- Information
- AI Chat
Infection
Med Surg 2 (Nurs 211L)
West Coast University
Preview text
Focused Exam: Infection Results | Turned In
Community & Population Health Nursing - Fall 2020, NUR 460
Return to Assignment (/assignments/406689/)
Shadow Health wants to learn more about how we can help you achieve your goals! Click here for more information (/site_notice_dismissals?from_flash=true&site_notice_id=456) (survey.alchemer/s3/5992885/Student-Goals-ECS)
Transcript
Started:Nov 02, 2020 | Total Time:42 min
Exam Action 11/02/20 7:39 PM EST
Exam Action 11/02/20 7:39 PM EST
Exam Action 11/02/20 7:39 PM EST
Exam Action 11/02/20 7:39 PM EST
Exam Action 11/02/20 7:40 PM EST
Exam Action 11/02/20 7:41 PM EST
Question 11/02/20 7:41 PM EST
Question 11/02/20 7:41 PM EST
Question 11/02/20 7:41 PM EST
Question 11/02/20 7:43 PM EST
Your Results Reopen (/assignment_attempts/8354140/reopen)
Lab Pass (/assignment_attempts/8354140/lab_pass)
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
QSEN Competencies
Documentation
Care Plan
Program Competency Progress
Reflections
Interview Questions (86) Statements (2) Exam Actions (34)
Assessed IV bag
Assessed IV pump
Assessed IV site
Assessed vitals
Assessed urine quality: cloudy, pink or amber, and a foul odor
Checked Patient Wristbands: All information is correct
do you feel safe at home
I feel very safe at home.
are you being abused
No, not at all... I am very safe at home.
financial abuse?
My daughter Mary has a knack for finances... I think my husband taught her. I trust her
with managing our estate. I don't think she would ever take advantage of me.
what brings you in today
Gracious... this pain is just... oh, it's just terrible. Last night, it was there, but not as
much... not as much as this morning. It hasn't let up a bit...
All Lines (122)
Support
Question 11/02/20 7:43 PM EST
Question 11/02/20 7:43 PM EST
Question 11/02/20 7:44 PM EST
Question 11/02/20 7:44 PM EST
Question 11/02/20 7:44 PM EST
Question 11/02/20 7:44 PM EST
Question 11/02/20 7:44 PM EST
Exam Action 11/02/20 7:45 PM EST
Question 11/02/20 7:45 PM EST
Question 11/02/20 7:45 PM EST
Question 11/02/20 7:45 PM EST
Question 11/02/20 7:45 PM EST
Question 11/02/20 7:45 PM EST
rate your pain
A scale... I just don't know.
how would you rate your pain
A scale... I just don't know.
where are you
I'm in the clinic in Dr. Turner's office... Is he coming in soon?
what is your name
Patricia Young.
how old are you
Um, well... you get old enough and it gets a little hard to keep track...
when is your birthday
My birthday is December 29th... [Ms. Young reports correct birth year.]
how did you hurt yourself (Clarified to Have you ever thought about hurting yourself?.)
No, no... I'd never. I don't recall ever feeling that way, even when I was at my lowest point
in life. I had children to live for... that kept me going... (Clarified to if I have ever thought
about hurting myself.)
Inspected eyes
allergies
No allergies here.
med allergies (No matching questions found.)
what helps your pain
I also didn't try treating at home. I wasn't sure what to do... I asked Mary to bring me here
... so I could get some help.
what makes your pain better
I also didn't try treating at home. I wasn't sure what to do... I asked Mary to bring me here
... so I could get some help.
