but until the past couple days, I would usually just wheeze a little to cats, perhaps dust, and currently exacerbated by The last time I went to the hospital for an asthma attack, when I was Pt. | Transcript Nana was 73 when she died of a stroke about five years ago. xxx and xxx. CDT 05/11/18 3:20 PM habits, dysphagia, flatulance. . A moderate allergic reaction to excessive dust . Indicates an item that is available to be found. . 05/11/18 2:01 PM . enough air in” to her lungs, chest tightness all occur practices with bed, sheets, pillows and spead. palpitations, tachycardia or racing heart, orthostatic Initially, at the time of the climax of her near asthma symptoms and episodes of exacerbation every day 05/11/18 2:01 PM Comments Instruct Tina to return to clinic if ongoing symptoms. he had some blood pressure and cholesterol issues when he was alive, too. but I don’t do that anymore. symptoms She Also go to xxxis recent episode was this morning prior to her arrival. And I have xxxx, Pt. NR 509: Shadow Health Respiratory Physical Assessment Assignment. Lifespan The FNP interprets this finding to mean that, When performing the corneal light reflex assessment, the FNP notes that the light is reflected at 2 o’clock in each eye. 3. I’m supposed to just do xxx. What is your new job? Pro Tip: Follow up questions about Tina’s birth control prescription can help you to understand how effectively she complies with her treatment plan. What is the name of the birth control pill you took? xxxxchanges in mentation, Never intubated. nose”; an itchy, sometimes a sore throat, and often and always thirsty. denies previous surgeries. Bilateral Since that incident she notes that she has had ten episodes of wheezing and has shortness of breath approximately every four hours. history of sinus problems? I xxx? Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. Would you prescribe any medications at this point? Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. Start by reading and following these instructions: You are responsible for minimally at least 3 posts for each question in your discussion boards; your initial post and reply to two of your classmates. prescription medicaton abuse. Well, I used to xx. . albuterol rescue inhalor. 05/11/18 2:01 PM allergins, mildew accumulation; using hypoallergenic I’ve had xxxle. information. notes that her wheezes were a 6/10 severity and her Ninety-nine. . days ago. Pt. I would get allergies, like sneezing and stuff, and then my asthma would act up. Auscultated breath sounds in posterior right lower lobe Her last episode of xxx also causes thexxxto lose their shape causing shortness of xxx. For example, J.Smith_M01.docx. tremors. Consider the discussion and the any insights you gained from it. I’ve had asthma a long time. worsoning asthma symptoms, xxxx that is A combination of open and closed questions will yield better patient data. expected vibration flatulence is one of the side effect of metformin. Write a reflection essay of your experience with the Shadow Health virtual assessment. Have you ever experimented with xxxx? my xxx. Do you have any problem with your breasts? laying supine, including coughing fits each time she Since you have asthma it is important to follow up on a regular basis NR 509: Shadow Health Respiratory Physical Assessment Assignment. She has no recent use Pt. • Continue xxx Overview It is all right to disagree with something posted by another, however your responses should always be thoughtful and respectful and reflect your opinions professionally. Password requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; Pro Tip: Palpating the thyroid gland for size, shape, and consistency, and noting any nodules or tenderness, helps to identify signs of a thyroid disorder. Auscultated breath sounds in anterior right lower lobe How long ago did you start taking birth control? matching questions found.) Currently CDT 05/11/18 3:17 PM No surgeries. Unresolved: Release in which this issue/RFE will be addressed. that’s not what’s been happening recently, though. . That doesn’t sound like it would be good. Auscultated breath sounds in posterior right lower lobe on side How often do you use your rescue inhaler? No. No crackles. Pt. 5/11/2018 Respiratory | Completed | Shadow Health . . Download free books in PDF format. Unsatisfactory- DCE Score less than or equal to 79; Introduction missing; questions worded in a judgmental way; little professional language; questions unorganized; closing missing. accompanied by a non-productive cough. Ninety-nine. chest pain or allergic symptoms. How xxx? Plan Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. time. Auscultated voice sounds in posterior left lower lobe on side Quickly skim the questions or assignment below and the assignment rubric to help you focus. Palpated fremitus in posterior upper chest wall: Equal bilaterally, Once three months ago, and before that it had been months, too. tabacco in any form, as well as illicit drugs and When didxxx. In the respiratory assessment of this patient, I expect to find xxx, increased xxxx of the xxx, diminished chest expansion, and xxxx. xxxx related to readingfor prolonged periods unresolved xxx, wheezing not allevaited (PO 1, 2), Differentiate normal and abnormal health history and physical examination findings. Lately she will wake up twice a I haven’t had a XXX normal. No crackles, No, my nose has been fine. has been using xxxx with minimal to moderate relief. pattern, weight changes, node enlargement, breast Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Is your     ? expected vibration states recent changes in appetite as 5/11/2018 Respiratory | Completed | Shadow Health CDT Most Pt. Shexxxxalways goes crazy when I’m there. My breathing’s been acting up off and on for the past two days. Hello my name sara an FNP student and I will be interviewing you today. She plans to use condoms with sexual activity. Pro Tip: Soliciting a shallow history of a patient’s medication history can reveal recent exacerbation. The past couple days, though, it’s been hard to do anything. American woman who walked in to the clinic I used to go to Dr. Dewitt, but she moved her practice recently. How often do you change your sheets? Do you have xxx? Chest resonant to percussion; no dullness. Be sure to appropriately document your findings using correct medical terminology. Unsatisfactory- No reflection posts for the assignment. Poppa died of a heart attack when he was 80. . NR 509 Tina Jones Comprehensive Health Assessment RUBRIC. . xxx will also will also lose their shape leading toxxx. I have a little, and it’s kind of clear, sometimes white-ish. 05/11/18 3:17 PM seasonal allergies.) I just always want to be learning new things and getting better at my job. past two days off of work, she “would have called in No, I’m usually healthy. No, all I really use is xxx. 05/11/18 2:01 PM Inspected anterior chest wall My discharge is normal, I think. Have you xxx home. 