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NR 509 Focused Exam Cough Completed Shadow Health (NR509)

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Exam (elaborations) NR 509 Focused Exam Cough Completed Shadow Health (NR509) Focused Exam: Cough Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Lab Passss Started: Jun 04, 2018 | Patient Exam Time: 86 min Transcript Greet 06/04/18 2:50 PM CDT Question 06/04/18 2:51 PM CDT Question 06/04/18 2:52 PM CDT Question 06/04/18 2:52 PM CDT Question 06/04/18 2:52 PM CDT Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Self-Reflection IIntterrvviiew Quessttiionss ((7766)) Sttattementtss ((88)) Exxam Acttiionss ((9966)) Hellllo,, Myy name iiss Sarra an FNP ssttudentt and II wiillll be iintterrvviiewiing yyou ttodayy Hi. Whatt brroughtt yyou iintto tthe clliiniic ttodayy? My Abuela brought me here because I've been feeling sick. I have been coughing a lot. . . and I feel kinda tired. Whatt iiss yyourr name? My name is Daniel Rivera, but I just go by Danny. And how olld arre yyou? I'm eight. Whatt iiss yyourr datte off biirrtth? I was born March 4th in, um . . . [Danny reports correct birth year.] [AUDIO COMING SOON] Allll Liiness (()) 6/4/2018 Focused Exam: Cough | Completed | Shadow Health Empathize 06/04/18 2:54 PM CDT Question 06/04/18 2:55 PM CDT Question 06/04/18 2:55 PM CDT Question 06/04/18 2:56 PM CDT Question 06/04/18 2:59 PM CDT Question 06/04/18 2:59 PM CDT Question 06/04/18 3:00 PM CDT Question 06/04/18 3:00 PM CDT I'm sorry you feel so bad Thank you. When did your cough start? I think the cough started four. . . No, it started five days ago. Can you describe your place to me? My cough seems kind of gurgly and watery. Do you have any sputum? Is that the gross, slimy stuff? Yeah, I've been coughing some of that up. It's not any strange color, though. It's just clear. How often are you coughing? I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night. How long does a cough last? I think the cough started four. . . No, it started five days ago. What is the duration of your cough? (Clarifified to How would you describe your cough?.) My cough seems kind of gurgly and watery. What makes your cough worse? 6/4/2018 Focused Exam: Cough | Completed | Shadow Health Question 06/04/18 3:01 PM CDT Question 06/04/18 3:01 PM CDT Question 06/04/18 3:01 PM CDT Question 06/04/18 3:02 PM CDT Question 06/04/18 3:02 PM CDT Question 06/04/18 3:03 PM CDT Educate 06/04/18 3:03 PM CDT My cough mostly stays the same no matter what I do. It seems to get worse at night though. Do yyou ssmokke? No way! I know smoking is really bad--even for grown-ups. Papi smokes cigars sometimes. I don't like how they smell. Do yyou kknow whatt ttrriiggerrss yyourr cough? ((No mattchiing quessttiionss ffound..)) Whatt makkess yyourr cough worrsse? My cough mostly stays the same no matter what I do. It seems to get worse at night though. Arre yyou exxpossed tto anyyone ssmokkiing? Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I breathe it a little bit then, but it's not all the time or anything. I don't like how it smells. Doess yyourr ffattherr ssmokke? Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I breathe it a little bit then, but it's not all the time or anything. I don't like how it smells. Whatt makkess yyourr cough betttterr? I had some cough medicine this morning. [AUDIO COMING SOON] Beiing exxpossed tto ssecondhand ssmokke iiss allmosstt jjusstt ass bad ass ssmokkiing,, makke ssurre yyou''rre arround no one tthatt iiss ssmokkiing Oh, OK. 6/4/2018 Focused Exam: Cough | Completed | Shadow Health Question 06/04/18 3:04 PM CDT Question 06/04/18 3:04 PM CDT Question 06/04/18 3:05 PM CDT Question 06/04/18 3:05 PM CDT Question 06/04/18 3:05 PM CDT Question 06/04/18 3:05 PM CDT Question 06/04/18 3:06 PM CDT Question 06/04/18 3:08 PM CDT What type of cough medicine do you take? ((Cllarriifified tto Can yyou desscrriibe tthe cough mediiciine tto me..)) Um, it was purple-ish. It tasted gross. Do yyou kknow how much cough mediiciine yyou ttakke? I just had one spoonful of it. Who giivvess yyou tthe mediicattiion? My mom. Anyy ottherr tthiingss yyou werre doiing fforr yyourr cough? My nose is a runny and I just feel kind of tired. Oh . . . my throat hurts a little bit too. But just a little bit. Arre yyou ussiing anyy home rremediiess fforr yyourr cough? I had some cough medicine this morning. [AUDIO COMING SOON] Home rremediiess fforr cough? I had some cough medicine this morning. [AUDIO COMING SOON] Arre yyou ttakkiing anyytthiing ellsse fforr yyourr cough? ((Cllarriifified tto arre yyou ttakkiing ottherr mediicattiionss..)) I'm not taking any medicines every day. My mom gave me some cough medicine this morning though. Do yyou ttyypiicallllyy ttakke mediicattiion evverryy dayy? ((Cllarriifified tto do yyou ttakke anyy mediicattiionss daiillyy..)) 6/4/2018 Focused Exam: Cough | Completed | Shadow Health Question 06/04/18 3:08 PM CDT Educate 06/04/18 3:10 PM CDT Question 06/04/18 3:10 PM CDT Question 06/04/18 3:11 PM CDT Question 06/04/18 3:11 PM CDT Question 06/04/18 3:11 PM CDT Question 06/04/18 3:11 PM CDT Question 06/04/18 3:12 PM CDT I don't take any medicines every day. Do yyou ttakke a vviittamiin? Oh yeah, I take vitamins every day! The gummy dinosaur kind. I don't think I'm supposed to, but sometimes I sneak extra ones to be super healthy! You rreallllyy sshoulld onllyy ttakke one ass prresscrriibed on tthe bottttlle off gummyy diinossaurrss Oh, OK. How iiss yyourr acttiivviittyy llevvell? I have gym class every day. I do all my exercises there. Abuela always has to remind me to play outside for a little bit on the weekends. . . I guess I like to play inside more. How arre yyourr cllassssess iin sschooll I like school, but I guess sometimes it makes me feel bored if the homework is too easy. IIss iitt harrd fforr yyou tto ffocuss? ((No mattchiing quessttiionss ffound..)) IIss iitt harrd fforr yyou tto ffocuss iin sschooll? ((No mattchiing quessttiionss ffound..)) how iiss yyourr sschooll ffocuss? I like school, but I guess sometimes it makes me feel bored if the homework is too easy. Wiitth yyourr cough arre yyou ssttiillll ablle tto pllayy? ((No mattchiing quessttiionss ffound..)) 6/4/2018 Focused Exam: Cough | Completed | Shadow Health Question 06/04/18 3:12 PM CDT Question 06/04/18 3:12 PM CDT Question 06/04/18 3:13 PM CDT Educate 06/04/18 3:14 PM CDT Question 06/04/18 3:14 PM CDT Question 06/04/18 3:14 PM CDT Question 06/04/18 3:14 PM CDT Is your cough interfering wiitth yyourr pllayy I don't usually wake up once I go to bed, but my cough has made it hard to fall asleep. Doess yyourr cough makke iitt diiffifficulltt tto rrun? I don't usually wake up once I go to bed, but my cough has made it hard to fall asleep. How iiss yyourr acttiivviittyy llevvell? I have gym class every day. I do all my exercises there. Abuela always has to remind me to play outside for a little bit on the weekends. . . I guess I like to play inside more. IItt iiss allwayyss good tto havve phyyssiicall exxerrciisse Oh, OK. Do yyou havve a

