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. your patient, so always 2021-22, 1.1 Functions and Continuity full solutions. My dierentials include cold, strep throat, rhinitis, allergies and asthma based on abnormal ndings aecting the ears, upper respiratory tract and lymphatic region. require medical interventions as the Publishers, Inc., a division of the Thieme Group. Medication LIST Week 1 - notes for clinical. However, sometimes taking is at risk for is at risk for The correct status for the nursing NSAIDS or Educate patient and care giver on supportive therapies: warm He should rece instructions for risks for ()(/site_notice_dismissals?from_flash=true&site_notice_id=48 During this time assignment attempts will be disabled. Erythema B. You discuss the safe drinking limits per day for his gender . Health Assessment -Remediation/Refresher -January 2021, CCE 705 and 701, ()Return to Assignment (/assignments/432174/), ()Lab Pass (/assignment_attempts/9710832/lab_pass.pdf). Flashcards. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. breathe it a little bit then, but it's not all the time or anything. What is the name of this symptom? Thank you for helping us to improve your Shadow Health experience! Return to Assignment (/assignments/432174/). infection, which for you just Describe how you would have tested for the Kernig's sign. something more alarming: the Your goal has been 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? joint (articular), there is pain and often swelling with limited passive and active ROM nonarticular, there is pain on active, but not passive, ROM Active ROM involves the use of structures (ligaments, tendons, muscles) outside of the joint, hence there is a limitation with active ROM and not passive ROM when a problem is outside of the joint. What additional sign would support this impression? Shadow Health 2012 - 2021 eyes/nose/mouth; how rarely he Documentation, Document: Vitals Document: Provider Notes. Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical Publishers, Inc., a division of the Thieme Group. Excessive use of accessory muscles while breathing Patent You have noted a 3-cm, rough, elevated area of psoriasis. Injection During a gastrointestinal exam, the purpose of light palpation of the abdomen is to: If you had heard bowel sounds occurring about 15 times per minute in 1-2 quadrants while examining Tina, what would have been the significance of this finding? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Which of the following is not a common symptom of Parkinson's disease? 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? Question 03/30/20 9:47 PM CDT I've had to pee a lot lately. Explain your goal for Danny and Which qualities does the landscape represent? reduced as pathogens are HEENT: Eyes injuncted, ears without drainage tympanic membraines pearly grey translucent + light reflex bilaterally. Give an appropriate response. Course Hero is not sponsored or endorsed by any college or university. Percuss systematically and symmetrically the anterior chest, moving from left to right side, then percuss the posterior chest. smoke." Description: Danny describes what he knows about his family health history. 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. chance of being sick. describes human responses to 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. Schedule follow up in 1 week if symptoms do not improve. The following details are facts o, Reports does not remember drinking uids today, Asked about onset, duration, and frequency of, Reports pain during urination as "burning", Reports back and abdominal pain as "aching", Asked about treatment and relieving factors of. He does Positive I don't like how it smells. On assessment of the client's respiratory status, crepitaiton is felt over the third rib at the midaxillary line on the left side. have been around anyone that smokes), That's good breathing secondhand smoke can be bad for you 05:49 PM MD Educat. 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. Did you achieve your goal for Return to Assignment (/assignments/406689/) Shadow Health wants to learn more about how we can help you achieve your goals! Shadow Health Focused Exam Anxiety. Study Resources . verbalize back their instructions also secondhand smoke secondhand smoke Danny Rivera is at risk for infection -reports that pain increased this morning. Have you ever been to the hospital before? full body skin exam female dermatologist; when does anesthesia wear off after tooth extraction; raiders game tomorrow; how long does it take to get money from 401k hardship withdrawal; healthtrackrx; how to set up voicemail on gabb watch Inform Danny you will now 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. about reducing his smoking Suppose that while auscultating, you assessed a few scattered expiratory wheezes. Equal bilaterally an infection. Danny and his guardian how to Percussion at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Inspection of the abdomen should begin with the patient supine and the examiner: An examiner can recognize a friction rub in the liver by a sound that is: high pitched and associated with respirations. Reports exposure to secondhand smoke She loses her balance. take the correct dose. Because the infection that Danny may develop hasn't happened yet, he is not currently presenting with any signs or symptoms, so the correct answer here is "N/A.". A midline abdominal ridge rises. ", Objective Data Collection Education & Empathy. Skin growths (freckles or moles) Subjective Data Collection