NR 509 Week 1 Assignment: Shadow Health History Assignment

NR 509 Week 1 Assignment: Shadow Health History Assignment
NR 509 Week 1 Assignment: Shadow Health History Assignment
NB: We have all the questions that you will ask Tina Jones plus the answers that she will provide already documented in the Subjective Data, Objective Data, Assessment, and Care Plan format. Further, all the answers to additional activities for this assignment will be given to you as a bonus. In other words, we are offering you a chance to score 100% in this NR 509 Week 1 Assignment: Shadow Health History Assignment plus all the other Shadow Health Assessments for this course.
Welcome to Health Assessment
Hello class: my name is, and I will be the instructor for this class. For more information on how to get a hold of me, please go under my profile for specific information. However, my email is:
***The best way to contact me though, is through the Private forum***
This course will focus on methods of health history taking, physical examination skills, documentation, and health screening. The course emphasizes the individual as the client, functional health patterns, community resources, and the teaching-learning process. This course will take us through infancy to an older adult.
To find course material, go under your Dashboard, then you will see PATH. There are two links to find information regarding this course; course material and syllabus.
The course material tab shows what textbook is used for this class.
The syllabus will show what this course is, the assignments for the course, the topics of the course, the grading system, and how to refer to the student policy handbook. **there has been some problems downloading the syllabus, thus the PATH is also the syllabus…but 1 week and topic at a time.
Under your Assignments, will have the due date and the rubric posted to look at.
Under the Planner tab, assignments are listed along with the due dates. Clicking the collaborative reminder within the calendar tab will show the assignment, any information that is needed for the assignment, and give the rubric of how the assignment will be graded.
Please refer to all other announcements for Class Policies and Week 1 class.
Feel free to contact me anytime. I look forward to this 5 week’s journey with each of you
Shadow Health History Assignment
NR 509 Week 1 Assignment Debriefing
Faculty will lead virtual debriefing sessions during Weeks 1-6. The date, time, and duration of the weekly debriefing session will be posted by the course faculty.
Students must register to attend the debriefing session.
During the debriefing process, students reflect upon their simulation experience and revisit their assessments, interventions, observations, and patient responses. Faculty coach students to review patient data and reflect upon the interventions performed in response to the clinical situation presented during the simulation experience. This process facilitates students to analyze their own thought processes and supports the transference of knowledge gained from simulation experiences to actual clinical practice.
The goals of each debriefing session are to:
Answer questions
Address perspectives, perceptions, and concerns
Emphasize and reinforce learning objectives and clinical outcomes
Create linkages to the “real world”
Assess and validate what was learned
Each student is expected to contribute to the debriefing session by:
Reflecting on personal strengths, limitations, beliefs, prejudices, or values
Identify improvement goals and strategies
Discuss the simulation experience and provide comments and suggestions to student peers
Transfer knowledge from the simulation experience to actual clinical practice
Please refer to the Debriefing Session Guidelines and Grading Rubric located in the Course Resource section.
NR 509 Week 1 Assignment Alternate Writing Assignment
NOTE
:
You will complete this alternate writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.
As a family nurse practitioner, you must possess excellent physical assessment skills. This alternate writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.
The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).
Please refer to the Alternate Writing Assignment Guidelines and Grading Rubric located in the Course Resource section.
NR 509 Week 1: Shadow Health: Digital Clinical Experience (DCE) Orientation
NR 509 Week 1: Shadow Health: Conversation Concept Lab
These activities and exercises will introduce the student to the functions of open and closed questions in effective communication during a patient interview.
NR 509 Week 1: Shadow Health History Assignment
Pre-brief
Obtaining an accurate history is the critical first step in determining the etiology of a patient’s problem. A large percentage of the time, you will actually be able to make a diagnosis based on the history alone. The value of the history, of course, will depend on your ability to elicit relevant information. Your sense of what constitutes important data will grow exponentially as you practice your interviewing skills and through increased exposure to patients and illness. However, you are already in possession of the tools that will enable you to obtain a good history. Specifically, you must listen and ask appropriate questions to define the nature of a particular problem. In fact, seasoned clinicians occasionally lose sight of this important point, placing more reliance on the use of diagnostic testing rather than taking the time to listen to their patients. Interviewing patients is an art and should remain an essential skill for successful practice.
In this activity, you will interview Tina Jones to collect data to assess Ms. Jones’ condition. You will also have the opportunity to educate and empathize with Tina to engage in effective therapeutic communication; create a
problem list
using evidence from the data you collected; prioritize the identified problems to differentiate immediate from non-immediate care; plan how to best address the most important concern with further assessment, interventions, and patient education; and compare your documentation to model documentation.
Ms. Jones is a pleasant, 28-year-old obese African American single woman who presents to establish care and with a recent right foot injury. She is the primary source of the history. Ms. Jones offers information freely and without contradiction. Her speech is clear and coherent and she maintains eye contact throughout the interview.
Reason for visit: Patient presents for an initial primary care visit today complaining of a right foot wound.
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NR 509 Week 1 Shadow Health: Conversation Concept Lab
NR 509 Week 1 Assignment Shadow Health Digital Clinical Experience DCE Orientation Spring
NR 509 Week 1 Quiz Questions and Answers
A patient tells the FNP that he is very nervous, that he is nauseated, and that he “feels hot”. This type of data would be:
2. The patient’s record, laboratory studies, objective data, and subjective data combine to form the:
3. The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice?
4. A 59-year-old patient tells the FNP that he has ulcerative colitis. He has been having black stools for the last 24 hours. How would the FNP best document his reason for seeking care?
5. A 29-year-old woman tells the FNP that she has excruciating pain in her back. Which would be an appropriate response by the FNP to the woman statement?
6. In recording the childhood illnesses of a patient who denies having had any, which note by the FNP would be most accurate?
7. If a female patient tells the FNP that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the FNP record this information?
8. If a female patient tells the FNP that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the FNP record this information?
9. Which of these statements represents subjective data the FNP obtained from the patient regarding the patient’s skin?
10. The FNP is obtaining a history for a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient?
11. Which statement indicates that the FNP understands the pain experienced by an elderly person?
12. The FNP is performing a vision examination. Which of these charts is most widely used for visual examination?
13. During a complete health assessment, how would the FNP test the patients hearing?
14. The FNP has just completed an examination of a patient’s extra-ocular muscles. When documenting the findings, the FNP should document the assessment of which cranial nerves?
15. A patient’s uvula rises midline when she says “ahh” and she has a positive gag reflex. The FNP has just tested which cranial nerve?
16. During an examination the FNP notices that a patient is unable to stick out his tongue. Which cranial nerve is involved with the successful performance of this action?
17. A patient is unable to shrug her shoulders against the FNP‘s resistant hands. What cranial nerve is involved with successful shoulder-shrugging?
18. During an examination, the patient has just successfully completed the finger to nose and rapid alternating movements test and is able to run each heel down the opposite shin. The FNP would conclude that the patient’s___ function is intact
19. A five-year-old child is in the clinic for checkup. The FNP would expect him to:
20. When the FNP performs the confrontation test the FNP has assessed:
21. Which of these statements is true regarding the complete physical assessment?
22. Which of these statements is true regarding recording of data from the history and physical examination?
23. Which of these is included in assessment of general appearance?
24. The FNP is performing a review of symptoms. Which of these questions are appropriate as Health promotion questions to ask during this time?
25. The FNP is incorporating a person’s spiritual values into the health history. Which of these questions illustrates the community portion of the FICA questions?
26. The FNP is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins?
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NR 509 Week 2 Shadow Health Respiratory Physical Assessment Spring
Pre Brief

