Focused Exam: OB Triage | Amber Rhoades Shadow Health: BSN 346 - Concepts of Nursing III - Complete Fall 2025.

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Focused Exam: OB Triage Results | Completed
BSN 346 - Concepts of Nursing III - January 2025, 20251bsn34606
Return to Assignment (/assignments/1125578/)




Your Results Lab Pass (/assignment_attempts/18681522/lab_pass.pdf)




Overview
Transcript
Transcript

Subjective Data Collection Started: Mar 08, 2025

Objective Data Collection All Lines (85) Interview Questions (59) Statements (6) Exam Actions (20)


Education & Empathy
Greet
hello
Documentation 03/08/25 12:09 PM MST

Care Plan
Hi.
Lab Evaluation
Question
SBAR what brings you in today
03/08/25 12:10 PM MST
Self Reflection
I came in because I have a stiff headache, nausea, and my legs are swollen. I've
Student Survey also been having blurry vision every now and then.

Question
how is your
03/08/25 12:10 PM MST


Dad had high blood pressure. Other than that, he was fine.

Question
what brings you in today
03/08/25 12:10 PM MST


I came in because I have a stiff headache, nausea, and my legs are swollen. I've
also been having blurry vision every now and then.

Question
i'm sorry to hear that you're experiencing discomfort (No matching questions
03/08/25 12:10 PM
found.)
MST

No matching questions found.

Empathize
it sounds like you've been in a lot of discomfort
03/08/25 12:10 PM MST


Thank you.

Question
how is your pain level
03/08/25 12:11 PM MST




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Right now I'd rate the pain as a 5 out of 10, and it's been that way the entire time.

Question
when did these symptoms begin
03/08/25 12:11 PM MST


My symptoms started yesterday. My legs started swelling yesterday, and they're
more swollen this morning.

Question
how long do they last
03/08/25 12:11 PM MST


The headaches, nausea, and swelling are just always happening. My blurry vision
comes and goes.

Question
what makes them worse
03/08/25 12:11 PM MST


I slept poorly, due to my symptoms.

Empathize
we'll do our best to help you
03/08/25 12:11 PM MST


That means a lot. Thank you.

Question
what makes your symptoms worse
03/08/25 12:12 PM MST


Physical activity makes my headache and nausea worse.

Question
what makes them feel better (Clarified to What makes your head feel better?.)
03/08/25 12:12 PM MST


Nothing's really helped the headache. I tried acetaminophen and that had no
effect at all. (Clarified to what makes my head feel better.)

Question
what are you taking (Clarified to What medications do you take?.)
03/08/25 12:12 PM MST


Sertraline is the only medication I've been prescribed. (Clarified to what
medications I am taking.)

Question
why do you take sertraline
03/08/25 12:12 PM MST


It was prescribed for depression.

Question
why were you diagnosed with depression
03/08/25 12:13 PM MST


Yes, I was diagnosed with depression.

Question
what made you depressed (No matching questions found.)
03/08/25 12:13 PM MST


No matching questions found.

Question
what caused the depression (Clarified to What caused your pain?.)
03/08/25 12:13 PM MST


I don't know if anything caused the pain. It's been constant since the headache
started yesterday. (Clarified to what caused my pain.)

Question
what helps the pain
03/08/25 12:13 PM MST




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Nothing seems to relieve the pain. I took acetaminophen and the pain didn't go
away.

Question
what treatment are you taking
03/08/25 12:13 PM MST


I was taking pink bismuth for the nausea, and acetaminophen for the headaches.

Question
is this your first pregnancy
03/08/25 12:13 PM MST


Yes, this is my first pregnancy.

Question
have you had prenatal visits
03/08/25 12:15 PM MST


Yes, I've had prenatal visits. I've been going to those appointments following the
schedule I set up with my OB. [AUDIO COMING SOON]

Question
have you had pregnancy education
03/08/25 12:15 PM MST


I've been reading books about pregnancy, and I've been attending pregnancy
classes.

Question
how often do you take sertraline
03/08/25 12:15 PM MST


No, I stopped taking my sertraline. After talking with my psychiatrist, of course.

Question
why did you start taking sertraline (Clarified to Why did you stop taking
03/08/25 12:15 PM MST
sertraline?.)


I stopped taking it because I'm pregnant. I just wanted to be clear-headed and
present. This might be the only time I get to experience what this is like. (Clarified
to Why I stopped taking sertraline.)

Question
are you dealing with something (No matching questions found.)
03/08/25 12:16 PM MST


No matching questions found.

Question
why did the doctor prescribe sertraline for depression (No matching questions
03/08/25 12:16 PM MST
found.)


No matching questions found.

Question
what made you depressed (No matching questions found.)
03/08/25 12:17 PM MST


No matching questions found.

Question
do you have a support system
03/08/25 12:17 PM MST


Yeah, I'd count my friends and my mom as my support system. They all help me
in their own ways when things get tough.

Empathize
i'm happy to hear that
03/08/25 12:17 PM MST


Thanks. I appreciate your kindness.




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