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Voorbeeld van de inhoud

NR 509 Focused Exam Cough
Completed Shadow Health

,6/4/2018 Focused Exam: Cough | Completed | Shadow Health


Focused Exam: Cough Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018
Return to Assignment




Your Results Lab Pass




Overview
Transcript
Transcript
Started: Jun 04, 2018 | Patient Exam Time: 86 min
Subjective Data Collection
All Lines (180) Interview Questions (76) Statements (8) Exam Actions (96)
Objective Data Collection
Greet
Education & Empathy Hello, My name is Sara an FNP student and I will be interviewing you
06/04/18 2:50 PM
today
CDT
Documentation

Self-Reflection
Hi.


Question
What brought you into the clinic today? 06/04/18 2:51 PM
CDT


My Abuela brought me here because I've been feeling sick. I have
been coughing a lot. . . and I feel kinda tired.


Question
What is your name? 06/04/18 2:52 PM
CDT



My name is Daniel Rivera, but I just go by Danny.


Question
And how old are you? 06/04/18 2:52 PM
CDT



I'm eight.


Question
What is your date of birth? 06/04/18 2:52 PM
CDT


I was born March 4th in, um . . . [Danny reports correct birth year.]
[AUDIO COMING SOON]




https://chamberlain.shadowhealth.com/assignment_attempts/3552952 1/21

, 6/4/2018 Focused Exam: Cough | Completed | Shadow Health

I'm sorry you feel so bad Empathize
06/04/18 2:54 PM
CDT



Thank you.


Question
When did your cough start? 06/04/18 2:55 PM
CDT



I think the cough started four. . . No, it started five days ago.


Question
Can you describe your place to me? 06/04/18 2:55 PM
CDT



My cough seems kind of gurgly and watery.


Question
Do you have any sputum? 06/04/18 2:56 PM
CDT


Is that the gross, slimy stuff? Yeah, I've been coughing some of that
up. It's not any strange color, though. It's just clear.


Question
How often are you coughing? 06/04/18 2:59 PM
CDT


I just keep feeling like I have to cough every couple minutes or so. I
think it gets worse at night.


Question
How long does a cough last? 06/04/18 2:59 PM
CDT



I think the cough started four. . . No, it started five days ago.


Question
What is the duration of your cough? (Clarified to How would you
06/04/18 3:00 PM
describe your cough?.)
CDT



My cough seems kind of gurgly and watery.


Question
What makes your cough worse? 06/04/18 3:00 PM
CDT




https://chamberlain.shadowhealth.com/assignment_attempts/3552952 2/21

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