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Tina Jones Abdominal Subjective

Course

Health Assessment Of Individuals Across The Lifespan (NUR 3065L)

23 Documents
Students shared 23 documents in this course
Academic year: 2022/2023
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University of North Florida

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Abdominal Results | Turned In

Health Assessment and Promotion - November 2019, NUR 304

Return to Assignment (/assignments/283852/)

Subjective Data Collection: 24 of 24 (100%)

Relevant Medical History

Your Results Lab Pass (/assignment_attempts/5857557/lab_pass)

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Documentation Student Survey

Indicates an item that you found. Indicates an item that is available to be found.

Category Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data

Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case.

Asked about current stomach and bowels Denies current abdominal issues

Asked about typical bowel habits Reports a bowel movement every two days Reports last bowel movement was yesterday morning

Asked about constipation Denies constipation Denies hard stools Denies straining during bowel movement

Asked about diarrhea Denies diarrhea

Followed up on stool characteristics Reports stool is formed Reports color is medium-brown Denies blood in stool Denies mucus in stool

Asked about gassiness Denies excessive gassiness Denies bloating

Asked about nausea Denies nausea

Hover To Reveal...

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

This study source was downloaded by 100000835600516 from CourseHero on 05-24-2022 13:35:31 GMT -05:

coursehero/file/52128211/Tina-Jones-Abdominal-Subjectivepdf/

Risk Factors

Review of Systems

Asked about vomiting Denies vomiting

Asked about food intolerance Denies food intolerance

Asked about appetite changes Reports recent increase in appetite Reports appetite increase started about a month ago

Asked about GERD and heartburn Denies heartburn Denies chest pain Denies history of GERD

Asked about urinary problems Reports increased urination Reports waking up to urinate during the night Denies incontinence Denies painful or difficult urination

Asked frequency and duration of increased urination

Reports urinating every hour or two during the day Reports waking up to pee more than once per night Reports frequent urination started a few months ago

Asked about character of urine Reports urine is light yellow or clear Denies blood in urine Denies abnormal odor to urine

Asked about fluid intake Reports increased water intake Reports increased thirst

Asked about typical meals Reports typical breakfast is cereal, bread, or a muffin Reports typical lunch is a sandwich and chips Reports typical dinner is chicken, a vegetable or potatoes, and bread Reports typical snack is pretzels, French fries, crackers or chips

Asked about tobacco use Denies tobacco use Denies vaping

Asked about alcohol intake Reports last alcoholic drink was a few weeks ago Reports no more than 2 or 3 alcoholic drinks in one sitting Reports no more than 1 or 2 nights a week drinking alcohol

Asked about illicit drugs Reports history of smoking recreational marijuana

This study source was downloaded by 100000835600516 from CourseHero on 05-24-2022 13:35:31 GMT -05:

coursehero/file/52128211/Tina-Jones-Abdominal-Subjectivepdf/

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Tina Jones Abdominal Subjective

Course: Health Assessment Of Individuals Across The Lifespan (NUR 3065L)

23 Documents
Students shared 23 documents in this course
Was this document helpful?
Abdominal Results | Turned In
Health Assessment and Promotion - November 2019, NUR 304
Return to Assignment (/assignments/283852/)
Subjective Data Collection: 24 of 24 (100.0%)
Relevant Medical History
Your Results Lab Pass (/assignment_attempts/5857557/lab_pass.pdf)
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Documentation
Student Survey
Indicates an item that you
found.
Indicates an item that is
available to be found.
Category Scored Items
Experts selected these topics as essential components
of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield
better patient data. The following details are facts of the
patient's case.
Asked about current stomach and bowels Denies current abdominal issues
Asked about typical bowel habits Reports a bowel movement every two days
Reports last bowel movement was yesterday
morning
Asked about constipation Denies constipation
Denies hard stools
Denies straining during bowel movement
Asked about diarrhea Denies diarrhea
Followed up on stool characteristics Reports stool is formed
Reports color is medium-brown
Denies blood in stool
Denies mucus in stool
Asked about gassiness Denies excessive gassiness
Denies bloating
Asked about nausea Denies nausea
Hover To Reveal...
Hover over the Patient Data items
below to reveal important
information, including Pro Tips and
Example Questions.
This study source was downloaded by 100000835600516 from CourseHero.com on 05-24-2022 13:35:31 GMT -05:00
https://www.coursehero.com/file/52128211/Tina-Jones-Abdominal-Subjectivepdf/