COMPLEX PATIENT CASE SHADOW HEALTH
2026 NURSING CARE PLAN AND RATIONALE
WORKBOOK A+
◉ Asked about onset of cough. Answer: Reports cough started 3
days ago
◉ Asked about characteristics of cough. Answer: Reports cough is
wet
Reports clear sputum with cough
◉ Asked about frequency and duration of cough. Answer: Reports
coughing every few minutes
Reports coughs last a few seconds
◉ Asked about aggravating factors for cough. Answer: Reports cough
is worse at night
Denies smoking
Reports being exposed to secondhand smoke through father
Reports he doesn't know what triggers the cough
, ◉ Asked about exposure to germs. Answer: Reports playing with an
ill classmate
◉ Asked about hand hygiene. Answer: Reports infrequent hand
washing
Reports occasionally putting fingers in eyes, nose, or mouth
◉ Asked about cough etiquette. Answer: Denies covering mouth
when coughing
◉ Asked about relieving factors for cough. Answer: Reports cough is
temporarily relieved by cough medicine
◉ Followed up on cough medicine. Answer: Reports cough medicine
was purple
Reports taking one spoonful of cough medicine
Reports mother gave him the medicine
Reports only took the medicine this morning
Denies home remedies
◉ Asked about typical medication use. Answer: Denies taking
medication
Reports taking daily vitamin
2026 NURSING CARE PLAN AND RATIONALE
WORKBOOK A+
◉ Asked about onset of cough. Answer: Reports cough started 3
days ago
◉ Asked about characteristics of cough. Answer: Reports cough is
wet
Reports clear sputum with cough
◉ Asked about frequency and duration of cough. Answer: Reports
coughing every few minutes
Reports coughs last a few seconds
◉ Asked about aggravating factors for cough. Answer: Reports cough
is worse at night
Denies smoking
Reports being exposed to secondhand smoke through father
Reports he doesn't know what triggers the cough
, ◉ Asked about exposure to germs. Answer: Reports playing with an
ill classmate
◉ Asked about hand hygiene. Answer: Reports infrequent hand
washing
Reports occasionally putting fingers in eyes, nose, or mouth
◉ Asked about cough etiquette. Answer: Denies covering mouth
when coughing
◉ Asked about relieving factors for cough. Answer: Reports cough is
temporarily relieved by cough medicine
◉ Followed up on cough medicine. Answer: Reports cough medicine
was purple
Reports taking one spoonful of cough medicine
Reports mother gave him the medicine
Reports only took the medicine this morning
Denies home remedies
◉ Asked about typical medication use. Answer: Denies taking
medication
Reports taking daily vitamin
