Educate Place hand over posterior (back of kidney) and place non dominate hand on skin and make fist with dominate hand and hit non dominate hand. The value of the history, of course, will depend on your ability to elicit relevant information. CONT. Health assessment begins with a general survey that involves: •Observation of the client’s general appearance and mental status •Measurement of vital signs, height, and weight. Question 05/11/18 1:57 PM Greet Exam Action Diagnostics: Obtain oxygen saturation and baseline spirometry and peak flow readings. Normal findings would be which of these results? OK, I understand. Exam Action She is the primary source of the history. I don’t know if I’d call it an asthma attack, … CONT. Quickly skim the questions or assignment below and the assignment rubric to help you focus. 05/11/18 12:42 PM Take third finger of non dominate hand and tap with other third finger on dominate hand against skin. s memory, mood and trust. CDT 05/11/18 3:01 PM Question Exam Action Question Your role in this simulation is that of a healthcare provider who will take Ms. Jones’ health history, a key component of her admission process. Question Refer to allergy specialist for evaluation and testing, Order PFTs to be completed after exacerbation to have baseline available for future comparison, Instruct Ms. Jones on when to seek emergent care including episodes of chest pain or shortness of breath unrelieved by rest, worsening asthma symptoms or wheezing, or the sense that rescue inhaler is not helping, Revisit clinic in 2-4 weeks for follow up and evaluation. Start your answer by clicking “Start a New Thread” button with the title of your answer and the body of text following the guidance above. CDT CDT Below Average- Responds to one of the three reflection post questions; or does not provide self-analysis of performance; or reflections are not related to the assignment and the student’s experience; or does not provide insight. CDT She denies use of tobacco, alcohol, and illicit drugs. https://www.coursehero.com/file/32326524/W2-SH-Dr-Documentation-ASTHMA-Respiratory-Completed-Shadow-Healthpdf/, Respiratory | Completed | Shadow Health 7/26/18, 2)20 PM Mild-persistent asthma with exacerbation Palpation - is the first step of the assessment, where we will touch the patient. 5/11/2018 Respiratory | Completed | Shadow Health Your initial post(s) should be your response to the questions posed in the discussion question. https://chamberlain.shadowhealth.com/assignment_attempts/3664486, https://chamberlain.shadowhealth.com/assignment_attempts/3498304, ORDER NOW FOR INSTRUCTIONS-COMPLIANT, ORIGINAL PAPER, Nursing Assignment Help for Busy Students. ahrq.gov. 05/11/18 3:15 PM 05/11/18 1:57 PM 5/11/2018 Respiratory | Completed | Shadow Health Plan Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. reports Type 2 Diabetes, possible borderline hypertension (no actual dx). She complains that her current symptoms are beginning to interfere with her daily activities. 05/11/18 2:27 PM How do you perform a respiratory assessment? 05/11/18 2:50 PM Chest resonant to percussion; no dullness. 05/11/18 3:34 PM At least two scholarly sources in addition to your textbook should be utilized. Your sense of what constitutes important data will grow exponentially as you practice your interviewing skills and through increased exposure to patients and illness…………………… Interviewing patients is an art and should remain an essential skill for successful practice. Exam Action https://chamberlain.shadowhealth.com/assignment_attempts/3498304 17/23 . That makes sense. Overview 05/11/18 2:50 PM CDT CDT Denies sputum, hemoptysis, pneumonia, bronchitis, emphysema, tuberculosis. What could you change to make it better?NR 509: Shadow Health Respiratory Physical Assessment Assignment, HPI: Ms.Jones is a 28 years old African american women who is presented to the clinic with complaints of sore, …. In terms of lessons learned, the present analysis will allow me to become even more aware of the nitty-gritties of respiratory assessment for future practice. Question 05/11/18 1:56 PM The FNP is performing the diagnostic positions test. 05/11/18 3:19 PM Respiratory: Chest expansion is symmetrical with respirations. Question CDT A large percentage of the time, you will actually be able to make a diagnosis based on the history alone. 05/11/18 12:39 PM This is targeted at the patients who receive home … Consider the discussion and the any insights you gained from it. Exam Action CDT CDT How did the pain impact the patient? 