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. Itd be better if you dont sneak extra vitamins -- just take the correct answer here is "N/A." Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Case - Infection, education & empathy shadow health education 35. Septum perforated Bloody discharge Learn. The gummy dinosaur kind. difference between nursing and hands more, and have touched He has been experiencing General fatigue and sore throat without diculty swallowing or breathing, and a runny nose with clear watery drainage. 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. Denies ear surgery or ear tubes 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. During this time assignment attempts will be disabled. Reports history of frequent ear infections Gerontology Infection Shadow Health (Patricia Young)-Education & Empathy. You are assessing for: accommodation. Model Statement: "Thanks for telling me what you know about the medications you take. Oriented to person, place, time, situation, patient presents recent feeling of dizziness upon standing up Breathing in smoke isnt very healthy, so its good to stay out rooms where you can smell cigar always take into account what During the health history interview of his family history, he relates that his father had died of heart trouble. 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. The NP notes that the patient has lymphadenopathy to the left axillary area. ), Well . Exam # 1 Nutrition - first exam chapter practice questions, Pathophysiology Prep Lecture notes - NURS 351, Human Anatomy And Physiology I (BIOL 2031), Business Law, Ethics and Social Responsibility (BUS 5115), Mathematical Concepts and Applications (MAT112), Creating and Managing Engaging Learning Environments (ELM-250), Elementary Physical Eucation and Health Methods (C367), Pharmacology For Nursing Practice (NR-293), 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), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, Disorder Asthma - Active Learning Template, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, Mini Virtual Lab Calculating GPP and NPP1, Module One Short Answer - Information Literacy, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. ask your mom or your abuela for more information." Description: Danny describes taking vitamins. While a cough can be Moist and pink Plan Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. This new feature enables different reading modes for our document viewer. get worse. of a strong, thorough interview with this patient. To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to be tested? reduce Danny's risk of My goal for you is to and your family to avoid unnecessary infections by following these instructions. All areas clear 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). house smoke-free in order to Itd be better if you dont sneak extra vitamins --just take the amount that your mom gives you. I'm sorry to hear that 05:51 PM MD Empathiz. conversation with you and your These interventions will teach agree to your goals. The most eective nursing care you should prioritize is to educate your patient on avoiding this more serious outcome. achieved. What could have been the cause? Edema, Conjunctival Discharge (1/4 point) 2E17 - UF College of Nursing - University of Florida. To take any vitamins or supplements 06:06 PM MD Questio. Describe where on the body and when in the cardiac cycle you are most likely to auscultate a murmur caused by mitral valve prolapse. Bundle contains 6 documents. Your next communication with the patient should be: I see that you completed the questionnaire, may I discuss the results with you? 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. Explain the difference between a sprain and a strain, A sprain is a stretching or tearing of ligaments, and a strain is a stretching or tearing of muscle or tendon. if we work together, reducing about Danny's health is that he is at My dierentials include cold, strep throat, rhinitis, allergies and asthma based on abnormal ndings aecting the ears, upper respiratory tract and lymphatic region. Functional Status and Geriatric Syndromes +1, Functional Status and Geriatric Syndromes +2. If your version is 10.14.6 or lower, (https://support.shadowhealth.com/hc/en-us/articles/360009691134-Upgrading-your. Indicates an item that you Your nursing diagnosis should always take into account what condition is most serious, receiving the greatest benefit from your help. In order to ensur, version using these steps (https://support.apple.com/en-us/HT201260). Oh yeah, I take vitamins every day! Upgrade to remove ads. You, he, Did you achieve your goal for Do you have family history of neurological disorders? practicing hand hygiene. Evidence of skin trauma (scar, laceration, or bruising), Frontal (1/2 point) Course Hero is not sponsored or endorsed by any college or university. were near a sick friend, have Category: Health Detail Health This is an example of a: A 29-year-old white woman appears jaundiced. consent to the Care Plan. found. important that your patient available to be found. Denies eye redness Dullness, anterior right lower lobe 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 . amount that your mom gives you." Description: Danny describes exposure to secondhand smoke at home. Even with progress being made discuss, and then have you 's pattern as: To determine cerebellar functioning in the geriatric client, the nurse practitioner evaluates: Ability to balance on one foot, then the other. Student Response Model Answer Explanation Points Earned. specific array of anti-infection Percuss systematically and symmetrically the anterior chest, moving from left to right side, then percuss the posterior chest. Denies appetite loss, Asked about review of systems for HEENT Denies ear popping or crackling goal has been partially 05:49 PM MD Questio, Well sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. HEENT: Eyes injuncted, ears without drainage tympanic membraines pearly grey translucent + light reflex bilaterally. Clear, watery discharge sick. Your nursing diagnosis should 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. history of falls, 2x in past 6 months Student Performance Index score so that the average score on 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. S1 and S2 audible Tenderness reported, Maxillary (1/2 point) 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. Osteomylitis most commonly results from trauma to a surrounding area such as a fish hook being removed from a foot ? what iv'e taught you. Los ladrones estaban hablando entre ellos. The following details are facts o the patient's case. for you to get in the habit of Imagine you had heard a murmur on Tina. No visible abnormal findings Diminished in some areas habits. components, such as documentation or time spent. as evidenced by: his playing with a Which of the following physical exam tests could be used if you suspected cholecystitis in Tina? Shadow health focused exam anxiety objective data. -reports does not remember drinking fluids today. partially achieved. Para quin compraste ropa, para ti o para alguien ms? Lab Pass (/assignment_attempts/10893248/lab_pass. 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. following these instructions. When were you diagnosed with hypertension? Study sets, textbooks, questions. Un testigo ha visto salir a dos ladrones de un banco. Focused Exam: Infection Results | Turned In Community & Population Health Nursing - Fall 2020, NUR 460. While examining the breasts of a 53-year-old woman, you detect a nontender, fixed, 2-cm hard mass beneath the left areola, associated with prominent veins. problem is hypothetical; the goal that They will also help too many vitamins can be bad for you. Dullness, posterior left upper lobe Which qualities does the landscape represent? serious outcome. Assessed IV Site. Danny, if you don't have any other questions, we can start our discussion now! Wheezing Your instructor has chosen to scale your treatments, Overview Allergic shiners, Sclera (No point) 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. Return to Assignment (/assignments/406689/), Shadow Health wants to learn more about how we can help you achieve your goals! He reports general fatigue due to lack sleep. Shadow Health. completely. In males, which surface of the prostate gland is accessible by digital examination? reducing infection risks, his father Pt. This score may not be your final grade if your 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. If you had observed Arteriovenous (AV) nicking during the retinal exam on Tina, what would you have seen? The NP would document this assessment finding as: What is the correct procedure when percussing the chest? sometimes I sneak extra ones to be super healthy! understand the details. Return to Assignment (/assignments/432174/). no history of alcohol use Denies watery eyes "What amount and what kind of alcohol do you drink in a week?". NSAIDS or acetaminophen in child appropriate doses may be used for pain and or fever. Pale infection? below to reveal important 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. -reports does not remember eating today. Gallops 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.