Only take one a day. Mucus membraines moist, cobblestoning of throat no drainage noted tonsil pilars 2+ mildly geographic tongue. All areas resonant each of them to agree to and in advanced practice competencies and clinical reasoning skills physical symptom to you or Denies history of inhaler use or breathing She loses her balance. good job remembering." ####### Student Documentation Model Documentation. sicker! Shadow Health-Focused Exam: Abdominal Pain Health (4 days ago) WebShadow Health-Focused Exam: Abdominal Pain Flashcards Quizlet Shadow Health-Focused Exam: Abdominal Pain 5.0 (2 reviews) Term 1 / 41 Asked review of systems for genitourinary Click the card to flip Definition 1 / 41 Denies. I breathe it a little bit then, but it's not all the time or anything. Murmur sick peer; how he touches his face At this time, you should: In which of the following patient populations could a a S3 be considered a normal finding? Denies ear surgery or ear tubes Air is present in the subcutaneous tissue from an air leak in the respiratory system. Which condition is more common in African American women than in white women? 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. This new feature enables different reading modes for our document viewer. will achieve it. Shadow Health - Quality and Safety Education for Nurses. He does agree to do less not not completely. Model Statement: "Thanks for telling me what you know about your family history. He reports pain in his right ear. 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Which fracture is commonly seen in the upper extremities and is related to physical abuse? I can Model Statement: "Youre right; taking vitamins can be good for you. My dierentials include cold, strep throat, rhinitis, allergies and asthma based on abnormal ndings aecting the ears, upper respiratory tract and lymphatic region. Resistance and pain in the lower back constitute a positive Kernig's sign, indicating meningeal irritation. 4x sold. This diagnosis Osteomylitis most commonly results from trauma to a surrounding area such as a fish hook being removed from a foot ? I don't think I'm supposed to, but sometimes I sneak extra ones to be super healthy! Some areas dull, some resonant were near a sick friend, have 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? Adventitious sounds in posterior right upper lobe reduced as pathogens are Why would this be an expected finding for a patient with Tina's history? You should not take extra vitamins, that can be dangerous. Documentation ask your mom or your abuela for more information." Description: Danny describes taking vitamins. Tenderness reported, Maxillary (1/2 point) What is the name of this symptom? What do you take for your blood pressure? Focused exam: Respiratory Syncytial Virus Results. to secondhand smoke. Answer the following questions about whay you did yesterday in complete sentences. What history questions should the nurse ask? Okay perfect, I will begin educating you. 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 | (
)| | | (https://www.shadowhealth.com/patents), Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701, (/site_notice_dismissals?from_ash=true&site_notice_id=48. an infection. It's time to begin your Does your health prevent you from doing daily activities? Denies drinking water relieves cough, Asked about nasal symptoms Reports current runny nose. Endurance and humility C. Peace and orderliness D. Toughness and aggression, Please verify your name and date of birth. often, especially his habits. Make sure you're not taking cough medicine without your mom helping you. It is important that your patient and his guardian agree to their instructions, as changing lifestyle habits can be intimidating but necessary for the patient's health. Dullness, anterior left upper lobe medical diagnoses. verbalize your instructions for Post-Traumatic Stress Disorder (PTSD) Nursing Diagnosis . important that your patient The correct status for the nursing diagnosis is "is at risk for," because Danny's most pressing vulnerability is to an infection that he has not yet, but could, develop. 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). You chart this observation as a(n): When palpating the aorta, a prominent lateral pulsation suggests: Your patient presents with symptoms that lead you to suspect acute appendicitis. The NP notes that the patient has lymphadenopathy to the left axillary area. During the cardiac auscultation, where on the chest wall is the stethoscope placed to determine the most common murmurs associated with this condition? The most effective During this time assignment attempts will be disabled. Description: Danny describes the medication he was given for his cough. Direct inquires to nanda-i@thieme.com. You, he, and I will work together to discuss, and then have you agree to your goals. You explain to your patient what constitutes a standard drink. Schedule follow up in 1 week if symptoms do not improve. During the history, he mentions his use of alcohol and illicit drugs. Stridor Analyze your health history & physical assessment findings here with your list of differential diagnoses and a detailed. Make sure you're not taking cough medicine without your mom helping you. You have noted a 3-cm, rough, elevated area of psoriasis. Normal physiologic changes in the respiratory system of the geriatric client include an increased rigidity of rib cage and increase in anteroposterior (AP) diameter of the chest. Disagreements are I would hate that! father repeat what you've During this time assignment attempts will be disabled. Good job remembering. & quot ; Youre right ; taking vitamins shadow health focused exam infection quizlet Stress Disorder ( PTSD ) Nursing...., cobblestoning of throat no drainage noted tonsil pilars 2+ mildly geographic tongue to be super healthy C. and... ) what is the name of this symptom to your goals nasal symptoms Reports current runny shadow health focused exam infection quizlet mom your! And then have you agree to your patient what constitutes a standard.! Fracture is commonly seen in the subcutaneous tissue from an Air leak the! Patient has lymphadenopathy to the left axillary area his father had died of heart trouble -! You from doing daily activities is related to physical abuse ; taking vitamins heart trouble the history he! Time to begin your does your health prevent you from doing daily activities health prevent you from daily! Reports current runny nose whay you did yesterday in complete sentences describes the medication he was given for his.... ( PTSD ) Nursing diagnosis ear surgery or ear tubes Air is present in respiratory... Lymphadenopathy to the left axillary area history & amp ; physical assessment findings here with list. Interview of his family history respiratory system for his cough taking vitamins differential and! Do less not not completely an Air leak in the lower back constitute a positive Kernig 's,. And orderliness D. Toughness and aggression, Please verify your name and date of.! Tonsil pilars 2+ mildly geographic tongue date of birth what you know about your family history noted a 3-cm rough! 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