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Abdominal Transcript - Lecture notes abd
Lecture notes
Course
Health and Illness Across the Lifespan (NUR2214)
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Florida State College at Jacksonville
Academic year: 2021/2022
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Abdominal Results | Turned In
Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701
Return to Assignment (/assignments/432169/)
Transcript
Started: Mar 04, 2021 | Total Time: 29 min
03/04/21 1:13 AM EST Question
03/04/21 1:15 AM EST Question
03/04/21 1:15 AM EST Question
03/04/21 1:17 AM EST Question
Your Results Lab Pass (/assignment_attempts/9273095/lab_pass)
Overview Transcript Subjective Data Collection Objective Data Collection Documentation
Interview Questions (45) Statements (4) Exam Actions (34)
Hello!
Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, justas a preceptor would in real life. Pay close attention to this information as it will help guide
your exam assignment. At the end of this prebrief, you will During the simulation, you may answer a short question about thereturn to these instructions at any
time by scrolling to the top of your transcript.
What are my objectives in this assessment?
In your interview with Ms. Jones, you will and the overall health of her abdominal systemask about her inputs and outputs (I's and O's) so that you can identify any issues and
document findings accurately. If you discover any disease states, the patient's experiences of them. Your questioning should cover a broad array of the ask about symptoms and
symptoms' characteristics. You will also with regards to the abdominal system so you can determine her genetic predisposition to inquire into the health history of Ms. Jones' family
any diseases. Regardless of whether you have assessed Tina previously, that are medically relevant to her abdominal system. In addition to collecting subjective ask all questions
data, you will objective data about the system's health and physiology. While you should perform a physical exam on Ms. Jones' abdominal systemcommunicate to gather
with patients using accessible, everyday language,professional medical terminology everywhere else, such as in documenting physical it is standard practice to use
findings and nursing notes. between them as needed. You may complete the exam activities in any order and move
What is the situation?
It's 8 p. on Tina Jones' first day as a patient here at Shadow General Hospital. Your role inthis simulation is that of a healthcare provider who will perform a full abdominal exam on
Ms. Jones full abdominal function and if bed rest has impacted her gastrointestinal health. She's spent the whole day in bed, so you will want to determine whether she
What else will this exam involve?
All Lines (83)
Suppor t
03/04/21 1:17 AM EST Question
03/04/21 1:17 AM EST Question
03/04/21 1:19 AM EST Statement
03/04/21 1:20 AM EST Greet
03/04/21 1:20 AM EST Question
03/04/21 1:20 AM EST Question
03/04/21 1:21 AM EST Empathize
03/04/21 1:21 AM EST Question
You will can document your findings, including vital signs,complete nursing tasks to protect the patients safety, privacy, and health. in the Electronic Health Record. This You
record provides necessary information for healthcare professionals who will continue patientcare. Activities other than Subjective and Objective Data Collection, such as Documentation
and Education and Empathy, provide valuable practice for their real-world counterparts, they are not automatically graded by the simulation.
How will I be evaluated?
In this assignment, Collection. The evaluation of your interview is dependent on how you you will be evaluated on your Subjective and Objective Dataword your questions
therapeutically and preciselyand depth. The evaluation of your physical exam is based on how successfully you and explore all relevant topics with comprehensive breadthreport on
your physical findings by selecting among clinical terms in the Electronic Health Record. This assignment takes on average between 35 and 50 minutes. You can pause and resume
the assignment at any time; your work is always saved automatically.
How does this assignment prepare me for the real world?
In this assessment, you will become familiarized with the structure and content of abdominalexams so that with real-life patients, you can: º ask effective and comprehensive questions
º complicationsuse therapeutic language º and obtain and assess objective data. º evaluate the patient's risk of disease, infection, injury, and
In 1 or 2 sentences, answer this question effects can bed rest have on the abdominal system? to help prepare for the upcoming exam: What
Being on bedrest can cause constipation, gastric reflux. Inactivity and immobility cangradually slow down the metabolic rate.
Time to begin.
Hello Tina, My name is Emily and i'll be your nurse today.
Hey.
Can you tell me your name and date of birth?
My name's Tina Jones, and my birthday's February 17th.
Thank you. What brings you in today?
I feel like I've said this a bunch, but I scraped my foot last week and it got, like, infected. Thepain was really killing me when I came here last night.
Oh no, i'm sorry to hear about your pain.
Thanks.
Are you currently having any issues with your stomach and bowels?
They're fine.
03/04/21 1:25 AM EST Educate
03/04/21 1:25 AM EST Question
03/04/21 1:26 AM EST Educate
03/04/21 1:27 AM EST Question
03/04/21 1:27 AM EST Question
03/04/21 1:27 AM EST Question
03/04/21 1:28 AM EST Question
03/04/21 1:28 AM EST Question
03/04/21 1:28 AM EST Question
03/04/21 1:28 AM EST Question
Oh, we try to make something easy. We eat a lot of frozen chicken breasts. We dohamburgers that we make at home every so often. We make sure we have a vegetable, and
we eat a lot of potatoes. And we usually have rolls or something.
Its very important to get all the balanced nutrition for your body to function well.
Thanks for telling me.
With your foot being hurt, have you been in bed a lot?
Yes! I'm in a lot of pain.
Being immobile can actually slow down your metabolic rate causing constipation and gastricreflux.
Thanks for telling me.
How often are you drinking water? (Clarified to Do you drink water?.)
Yeah, I've had some water today; I'm not feeling thirsty now or anything. (Clarified to if I drinkwater.)
Whats your daily fluid intake?
I haven't really been keeping track, but I drink a lot of water lately. I've been thirstier thanusual. Oh, and sometimes I'll drink Diet Coke too...
Okay, have you had any urinary issues?
No, I can pee fine.
How often do you pee?
I don't know. Every hour or two when I'm awake?
What does your urine look like?
Um, light yellow or almost clear? The regular color.
Do you ever get heartburn?
No.
Do you drink alcohol?
Very rarely.
03/04/21 1:29 AM EST Question
03/04/21 1:29 AM EST Question
03/04/21 1:29 AM EST Question
03/04/21 1:30 AM EST Question
03/04/21 1:30 AM EST Question
03/04/21 1:30 AM EST Question
03/04/21 1:32 AM EST Question
03/04/21 1:32 AM EST Question
03/04/21 1:32 AM EST Question
03/04/21 1:33 AM EST Question
03/04/21 1:33 AM EST Question
How often do you drink alcohol?
Very rarely.
Do you use tobacco products?
No. I think it's gross.
Okay and do you use illicit drugs?
Yeah, in high school and a little after that I smoked pot sometimes. But I haven't doneanything like that in a long time.
Have you noticed any changes in your weight?
Well, I think I've lost some weight this month. [AUDIO COMING SOON]
What weight changes have you noticed?
Well, in the past month I've lost some weight... I'd say about ten pounds, maybe.
Had you had any issues with your abdomen?
No, my stomach has felt fine.
Any GI changes? (Clarified to Do you have any gastrointestinal diseases?.)
I don't really have anything like that. [AUDIO COMING SOON] (Clarified to if I havegastrointestinal diseases.)
Any GI issues?
No, my stomach feels fine.
Any problems with the organs of your GI system?
No, my stomach feels fine.
What are your family history with gastrointestinal issues? (Clarified to Does your family have ahistory of gastrointestinal problems?.)
No, not that I know of. (Clarified to if my family has a history of gastrointestinal problems.)
What are your gastrointestinal issues?
I don't really have anything like that. [AUDIO COMING SOON]
03/04/21 1:40 AM EST Exam Action 03/04/21 1:40 AM EST Exam Action 03/04/21 1:40 AM EST Exam Action 03/04/21 1:40 AM EST Exam Action 03/04/21 1:40 AM EST Exam Action 03/04/21 1:40 AM EST Exam Action 03/04/21 1:40 AM EST Exam Action 03/04/21 1:40 AM EST Exam Action 03/04/21 1:41 AM EST Exam Action 03/04/21 1:41 AM EST Exam Action 03/04/21 1:41 AM EST Exam Action 03/04/21 1:41 AM EST Exam Action 03/04/21 1:41 AM EST Exam Action 03/04/21 1:41 AM EST Exam Action 03/04/21 1:41 AM EST Exam Action 03/04/21 1:41 AM EST Exam Action 03/04/21 1:41 AM EST Exam Action 03/04/21 1:42 AM EST Exam Action 03/04/21 1:42 AM EST Exam Action 03/04/21 1:42 AM EST Exam Action
Auscultated right lower quadrant
Auscultated aorta in abdomen
Auscultated right renal artery
Auscultated left renal artery
Auscultated left Iliac artery
Auscultated right Iliac artery
Auscultated right femoral artery
Auscultated left femoral artery
Percussed right upper quadrant
Percussed left upper quadrant
Percussed right lower quadrant
Percussed left lower quadrant
Percussed left flank for CVA tenderness
Percussed right flank for CVA tenderness
Percussed for liver span: 7 cm in the mid-clavicular line
guarding, or distension Palpated right upper quadrant with light pressure: No tenderness reported; no masses,
guarding, or distension Palpated left upper quadrant with light pressure: No tenderness reported; no masses,
guarding, or distension Palpated right lower quadrant with light pressure: No tenderness reported; no masses,
guarding, or distension Palpated left lower quadrant with light pressure: No tenderness reported; no masses,
Palpated right upper quadrant with deep pressure: No masses
03/04/21 1:42 AM EST Exam Action 03/04/21 1:42 AM EST Exam Action 03/04/21 1:42 AM EST Exam Action 03/04/21 1:42 AM EST Exam Action 03/04/21 1:42 AM EST Exam Action 03/04/21 1:42 AM EST Exam Action 03/04/21 1:43 AM EST Exam Action
Palpated left upper quadrant with deep pressure: No masses
Palpated right lower quadrant: with deep pressure: No masses
Palpated left lower quadrant with deep pressure: No masses
Palpated liver: Palpable 1 cm below right costal margin
Palpated for spleen: Not palpable
Palpated for right kidney: Not palpable
Palpated for left kidney: Not palpable
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
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Abdominal Transcript - Lecture notes abd
Course: Health and Illness Across the Lifespan (NUR2214)
162 Documents
Students shared 162 documents in this course
University: Florida State College at Jacksonville
Was this document helpful?
/
Abdominal Results | Turned In
Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701
Return to Assignment (/assignments/432169/)
Transcript
Started: Mar 04, 2021 | Total Time: 29 min
Question
03/04/21 1:13 AM EST
Question
03/04/21 1:15 AM EST
Question
03/04/21 1:15 AM EST
Question
03/04/21 1:17 AM EST
Your Results Lab Pass (/assignment_attempts/9273095/lab_pass.pdf)
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Documentation
Interview Questions (45) Statements (4) Exam Actions (34)
Hello!
Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just
as a preceptor would in real life. Pay close attention to this information as it will help guide
your exam. At the end of this prebrief, you will answer a short question about the
upcoming assignment. During the simulation, you may return to these instructions at any
time by scrolling to the top of your transcript.
What are my objectives in this assessment?
In your interview with Ms. Jones, you will ask about her inputs and outputs (I's and O's)
and the overall health of her abdominal system so that you can identify any issues and
document findings accurately. If you discover any disease states, ask about symptoms and
the patient's experiences of them. Your questioning should cover a broad array of the
symptoms' characteristics. You will also inquire into the health history of Ms. Jones' family
with regards to the abdominal system so you can determine her genetic predisposition to
any diseases. Regardless of whether you have assessed Tina previously, ask all questions
that are medically relevant to her abdominal system. In addition to collecting subjective
data, you will perform a physical exam on Ms. Jones' abdominal system to gather
objective data about the system's health and physiology. While you should communicate
with patients using accessible, everyday language, it is standard practice to use
professional medical terminology everywhere else, such as in documenting physical
findings and nursing notes. You may complete the exam activities in any order and move
between them as needed.
What is the situation?
It's 8 p.m. on Tina Jones' first day as a patient here at Shadow General Hospital. Your role in
this simulation is that of a healthcare provider who will perform a full abdominal exam on
Ms. Jones. She's spent the whole day in bed, so you will want to determine whether she
has full abdominal function and if bed rest has impacted her gastrointestinal health.
What else will this exam involve?
All Lines (83)
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