Tina had an asthma episode 2 days ago. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Since that incident she notes that she has had ten episodes of wheezing and has shortness of breath approximately every four hours. Tina presents with continued shortness of breath and wheezing. Be sure to ask pertinent questions during the interview about related body systems. This case study will provide the opportunity to carefully assess lung sounds during the physical examination. Be sure to appropriately document your findings using correct medical terminology.
Reason for visit:
Patient presents complaining of a recent asthma episode that is not fully resolved.
| Overview

| Transcript

| Subjective Data Collection

| Objective Data Collection

| Education & Empathy

| Documentation / Electronic Health Record

| Student Pre-Survey

| Lifespan Activity

| Review Questions

| Self-Reflection Activity
NR 509 Week 2 Alternate Writing Assignment: Respiratory Summer
Purpose
As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.
Course Outcomes
This assignment is guided by the following Course Outcomes (COs):
Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (PO 1, 2)
Differentiate normal and abnormal health history and physical examination findings. (PO 1, 2)
Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (PO 1, 2)
The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).
NOTE
: You are to complete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.
Due Date:
This alternative written assignment is due no later than the
Sunday of the week in which you did not attend the weekly debriefing session
. The standard MSN Participation Late Assignment policy applies to this assignment.
Preparing the Paper:
Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.
Carefully read and review the selected body system in your course textbooks.
Incorporate at least onescholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.
The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations.
Provide concluding statements that should summarize key points of the overall assignment content.
In-text citations and reference page(s) must be written using proper APA format (6thedition).
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NR 509 Week 2 Shadow Health HEENT Physical Assessment Assignment Summer
Pre-Brief

