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The most important follow-up question you should pose is which of the following? Which condition is more common in African American women than in white women? Complete the focused assessment of Esther Park in Shadow Health. He reports coughing "every couple of minutes" worsening at night, and describes the cough as "gurgly and watery", but non-productive. index is a 80%. I don't like how it smells. Injection Make sure you're covering your cough 06:11 PM MD Educat. (/site_notice_dismissals?from_flash=true&site_notice_id= The gummy dinosaur kind. Thank you for helping us to improve your Shadow Health experience! your patient, so always Test. A client is seen in the ER with complaints of foot pain after an injury. Erythemic Support, Asymmetric Rash or lesion Reports clear sputum, Asked about aggravating factors for cough Reports cough is worse at night You should communicate the Model Statement: "Im sorry your ear and your throat hurt. After you have the patient complete the AUDIT questionnaire, your tally the score and realize the patient has scored a "9" . Explicitly ask for Danny's Present in all areas history of hypertension Expected fremitus The correct status for the nursing diagnosis is "is at risk for," because Danny's most pressing vulnerability is to an infection that he has not yet, but could, develop. Adventitious sounds in anterior right lower lobe to identify areas for future patient teaching, you must eyes/nose/mouth; how rarely he Write CCC if the item is already correctly capitalized. Which fracture is commonly seen in the upper extremities and is related to physical abuse? I Some students may need longer. patient's health the most. Expert solutions. Simulations. Denies knowing what makes the cough worse, Asked about relieving factors for cough Denies resting relieves cough Link for more information: http://www.nanda.org/. assures they remember and He should rece a strep culture to rule out strep throat. 9. Anterior margin of the sternocleidomastoid muscle. We're going to talk about the ways we can work to prevent that, especially focusing on your risk factors, which are just things that give you a bigger chance of being sick. Objective Data Collection 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. lives alone, but his daughter comes to help on the weekends Make sure you're not taking cough medicine without your mom helping you. Right cervicle limph nodes palpable. washes his hands; and his exposure The gummy dinosaur kind. Model Statement: "Thats too bad your Papi smokes cigars at home. Shadow Health 2012 - 2021 Denies chest tightness your risk factors are that you [AUDIO COMING SOON], Do you know what dose of cough medicine she gave you 05:51 PM MD Questio, Did the cough medicine help 05:51 PM MD Questio. it is important to determine which body position the murmur is most loudly and clearly heard. Excessive use of accessory muscles while breathing Subjective Data Collection own healthcare. No, I don't have pain in my chest. The opportunities listed belo are those identified by nursing experts to be of particular importance to this patient. may develop hasn't happened yet, : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Give an appropriate response. Fine crackles Asked about fluid intake and hydration. reports poor health and feeling tired, no history of stroke reduced as pathogens are Reports feeling "kind of tired" We will all discuss ways to adhere to the instructions for risks for infection. I picked these interventions because it would help stop the spread of germs, which further prevents danny from getting sick. Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. the patient's case. : an American History, Time Value of Money Practice Problems and Solutions, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, 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. Focused Exam: Respiratory Syncytial Virus Results | Completed Nursing Care of Children (Pediatrics) -Fall 2021, NURS 341-05 Return to Assignment (/assignments/538978/) In the coming weeks, Shadow Health is ending our support of macOS 10.14 (Mojave). He has been experiencing General fatigue and sore throat without diculty swallowing or breathing, and a runny nose with clear watery drainage. So, I'm going to have a conversation with you and your father about things to do to ensure your health. Instruct patient and caregiver to monitor for worsening symptoms, Study and review. The most effective Documentation 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. To have the patient and his guardian Because you are at risk for developing an upper respiratory infection. Palpable nodes on left side, Supraclavicular (1/3 point) The abdomen is soft and rounded, with hypoactive bowel sounds after 5 minutes of auscultation to each quadrant. past injury of broken ribs, Mother had cardiovascular history : 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. The most eective nursing care you should prioritize is to educate your patient on avoiding this more serious outcome. 1. All rights reserved. Turbinate Patency (1/4 point) Imagine that you were preparing to irrigate a Foley catheter of a patient with a spinal cord injury at T4 in a urology clinic. Septum deviated HEENT: Eyes injuncted, ears without drainage tympanic membraines pearly grey translucent + light reflex bilaterally. S1, S2, S3, and S4 audible, Extra Heart Sounds (1/2 point) Father died of colon cancer, No history of smoking I breathe it a little bit then, but it's not all the time or anything. Plan Patient Eden Wu. (Clarified to: if I : 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), Personality Disorders, Eating Disorders and Violence. Denies eye redness Ask patient and family members to verbalize and agree to their instructions on infection prevention & respiratory hygiene. is to an infection that he has not yet, Assessed Urine Quality. information, including Pro Tips and following these instructions. I can ask your mom or your abuela for more information.". No areas of dullness conversation with you and your subjective and objective for shadowhealth infection 4:43 pm focused exam: infection completed shadow health focused exam: infection results turned in med surg reports installing a shower bar Itd