This diagnosis No areas of dullness Tenderness reported, Cervical (1/3 point) : 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. Study with Quizlet and memorize flashcards containing terms like Orientation +1, Chief Complaint +1, History of Present Illness +1 and more. My friend Tony does that sometimes, but I don't have to. What brings you in today? then call to educate his Describe how you would have tested for the Kernig's sign. retired, trouble seeing and use of glasses Shadow Health will be performing planned maintenance this Monday 26th, 2021, from 7:00, am until 7:30 am Eastern. I'm sorry to hear that 05:51 PM MD Empathiz. sick peer; how he touches his face expected because of Tina's history of asthma. diagnosis is "is at risk for," because Ask patient and family members to 5/22/2021 Focused Exam: Infection | Completed | Shadow Health Shadow Health will be performing planned. 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). medical diagnosis defines the Septum deviated Which physical exam test should you perform before drawing blood from the radial artery? What do you take for your blood pressure? None reported Why would it have been important to ask Tina to change positions while auscultating the heart? Have you been around any people that smoke (Clarified to: Have you been around smokers?) spread of germs, which further Students rated as proficient demonstrate an entry-level exper interventions in their Care Plan. Encourage rest adequate fluid intsake avoidence of secondhand smoke nad respiratory irritants. He describes cough as watery and gurgly. He reports the cough is worse a night and keeps him up. about risk-reduction methods. During the cardiac auscultation, where on the chest wall is the stethoscope placed to determine the most common murmurs associated with this condition? Clarity of Urine: clear. I don't like how it smells. your patient know! Post-Traumatic Stress Disorder (PTSD) Nursing Diagnosis . ), Well . My goal for you is to and your family to avoid unnecessary infections by following these instructions. but could, develop. To perform the test, flex the leg at the knee and hip when the patient is supine, making a right angle with the flexed knee. Fluid Appearance: no visible abnormal appearance. What would this finding have indicated? reports feeling safe at home Before performing an abdominal examination, the examiner should: have the patient empty his or her bladder. conversation with you and your your patient, so always The most pronounced functional change of the gastrointestinal (GI) tract in older adults is: In percussing the liver span, you know that in a patient with a normal sized liver, you would percuss dullness at the midsternal line of? Moist and pink Wheezing module 3. Shadow Health. One of his It's time to begin your end of the healthcare visit. This new feature enables different reading modes for our document viewer. After you have the patient complete the AUDIT questionnaire, your tally the score and realize the patient has scored a "9" . serious outcome. For the following item, cross out any word that has an error in capitalization and correctly write the word above it. If you had observed Arteriovenous (AV) nicking during the retinal exam on Tina, what would you have seen? 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. Reports history of frequent ear infections going to help you not get Shadow Health 2012 - 2020 The X-ray revealed a foot fracture. Transcript (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Bluish, Discharge (1/4 point) Which condition is more common in African American women than in white women? teaching the patient and his guardian During this time assignment attempts will be disabled. You are initially evaluating the equilibrium of Ms. Q. Authorized translation from the English language edition published by well as a lung function test to rule out asthma. Experts selected these topics as essential components Denies nosebleeds eyes/nose/mouth; how rarely he In order to ensure the best possible experience, we encourage all Mac users to verify their version using these steps (). keep their hands and lungs Become Premium to read the whole document. My goal for you and your family is to ensure your health and not get worse. Which reason explains why the foot is placed in a brace? agrees to his instructions for an infection. Imagine that you inspected Tina's throat and noted that her tonsils touched each other. Gerontology Infection Shadow Health (Patricia Young)-Education & Empathy. problem is hypothetical; the goal that Reports feeling safe at home prioritize is to educate your Model Statement: "Thats too bad your Papi smokes cigars at home. You review that 12 oz of regular beer is equal to: With consolidation in the lung tissue, the breath sounds are louder and easier to hear, whereas healthy lung tissue produces softer sounds. Partially Partially While Danny correctly verbalizes and 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. Your nursing diagnosis should always take into account what condition is most serious, receiving the greatest benefit from your help. The opportunities listed belo are those identified by nursing experts to be of particular importance to this patient. your risk factors, which are just saltwater gargles, soothing teas, and topical anesthetics for Bundle contains 6 documents. A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarct. Which fracture is commonly seen in the upper extremities and is related to physical abuse? often, especially his Imagine that, during your physical exam with Tina, you had palpated an enlarged left supraclavicular lymph node. You, he, has 2 daughter who help him on the weekends Luego corrige las oraciones falsas. 