Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health PDF

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Shadow Health. Focused exam: Respiratory Syncytial Virus Results. Patient Eden Wu. DCE score 100%...

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Focused Exam: Respiratory Syncytial Virus Results | Completed Nursing Care of Children (Pediatrics) -Fall 2021, NURS 341-05 Return to Assignment (/assignments/538978/)

Your Results

Turn In (/assignment_attempts/10893248/choos Lab Pass (/assignment_attempts/10893248/lab_pass.

Overview

Experience Overview

Transcript Subjective Data Collection

Patient: Eden Wu

Student Performance Index

56 out of 59

Objective Data Collection Education & Empathy Documentation Care Plan Program Competency Progress

Proficiency Level: Proficient

Student Survey Beginning

Digital Clinical Experience Score

100% This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent.

Developing

Subjective Data Collection

Objective Data Collectio

33 out of 33

13 out of 13

Education and Empathy

1 out of 4 Care Plan

9 out of 9 Time 46 minutes total spent in assignment Interaction with patient

46 minutes

Comments If your instructor provides individual feedback on this assignment, it will appear here.

Proficient

Students rated as “proficient” demonstrate entry-level exper nursing competencies and clinical reasoning skills. In comp nursing programs, the top 25% of students perform at the le a proficient nurse.

Subjective Data Collection: 33 of 33 (100.0%) Hover To Reveal...

Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions.

Categ ory

Indicates an item that you found. Indicates an item that is available to be found.

Co me Gu ian

Relationship Chief Complain

Scored Items

Patient Data

History of Present Illness

Experts selected these topics as essential components of a strong, thorough interview with this patient.

A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case.

Medications

Not Scored

Past Medical Confirmed guardian's relationship to patient

Confirmed chief complaint

Asked about patient symptoms

Followed up on fever

Jennifer reports being patient's mother Jennifer reports working during the day Vivian reports being patient's mother Vivian reports being primary caregiver during the day

Reports patient has a bad cold Reports patient is having difficulty breathing

Reports patient is congested and has a runny nose Reports patient has a cough Reports patient has a fever

Reports patient's fever was 101 degrees today Reports taking patient's temperature rectally

Asked about reason for coming to ED

Reports patient shows signs of labored breathing Reports being warned about retractions at primary care

Asked about onset and duration of symptoms

Reports patient's congestion and runny nose began 5 days ago Reports patient's cough began 2 days ago Reports patient's fever started today Reports patient got sick a few days after 100 day party

Followed up on onset

Reports patient interacted with many new people at party Reports not remembering anyone being sick at party

Asked about seeking medical treatment

Reports Jennifer brought patient to primary care Denies pediatrician prescribing medication Reports pediatrician said to treat symptoms at home

Asked about nasal symptoms

Reports patient has excessive mucus Reports patient's mucus is clear

Asked about characteristics of cough

Reports nonproductive cough Reports patient coughing frequently

Asked about aggravating factors for symptoms

Denies specific triggers for symptoms

History Family Health History Social History Review of Relevant Systems

Reports symptoms are worse when patient is lying flat Reports patient's symptoms seem worse at night

Asked about non-pharmacological relieving factors

Asked about behavior

Asked about appetite

Asked about hydration

Reports holding patient helps Reports warm baths help Reports dabbing petroleum jelly around nose Reports trying to use saline drops and bulb syringe Denies continuing to use bulb syringe

Reports patient being fussier than normal Reports patient has had difficulty sleeping Reports patient being less active than normal Reports patient normally being able to kick legs and move arms Reports patient typically is a happy baby

Reports decreased appetite Reports patient has difficulty feeding Reports breastfeeding

Reports patient is producing tears Reports patient producing 3 wet diapers today Reports patient normally producing about 6 wet diapers per day

Asked about typical home medications

Denies typical medication use Denies prescription medication use

Asked about allergies

Denies allergies

Asked about pharmacological relieving factors

Followed up on pharmacological relieving factors

Reports starting patient on infant acetaminophen earlier today Reports infant acetaminophen brought fever down

