TINA JONES SHADOW HEALTH
QUESTIONS WITH CORRECT ANSWERS
ChiefwComplaintw-wcorrectwanswer-
Scrapewonwfoot.wItwiswinfectedwandwcausingwpain(7woutwofw10).w-wcorrectwanswer-
Rightwfootwpain,wfever,wnauseaw-wcorrectwanswer-
HistorywofwPresentwIllnessw-wcorrectwanswer-
Awweekwagowthewscrapewstartedandwthewpainwgotwawlotwworsewinwlastwfewwdays.w-wcorrectwanswer-
Ms.wJoneswiswawpleasantw28-year-
oldwAfricanwAmericanwwomanwwhowpresentedwtowthewemergencywdepartmentwforwevaluationwofwawrightwf
ootwinjurywandwwaswadmittedwforwIVwantibiotics.wShewiswawgoodwhistorian.wShewhurtwthewballwofwherwrightwf
ootwbywscrapingwitwonwthewedgewofwawmetalwstepwwhilewchangingwawlightwbulb.wThewinjurywoccurredwabout
wonewweekwago.wHerwpainwhaswworsened,wandwthewswellingwhaswpersisted.wShewtriedwibuprofen,wbutwitwdid
n'twworkwwell.wThewfootwfeelswbetterwwhenwshewrests,wandwitwhurtswmorewwhenwshewwalkswonwit.wHerwpain
wiswaw9wwhenwshewtrieswtowambulate.wShewtookwherwtemperaturewatwhomewandwreportswitwwasw102.wShewh
aswnotwbeenweatingwmuchwandwhaswbeenwstayingwinwbedwthewlastwfewwdays,wperwpatientwreport.wThewscrap
ewiswredwandwswollenwwithwexudatewandwhaswnowodor;wshewreportswthewswellingwandwexudatewstartedwtwo
wdayswago.wShewreportswdiarrheawovernight.wPainwimprovedwwithwoxycodone.wStomachwupset.w-
wcorrectwanswer-
PainwAssessmentw-wcorrectwanswer-
6/7woutwofw10w-wcorrectwanswer-
Painwiswratedwasw7.wPainwiswlocalizedwtowballwofwfootwrelatedwtowwound.wDullwandwconstantwache.wPatientwh
aswtriedwibuprofen,wbutwreportswitwdoeswnotwworkwwell.wPatientwstateswtherewiswreliefwwhenwfootwiswelevat
ed,wnotwwalkingwonwit.wPatientwanswerswquestionswclearlywandwconsistently.wOfferswinformationwwithoutwh
esitation.wVitalwsignswarewwithinwrange.w-wcorrectwanswer-
, Allergiesw-wcorrectwanswer-
Allergicwtowpenicillin,wandwalsowallergicwtowcats.w-wcorrectwanswer-
•wPenicillin:wrashw-wcorrectwanswer-
•wCats:wwheezing,witchywwateryweyes,wsneezing,wasthmawexacerbationw-wcorrectwanswer-
•wNowfoodwallergiesw-wcorrectwanswer-
•wNotwallergicwtowlatexw-wcorrectwanswer-
Immunizationsw-wcorrectwanswer-
Seasonalwfluwvaccinewiswnotwcompletedwyet.w-wcorrectwanswer-
Allwotherwvaccineswarewgiven.w-wcorrectwanswer-
Up-to-date,wtetanuswboosterwwithinwthewlastwyear.w-wcorrectwanswer-
Medicationsw-wcorrectwanswer-
Regularwadvil.w-wcorrectwanswer-
•wAlbuterolw90wmcg/spraywMDI,w2wpuffs,waswneededwforwwheezingw-wcorrectwanswer-
•wAcetaminophenw500wmgwtabswbywmouth,w1w-w2,waswneededwforwpainworwheadachew-wcorrectwanswer-
•wIbuprofenw200wmgwtabswbywmouth,w3w-w4,wthreewtimeswawday,waswneededwforwcrampsw-wcorrectwanswer-
