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Exam (elaborations)

Kenneth Bronson vSim for Nursing Medical-Surgical - Pneumonia Severe Reaction to Antibiotic

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Kenneth Bronson vSim for Nursing Medical-Surgical - Pneumonia Severe Reaction to Antibiotic

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Date of Completion
Nov 17, 2020 01:58 AM




Kenneth Bronson




Age: 27 years

Diagnosis: Pneumonia




Score
3 
0  93%
0 




Feedback Log
0:00 You arrived at the patient's side.

0:00 You introduced yourself.

0:10 Patient status - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blood pressure: 136/82
mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 95%. Temp: 103 F (39.2 C)

 0:14 You washed your hands. To maintain patient safety, it is important to wash your
hands as soon as you enter the room.

1:10 Patient status - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blood pressure: 137/82
mm Hg. Respiration:
This study source was downloaded by 100000839832718 18. Conscious
from CourseHero.com state:12:51:02
on 02-13-2022 Appropriate. SpO2: 95%. Temp: 103 F (39.2 C)
GMT -06:00


1:28 You identified the patient. To maintain
https://www.coursehero.com/file/100482371/Kenneth-Bronson-VSIM-Medical-Surgicalpdf/ patient safety, it is important that you

, quickly identify the patient.


1:36 You asked if the patient was allergic to anything. He replied: 'No, I am not allergic
to anything.'

 1:43 You asked the patient if he had any pain. He replied: 'Yes, I have some pain.'


 1:47 You asked the patient where the pain was located. He replied: 'It's in the right
side of my chest.'

 1:52 You asked the patient if he could describe his pain. He replied: 'It stings a bit in
my chest.'

 1:57 You asked: How bad is the pain? He replied: 'Not too bad, it's about a 2.'


 2:07 You asked the patient how long he had pain for. He replied: 'For about a week.'

2:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 137/82
mm Hg. Respiration: 17. Conscious state: Appropriate. SpO2: 95%. Temp: 103 F (39.2 C)

2:13 You asked the patient when the symptoms started. He replied: 'About a week
ago, I started having a fever and a really bad cough'

2:20 You asked the patient if he had any difficulty in breathing. He replied: 'Yes, I have
been coughing really badly.'

2:27 You asked the patient what other symptoms he had. He replied: 'I feel kind of
tired and have some chest tightness.'

2:35 You asked the patient what medication he was taking, if any. He replied: 'No, I
don't take any medication.'

2:40 You asked the patient if he had any medical problems. He replied: 'No, I don't
have any medical problems.'

2:46 You asked the patient if he was a smoker. He replied: 'Yes. I have been smoking
2 packs a day for the past 10 years.'

2:56 You asked the patient what year it is. He replied: 'The year is 2020.'

3:01 You asked the patient if he knew where he was. He replied: 'At the hospital.'

3:04 You asked the patient what date it was. He replied: 'It is the 17th'

3:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 137/82
mm Hg. Respiration: 17. Conscious state: Appropriate. SpO2: 95%. Temp: 102 F (39.2 C)

 3:25 You assessed the patient's IV. The site had no redness, swelling, infiltration,
bleeding, or drainage. The dressing was dry and intact. This is correct.
Assessing any IVs the patient has is always important.

 3:51 You examined the patient's chest. He is breathing at 17 breaths per minute. The
chest is moving normally on both sides. There is normal skin turgor. He is
sweating, and his skin is warm.

4:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 136/81
mm Hg. Respiration:
This study source was downloaded by 100000839832718 17. Conscious
from CourseHero.com state:12:51:02
on 02-13-2022 Appropriate. SpO2: 95%. Temp: 102 F (39.1 C)
GMT -06:00


4:26 You listened to the lungs of the patient.
https://www.coursehero.com/file/100482371/Kenneth-Bronson-VSIM-Medical-Surgicalpdf/ There are reduced breath sounds at the

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