NSG 323: Focused Exam Cough Danny Rivera Shadow Health subjective data collection, Notes Documentation and Care Plan | Complete Latest Spring 2025-26 | University of North Carolina, Wilmington.

Focused Exam: Cough Results | Turned In
Spring 2025 - NSG 323 - Session 1
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Overview
Subjective Data Collection: 22 of 22 (100.0%)
Transcript

Subjective Data Collection
Hover To Reveal... Indicates an item that
Objective Data Collection you found.
Hover over the Patient Data Indicates an item that
Education & Empathy items below to reveal important is available to be found.
information, including Pro Tips
Documentation
and Example Questions.
Care Plan


Catego Scored Items Patient Data
Not Scored
ry
Experts selected these topics as essential A combination of open and closed questions will
components of a strong, thorough interview with yield better patient data. The following details
this patient. are facts of the patient's case.



Chief Complaint

Established chief complaint Reports cough



History of Presenting Illness

Asked about onset of cough Reports cough started 3 days ago



Asked about characteristics of cough Reports cough is wet
Reports clear sputum with cough



Asked about frequency and duration of Reports coughing every few minutes
cough Reports coughs last a few seconds



This study source was downloaded by 100000900703063 from CourseHero.com
Asked about on 02-04-2026factors
aggravating 23:50:57
forGMT -06:00 Reports cough is worse at night
cough Denies smoking
https://www.coursehero.com/file/247288098/Focused-Exam-Cough-Danny-Rivera-subjective-data-collection-shadow-healthpdf/

, Reports being exposed to secondhand smoke through
father
Reports he doesn't know what triggers the cough



Asked about exposure to germs Reports playing with an ill cla



Asked about hand hygiene Reports infrequent hand wash
Reports occasionally putting f
mouth



Asked about cough etiquette Denies covering mouth when



Asked about relieving factors for cough Reports cough is temporarily



Followed up on cough medicine Reports cough medicine was
Reports taking one spoonful o
Reports mother gave him the
Reports only took the medicin
Denies home remedies



Asked about typical medication use Denies taking medication
Reports taking daily vitamin



Asked about activity level Reports typical high activity le
Reports activity level low sinc
Reports still able to run or pla
Reports focusing in class is d



Asked about nasal symptoms Reports current runny nose
Denies sneezing



Followed up on nasal discharge Reports nasal discharge is cle
Reports nasal discharge is th



Asked about ear symptoms Denies ear pain
Reports history of frequent ea
Denies ear discharge
Denies hearing problems



Asked about throat symptoms Reports sore throat
Reports a little pain with swal



Past Medical History

Asked about relevant medical history Reports frequent runny noses
Reports past frequent coughs
Reports past pneumonia
Denies asthma diagnosis
This study source was downloaded by 100000900703063 from CourseHero.com on 02-04-2026 23:50:57Reports
GMT -06:00
immunizations as cu


https://www.coursehero.com/file/247288098/Focused-Exam-Cough-Danny-Rivera-subjective-data-collection-shadow-healthpdf/