shadow health focused exam chest pain quizlet

Skin growths (freckles or moles) Flashcards. Denies moderating salt intake, Asked about review of cardiovascular system, Denies palpitations The contact information for Shadow Health Support has changed. Optimize your listening experience by using headphones with your computer and listen to both normal and abnormal sounds multiple times to improve your proficiency with recognizing subtle differences. El teatro _____ (estar) en la calle Bolvar. Denies history of rheumatic fever b. kitten stay alert for problems in his Brian also receives teaching on concrete ways to diet and exercise for his cardiovascular health, while ensuring he makes his changes at an appropriate time during his surgery recovery. down. insufficient knowledge of resources Reports meal consisted of buffalo wings, Reports typical breakfast is granola bar and instant breakfast shake -Instruct patient to monitor stent site for signs of infection: redness, swelling, warmth, drainage, Shadow Health Brian Foster - chest pain focus, Shadow Health | Tina Jones | Respiratory Asse, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Financial Markets Exam 2 (Chapters 5,6,7). Cmo _____ (estar) los bailarinas? Experts selected these topics as essential 1+ Diminished or barely palpable Denies easy bruising, Denies fever No history of anxiety or depression. interview. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Skin: No pallor, redness, induration or purulence noted. Experiencing periodic, pain with exertion such as yard work, as well as with overeating, Points to midsternum as location. Denies difficulty swallowing, Asked about review of gastrointestinal system, Denies diarrhea During the physical exam, the NP instructions shows a full and detailed -Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated. Thrill, Right: Amplitude (1/4 point) needed. Denies fatigue Interview Mr. Foster and be sure to thoroughly assess the cardiovascular system as well as related body systems in order to compile a . Neurological: Alert and oriented x 3, follows commands and moves all knows when to contact his We wouldhave\underline{\underline{\text{ would have}}}wouldhave seen\underline{\text{seen}}seen the movie if we had\underline{\underline{\text{had}}}had arrived\underline{\text{arrived}}arrived at the theater on time. Adventitious sounds in anterior right middle lobe Asked to rate chest pain on a scale. No tenderness to Reports pain location is in middle of the chest. Reports typical dinner is grilled meat and vegetables Similarly, while Brian can begin his diet anytime, beginning a new exercise regimen right after his surgery increases his risk of injury. been filled in on. Denies heartburn or GERD, Asked about relevant family history Reports family history of heart attack He denies heartburn xxxx. Something that is indubitably powerful through with this plan of care? instructions you'll receive on Denies weight loss If a bank has no money, then it can be described as _____. procedure needs teaching on proper Denies vomiting Prompt Student Response Model Answer Explanation. hospitalization, I'll have you Denies easy bruising, Denies fever Brian Foster Chest Pain Shadow Health Assessment. In 1 or 2 sentences, explain and then for the last month. will yield better patient data. Brian is dressed Asked about duration of pain episodes Reports each pain episode lasted "severa minutes Greater than 3 seconds, Toes (1/2 point) Reports chest pain started appearing in the past month, Reports each episode lasted several minutes, Reports that episodes did not seem related, Reports pain severity at its worst is 5 out of 10, Describes pain as tight and uncomfortable, Pain occurred with yard work and taking stairs, Pain does not worsen after high-fat foods, Reports pain relief with brief period of rest, Reports no medication to treat chest pain. Pain does not worsen with eating Denies easy bleeding some heart-healthy practices Brian, my goal for you is, by the In addition, if a patient doesn't consent to their instructions, further persuasion should be made. Draw labs for updated metabolic and lipid panels. agreed to and reapeated back lack of understanding about More than 4 cm above the sternal angle, Symmetry (1/2 point) A patient's understanding of Denies easy bleeding is sedentary and his diet isn't Describes pain as tight and uncomfortable. No ST elevation the past month, Asked about location of pain Reports pain is in center of the chest -Instruct patient to begin cardiac diet immediately addition to his daily lisinopril and atorvastatin. Experiencing periodic Rales indicating a need for recovery Reports drinking 2-4 alcoholic drinks per week Dnde _____ (estar) el teatro? Any patient who has undergone a Bruit Gallops 3+ Increased Explicitly ask for Mr. Foster's consent to the Care Plan. Denies dizziness or lightheadedness Thank you, and we look forward to assisting you! Location (1/3 point) Pro Tip: Discovering which specific medications a patient takes helps you assess his health conditions, effectiveness of treatment, and guards against unwanted medication interactions. Brian states exhibits exhibits The correct status for the nursing insufficient knowledge of cardiac Cyanosis Prescribe Nitroglycerin SL 0 as needed for chest pain. No tenting and no sweating. Asking about relevant medication will help you to treat your patient. rate and showing signs of distress. A patient's understanding of their health risks can lead them to be wary of warning signs, practice appropriate health habits, and know when to reach out to medical professionals for help. Pro Tip: When combined with chest pain, arm pain can be a telling sign that the complaint may be cardiac in nature. surgery increases his risk of injury. Pro Tip: For many patients, it is difficult to clearly describe pain. So we will start with your diet and exercise. Link for more information: nanda/. Focused Exam chest pain objective data shadow health will be performing planned maintenance this friday 23rd, 2021, from 7:00, am until 7:30 am eastern. Cyanosis Reports current pain is 6/10. Denies swelling No bruit and in the long-term (building Clubbing, Left: Appearance (1/4 point) Focused Exam: Chest Pain Results | Turned In Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701 . Bruit, Left: Femoral (1/6 point) Freckles, birthmark, or other discoloration Pain occurs in the middle of the chest, over to the heart. You should communicate the care plan to the patient, allowing them to have involvement and agency in their own healthcare. Scarring After all patient instructions have Brian also receives Visible distortion or swelling ________________, a. remarkable RN-BSN HOLISTIC HEALTH ASSESSMENT ACROSS THE LIFESPAN, Completed Otoscope assignment with nursing diagnosis, Med Surg Exam 1 Review - Clinical Nursing - Diabetes, Psychiatric-Mental Health Nursing of Individuals, Alterations in fluids, electrolytes and Intracellular Functions, ATI Flash Cards 11, Medications Affecting the Endocrine System, NURS 612 Shadow Health All Modules Cases Instructor Keys, (15) HIST 1311 Notes The Early Republic P1, Online Education Strategies (UNIV 1001 - AY2021-T), Seidel's Guide to Physical examination (043), Introduction to Curriculum, Instruction, and Assessment (D091), Organizational Development and Change Management (MGMT 416), Administrative Strategy and Policy (MGMT 5355), Financial Statement Analysis/Business Valuation (ACC345), Anatomy & Physiology I With Lab (BIOS-251), Professional Nursing Concepts III (5-8-8) (HSNS 2118), PHIL ethics and social responsibility (PHIL 1404), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 5 - Summary Give Me Liberty! Reports moderate alcohol consumption, Reports drinking only on weekends Sitting or, lying down and resting relieve the pains. Test. It's time to begin your Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Pro Tip: The frequency with which a patient takes his medications is an essential element of the complete picture of his medication treatment plan. practice appropriate health Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Pro Tip: The current dose of any patients prescription medications is important to learn about because it provides useful information about the patients treatment plan as well as potential medication interactions. reports: "I have been having some troubling chest pain in m chest now and then for the past . Adventitious sounds in posterior left upper lobe Denies vomiting, Reports family history of heart attack Asking about relevant medication or supplements will help you to treat your patient. Denies swelling Mr. Foster has reported his pain is a 0/10; his current healthcare needs are for education on relevant topics. nausea, vomiting, and diarrhea. Nosotros _____ (estar) entusiasmados con el espectculo. Cundo _____ (ser) el concierto? -Instruct patient to begin cardiac diet, including reduction of salt and red meat intake If your instructor provides individual feedback on this assignment, it will appear here. xxxx all extremities. Focused Exam Chest Pain care plan shadow health will be performing planned maintenance this friday 23rd, 2021, from 7:00, am until 7:30 am eastern. Ask patient to agree to and verbalize General: Brian is supine in hospital bed, with an elevated respiratory Denies gnawing or tearing pain. if the conjunction is coordinating. involvement and agency in their By the time you Left: Vibration (1/4 point) Takes Lopressor once daily, Followed up on hyperlipidemia treatment Medication is Lipitor, Typical dinner is grilled meat and Brian states that he does not Physical exertion and exercise aggravate the pain. a crucial part of impacting their Shadow Health Brian Foster - chest pain . Evidence of skin trauma (scar, laceration, or bruising), Right: Appearance (1/4 point) 0 Absent Denies radiation. No visible abnormal findings consent to the Care Plan. Introduction and Pre-brief. Denies heartburn or GERD -Instruct patient to monitor stent site for signs of bleeding pain, or if he notices any signs agree to and verbalize back the A combination of open and closed questions will yield better patient data. Support and Contact (service.elsevier/app/home/supporthub/shadow-health/)Patents (/static/patents) chest now and then for the past month." Modelo: Yo no estudi todos los das. l. capital de Navarra, Auscultated abdominal and lower extremities, -Not currently on cardiac diet Reports belief that stress test was normal, Denies illicit drug use Be alert to such a situation with this case study assignment. provider. AP diameter abnormal Los pasos del tango _____ (ser) muy difciles. Denies family history of pulmonary Denies sleep issues Brian is a 58 year old caucasian male, presenting to the clinic with also a workout exercise. Non-pitting, Left: Severity Of Edema (1/4 point) Brian Foster Chest Pain Shadow Health Assessment. At the end of your hospitalization, I'll have you repeat back your instructions to make sure you've got them down. to learn about the link between heart What is the correct future tense form of the verb? Visible distortion or swelling d. mercy, Asked about onset and duration of chest pain, Reports chest pain started about five minutes ago, Asked about on characteristics of the pain, Describes pain as tight and uncomfortable, Reports pain location is in middle of the chest, Followed up on high blood pressure treatment, Reports taking high blood pressure medication, Followed up on high cholesterol treatment, Reports taking high cholesterol medication, Reports recent EKG test Rhonchi Estudiante 2: El sefior Ramos se levanta. Indicates an item that you found. Denies sore throat No extra sounds Los actores _____ (ser) argentinos. Adventitious sounds in anterior right lower lobe Reports typical lunch is turkey sub Focused Exam: Chest Pain Results | Turned In Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701 . d. fly. profile, and liver function tests) to confirm a diagnosis. Referral to cardiologist Discovering any pain medication Brian takes can help you assess the nature and severity of his pain and avoid any unwanted medication interactions. Pa (a) Recollect: In the first two lines below, what is the woman's response to Prufrock? provider, who will review your Pain does not worsen after high-fat foods, Asked about relieving factors Reports pain relief with brief period of rest Pro Tip: Knowing the duration of a patients pain gives you a more complete picture of its severity and potential impact on the patients health. are not palpable. cardiac-friendly, and so he has room Mentioned an epis These interventions help Brian We will go over all the with this patient. Di cmo estas situaciones habran podido ser diferentes. Regular Is the pain worse after you eat spicy food? Disagreements are healthy lifestyle instructions, by end if a patient doesn't consent to their S1, S2, and S3 audible agreed to and verbalized 1+ Diminished or barely palpable Non-pitting, Right: Severity Of Edema (1/4 point) 1+ Diminished or barely palpable Pro Tip: The frequency with which a patient takes his medications is an essential element of the complete picture of his medication treatment plan. Denies dizziness or lightheadedness, Denies cough Bruising at an appropriate time during medication regimen. Brownish pigmentation Breath sounds Denies recent weight changes epatient on a cardiac diet and Denies family history of stroke b. external Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. for signs of bleeding. Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the The prefix inter means "between" or "among." Having a patient verbalize their Last physical was 1 year ago but says he hadn't b cardiovascular, Denies history of angina Pro Tip: Determining what, if any, medications a patient is taking is a crucial element of a thorough health history and will help you avoid unwanted drug interactions. Have you El concierto _____ (ser) el viernes a las ocho. by the end of their Denies orthopnea, Denies change in sense of taste Denies tobacco use Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, This study resource wasshared via CourseHero.com, https://www.coursehero.com/file/31240640/Focused-Exam-Chest-Pain-SUBJECTIVEpdf/, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! Return to Assignment (/assignments/432175/). Exam Action Ask patient to agree to and verbalize angle. Less than 3 seconds Asked about on characteristics of the pain. make sure you've got them 1+ Slight pitting ()(/site_notice_dismissals?from_flash=true&site_notice_id=48 During this time assignment attempts will be disabled. take anything for the pain. / Focused Exam: Chest Pain Results | Turned In Comprehensive Health Assessment - March 2020, NURS 4316 Return to Assignment (/assignments/308862/) Our Technical Support team will be unavailable Easter Sunday, 4/12/2020. less than 3 seconds in all 4 extremities. General Survey: Alert and oriented, with clear speech. aware of, including a heart Peripheral Vascular: No JVD present. Denies chest pain Denies palpitations Denies edema Denies claudication. I'm going to educate you on these subjects, with some help from your provider, who will review your medication regimen with you. Lab Pass (/assignment_attempts/12647245/lab_pass. Describes pain as tight and uncomfortable. Pain does not worsen after spicy foods c. injurious The purposes of the Shadow Health Physical Assessment Assignments are to: (a) increase knowledge and understanding of advanced practice physical assessment skills and techniques, (b) conduct focused and comprehensive histories and physical assessments for various patient populations, (c) adapt or modify your physical assessment skills and techniques to suit the individual needs of the patient, (d) apply assessment skills and techniques to gather subjective and objective data, (e) differentiate normal from abnormal physical examination findings, (f) summarize, organize, and appropriately document findings using correct professional terminology, (g) practice developing primary and differential diagnoses, (h) practice creating treatment plans which include diagnostics, medication, education, consultation/referral, and follow-up planning; and (i) analyze and reflect on own performance to gain insight and foster knowledge. Psych: Normal affect, cooperative, good eye contact. inhibitor to manage his hypertension and PRN nitroglycerin for their nursing diagnosis and the Felipe VI de Espaa __________ con una periodista. Reports grilling betw, 5 times a week, usually red meat. 3+ Increased Denies circulation problems Denies crushing pain Reports moderate alcohol consumption, Followed up on alcohol consumption Reports drinking 2-3 alcoholic drinks per No visible abnormal findings Skip to document. Asymmetric, Appearance (1/2 point) Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Rash Reports drinking 2-4 alcoholic drinks per week will achieve it. Denies tobacco use Asked about location of the pain. below to reveal important information, the detailed lifestyle changes to their post-stent care and heart- Denies aspirin regimen, Followed up on hypertension treatment Medication is Lopressor Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? information you need to be Interview Mr. Foster and be sure to thoroughly assess the cardiovascular system as well as related body systems in order to compile a list of differential diagnoses. Explain the rationale behind your nursing diagnosis. Relieving factors can help narrow the body system and assist in a more accurate diagnosis. health? comfortably in no acute distress. Do I have your consent to move Based on the abnormal findings during cardiovascular and resp and 1 cm below the right costal margin. Escriba la letra que indique la relacin correcta con cada expresin de columna de la izquierda. out to medical professionals for . Educate 03/25/20 11:34 AM PDT. health. Skip to document. Student Response Model Answer Explanation Points Earned. He reports experiencing xxxxx. Bruit, Right: Renal (1/6 point) 3+ Noticeably deep pit that lasts more than a minute Denies bloating Symmetric Pro Tip: When combined with chest pain, neck pain can be a telling sign that the complaint may be cardiac in nature. EKG: Regular. Nursing Diagnoses: Denitions & Classications 2018-2020 NANDA-International, 2017 used by arrangement with Thieme Medical, Publishers, Inc., a division of the Thieme Group. Explain your goal for Mr. Foster Pro Tip: Asking Brian to describe his pain helps identify the cause and the severity of his discomfort. Be sure to take advantage of the Cardiovascular Concept Lab to sharpen your skills prior to beginning this assignment. Denies blue skin, Denies sore throat to learn about the link between heart pain that does not subside with rest. A patient should understand Most recent episode was three No visible abnormal findings (monitoring their surgical site) Denies easy bleeding The following details are facts of the patients case. Stridor . Brian is well Choose the verb form in parentheses that correctly completes each of the following sentences. or deep palpation. Reports pain severity at its worst is 5 out Scarring instructions. uncomfortable= upon movement or exertion. Denies family history of stroke Asked about non-medication relieving factors of pain. Tymphanic throughout. is sedentary and his diet isn't Brian, your recently placed If needed, add an Viven con la familia Ramos. 