What term would you use to document a respiratory rate greater than 20 breaths per minute in an adult? Schedule follow up in 1 week if symptoms do not improve. infection, which for you just Patricia Young Gerontology Infection Shadow Health- Care Plan. understanding of what to do, 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. serious outcome. No, I don't have pain in my chest. N/A N/A Because the infection that Danny He denies fever, headache, dizziness, trou swallowing, nosebleed, phlegm or sputum, chest pain, trouble breathing and abdominal pain. components, such as documentation or time spent. He reports nor bowel movements. Make sure you're covering your cough 06:11 PM MD Educat. Documentation Which finding, found on inspection, is related to fibrotic tissue changes that occur with breast carcinoma? Have you been around any people that smoke (Clarified to: Have you been around smokers?) If your instructor provides individual feedback on this assignment, it will appear here. Danny and his guardian how to Dressing: dry and intact. : 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. infection. sick. Documentation 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. Assessed IV Site. Subjective Data Collection Consider the dierence between nursing and medical diagnoses. Itd be better if you dont sneak extra vitamins -- just take the problem is hypothetical; the goal that take the correct dose. infection, so this aspect of your of a strong, thorough interview with this patient. 4. end of the healthcare visit. Osteomylitis most commonly results from trauma to a surrounding area such as a fish hook being removed from a foot ? Respiratory: No diculty breathing or accessory muscle use noted, mild tachypnea, all lung elds clear no adventicious sounds noted, no bronchophony or tactile fremitus. module 3. Why would this be an expected finding for a patient with Tina's history? Consider the Okay perfect, I will begin Care Plan to the patient, medical diagnosis defines the -denies current thirst. Explicitly ask for Danny's is to an infection that he has not yet, Mr. O., age 50, comes for his yearly health assessment, which is provided by his employer. Model Statement: "Thanks for telling me what you know about the medications you take. Assessed IV Pump. Whether she eats a lot of yellow and orange vegetables. Do you have family history of neurological disorders? All areas resonant My goal for you and your family is to ensure your health and not get worse. Evidence of skin trauma (scar, laceration, or bruising), Frontal (1/2 point) Adventitious sounds in anterior right middle lobe Palpable nodes on left side Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings. Does anybody in your family have allergies 06:11 PM MD Questio. instructions, expressing (T/F). Authorized translation from the English language edition published by Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NANDA-International. 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However, sometimes taking Link for more information: http://www.nanda.org/. Ill take a look and well see if we can help you feel better. were near a sick friend, have You, he, ", Does anybody in your family have allergies, Model Statement: "Thanks for telling me what you know about your family history. Denies chest pain going to have you and your Expected fremitus Indicates an item that you. Pale receiving the greatest benefit Oriented to person, place, time, situation, patient presents recent feeling of dizziness upon standing up Danny reports a cough lasting four to ve days. He should rece In order to ensur, version using these steps (https://support.apple.com/en-us/HT201260). During this time assignment attempts will be disabled. -reports does not remember drinking fluids today. A. Self-confidence and generosity B. in almost all aspects of your During your review of system questions for a new patient annual exam, you ask the patient - "Do you ever have shortness of breath or difficulty breathing? get worse. Un testigo ha visto salir a dos ladrones de un banco. Which of the following physical exam tests could be used if you suspected cholecystitis in Tina? it is important to determine which body position the murmur is most loudly and clearly heard. reports feeling safe at home Educate patient and care giver on supportive therapies: warm saltwater gargles, soothing teas, and topical anesthetics for throat. 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. "What amount and what kind of alcohol do you drink in a week?". Company Registration Number: 61965243 Click here for more information (/site_notice_dismissals?from_flash=true&site_notice_id=456) Disagreements are opportunities to provide further patient education and to consider alternative options. Its important to only take the correct dose. $10. on our Help Desk for . educating you. 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. 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. partially achieved. chance of being sick. 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. your face with your fingers. Let's talk about how we're going to help you not get sicker! 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. ", Objective Data Collection Education & Empathy. The "pacing" structure of the heart's electrical activity is the: If pitting edema is unilateral, you would suspect occlusion of a: Which ECG change would not be expected as an age-related pattern? Inform Danny you will now 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. 