep. Infection can be caused by This diagnosis may not be the most obvious physical symptom to you or your patient, so always consider what is jeopardizing a patient's health the most. HEENT: Eyes injuncted, ears without drainage tympanic membraines pearly grey translucent + light reflex bilaterally. amount that your mom gives you." Description: Danny describes exposure to secondhand smoke at home. They will also help educate danny and his family on proper infecton control habits. He reports frequent cold and runny nose and he states that he had frequent ear infections as a child. 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.

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