what your medical history
Question 11/02/20 7:49 PM EST
Question 11/02/20 7:49 PM EST
Question 11/02/20 7:49 PM EST
Question 11/02/20 7:49 PM EST
Exam Action 11/02/20 7:50 PM EST
Question 11/02/20 7:50 PM EST
Exam Action 11/02/20 7:50 PM EST
Exam Action 11/02/20 7:51 PM EST
Exam Action 11/02/20 7:51 PM EST
Exam Action 11/02/20 7:51 PM EST
Exam Action 11/02/20 7:51 PM EST
Exam Action 11/02/20 7:51 PM EST
Exam Action 11/02/20 7:51 PM EST
Exam Action 11/02/20 7:51 PM EST
Exam Action 11/02/20 7:51 PM EST
Exam Action 11/02/20 7:51 PM EST
Exam Action 11/02/20 7:51 PM EST
Exam Action 11/02/20 7:52 PM EST
Exam Action 11/02/20 7:52 PM EST
Exam Action 11/02/20 7:52 PM EST
how muscles (No matching questions found.)
how muscles and bones (No matching questions found.)
how musculoskeletal (No matching questions found.)
how is your musculoskeletal system
I have occasional aches and pains, but it's nothing out of the ordinary for a lady my age.
Inspected mouth
we will inspect perineal
Thanks for walking me through that.
Inspected perineal area: some redness present
Inspected abdomen
Inspected front of left hand
Inspected front of right hand
Inspected front of legs
Inspected feet
Inspected right palm
Inspected back of legs
Inspected back of feet
Inspected upper back and neck
Auscultated carotids
Auscultated breath sounds
Auscultated heart sounds
Palpated abdomen with light pressure
Exam Action 11/02/20 7:52 PM EST
Exam Action 11/02/20 7:52 PM EST
Exam Action 11/02/20 7:52 PM EST
Exam Action 11/02/20 7:52 PM EST
Exam Action 11/02/20 7:52 PM EST
Exam Action 11/02/20 7:52 PM EST
Exam Action 11/02/20 7:52 PM EST
Question 11/02/20 7:53 PM EST
Question 11/02/20 7:53 PM EST
Exam Action 11/02/20 7:53 PM EST
Exam Action 11/02/20 7:53 PM EST
Exam Action 11/02/20 7:53 PM EST
Exam Action 11/02/20 7:54 PM EST
Exam Action 11/02/20 7:54 PM EST
Question 11/02/20 7:55 PM EST
Question 11/02/20 7:56 PM EST
Question 11/02/20 7:56 PM EST
Palpated abdomen with deep pressure
Palpated abdomen with light pressure
Palpated abdomen with deep pressure
Palpated posterior tibial pulse
Palpated dorsalis pedis pulse
Percussed Right CVA: Tenderness reported
Oww...
Percussed Left CVA: Tenderness reported
Hmmm...
remember apple, penny and table
Apple, penny, and table.
repeat the three words
Apple, penny, and... uh, I'm not sure of the last one?
Tested fine motor skills
Tested grip
Tested skin turgor
Tested capillary refill
Tested gait: hesitancy, right and left step length equal, some path deviation, discontinuity
between steps, heels set apart, and greater than 12 seconds to complete.
how fluid intake (Clarified to What is your normal daily fluid intake?.)
Well, I love my coffee. My daughter makes a big pot in the morning, so I drink about three
cups a day. (Clarified to what my typical daily fluid intake is.)
what triggers your pain
I'm not sure what the cause is, I just know it's painful.
what aggravates your pain
Question 11/02/20 8:08 PM EST
Question 11/02/20 8:09 PM EST
Question 11/02/20 8:13 PM EST
Question 11/02/20 8:15 PM EST
Question 11/02/20 8:15 PM EST
Question 11/02/20 8:15 PM EST
Question 11/02/20 8:15 PM EST
Question 11/02/20 8:16 PM EST
Question 11/02/20 8:16 PM EST
Question 11/02/20 8:16 PM EST
It's been a very long time... My husband William was my only partner, and he's passed
away. I don't... I don't feel like pursuing a relationship like that again, if that answers your
question.
what is your sexual activity
It's been a very long time... My husband William was my only partner, and he's passed
away. I don't... I don't feel like pursuing a relationship like that again, if that answers your
question.
do you exercise
I used to take more walks around my neighborhood... I just haven't had the energy...