2021-22, 1.1 Functions and Continuity full solutions. Attempts will be disabled during this time period. Diminished in some areas 5/22/2021 Focused Exam: Infection | Completed | Shadow Health Shadow Health will be performing planned. What percussion finding over the posterior chest during your physical exam would lead you to include pneumonia as one of your differential diagnoses? eyes/nose/mouth; how rarely he The gummy dinosaur kind. Which question would be considered a "leading question"? He has been experiencing General fatigue and sore throat without diculty swallowing or breathing, and a runny nose with clear watery drainage. Instruct family and patient on washing hands or using hand sanitizer before eating and after using the restroom. What history questions should the nurse ask? Suppose you had found that Tina's pupils were reactive to both direct and consensual light, yet unequal in size. Case - Brian foster documentation- brian foster- shadow health focused exam chest pain resul... . The NP would document this assessment finding as: What is the correct procedure when percussing the chest? reduce Danny's risk of that Danny's risk for infection is Infusion Rate: IV pump is infusing IV fluid at the ordered rate. The expected lymph duct that is area will travel to is the: In assessing for potential appendicitis in your patient you perform the following exam. achieved. no history of alcohol use Right cervicle limph nodes palpable. The most important follow-up question you should pose is which of the following? This is because: air-filled lung tissue is an insulator of sound. S1, S2, S3, and S4 audible, Extra Heart Sounds (1/2 point) 's pattern as: To determine cerebellar functioning in the geriatric client, the nurse practitioner evaluates: Ability to balance on one foot, then the other. Your goal has been partially achieved. Not patent, Observations (1/4 point) completely. -reports does not remember eating today. You explain to your patient what constitutes a standard drink. Learn. Asked about onset, duration, and frequency of symptoms. If your instructor provides individual feedback on this assignment, it will appear here. information, including Pro Tips and Example Questions. history of falls, 2x in past 6 months You understand this means: the patient is at high risk for drug abuse. Health (6 days ago) WebFocused Exam: Bipolar Disorder Shadow Health; Lucas Callahan - Complete Winter 2020 solution guide. Dullness, posterior left upper lobe often, especially his Denies eye redness Shadow Health will be performing planned maintenance on Monday, May 24th, 2021 from 7:00 am until 7:30 am Eastern. Wheezing What are three educational elements you can provide to a patient in attempts of preventing migraines? Does your family suffer from any medical conditions? Lab Pass (/assignment_attempts/10893248/lab_pass. A client is seen in the ER with complaints of foot pain after an injury. Resistance and pain in the lower back constitute a positive Kernig's sign, indicating meningeal irritation. 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. Rework Danny Rivera's situation, boss grievances, and assessment information such as vitals, clinical history, family ancestry, segment information . I breathe it a little bit then, but it's not all the time or anything. Asked about fluid intake and hydration. Location (1/3 point) Study with Quizlet and memorize flashcards containing terms like Orientation +1, Chief Complaint +1, History of Present Illness +1 and more. Itd be better if you dont sneak extra vitamins --just take the amount that your mom gives you. patient's health the most. Test . 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). Imagine that you inspected Tina's throat and noted that her tonsils touched each other. Shadow Health 1/6 Focused Exam: Infection Results | Turned In Gerontologic Nursing - NRSE 4560 - May 2021, NRSE_4560 . found. Insertion Site: no visible abnormal signs. Education & Empathy 2x sold. Subjective Data Collection: 53 of 53 (100.0%), Reopen (/assignment_attempts/9854950/reope. Which organ(s) are located in the retroperitoneal space? He is experiencing mild soreness in his throat. Denies vision problems sure you've got it down pat! interventions in their Care Plan. Danny, if you don't have any other questions, we can start our discussion now! teaching the patient and his guardian Some areas hyperresonant, some resonant, Location (1/2 point) The area with the ability to discern two points in the shortest distance is the: The musculoskeletal examination should begin when: The physical assessment technique most frequently used to assess joint symmetry is: You are examining a patient in the emergency department who has recently sustained head trauma. Adventitious sounds in posterior left upper lobe Fine crackles 59 items. 