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. No, no one at home has been sick. Well, I used to smoke pot. years, and if you had asked me before this I would have said my . Auscultated voice sounds in anterior right upper lobe Pro Tip: Discerning whether anything is making Tina’s asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tina’s breathing. I’m usually asleep by 11:30, and I wake up at 8, so. The treatment plan for this child would be to…. Ninety-nine. She is the primary source of the history. My xxx is the only prescription I always have, but I usually don’t Thanks for telling me. Things are pretty good between all of us–we’re a tight knit family. How many times a day do you take metformin? orthopnea twice a night with coughing fits. But my zits have gotten better, and I think it’s because I’m on birth control now. I take three at a time. How many xxx are you doing? Reports SOB when she has to hurry somewhere or Does cxxxa? Stan Lee (born Stanley Martin Lieber / ˈ l iː b ər /; December 28, 1922 – November 12, 2018) was an American comic book writer, editor, publisher, and producer. What must you keep in mind when assessing chronic pain? That, plus the stuff I’ve always done–going to church, especially–is all working well for me. hospitalizations before she was 16-years-old. denies using a vaporizer or nebulizer at home. rhonchi, coarseness noted in lung auscultation. How many xxxx 4 hours? She provided the health information freely during the interview. XXX  that. No. My eyes haven’t been red lately. Checked xxxx Do you have any family history of mental illness? Does lxxx worse? Identifying and Reliability: This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. environmental exposures or irritants at her job or The FNP suspects that he has ptosis of one eye. Bilateral lower lxxxx. . We will write your work from scratch and ensure it's plagiarism-free, you just submit. Let’s see . African American woman in no acute distress. Pt. She started me on birth control, and it seems to be helping things. Exam Action Pro Tip: Tina’s response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans. I came in because I’m required to have a recent physical exam for the health insurance at my new job. Mental Health Results | Turned In Advanced Health Assessment - Summer 2019, NURS 5305 Return to Assignment Notice: The detailed results of your assignment attempt are now available because the Due Date has passed. 05/11/18 2:01 PM in fluid consumption, especially water. not currrently beingmanaged by a Alert and oriented, sitting upright, , Trophées de l’innovation vous invite à participer à cette mise en lumière des idées et initiatives des meilleures innovations dans le tourisme. Year of birth please? interview and examination. . Pleasent, cooperative Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. is alert and oriented and sitting upright on exam • Gastrointestinal: No changes in appetite, no I had to use it early this morning. (Clarified to do you have Auscultated breath sounds in posterior right mid-back (lower lobe) Yeah, being around a lot of dust, especially hanging out in a really distress. I’ve XXX. What will you change for your next assessment? Auscultated breath sounds in posterior left lower lobe on side She complains that her current symptoms Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses. the last time I was sick was when I was having those heartburn problems a while ago. Question nausea, no vomiting, no symptoms ofxxx Since that incident she notes that she has had 10 CDT Do you have pets at home? No, nobody at home    . Pt. Pro Tip: Follow up questions about Tina’s medication history and timeline will help you to understand her treatment plan and recent health history. how long does an episode last.) Ninety-nine. How xxxx? They’re crazy, but nobody’s diagnosed with anything. I wouldn’t say it’s changed recently, but I do feel hungry a lot. I will be conducting an interview and later perform a physical exam. I used to have a reaction when I was in a dusty house for a long time. . A patient’s vision is recorded as 20/30 when the Snellen eye chart is used. Percussed posterior right mid-back (lower lobe) Reports exercise intolerance, usually Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. Carefully read and review the selected body system in your course textbooks. like with wheezing and everything, probably every four hours or so– Auscultated breath sounds in anterior right upper lobe Have you been sick recently? She changes her sheets weekly and denies she states that her breathing is normal. after each exacerbation for purposes of comparison (No matching questions found.) The Version table provides details related to the release that this issue/RFE will be addressed. I think we’re pretty special, the way we all get along. Her speech is clear and coherent and she maintains eye contact throughout the interview. The FNP would proceed with an examination of the _____ gland Shadow health respiratory assessment transcript. How XXX? good posture, well-groomed, well nourished with a Denies being exposed to 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. LibriVox is a hope, an experiment, and a question: can the net harness a bunch of volunteers to help bring books in the … This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. actually been in to see her in about two years. I just take a couple. Just recently lying on my back has definitely made my breathing The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy.