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Tina Jones Respiratory Transcript Shadow Health

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Clinical Application of Pharmacology (NUR330)

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Respiratory Results | Completed Health Assessment for Practicing Nurses - January 2020, NUR 353

Return to Assignment (/assignments/293220/)

If you are using Safari and have issues with audio in your assignment, please click here for assistance. Click here for moreinformation (support.shadowhealth/hc/en-us/articles/360009548313) (/site_notice_dismissals?from_flash=true&site_noti

Transcript

Started: Jan 18, 2020 | Total Time: 85 min

01/18/20 6:12 PM EST Question

01/18/20 6:13 PM EST Question

01/18/20 6:14 PM EST Question

01/18/20 6:15 PM EST Question

Your Results Turn In (/assignment_attempts/5948184/choos

Reopen (/assignment_attempts/5948184/reopen Lab Pass (/assignment_attempts/5948184/lab_pass Overview Transcript Subjective Data Collection Objective Data Collection Documentation

Interview Questions (124) Statements (6) Exam Actions (65) Hello! Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just asa 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 the 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 willrisk factors so that you can determine any current and potential issues. If you discover any ask about her respiratory system and identify any disease states,questioning should cover a broad array of the symptoms' characteristics. You will also ask about symptoms and the patient's experiences of them. Your inquire into the health history of Ms. Jones' family with regards to the respiratory systemcan determine her genetic predisposition to any diseases. Regardless of whether you have so you assessed Tina previously,system. In addition to collecting subjective data, you will ask all questions that are medically relevant to her respiratory perform a physical exam on Ms. Jones' respiratory systemWhile you should communicate with patients using accessible, everyday language, to gather objective data about the system's health and physiology. it is standard practice todocumenting physical findings and nursing notes. use professional medical terminology everywhere else, such as in You may complete the exam activities in any order and move between them as needed. What is the situation? It's noon on Tina Jones' first day as a patient here at Shadow General Hospital. Your role in thissimulation is that of a healthcare provider who will perform a full respiratory exam on Ms. Jones given her history of asthma. What else will this exam involve? You willcan 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.

All Lines (195)

01/18/20 6:16 PM EST Question

01/18/20 6:17 PM EST Question

01/18/20 6:19 PM EST Statement

01/18/20 6:20 PM EST Greet

01/18/20 6:20 PM EST Question

01/18/20 6:21 PM EST Exam Action 01/18/20 6:22 PM EST Question

01/18/20 6:22 PM EST Question

01/18/20 6:23 PM EST Question

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 Data word 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 breadth report on your physical findings by selecting among clinical terms in the Electronic HealthRecord. This assignment takes on average between 40 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 respiratoryexams so that with real-life patients, you can: º ask effective and comprehensive questions ºcomplications use 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 questionyour current knowledge, explain the pathophysiology of asthma. to help prepare for the upcoming exam: Based on

Asthma involves airway inflammation with intermittent airflow obstruction. Time to begin. Hi my name is nina and i will be your nurse today Hey. Can you confirm your name Tina Jones. Checked vitals

have you had any difficulty berating I've actually been noticing problems lately. When I'm reading or studying I'll notice that thingsstart to get kind of blurry.

Have you had any difficulty breathing My breathing's fine right now, but I do have asthma. When did you start having breathing problems I've had asthma a long time... since I was really little. Where do you have the breathing problem in your neck

01/18/20 6:28 PM EST Question

01/18/20 6:29 PM EST Question

01/18/20 6:30 PM EST Empathize

01/18/20 6:30 PM EST Question

01/18/20 6:31 PM EST Question

01/18/20 6:32 PM EST Question

I usually use two puffs from my inhaler, but sometimes I need three. [Nurse confirmed withPharmacy: albuterol 90mcg/spray MDI] [AUDIO COMING SOON]

how frequent are the shortness of breath episodes I just use my inhaler. How many times have you had breathing problems in the last two days I haven't had any breathing problems since I was at my cousin's house three days ago. do you smoke No. I think it's gross. Thats good that you don't smoke. It causes lots of health problems. Thanks. do you drink alcohol I do sometimes, yeah, when I go out with my friends. do you use any recreational drugs No. Are you around people who smoke Yeah, a couple of my friends smoke when we go out. I don't like being around smokers,though.

does anyone in your family smoke No, nobody at home smokes. does your asthma keep you up at night No, I don't have a problem with that. how severe are your asthma symptoms I haven't had a full asthma attack in years, but they used to be pretty bad. is there anything you can't do because of your asthma

