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Posted: May 11th, 2022
Nr 305 week 3 discussions & assignment health assessment
NR 305 Week three Discussions & Task Well being Evaluation
Week three
NR 305 Week three TD 1:
Basic Survey and Well being Historical past
Casey is a 17-year-old highschool scholar admitted to the ER with a compound fracture of the left leg obtained falling on the native skateboard park whereas practising 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 stage as “okay.”
• What a part of the interview and examination could be achieved previous to his mom’s arrival?
• As you enter the room for the primary time, what must you observe as a part of the overall survey?
• As you full his historical past, what areas are particularly vital?
• What are the vital developmental concerns for Casey?
NR 305 Week three TD 2:
The Older Grownup
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 evening. She is 5’7” 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 at the moment 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 Jean’s dangers for diabetes problems? What considerations do you’ve gotten about her social assist system?
NR 305 Week three Task:
Household Genetic Historical past
You’re to acquire a household genetic historical past on a prepared, non-related, grownup participant.
This project allows to fulfill the next course outcomes:
CO #three: Make the most of efficient communication when performing a well being evaluation. (PO #three)
CO #5: Discover the skilled duties concerned in conducting a complete well being evaluation and offering applicable documentation. (PO #6)
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