Reports giving infant acetaminophen every 4 hours Reports last dose was around 6:30 PM Reports giving patient dose of infant acetaminophen as instructed on bottle

Asked about prenatal and birth history

Jennifer reports having gestational diabetes during pregnancy Jennifer reports gestational diabetes went away after delivery Reports normal vaginal delivery of patient Reports delivering patient at full term Reports patient weight 8 pounds and 8 ounces at birth

Asked about patient's past medical history

Reports patient meeting developmental milestones Reports patient is up to date on vaccinations Denies previous surgeries or hospitalizations Denies history of illness

Asked about guardian's past medical history

Denies existing medical conditions

Asked about guardian family health history

Denies family history of asthma Vivian reports mother died of breast cancer

Asked about method of care

Denies going to childcare facilities Denies using babysitters

Asked about infection control

Denies anyone else at home being sick Reports frequent hand washing Denies frequent cleaning

Asked about exposure to secondhand smoke

Asked about support system

Denies exposure to secondhand smoke

Jennifer and Vivian report feeling supported by each other Jennifer and Vivian report feeling safe

Asked about general symptoms

Denies chills Denies patient weight changes

Asked about heent system

Denies additional HEENT symptoms

Asked about respiratory system

Reports wheezing Reports retractions Reports increased breath rate Denies apnea

Asked about cardiovascular system

Denies cardiovascular problems

Asked about gastrointestinal system

Denies gastrointestinal problems

Asked about integumentary system

Denies general skin problems Denies cyanosis

Comments If your instructor provides individual feedback on this assignment, it will appear here.

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Objective Data Collection: 13 of 13 (100%) Correct Partially correct

Incorrect Missed

Assessed Vitals 1 of 1 point

Temperature(1/5 point) Normothermic Hyperthermic Hypothermic

Blood Pressure(1/5 point) Normotensive Hypertensive Hypotensive Heart Rate(1/5 point) No abnormal findings Tachycardia Bradycardia Respiratory Rate(1/5 point) No abnormal findings Tachypnea Bradypnea O2 Saturation(1/5 point) Normal Hypoxemia

Assessed Growth 1 of 1 point

Bmi For Age(1/2 point) Underweight Normal Weight Overweight Obese

Stature For Age(1/2 point) Percentile 5 and < 95 Percentile >= 95

Inspected Skin 1 of 1 point

Appearance(1/2 point) No abnormal findings Pallor Blue skin Flushed Rash

Bruising Observations(1/2 point) Cool Warm Dry Moist

Inspected Eyes 1 of 1 point

Appearance(1/1 point) Teary Dry

Inspected Nasal Cavities 1 of 1 point

Color(1/3 point) Pink Red Bluish

Observations(1/3 point) No additional visible abnormal findings Foreign body present Polyp Septum perforated Septum deviated Lesion Swollen turbinates Mucus Quantity(1/3 point) Dry Normal amount of mucus Excessive mucus

Inspected Chest 1 of 1 point

Sites Of Retraction(1/1 point) No visible abnormal findings Superclavicular Supersternal Substernal Subcostal Intercostal

Auscultated Breath Sounds 1 of 1 point

Breath Sounds(1/1 point) Normal breathing Expiratory wheezing Inspiratory wheezing Diminished breath sounds

Palpated Head 1 of 1 point

Fontanel Appearance(1/1 point) Smooth/Flat Sunken Bulging

Palpated Radial Arteries 1 of 1 point

Right: Amplitude(1/2 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse

Left: Amplitude(1/2 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse

Palpated Brachial Arteries 1 of 1 point

Right: Amplitude(1/2 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse

Left: Amplitude(1/2 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse

Palpated Femoral Arteries 1 of 1 point

Right: Amplitude(1/2 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse

Left: Amplitude(1/2 point) 0 Absent 1+ Diminished or barely palpable 2+ Expected 3+ Increased 4+ Bounding pulse