01/18/20 6:32 PM EST Question

01/18/20 6:33 PM EST Question

01/18/20 6:34 PM EST Question

01/18/20 6:34 PM EST Educate

01/18/20 6:34 PM EST Question

01/18/20 6:35 PM EST Question

01/18/20 6:36 PM EST Empathize

01/18/20 6:36 PM EST Question

01/18/20 6:37 PM EST Question

There isn't really anything I can't do because of my asthma... I guess I try to avoid things thatmake my breathing worse, but that's about it.

do you get chest tightness Just when I have breathing problems, like I can't take in air. when did you last use your inhaler I had to use my inhaler three days ago when I was at my cousin's house. how many puffs do you use your inhaler I usually use two puffs from my inhaler, but sometimes I need three. [Nurse confirmed withPharmacy: albuterol 90mcg/spray MDI] [AUDIO COMING SOON]

make sure you follow the instructions on your inhaler Thanks for telling me. do you take any other medications I've just been taking what they give me here. does anyone in your family have breathing problems My baby sister has asthma, too, but no one else in the family has lung problems, I don't think. does dust trigger your asthma Yeah, being around a lot of dust, especially hanging out in a really dusty house, can make myasthma act up.

Sorry to hear about your asthama Thanks. does it hurt to breath when you have an asthma attack No, my chest feels tight when I have breathing problems, but it doesn't hurt. does climbing stairs trigger asthma (Clarified to Does climbing stairs trigger your asthma?.) A lot of my classes are on the third floor of the Maria Bamford Business Building, and when I'mlate I have to hurry up the stairs sometimes, then I get out of breath, and usually I need to use my inhaler. (Clarified to if climbing stairs triggers my asthma.)

01/18/20 6:43 PM EST Question

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01/18/20 6:47 PM EST Question

how often do you change your bed sheets Of course! Do you have any pets No... I'm too busy to take care of a dog, and I can't have cats because of my allergies. have your ever smoked pot (Clarified to Have you ever smoked marijuana?.) Well, I used to smoke pot... but I don't do that anymore. (Clarified to if I have ever smokedmarijuana.)

how old were you when you smoked pot I started when I was about fifteen, and I stopped when I was twenty or twenty-one. have you been sick recently No, I'm usually healthy. have you ever smoked cigarettes No. I think it's gross. does anyone in your family smoke pot My brother used to smoke pot, too, but nobody in the family does stuff like that anymore. do you have any nasal drainage Just when I'm around a cat. has anyone been sick at home No, I don't think so. does anyone in your family have allergies My sister has hay fever, I think, and it sometimes makes her asthma get pretty bad. do you get eczema No, I don't have that kind of skin problem.

01/18/20 6:48 PM EST Question

01/18/20 6:49 PM EST Question 01/18/20 6:49 PM EST Question

01/18/20 6:49 PM EST Question

01/18/20 6:51 PM EST Question

01/18/20 6:52 PM EST Question

01/18/20 6:53 PM EST Question

when was your last chest xray The last time I went to the hospital for an asthma attack, when I was still in high school, theydid a chest x-ray.

do you get fatigue I'm pretty tired from not sleeping very well last night. what was the reason for the lack of sleep (No matching questions found.)

how did you sleep last night Last night I had a hard time sleeping because it's a strange place, and my foot hurts... Butusually I'm a good sleeper.

do you ever faint Um, not that I remember. do you take any over the counter medications I take Tylenol for a headache sometimes, or Advil for cramps, but not often. did you have pneumonia I've never had pneumonia before. have you had respiratory infection I don't think so, unless asthma counts. have you had any surgery Nope. No surgeries... I've been lucky. have you had tuberculosis No, I got tested for that a couple years ago, I think, and didn't have it. did you get the influenza vaccine No. does anyone in your family had lung cancer

01/18/20 6:59 PM EST Question 01/18/20 6:59 PM EST Question

01/18/20 6:59 PM EST Question

01/18/20 7:00 PM EST Question

01/18/20 7:01 PM EST Question

01/18/20 7:07 PM EST Exam Action 01/18/20 7:07 PM EST Exam Action 01/18/20 7:07 PM EST Exam Action 01/18/20 7:07 PM EST Exam Action 01/18/20 7:07 PM EST Exam Action 01/18/20 7:07 PM EST Exam Action

01/18/20 7:07 PM EST Exam Action

01/18/20 7:08 PM EST Exam Action

No, I haven't noticed any tingling. do you get mucus (No matching questions found.)

do you get congestion My nose is fine unless I'm around cats, or sometimes dust. do you have wheezing Not right now. do you get chest pain when you have asthma attack No, my chest feels tight when I have breathing problems, but it doesn't hurt. do you take anything to treat your allergies (Clarified to Do you take medication for allergies?.) I don't take anything, unless my inhaler counts. (Clarified to if I take medication for allergies.) Inspected anterior chest wall Inspected left side chest wall Inspected anterior chest wall Inspected right side chest wall Palpated chest expansion: Both sides rise symmetrically Palpated fremitus in anterior upper chest wall: Present and equal bilaterally Ninety-nine. Palpated fremitus in anterior upper chest wall: Present and equal bilaterally Ninety-nine. Palpated fremitus in anterior lower chest wall: Present and equal bilaterally Ninety-nine. Palpated fremitus in posterior upper chest wall: Present and equal bilaterally

01/18/20 7:08 PM EST Exam Action

01/18/20 7:08 PM EST Exam Action 01/18/20 7:08 PM EST Exam Action 01/18/20 7:08 PM EST Exam Action 01/18/20 7:08 PM EST Exam Action 01/18/20 7:08 PM EST Exam Action 01/18/20 7:08 PM EST Exam Action 01/18/20 7:08 PM EST Exam Action 01/18/20 7:09 PM EST Exam Action 01/18/20 7:09 PM EST Exam Action 01/18/20 7:09 PM EST Exam Action 01/18/20 7:09 PM EST Exam Action 01/18/20 7:09 PM EST Exam Action 01/18/20 7:09 PM EST Exam Action 01/18/20 7:09 PM EST Exam Action 01/18/20 7:09 PM EST Exam Action 01/18/20 7:09 PM EST Exam Action

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. Percussed anterior right upper lobe Percussed anterior left upper lobe Percussed anterior left mid-chest (upper lobe) Percussed anterior right middle lobe Percussed anterior right lower lobe Percussed anterior left lower lobe Percussed posterior left upper lobe Percussed posterior right upper lobe Percussed posterior right mid-back (lower lobe) Percussed posterior left mid-back (lower lobe) Percussed posterior left lower lobe Percussed posterior right lower lobe Percussed posterior right lower lobe on side Percussed posterior right lower lobe near spine Percussed posterior left lower lobe near spine Percussed posterior left lower lobe on side

01/18/20 7:12 PM EST Exam Action

01/18/20 7:13 PM EST Exam Action

Auscultated voice sounds in anterior right upper lobe Ninety-nine. Ninety-nine. Auscultated voice sounds in anterior left upper lobe Ninety-nine. Ninety-nine. Auscultated voice sounds in anterior left mid-chest (upper lobe) Ninety-nine. Ninety-nine. Auscultated voice sounds in anterior right middle lobe Ninety-nine. Ninety-nine. Auscultated voice sounds in anterior right lower lobe Ninety-nine. Auscultated voice sounds in anterior left lower lobe Ninety-nine. Auscultated voice sounds in posterior left upper lobe Ninety-nine. Auscultated voice sounds in posterior right upper lobe Ninety-nine. Auscultated voice sounds in posterior right mid-back (lower lobe) Ninety-nine.

01/18/20 7:13 PM EST Exam Action

01/18/20 7:16 PM EST Question

01/18/20 7:17 PM EST Question

01/18/20 7:18 PM EST Question

Auscultated voice sounds in posterior left mid-back (lower lobe) Ninety-nine. Auscultated voice sounds in posterior left lower lobe Ninety-nine. Auscultated voice sounds in posterior left lower lobe on side Ninety-nine. Auscultated voice sounds in posterior left lower lobe near spine Ninety-nine. Auscultated voice sounds in posterior right lower lobe near spine Ninety-nine. Auscultated voice sounds in posterior right lower lobe Ninety-nine. Auscultated voice sounds in posterior right lower lobe on side Ninety-nine. what health problems do you have I've had asthma since I was little, and I have sugar diabetes, too. how frequent are your shortness of breath episodes (Clarified to Are the shortness of breathepisodes associated with a wheezing sound?.)

During a full attack, I would wheeze a lot, like I couldn't breathe at all, but that hasn't happenedin years. Now I wheeze a little when I have breathing problems, but it's not nearly that bad. (Clarified to if my shortness of breath episodes are associated with a wheezing sound.) how long does the shortness of breath last Usually once I use my inhaler my breathing feels better after a minute or two... I'd say mybreathing's only ever bad for five minutes at most.

how long did the last breathing episode last

01/18/20 7:26 PM EST Question

01/18/20 7:27 PM EST Question

01/18/20 7:28 PM EST Question

01/18/20 7:33 PM EST Question

01/18/20 7:34 PM EST Question

01/18/20 7:36 PM EST Question

01/18/20 7:37 PM EST Question

do you get asthma attacks at work Well... sometimes when there's dust at work it can make my asthma act up, but that doesn'thappen very often.

Where do you work I'm a supervisor at Mid-American Copy & Ship. I've been working there since high school, andI've just kept moving up.

what do you do at work Well, since being promoted to supervisor, I've been in charge of scheduling other employees,taking inventory, and placing orders for supplies. I'm still on the floor a lot though, dealing with customers and that sort of thing. where do you go to school I go to Shadowville State College. do you think you are overweight I know I weigh more than a lot of women my height, but I don't really think about it much. does your weight make it difficult to breath (Clarified to Are you dissatisfied with your weight?.) I know I weigh more than a lot of women my height, but I don't really think about it much.(Clarified to if I am unhappy with my weight.)

do you have problems breathing at night No, my breathing has felt fine today. are you exposed to asbestos No way, that stuff's really dangerous. do you have cystic fibrosis No, I don't think so. how frequently do you have trouble breathing Probably twice a week, but I just use my inhaler and it gets better. how do you manage your asthma

01/18/20 7:38 PM EST Question

01/18/20 7:38 PM EST Empathize

01/18/20 7:38 PM EST Question

01/18/20 7:39 PM EST Question

01/18/20 7:40 PM EST Question

01/18/20 7:41 PM EST Question

01/18/20 7:43 PM EST Question

I try to avoid things that give me breathing problems, but when my asthma starts to act up, Ijust use my inhaler.

how can you tell your are having an asthma attack I haven't had an asthma attack in a while, but I used to get them growing up, and my chestwould feel really tight, like I couldn't take in air, and I would wheeze really bad and get all sweaty. It was way worse than now, especially because I would use my inhaler and it wouldn'thelp. It was really scary.

I'm Sorry that does sound scary. Thanks. do you have history of coughing I don't get colds or cough much. do you ever cough up sputum I haven't been coughing. have you had other respiratory illnesses other than asthma No, just the asthma. what happens when you are around cats Whenever I'm around cats, I start sneezing, my eyes get itchy... and my asthma starts to actup.

when was the last time you smoked pot I haven't smoked pot since I was twenty or twenty-one. do you get exposed to secondhand smoke (Clarified to Are you ever exposed to secondhandsmoke?.)

Some of my friends smoke when we go out drinking. But I don't smoke, and nobody at homesmokes. (Clarified to if I am exposed to secondhand smoke.)

how often do you smoke pot I don't smoke pot anymore. what triggers your asthma Being around cats is the worst, but dust and running up stairs can make my breathing bad, too.

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Tina Jones Respiratory Transcript Shadow Health

Course: Clinical Application of Pharmacology (NUR330)

7 Documents

Students shared 7 documents in this course

University: Park University

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1/18/2020 Respiratory | Completed | Shadow Health

https://app.shadowhealth.com/assignment_attempts/5948184 1/18

Respiratory Results | Completed

Health Assessment for Practicing Nurses - January 2020, NUR 353

Return to Assignment (/assignments/293220/)

(/site_notice_dismissals?from_flash=true&site_notiIf you are using Safari and have issues with audio in your assignment, please click here for assistance. Click here for more

information (https://support.shadowhealth.com/hc/en-us/articles/360009548313)

Transcript

Started: Jan 18, 2020 | Total Time: 85 min

Question

01/18/20 6:12 PM EST

Question

01/18/20 6:13 PM EST

Question

01/18/20 6:14 PM EST

Question

01/18/20 6:15 PM EST

Your Results Turn In (/assignment_attempts/5948184/choos

Reopen (/assignment_attempts/5948184/reopen

Lab Pass (/assignment_attempts/5948184/lab_pass.p

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Documentation

Interview Questions (124) Statements (6) Exam Actions (65)

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 respiratory system and identify any

risk factors so that you can determine any current and potential issues. 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 respiratory 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 respiratory

system. In addition to collecting subjective data, you will perform a physical exam on Ms.

Jones' respiratory 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 noon 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 respiratory exam on Ms.

Jones given her history of asthma.

What else will this exam involve?

You will complete nursing tasks to protect the patients safety, privacy, and health. You

can document your findings, including vital signs, in the Electronic Health Record. This

record provides necessary information for healthcare professionals who will continue patient

care. Activities other than Subjective and Objective Data Collection, such as Documentation

and Education and Empathy, provide valuable practice for their real-world counterparts.

However, they are not automatically graded by the simulation.

All Lines (195)

Tina Jones Respiratory Transcript Shadow Health

Clinical Application of Pharmacology (NUR330)

Park University

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Preview text

Respiratory Results | Completed Health Assessment for Practicing Nurses - January 2020, NUR 353

Transcript

Your Results Turn In (/assignment_attempts/5948184/choos

Tina Jones Respiratory Transcript Shadow Health

Course: Clinical Application of Pharmacology (NUR330)

University: Park University

Students also viewed

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