Most days I sit and watch TV. I like to crochet a little while I watch the History Channel.
sexual activity and STI
It's been a very long time... My husband William was my only partner, and he's passed
away. I don't... I don't feel like pursuing a relationship like that again, if that answers your
question.
history of STI
Well, I only ever had sexual relations with William, and he's been gone for... for years.
Eleven? Eleven years.
how heart (Clarified to How long has your heart had problems?.)
Well, I was diagnosed with high cholesterol when I was 58, so I suppose I've had heart
problems since then. (Clarified to how long my heart has had problems.)
how is your heart
My heart rate seems fine.
how stomach
Well, my back and my abdomen started hurting last night. They ache so much. The pain got
worse this morning. It also hurts when I use the bathroom. It's this terrible burning
sensation.
how is your gastrointestinal
My stomach has been just fine, really.
how is your brain
Well what kind of a question is that? My brain is... is fine. [AUDIO COMING SOON]
how is your neurological
I have felt a little weak lately. I don't have much energy to do many things... I'm fairly
sedentary. I also feel somewhat disoriented. It's hard for me to keep track of things
sometimes.
Question 11/02/20 8:16 PM EST
Question 11/02/20 8:17 PM EST
Question 11/02/20 8:17 PM EST
Question 11/02/20 8:17 PM EST
Question 11/02/20 8:17 PM EST
Question 11/02/20 8:18 PM EST
Question 11/02/20 8:18 PM EST
Question 11/02/20 8:18 PM EST
Question 11/02/20 8:18 PM EST
Question 11/02/20 8:18 PM EST
Question 11/02/20 8:19 PM EST
Question 11/02/20 8:20 PM EST
Question 11/02/20 8:20 PM EST
how is your genitourinary
I have this terrible pain when I use the bathroom. It feel this awful burning when I urinate,
and I am so irritated down there.
bathing (No matching questions found.)
how bathing
Oh, I take a shower... maybe once every other day or so. I'm lucky that I can still manage
on my own.
how toilet
I don't need help in the bathroom.
how transfer
I'm afraid I'm not sure what you mean by "transfer"... could you run that by me again?
Maybe ask me a different way.
how dress (No matching questions found.)
can dress (No matching questions found.)
can you dress (Clarified to Are you able to dress yourself?.)
I don't have any problems dressing myself. (Clarified to if I can dress myself without
problems.)
are eat
Since yesterday, I haven't felt hungry at all. I just have no appetite. Normally, I don't feel full
too quickly, but right now I just have no appetite at all.
can you eat
Since yesterday, I haven't felt hungry at all. I just have no appetite. Normally, I don't feel full
too quickly, but right now I just have no appetite at all.
eat independently
I can feed myself just fine.
how sleep
I've always been a good sleeper. My husband William used to joke that I could sleep
through anything.
how fall
Question 11/02/20 8:25 PM EST
Question 11/02/20 8:25 PM EST
Educate 11/02/20 8:34 PM EST
Educate 11/02/20 8:35 PM EST
Oh, I've felt pretty weak lately. I don't move around as much as I used to, so I'd say my
activity level is fairly low. It has been for about five months. I'm a little unsteady on my feet. I
used to go for walks, but I don't anymore. I'm fairly sedentary.
why do you need statins (Clarified to Do you take statins?.)
Yes, I take two medications for my high cholesterol - Lip... Lipitor? Liptar? and... Prav-
something. I don't remember the exact name. (Clarified to if I take statins.)
why statins
Oh, well... my doctor gave me the... Lip... the Lipitor? He prescribed it maybe two
months ago, and I kept taking the other one, too. I thought maybe Dr. Turner wanted me to
take them both.
keep it up
Yes, yes, I understand.
do you consent
I give you my consent.
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
© Shadow Health 2012 - 2020 (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents (shadowhealth/patents)
®
Infection
Course: Med Surg 2 (Nurs 211L)
University: West Coast University
This is a preview
Access to all documents
Get Unlimited Downloads
Improve your grades
