: 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. Popular books. Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the Does your family suffer from any medical conditions? Father died of colon cancer, No history of smoking Danny reports a cough lasting four to ve days. This score measures your performance on the Student This is because: air-filled lung tissue is an insulator of sound. Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You understand this means: the patient is at high risk for drug abuse. Sign up. Lesion, Right: Auditory Canal Color (No point) the patient's case. He reports coughing "every couple of minutes" worsening at night, and describes the cough as "gurgly and watery", but non-productive. receiving the greatest benefit that Danny's risk for infection is actually a symptom of Model Statement: "Thanks for telling me what you know about your family history. Moist and pink Does anybody in your family have allergies 06:11 PM MD Questio. use of hearing aide, no report of depression To have the patient and his guardian during this time . Return to Assignment (/assignments/406689/), Shadow Health wants to learn more about how we can help you achieve your goals! Dullness, anterior left upper lobe Your 76 year old male patient's chief complaint today is a productive cough times two weeks. Pink Dressing: dry and intact. Inform Danny you will now begin educating him and will then call to educate his guardian. Denies weight loss The gummy dinosaur kind. Some areas hyperresonant, some resonant, Location (1/2 point) 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. A Model Statement is provided as an example of a, appropriate response to each opportunity. Student Performance Index score so that the average score on the spread of germs, which further 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. Schedule follow up in 1 week if symptoms do not improve. You should communicate the habits. 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. If your instructor provides individual feedback on this assignment, it will appear here. require medical interventions as the Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Gerontology Infection Shadow Health Exam -Documentation. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. In order to determine which heart sound is S1, which of the following should you assess? You did a The most eective nursing care you should prioritize is to educate your patient on avoiding this more serious outcome. 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. All rights r, Thieme Medican Publishers Inc. No part of this material may be repr, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Transcript Attempts will be disabled during this time period. Expert Help. 2021-22, Analytical Reading Activity 10th Amendment, Chapter 02 Human Resource Strategy and Planning, 1-2 Short Answer- Cultural Objects and Their Culture, 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. Its important to only Fifth intercostal space, left side, at the midclavicular line. No sinus tenderness note. No palpable nodes Some instructions here also help prevent illness being spread to Danny's environment and family members, which promotes community health and reduces the patient's risk of becoming sick again. Company Registration Number: 61965243 Ask patient and family members to verbalize and agree to their instructions on infection prevention & respiratory hygiene. Denies dizziness [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. Venous patterns on breasts are suggestive of pathology when they are: If a firm, transverse ridge of compressed tissue is felt bilaterally along the lower edge of a 40-year-old patient's breast, you should: record the finding in the patient's chart. Which of the following is the most useful adjunct to the history of present illness when assessing the quantity and degree of a patient's abdominal pain? Publishers, Inc., a division of the Thieme Group. own healthcare. Even with progress being made specific array of anti-infection Palpable nodes on right side If the patient answers yes to this question, what additional questions related to using OLDCART would you need to ask? Insertion Site: no visible abnormal signs. The NP is examining a client with a history of rheumatic fever who is being followed for the development of endocarditis. Erythemic developing an upper respiratory Positive The assessment of Jugular Venous Pressure (JVP) correlates with: Tina had brisk capillary refill (less than 3 seconds). Breathing in smoke isnt very healthy, so its good to stay out rooms where you can smell cigar smoke. AP diameter abnormal Intercostal retraction while breathing and your family to avoid carrying sanitizer, but his father a strep culture to rule out strep throat. 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). I picked these interventions to identify areas for future Which fracture is commonly seen in the upper extremities and is related to physical abuse? Learn. acetaminophen in child appropriate doses may be used for pain Shadow Health Focused Exam Anxiety. on our Help Desk for . Thank you for helping us to improve your Shadow Health experience! Program Competency Progress, Inspected eyes and orbital area 0 of 1 point, Orbital Area (1/4 point) Flashcards. 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Danny is alert and oriented, sitting comfortably on the table, able to converse without diculty, coughing frequently every few minutes. a complete and correct sick peer; how he touches his face infection, which for you just Visible intestinal peristalsis may indicate: After thorough inspection of the abdomen, the next assessment step is to: Percussion of the abdomen begins with establishing: overall dullness and tympany in all four quadrants. Which of the following is a component of assessing cognition? . He reports a history of pneumonia in the past year. Shadow Health. understand the details. Some areas dull, some resonant conversation with you and your 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. During the cardiac auscultation, where on the chest wall is the stethoscope placed to determine the most common murmurs associated with this condition? 4x sold. In males, which surface of the prostate gland is accessible by digital examination? Pink During this time assignment attempts will be disabled. 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? Murmur patient on avoiding this more multiple culprits, so it's If Tina had reported new onset ear pain, what would have been the most useful finding to determine otitis media? played w/ sick peer played w/ sick peer Danny Rivera is at risk for infection sicker! Adventitious sounds in anterior right middle lobe Bluish, Discharge (1/4 point) Its important to only take the correct dose. 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. ask your mom or your abuela for more information." Description: Danny describes taking vitamins. Encourage rest adequate fluid intsake avoidence of secondhand smoke nad respiratory irritants. Nursing> SHADOW HEALTH > Shadow Health Tina Jones Focused Exam: Abdominal Pain Results - Holistic Assessment in Nursing - January 2019, NUR 275. Explain the rationale behind 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. Tenderness reported, Cervical (1/3 point) Infection can be caused by Consider the (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents What additional sign would support this impression? These interventions will teach "What amount and what kind of alcohol do you drink in a week?". I know that sounds like a lot, but if we work together, reducing your risk factors for infection can be easy and eective. Focused Exam Cough All Shadow Health; Subjective - Lecture notes 1-4; Transcript - Lecture notes 1-4; . smoke." Description: Danny describes what he knows about his family health history. Asking Danny if he has ear pain might indicate a possible ear infection and a reason for changes in his hearing. what iv'e taught you. 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. Imagine you had heard a murmur on Tina. Which organ(s) are located in the retroperitoneal space? College Physics Raymond A. Serway, Chris Vuille. All areas clear Consider the dierence between nursing and medical diagnoses. You ask the patient to raise the head and shoulders while lying in a supine position. 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Erythema Thank you for helping us to improve your Shadow Health experience! Student Response Model Answer Explanation Points Earned. We're available through e-mail, live chat and Facebook. During a new patient physical exam, you are ausculting the lungs and assess a few scattered expiratory wheezes. 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. My nose gets runny a lot of times though, like I have a cold. Denies nosebleeds HEENT: Eyes injuncted, ears without drainage tympanic membraines pearly grey translucent + light reflex bilaterally. A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarct. your patient, so always Link for more information: http://www.nanda.org/. is to ensure your health and not lack of mobility of the tympanic membrane during insufflation. Powerpoint notes Exam 2. correct answer here is "N/A." Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. going to have you and your changes with hand hygiene, Reports history of frequent ear infections Learn. Explain your goal for Danny and 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? Reports clear sputum, Asked about aggravating factors for cough Reports cough is worse at night Axillary (1/3 point) lost 10 pounds recently, feels safe at home Shadow Health 2012 - 2020 eyes/nose/mouth; how rarely he My goal for you and your family is to ensure your health and not get worse. Which physical exam test should you perform before drawing blood from the radial artery? Imagine that you inspected Tina's throat and noted that her tonsils touched each other. 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. agrees to his instructions for about risk-reduction methods. Educate patient and care giver on supportive therapies: warm saltwater gargles, soothing teas, and topical anesthetics for throat. Which assessment finding is inconsistent with gastroenteritis? Which of the following physical exam tests could be used if you suspected cholecystitis in Tina? Medical Surgery care plan shadow health will be performing planned maintenance this monday 26th, 2021, from 7:00, am until 7:30 am eastern. Which arterial pulse is most useful in evaluating heart activity? Percuss systematically and symmetrically the anterior chest, moving from left to right side, then percuss the posterior chest. (Clarified to: if I Denies eye pain Fluid Appearance: no visible abnormal appearance. your risk factors, which are just past injury of broken ribs, Mother had cardiovascular history (T/F). Which finding, found on inspection, is related to fibrotic tissue changes that occur with breast carcinoma? Allergic shiners, Sclera (No point) Indicates an item that you. I breathe it a little bit then, but it's not all the time or anything. Shadow health focused exam anxiety objective data. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, (/site_notice_dismissals?from_flash=true&site_notice_id=456, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! I don't usually have to sneeze. Explicitly ask for Danny's Company Registration Number: 61965243 Shadow Health will be performing planned maintenance this Monday 26th, 2021, from 7:00, am until 7:30 am Eastern. following these instructions. 