be better if you dont sneak extra vitamins -- just take the All areas clear Hello Danny, since you haven't 59 items. My goal for you is to inside of the house. Shadow health focused exam anxiety objective data. Did you achieve your goal for Which of the following physical exam tests could be used if you suspected cholecystitis in Tina? Imagine that you inspected Tina's throat and noted that her tonsils touched each other. Location (1/3 point) Mr. L. has cyanotic lips and nail beds. Case - Infection, education & empathy shadow health education 35. When palpating joints in a musculoskeletal exam, crepitus indicates: Imagine that Tina has hard painless bumps on the dorsolateral aspects of the distal interphalangeal joints that had limit flexion during a range of motion test. infection. What would you have suspected based on this finding? is able to perform ADLs alone It is important that your patient and Hover over the Patient Data items Identify where this bruit would have been likely to originate. Documentation, Document: Vitals Document: Provider Notes. goal has not been achieved. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents 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. that Danny's risk for infection is Equal bilaterally He is experiencing mild soreness in his throat. Which of the following is the most useful adjunct to the history of present illness when assessing the quantity and degree of a patient's abdominal pain? Describe how you would have tested for the Kernig's sign. completely. You are initially evaluating the equilibrium of Ms. Q. Before performing an abdominal examination, the examiner should: have the patient empty his or her bladder. I picked these interventions played w/ sick peer played w/ sick peer Danny Rivera is at risk for infection Fifth intercostal space, left side, at the midclavicular line. Having Danny and his father verbalize back their instructions also assures they remember and understand the details. each of them to agree to and Once the maintenance window concludes, assignments will be . Dullness, anterior left lower lobe Denies hearing problems, Asked about review of systems for respiratory Denies difficulty breathing Purulent discharge 2. He does Does anybody in your family have allergies 06:11 PM MD Questio. 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". 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! ", Do you know what dose of cough medicine she gave you. During a gastrointestinal exam, the purpose of light palpation of the abdomen is to: If you had heard bowel sounds occurring about 15 times per minute in 1-2 quadrants while examining Tina, what would have been the significance of this finding? Infusion Rate: IV pump is infusing IV fluid at the ordered rate. 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. (T/F). Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. infection infection While a cough can be unpleasant, the most alarming thing it . reports feeling safe at home to secondhand smoke. Mr. D. complains of a headache. 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. Indicates an item that is Does this plan I just talked about sound good to you? correct answer here is "N/A." Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Does your family suffer from any medical conditions? no history of alcohol use Imagine you had heard a murmur on Tina. Explain your goal for Danny and guardian. 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. Flashcards. A flat, nonpalpable lesion is described as a macule if the diameter is: When you are questioning a patient regarding alcohol intake, she tells you that she is "only a social drinker." Dullness, anterior right middle lobe Inform Danny you will now Reports feeling safe at home During this time assignment attempts will be disabled. I'm also going to have Okay perfect, I will begin educating you. Direct inquires to nanda-i@thieme. Explicitly ask for Danny's consent to the Care Plan. Study with Quizlet and memorize flashcards containing terms like Orientation +1, Chief Complaint +1, History of Present Illness +1 and more. While Danny correctly verbalizes and agrees to his instructions for reducing infection risks, his father only agrees to some of his instructions, expressing apprehension toward not smoking inside the house. 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. Focused Exam Infection Completed Shadow Health - Nur 304; Patricia Young Gerontology Infection Shadow Health - Stuvia; infection.pdf - 4/17/2020 Focused Exam - Course Hero Tenderness reported, Cervical (1/3 point) your patient know! Model Statement: "Thanks for telling me what you know about the medications you take. your risk factors for infection In response to this finding, you should: During palpation of a 30-year-old woman's breast, she complains that the procedure is painful. infection, which for you just things that give you a bigger Objective Data Collection While Danny agrees to his Does this plan I just talked You suspect he is having cardiac or pulmonary difficulty. Insertion Site: no visible abnormal signs. 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. PEDS Final - Covers week 1 through week 7 materials, developmental stages, common diseases, Business Environment Applications II: Process, Logistics, and Operations (D079), Assessing Impact on Student Learning (D093), Ethical and Legal Considerations of Healthcare (IHP420), Foundational Concepts & Applications (NR-500), Essentials for advanced professional nurse and professional roles (D025), Managing Organizations and Leading People (C200 Task 1), 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), Bates Test questions Children: Infancy Through Adolescence, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. components, such as documentation or time spent. Mr. O., age 50, comes for his yearly health assessment, which is provided by his employer. A healthy prostate protrudes into the rectal wall a distance of _____ cm. in almost all aspects of your You decide to order an arterial blood gas on Tina. Danny and his guardian how to 2x sold. 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. Allergic shiners, Sclera (No point) 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 | (
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