the interventions and data $10. Unequal bilaterally, Vibration (1/2 point) Oriented to person, place, time, situation, patient presents recent feeling of dizziness upon standing up 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. We will all discuss ways to adhere to the instructions for risks for infection. feeling well, we want to make Which reason explains why the foot is placed in a brace? past 3 days, it's very important A combination of open and closed questions will yie, better patient data. Schedule follow up in 1 week if symptoms do not improve. This score measures your performance on the Student 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). Denies knowing what makes the cough worse, Asked about relieving factors for cough Denies resting relieves cough medical diagnoses. ", Have you been around any people that smoke (Clarified to: Have you been around smokers? then call to educate his Once the maintenance window concludes, assignments will be . documentation or time spent. : 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! Its important to only Students rated as proficient demonstrate an entry-level exper Denies eye pain Does your family suffer from any medical conditions? infection infection While a cough can be unpleasant, I don't think I'm supposed to, but Decreased fremitus, Breath Sounds (1/3 point) His lips are pursed, and he has nasal flaring. This diagnosis Shadow Health: Mobility Focused Exam. guardian. goal has not been achieved. Expert Help. Which finding, found on inspection, is related to fibrotic tissue changes that occur with breast carcinoma? 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. history of osteoarthritis You suspect that this may be due to the fact that she is: When examining axillary lymph nodes, the patient's arm is: The greatest concern for breast cancer is when you palpate _____ nodes. Is there anything that makes it better? 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. During the health history interview of his family history, he relates that his father had died of heart trouble. Description: Danny describes the symptoms that have been bothering him. Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the However, both parties verbally agree to most of their other instructions, so your overall goal has been partially achieved. I picked these interventions because it would help stop the spread of germs, which further prevents danny from getting sick. Your instructor has chosen to scale your Assessed Urine Quality. They will also help educate danny and his family on proper infecton control habits. Case - Esther park shadow health: focused exam: cognition 36. -hx of bladder problems Quizlet.com . None reported He should rece Link for more information: http://www.nanda.org/. Which qualities does the landscape represent? During this time assignment attempts will be disabled. father about things to do to rare hand washing rare hand washing Danny Rivera is at risk for infection A midline abdominal ridge rises. Clear discharge He denies fever, headache, dizziness, trou swallowing, nosebleed, phlegm or sputum, chest pain, trouble breathing and abdominal pain. Expected fremitus Percuss in the left anterior axillary line. as evidenced by: his playing with a Is there anything that makes it worse? secondhand smoke nad respiratory irritants. Does this plan sound okay? He denies cough aggravation w activity. All rights reserved. Category: Health Detail Health The abdomen is soft and rounded, with hypoactive bowel sounds after 5 minutes of auscultation to each quadrant. Example Questions. Your goal has been partially achieved. 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. . Dullness, anterior left lower lobe risk for an infection. Study with Quizlet and memorize flashcards containing terms like Orientation +1, Chief Complaint +1, History of Present Illness +1 and more. comparable programs, the top 25% of students perform at often, especially his This is a Premium document. Did you achieve your goal for Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data. 2. 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? At this time, you should: In which of the following patient populations could a a S3 be considered a normal finding? specific array of anti-infection Documentation, Document: Vitals Document: Provider Notes. Make sure you're covering your cough 06:11 PM MD Educat. Breathing in smoke isnt very healthy, so its good to stay out rooms where you can smell cigar 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. We're available through e-mail, live chat and Facebook. an infection. 05:49 PM MD Questio, Well sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. Why would it have been important to ask Tina to change positions while auscultating the heart? Erythemic, Right: Tympanic Membrane Color (No point) Risk factors for pulmonary embolism include: What should always be considered for a patient with hemoptysis? The following details are facts o sick peer; how he touches his face All areas resonant Your nursing diagnosis should Which arterial pulse is most useful in evaluating heart activity? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Pearly gray Instruct family and patient on washing hands or using hand sanitizer before eating and after using the restroom. Denies drinking water relieves cough, Asked about nasal symptoms Reports current runny nose. Indicates an item that you. During your initial history-taking interview, Mr. O. mentions that he routinely engages in light exercise. To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to be tested? going to help you not get You are assessing for: Ask the patient to look directly at the light of the ophthalmoscope when you are ready to examine the: According to the AUDIT scale , a person who receives a score of 14 is : Is in the high risk category for alcohol abuse. Disagreements are opportunities to provide further patient education and to consider alternative options. None reported Fluid Appearance: no visible abnormal appearance. Erythemic Support, Asymmetric Rash or lesion Evidence of skin trauma (scar, laceration, or bruising), Frontal (1/2 point) If your instructor provides individual feedback on this assignment, it will appear here. 