05/11/18 3:02 PM Medication: NMI at office one time. Palpation. 05/11/18 2:01 PM [Ms. Jones reports correct birth year.] Education & Empathy What must you keep in mind when assessing chronic pain? 05/11/18 1:54 PM I was born in . The FNP would proceed with an examination of the _____ gland. Surgical History: Pt. CDT Educate CDT Respiratory | Completed | Shadow Health 7/26/18, 2)20 PM CDT A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be: During percussion the FNP knows that a dull percussion note elicited over a lung lobe. Also, the child will have to avoid triggers of asthma. CDT Secondly, what are the four techniques used in physical assessment? What is performed during a complete physical examination? Click on the title of another student’s post. Exam Action CDT CDT CDT 05/11/18 3:37 PM 05/11/18 2:02 PM SpO2: 97%. 05/11/18 2:59 PM Question 05/11/18 2:01 PM If so, what? https://chamberlain.shadowhealth.com/assignment_attempts/3498304 15/23 Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.NR 509: Shadow Health Respiratory Physical Assessment Assignment. What additional patient teaching is needed? Please be sure to address each of the following prompts: What did not go so well? OTC: Acetamet:aphen 1000 mg for occasional headaches related to readingfor prolonged periods of . Started: May 11, 2018 | Patient Exam Time: 168 min Since that incident she notes that she has had 10 episodes of wheezing and has shortness of breath approximately every four hours. Question CDT Question Introduction Assessment begins when the nurse First meets the client. 05/11/18 2:58 PM 05/11/18 3:13 PM 05/11/18 3:20 PM Unsatisfactory- DCE Score less than or equal to 79; Introduction missing; questions worded in a judgmental way; little professional language; questions unorganized; closing missing. How should the FNP check for this? What must you keep in mind when assessing acute pain? 05/11/18 12:57 PM Whereas the review included many general health measures, this paper has extracted those sections concerned with measures of health covered by one or two questions which are generally applicable, cover a range of dimensions of health of importance to the public, and are simple to understand and use in sample surveys of the general population. CDT CDT Question 05/11/18 1:02 PM. Complete the Shadow Health HEENT assessment. https://chamberlain.shadowhealth.com/assignment_attempts/3498304 19/23 CDT During an oral assessment of a 30-year-old African-American patient, the FNP notices bluish lips and a dark line along the gingival margin. She has no recent use of spirometry, does not use a peak flow, does not record attacks, and does not have a home nebulizer or vaporizer. Exam Action CDT Health Surveys. Assessment 05/11/18 2:01 PM She does not exercise. NR 509: Shadow Health Respiratory Physical Assessment Assignment, This criterion is linked to a Learning OutcomeObjective Data, Physical Examination, Interpretation of Findings, Assessment, and Documentation, Above Average- Physical assessment documentation includes all relevant body systems; all pertinent normal and abnormal findings identified; documentation reflects professional language; treatment plan includes each of the following components: diagnostics, medication, education, consultation/referral, and follow-up planning. CDT Question Digital Clinical Experiences . Question Question .) 05/11/18 2:22 PM If the findings are normal, then the patient should report which sensation? At the time of the incident she notes that her wheezes were a 6/10 severity and her shortness of breath was a 7-8/10 severity and lasted five minutes. The FNP suspects Damage to: When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands, A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. Vital Signs. During an assessment of a 20-year-old patient with a three day history of nausea and vomiting the FNP notices dry mucous and deep vertical fissures on the tongue. The reason I am contacting you is because we are conducting a survey on health in your country and I would like to ask you a few questions. The treatment plan for this child would be to…. Shadow Health Physical Assessment Rubric Respiratory Results | Turned In Question Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? CONT. The FNP should know that floaters are usually not significant and are caused by: The FNP is preparing to assess the visual acuity of a 16-year-old patient. with ease, hear you, and walks easily or stiffly? A large percentage of the time, you will actually be able to make a diagnosis based on the history alone. CDT Exam Action CONT. CONT. HPI: Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of shortness of breath and wheezing following a near asthma attack that she had two days ago. … 05/11/18 3:35 PM Some answers may require you to do additional research on the Internet or in other reference sources. 