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Exam (elaborations)

Testbank: Shadow Health Tina Jones Comprehensive Assessment - Objective Data Collection | Complete Physical Exam Guide & EHR Documentation

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estbank: Shadow Health Tina Jones Comprehensive Assessment - Objective Data Collection Are you stuck trying to figure out exactly which physical assessment findings to click in the Shadow Health EHR? Stop guessing and start verifying with this comprehensive guide focused solely on the Objective Data for Tina Jones. Unlike general transcripts, this resource extracts the specific physical examination findings required to score 100% on the Objective Data Collection section. It organizes every body system (HEENT, Respiratory, Cardiac, Abdominal, Musculoskeletal, and Integumentary) into a clear, easy-to-read table format aligned with the Shadow Health grading rubric .

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Shadow Health Tina Jones Comprehensive
Assessment -Objective Data Collection

Asked about current health problems - answers-Denies current acute health problems



Reports diabetes



Reports asthma



Asked about last visit to a healthcare provider - answers-Reports last visit to a healthcare
provider was 4 months ago



Reports reason for last visit was annual gynecological exam



Reports last general physical examination was 5 months ago



Asked about current prescription medications - answers-Reports taking diabetes medication



Reports having an inhaler



Reports taking prescription birth control pills



Followed up about diabetes medication - answers-Reports diabetes medication is metformin




1

, Reports starting taking diabetes medication 5 months ago



Reports that side effects of diabetes medication abated over time



Reports taking diabetes medication twice daily



Reports diabetes medication dose is 850 mg



Denies adverse effects of diabetes medication



Asked about asthma medication - answers-Reports asthma medication has not changed



Reports inhaler is albuterol (Proventil)



Reports using inhaler no more than 2 times per week



Reports recommended dose is 1-3 puffs as needed



Reports typically taking 2 puffs



Reports sometimes needing 3 puffs to control symptoms



Denies adverse effects of asthma medication



Followed up about birth control prescription - answers-Reports starting birth control 4 months
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