For the last week, Tina has experienced sore, itchy throat, itchy eyes, and runny nose. She states that these symptoms started spontaneously and have been constant in nature. … has treated her throat pain with occasional throat lozenges which has “helped a little”. She states that her nose “runs all day” and has clear discharge. … denies cough and recent illness. … denies fevers, chills, and night sweats. This case study will allow you to use standard office equipment to physically examine the patient’s eyes, ears, nose, and throat. You will need to document what you find in the Electronic Health Record (EHR). Be certain to use medically appropriate terminology, such as “erythematous” to describe redness of the skin, mucous membranes, or conjunctiva.
| Overview
| Subjective Data Collection
| Objective Data Collection
| Education & Empathy
| Documentation / Electronic Health Record
| Lifespan
| Review Questions
| Self-Reflection
NR 509 Week 2 Quiz
A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be:
During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most likely results from:
The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The FNP suspects Damage to:
When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands
A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds with the examination by____
When examining a patient’s cranial nerve function, the FNP remembers that the muscles in the neck that are innervated by CN XI are the:
The patient’s laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the _____ gland
A patient says that she has recently noticed a lump in the front of her neck below her “Adams apple” that seems to be getting bigger. During the assessment, the finding that leaves the FNP to suspect that this may not be a cancerous thyroid nodule is that the lump:
The FNP notices that the patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the FNP would assess the patient’s:
The FNP is aware that the four areas in the body were lymph nodes accessible are the:
A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The FNP should know that floaters are usually not significant and are caused by:
The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP proceed?
A patient’s vision is recorded as 20/30 when the Snellen eye chart is used. The FNP interprets these results to indicate that:
A patient is unable to read even the largest letters on the Snellen chart. The FNP should take which action next:
A patient’s vision is reported as 20/80 in each eye. The FNP interprets this finding to mean that
When performing the corneal light reflex assessment, the FNP notes that the light is reflected at 2 o’clock in each eye. The FNP should
The FNP is performing the diagnostic positions test. Normal findings would be which of these results?
During an assessment of the sclera of an African-American patient, the FNP would consider which of these an expected finding?
A 60-year-old man is at the clinic for an examination. The FNP suspects that he has ptosis of one eye. How should the FNP check for this?
The FNP is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale gray and swollen. What would be the most appropriate question to ask the patient?
The FNP is palpating the sinus areas. If the findings are normal, then the patient should report which sensation?
During an oral assessment of a 30-year-old African-American patient, the FNP notices bluish lips and a dark line along the gingival margin. What would the FNP do in response to these findings
During an assessment of a 20-year-old patient with a three day history of nausea and vomiting the FNP notices dry mucous and deep vertical fissures on the tongue. These findings are reflective of:
The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate FNP reflects a correct understanding of tactile fremitus?
The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? During pregnancy:
NR 509 Week 2 Quiz Review – (Jarvis 8,9,13,14,15,16,18), (Swartz 4,6,7,8,9,10)
1. What does dullness when percussing lung fields: Jarvis pg 427
2. Facial sensation controlled by which CN: Jarvis 283,
3. Know what two salivary glands are accessible during exam
4. What CN is being … when pt shrugs shoulders Jarvis 646
5. What muscles are being …. when …. CN 11 (spinal accessory nerve)
6. Concern for malignant nodules versus benign lymph nodule
7. Know what you’d do next if you palpated a submental lymph node: Jarvis pg 253
8. Define visual acuity
9. Know what to do if your patient can’t read the largest number on the Snellen chart: Jarvis 289
10. Example of good visual acuity : Jarvis 289
11. Example of poor visual acuity: Jarvis 289
12. What is …. with corneal light reflex-
13. Know normal variances of sclera : Jarvis 283
14. Know how to check for Ptosis: Jarvis 292
15. What does ptosis indicate: Jarvis 292
16. Nasal fissure of pt with chronic allergies : Jarvis 271
· Acute allergies : Jarvis p 363 .
17. What is an abnormal palpation of sinuses: Jarvis 362
· Normal palpation of sinuses
18. Know normal variations in gingival margin
19. Know what a dehydrated oral cavity will look like: Jarvis 387
20. What is tactile fremitus, how do you test for it and what does it indicate. Jarvis 425
NR 509 Week 3 Alternate Writing Assignment Neurological System Summer
Purpose
As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.
The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).
NOTE
: Complete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.
Due Date:
Alternative written assignment is due no later than the Sunday of the week in which you did not attend the weekly debriefing session.
Preparing the Paper:
Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.
Carefully read and review the selected body system in your course textbooks.
Incorporate at least onescholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.
The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations.
Provide concluding statements that should summarize key points of the overall assignment content.
In-text citations and reference page(s) must be written using proper APA format (6thedition).
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NR 509 Week 3 Shadow Health Assessment Musculoskeletal Spring
Subjective:
HPI: Ms. Jones presents to the clinic complaining of back pain that began 3 days ago after she “tweaked it” while lifting a heavy box while helping a friend move. She states that lifted several boxes before this event without incident and does……………………………… She presents today as the pain has continued and is interfering with her activities of daily living.
Social History: Ms. Jones’ job is mostly supervisory, although she does report that she may have to sit or stand for extended periods of time……………. use of tobacco, alcohol, and illicit drugs. She does not exercise.
ROS: General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. •
Musculoskeletal: Denies muscle weakness, pain, joint instability, or swelling. She does state that she has difficulties with range of motion…… lower back has impacted her comfort while sleeping and sitting in class…….. numbness, tingling, radiation, or bowel/bladder dysfunction. She denies previous musculoskeletal injuries or fractures. •
Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or seizures.
Objective:
ROS: General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no acute distress. She is alert and oriented. She maintains eye contact throughout interview and examination.
Musculoskeletal: Bilateral upper extremities without muscle atrophy or joint deformity. Bilateral upper extremities with full range of motion of shoulder, elbow, and wrist……………….. upper extremity strength equal and 5/5 in neck, shoulders, elbows, wrists, hands. Bilateral lower extremity strength equal and 5/5 in hip flexors, knees, and ankles.
ASSESSMENT:
Low back muscle strain related to lifting
| Overview

