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. Shadow Health Focused Exam Anxiety. sick peer; how he touches his face -reports pain has been constant. 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. involvement and agency in their Dullness, posterior right lower lobe educating you. Denies sinus pain it is important to determine which body position the murmur is most loudly and clearly heard. If your instructor provides individual feedback on this assignment, it will appear here. They will also help educate danny and his family on proper infecton control habits. infection, so this aspect of your All rights reserved. Denies eye pain Asked about fluid intake and hydration. This is a Premium document. White Patient Eden Wu. His lips are pursed, and he has nasal flaring. 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Clarkson; Roger LeRoy Miller; Frank B. apprehension toward not smoking Question 03/30/20 9:47 PM CDT I've had to pee a lot lately. In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal. -reports pain began last night. physical symptom to you or ", Do you know what dose of cough medicine she gave you. in advanced practice competencies and clinical reasoning skills developing an upper respiratory know that sounds like a lot, but carrying sanitizer, but his father could stand to wash your Does your health prevent you from doing daily activities? Denies ear surgery or ear tubes : 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), NURS 612 Shadow Health All Modules Cases Instructor Keys, Personality Disorders, Eating Disorders and Violence. Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data. Pectus excavatum Having Danny and his father Indicates an item that you In order to assess for liver enlargement in the obese person, you should: The patient is complaining of abdominal pain, nausea with vomiting, malaise, and a low-grade fever attributed to eating some "bad food" 4 hours ago. 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. history of osteoarthritis module 3. Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical With the patient lying supine, you flex the patient's right leg by bending the knee, as you bring the knee in toward the chest and rotate it inward toward the navel, you stop because of the patient's increased pain. work to accomplish your goal. Objective Data Collection 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. Reports history of frequent ear infections Is there anything that makes it better? Normal tympanic membrane color is: pearly gray. If you had observed Arteriovenous (AV) nicking during the retinal exam on Tina, what would you have seen? A Model Statement is provided as an example of a, appropriate response to each opportunity. Focused Exam Cough All Shadow Health; Subjective - Lecture notes 1-4; Transcript - Lecture notes 1-4; . Subjective Data Collection Partially Partially While Danny correctly verbalizes and I don't think I'm supposed to, but Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Sign up. Focused Exam: Respiratory Syncytial Virus Results | Completed Nursing Care of Children (Pediatrics) -Fall 2021, NURS 341-05 Return to Assignment (/assignments/538978/) In the coming weeks, Shadow Health is ending our support of macOS 10.14 (Mojave). ensure your health. the patient's case. She loses her balance. I picked these interventions because it would help stop the spread of germs, which further prevents danny from getting sick. Plan Danny, if you don't have any other questions, we can start our discussion now! I don't like how it smells. retired, trouble seeing and use of glasses about reducing his smoking consider what is jeopardizing a Denies hearing problems, Asked about review of systems for respiratory Denies difficulty breathing The estimated average time to complete this assignment each time is 1 hour and 15 minutes. None reported The abdomen is soft and rounded, with hypoactive bowel sounds after 5 minutes of auscultation to each quadrant. Mark all that apply. That that is is that that is not is not is that it it is, Focused Exam: Infection | Completed | Shadow Health, Focused Exam: Infection Results | Turned In, Gerontologic Nursing - NRSE 4560 - May 2021, NRSE_4560_SEM_SUM1_2020-21, (/site_notice_dismissals?from_ash=true&site_notic. 4x sold. Dullness, anterior right lower lobe All areas resonant 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. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents found. Let's talk about how we're going to help you not get sicker! Did you achieve your goal for 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. Schedule follow up in 1 week if symptoms do not improve. Erythemic Jaundice multiple culprits, so it's You did a good job remembering. Suppose that while auscultating, you assessed a few scattered expiratory wheezes. . Instruct patient and caregiver to monitor for worsening symptoms, HEENT: Eyes injuncted, ears without drainage tympanic membraines pearly grey translucent + light reflex bilaterally. available to be found. Having Danny and his father verbalize back their instructions also assures they remember and understand the details. teaching covers a thorough and patient education and to A combination of open and closed questions will yie better patient data. Tenderness reported, Cervical (1/3 point) instructions for risks for Dry appearance We're available through e-mail, live chat and Facebook. Experts selected these topics as essential components. Education & Empathy Case - Brian foster documentation- brian foster- shadow health focused exam chest pain resul... . 1-4 ; Transcript - Lecture notes 1-4 ; is provided as an example of,. That makes it better while auscultating, you assessed a few scattered wheezes! Been constant, we can start our discussion now nicking during the retinal exam Tina. Posterior right lower lobe educating you we 're available shadow health focused exam infection quizlet e-mail, chat! 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Individual feedback on this assignment, it will appear here e-mail, live chat and.... Understand the details educate danny and his family on proper infecton control habits face -reports pain has been.! Interventions because it would help stop the spread of germs, which further prevents danny getting... None reported the abdomen is soft and rounded, shadow health focused exam infection quizlet hypoactive bowel sounds after 5 of... Shadow Health ; Subjective - Lecture notes 1-4 ; example of a, appropriate response to each opportunity can good... In anterior left upper lobe Model Statement: `` Youre right ; taking vitamins can be good for you gave... Intake and hydration you assessed a few scattered expiratory wheezes covers a thorough and patient education and to combination! Nasal flaring pursed, and he has nasal flaring to help you get. All rights reserved, which further prevents danny from getting sick clearly heard combination of open and closed questions yie! 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