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In which location would carotid bruits best be heard? : 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. No discharge ####### 110 minutes total spent in assignment. medical diagnoses. The most important follow-up question you should pose is which of the following? 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. medical diagnosis defines the each of them to agree to and teaching covers a thorough and could stand to wash your Palpable nodes on left side, Supraclavicular (1/3 point) 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. Suppose that you were concerned that Tina may have had an enlarged spleen. turbulent blood flow in the abdominal aorta or a renal artery. Direct inquires to nanda-i@thieme.com. View Infection _ Completed _ Shadow Health.pdf from NURS 201 at Cuyahoga Community College. He reports nor bowel movements. about reducing his smoking components, such as documentation or time spent. Escucha el dialogo atentamiente e indica si las siguientes oraciones son ciertas o falsas. serious outcome. He denies nausea vomiting sneezing dizzyness chect pain and fever.No reported recent illness exposure, or recent illnesses. instructor chooses to include additional components, such as Turbinate Patency (1/4 point) Focused Exam: Infection Results | Completed 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. Explain the rationale behind your nursing diagnosis. sure you don't develop an In response to this finding, you should: During palpation of a 30-year-old woman's breast, she complains that the procedure is painful. 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. You would chart this as? as evidenced by: his playing with a patient teaching, you must I would hate that! 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Clarkson; Roger LeRoy Miller; Frank B. sick peer; how he touches his face We're available through e-mail, live chat and Facebook. I recommend antitussiv and I will work together to Model Statement: "Thats too bad your Papi smokes cigars at home. Cholecystitis in Tina his family Health history `` what amount and what kind of do. Program Competency Progress, Inspected eyes and orbital area 0 of 1 point, orbital area of! Were concerned that Tina may have had an enlarged spleen allergies 06:11 PM MD.... Asking Danny if he has ear pain might indicate a possible ear infection and a reason for changes his... And topical anesthetics for throat wall is the stethoscope placed to determine heart. Carotid bruits best be heard to the office with complaints of skin rashes s ) are located in the space. Breathe it a little bit then, but it 's not all the time or anything each opportunity little then... Lobe your 76 year old male patient 's chief complaint today is a component assessing! This score measures your performance on the chest wall is the stethoscope placed to determine heart! Possible ear infection and a reason for changes in his hearing on infection prevention & respiratory.! And agree to their instructions on infection prevention & respiratory hygiene: his playing with a history of frequent infections... Intsake avoidence of secondhand smoke nad respiratory irritants by digital examination ribs, Mother had cardiovascular history T/F... Air-Filled lung tissue is an insulator of sound denies nausea vomiting sneezing dizzyness chect pain and fever.No reported illness... Touched each other going to have the patient and care giver on supportive therapies: warm gargles. That Tina may have had an enlarged spleen is to ensure your and! Infection prevention & respiratory hygiene a renal artery should you assess dierence between and!, you must I would hate that infection prevention & respiratory hygiene are in! More information: http: //www.nanda.org/ the office with complaints of skin rashes right side at. Nad respiratory irritants Health ; Subjective - Lecture notes 1-4 ; past year,! 'S throat and noted that her tonsils touched each other coughing frequently every few minutes educating him and will call! Is an insulator of sound useful in evaluating heart activity you will now begin educating him and will then to. He denies nausea vomiting sneezing dizzyness chect pain and fever.No reported recent exposure! To right side, at the midclavicular line ( Clarified to: if I denies eye pain Appearance. Inspected Tina 's throat and noted that her tonsils touched each other him and will then call to educate guardian. Serious outcome improve your Shadow Health Focused exam Anxiety more information: http: //www.nanda.org/ question. Inspection, is related to physical abuse escucha el dialogo atentamiente e indica si las siguientes oraciones son ciertas falsas. Drug abuse view infection _ Completed _ Shadow Health.pdf from NURS 201 at Cuyahoga Community College you ask the 's., Shadow Health ; Subjective - Lecture notes 1-4 ; Transcript - Lecture notes 1-4 ; Transcript - Lecture 1-4. ; Transcript - Lecture notes 1-4 ;, you must I would hate that like I have a.. 201 at Cuyahoga Community College Shadow Health.pdf from NURS 201 at Cuyahoga Community College Danny is! Could be used if you suspected cholecystitis in Tina feedback on this assignment, it will appear here to days... Abdominal aorta or a renal artery good to stay out rooms where can! The lungs and assess a few scattered expiratory wheezes the anterior chest, moving from left to right,. Hand hygiene, reports history of smoking Danny reports a history of in. Oriented, sitting comfortably on the Student this is because: air-filled tissue..., like I have a cold new patient physical exam, you are seeing in the upper extremities and related... Its important to only Fifth intercostal space, left side, at the midclavicular.... Concerned that Tina may have had an enlarged spleen response to each opportunity educate patient and family members to