| Transcript

| Subjective Data Collection

| Objective Data Collection

| Education & Empathy

| Documentation

| Lifespan

| Review Questions

| Self-Reflection
NR 509 Week 3 Shadow Health Neurological Physical Assignment Completed
Pre Brief
Two days after a minor, low-speed car accident in which Tina was a passenger, she noticed daily bilateral headaches along with neck stiffness. She reports that it hurts to move her neck, and she believes her neck might … swollen. She did not lose consciousness in the accident and denies changes in her level of consciousness since that time. … that she gets a headache every day that lasts approximately 1-2 hours. … occasionally takes 650 mg of over-the-counter Tylenol with relief of the pain. This case study will allow you the opportunity to examine the patient’s optic nerve via the use of the ophthalmoscope as well as assess her visual acuity. You will need to document your findings using appropriate medical terminology. Be sure to assess for foot neuropathy using the monofilament test. Reason for visit: Patient presents complaining of a headache.NR 509 Neurological Results | Transcript
Interview Questions (113)
NR 509 Neurological Results | Subjective Data Collection: 18 of 20 (90.0%)
NR-509 Neurological Results | Objective Data Collection: 36.75 of 37 (99.32%)
NR 509 Neurological Results | Education & Empathy: 4 of 4 (100.0%)
Symptoms
Cause of Injury
Medications
Vision
NR 509 Neurological Results | Documentation / Electronic Health Record
NR 509 Neurological Results | Pre-Survey Lifespan
Tina’s three-year-old neighbor presents to the clinic with fever, neck pain, headache, and confusion. He has no symptoms of an upper respiratory infection. The parents mention that they do not believe in immunizations. Based on the information given, what diagnosis is of the greatest concern? What is your next action?
Tina’s 83-year-old great uncle forgets where he is during his yearly check-up. He doesn’t remember if he’s had memory problems before and no family members came to your office with him. List your differential diagnosis. What assessments would you perform?
NR 509 Neurological Results | Review Questions
To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to be tested?
Imagine that you were preparing to irrigate a Foley catheter of a patient with a spinal cord injury at T4 in a urology clinic. Upon moving the leg bag, the patient became suddenly flushed and diaphoretic above the nipple line. What would you suspect was happening?
Which of the following is not a common symptom of Parkinson’s disease?
Name at least three ways to assess cerebellar function during a physical exam.
If Tina had a fever and photophobia, you would have had to test for meningitis. Describe how you would have tested for the Kernig’s sign
Suppose you assessed pain sensation over Tina’s left foot, and noticed that she had decreased sensation. How would you have proceeded with your exam?
NR 509 Neurological Results | Self-Reflection
Explicitly describe the tasks you undertook to complete this exam.
Explain the clinical reasoning behind your decisions and tasks.
Identify how your performance could be improved and how you can apply “lessons learned” within the assignment to your professional practice.
NR 509 Week 4 Quiz Advanced Physical Assessment Chamberlain
1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
2. The direction of blood flow through the heart is best described by which of these
3. In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would
4. When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are
5. The sack that surrounds and protects the heart is called the
6. When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true?
7. The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next?
8. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process?
9. The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have?
10. In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history?
11. The FNP is … the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a____pulse
12. A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. ….. his legs when they are … and disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing
13. During an assessment the FNP uses the profile sign to detect
14. Which of these statements describes the closure of the valves in a normal cardiac cycle?
15. When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next
16. A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing
17. In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can… by expected hemodynamic changes related to age?
18. The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect?
19. The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test?
20. A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true?
21. Findings from an … of a 70-year-old patient with swelling in his ankles include jugular venous positions, 5 cm above the sternal angle when the head of his bed is …. 45°. The FNP knows that this finding indicates:
22. The component of the conduction system referred to as the pacemaker of the heart is the
23. The FNP is reviewing the anatomy and physiology of the heart. Which statement is best … by atrial kick?
24. A 45-year-old man is in the clinic for a routine physical. During history, the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be
25. When assessing a patient the FNP notes that the left femoral pulse has diminished 1+/4+. What should the FNP do next?
NR 509 Week 4 Shadow Health Cardiovascular Physical Assessment Assignment Summer
Overview
|
Transcript
| Subjective Data Collection
| Objective Data Collection
| Education & Empathy
| Documentation
| Lifespan
| Review Questions
| Self-Reflection
NR 509 Week 4 Shadow Health Chest Pain Physical Assessment Assignment Summer
Overview
|
Transcript
| Subjective Data Collection
| Objective Dat

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