05/11/ 12:40 PM Diagnosed with asthma at age 2.5 years. What questions yielded the most information? In your professional opinion, what is the difference between chronic and acute pain? CDT The General Assessment is an evolving tool used by the Department to arrive at measuring funding agreement management risks. WHEN YOU PERFORM a physical assessment, you'll use four techniques: inspection, palpation, percussion, and auscultation. CDT Currently she states that her breathing is normal. CDT 05/11/18 1:56 PM, CONT. Quickly skim the questions or assignment below and the assignment rubric to help you focus. 05/11/18 2:21 PM 5/11/2018 Respiratory | Completed | Shadow Health 05/11/18 2:53 PM The FNP should. https://chamberlain.shadowhealth.com/assignment_attempts/3498304 10/23 Question The FNP is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale gray and swollen. (PO 1, 2), Differentiate normal and abnormal health history and physical examination findings. Data and Time of History: time and date of interview. 05/11/18 2:12 PM CDT https://chamberlain.shadowhealth.com/assignment_attempts/3498304 11/23 Consider the following when taking BP: Anxiety/nervousness may affect BP. NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. CDT Question https://chamberlain.shadowhealth.com/assignment_attempts/3498304 2/23, Question CDT Her current inhaler use has been her baseline of 2-3 times per week. In your professional opinion, what is the difference between chronic and acute pain? 05/11/18 2:52 PM The nurse determines the reason the client is seeking health care. What diagnostic tests would you order based on your findings? NR 509: Shadow Health Respiratory Physical Assessment Assignment. When you are ready for the discussion, do the following: Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. Workplace health and safety survey You are invited to share your opinions about your work and how it affects your health and safety by taking this survey. 05/11/18 12:39 PM You will also have the opportunity to educate and empathize with Tina to engage in effective therapeutic communication; create a problem listusing evidence from the data you collected; prioritize the identified problems to differentiate immediate from non-immediate care; plan how to best address the most important concern with further assessment, interventions, and patient education; and compare your documentation to model documentation. If you discover any disease states, ask about … Exam Action Overall, how do you rate the local hospitals in your area? Pt. https://chamberlain.shadowhealth.com/assignment_attempts/3498304 16/23 She did smoke marijuana for 5 or 6 years, her last use was at age 21 years. doesn’t keep asthma record of exacerbations and triggers; denies asthma medication usage except for albuterolresuce inhaler. Read the required chapter(s) of the textbook and any additional recommended resources. CDT, … CONT. 5/11/2018 Respiratory | Completed | Shadow Health Year of birth please? She did not experience any chest pain or allergic symptoms. Documentation Question This criterion is linked to a Learning OutcomeSelf-Reflection. Chief Complaint(s): the reason for the visit. She notes that her current symptoms seem to be worsened by lying flat and movement and are accompanied by a non-productive cough. How do you conduct a physical assessment? These findings are reflective of: The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Question The FNP interprets these results to indicate that: A patient is unable to read even the largest letters on the Snellen chart. Initiate step up inhaled corticosteroid. (PO 1, 2), Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. Exam Action Educate 5/11/2018 Respiratory | Completed | Shadow Health CDT Social History: patient is unaware of any environmental exposure / irritants . CDT CDT CDT Respiratory Results | Turned In Family History: Pt. At the time of the incident she notes that her wheezes were a 6/10 severity and her shortness of breath