QUESTIONS WITH CORRECT ANSWERS
ChiefwComplaintw-wcorrectwanswer-
Scrapewonwfoot.wItwiswinfectedwandwcausingwpain(7woutwofw10).w-wcorrectwanswer-
Rightwfootwpain,wfever,wnauseaw-wcorrectwanswer-
HistorywofwPresentwIllnessw-wcorrectwanswer-
Awweekwagowthewscrapewstartedandwthewpainwgotwawlotwworsewinwlastwfewwdays.w-wcorrectwanswer-
Ms.wJoneswiswawpleasantw28-year-
oldwAfricanwAmericanwwomanwwhowpresentedwtowthewemergencywdepartmentwforwevaluationwofwawrightwf
ootwinjurywandwwaswadmittedwforwIVwantibiotics.wShewiswawgoodwhistorian.wShewhurtwthewballwofwherwrightwf
ootwbywscrapingwitwonwthewedgewofwawmetalwstepwwhilewchangingwawlightwbulb.wThewinjurywoccurredwabout
wonewweekwago.wHerwpainwhaswworsened,wandwthewswellingwhaswpersisted.wShewtriedwibuprofen,wbutwitwdid
n'twworkwwell.wThewfootwfeelswbetterwwhenwshewrests,wandwitwhurtswmorewwhenwshewwalkswonwit.wHerwpain
wiswaw9wwhenwshewtrieswtowambulate.wShewtookwherwtemperaturewatwhomewandwreportswitwwasw102.wShewh
aswnotwbeenweatingwmuchwandwhaswbeenwstayingwinwbedwthewlastwfewwdays,wperwpatientwreport.wThewscrap
ewiswredwandwswollenwwithwexudatewandwhaswnowodor;wshewreportswthewswellingwandwexudatewstartedwtwo
wdayswago.wShewreportswdiarrheawovernight.wPainwimprovedwwithwoxycodone.wStomachwupset.w-
wcorrectwanswer-
PainwAssessmentw-wcorrectwanswer-
6/7woutwofw10w-wcorrectwanswer-
Painwiswratedwasw7.wPainwiswlocalizedwtowballwofwfootwrelatedwtowwound.wDullwandwconstantwache.wPatientwh
aswtriedwibuprofen,wbutwreportswitwdoeswnotwworkwwell.wPatientwstateswtherewiswreliefwwhenwfootwiswelevat
ed,wnotwwalkingwonwit.wPatientwanswerswquestionswclearlywandwconsistently.wOfferswinformationwwithoutwh
esitation.wVitalwsignswarewwithinwrange.w-wcorrectwanswer-
, Allergiesw-wcorrectwanswer-
Allergicwtowpenicillin,wandwalsowallergicwtowcats.w-wcorrectwanswer-
•wPenicillin:wrashw-wcorrectwanswer-
•wCats:wwheezing,witchywwateryweyes,wsneezing,wasthmawexacerbationw-wcorrectwanswer-
•wNowfoodwallergiesw-wcorrectwanswer-
•wNotwallergicwtowlatexw-wcorrectwanswer-
Immunizationsw-wcorrectwanswer-
Seasonalwfluwvaccinewiswnotwcompletedwyet.w-wcorrectwanswer-
Allwotherwvaccineswarewgiven.w-wcorrectwanswer-
Up-to-date,wtetanuswboosterwwithinwthewlastwyear.w-wcorrectwanswer-
Medicationsw-wcorrectwanswer-
Regularwadvil.w-wcorrectwanswer-
•wAlbuterolw90wmcg/spraywMDI,w2wpuffs,waswneededwforwwheezingw-wcorrectwanswer-
•wAcetaminophenw500wmgwtabswbywmouth,w1w-w2,waswneededwforwpainworwheadachew-wcorrectwanswer-
•wIbuprofenw200wmgwtabswbywmouth,w3w-w4,wthreewtimeswawday,waswneededwforwcrampsw-wcorrectwanswer-