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Exam (elaborations)

Tina Jones – Shadow Health Patient Assessment | Nursing Simulation & Health History Guide | Complete Chapters Included

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Tina Jones – Shadow Health Patient Assessment | Nursing Simulation & Health History Guide | Complete Chapters Included

Institution
Shadow Health - Tina Jones, Health History
Course
Shadow Health - Tina Jones, Health History









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Institution
Shadow Health - Tina Jones, Health History
Course
Shadow Health - Tina Jones, Health History

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Uploaded on
October 2, 2025
Number of pages
7
Written in
2025/2026
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Tina Jones shadow health
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Terms in this set (66)


Chief Complaint


Scrape on foot. It is infected and
causing pain(7 out of 10).
Right foot pain, fever, nausea


History of Present Illness


A week ago the scrape
startedand the pain got a lot
worse in last few days.

, Ms. Jones is a pleasant 28-year-
old African American woman
who presented to the
emergency department for
evaluation of a right foot injury
and was admitted for IV
antibiotics. She is a good
historian. She hurt the ball of her
right foot by scraping it on the
edge of a metal step while
changing a light bulb. The injury
occurred about one week ago.
Her pain has worsened, and the
swelling has persisted. She tried
ibuprofen, but it didn't work well.
The foot feels better when she
rests, and it hurts more when she
walks on it. Her pain is a 9 when
she tries to ambulate. She took
her temperature at home and
reports it was 102. She has not
been eating much and has been
staying in bed the last few days,
per patient report. The scrape is
red and swollen with exudate
and has no odor; she reports the
swelling and exudate started
two days ago. She reports
diarrhea overnight. Pain
improved with oxycodone.
Stomach upset.
Pain Assessment


6/7 out of 10


Pain is rated as 7. Pain is
localized to ball of foot related
to wound. Dull and constant
ache. Patient has tried ibuprofen,
but reports it does not work
well. Patient states there is relief
when foot is elevated, not
walking on it. Patient answers
questions clearly and
consistently. Offers information
without hesitation. Vital signs are
within range.
Allergies


Allergic to penicillin, and also
allergic to cats.

• Penicillin: rash

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