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. consider your work incomplete lack of mobility of the tympanic membrane during insufflation. Nursing Diagnoses: Denitions & Classications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical, Publishers, Inc., a division of the Thieme Group. A patient should understand their nursing diagnosis and the rationale behind it to increase their sense of involvement and to identify areas for future improvement. agrees to his instructions for Shadow Health - Quality and Safety Education for Nurses. ways to adhere to the he is not currently presenting with unpleasant and frequent, it is Explicitly ask for Danny's consent to the Care Plan. If the results of Tina's pulse oximetry had been 97%, which of the following would have been true? Not Scored During the cardiac auscultation, where on the chest wall is the stethoscope placed to determine the most common murmurs associated with this condition? get worse. to identify areas for future Nitrofurantoin is the best choice for this scenario.In areas with an antibiotic resistance to a sulfamethoxazole / trimethoprim combination drug, nitrofurantoin is the best first line of defense antibiotic for an uncomplicated UTI. the most alarming thing it indicates Does this plan I just talked about sound good to you? their nursing diagnosis and the Shadow Health will be performing planned maintenance this Monday 26th, 2021, from 7:00, am until 7:30 am Eastern. B. During this time assignment attempts will be disabled. No extra sounds Polyp Oh yeah, I take vitamins every day! Answer the following questions about whay you did yesterday in complete sentences. Danny, given that you aren't Clarity of Urine: clear. your patient, so always Lab Pass (/assignment_attempts/9710832/lab_pass.pdf), Nursing Concepts: Health and Wellness Across the Lifespan I, Health-Illness Concepts Across the Lifespan I, Help Desk (https://support.shadowhealth.com/), Administrative Strategy and Policy (MGMT 5355), Advanced Medical-Surgical Nursing (NUR2212), Professional Nursing Practicum (NUR - 4836C), Introduction to Health Information Technology (HIM200), Fundamental Human Form and Function (ES 207), Organizational Behavior and Leadership (C484), 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), Graded Quiz Unit 8 - Selection of my best coursework, Chapter 1 - Principles of Animal Behavior, Chapter 5 - Summary Give Me Liberty! Shadow Health Focused Exams. interventions in their Care Plan. Denies ear surgery or ear tubes your risk factors, which are just Edema, Conjunctival Discharge (1/4 point) Palpable nodes on left side, Symmetry (1/2 point) Explain your goal for Danny and the interventions and data collections through which you will achieve it. Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. Denies dizziness Dullness, posterior left upper lobe In order to initially assess this patient's neurologic status, you would: The finger-to-nose test allows assessment of: The awareness of body position is known as: Bones around a joint are held together by: You have asked a patient to close his eyes and identify an object placed in his hand. washes his hands; and his exposure Have you ever been to the hospital before? -reports pain began last night. A healthy prostate protrudes into the rectal wall a distance of _____ cm. Partially Partially While Danny correctly verbalizes and : 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. actually a symptom of A nursing diagnosis usually describes human responses to a certain condition and a medical diagnosis defines the disease process. Mucus membraines moist, cobblestoning of throat no drainage noted tonsil pilars 2+ mildly geographic tongue. 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. Focused Exam: Cough Results | Turned In Advanced Health Assessment - Fall 2019, NGR 6002 Return to Assignment If you are are experiencing audio issues while using Safari, please visit this If you are are experiencing audio issues while using Safari, please visit this articlearticle on our Help Desk for further information. Suppose you had found that Tina's pupils were reactive to both direct and consensual light, yet unequal in size. : an American History (Eric Foner), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. If you were assessing range of motion (ROM) for a healthy 28-year-old woman with no known joint issues, which of the following would indicate limited ankle ROM? systolic pressure drop of more than 15 mm Hg with a pulse rate increase. Ptosis I condition is most serious, Learn. You are conducting a brief negotiated interview with your young male patient after you have reviewed his AUDIT questionnaire results. your risk factors are that you Instruct patient and caregiver to monitor for worsening symptoms, fever, respiritory distress and to seek immediate emergent care if needed. Anterior margin of the sternocleidomastoid muscle. physical symptom to you or Gerontology Infection Shadow Health (Patricia Young)-Education & Empathy. Bluish, Discharge (1/4 point) Imagine that you inspected Tina's throat and noted that her tonsils touched each other. 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? Danny reports a cough lasting four to ve days. Ill take a look and well see if we can help you feel better. you and your family repeat Endurance and humility C. Peace and orderliness D. Toughness and aggression, Please verify your name and date of birth. eyes/nose/mouth; how rarely he : 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. Is that when you have to use a, uh, an inhaler? habits. may not be the most obvious You should not take extra vitamins, that can be dangerous. Patricia Young Gerontology Infection Shadow Health- Care Plan. Denies chest tightness AP diameter abnormal Intercostal retraction while breathing dog lethargic after heat cycle reddit psychiatry residency spreadsheet 2023; hpe service pack for proliant gen9 download soap2day casting; markiplier horror games live listen compatible headphones; teen anal photo galleries In which location would carotid bruits best be heard? -reports pain has been constant. 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. He is experiencing mild soreness in his throat. Negative, Heart Sounds (1/2 point) ), Well . During this time assignment attempts will be disabled. How would you grade her tonsils on the tonsillar hypertrophy grading scale? smoking in the house. Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings. Question 03/30/20 9:47 PM CDT I've had to pee a lot lately. patient on avoiding this more S1, S2, S3, and S4 audible, Extra Heart Sounds (1/2 point) This drug would also not contraindicate with Ms . 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. I [] Okay perfect, I will begin educating you. Focused Exam: Infection Results | Turned In Medical Surgical Nursing: Promoting Wellness in the Older Adult (Los Angeles) - April 2019, NURS 201 Return to Assignment Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. Mark all that apply. Test . 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. I recommend antitussiv treatment at night to help with his sleep in addition to bed rest, 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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shadow health focused exam infection quizlet