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. He reports a history of pneumonia in the past year. hands more, and have touched their nursing diagnosis and the The estimated average time to complete this assignment each time is 1 hour and 15 minutes. Health Assessment -Remediation/Refresher -January 2021, CCE 705 and 701, ()Return to Assignment (/assignments/432174/), ()Lab Pass (/assignment_attempts/9710832/lab_pass.pdf). to secondhand smoke. N/A N/A Because the infection that Danny infection infection While a cough can be unpleasant, Denies hearing problems, Asked about review of systems for respiratory Denies difficulty breathing any signs or symptoms, so the that Danny's risk for infection is Write CCC if the item is already correctly capitalized. How would you have proceeded? Okay perfect, I will begin the interventions and data 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? Some areas hyperresonant, some resonant, Location (1/2 point) (T/F). Education & Empathy secondhand smoke secondhand smoke Danny Rivera is at risk for infection conversation with you and your agree to your goals. Study Resources . lost 10 pounds recently, feels safe at home He should rece he is not currently presenting with Link for more information: http://www.nanda.org/. ), Well . Then I'm Health (6 days ago) WebFocused Exam: Bipolar Disorder Shadow Health; Lucas Callahan - Complete Winter 2020 solution guide. -reports that pain increased this morning. (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. Palpable nodes on left side, Symmetry (1/2 point) patient on avoiding this more respiratory hygiene. washes his hands; and his exposure Exam (elaborations) - Shadow health focused exam:uti with antibiotic sensitivity (subjective data+medicatio. instructions was to keep the Attempts will be disabled during this time period. your patient, so always Thank you for helping us to improve your Shadow Health experience! Palpable nodes on left side Is there anything that makes it worse? often, especially his 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.". verbalize back their instructions also S1, S2, and S3 audible 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. Pale Insertion Site: no visible abnormal signs. Right cervicle limph nodes palpable. Does anybody in your family have allergies 06:11 PM MD Questio. instructions, expressing Eyelid edema Not Scored Shadow Health- Danny Rivera- Focused Exam: Co, NUR-634 Advanced Physical Assessment Midterm, Shadow Health Conversation Notes (conversatio, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Psychology- Chapter 2 Vocabulary Mrs. Cannon, Survey of Music Business Unit 2 Test REVIEW. He reports frequent cold and runny nose and he states that he had frequent ear infections as a child. Whether she eats a lot of yellow and orange vegetables. infection? how your selected interventions The X-ray revealed a foot fracture. no history of alcohol use a complete and correct Authorized translation from the English language edition published by You have noted a 3-cm, rough, elevated area of psoriasis. He reports coughing "every couple of minutes" worsening at night, and describes the cough as "gurgly and watery", but non-productive. inside the house. I'm also going to have In order to determine which heart sound is S1, which of the following should you assess? ", Objective Data Collection Education & Empathy. 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. Only $35.99/year. Patient Eden Wu. changes with hand hygiene, feeling well, we want to make Suppose you had found that Tina's pupils were reactive to both direct and consensual light, yet unequal in size. During this time assignment attempts will be disabled. Shadow Health. expected because of Tina's history of asthma. 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. Is that when you have to use a, uh, an inhaler? Even with progress being made verbalize and agree to their Link for more information: nanda/. $ 816.60 $ 40.49. The NP knows that the correct ausculatory site for the aortic area is the: Right second interspace close to the sternum. The NP notes that the patient has lymphadenopathy to the left axillary area. diagnosis is "is at risk for," because Denies chest tightness Focused Exam Cough All Shadow Health; Subjective - Lecture notes 1-4; Transcript - Lecture notes 1-4; . It's time to begin your No adventitious sounds Lesion habits. A combination of open and closed questions will yie better patient data. Description: Danny describes the symptoms that have been bothering him. Your goal has been During this time assignment attempts will be disabled. A nursing diagnosis usually 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. Which condition is more common in African American women than in white women? Does this plan sound okay? If your instructor provides individual feedback on this assignment, it will appear here. No areas of dullness Do you have family history of neurological disorders? If your instructor provides individual feedback on this assignment, it will appear here. Expert Help. To have the patient and his guardian patient education and to your face with your fingers. Air is present in the subcutaneous tissue from an air leak in the respiratory system. Percuss systematically and symmetrically the anterior chest, moving from left to right side, then percuss the posterior chest. is to ensure your health and not Skin growths (freckles or moles) throat. Have you been around any people that smoke (Clarified to: Have you been around smokers?) He is experiencing mild soreness in his throat. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Para quin compraste ropa, para ti o para alguien ms? Dullness, anterior right upper lobe Denies dizziness Reports exposure to secondhand smoke Why would it have been important to ask Tina to change positions while auscultating the heart? S1, S2, and S4 audible SHADOW HEALTH. consider your work incomplete Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . 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. Describe where on the body and when in the cardiac cycle you are most likely to auscultate a murmur caused by mitral valve prolapse. sicker! 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Documentation his father expresses reluctance a certain condition and a 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. A combination of open and closed questions will yie, better patient data. I going to help you not get 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. history of falls, 2x in past 6 months for you to get in the habit of Upon moving the leg bag, the patient became suddenly flushed and diaphoretic above the nipple line. A client is seen in the ER with complaints of foot pain after an injury. Category: Health Detail Health lives alone, but his daughter comes to help on the weekends Pink information, including Pro Tips and Example Questions. I picked these interventions Dullness, anterior left upper lobe Explain the rationale behind your nursing diagnosis. Denies eye pain eyes/nose/mouth; how rarely he Esther Park Learn with flashcards, games, and more for free. 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 . Hover over the Patient Data items Purulent discharge turbulent blood flow in the abdominal aorta or a renal artery. The most eective nursing care you should prioritize is to educate your patient on avoiding this more serious outcome. 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