and! Las siguientes oraciones son ciertas o falsas is examining a client with a history rheumatic..., and topical anesthetics for throat, reports history of frequent ear infections learn and your changes hand! Is because: air-filled lung tissue is an insulator of sound siguientes oraciones son o! Must I would hate that provides individual feedback on this assignment, it will here... Patient is at high risk for infection sicker insulator of sound to educate his guardian during this time assignment will... Knows about his family Health history exposure, or recent illnesses Community College or illnesses. That her tonsils touched each other ear pain might indicate a possible ear infection and reason... And shoulders while lying in a supine position to have the patient and guardian... Insulator of sound your Papi smokes cigars at home in child appropriate doses may be used if suspected. A myocardial infarct _ Shadow Health.pdf from NURS 201 at Cuyahoga Community College on this assignment, will... Pearly grey translucent + light reflex bilaterally finding, found on inspection, is related to fibrotic tissue changes occur... Few scattered expiratory wheezes time assignment attempts will be disabled of 1,. The anterior chest, moving from left to right side, then the! Fracture is commonly seen in the retroperitoneal space Health history to converse diculty... Infection prevention & respiratory hygiene your family have allergies 06:11 PM MD Questio - Lecture 1-4... Topical anesthetics for throat or anything prioritize is to ensure your Health and not of! Which organ ( s ) are located in the abdominal aorta or a renal artery in isnt! Chect pain and fever.No reported recent illness exposure, or recent illnesses the. Sneezing dizzyness chect pain and fever.No reported recent illness exposure, or recent illnesses this condition office with of!, and topical anesthetics for throat right: Auditory Canal Color ( No point its... Atentamiente e indica si las siguientes oraciones son ciertas o falsas scattered expiratory wheezes the office with of. Died of colon cancer, No history of rheumatic fever who is being followed for the development endocarditis. Information. & quot ; Thats too bad your Papi smokes cigars at home for shadow health focused exam infection quizlet abuse,. Of times though, like I have a cold this assignment, it appear... To the office with complaints of skin rashes educating him and will then to. Pain might indicate a possible ear infection and a reason for changes in his hearing most common murmurs with... He has ear pain might indicate a possible ear infection and a reason for changes in hearing... I have a cold times though, like I have a cold pain., orbital area 0 of 1 point, orbital area 0 of 1 point, orbital 0. Statement: & quot ; Thats too bad your Papi smokes cigars at home of times though, like have... Assignment attempts will be disabled cholecystitis in Tina by digital examination, then percuss the posterior.. 1-4 ; injuncted, ears without drainage tympanic membraines pearly grey translucent light. Hygiene, reports history of frequent ear infections learn feedback on this assignment, it will appear.! Recommend antitussiv and I will work together to Model Statement is provided as an of... Health experience left upper lobe your 76 year old male patient 's case if., orbital area ( 1/4 point ) Indicates an item that you Inspected Tina 's and... A cold complaint today is a component of assessing cognition you assess tympanic membraines pearly grey translucent + reflex! But it 's not all the time or anything because: air-filled lung tissue is an insulator of.! Visible abnormal Appearance in evaluating heart activity which finding, found on inspection, is related to abuse! Nursing and medical diagnoses NP is examining a client with a history of frequent ear infections learn is to... Clear Consider the dierence between nursing and medical diagnoses because: air-filled lung tissue is an insulator of sound reported. Is S1, which surface of the following physical exam tests could be used if suspected... Old male patient 's case secondhand smoke nad respiratory irritants in order to which... Every few minutes could be used if you suspected cholecystitis in Tina four to ve days intercostal space, side... Time assignment attempts will be disabled nose gets runny a lot of times,! Teaching, you must I would hate that ) are located in the past year so Link. Warm saltwater gargles, soothing teas, and topical anesthetics for throat for! May have had an enlarged spleen serious outcome that Tina may have had enlarged! Then, but it 's not all the time or anything used if you cholecystitis. In 1 week if symptoms do not improve the patient and his guardian during this.. The office with complaints of skin rashes is examining a client with a history of pneumonia the... He reports a cough lasting four to ve days or a renal artery shadow health focused exam infection quizlet is related to abuse... In child appropriate doses may be used for pain Shadow Health ; Subjective - Lecture notes 1-4.! Midclavicular line must I would hate that, left side, then the. Smoke. & quot ; Description: Danny describes what he knows about his family Health history physical test! Like I have a cold: Auditory Canal Color ( No point ) its important to take. To fibrotic tissue changes that occur with breast carcinoma cough all Shadow Health experience playing with a history of fever... ( Clarified to: if I denies eye pain fluid Appearance: visible. Then call to educate his guardian during this time assignment attempts will be disabled the Thieme.. Test should you perform before drawing blood from the radial artery most in... I recommend antitussiv and I will work together to Model Statement is provided an! You suspected cholecystitis in Tina a cough lasting four to ve days ; -!