was a 7-8/10 severity and lasted five minutes. Question Average- Responds to two of the three reflection post questions; or provides limited self-analysis of performance; or reflection posts are somewhat unclear related to the assignment and the student’s experience; or reflection posts lack insight. Patient was assessed for sore throat and runny nose …. CDT 05/11/18 2:02 PM 05/11/ 12:42 PM She changes her sheets weekly and denies dust/mildew at her home. Question 05/11/18 12:56 PM CDT 05/11/18 2:54 PM How is blunt percussion done. Apparent state of health (frail), LOC, any signs of distress (pain, respiratory), height and build, weight, skin color or lesions, dress, grooming and personal hygiene, facial expression, odors, posture and gait. NR 509: Shadow Health Respiratory Physical Assessment Assignment, Social History: She is not aware of any environmental exposures or irritants at her job or home……. CDT Question CDT https://chamberlain.shadowhealth.com/assignment_attempts/3664486 Page 4 of 6. CDT CDT Asked By: Khalissa Hopper | Last Updated: 2nd April, 2020. • Nose/Sinuses: Denies rhinorrhea prior to this episode. Exam Action She maintains eye contact throughout interview and examination. This survey characterizes the various types of shadows. Muffled words bilaterally with prominent expiratory wheezes in the posterior lower lobes only. 05/11/18 1:56 PM Health Effects of Violence: answer. She reports that she was at her cousin’s house and was exposed to cats which triggered her asthma symptoms. Exam Action A general survey is an overall review or first impression a nurse has of a person's well being. Bilateral muffled words with notable expiratory wheezes in posterior lower lobes. She does not exercise. 05/11/18 2:30 PM Question 05/11/18 1:53 PM All you need to do is ORDER NOW for an equivalent of 4 pages and score 100% in this assignment and all other Shadow Health Assignments. Educate These sample adult and pediatric health histories fol-low standard formats for written documentation, which you will need to learn. She did not experience any chest pain or allergic symptoms. 05/11/18 3:03 PM During pregnancy: After posting your contribution, you must read what others have posted, reply to at least two of those posts, and respond (when appropriate) to those you have responded to you. What is the first step in a physical assessment? 05/11/18 1:55 PM 05/11/18 3:01 PM 5/11/2018 Respiratory | Completed | Shadow Health Use this health screening report template if you are looking to screen clients before they can join your training. 05/11/18 2:17 PM • Respiratory: Complains of shortness of breath and cough as above. Question 05/11/18 2:28 PM https://chamberlain.shadowhealth.com/assignment_attempts/3498304 18/23 How often do you change your sheets? Exam Action Can you please state your name for me? Question Above Average- DCE Score greater than or equal to 93; Comprehensive introduction with expectations of exam verbalized; questions worded in a non-judgmental way; professional language exercised; questions well-organized; appropriate closing with summary of findings verbalized to patient. Question NR 509: Shadow Health Respiratory Physical Assessment Assignment. 05/11/18 2:27 PM Educate Definitions of terms, together with ways to ask about symptoms, can be found in each of the regional examination chapters. CDT Exam Action Some answers may require you to do additional research on the Internet or in other reference sources. . Please note that the survey is anonymous (i.e. 05/11/18 3:06 PM Review Questions 05/11/18 3:17 PM Identifying data: includes age, gender, occupation and marital status. 05/11/18 3:18 PM • Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. https://chamberlain.shadowhealth.com/assignment_attempts/3498304 20/23 CDT Digital Clinical Experiences are powered by our Conversation Engine and assessed using our proprietary Student Performance Index. Exam Action Thirty-six (11%) of 327 males taking part in a health survey in Uppsala, Sweden, were found to have alcohol in their urine on the day of screening. CDT 05/11/18 2:02 PM Findings using correct medical terminology.NR 509: Shadow Health ’ s problem s ): patient., covering the general survey is anonymous ( i.e breath and wheezing asthma at 2.5-years-old, frequented... Case study will provide the opportunity to carefully assess lung sounds during the interview oral assessment of this patient the! 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