Inspected Diaper 1 of 1 point

Appearance(1/2 point) Dry Wet

Observations(1/2 point) No stool Liquid stool present

Solid stool present

Tested Capillary Refill 1 of 1 point

Capillary Refill Time(1/1 point) Less than 2 seconds Greater than 2 seconds

Nursing Diagnosis Nursing 3.5 out of 3.5 Diagnoses: Definitions & Classifications 2018-2020 © NANDA-International, 2017 used by arrangement with Thieme Medical Publishers, Inc., a division of the Thieme Group. All rights reserved. Authorized translation from the English language edition published by Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NANDA-International. Direct inquires to [email protected]. Link for more information: http://www.nanda.org/.

Status Student Response

Model Answer

Explanation

Points Earned

exhibits

exhibits

The correct status for the nursing diagnosis is "exhibits," because Eden's current behavior shows respiratory distress. This is not a risk but is present.

0.5 out of 0.5

Student Response

Model Answer

Explanation

Points Earned

ineffective airway clearance

ineffective airway clearance

Eden's condition indicates she is experiencing ineffective airway clearance.

0.5 out of 0.5

Student Response

Model Answer

Explanation

Points Earned

respiratory distress

respiratory distress

Eden's diagnosis is ineffective airway clearance as it relates to her respiratory distress.

0.5 out of 0.5

Model Answer

Explanation

Points Earned

Diagnosis

Etiologies

Signs & Symptoms Student Response

wheezing

wheezing

Eden's diagnosis is ineffective airway clearance as related to respiratory distress as evidenced by wheezing, retractions, respiratory rate of 62, and excessive mucus.

0.5 out of 0.5

retractions

retractions

Eden's diagnosis is ineffective airway clearance as related to respiratory distress as evidenced by wheezing, retractions, respiratory rate of 62, and excessive mucus.

0.5 out of 0.5

excessive mucus

excessive mucus

Eden's diagnosis is ineffective airway clearance as related to respiratory distress as evidenced by wheezing, retractions, respiratory rate of 62, and excessive mucus.

0.5 out of 0.5

respiratory rate of 62

respiratory rate of 62

Eden's diagnosis is ineffective airway clearance as related to respiratory distress as evidenced by wheezing, retractions, respiratory rate of 62, and excessive mucus.

0.5 out of 0.5

Short-Term Goal Student Response

Model Answer

Explanation

Points Earned

To have the patient to exhibit a reduced rate of respiration and for the guardians to verbalize their understanding of how to clear excess mucus from the patient's airway by the end of shift

To have the patient to exhibit a reduced rate of respiration and for the guardians to verbalize their understanding of how to clear excess mucus from the patient's airway by the end of shift

Managing the symptoms of Eden's ineffective airway clearance by the end of her stay will have the highest impact on the patient's health.

0.5 out of 0.5

Student Response

Model Answer

Explanation

Points Earned

Monitor respiratory patterns including rate, depth, and effort

Monitor respiratory patterns including rate, depth, and effort

Many of these instructions prioritize the interventions most important to improving the patient's current condition.

0.5 out of 0.5

Instruct guardians on the proper use of saline solution and bulb syringe and have the guardians demonstrate proper use of the technique on the patient

Instruct guardians on the proper use of saline solution and bulb syringe and have the guardians demonstrate proper use of the technique on the patient

Many of these instructions prioritize the interventions most important to improving the patient's current condition.

0.5 out of 0.5

Monitor pulse oxygen saturation levels as available

Monitor pulse oxygen saturation levels as available

Many of these instructions prioritize the interventions most important to improving the patient's current condition.

0.5 out of 0.5

Position client to optimize respiration

Position client to optimize respiration

Many of these instructions prioritize the interventions most important to improving the patient's current condition.

0.5 out of 0.5

Interventions...