- Information
- AI Chat
Transcript - Lecture notes 1-4
Medical Surgery 2 (NUR 2214)
Florida State College at Jacksonville
Recommended for you
Preview text
Focused Exam: Cough Results | Turned InHealth Assessment - Remediation/Refresher - January 2021, CCE 705 and 701
Return to Assignment (/assignments/432174/)
Shadow Health will be performing planned maintenance this Monday 26th, 2021, from 7:00, am until 7:30 am Eastern this time assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience! (/site_notice_dismissals?from_flash=true&site_notice_id=
Transcript
Started: Apr 21, 2021 | Total Time: 125 min
04/21/21 5:52 AM EDT Question
04/21/21 5:53 AM EDT Question
04/21/21 5:53 AM EDT Question
04/21/21 5:54 AM EDT Question
Your Results Lab Pass (/assignment_attempts/9710832/lab_pass)
Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Care Plan Program Competency Progress
Interview Questions (42) Statements (9) Exam Actions (101)
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 the upcoming assignment. At the end of this prebrief, you will During the simulation, you may answer a short questionreturn to these
instructions at any time by scrolling to the top of your transcript.
What is the situation?
Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with a cough inthe Shadowville Elementary nurse's office. Your role in this simulation is that of a
healthcare provider who will order to collect data, assess Danny's condition, and transfer care. In this simulation, you perform a focused history and physical examination in
will be able to perform procedures not always typical to a school setting so you can gatheras much data as possible.
What are my objectives in this assessment?
Danny is very health literate and a good historian of his own health history; he can answerquestions that not every child may be able to. In your interview with Danny, you will ask
about the history of his presenting illness and the functioning of relevant systems order to obtain subjective data related to his cough. If you discover any disease states, in
ask about symptoms and the patient's experiences of them. cover a broad array of the symptoms' characteristics. You will also Your questioning should inquire into the health
history of Danny's family diseases. In addition to collecting subjective data, you will so you can determine his genetic predisposition to any perform a physical exam on
Danny to gather objective data conversation, you should educate and empathize with Danny about his health and physiology. Throughout the when appropriate to
increase his health literacy and sense of well-being. While you should patients using accessible, everyday language, it is standard practice to communicate withuse
professional medical terminology everywhere else, such as in documenting physicalfindings and nursing notes. You may complete the exam activities in any order and move
between them as needed.
What else will this exam involve?
All Lines (152)
Suppor t
04/21/21 5:54 AM EDT Question
04/21/21 5:54 AM EDT Question
04/21/21 5:59 AM EDT Statement
04/21/21 5:59 AM EDT Greet
04/21/21 6:00 AM EDT Question
04/21/21 6:00 AM EDT Question
04/21/21 6:01 AM EDT Empathize
Because Danny is a pediatric patient, you will also be required to his guardian's home to gather additional information. You can make a phone call todocument your
findings, including vital signs, necessary information for healthcare professionals who will continue patient care. You will in the Electronic Health Record. This record provides
then move onto the Care Plan activity, in which you will synthesize your subjective andobjective data to complete the nursing process. You will develop a nursing diagnosis for
Mr. Rivera's condition, evaluations, and finally identify a treatment goal, plan your interventions andassess if your goal was achieved. You may also need to call
Danny's guardian again to involve them in his treatments. The Care Plan is just asimportant as your assessment, and the patient's well-being will be greatly affected by your
diagnosis and interventions.
How will I be evaluated?
The activities evaluated by the simulation are Subjective and Objective Data Collection,Education and Empathy, and the Care Plan activity. Nursing tasks and Documentation,
while they provide valuable practice for their real-world counterparts, are not automaticallyevaluated by the simulation. The evaluation of your interview is dependent on how you
word your questions therapeutically and preciselycomprehensive breadth and depth. The evaluation of your physical exam is based on and explore all relevant topics with
how successfully you terms in the Electronic Health Record on your physical findings by selecting among clinical Your success in Education and Empathy is
based on whether you therapeutic communication respond after identifying a moment worthy of Your success in the Care Plan activity is based on whether
you immediately beneficial to him, select and prioritize the most effective treatments,accurately identify Mr. Rivera's nursing diagnosis, select a goal most
and your grade, so be sure to accurately evaluate your results choose your answers based on evidence. The Care Plan will make up a signficant part of This
assignment takes on average the assignment at any time; your work is always saved automatically. between 80 and 100 minutes. You can pause and resume
How does this assignment prepare me for the real world?
In this assessment, you will familiarize yourself with the structure and content of a coughfocused exam so that with real-life patients, you can: º ask effective and comprehensive
questionspatient º develop a nursing diagnosis º obtain and assess objective data º create an effective and expedient care plan º educate and empathize with the º
and evaluate your results to determine your goal's achievement.
In 1 or 2 sentences, answer this question strategies can you use to develop rapport with a pediatric patient? to help prepare for the upcoming exam: What
Build relationships with the patient, get on their level, do your homework, create acomfortable environment
Time to begin.
Hello, my name is emily and i'll be your nurse today.
Hi.
Can you tell me your name and date of birth?
My name is Danny, and I was born on March 4th in, um... [Danny reports correct birthyear.]
Perfect. What brings you in today danny?
My music teacher Mr. Hillman sent me here because he said I look sick. I have beencoughing a lot... and I feel kinda tired.
Oh no, i'm sorry to hear this.
04/21/21 6:07 AM EDT Question
04/21/21 6:07 AM EDT Question
04/21/21 6:07 AM EDT Question
04/21/21 6:08 AM EDT Question
04/21/21 6:08 AM EDT Empathize
04/21/21 6:08 AM EDT Question
04/21/21 6:09 AM EDT Question
04/21/21 6:09 AM EDT Question
04/21/21 6:10 AM EDT Question
04/21/21 6:10 AM EDT Question
My mom gave me some medicine this morning... that helped my cough a little. I don'tremember what it was called though, sorry.
Do you take any other medications at home?
I don't take any medicines every day. I take my vitamins though. I eat a lot of them to bereally healthy. And my mom gave me cough medicine this morning. It's purple and tastes
gross, but it makes my cough better for a little while.
Do you exercise or play sports? (Clarified to Do you exercise?.)
I have gym class every day. I do all my exercises there. Abuela always has to remind me toplay outside for a little bit on the weekends... I guess I like to play inside more. (Clarified
to if I exercise.)
Do you play sports?
I don't really play any sports on a team or anything. I like to shoot hoops and ride myskateboard with Tony sometimes. But most of the time we play video games.
Have you had any ear problems?
Mom said I had ear infections a lot... when I was baby, but not now. Now they're fine.
Thats good to hear!
Yeah, thank you.
Have you had a sore throat at all?
It feels a little bit sore, yeah.
Do you know your past medical history? (Clarified to Have you had health problems in thepast?.)
I had to go to a doctor last year when I had pneumonia. My mom was really worried.(Clarified to if I have had past health problems.)
Do you have any allergies
I don't think I have any allergies.
does your family have any health problems
My mom's got diabetes, cholesterol, and high blood pressure. Papi talks about hischolesterol sometimes, and he smokes cigars. I know that's bad, especially because mom
says he had asthma when he was little. Probably my age. Uch, it sounds like a lot when Isay it altogether like that...
What did your throat feel like when it was sore? (Clarified to Describe your sore throat?.)
My throat is a little bit sore, but just a little bit. (Clarified to what my sore throat is like.)
04/21/21 6:11 AM EDT Question
04/21/21 6:11 AM EDT Question
04/21/21 6:11 AM EDT Question
04/21/21 6:11 AM EDT Empathize
04/21/21 6:12 AM EDT Exam Action 04/21/21 6:12 AM EDT Question
04/21/21 6:12 AM EDT Question
04/21/21 6:13 AM EDT Question
04/21/21 6:13 AM EDT Question
04/21/21 6:13 AM EDT Question
04/21/21 6:13 AM EDT Question
04/21/21 6:13 AM EDT Question
Have you had any breathing problems
I breathe OK, but my nose is always kinda runny.
When does your nose run the most
I don't know what makes it run; it just does sometimes.
What color is your nose drainage?
You mean like when I blow my nose? It's clear.
okay thats good
Thanks.
Washed hands.
do you have headaches
I don't usually get headaches.
any nose bleeds
Just one time. Tony and I were kicking a ball at recess and I got hit in the nose.
and vision changes (Clarified to Has your vision changed?.)
No, I see really good. Oh, I mean, I see well. I think glasses are kind of cool though. Myfriend Tony has them. (Clarified to if my vision has changed.)
do you ever get dizzy
I only get dizzy if I'm spinning around a lot at recess.
do your eyes ever hurt
No, my eyes don't hurt, but they kind of feel like they do when I'm tired.
how are you sleeping
Most times I sleep OK, but I haven't been able to sleep much because of my cough.
have you been tired
I've been tired the past few days since my cough started. I can't fall asleep much becauseI cough more at night.
04/21/21 6:29 AM EDT Exam Action 04/21/21 6:29 AM EDT Exam Action 04/21/21 6:29 AM EDT Exam Action 04/23/21 3:39 PM EDT Exam Action 04/23/21 3:39 PM EDT Exam Action 04/23/21 5:50 PM EDT Exam Action 04/23/21 5:50 PM EDT Exam Action 04/23/21 5:50 PM EDT Exam Action 04/23/21 5:50 PM EDT Exam Action 04/23/21 5:50 PM EDT Exam Action 04/23/21 5:50 PM EDT Exam Action 04/23/21 5:51 PM EDT Exam Action 04/23/21 5:51 PM EDT Exam Action 04/23/21 5:51 PM EDT Exam Action 04/23/21 5:57 PM EDT Exam Action 04/23/21 5:57 PM EDT Exam Action 04/23/21 5:57 PM EDT Exam Action 04/23/21 5:57 PM EDT Exam Action 04/23/21 5:58 PM EDT Exam Action 04/23/21 5:59 PM EDT Exam Action
04/23/21 5:59 PM EDT Exam Action
Performed otoscopic examination of right naris
Performed otoscopic examination of left naris
Inspected mouth
Inspected left orbital area and sclera
Inspected right orbital area and sclera
Performed otoscopic examination of left ear
Performed otoscopic examination of right ear
Inspected front of neck
Inspected left side of neck
Inspected back of neck
Inspected right side of neck
Inspected anterior chest wall
Inspected posterior chest wall
Inspected anterior chest wall
Palpated maxillary sinuses: No tenderness reported
Palpated frontal sinuses: No tenderness reported
Palpated axillary lymph nodes: Not palpable
Palpated supraclavicular lymph nodes: Not palpable
side Palpated lymph nodes of head and neck: Enlarged and reported tenderness on the right
Palpated fremitus in anterior lower chest wall: Present and equal bilaterally
Ninety-nine.
Palpated fremitus in anterior upper chest wall: Present and equal bilaterally
04/23/21 5:59 PM EDT Exam Action
04/23/21 5:59 PM EDT Exam Action
04/23/21 5:59 PM EDT Exam Action
04/23/21 5:59 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action 04/23/21 6:00 PM EDT Exam Action
Ninety-nine.
Palpated fremitus in posterior upper chest wall: Present and equal bilaterally
Ninety-nine.
Palpated fremitus in posterior middle chest wall: Present and equal bilaterally
Ninety-nine.
Palpated fremitus in posterior lower chest wall: Present and equal bilaterally
Ninety-nine.
Palpated chest expansion: Both sides rise symmetrically
Auscultated breath sounds in anterior left middle lobe
Auscultated breath sounds in anterior right middle lobe
Auscultated breath sounds in anterior right upper lobe
Auscultated breath sounds in anterior right upper lobe
Auscultated breath sounds in anterior left upper lobe
Auscultated breath sounds in anterior left middle lobe
Auscultated breath sounds in anterior left lower lobe
Auscultated breath sounds in anterior right lower lobe
Auscultated breath sounds in posterior left upper lobe
Auscultated breath sounds in posterior left mid-back (lower lobe)
Auscultated breath sounds in posterior right mid-back (lower lobe)
Auscultated breath sounds in posterior right upper lobe
Auscultated breath sounds in posterior right lower lobe near spine
Auscultated breath sounds in posterior left lower lobe near spine
Auscultated breath sounds in posterior left lower lobe
04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:01 PM EDT Exam Action 04/23/21 6:02 PM EDT Exam Action 04/23/21 6:02 PM EDT Exam Action 04/23/21 6:02 PM EDT Exam Action 04/23/21 6:02 PM EDT Exam Action 04/23/21 6:02 PM EDT Exam Action
Auscultated voice sounds in posterior right upper lobe
Auscultated aortic area with the bell
Auscultated pulmonic area with the bell
Auscultated Erb's point with the bell
Auscultated tricuspid area with the bell
Auscultated tricuspid area with the diaphragm
Auscultated mitral area with the diaphragm
Auscultated mitral area with the bell
Auscultated pulmonic area with the bell
Auscultated pulmonic area with the diaphragm
Auscultated aortic area with the diaphragm
Auscultated aortic area with the bell
Percussed anterior right upper lobe
Percussed anterior right middle lobe
Percussed anterior left upper lobe
Percussed anterior left mid-chest (upper lobe)
Percussed anterior left lower lobe
Percussed anterior right lower lobe
Percussed posterior left upper lobe
Percussed posterior left mid-back (lower lobe)
Percussed posterior right mid-back (lower lobe)
Percussed posterior right upper lobe
04/23/21 6:02 PM EDT Exam Action 04/23/21 6:02 PM EDT Exam Action 04/23/21 6:02 PM EDT Exam Action 04/23/21 6:02 PM EDT Exam Action 04/23/21 6:02 PM EDT Exam Action 04/23/21 6:03 PM EDT Exam Action 04/23/21 6:03 PM EDT Exam Action
04/23/21 6:15 PM EDT Educate
04/23/21 6:18 PM EDT Educate
04/23/21 6:18 PM EDT Educate
04/23/21 6:18 PM EDT Educate
Percussed posterior left right lobe on side
Percussed posterior right lower lobe near spine
Percussed posterior right lower lobe
Percussed posterior left lower lobe near spine
Percussed posterior left lower lobe
Measured diaphragmatic excursion: 3 cm
Inspected mouth
Hello Danny, since you haven't been feeling very well for the past 3 days, it's veryimportant for you to get in the habit of practicing hand hygiene. Because you are at risk for
developing an upper respiratory infection. My goal for you is to and your family to avoidunnecessary infections by following these instructions.
OK. I get it!
My goal for you and your family is to ensure your health and not get worse. We will alldiscuss ways to adhere to the instructions for risks for infection. I'm also going to have
you and your family repeat what iv'e taught you.
Alright.
Does this plan sound okay?
We can do it! I love learning and I'm really a good learner.
Okay perfect, I will begin educating you.
Okie dokie artichokey.
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
(800) 860-3241 | Help Desk (support.shadowhealth/)© Shadow Health 2012 - 2021 | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents (shadowhealth/patents)
®
Transcript - Lecture notes 1-4
Course: Medical Surgery 2 (NUR 2214)
University: Florida State College at Jacksonville
- Discover more from:
