NUR 516 Focused Exam_ Cough _ Completed _ Shadow Health VERIFIED 100% - €16,76   In winkelwagen

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NUR 516 Focused Exam_ Cough _ Completed _ Shadow Health VERIFIED 100%

Focused Exam: Cough Results | Turned In Advanced Health Assessment - September 2020 NUR-516-NG001 Return to Assignment Your Results Lab Pass Transcript Patient Exam Time: 163 min All Lines (200) Interview Questions (64) Statements (40) Exam Actions (96) Hello. My name is Tricia. I will be your nurse practitioner today. I'm going to have to ask you several questions before conducting a physical examination on you. Hi. What is your name? My name is Daniel Rivera, but I just go by Danny. It is a pleasure to meet you Danny Thank you. Would you like your mother or father present during their exam? (No matching questions found.) Question Who brought you here today? Question 11/06/19 5:36 PM EST Question 11/06/19 5:37 PM EST Empathize 11/06/19 5:38 PM EST Question 11/06/19 5:38 PM EST Question 11/06/19 5:38 PM EST Question 11/06/19 5:39 PM EST Question 11/06/19 5:39 PM EST Educate 11/06/19 5:40 PM EST Question 11/06/19 5:41 PM EST Empathize 11/06/19 5:41 PM EST Question 11/06/19 5:42 PM EST Question 11/06/19 5:42 PM EST Question 11/06/19 5:42 PM EST Empathize 11/06/19 5:43 PM EST Question 11/06/19 5:43 PM EST Educate 11/06/19 5:43 PM EST Question 11/06/19 5:44 PM EST Question 11/06/19 5:44 PM EST Question 11/06/19 5:45 PM EST Educate 11/06/19 5:46 PM EST Question 11/06/19 5:46 PM EST Question 11/06/19 5:46 PM EST Question 11/06/19 5:47 PM EST Question 11/06/19 5:47 PM EST Question 11/06/19 5:48 PM EST Question 11/06/19 5:48 PM EST Educate 11/06/19 5:49 PM EST Question 11/06/19 5:49 PM EST Empathize 11/06/19 5:50 PM EST Question 11/06/19 5:50 PM EST Question 11/06/19 5:51 PM EST Question 11/06/19 5:51 PM EST Educate 11/06/19 5:53 PM EST Question 11/06/19 5:53 PM EST Empathize 11/06/19 5:54 PM EST Question 11/06/19 5:54 PM EST Question 11/06/19 5:55 PM EST Question 11/06/19 5:55 PM EST Question 11/06/19 5:56 PM EST Question 11/06/19 5:56 PM EST Question 11/06/19 5:57 PM EST Question 11/06/19 5:57 PM EST Question 11/06/19 5:58 PM EST Question 11/06/19 5:58 PM EST Question 11/06/19 5:59 PM EST Question 11/06/19 5:59 PM EST Question 11/06/19 5:59 PM EST Question 11/06/19 5:59 PM EST Empathize 11/06/19 5:59 PM EST Question 11/06/19 6:00 PM EST Empathize 11/06/19 6:00 PM EST Question 11/06/19 6:01 PM EST Question 11/06/19 6:01 PM EST Empathize 11/06/19 6:02 PM EST Question 11/06/19 6:02 PM EST Empathize 11/06/19 6:02 PM EST Question 11/06/19 6:03 PM EST Empathize 11/06/19 6:03 PM EST Question 11/06/19 6:03 PM EST Question 11/06/19 6:03 PM EST Empathize 11/06/19 6:04 PM EST Question 11/06/19 6:04 PM EST Question 11/06/19 6:05 PM EST Empathize 11/06/19 6:05 PM EST Question 11/06/19 6:05 PM EST Question 11/06/19 6:06 PM EST Educate 11/06/19 6:06 PM EST Empathize 11/06/19 6:06 PM EST Question 11/06/19 6:07 PM EST Question 11/06/19 6:07 PM EST Question 11/06/19 6:07 PM EST Educate 11/06/19 6:08 PM EST Question 11/06/19 6:08 PM EST Empathize 11/06/19 6:08 PM EST Question 11/06/19 6:09 PM EST Empathize 11/06/19 6:09 PM EST Question 11/06/19 6:09 PM EST Educate 11/06/19 6:10 PM EST Question 11/06/19 6:12 PM EST Educate 11/06/19 6:15 PM EST Checked vitals Tested lung capacity with spirometer: FEV1: 3.15 L, FVC 3.91L (FEV1/FVC: 80.5%) Inspected right orbital area and sclera Inspected upper conjunctiva Inspected lower conjunctiva Inspected left orbital area and sclera Inspected upper conjunctiva Exam Action 11/06/19 6:18 PM EST Exam Action 11/06/19 6:20 PM EST Exam Action 11/06/19 6:22 PM EST Exam Action 11/06/19 6:22 PM EST Exam Action 11/06/19 6:22 PM EST Exam Action 11/06/19 6:22 PM EST Performed otoscopic examination of right naris Performed otoscopic examination of left naris Performed otoscopic examination of right ear Performed otoscopic examination of left ear Performed otoscopic examination of right ear Performed otoscopic examination of left ear Performed otoscopic examination of right ear Inspected mouth Exam Action 11/06/19 6:22 PM EST Educate 11/06/19 6:23 PM EST Exam Action 11/06/19 6:23 PM EST Exam Action 11/06/19 6:23 PM EST Educate 11/06/19 6:25 PM EST Exam Action 11/06/19 6:25 PM EST Exam Action 11/06/19 6:25 PM EST Exam Action 11/06/19 6:25 PM EST Exam Action 11/06/19 6:25 PM EST Exam Action 11/06/19 6:26 PM EST Educate 11/06/19 6:27 PM EST Inspected front of neck Inspected right side of neck Inspected back of neck Inspected left side of neck Inspected front of neck Inspected anterior chest wall Inspected posterior chest wall Inspected anterior chest wall Palpated frontal sinuses: No tenderness reported Exam Action 11/06/19 6:27 PM EST Exam Action 11/06/19 6:30 PM EST Exam Action 11/06/19 6:30 PM EST Exam Action 11/06/19 6:30 PM EST Exam Action 11/06/19 6:30 PM EST Exam Action 11/06/19 6:30 PM EST Educate 11/06/19 6:30 PM EST Exam Action 11/06/19 6:30 PM EST Exam Action 11/06/19 6:30 PM EST Exam Action 11/06/19 6:31 PM EST Educate 11/06/19 6:31 PM EST Exam Action 11/06/19 6:31 PM EST Palpated maxillary sinuses: No tenderness reported Palpated cervical lymph nodes: Enlarged and reported tenderness on the right side Palpated supraclavicular lymph nodes: Not palpable Palpated axillary lymph nodes: Not palpable Palpated fremitus in anterior upper chest wall: Expected fremitus, equal bilaterally Palpated fremitus in anterior lower chest wall: Expected fremitus, equal bilaterally Palpated fremitus in posterior upper chest wall: Expected fremitus, equal bilaterally Palpated fremitus in posterior middle chest wall: Expected fremitus, equal bilaterally Palpated fremitus in posterior lower chest wall: Expected fremitus, equal bilaterally Exam Action 11/06/19 6:32 PM EST Educate 11/06/19 6:32 PM EST Exam Action 11/06/19 6:33 PM EST Exam Action 11/06/19 6:34 PM EST Exam Action 11/06/19 6:34 PM EST Exam Action 11/06/19 6:34 PM EST Exam Action 11/06/19 6:34 PM EST Exam Action 11/06/19 6:34 PM EST Exam Action 11/06/19 6:34 PM EST Exam Action 11/06/19 6:34 PM EST Auscultated breath sounds in anterior right upper lobe Auscultated breath sounds in anterior left upper lobe Auscultated breath sounds in anterior right middle lobe Auscultated breath sounds in anterior left mid-chest (upper lobe) Auscultated breath sounds in anterior right middle lobe Auscultated breath sounds in anterior left mid-chest (upper lobe) Auscultated breath sounds in anterior right lower lobe Auscultated breath sounds in anterior left lower lobe Auscultated breath sounds in posterior left upper lobe Auscultated breath sounds in posterior right upper lobe Auscultated breath sounds in posterior left mid-back (lower lobe) Educate 11/06/19 6:35 PM EST Exam Action 11/06/19 6:36 PM EST Exam Action 11/06/19 6:36 PM EST Exam Action 11/06/19 6:36 PM EST Exam Action 11/06/19 6:36 PM EST Exam Action 11/06/19 6:36 PM EST Exam Action 11/06/19 6:36 PM EST Exam Action 11/06/19 6:36 PM EST Exam Action 11/06/19 6:36 PM EST Exam Action 11/06/19 6:36 PM EST Exam Action 11/06/19 6:37 PM EST Exam Action 11/06/19 6:37 PM EST Auscultated breath sounds in posterior right mid-back (lower lobe) Auscultated breath sounds in posterior left lower lobe near spine Auscultated breath sounds in posterior right lower lobe near spine Auscultated breath sounds in posterior left lower lobe on side Auscultated breath sounds in posterior right lower lobe on side Auscultated breath sounds in posterior left lower lobe Auscultated breath sounds in posterior right lower lobe Auscultated voice sounds in anterior right upper lobe Auscultated voice sounds in anterior left upper lobe Auscultated voice sounds in anterior right middle lobe Exam Action 11/06/19 6:37 PM EST Exam Action 11/06/19 6:37 PM EST Exam Action 11/06/19 6:37 PM EST Exam Action 11/06/19 6:37 PM EST Exam Action 11/06/19 6:37 PM EST Exam Action 11/06/19 6:37 PM EST Exam Action 11/06/19 6:37 PM EST Exam Action 11/06/19 6:38 PM EST Exam Action 11/06/19 6:38 PM EST Exam Action 11/06/19 6:38 PM EST Auscultated voice sounds in anterior left mid-chest (upper lobe) Auscultated voice sounds in anterior right middle lobe Auscultated voice sounds in anterior left mid-chest (upper lobe) Auscultated voice sounds in anterior right lower lobe Auscultated voice sounds in anterior left lower lobe Exam Action 11/06/19 6:38 PM EST Exam Action 11/06/19 6:38 PM EST Exam Action 11/06/19 6:38 PM EST Exam Action 11/06/19 6:39 PM EST Exam Action 11/06/19 6:39 PM EST Auscultated voice sounds in posterior left upper lobe Exam Action 11/06/19 6:39 PM EST Auscultated voice sounds in posterior right upper lobe Auscultated voice sounds in posterior left mid-back (lower lobe) Auscultated voice sounds in posterior right mid-back (lower lobe) Auscultated voice sounds in posterior left lower lobe near spine Auscultated voice sounds in posterior right lower lobe near spine Exam Action 11/06/19 6:40 PM EST Exam Action 11/06/19 6:40 PM EST Exam Action 11/06/19 6:40 PM EST Exam Action 11/06/19 6:40 PM EST Exam Action 11/06/19 6:40 PM EST Auscultated voice sounds in posterior left lower lobe Auscultated voice sounds in posterior right lower lobe Auscultated voice sounds in posterior left lower lobe on side Auscultated voice sounds in posterior right lower lobe on side Auscultated aortic area with the bell Auscultated pulmonic area with the bell Auscultated pulmonic area with the diaphragm Auscultated aortic area with the diaphragm Auscultated Erb's point with the diaphragm Exam Action 11/06/19 6:40 PM EST Exam Action 11/06/19 6:40 PM EST Exam Action 11/06/19 6:40 PM EST Exam Action 11/06/19 6:40 PM EST Exam Action 11/06/19 6:41 PM EST Exam Action 11/06/19 6:41 PM EST Exam Action 11/06/19 6:41 PM EST Exam Action 11/06/19 6:41 PM EST Exam Action 11/06/19 6:41 PM EST 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 mitral area with the diaphragm Percussed anterior right upper lobe Percussed anterior left upper lobe Percussed anterior right middle lobe Percussed anterior left mid-chest (upper lobe) Percussed anterior right lower lobe Percussed anterior left lower lobe Percussed posterior left upper lobe Percussed posterior right upper lobe Exam Action 11/06/19 6:41 PM EST Exam Action 11/06/19 6:41 PM EST Exam Action 11/06/19 6:42 PM EST Exam Action 11/06/19 6:42 PM EST Exam Action 11/06/19 6:42 PM EST Exam Action 11/06/19 6:42 PM EST Exam Action 11/06/19 6:42 PM EST Exam Action 11/06/19 6:42 PM EST Exam Action 11/06/19 6:42 PM EST Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Percussed posterior left mid-back (lower lobe) Percussed posterior right mid-back (lower lobe) Percussed posterior left lower lobe Percussed posterior right lower lobe Percussed posterior left lower lobe on side Percussed posterior left lower lobe near spine Percussed posterior right lower lobe near spine Percussed posterior left right lobe on side Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Exam Action 11/06/19 6:43 PM EST Question 11/06/19 6:44 PM EST Empathize 11/06/19 6:45 PM EST Educate 11/06/19 6:45 PM EST Question 11/06/19 6:45 PM EST Question 11/06/19 6:45 PM EST Empathize 11/06/19 6:46 PM EST Educate 11/06/19 6:46 PM EST Question 11/08/19 8:03 PM EST Educate 11/08/19 8:04 PM EST Question 11/08/19 8:04 PM EST Empathize 11/08/19 8:10 PM EST Danny, I have completed your examination and have asked your grandmother to come into the room so that we can discuss our plan of care. First I would like you to have a strep test done just to confirm whether or not you have that condition. I do believe that right now if you do not have a strep throat that you are suffering from a cold and possibly chronic allergies. If your strep test is positive I'm going to prescribed amoxicillin 40 mg per kilogram of your body weight for you to take each day. Please note that this medication should be taken with food. If you have a severe rash, shortness of breath, or swelling of the face lips or tongue go to the hospital immediately as these are severe reactions to the antibiotic, amoxicillin. I would also recommend children's Robitussin for cough and the use of children's cough drops. I would like you to increase your fluid intake but stick to clear liquids such as water or apple juice, I would also recommend that you see an allergist to undergo allergy testing. I would also like to to see if your family can reduce allergens in the air in your home. I would recommend purchasing an air purifier for your bedroom and also a humidifier. If possible I would like your mother or grandmother to wash your sheets weekly. I would like your grandmother to ask your father not to smoke in the house and if possible not to smoke around you. I need you to please tell your parents or your grandmother if you feel feverish, short of breath, dizzy or if you have any form of chest pain. At that point you need to go to the hospital immediately. Today I will also schedule a follow-up appointment so that I can see you back in the clinic in 2 weeks. Educate 11/08/19 8:26 PM EST Oh, OK. Do you have any questions for me, Danny? Question 11/08/19 8:27 PM EST I don't have any questions really. It was my pleasure to meet you. I hope that you will feel better soon. Thank you so much for your patience. Empathize 11/08/19 8:27 PM EST Thank you.

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