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Posted: May 11th, 2022
week3General Survey and Well being Historical past (graded)Casey is a 17-year-old highschool pupil admitted to the ER with a compound fracture of the left leg obtained falling on the native skateboard park whereas working towards for a nationwide competitors. He has by no means been hospitalized earlier than. His mom has been notified and is on her approach. The EMTs gave him morphine and he stories his ache degree as “okay.”What a part of the interview and examination could be finished previous to his mom’s arrival?As you enter the room for the primary time, what do you have to observe as a part of the final survey?As you full his historical past, what areas are particularly necessary?What are the necessary developmental issues for Casey?The Older Grownup (graded)Jean is a 68-year-old feminine admitted for a complete hip substitute. In her interview you be taught that she has a historical past of obstructive sleep apnea (OSA) with a neck circumference of 16 inches and snores a lot of the night time. She is 5’7â and weighs 265 kilos. She states she is sleepy all through the day. Her different medical historical past consists of: hypertension handled with angiotensin II receptor blockers (ARB), Diabetic with an Hgb A1c over eight%. Hypercholesteremia handled with a Statin drug. Coronary Artery Illness (CAD) with a historical past of a drug eluting cardiac stent positioned 14 months in the past and presently on Plavix and ASA. Historical past of gastroesophageal reflux illness (GERD) and is on Prilosec. Her husband has a historical past of cerebral vascular accident (CVA) a number of years in the past.What medicines ought to she take pre-op and what ought to she maintain?Ought to Jean be allowed to proceed ASA pre-operatively?Ought to cardiology be consulted on this matter?What are Jeanâs dangers for diabetes issues? What considerations do you’ve got about her social assist system?week 4Assessment of the Pores and skin (graded)Describe a affected person with an irregular pores and skin symptom or group of signs reminiscent of a rash, an itch, redness, a lesion, or wounds. Don’t restrict your self to those examples.What questions would you ask as a part of your targeted evaluation?What historical past could be related to the symptom, if any?What are the recognized threat components for this situation?What bodily examination strategies would you employ?What affected person training would you give the affected person?Discover a nursing journal article about these signs.Evaluation of the Head and Neck (graded)Select one space of the top and neck after which choose a typical criticism (symptom or group of signs) sufferers might have in that space. For instance, it’s possible you’ll choose complications, earaches, ringing within the ears (tinnitus), sinus drainage and ache, sore throat and cough, and so forth. Don’t restrict your self to those examples.What questions would you ask as a part of your targeted evaluation?What historical past could be related to the symptom?What are the danger components for this situation?What bodily examination strategies would you employ?What affected person training would you give the affected person?Discover a nursing journal article about this symptom or situation.
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