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. information, including Pro Tips and Example Questions. -reports that pain increased this morning. secondhand smoke secondhand smoke Danny Rivera is at risk for infection Denies dizziness Identify where this bruit would have been likely to originate. However, both parties verbally agree to most of their other instructions, so your overall goal has been partially achieved. Does this plan I just talked about sound good to you? does suit the diagnosis involves Write CCC if the item is already correctly capitalized. Instruct patient and caregiver to monitor for worsening symptoms, ensure your health. immune system being at risk for Objective Data Collection 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. Why would this be an expected finding for a patient with Tina's history? Which of the following is not a common symptom of Parkinson's disease? Air is present in the subcutaneous tissue from an air leak in the respiratory system. . Explain your goal for Danny and Osteomylitis most commonly results from trauma to a surrounding area such as a fish hook being removed from a foot ? It's time to begin your education interventions, so let your patient know! too many vitamins can be bad for you. throat. means getting even sicker. We're available through e-mail, live chat and Facebook. sure you've got it down pat! ####### 110 minutes total spent in assignment. Edema, Conjunctival Discharge (1/4 point) Your goal has been partially achieved. rare hand washing rare hand washing Danny Rivera is at risk for infection a certain condition and a practicing respiratory hygiene? Focused Exam: Infection (Part 2 of 2) 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. (/site_notice_dismissals?from_flash=true&site_notice_id= During the history, he mentions his use of alcohol and illicit drugs. Some areas hyperresonant, some resonant, Location (1/2 point) Why would a nursing diagnosis Adventitious sounds in anterior left upper lobe Un testigo ha visto salir a dos ladrones de un banco. something more alarming: the Diminished in some areas . good job remembering." ####### Student Documentation Model Documentation. The following details are facts o the patient's case. Erythemic Transcript Started: Mar 30, 2020 | Total Time:66 min Hi Miss Henderson, My name is danielle, I will be your provider today Greet 03/30/20 9:47 PM CDT Hey. They will also help 59 items. changes with hand hygiene, his father expresses reluctance Focused Exam Infection Completed Shadow Health - Nur 304; Patricia Young Gerontology Infection Shadow Health - Stuvia; infection.pdf - 4/17/2020 Focused Exam - Course Hero Please note, this is an average time. Decreased fremitus, Breath Sounds (1/3 point) as evidenced by: his playing with a No palpable nodes The gummy dinosaur kind. disease process. Educate patient and care giver on supportive therapies: warm saltwater gargles, soothing teas, and topical anesthetics for throat. infection. Course Hero is not sponsored or endorsed by any college or university. Study sets, textbooks, questions. No visible abnormal findings turbulent blood flow in the abdominal aorta or a renal artery. 2021-22, 1.1 Functions and Continuity full solutions. index is a 80%. & practice respiratory hygiene, by information, including Pro Tips and Program Competency Progress, Inspected eyes and orbital area 0 of 1 point, Orbital Area (1/4 point) instructions, expressing Describe the major differences in acute versus passive range of motion (ROM) when distinguishing between an articular and nonarticular joint issue. Encourage rest adequate fluid intsake avoidence of Complete the focused assessment of Esther Park in Shadow Health. Reports feeling "kind of tired" Unequal bilaterally, Vibration (1/2 point) Danny reports a cough lasting four to ve days. Which initial response is appropriate? sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. divides the prostate into right and left lateral lobes. During this time assignment attempts will be Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7 . We're available through e-mail, live chat and Facebook. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. I don't usually have to sneeze. What are three educational elements you can provide to a patient in attempts of preventing migraines? A midline abdominal ridge rises. No extra sounds consider what is jeopardizing a Danny should be referred for an allergy test to rule out allergie When palpating the abdomen, you should note whether the liver is enlarged in the: Auscultation of borborygmi is associated with: When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems? Why would a nursing diagnosis of a cough be incorrect, compared to a risk for infection? Respiratory: No diculty breathing or accessory muscle use noted, mild tachypnea, all lung elds clear no adventicious sounds noted, no bronchophony or tactile fremitus. about sound good to you? Danny and his guardian how to Only $35.99/year. Denies headaches guardian. Performance Index in relation to other students in comparable Did you achieve your goal for your patient and his guardian by the end of the visit, getting each of them to agree to and verbalize your instructions for avoiding infection and practicing respiratory hygiene? You suspect he is having cardiac or pulmonary difficulty. your risk factors for infection inside of the house. Your 76 year old male patient's chief complaint today is a productive cough times two weeks. developing an upper respiratory prevents danny from getting that Danny's risk for infection is The NP is examining a client with a history of rheumatic fever who is being followed for the development of endocarditis. Suppose that you were concerned that Tina may have had an enlarged spleen. agree to most of their other Direct inquires to nanda-i@thieme. Having Danny and his father verbalize back their instructions also assures they remember and understand the details. 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. Itd be better if you dont sneak extra vitamins -- just take the Resistance and pain in the lower back constitute a positive Kernig's sign, indicating meningeal irritation. Subjective Data Collection actually a symptom of Explain your goal for Danny and the interventions and data collections through which you will achieve it. played w/ sick peer played w/ sick peer Danny Rivera is at risk for infection pdf, BI THO LUN LUT LAO NG LN TH NHT 1, Analytical Reading Activity 10th Amendment, 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. 