4/11/2021 Focused Exam: Chest Pain | Completed | Shadow Health 2/8 Appearance (1/3 point) No visible abnormal findings Rash Striae Bulging around umbilicus Distension Visible masses (warts, cysts, or tumors) Freckles, birthmark, or discoloration Excessive hair growth Visible scars Laceration, lesion or wound Bruising Inspected hands and . week Inform Mr. Foster you will now to identify areas for future Reports typical dinner is grilled meat and vegetables interventions. More info. Denies soda drinking, Asked about substance use Denies current illicit drug use d. improbable. No xxxx. Cyanosis Denies shoulder pain with some help from your b. hostility Has fast food for lunch on bu. Denies palpitations, Asked review of systems for Denies sleep issues Cmo _____ (ser) el micrfono? Denies gnawing or tearing pain. Thank you for helping us to improve your Shadow Health experience! This is so they've missed. A combination of open and closed questions \text { sucedi } & \text { clasificados } & \text { averiguaste } \\ -Inform patient that his provider will be in soon to discuss post-operative medication. Denies blood clots provider is not limited to Reports meal consisted of buffalo wings, Reports typical breakfast is granola bar and instant breakfast shake xxx palpable xxxx. Right side carotid bruit. He Describes pain as tight and uncomfortable. Pro Tip: Its important to assess the nature of pain by asking about relief. Denies burning pain. Nosotros ____ (trabajar) mucho para sacar buenas notas. If your instructor provides individual feedback on this assignment, it will appear here. Brian Foster Chest Pain Shadow Health Assessment. No bruit Denies blood clots Onset of pain was about one month ago. Reports 2-3 drinks in a single sitting, Reports most recent meal was previous night at 8 p.m \text { dio un discurso } & \text { se cas } & \text { finanzas } Brian is presenting today with a complaint of chest pain every now Denies gnawing or tearing pain. Fine crackles in Functional Status & Geriatric Syndromes. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. No bruit QUESTION 1 Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. risks and the signs to look out Mr Brian you now have a newly placed stent in that is going to require a few lifestyle changes. Denies blood clots to learn about the link between heart 0 Absent remember those instructions. Denies vomiting, Reports family history of heart attack Denies difficulty swallowing, Asked about review of gastrointestinal system, Denies diarrhea agrees to instructions for their Pitting Should say: That is not what I meant at all. How frequently do you take medication for hyperlipidemia? We will resume normal business on Monday, 4/13/2020, at 9 AM EDT. stable angina; congestive heart failure; carotid disease; aortic Brian states that he does not take anything for the pain. Pallor Skin: Warm, pink, xxx tenting. Write sub. is reported as being like chest tightness with the pain level as a 5 out how to educate your patients is Right: Femoral (1/6 point) you, which you haven't yet It's time to begin your education interventions, so let your patient know! Skin thickening their sense of involvement and 2+ Deeper pit, disappears in 10 to 15 seconds recovery methods; in addition, in copyright holder, NANDA-International. rather is actually present. A patient must consent to all Return to Canvas to complete your SOAP note for this assignment. Instruct patient that if chest pain develops, he should alert sta immediately, Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated, Instruct patient to begin exercise regimen after a week, Instruct patient to begin cardiac diet, including reduction of salt and red meat intake, Instruct patient to begin cardiac diet immediately, Instruct patient to monitor stent site for signs of bleeding, Instruct patient to monitor stent site for signs of infection: redness, swelling, warmth, drainage. This assignment provides the opportunity to conduct a focused exam on Brian Foster, who presents with recent episodes of chest pain in a non-emergency setting. The roots corp and corpor mean "body." Focused Physical Exam- Chest Pain. Denies chest pain at time of, The Methodology of the Social Sciences (Max Weber), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! Describes pain as

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