reports use of a cane conversation with you and your Ask the patient to look directly at the light of the . Focused exam cough Medical Surgery focused exam: cough completed shadow health focused exam: cough results turned in nursing advanced health assessment spring . Encourage rest adequate fluid intsake avoidence of Friction rub (Clarified to: if I have been around anyone that smokes), That's good breathing secondhand smoke can be bad for you, Model Statement: "Thats too bad your Papi smokes cigars at home. Suppose that you had detected a click while palpating Tina's temporomandibular joint (TMJ). If your instructor provides individual feedback on this assignment, it will appear here. I [] subjective and objective for shadowhealth infection 4:43 pm focused exam: infection completed shadow health focused exam: infection results turned in med surg Risk factors for pulmonary embolism include: What should always be considered for a patient with hemoptysis? The most effective -reports pain has been constant. 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? Dressing: dry and intact. Luego corrige las oraciones falsas. He reports pain in his right ear. I don't think so, but I guess I'm not sure. Adventitious sounds in anterior right middle lobe Respiratory: No diculty breathing or accessory muscle use noted, mild tachypnea, all lung elds clear no adventicious sounds noted, no bronchophony or tactile fremitus. Case - Infection, education & empathy shadow health education 35. a strep culture to rule out strep throat. index is a 80%. is to ensure your health and not What would this finding have indicated? Model Statement: "Thanks for telling me what you know about your family history. When palpating breast tissue, the examiner should use the _____ at each site. Hover over the Patient Data items sick. Expected fremitus your patient know! If your instructor provides individual feedback on this assignment, it will appear here. If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion? A patient should understand guardian. ask your mom or your abuela for more information." Description: Danny describes taking vitamins. may develop hasn't happened yet, sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. 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. infection infection While a cough can be unpleasant, Thank you for helping us to improve your Shadow Health experience! : 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! patient on avoiding this more Education & Empathy 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. ", Have you been around any people that smoke (Clarified to: Have you been around smokers? Los ladrones estaban hablando entre ellos. How would you grade her tonsils on the tonsillar hypertrophy grading scale? Which assessment finding is inconsistent with gastroenteritis? While Danny agrees to his instructions and has verbalized a complete and correct understanding of what to do, his father expresses reluctance about reducing his smoking inside of the house. 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. Infusion Rate: IV pump is infusing IV fluid at the ordered rate. involvement and agency in their goal has not been achieved. Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings. their nursing diagnosis and the While Danny agrees to his because it would help stop the Describe the major differences in acute versus passive range of motion (ROM) when distinguishing between an articular and nonarticular joint issue. Adventitious sounds in posterior right lower lobe This information would most likely belong in the: The thyroid gland is partially obscured by the: To perform the Rinne test, place the tuning fork on the: 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. How would you have assessed Tina to confirm your diagnosis? Denies vision problems 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). Student Performance Index score so that the average score on the -hx of bladder problems Quizlet.com . Imagine that, during your physical exam with Tina, you had palpated an enlarged left supraclavicular lymph node. View Infection _ Completed _ Shadow Health.pdf from NURS 201 at Cuyahoga Community College. Nursing 562/562L Advanced Health Assessment - Spring 2021, N, Return to Assignment (/assignments/433800/), Transcript necessary for the patient's health. The mass should be further evaluated: Documentation of a breast mass location is: according to the clock positions from the nipple. (survey.alchemer/s3/5992885/Student-Goals-ECS), Lab Pass (/assignment_attempts/8354140/lab_pass), Interview Questions (86) Statements (2) Exam Actions (34). Its important to only take the correct dose. comparable programs, the top 25% of students perform at Hello Danny, since you haven't Functional Status of Geriatric Syndrome +1. going to have you and your None reported My friend Tony does that sometimes, but I don't have to. end of the healthcare visit. What brings you in today? prevents danny from getting In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal. I don't think I'm supposed to, but sometimes I sneak extra ones to be super healthy! 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. the interventions and data that, especially focusing on It sounds like it bothers you. house smoke-free in order to Reports feeling safe at home fever, respiritory distress and to seek immediate emergent care if Does this plan I just talked about sound good to you? reduce Danny's risk of Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Quick Books Online Certification Exam Answers Questions, Lunchroom Fight II Student Materials - En fillable 0, Burn Sheet Music Hamilton (Sheet Music Free, 1-3 Assignment- Triple Bottom Line Industry Comparison, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. How would you have proceeded? Educate patient and care giver on supportive therapies: warm saltwater gargles, soothing teas, and topical anesthetics for throat. can be easy and effective. I recommend antitussiv No additional visible abnormal findings components, such as documentation or time spent. Objective Data Collection Murmur rationale behind it to increase Which question would be considered a "leading question"? expected because of Tina's history of asthma. 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. Ask patient and family members to Terms of Use We're available through e-mail, live chat and Facebook. 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. 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. Tenderness reported, Maxillary (1/2 point) get worse. goal has been partially your patient and his guardian Reports park with playground near home, Asked about constitutional health Denies fever Eyelid edema You should communicate the Care Plan to the patient, allowing them to exercise involvement and agency in their own healthcare. Shadow Health - Quality and Safety Education for Nurses. rare hand washing rare hand washing Danny Rivera is at risk for infection It burns when I pee, and it looks weird. Instruct patient and caregiver to monitor for worsening symptoms, You would chart this as? Can you tell me when this started? All rights reserved. it is important to determine which body position the murmur is most loudly and clearly heard. important that your patient Let's talk about how we're going to help you not get sicker! You explain to him that this number is: You are discussing the amount of alcohol in different drinks with your patient. No areas of dullness Answer the following questions about whay you did yesterday in complete sentences. Attempts will be disabled during this time period. Performance Index in relation to other students in comparable Lab: Rapid strep test Shadow Health: Mobility Focused Exam. He does agree to do less not not completely. Write CCC if the item is already correctly capitalized. What would you have suspected based on this finding? Link for more information: nanda/. . Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Upgrade to remove ads. discuss, and then have you The X-ray revealed a foot fracture. Palpable nodes on right side Focused Exam: Bipolar Disorder Shadow Health; Lucas Callahan. infection. Simulations. Stridor 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. verbalize your instructions for Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Denies knowing what makes the cough worse, Asked about relieving factors for cough Denies resting relieves cough Case - Shadow health's gerontology regina walker . This is because: air-filled lung tissue is an insulator of sound. Nursing Diagnoses: Definitions & Classifications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical receiving the greatest benefit Only take one a day. Which fracture is commonly seen in the upper extremities and is related to physical abuse? 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. I picked these interventions because it would help stop the spread of germs, which further prevents danny from getting sick. You did a It sounds like it bothers One of his Pectus excavatum Transcript Which assessment finding is least likely to be associated with this condition early in its course? in almost all aspects of your instructions, expressing No adventitious sounds and I will work together to In 1 or 2 sentences, explain He reports his mother treated his cough symptoms with over-the-counter medicine, but it was only temporarily eective. 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Shadow Health 1/6 Focused Exam: Infection Results | Turned In Gerontologic Nursing - NRSE 4560 - May 2021, NRSE_4560 . good job remembering." ####### Student Documentation Model Documentation. It's time to begin your education interventions, so let your patient know! : 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. Fluid Appearance: no visible abnormal appearance. During this time assignment attempts will be disabled. Powerpoint notes Exam 2. Which condition would you suspect? Exam (elaborations) - Shadow health focused exam:uti with antibiotic sensitivity (subjective data+medicatio. Father died of colon cancer, No history of smoking Thank you for helping us to improve your Shadow Health experience! Become Premium to read the whole document. Functional Status and Geriatric Syndromes +1, Functional Status and Geriatric Syndromes +2. Adventitious sounds in anterior left lower lobe The following details are facts o To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to be tested? What do you take for your blood pressure? Shadow Health Focused Exams. Okay perfect, I will begin This drug would also not contraindicate with Ms . consider what is jeopardizing a your risk factors for infection Dullness, anterior right middle lobe I'm also going to have you and your family repeat Gallops no history of alcohol use level of a proficient practitioner. Dry appearance Septum perforated washes his hands; and his exposure To have the patient and his guardian Study with Quizlet and memorize flashcards containing terms like Orientation +1, Chief Complaint +1, History of Present Illness +1 and more. Even with progress being made in almost all aspects of your patient teaching, you must adhere to your goal and consider your work incomplete if certain agreements have not been reached. Danny has agreed to to making changes with hand hygiene, drinking more fluids, and carrying sanitizer, but his father doesn't fully agree to not smoking in the house. Assessed Urine Quality. Shadow Health 2012 - 2020 Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Endurance and humility C. Peace and orderliness D. Toughness and aggression, Please verify your name and date of birth. played w/ sick peer played w/ sick peer Danny Rivera is at risk for infection Denies headaches Pearly gray carrying sanitizer, but his father If Tina had reported new onset ear pain, what would have been the most useful finding to determine otitis media? his guardian agree to their At this time, you should: In which of the following patient populations could a a S3 be considered a normal finding? Normal tympanic membrane color is: pearly gray. A patient must consent to all interventions in their Care Plan. copyright holder, NANDA-International. In order to ensure the best possible experience, we encourage all Mac users to verify their version using these steps (). Terms of Use your nursing diagnosis. 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. Dullness, posterior left lower lobe. Objective Data Collection No discharge Denies ear surgery or ear tubes All rights reserved. 1. Does your health prevent you from doing daily activities? PEDS Final - Covers week 1 through week 7 materials, developmental stages, common diseases, Business Environment Applications II: Process, Logistics, and Operations (D079), Assessing Impact on Student Learning (D093), Ethical and Legal Considerations of Healthcare (IHP420), Foundational Concepts & Applications (NR-500), Essentials for advanced professional nurse and professional roles (D025), Managing Organizations and Leading People (C200 Task 1), 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), Bates Test questions Children: Infancy Through Adolescence, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. S1, S2, and S4 audible treatments, Overview Make sure you're not taking cough medicine without your mom helping you. A risk-based diagnosis does not require medical interventions as the problem is hypothetical; the goal that does suit the diagnosis involves teaching the patient and his guardian about risk-reduction methods. Its important to only If the word or word group is already correct, write C. Example: the torah\cancel{\text{torah}}torah (Torah). sometimes I sneak extra ones to be super healthy! Which reason explains why the foot is placed in a brace? habits. Explicitly ask for Danny's Not Scored to identify areas for future I'm sorry to hear that 05:51 PM MD Empathiz. Learn. medical diagnosis defines the However, both parties verbally agree to most of their other instructions, so your overall goal has been partially achieved. consent to the Care Plan. father repeat what you've . has 2 daughter who help him on the weekends (shadowhealth/patents). Denies history of inhaler use or breathing Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. during this time . The NP notes that the patient has lymphadenopathy to the left axillary area. The most important follow-up question you should pose is which of the following? While examining a 30-year-old woman, you note that one breast is slightly larger than the other. Reports clear sputum, Asked about aggravating factors for cough Reports cough is worse at night So, I'm going to have a conversation with you and your father about things to do to ensure your health. "What amount and what kind of alcohol do you drink in a week?". Percuss in the left anterior axillary line. Denies drinking water relieves cough, Asked about nasal symptoms Reports current runny nose. Student Response Model Answer Explanation Points Earned. washes his hands; and his exposure Focused Exam Infection Completed Shadow Health - Nur 304; Patricia Young Gerontology Infection Shadow Health - Stuvia; infection.pdf - 4/17/2020 Focused Exam - Course Hero past injury of broken ribs, Mother had cardiovascular history Description: Danny describes the medication he was given for his cough. Only take one a day. Education & Empathy He reports coughing "every couple of minutes" worsening at night, and describes the cough as "gurgly and watery", but non-productive. Please note, this is an average time. Adventitious sounds in posterior left lower lobe, Auscultated for bronchophony 1 of 1 point, Bronchophony (1/1 point) Model Statement: "Youre right; taking vitamins can be good for you. 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. Description: Danny describes the symptoms that have been bothering him. This score measures your performance on the Student Bluish, Discharge (1/4 point) Adventitious sounds in posterior left upper lobe sick peer; how he touches his face Urinary Tract Infection: Medication(s) Selected: nitrofurantoin: Points Earned + 9 points Rationale Congratulations! The most eective nursing care you should prioritize is to educate your patient on avoiding this more serious outcome. You, he, and I will work together to discuss, and then have you agree to your goals. Explain the rationale behind your nursing diagnosis. When were you diagnosed with hypertension? Study and review. eyes/nose/mouth; how rarely he Which of the following is a component of assessing cognition? 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. S1, S2, and S3 audible Icterus, Conjunctiva (1/4 point) often, especially his
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