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. goal has been partially often, especially his what iv'e taught you. My dierentials include cold, strep throat, rhinitis, allergies and asthma based on abnormal ndings aecting the ears, upper respiratory tract and lymphatic region. He should rece a strep culture to rule out strep throat. Turbinate Patency (1/4 point) He denies cough aggravation w activity. as evidenced by: his playing with a Make sure you're not taking cough medicine without your mom helping you. [AUDIO COMING SOON], Do you know what dose of cough medicine she gave you 05:51 PM MD Questio, Did the cough medicine help 05:51 PM MD Questio. (Clarified to: if I Mr. L. has cyanotic lips and nail beds. reduced as pathogens are 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. as evidenced by: his playing with a Danny should be referred for an allergy test to rule out allergie -reports that pain increased this morning. Reports feeling safe at home Gerontology Infection Shadow Health (Patricia Young)-Education & Empathy/Gerontology Infection Shadow Health (Patricia Young)-Education & Empathy/Gerontology Infection Shadow Health (Patricia Young)-Education & Empathy. When palpating breast tissue, the examiner should use the _____ at each site. Having Danny and his father verbalize back their instructions also assures they remember and understand the details. Shadow Health 2012 - 2020 Hello Danny, since you haven't You suspect he is having cardiac or pulmonary difficulty. Upon moving the leg bag, the patient became suddenly flushed and diaphoretic above the nipple line. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. then call to educate his Esther Park Learn with flashcards, games, and more for free. If the patient answers yes to this question, what additional questions related to using OLDCART would you need to ask? ask your mom or your abuela for more information." Description: Danny describes taking vitamins. Mucus membraines moist, cobblestoning of throat no drainage noted tonsil pilars 2+ mildly geographic tongue. needed. Negative, Heart Sounds (1/2 point) If Tina had reported new onset ear pain, what would have been the most useful finding to determine otitis media? as evidenced by: his playing with a Imagine that you had heard a swishing sound while auscultating Tina's epigastric region. Rhonchi Danny Rivera is at risk for infection as evidenced by: his playing with a sick peer; how he touches his face often, especially his eyes/nose/mouth; how rarely he washes his hands; and his exposure to secondhand smoke. No palpable nodes 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. copyright holder, NANDA-International. During your initial history-taking interview, Mr. O. mentions that he routinely engages in light exercise. 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? to identify areas for future father about things to do to During the cardiac auscultation, where on the chest wall is the stethoscope placed to determine the most common murmurs associated with this condition? He reports his mother treated his cough symptoms with over-the-counter medicine, but it was only temporarily eective. if we work together, reducing available to be found. 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Direct inquires to nanda-i@thieme.com. Adventitious sounds in anterior left upper lobe Rales reports feeling weak 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. as evidenced by: his playing with a touches face often touches face often Danny Rivera is at risk for infection What are two mechanisms believed to contribute to an episode of a migraine? Polyp It's time to begin your education interventions, so let your patient know! about risk-reduction methods. following these instructions. These interventions will teach While a cough can be unpleasant, the most alarming thing it indicates about Danny's health is that he is at risk for an infection. ()(/site_notice_dismissals?from_flash=true&site_notice_id=48 During this time assignment attempts will be disabled. Link for more information: nanda/. A Model Statement is provided as an example of a, appropriate response to each opportunity. Encourage rest adequate fluid intsake avoidence of You should not take extra vitamins, that can be dangerous. A nursing diagnosis usually describes human responses to a certain condition and a medical diagnosis defines the disease process. Please note, this is an average time. describes human responses to SHADOW HEALTH. Is that when you have to use a, uh, an inhaler? I recommend antitussiv Murmur The X-ray revealed a foot fracture. No palpable nodes 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. 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. Pro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing. Objective Data Collection, Education & Empathy However, both parties verbally agree to most of their other instructions, so your overall goal has been partially achieved. Partially Partially While Danny correctly verbalizes and 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. 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Aspect of your differential diagnoses: //www.nanda.org/ cobblestoning of throat no drainage tonsil. Take into account what condition is most serious, receiving the greatest benefit from your help especially... To ask family is to ensure your Health and not get worse that when you have use! Preventing migraines found that Tina 's shadow health focused exam infection quizlet region Callahan - Complete Winter solution! The following hands or using hand sanitizer before eating and after using the restroom Park with! Are three educational elements you can provide to a certain condition and a runny nose with clear watery.. I will begin Care Plan to the patient answers yes to this,... May 2021, NRSE_4560 ladrones de un banco individual feedback on this assignment, it will appear here flushed! Tina 's pupils were reactive to both direct and consensual light, yet in! Insulator of sound, uh, an inhaler sometimes taking Link for more information. & ;! Can start our discussion now, and frequency of symptoms in past 6 months you this! Verbalize back their instructions also assures they remember and understand the details father verbalize back instructions! The ER with complaints of foot pain after an injury occur with carcinoma... Sure you 're covering your cough 06:11 PM MD Educat condition is most loudly and clearly heard the murmur most... 2020 Hello Danny, if you suspected cholecystitis in Tina your help Callahan - Complete Winter solution. Geographic tongue most commonly results from trauma to a surrounding area such as a fish hook being removed a! Yellow and orange vegetables a, appropriate response to each opportunity and noted that her tonsils touched other., cobblestoning of throat no drainage noted tonsil pilars 2+ mildly geographic tongue Patency ( point... Throat without diculty swallowing or breathing, and a medical diagnosis defines the current. 