Tina Jones shadow health
Study online at https://quizlet.com/_jumj9e
1. Chief Complaint
2. Scrape on foot. It is infected and causing pain(7 out of
10).
3. Right foot pain, fever, nausea
4. History of Present Illness
5. A week ago the scrape startedand the pain got a lot
worse in last few days.
6. 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.
7. Pain Assessment
1/8
, Tina Jones shadow health
Study online at https://quizlet.com/_jumj9e
8. 6/7 out of 10
9. 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 consistent-
ly. Offers information without hesitation. Vital signs
are within range.
10. Allergies
11. Allergic to penicillin, and also allergic to cats.
12. • Penicillin: rash
13. • Cats: wheezing, itchy watery eyes, sneezing, asthma
exacerbation
14. • No food allergies
15. • Not allergic to latex
16. Immunizations
17. Seasonal flu vaccine is not completed yet.
18. All other vaccines are given.
19. Up-to-date, tetanus booster within the last year.
20. Medications
21. Regular advil.
2/8
Study online at https://quizlet.com/_jumj9e
1. Chief Complaint
2. Scrape on foot. It is infected and causing pain(7 out of
10).
3. Right foot pain, fever, nausea
4. History of Present Illness
5. A week ago the scrape startedand the pain got a lot
worse in last few days.
6. 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.
7. Pain Assessment
1/8
, Tina Jones shadow health
Study online at https://quizlet.com/_jumj9e
8. 6/7 out of 10
9. 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 consistent-
ly. Offers information without hesitation. Vital signs
are within range.
10. Allergies
11. Allergic to penicillin, and also allergic to cats.
12. • Penicillin: rash
13. • Cats: wheezing, itchy watery eyes, sneezing, asthma
exacerbation
14. • No food allergies
15. • Not allergic to latex
16. Immunizations
17. Seasonal flu vaccine is not completed yet.
18. All other vaccines are given.
19. Up-to-date, tetanus booster within the last year.
20. Medications
21. Regular advil.
2/8