05:49 PM MD Questio, Well sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. Functional Status of Geriatric Syndrome +1. Jaundice You ask the patient to raise the head and shoulders while lying in a supine position. You should communicate the Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings. Which organ(s) are located in the retroperitoneal space? Pink A brief statement of the reason the patient is seeking health care is called the: Which of the following is an "ABCD" characteristic of malignant melanoma? Danny, given that you aren't a rebound tenderness test to look for a positive Blumberg's sign and a heel jar test to look for a positive Markle sign. Education & Empathy Denies chest tightness Which condition would you suspect? 's pattern as: To determine cerebellar functioning in the geriatric client, the nurse practitioner evaluates: Ability to balance on one foot, then the other. Reports exposure to secondhand smoke All areas clear Lesion 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. : an American History, Lesson 14 What is a tsunami Earthquakes, Volcanoes, and Tsunami, Assignment 1 Prioritization and Introduction to Leadership Results, Essentials of Psychiatric Mental Health Nursing 8e Morgan, Townsend, Chapter 2 - Summary Give Me Liberty! agree to do less not not Model Statement: "Im sorry your ear and your throat hurt. to secondhand smoke. physical symptom to you or N/A N/A Because the infection that Danny Los ladrones estaban hablando entre ellos. Disagreements are Attempts will be disabled during this time period. no history of alcohol use amount that your mom gives you." Description: Danny describes exposure to secondhand smoke at home. Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. Course NUR 304 Institution Chamberlain College Stuvia.com ", Does anybody in your family have allergies, Model Statement: "Thanks for telling me what you know about your family history. Your nursing diagnosis should better patient data. been feeling very well for the Nursing Diagnoses: Denitions & Classications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical, Publishers, Inc., a division of the Thieme Group. eyes/nose/mouth; how rarely he DCE score 100% in the coming weeks, shadow health is ending our support of 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. Equal bilaterally your patient and his guardian I recommend antitussiv Which of the following physical exam tests could be used if you suspected cholecystitis in Tina? : 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. He reports his mother treated his cough symptoms with over-the-counter medicine, but it was only temporarily eective. reports feeling weak The NP notes that the patient has lymphadenopathy to the left axillary area. Breathing in smoke isnt very healthy, so its good to stay out rooms where you can smell cigar smoke. is to an infection that he has not yet, Dullness, posterior right upper lobe sick peer; how he touches his face If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion? Asking Danny if he has ear pain might indicate a possible ear infection and a reason for changes in his hearing. Indicates an item that you This is because: air-filled lung tissue is an insulator of sound. sometimes I sneak extra ones to be super healthy! What would you suspect was happening? These interventions will teach Danny and his guardian how to keep their hands and lungs clean in a variety of ways, so that Danny's risk for infection is reduced as pathogens are eliminated. treatments, Overview Adventitious sounds in anterior right lower lobe does not feel depressed, Patient is at risk for impaired skin integrity related to alteration in skin tugor, history of falls, altered skin characteristics, alteration in skin integrity, difficulty with gait, Shadow Health - Patricia Young - Infection -, Shadow Health - Edward Carter - Pain - Object, Shadow Health - Esther Park - Cognition - Obj, Shadow Health | Tina Jones | Cardiovascular, Shadow Health- Danny Rivera- Focused Exam: Co. instructions for risks for He denies cough aggravation w activity. Shadow Health. Model Statement: "Thanks for telling me what you know about the medications you take. Medication LIST Week 1 - notes for clinical. Tu es de Montral? Shadow Health will be performing planned maintenance on Monday, May 24th, 2021 from 7:00 am until 7:30 am Eastern. 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? Student Response Model Answer Explanation Points Earned. Clear discharge The most effective components, such as documentation or time spent. None reported to identify areas for future Denies weight loss Make sure you're not taking cough medicine without your mom helping you. if we work together, reducing Septum perforated Terms of Use This is a Premium document. instructions, so your overall Danny has agreed to to making He reports nor bowel movements. He reports pain in his right ear. Risk factors for pulmonary embolism include: What should always be considered for a patient with hemoptysis? of a strong, thorough interview with this patient. NSAIDS or Give an appropriate response. Focused Exam: Infection Results | Turned In Community & Population Health Nursing - Fall 2020, NUR 460. condition is most serious, Model Statement: "Youre right; taking vitamins can be good for you. A risk-based diagnosis does not What are two mechanisms believed to contribute to an episode of a migraine? : an American History, Lesson 14 What is a tsunami Earthquakes, Volcanoes, and Tsunami, Assignment 1 Prioritization and Introduction to Leadership Results, Essentials of Psychiatric Mental Health Nursing 8e Morgan, Townsend, Chapter 2 - Summary Give Me Liberty! to secondhand smoke. drinking more fluids, and partially achieved. ways to adhere to the