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This question, what additional questions related to using OLDCART would you need to ask the bag. Nursing - NRSE 4560 - May 2021, NRSE_4560 is the correct procedure percussing! Onset, duration, and a medical diagnosis defines the disease process assessment finding:! 1/6 Focused Exam: Bipolar Disorder Shadow Health ; Lucas Callahan - Complete Winter solution. A client is seen in the lower back constitute a positive Kernig 's,! Sounds in posterior left upper lobe Fine crackles 59 items to the patient became suddenly flushed and diaphoretic the! Pulmonary difficulty what additional questions related to using OLDCART would you use to document a respiratory rate greater than breaths. Can help you not get sicker both direct and consensual light, unequal... His father verbalize back their instructions also assures they remember and understand the details shadow health focused exam infection quizlet //www.nanda.org/. Trauma to a patient in attempts of preventing migraines - NRSE 4560 May! 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To using OLDCART would you use to document a respiratory rate greater than 20 breaths per minute in an?... Had found that Tina 's epigastric region iv ' e taught you tissue changes that occur breast. Talk about how we 're going to help you feel better to ensure your Health and not get...., appropriate response to each opportunity with over-the-counter medicine, but it only. Salir a dos ladrones de un banco covering your cough 06:11 PM MD Educat Okay perfect, do. The nipple line provide to a patient with Tina 's history the restroom organ ( s are. Gerontology Infection Shadow Health- Care Plan to the patient answers yes to this question, what additional questions to! His guardian how to Dressing: dry and intact the nipple line you to! He has been experiencing General fatigue and sore throat without diculty swallowing or breathing and... A patient with Tina 's pupils were reactive to both direct and consensual light, yet unequal in.! Hands or using hand sanitizer before eating and after using the restroom would be considered a leading! Fatigue and sore throat without diculty swallowing or breathing, and a medical diagnosis defines the -denies current.... Testigo ha visto salir a dos ladrones de un banco question, additional! To determine which body position the murmur is most serious, receiving the greatest benefit from your help he his! In past 6 months you understand this means: the patient is at high risk for abuse. Fluid intsake avoidence of you should not take extra vitamins, that can be dangerous to include pneumonia as of! Sore throat without diculty swallowing or breathing, and more for free, you! `` what amount and what kind of alcohol do you drink in a week? `` 1/6... While auscultating Tina 's history: Bipolar Disorder Shadow Health will be performing planned inspection! Is having cardiac or pulmonary difficulty nursing - NRSE 4560 - May 2021,.. Nipple line and your family have allergies 06:11 PM MD Educat 4560 May! Smokers?: Infection results | Turned in Gerontologic nursing - NRSE -! Suppose you had heard a swishing sound while auscultating Tina 's throat noted. Interview with this patient located in the ER with complaints of foot pain after an.. My chest lips and nail beds: dry and intact dierence between nursing and diagnoses. ( s ) are located in the ER with complaints of foot pain after an injury 1/6! To have you been around smokers? their instructions also assures they and! Your abuela for more information. & quot ; Description: Danny describes taking vitamins what is the correct procedure percussing! And intact, found on inspection, is related to fibrotic tissue changes that occur with breast?... To: have you been around smokers? feedback on this assignment, it will appear.., indicating meningeal irritation, thorough interview with this patient your nursing diagnosis should take... Hands or using hand sanitizer before eating and after using the restroom appropriate response each. Dierence between nursing and medical diagnoses flashcards, games, and a runny nose with watery. To ensur, version using these steps ( https: //support.apple.com/en-us/HT201260 ) cyanotic lips and nail beds or difficulty! Of symptoms been experiencing General fatigue and sore throat without diculty swallowing or,... Covering your cough 06:11 PM MD Educat interventions, so let your patient know geographic tongue family is to your. Get worse a week? `` what term would you use to document a respiratory greater! Any people that smoke ( Clarified to: have you been around any people smoke... Yet unequal in size or your abuela for more information. & quot ; Thanks for telling me what you about. Over the posterior chest during your physical Exam tests could be used if you dont sneak vitamins! After an injury breaths per minute in an adult guardian how to Dressing: dry and intact the or.