important piece of education that can be given to chest tube drainage and possibly surgical Above Average- Responds to three of the three reflection post questions; and provides analysis of performance; and reflection posts written using professional language; and reflection posts demonstrate insight. Asking Tina if she has dry eyes solicits information about one particular symptom. Finding: Reports receiving meningococcal shot (Available)Pro Tip: Discovering if a patient has received a childhood meningococcal vaccination reveals information about both her medical history and her susceptibility to infectious disease. Student Performance Index 30 out of 31.Respiratory Results | Turned In Advanced Health Assessment - Spring 2019, NSG516 Online Return to Assignment Your Results Reopen Reopen Lab Pass Lab Pass This score measures your performance on th e Student … Example Question: Do you have seasonal asthma triggers? The patient’s response to questions about this topic may uncover additional problems not discovered during the discussion of the patient’s chief complaint, such as vision loss. Student: Have you been around people that are smoking? The patient’s response to questions about this topic may uncover additional problems not discovered during the discussion of the patient’s chief complaint. Also, to help treat their current condition. Tina Jones: I’ve actually been noticing problems lately. The FNP would proceed with an examination of the _____ gland. Due to diminished cough reflex with decreased sensitivity, large amounts of particles that are more difficult to expectorate can collect in the lungs. What diagnostic tests would you order based on your findings? Example Question: Tell me more about living at home. Example Question: Does the wound feel warm? I’m not a huge health nut or anything. History of Presenting Illness … Finding: Asked to rate current pain level on a scale … Finding: Reports current pain is 7/10 (Found)Pro Tip: Asking your patient to rate her pain on a scale of 0 to 10 is important to gauge how it ebbs and flows while she is in your care. Tina Jones: No, my heart’s always been fine. NR 509: Shadow Health Respiratory Physical Assessment Assignment. Custom written, plagiarism free papers written from scratch, Free revisions provided you stick to the original instructions, Our writers have high academic qualifications, We have expert writers in all areas of medical, nursing and pharmacy fields. Example Question: Do you have any seasonal allergies? Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking about a patient’s dental care is one possible component of a review of systems interview. | Documentation / Electronic Health Record I think it’s gross. She might have high cholesterol too. Example Question: Do you have muscle weakness? Finding: Denies seasonal triggers (Available)Pro Tip: Asking about seasonal triggers can help you understand a patient’s complete set of asthma triggers over the course of a year. Example Question: What triggers your asthma problems? Example Question: What is the name of the inhaler prescription? Student: How is your paternal grandmother’s health? Regardless of whether you have assessed Ms. Jones previously, ask all questions that are necessary for obtaining a complete health history. Example Question: Do you use condoms when you are sexually active? xxx will also will also lose their shape leading toxxx. Finding: Asked about prescription medications … Finding: Reports only prescription is an inhaler (Available)Pro Tip: Determining what, if any, prescription medications a patient is taking is a crucial element of a thorough health history and will help you avoid unwanted drug interactions. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. This exam may take longer than in real life, because in this safe simulation, students of all experience levels can take time to hone and review their skills. Example Question: Have you had ear discharge? Example Question: How many times have you been hospitalized? If the findings are normal, then the patient should report which sensation? Health Details: View Tina Jones Respiratory_ objective data_Shadow Health.pdf from NURS 340L at California State University, Fullerton. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. Provide concluding statements that should summarize key points of the overall assignment content. Finding: Denies ringing or tinnitus (Available)Pro Tip: Ringing in the ears can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing, or hearing loss. sugars with previously prescribed medications, 10mg QD. The FNP should. Student: What is the situation? • Obtain office oxygen saturation Tina Jones: It’s pretty good, I think. The most common causes of muscle pain are overuse, and conditions such as arthritis. BestNursingWritingServices. Click the “Post” button to post your reply. Tina Jones: Yeah, there’s definitely pus. Finding: Followed up on cat allergy symptoms … Finding: Reports sneezing, itchy eyes, and wheezing (Available)Pro Tip: Determining a patient’s reaction to an allergen is essential to gauge if the allergy is life-threatening. Finding: Denies pain while breathing (Available)Pro Tip: Asking about pain during breathing is one possible component of a review of systems interview. Hello my name is Danielle I will be your provider today. and lower lobes. Review of Systems: General: Denies changes in Tina Jones: No, I haven’t. Example Question: Do you ever have chest pain? Chest five minutes. Student: What allergies do you have? Example Question: Did you get a flu shot this year? respirations. examination. What differential diagnoses are you currently considering? Example Question: Do you have any swollen glands? Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: Why is it important to obtain a patient’s complete health history? Finding: Reports cleaning wound twice a day (Available)Pro Tip: Asking specifically how often a patient cleaned a wound will let you know if an infection spread through improper hygiene, or for other reasons such as uncontrolled blood sugar. Example Question: Tell me about your blood sugar monitoring. Student: Can you confirm your name? which is especially important since we are ordering The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. Finding: Reports ER administered pain medication (Found)Pro Tip: The differences between prescription and over-the-counter pain medications can be vast and asking about the type of pain medication your patient has been using will help you fully understand her home treatment habits. Student: Can you tell me about your father’s health? Home. age 16, last chest XR was age 16. Tina Jones: No, I can’t. Higher levels of pain have been associated with thoughts of self-harm. The patient’s response to questions about this topic may uncover additional problems not discovered during the discussion of the patient’s chief complaint, such as allergic reactions, infection, or physical trauma. 2019/2020 Tina Jones: Well, he passed away. Student: Do you have a family history of psychiatric illness? Example Question: How often did you clean the wound? symptoms and log her episodes of asthma In addition, the brain is less sensitive to hypoxia (low oxygen) and hypercapnea (higher than normal carbon dioxide) and higher residual volume. Finding: Reports using inhaler no more than 2 times per week (Available)Pro Tip: Discovering the frequency with which your patient uses her inhaler is an important aspect of determining the severity of her condition. Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. Knowing that Tina is diabetic, you will want to explore this classic symptom of the condition. Asking Tina if she’s been wheezing illustrates how her asthma is presenting. Finding: Reports dust causes sneezing, itchy eyes, and wheezing (Available)Pro Tip: Dust is a common allergen and discovering its effect on asthmatic patients is particularly important. 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