Exam (elaborations) NURS 201Focused Exam Infection Subjective_ Shadow Health.

NURS 201Focused Exam Infection Subjective_ Shadow Health. Subjective Data Collection: 0 of 53 (0.0%) Cate gory Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Indicates an item that you found. Indicates an item that is available to be found. Patient Data Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case. Chief Complaint Orientation Established orientation Oriented to person Disoriented to place Disoriented to time Oriented somewhat to situation Patient Status Asked about fluid intake and hydration Denies current thirst Reports does not remember eating today Reports does not remember drinking fluids today History of Presenting Illness Asked about onset, duration, and frequency of symptoms Reports pain began last night Reports pain has been constant Reports that pain increased this morning Asked about location of pain Reports generalized abdominal pain Reports back pain Reports pain during urination Asked about characteristics of pain Reports pain during urination as "burning" Reports back and abdominal pain as "aching" Denies sharp or shooting pain Denies cramping pain Asked about treatment and relieving factors of pain Denies treatment with medication at home Denies use of heating pad Past Medical History Asked about existing health conditions Reports history of UTIs as an adult Reports hypercholesterolemia Followed up on history of UTI Reports UTIs once or twice annually Reports typical UTI treatment is to see a doctor for antibiotics Asked about allergies Denies general allergies Denies environmental allergies Denies latex allergy Denies food allergies Asked specifically about medication allergies Denies medication allergies Home Medications Asked about home medications Reports taking 2 medications for hypercholesterolemia Denies taking vitamins Denies taking herbal supplements Asked about medication regimen adherence Denies using a pillbox to organize medications Reports that she occasionally misses doses "here and there" if she forgets Denies missing doses of medication because of side effects Denies difficulty obtaining medications because of finances Denies difficulty obtaining medications because of transportation Followed up on last dose of home medications Reports not being sure she took medications today - "I don't think I did" Reports last dose of medications was yesterday Followed up on medications for hypercholesterolemia Reports taking Pravachol Reports taking Lipitor Denies knowing dosage for either Reports taking both medications daily Reports taking one before bed and one with breakfast, is unsure which is which Denies side effects of either medication Followed up on need for both statins Reports starting Lipitor "maybe 2 months ago" Reports continuing Pravachol Reports not being sure if her doctor wanted her to take both